Prite Ninja 2017 part 1
which term describes state of immobility that is constantly maintained? (ability in catatonic patient)
catalepsy
attribution processes are defined primarily as individual
causal explanations of events and personal experiences
according to Freud, which of the following is considered to be the most salient feature of normal psychosexual development in children between 1-3 years of age
child-parent struggles about the need to delay gratification of desires
thought process where the point is not conveyed directly or completely
circumstantial
Term for thoughts connected by sound/words rather than by their meaning and is classified as an impairment in thought process:
clang association
it is nonsensical but it is rhyming. what is this called?
clang association
in initial psych interview, pt frustrated that his last psychiatrist had brief visits and "just give me another pill every time" Interviewing psychiatrists responds "so you would like your psychotherapist to listen and understand you before adjusting your meds."
clarification
learned helplessness is based on principles of:
classical conditioning
Repetitive behaviors that the pt feels compelled to perform ritualistically, while recognizing the irrationality and absurdity fo the behaviors, describes:
compulsions
What is the combination of several unconscious impulses, wishes, or feelings that are attached to a single dream image?
condensation
a patient with chronic motor and vocal tics makes recurrent obscene gestures which are intrusive and not related to the conversation or any stimuli in the environment. The gestures are best described as?
copropraxia
a feeling of being outside oneself or detached
depersonalization
a profound breakdown in both the logical connection between ideas and the overall sense of goal-directedness of speech is called
derailment
psychiatrist and patient move from the day room to an interview room where they have met on several occasions. The patient states "the room looks weird and different today: it doesn't feel right." This statement is an example of:
derealization
abulia refers to impairment in ability to:
spontaneously move and speak (inability to act decisively, absence of willpower)
during a clinical interview, the physician recapitulates what the pt has said so far and says to the patient "I just want to make sure I've got everything right to this point:" That's an example of
summation
24 y/o pt w tetraplegia after MVA showing no signs of grief or acknowledgement of poor prognosis, no significant depressive/anxious sx. What psych intervention preferred? What psychotherapeutic school of thought emphasizes how a pt has managed feelings of envy/rage w particular emphasis on defense mechanisms?
support but do not confront the patient about medical realities, ego psychology
When psychiatrist asks about mania, pt responds, "that sounds exactly like my cousin," and proceeds to tell long story about cousin but doesn't answer the psychiatrist's request. This is an example of:
tangentiality
a set of feelings that a patient reenacts in the therapeutic relationship are called:
transference
during therapy, therapist coughs while patient is speaking. Pt angrily states "If you disagree with me just tell me, but don't be a passive aggressive jerk!" Therapist interprets that pt is consistently treating the therapist like aggressor. Which best describes therapy modality?
transference focused psychotherapy
confabulation is:
unconscious filling in of memory gaps
per Piaget, conservation is the ability to do what?
understand that objects or quantities remain the same despite a change in physical appearance
catharsis is:
verbal expression of suppressed traumatic experiences and feelings
which is a first rank symptom according to Kurt Schneider?
voices arguing
menninger's triangle of insight provides a framework for identifying links between patient's current relationships, early life relationships, and the transferential relationship w the therapist. What is the process?
working through
Therapy intervention most frequently assoc w Kohut's self-psychology:
EMPATHIC VALIDATION
Which of the following describes core narcissistic character pathology according to Kernberg's model?
A FUSION OF THE IDEAL SELF, THE IDEAL OBJECT, AND THE REAL SELF RESULTING IN THE DEVALUATION OF OTHERS
3 y/o girl hurts herself w/ a tricycle. Then she hit the tricycle and asks, "Why did you hurt me?" Which thought process does this behavior exemplify?
ANIMISM
A child with autism is placed in a therapeutic foster home where a consistent response is made to a given action with the goal of improving the child's functioning. This technique derives from which of the following learning theories?
BEHAVIORISM
Experimental subjects were asked to make a judgment but gave a wrong answer in spite of knowing the right one because they didn't want to disagree with responses of other participants. This phenomenon is:
CONFORMITY
What is achieved in Piaget's stage of concrete operations?
CONSERVATION
4 y/o child upset when ice cream melts. 10 y/o puts it in freezer and tells him it will be ok. 4 y/o insists it is ruined. Piaget's concept of this is:
CONSERVATION (ALSO REVERSIBILITY)
According to theories of infant socialization, successful attachment most likely promotes survival through which of the following?
