PSYCH 1101 Ch.15 and Ch.16 Test Review

According to the Substance Abuse and Mental Health Services Administration (SAMHSA), in 2008, ________ of adults received treatment for a mental health issue.

13.4%

Who developed client-centered therapy?

Carl Rogers

Which classification system is used by most mental health professionals in the United States of America?

Diagnostic and Statistical Manual of Mental Disorders

Who led the reform efforts for mental health care in the United States?

Dorothea Dix

How is behavior therapy different than psychoanalysis?

In behavior therapy, a therapist employs principles of learning to help clients change undesirable behaviors, while psychoanalysis involves digging deeply into one's unconscious.

Which of the following is a benefit of group therapy?

It can decrease a client's shame and isolation about a problem.

Which of the following statements is true about obsessive-compulsive disorder?

It involves intrusive, unpleasant thoughts and repetitive behaviors.

Who identified psychological disorders as a harmful dysfunction?

Jerome C. Wakefield

Which of the following is an example of hopelessness theory?

Rochelle has an expectation that terrible things will happen and there is nothing she can do about it—this leads her to become depressed.

Who developed psychoanalysis?

Sigmund Freud

What should be changed to make the following sentence true? Evidence-based practice in psychology is the integration of the best available research with clinical expertise in the context of therapist characteristics, culture, and preferences.

The word "therapist" should be changed to the word "client."

Marlena tells her therapist that she often feels helpless and unable to accomplish her goals. Her therapist responds by acknowledging her feelings, restating what she has told him, and clarifying the feelings behind what Marlena is expressing. What aspect of client-centered therapy is this?

active listening

Lovell is noticeably fidgety and jittery. He can't sit still; he paces, wrings his hands, and pulls at his clothing constantly. Lovell suffers from psychomotor________.

agitation

Paxil, Prozac, and Zoloft are examples of ________.

antidepressants

Which of the following is a common characteristic of all dissociative disorders?

becoming split off, or dissociated, from one's core sense of self

Which kind of therapy involves a therapeutic orientation that employs principles of learning to help clients change undesirable behaviors?

behavior

Piper is diagnosed with agoraphobia because she experiences intense fear and anxiety of ________.

being outside the home alone

Dr. Bronson treats anxiety disorders with Xanax, which exemplifies ________ therapy.

biomedical

The belief that you ________ is an example of a delusion.

can perform miracles

Etiology is another word for ________.

causes

What is the emphasis in humanistic therapy?

client's present and future

Identify the obsession in the following sentence. "Keisha is overly concerned about germs, so she spends hours wiping the surfaces of her home and washing her hands."

concern over germs

Exposure therapy is a ________ technique.

counterconditioning

Anti-anxiety agents work by ________.

depressing central nervous system activity

The ________ model suggests that people with a predisposition for a disorder are more likely to develop the disorder when faced with adverse environmental or psychological events.

diathesis-stress

Fidel suddenly wanders away from his home and experiences confusion about his identity. Fidel may be experiencing a(n) ________.

dissociative fugue

Which of the following factors does not strongly predict the development of posttraumatic stress disorder?

experiencing trauma in isolation

Antipsychotic drugs, such as Haldol, are used to treat all of the following except________.

manic episodes

Yuri experiences excessive, distressing, and persistent fear or anxiety about heights. Yuri suffers from a(n) ________.

phobia

Which therapeutic process involves the use of toys?

play therapy

In medieval times, abnormal behaviors were viewed as a sign that a person was ________.

possessed by demons

Deinstitutionalization refers to the ________.

process of closing large asylums

Which of the following is a drug that can be used to treat attention deficit hyperactivity disorder (ADHD)?

Adderall

Which of the following is a good example of a flashback?

Eugene was in a motorcycle accident. When he hears a sudden loud noise he relives the accident and feels as if it is happening all over again.

Which of the following is an example of flight of ideas?

Gilbert talks loudly and quickly, switching topics rapidly.

