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Adult Psychopathology Midterm Review

front 1

The Electra complex, the psychosexual conflict that occurs at the phallic stage of development in girls, is characterized by

back 1

penis envy

front 2

Based on Hippocrates' humoral theory, "sanguine" describes a person who is ________.

back 2

cheerful

front 3

You have been asked to give a report on the mental hygiene movement and its foremost crusader Dorothea Dix, who campaigned for more humane treatment of the insane. After mentioning all of her accomplishments, you note the unforeseen consequence of her efforts, namely,

back 3

an increase in the number of mental patients, resulting in insufficient staff to care for them.

front 4

As described on the "Abnormal Psychology Live" CD, Ivan Pavlov's ideas were brought to the United States in the early 20th century by

back 4

John B. Watson.

front 5

In keeping with an accepted treatment for mental illness in the 14th century, a physician treating King Charles VI of France had him moved to the countryside in order to

back 5

provide clean air, rest, relaxation, and recreation

front 6

After college graduation, two of your friends are interested in careers in the helping professions. Anna wants to become a psychiatrist; Carl plans on becoming a psychologist. Since you are taking a course in Abnormal Psychology, they ask you for career advice. You would tell

back 6

Anna to apply to medical school and Carl to study psychology at the graduate level.

front 7

If you were asked to explain Freud's structure of the mind to a friend who was unfamiliar with psychology, you might use an organizational analogy in which the id would be the employee who comes to work late and takes very long lunch hours, the superego would be the building security guard, and the ego would be

back 7

a manager

front 8

Which of the following is NOT associated with the humanistic theories of Carl Rogers?

back 8

Hierarchy of needs

front 9

Developmental psychopathology refers to the study of changes in

back 9

abnormal behavior

front 10

In contrast to the asylums of the early 18th century, the psychosocial approach called moral therapy advocated all of the following EXCEPT

back 10

restraint and seclusion

front 11

Induced vomiting was a 17th century treatment for depression. As described in Anatomy of Melancholy (1621), this could be accomplished by eating _________ and a half-boiled cabbage.

back 11

tobacco

front 12

According to Freud, neuroses are all nonpsychotic psychological disorders resulting from

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all of these

front 13

In the late 1800s, the emphasis on a biological cause of mental disorder resulted ironically in reduced interest in treatments for mental patients because it was thought that

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mental illness was due to an undiscovered brain pathology and was incurable

front 14

In their theories about human nature, psychoanalysts Carl Jung and Alfred Adler both

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emphasized a strong drive toward individual self-actualization.

front 15

Someone you know has been having a lot of difficulty because of irrational fears. Knowing that you are studying abnormal psychology, this person asks if you know of an effective and well-established treatment. You advise her that ________________, based on the mid 20th century work of Joseph Wolpe, is a successful anxiety reduction procedure.

back 15

systematic desensitization

front 16

What is one advantage of the categorical system over the dimensional system when it comes to classifying and diagnosing personality disorders?

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convenience

front 17

DSM-5, an updated version of the Diagnostic and Statistical Manual of Mental Disorders, was published in

back 17

2002

front 18

The Oedipus complex, the psychosexual conflict that occurs at the phallic stage of development, is characterized by a 3- to 5-year-old boy who

back 18

loves his mother but has feelings of anger and envy toward his father

front 19

With which of the following terminal degrees can you practice therapy?​

back 19

Ph.D. in psychology with additional licensing requirements

front 20

A woman demonstrating a high degree of Western “stereotypical female” traits might well be diagnosed with histrionic personality disorder. Which of the following would probably occur if a man demonstrated very stereotypical masculine traits?​

back 20

He probably would not be diagnosed with any personality disorder.

front 21

Clinicians who view personality disorders as extremes of normal personality rather than as _____ have criticized the way the DSM classifies personality disorders.​

back 21

​separate categories of disorders

front 22

One hot and humid night, one of your friends suggests doing some really crazy things. You look up at the sky and say,
“It must be the full moon.” Your statement reflects the concept from which the word is derived.​

back 22

lunatic

front 23

With the discovery of the major tranquilizers called_, it became possible to control psychotic symptoms, including hallucinations, delusions, and aggressiveness.

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neuroleptics

front 24

Which of the following prevention strategies looks promising for children who are at risk for later antisocial personality disorder?