CREATING A BOND SO THAT THE ADULT WILL PROTECT THE INFANT FROM DANGER
Psych resident dislikes alcoholic pts and avoids working with them. He says it is because they're hopless an unmotivated. This is called?
Countertransference
Resilient individuals who do well in developmental course through life despite being at high risk for negative outcomes are thought to be protected in adulthood most by:
HAVING THE ABILITY TO FIND, USE AND INTERNALIZE SOCIAL SUPPORTS
Winnicott's notion of capacity to be alone in presence of another person pertains to:
MAINTENANCE OF ONE'S IDENTITY AMONGST OTHERS
According to C.G. Jung, anima refers to:
MAN'S UNDERDEVELOPED FEMININITY
29 y/o complains about mistreatment from boyfriend. Proud of generous nature but complains how little she gets back. Therapist finds it hard to make her selfreflective about her role in this, gets frustrated and fatigued. Patient displays
MASOCHISM
Early behaviorist theory promoted what
OBJECTIVE PSYCHOLOGICAL RESEARCH
According to Kohlberg, moral judgment made by older school-age children are based largely on which of the following?
PLEASING THOSE IN AUTHORITY
Animistic thinking is characteristic of which of Piaget's stages of cognitive development?
PREOPERATIONAL THOUGHT
Masturbation in adults as viewed by contemporary psychiatry is best described as:
PSYCHOPATHOLOGICAL ONLY IF IT IS COMPULSIVE
48 y/o w chronic sadness and no relationships since husband died 12 y ago. Normal greiving, no criteria for a disorder, has sucessful career, close friends. States has conversations w her dead husband and he talks back to her. Believes in heaven. Likely classification of these experiences:
Part of a religious belief system
pt w hx of EtOH dependence BIB wife, who states that pt's long term use of ETOH has resulted in marital separation and persistent unemployment. Pr refuses to stop drinking. Psych MD asks pt about his perspective re: his alcohol use and pt responds "I will think about it." According to the stages of change model, which stage?
Precontemplation
The fundamental developmental need of all persons for mirroring, validation, and affirmation is central to which psychoanalytic theory?
SELF PSYCHOLOGY
What term describes the role that others perform for the individual in regard to mirroring, idealizing, and twinship needs?
SELF-OBJECT
66 y/o sent threatening letters to the president, thinks CIA is following him. Wife similar convictions, dependent on husband, passive
SHARED PSYCHOTIC DISORDER
22 y/o presents to psych for tx of "internet addiction." Pt noticed increase time spent on internet, need for better equipment, feelings of anger and dysphoria when unable to use. Explain concepts of tolerance and w/drawal in this syndrome.
both tolerance and w/drawal to internet use can develop
patient reports that an identical-appearing imposter has replaced his father. What is the name of this delusion?
capgras syndrome
Activity level, regularity, approach-withdrawal to new situations, adaptability, persistence are examples of
TEMPERAMENTAL VARIABLES
Studies in which monkeys are raised in varying degrees of isolation have been important in contributing to what theories of human development?
THE SIGNIFICANCE OF ATTACHMENT
Which of following statements identifies what both traditional healing and modern psychotherapeutic practices may have in common:
THE THERAPIST HELPS THE PATIENT EXPERIENCE AN EMERGING SENSE OF LEARNING AND MASTERY OVER THE PROBLEM
According to Kohlberg, the highest level of moral reasoning is based on consideration of
UNIVERSAL ETHICAL PRINCIPLES
According to classical psychoanalytic theory, what factor primarily accounts for the polarization of same sex peer groups?
UTILIZATION OF DEFENSE MECHANISMS TO AVOID SEXUAL IMPULSES
Unconscious thoughts that do not maintain logical connections
according to psychoanalytic theory, the term primary process thinking refers to mental activity exemplified by which of the following
21 y/o student presents with "stress and anxiety." First in family to attend college. Family wants patient to take over family farm. Patient is struggling to tell family.
acculturation difficulty
a person's inability or difficulty to describe or be aware of emotions or mood is called
alexithymia
poverty of speech and poverty of content are aspects of which of the following conditions?
alogia
classical psychoanalytic theory says pleasure as an adult might take in controlling others/making order of chaos relates to which psychosexual stage of development?
anal retentive
a 70 y/o pt is evaluated for difficulty dressing. Wears underwear backwards, unable to get his arms in armholes. Neuro exam is normal. What is this called?