Lana is late for dinner with her parents. They don't care, but she thinks this is a catastrophe- an inaccurate view of the situation that leads her to feel bad about herself. In this example, what represents the cognitive distortion?

Lana thinking that being late for dinner is a catastrophe

According to research, how does the public view children and teens with mental health disorders?

Over 1,300 U.S. adults believe children with depression are prone to violence.

Which of the following is a common characteristic of all anxiety disorders?

excessive, persistent fear and anxiety

Miguel worries excessively about things beyond his control, and his worries often interfere with his life. He avoids driving because he worries about car accidents. He calls his parents twice a day because he worries they are dead. He checks his credit card statement three times a day because he worries about identity theft. Miguel probably suffers from ________.

generalized anxiety disorder

Breach of confidentiality is a greater risk in ________ therapy.

group

Which treatment modality involves 5-10 people with the same issue or concern meeting together with a trained clinician?

group therapy

Which of the following is an example of avolition?

lack of motivation to bathe yourself

Jeff is an unforgiving perfectionist who would rather deliver work a week late than turn in a project with even minor mistakes. In fact, he spends so much time working that he never has time for anything else. Jeff is known to be rigid, inflexible, and stubborn, and he never compromises. Which of the following diagnoses accounts for Jeff's personality?

obsessive-compulsive personality disorder

If Laura has bipolar disorder, then she ________.

often experiences mood states that vacillate between depression and mania

Which brain region is believed to play a critical role in OCD?

orbitofrontal cortex

Identify the compulsion in the following example. Demarco can't stop thinking about his book collection, which includes hundreds of first editions. He wants it to be in a particular order. He spends hours every day organizing his books alphabetically by author, then by color, then by size.

organizing the books

________ delusions involve the (false) belief that other people or agencies are plotting to harm the person.

paranoid

Which of the following is not a risk factor for suicide?

popular music that promotes suicide

Schizophrenia is considered a ________ disorder.

psychotic

________are mental or behavioral acts that reduce anxiety in social situations, such as wearing bland, neutral clothes to avoid drawing attention to oneself.

safety behaviors

On the advice of her therapist, Thora decides to treat her fear of heights by exposing herself to heights using a stimulus hierarchy. Which form of therapy is she using?

systematic desensitization

Peripartum onset depression is a kind of depression ________.

that applies to women who experience an episode of major depression either during pregnancy or in the four weeks following childbirth

According to the U.S. Department of Health and Human Service

19%

Antipsychotic medicines were first introduced in ________.

1954

Statistics show that ________ of homeless adults living in shelters experience mental illness.

26%

Why do so many people believe there is a link between autism and the measles, mumps, and rubella vaccine?

A prestigious medical journal published a paper, which was later retracted, that identified a link.

Which of the following is true about neurodevelopmental disorders?

All neurodevelopmental disorders are diagnosed in early childhood.

Apollonia was diagnosed with major depressive disorder five years ago. She knows her mother took medicine to combat depression and she worries her daughter will experience depression too. Why?

Mood disorders have been shown to have a strong genetic and biological basis.

What does research suggest about the comparative effectiveness of psychotherapeutic techniques?

No studies have found one psychotherapeutic approach more effective than another.

Which of the following exemplifies a symptom of paranoid personality disorder?

Rafe is extremely suspicious of the people around him and mistrusts them for no identifiable reason.

Which of the following exemplifies a symptom of schizotypal personality disorder?

Stella laughed when her dog died and cried while watching a funny movie.

Which of the following is not a reason that ADHD may be overdiagnosed?

The amount of ADHD in the population has increased tenfold since it was first identified.

What should be changed to make the following sentence true? Carl Rogers believed most of our psychological problems are the result of repressed impulses and trauma experienced in childhood, and he believed psychoanalysis would help uncover long-buried feelings.

The name "Carl Rogers" should be changed to the name "Sigmund Freud."

What should be changed to make the following sentence true? In aversion therapy, a therapist seeks to treat clients' fears or anxiety by presenting them with the object or situation that causes their problem, with the idea that they will eventually get used to it.