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A training program for parents of toddlers (ages 1½ to 2½ years)

front 25

Tameka, having earned her master’s degree, has begun treating disorders and concentrating on family problems. Tameka is probably a(n)

back 25

psychiatric social worker

front 26

After the mid 1800s, moral therapy declined as a treatment for the mentally ill in the United States because

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immigrants caused an increase in the mental hospital population

front 27

When individuals with dependent personality disorder are in therapy, they are

back 27

​seemingly “model” patients.

front 28

In Erik Erikson’s theory of lifespan development, an individual reaches the mature stage when he or she is about
years old.​

back 28

65

front 29

The continual interaction of biological, psychological, and social influences and their effect on behavior is considered​

back 29

multidimensional and integrative

front 30

The central nervous system is made up of the _____

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brain and spinal cord

front 31

Which of the following statements is TRUE?

back 31

There are different types of glial cells with several specific functions.

front 32

GABA, dopamine, and norepinephrine are all examples of _______ .

back 32

neurotransmitters

front 33

The fact that a disorder can be caused by a variety of factors illustrates the principle of _______.

back 33

equifinality

front 34

​Referring to behavior and personality as polygenic means that both are

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​influenced by many genes, with each individual gene contributing a relatively small effect.

front 35

The "evil eye," Latin American susto, and the Haitian phenomenon of voodoo death are currently viewed as examples of the

back 35

​power of the social environment on our physical and psychological health

front 36

Some people may be genetically predisposed to seek out difficult relationships. These difficult relationships may contribute to their experience of depression. This is an example of the _______.

back 36

reciprocal gene-environment model

front 37

Looking at the findings of many cross-fostering studies (Francis et al., 1999, Suomi, 1999, Tienari et al., 1994) it appears that positive interventions such as good parenting in early life may

back 37

override the genetically influenced tendency to develop psychopathology in later life.

front 38

Children who are resistant to stress are considered to be _______.

back 38

resilient

front 39

When comparing the brains of rats raised in a rich environment requiring lots of learning and motor behavior with the brains of rats raised as "couch potatoes" (Greenough, et al., 1990), the cerebellums of the more active rats

back 39

​contained more neuronal connections and dendrites

front 40

Social influences in the multidimensional model include

back 40

​the fact that illness usually gets attention.

front 41

​According to the diathesis-stress model, monozygotic twins raised in the same household will

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not necessarily have the same disorders because of potential differences in their stress

front 42

​In a study conducted by Haber and Barchas (1983), monkeys were injected with amphetamine, a central nervous system stimulant. Comparison of the drug's effects on the dominant versus submissive monkeys demonstrated that the effects of brain chemicals such as drugs are

back 42

different for individual animals depending upon their place in the social hierarchy.

front 43

​Most automatic functions (e.g., breathing, sleeping, and motor coordination) are controlled by the part of the brain called the _________.

back 43

brain stem

front 44

The most accurate way to think of genes is that they

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set boundaries for our development.

front 45

The process of clinical assessment results in narrowing the focus to

back 45

concentrate on problem areas that seem most relevant.

front 46

​Identifying certain essential characteristics of an entity while allowing for nonessential variations that don’t change
is considered a(n) _________ approach to understanding psychopathology.

back 46

prototypical

front 47

​Four-year-old Roberto is very aggressive toward his peers, which results in poor peer relationships. A psychologist has been asked to assess Roberto’s aggressiveness and determine if he needs intervention. The psychologist would probably do what type of assessment?

back 47

Behavioral

front 48

Javon, who is normally energetic and lively, is walking and talking slowly. The therapist thinks that Javon may be depressed because ______can indicate severe depression.

back 48

psychomotor retardation

front 49

Which of the following is a reason why MRIs are used less in diagnosis:

back 49

​both a and b are correct.

front 50

​If it were important to determine the exact location of brain impairment, which of the following tests would most likely be used?

back 50

Halstead-Reitan Neuropsychological Battery

front 51

A neuropsychological test measures abilities in all but which of the following areas?

back 51

Adaptive personality traits

front 52

Perhaps the biggest change that has been seen with the release of DSM-5 is

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​the removal of the multiaxial diagnostic system

front 53

​The classical categorical approach to diagnosis assumes that each person with a particular disorder will

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experience the same symptoms with little or no variation.

front 54

​Interpreting ambiguous figures on cards is usually associated with which test :

back 54

Rorschach inkblot test

front 55

Analog research models

back 55

create laboratory conditions that are comparable to the phenomenon under study.

front 56

When studying family functioning, it has been observed that marital discord often increases as child behavior problems increase in the family. Using the correlational model,

back 56

it is not possible to determine whether marital discord causes child behavior problems, whether child behavior problems cause marital discord, or whether both may be true.

front 57

The two most frequently used methods in prevention research for examining psychopathology across time are

back 57

longitudinal and cross-sectional.

front 58

One of the major problems with the case study method is that it is too easy to make false conclusions based on

back 58

coincidence

front 59

At this point, we know much more about the _____ of psychological disorders than the _____ of psychological disorders.