apraxia
inability to recognize objects by touch
astereognosis
eriksonian phase correspond w Freud's anal phase
autonomy v shame and doubt
acheiving sense of self-control and free will, struggling between cooperation and willfulness (Erikson)
autonomy v. shame and doubt
with respect to Rotter's social learning theory, which of the following statements best describes having an internal locus of control?
behavior is shaped by an individual's expectation that it will realize a valued goal
according to Winnicott, which is an essential component of parenting infants?
being sensitive to the child's instinct for exploration and growth
according to contemporary psychoanalytic theory from birth to 18m, children experience an emerging "self" as a result of what event?
biological processes and bodily sensations come to have a psychological meaning
11 y/o boy has requent eposodes of ulcerative colitis requiring frequent hospitalization. While in the hospital, mother never leaves his side and responds to questions for him, often referring to disease as "our disease." According to Minuchin's theory of family interactions, this is:
enmeshed
psychiatrists behavior of raising eyebrows, leaning toward patient, and saying "uh-huh"
facilitation
take agoraphobic to crowded place and stay there till anxiety dissipates
flooding
replaced use of hypnosis by Freud
free association
tendency for groups to arrive at more extreme decisions than for individual group members alone
group polarization
"When I hear the news, the newscaster is talking about me." This represents?
ideas of reference
father is dying. pt is not a drinker, but went from bar to bar drinking dad's favorite drink. bars are similar to those dad used to go to. Best interpretation of this behavior:
identification or incorporation of patient's father
Freud says that boys resolve oedipal complex by:
identifying with fathers
Freud says depression is anger turned inwardly due to:
identifying with the lost object
a 23 y/o pt began psychotherapy due to feelings of inadequacy and depression in the context of working in a coffee shop since graduating from college and deferring medical school acceptance. The pt has been having conflicts with parents over his ambivalence in becoming a physician. Which of the following is the most likely developmental task with which the pt is struggling?
identity
"what brought you to the hospital today?" name this interview technique
open ended ?'s
pt w depression recounts to the psychiatrists events of the last week and describes many unpleasant experiences, concerns about the sadness of some friends, and a reluctance to read the newspaper because "all the news is bad." In cognitive psychology, which of the following formulations best accounts for this patient's presentation?
selective attention bias
misinterpretation of genuine sensory input is characteristic of which of the following perceptual abnormalities?
illusion
what represents major goal of psychotherapy as conceptualized by self-psychology
improving the ability to use the appropriate affirming responses from others
prosopagnosia is:
inability to recognize faces
disharmony between feeling tone and speech content
inappropriate
what developmental period does the child realize he/she is the child of his/her parents and the child's parents have a relationship with one another?
latent
according to Freud, what is a dream that is remembered on wakening?
manifest dream
primary process thinking is characterized as
mentation focused on drives and wish fulfillment
which are the dimensions of the 5 factor model of personality
neuroticism, extraversion, openness, agreeableness, conscientiousness
persistently intrusive inappropriate idea, thought, impulse, or image that causes marked distress is
obsession
pt sadly reports receiving a college rejection letter and then disparagingly predicts that all the other colleges applied to will reject him as well. This is an example of:
overgeneralization and all-or-none thinking
"it is very nice to read you"
paraphasia
pt who had difficult childhood calls therapist mother's name and quickly corrects error. What is this an example of?
parapraxis
in what developmental period does a child see he/she is a child of his/her parents and parents have a relationship to each other not solely related to their roles as parents?
phallic
pt able to recall his address after being prompted to do so. According to sigmund freud this information is stored at what level of the topographic model?
preconscious
exploration of transference needed for reparative emotional experience psychotherapeutic treatment?
psychoanalytic psychotherapy
theory of kindling of depressive episodes is supported by what phenomena in some?
recurrent without a stressor
What DSM 4 diagnosis is likely for 41 y/o man w increasing sense of conflict about changing his beliefs from work-oriented to faith-oriented. No past or present psych symptoms, stable vocational hx
religious and spiritual problem
research shows dissociative symptoms most commonly represent what worldwide?
religious events
47 y/o F w/ increased preoccupation w questioning her lifelong affiliation w her church and has been spending time visiting other churches. Concerned she is losing her faith, feels guilty and anxious. No SI, MSE normal, states would never act against her moral beliefs. What DSM4 diagnosis?
religious or spiritual problem
redirecting a discussion by talking about irrelevant stuff
resistance
which ego defense is seen when an adolescent belittles parents in order to defend against regressive pull toward childhood?
reversal of affect