The word "aversion" should be changed to the word "exposure."

Which of the following statements about autism spectrum disorder is incorrect?

This disorder involves feeling overwhelmed and sad for extended periods of time.

Who argued that the notion of mental illness was invented by society (and the mental health establishment) to stigmatize and subjugate people whose behavior violates accepted social and legal norms?

Thomas Szasz

Which principle underlies the effectiveness of systematic desensitization?

You can't be nervous and relaxed at the same time.

Svetlana admires her boss, Helga. One day Helga forgets her briefcase and Svetlana loses all admiration for Helga. Svetlana thinks that a boss is either always perfect or not worthy of admiration. What kind of cognitive distortion is this?

all-or-nothing thinking

From an early age, Kwaku got into trouble constantly. He continually violates the rights of others and he often lies, fights, and has problems with the law. Generally, he is impulsive and fails to think ahead. He is frequently deceitful and manipulative in order to get the things he wants, and he never regrets his misdeeds or considers the feelings of those he has harmed. Which of the following diagnoses accounts for Kwaku's personality?

antisocial personality disorder

Dr. Griffiths diagnosed Manuel with major depressive disorder because he ________.

appears tearful to others and spends weeks at a time feeling sad, empty, and hopeless

________ were the first institutions created for the specific purpose of housing people with psychological disorders.

asylums

Egon can't pay attention in class. He is easily distracted, won't sit still, and displays poor impulse control. The school counselor suggested that his parents take him to a doctor to have him assessed for ________.

attention deficit hyperactivity disorder

________ can increase the risk of obesity and diabetes as well as elevate cholesterol levels; it can also cause constipation, dry mouth, blurred vision, drowsiness, and dizziness.

atypical antipsychotics

Which childhood disorder is characterized by deficits in social interaction and communication and repetitive patterns of behavior or interests?

autism spectrum disorder

Renzo's therapist helps him learn to overcome his fear of dogs through several stages of relaxation techniques. What kind of psychotherapeutic orientation does this exemplify?

behavior therapy

Which of the following is a major risk factor for developing a social anxiety disorder?

behavioral inhibition

The ________ perspective suggests that psychological disorders result largely from faulty physical processes, and the ________perspective emphasizes the importance of factors such as stress and thoughts as well as environmental factors in the development of psychological disorders.

biological; psychological

Mae notices that her daughter, Natalie, is extremely preoccupied with the freckles on her nose. Mae can barely see the freckles, but Natalie spends hours in front of the mirror and recently declared that her nose is deformed and she is ugly. She spent her entire weekend applying products to eliminate the freckles, and she recently announced her plans to save money for plastic surgery. Mae believes her daughter may have a ________ disorder.

body dysmorphic

What often happened to patients in the early years of using electroshock therapy?

broke their backs

What should be changed to make the following sentence true? "Acrophobia is characterized by intense fear, anxiety, and avoidance of situations in which it might be difficult to escape or receive help if one experiences symptoms of a panic attack."

change the word "acrophobia" to the word "agoraphobia"

What should be changed to make the following sentence true? "A person diagnosed with a specific anxiety experiences excessive, distressing, and persistent fear about a particular object or situation."

change the word "anxiety" to the word "phobia"

What should be changed to make the following sentence true? "For centuries, psychological disorders were viewed from a natural perspective: attributed to a force beyond scientific understanding."

change the word "natural" to the word "supernatural"

What should be changed to make the following sentence true? "The psychological perspective views disorders as linked to biological phenomena, such as genetic factors, chemical imbalances, and brain abnormalities."

change the word "psychological" to the word "biological"

Which group is play therapy often used to treat?

children

In the free association technique of psychoanalysis, the ________.

client says whatever comes to mind at the moment

The amount of time spent in therapy depends on the needs of the client and the ________.

client's personal goals

Humanistic therapy is also called ________ therapy.

client-centered

What is comorbidity?