back 59

phenotype; genotype

front 60

​One important difference between a typical case study and the single-case experiment is that the single-case experiment attempts to

back 60

​improve internal validity

front 61

The patient uniformity myth refers to the tendency to

back 61

see all study participants as homogenous

front 62

One of the most important reasons to conduct cross-cultural research in psychopathology is that

back 62

we can understand more about psychopathology by understanding how culture impacts the experience of various disorders.

front 63

In a typical drug study, some research participants are given an active medication and others are given a sugar pill.
The subjects given the sugar pill are in the ______ group.

back 63

​placebo control

front 64

Epidemiology is the study of

back 64

​incidence, distribution, and consequences of a problem in a population.

front 65

Individuals suffering from posttraumatic stress disorder (PTSD) display a characteristic set of symptoms including all of the following EXCEPT

back 65

decreased startle response and chronic under-arousal.

front 66

The anxiety disorder called social phobia, involving anxiety about being evaluated or criticized, usually begins during
________.

back 66

adolescence

front 67

For Generalized Anxiety Disorder (GAD), avoidance of imagery is accompanied by:​

back 67

Restricted autonomic response

front 68

According to Jeffrey Gray, a British neuropsychologist, the behavioral inhibition system (BIS) is activated by danger signals _______, resulting in the experience of anxiety.

back 68

​arising from the brain stem or descending from the cortex

front 69

In regard to the obsessions seen in patients with OCD, the term "need for symmetry" refers to

back 69

keeping things in perfect order

front 70

​In regard to a type of thinking pattern found in some patients with OCD, which of the following would be an example of thought-action fusion?

back 70

Believing that thinking about an abortion is the moral equivalent of having an abortion

front 71

Agoraphobic avoidance behavior appears to be determined by

back 71

the extent to which the person expects another panic attack to occur.

front 72

Panic control treatment

back 72

all of the above

front 73

Which type of compulsion has the highest prevalence rate?​

back 73

Symmetry

front 74

Richard, the patient with OCD described in the textbook, was compelled to take very small steps as he walked and to look back repeatedly. As with other types of checking compulsions, Richard was trying to

back 74

ward off an imagined disaster.

front 75

The area of the brain most often associated with anxiety is the __________.

back 75

limbic system

front 76

Which of the following procedures is NOT part of Barlow's panic control treatment (PCT)?

back 76

Reducing agoraphobic avoidance by exposure to feared situations

front 77

Is agoraphobic behavior always accompanied by panic attacks?

back 77

​Sometimes panic attacks precede agoraphobic behavior.

front 78

The main difference between situational phobia and panic disorder with agoraphobia (PDA) is

back 78

people with situational phobia never experience panic attacks outside the context of the phobic situation

front 79

Tonia's house is almost unimaginable! She has piles of junk (she calls it "treasures") piled from floor to ceiling in virtually every room. There is a narrow pathway that she can use to walk from room to room. All of her furniture is covered in various items, so she has one small folding chair that she takes with her when she wants to sit down.

Her bed has one small area that is clear enough for her to sleep. There is a foul odor in the house, mold growing under her piles of possessions, and she never has visitors. When Tonia tries to get rid of any possessions, she experiences tremendous anxiety and gives up quickly. Which diagnosis would best suit Tonia?

back 79

Hoarding disorder

front 80

Without treatment, it is expected that DID will last ___________________.​

back 80

a lifetime

front 81

A commonly-seen form of factitious disorder imposed on another is a set of conditions that​

back 81

​is an atypical form of child abuse

front 82

One aspect of the DSM-5 criteria for diagnosis of dissociative identity disorder is ______.​

back 82

amnesia

front 83

The experience of dissociation occurs in​

back 83

certain psychological disorders as well as in non-disordered people at times.

front 84

With regard to a diagnosis of somatic symptom disorder, women are​

back 84

more likely than men to be diagnosed

front 85

Vanna, who is 40, apparently believes that she is a 20-year-old woman. Suddenly, she starts to speak and behave very differently, and says she no longer thinks of herself as "Vanna." Instead, she claims to be Elise, a 10-year-old child. It is likely that Vanna has just experienced a _________.​

back 85

switch

front 86

Jason suddenly notices that the world looks weird to him. Some objects look bigger than normal and others look smaller. Cars passing by seem oddly shaped and people appear dead or mechanical. Joe is experiencing________.​

back 86

derealization

front 87

A possible link between antisocial personality disorder and somatic symptom disorder is _______ .​

back 87

a lack of impulse control

front 88

Tom was in a coma after an automobile accident which killed his wife. His physical health improved and there is no medical reason why he should not be able to move his arms and legs. Tom may be suffering from:​

back 88

conversion disorder

front 89

Studies suggest that patients with somatic symptom disorder or illness anxiety disorder are characterized by a tendency to

back 89

​interpret ambiguous stimuli as threatening

front 90

There is now incontrovertible evidence that the following statement is TRUEwith respect to the accuracy of recovered memories:​

back 90

False memories can be created, and selective dissociative amnesia can occur for early traumatic experiences.

front 91

Which of the following statements is TRUE about conversion disorders?​

back 91

Conversion disorders are not uncommon in males at times of extreme stress

front 92

With regard to dissociative identity disorder, the term "alter" refers to _______ within the individual

back 92

different personality

front 93

The common aspect of all somatic symptom disorders is a maladaptive or excessive​

back 93

response to physical or associated health symptoms

front 94

In treating conversion disorder, which of the following statements is true?​

back 94

Clients responded well to cognitive-behavioral therapy.

front 95

Light Therapy for SAD has been shown to provide relief from depressive symptoms in:

back 95

the first week of exposure.

front 96

Side effects of the tricyclic antidepressants include ______.

back 96

sexual dysfunction

front 97

The antidepressant medication lithium is also referred to as a mood stabilizer because it

back 97

helps to prevent manic episodes.

front 98

In studies of bipolar patients who experience rapid cycling, it has been found that from 60% to 90% are
_________.

back 98

female

front 99

Which of the following are true about hypomanic episodes:

back 99

All of the above are correct

front 100

​Cross-cultural research indicates that, due at least in part to appalling social and economic conditions, the prevalence of major depression is extremely high among ___________.

back 100

Native Americans

front 101

Possible reasons for the higher rates of depression found in women include all of the following EXCEPT

back 101

low value placed on intimate relationships.

front 102

Depressive individuals tend to exhibit

back 102

greater right anterior brain activity.

front 103

Recent research suggests that (neurogenesis)

back 103

all of the above

including: ​the suppression of neurogenesis in the hippocampus is due to the connection between high stress hormones and depression

front 104

Which of the following statements about suicide is correct?

back 104

​For teenagers, suicide is the third leading cause of death after auto accidents and homicide

front 105

Being depressed ________ the risk of death in elderly patients who have had a stroke or heart attack.

back 105

doubles

front 106

The melancholic specifiers for depressive disorders include all of the following EXCEPT

back 106

sleeping late and hypersomnia

front 107

The Integrative Model of Mood Disorders shows that:

back 107

biological and psychological vulnerabilities partially explain disorders.

front 108

A woman who is extremely depressed a year or so after the loss of her spouse might be diagnosed with
___________.

back 108

complicated grief

front 109

How many patients with severe cases of depression where the episode lasts 5 years or longer can be expected to recover?

back 109

38%

front 110

With regard to treatment for eating disorders, Prozac is considered to be an effective treatment in the long term for

back 110

neither anorexia nervosa or bulimia nervosa

front 111

Many clinicians suggest that the most difficult part of treatment for anorexia nervosa, and the part of treatment where many anorexic individuals are not successful, is

back 111

​changing their attitudes regarding body shape and addressing interpersonal disruptions in their lives.

front 112

​The strongest contributions to etiology of eating disorders seem to be __________.

back 112

sociocultural

front 113

One major problem with the use of medication in the treatment of bulimia nervosa is that

back 113

the beneficial effects of the medication may be short-term.

front 114

​Sam sleeps for 8 or more hours every night but never feels rested. He can't understand why he is always tired despite the fact that he reports no difficulties with the quality or quantity of his sleep. Of the following, Sam's most likely diagnosis is ____________.

back 114

hypersomnolence disorder

front 115

Surgical treatments are likely to be the

back 115

last line of treatment for the very obese

front 116

While a patient sleeps, a polysomnographic evaluation collects data on all of the following characteristics EXCEPT
_________.

back 116

metabolic rate

front 117

All of the following are examples of causes of circadian rhythm sleep disorder EXCEPT ____________.

back 117

sleep rebound

front 118

Martin sits up every night screaming. He does not remember these terrors nor is he easily awakened or comforted. What should Martin's mother do?

back 118

Use scheduled awakenings to briefly awaken Martin before an attack occurs

front 119

Samantha started having difficulty falling asleep during final exam week. Although exams are over, she now starts to worry about sleep right after dinner. Even the sight of her bed makes her very anxious. The fact that Samantha's insomnia continues long after the stress of exams is over points to the role of ________ in the maintenance of sleep disorders.

back 119

learning

front 120

Seriously obese adolescents are most likely to lose weight with

back 120

the use of behavioral treatments

front 121

​According to your textbook, which of the following treatments is considered MOST effective for bulimia in adults:

back 121

CBT-E

front 122

Genetic influences on eating disorders most likely involve

back 122

inherited personality traits that may make development of an eating disorder more likely

front 123

​Approximately _____ of anorexia nervosa deaths are due to suicide.

back 123

20 to 30%

front 124

Purging techniques are ______ for bulimia nervosa.

back 124

common but not necessary for diagnosis