co-occurrence of two disorders

Rafael is in therapy, and one of his goals is to overcome his pessimistic attitude. His therapist helps him eliminate thought patterns that lead to distress. For example, he helps Rafael learn to not overgeneralize his likelihood of failing his sociology class based on doing poorly on his first exam. What kind of psychotherapeutic orientation does this exemplify?

cognitive therapy

In order to overcome an eating disorder, Sevilla's therapist works to change her cognitive distortions and self-defeating behaviors by helping her learn to identify such behaviors. What kind of psychotherapeutic orientation does this exemplify?

cognitive-behavioral therapy

The primary therapeutic orientation used in couples counseling is ________.

cognitive-behavioral therapy

A psychological disorder is a ________.

condition characterized by abnormal thoughts, feelings, and behaviors

Which term refers to the fact that the therapist cannot disclose private communications to any third party unless mandated or permitted by law to do so?

confidentiality

Aversive conditioning is a ________.

counterconditioning technique that pairs an unpleasant stimulant with an undesirable behavior

Exhibiting a personality that ________ is a common characteristic of all personality disorders.

differs markedly from the expectations of one's culture

Cole spends a few weeks being treated for major depressive disorder. He eventually stops exhibiting symptoms, but a few months later they reoccur. Once again the symptoms dissipate, but a few months later they reoccur. Cole’s major depressive disorder is ________?

episodic

Due to Dominique's obsessive-compulsive disorder, she may ________.

exhibit an extreme fear of water

Which of the following is not an example of suicidal ideation?

fearing you will die

What should be changed to make the following sentence true? "The stress model suggests that people with a predisposition for a disorder are more likely to develop the disorder when faced with stress."

insert the word "diathesis-" before the first appearance of the word "stress"

During the therapist’s first meeting with the client, called ________, the therapist gathers specific information to address the client’s immediate needs.

intake

Stavros is arrested for drunk driving. His prison sentence includes attending therapy sessions to treat alcohol addiction. He doesn't want to attend these sessions, but his sentence will be extended if he doesn't attend them. What kind of treatment does this describe?

involuntary

Which of the following defines antisocial personality disorder?

lack of regard for others’ rights, impulsivity, deceitfulness, irresponsibility, and lack of remorse over misdeeds

Ocean Therapy involves group discussion and ________.

learning how to surf

Janice is in the middle of a distinct period of an abnormally and persistently elevated mood. In the last week she has cleaned her house from top to bottom (breaking windows and dishes in the process), bought a new car that she can't afford, and dug up most of her yard in case she might want a garden next year. Janice is experiencing ________.

mania

People with ________ disorders experience thoughts and urges that are intrusive and unwanted and/or the need to engage in repetitive behaviors or mental acts.

obsessive-compulsive

Harlow is eight years old. She sees Dr. Gardener every Friday at 11:00 a.m. Their sessions involve Dr. Gardener watching Harlow interact with stuffed animals and other toys. What kind of psychotherapeutic orientation does this exemplify?

play therapy

Cordelia, an active duty marine, served in Afghanistan. While she was on patrol with her friend, an IED went off, killing her friend and injuring her. In the two months since her friend died, Cordelia has been jumpy, irritable, avoids talking about her friend, and once every few days experiences a flashback to the explosion. Cordelia is experiencing a ________ disorder.

posttraumatic stress

Which institutional setting replaced asylums in caring for the mentally ill?

psychiatric hospitals

A school counselor leads a support group for children whose parents have AIDS. The counselor focuses on defining AIDS, discussing treatment and side effects of treatment, and how the children can develop coping mechanisms. This exemplifies ________.

psycho-educational treatment

Elena is attending mandatory therapy sessions. Her doctor just wants her to talk about her childhood. What kind of psychotherapeutic orientation does this exemplify?

psychodynamic psychotherapy

What do obsessive-compulsive disorder, body dysmorphic disorder, and hoarding disorder have in common?

repetitive thoughts and urges, as well as an uncontrollable need to engage in repetitive behavior and mental acts

Alexis experiences the symptoms of major depressive disorder, but only during midwinter. What kind of depression does Alexis have?

seasonal pattern

For Burt, who has claustrophobia, a small dark room creates a small amount of fear, a stairwell creates a bit more fear, and an elevator creates the most fear. Burt's therapist induces deep relaxation and asks him to imagine a small dark room. Gradually, they will work up to having Burt imagine being in an elevator. What aspect of exposure therapy is this?

stimulus hierarchy

What kind of family therapy involves the therapist guiding the therapy session and developing treatment plans for each family member's specific problem?

strategic

Carl Rogers called his therapeutic orientation client-centered therapy because he thought the term "patient" ________.

suggested the person seeking help was sick and looking for a cure

________ involves thoughts of death by suicide, thinking about or planning suicide, or making a suicide attempt.

suicidal ideation

What principle underlies cognitive-behavioral therapy?

thoughts affect behavior

Patients at Manderly Psychiatric Center are rewarded with chips when they engage in positive behaviors such as socializing with other patients. They can later exchange the chips for privileges, like extra TV time. This is an example of ________.

token economy

Dr. Duncan is a therapist who works with men accused of domestic violence. Although it is difficult, she does her best to be non-judgmental during therapy sessions. Which aspect of client-centered therapy is this?

unconditional positive regard

Lexi cannot control her impulses to pull out her hair. Her friend Paul suggests that she see a therapist and Lexi agrees. She gets a referral from her primary care physician for a therapist and begins seeing Dr. Clark four times a month. What kind of treatment does this describe?

voluntary

How long does psychoanalysis typically take?

years

What does research show regarding race and ethnic differences in those who receive mental health services?

Ethnic minorities tend to utilize mental health services less frequently than White, middle-class Americans.

________ disorders are characterized by excessive, persistent fear and apprehension and by related disturbances in behavior.

anxiety

Dr. Xavier encourages his client to relax and say whatever comes to mind at the moment. Dr. Xavier is using ________ to treat his client.

free association

Grace is talking with her wife, Myanna. Myanna starts crying, and Grace immediately assumes that Myanna wants a divorce. What kind of cognitive distortion is this?

jumping to conclusions

Joffrey talks and moves slowly. When asked a question, he answers slowly in monotone monosyllables, if he answers at all. Joffrey is experiencing psychomotor________.

retardation

________ have over 85% of the l,669 federally designated mental health professional shortage areas.

rural areas

Which psychological disorder is characterized by major disturbances in thought, perception, and behavior?

schizophrenia

Which of the following explains why most psychiatric hospitals emphasize short-term care?

Due to the very high cost of psychiatric hospitalization, insurance coverage often limits the length of time one can be hospitalized.

What did a 2006 special report by the Bureau of Justice Statistics (BJS) suggest about the amount of mental illness in the criminal justice system?

People with mental illnesses are overrepresented in probation and parole populations.

Which of the following is <i>false</i> of dissociative disorders?

People with these disorders exhibit a personality style that differs markedly from the expectations of their culture.

Which of the following exemplifies a symptom of histrionic personality disorder?

Phoebe feels uncomfortable when she is not the center of attention, and she has alienated friends by demanding excessive amounts of their attention.

A panic disorder is a type of ________disorder characterized by panic attacks, along with at least one month of worry about panic attacks or self-defeating behavior related to the attacks.

anxiety

Which mental disorder is least likely to be treated in children 8-15 years old?

anxiety disorder

Kaz wants to stop biting his nails, so he rubs a strong bitter paste under his nails to make his nails taste bad. What technique is Kaz using to stop biting his nails?

aversive conditioning

Addiction is often viewed as a(an) ________ disease.

chronic

Jerry allows others to take over and run his life. He is submissive and clings to those around him. He cannot make decisions without advice and reassurance from others, probably because he lacks self-confidence. He finds it impossible to do things on his own, and he feels uncomfortable and helpless when he is alone. Which of the following diagnoses accounts for Jerry's personality?

dependent personality disorder

What symptom of schizophrenia is illustrated by the following example? So bees with knees have fleas and fleas jump, I jump like a jack, Jack the Giant Killer. Giants kill and transform things and something happened, but we can't hear because our eyes are like flies that flew away.

disorganized thinking

Donna exhibits two separate personalities, each well-defined and distinct from one another, so Dr. Paulson diagnosed Donna with ________ disorder.

dissociative identity

ECT stands for ________.

electroconvulsive therapy

According to the American Psychological Association (APA), three factors work together to produce successful treatment. Which of the following is not one of the three factors?

having a psychologist or therapist of the same sex

What is the goal of humanistic therapy?

helping people become more self-aware and accepting of themselves

Dr. Banner wants his clients to learn to articulate thoughts that keep them from achieving their goals. Therefore, Dr. Banner increases their self-awareness by focusing on their conscious thoughts. What kind of psychotherapeutic orientation is he using?

humanistic therapy

Nathan has an overinflated and unjustified sense of self-importance. He is preoccupied with fantasies of success and believes that he is entitled to special treatment from others. Which of the following diagnoses accounts for Nathan's personality?

narcissistic personality disorder

What kind of symptoms involves reflecting noticeable decreases and absences in certain behaviors, emotions, or drives?

negative

Jarl makes several minor mistakes during his conversational French class. Instead of thinking, "everyone makes mistakes sometimes" he thinks, "I am so stupid." What kind of cognitive distortion is this?

overgeneralization

Cultural competence is a therapist's understanding of, and attention to, ________.

race, culture, and ethnicity in providing treatment

Repeated drug use and/or alcohol use after a period of improvement from substance abuse is called ________.

relapse

Veena's thoughts, perceptions, and behaviors are impaired to the point where she is unable to function normally in life. She experiences significant difficulties in many day-to-day activities, such as holding a job, paying bills, grooming, maintaining personal hygiene, and sustaining relationships. Which of the following disorders is Veena living with?

schizophrenia

________ is a subtype of depression in which a person experiences the symptoms of major depressive disorder only during a particular time of year.

seasonal pattern

Electroconvulsive therapy is effective in alleviating symptoms for people with ________.

severe depression who have not responded to traditional drug therapy

Diondre harbors the belief that spider eggs have been implanted underneath his fingernails. What kind of delusion is this?

somatic

The use of ________ can result in decreased appetite, difficulty sleeping, stomachache, and headache.

stimulants

A recent study compared the vaccination histories of 256 children with autism spectrum disorder with that of 752 control children across three time periods during their first two years of life. Researchers found that ________.

the quantity of immunogens from vaccines received during the first two years of life were not at all related to the development of autism spectrum disorder

Which of the following is an example of a diathesis-stress model?

Ozzie has a genetic predisposition towards depression, but he did not experience depression until his mother and father died.

Which of the following exemplifies a symptom of autism spectrum disorder?

Gemma exhibits deficits in social interaction by not initiating conversations with other children, and she turns her head away when spoken to.

Which principle underlies cognitive therapy?

How you think determines how you feel.

Which of the following statements about psychoanalysis is false?

It was the dominant form of therapy in the 19th century.

Nicole is socially inhibited and oversensitive to negative evaluation. She was thinking about a career in nursing, but she changed her mind because she believes the doctors would criticize her and patients would reject her. She has never been on a date because she feels socially inept and unappealing; she avoids meeting new people because anything less than immediate, unconditional acceptance causes her anxiety. Just yesterday she was invited to go on a kayak trip, but she didn't go because she was worried she would embarrass herself. Which of the following diagnoses accounts for Nicole's personality?

avoidant personality disorder

Phyllis cannot be alone. Her moods and behaviors are unstable, as are her relationships with other people. She often displays inappropriate and intense anger. Recently, Phyllis wrote a suicide note and offered to show it to her husband. Which of the following diagnoses accounts for her personality?

borderline personality disorder