125 terms

Abnormal Wk 8

According to the definition of personality disorder, only individuals who show ____ patterns of maladaptive behavior should be diagnosed with a personality disorder.

(a) Suicidal
(b) the most severe
(c) relatively permanent
(d) highly variable
All of the following are necessary conditions for the diagnosis of a personality disorder EXCEPT:

(a) patient feelings of distress
(b) pervasive pattern of behaviour
(c) maladaptive functioning
(d) chronic course of behavior
On which axis of DSM-IV are personality disorders coded?

(a) I
(b) II
(c) III
(d) IV
The reason that personality disorders are coded on Axis II of DSM-IV-TR is that:

(a) they relate to extreme deficits in functioning
(b) there is a relationship between personality disorder and mental retardation
(c) they are biological in nature
(d) they relate to more ingrained and permanent features than other disorders
When someone has a personality disorder:

(a) the person may believe there is nothing wrong with them
(b) the person is always distressed by their disorder
(c) the disorder may come and go
(d) the disorder tends to start very suddenly
Unlike schizophrenia or an eating disorder, personality disorders can be viewed as disorders of:

(a) biology rather than learning
(b) learning rather than disease
(c) degree rather than kind
(d) functioning rather than disease
Clinicians who view personality disorders as extremes of normal personality rather than as ____ have criticized the way DSM-IV-TR classifies personality disorders.

(a) medical conditions
(b) biologically based traits
(c) separate categories of disorders
(d) impaired functioning
Both John and Fred meet the diagnostic criteria for paranoid personality disorder. John's friends are aware of his paranoia although he continues to live a meaningful life. Fred's paranoia is so extreme that he finds it hard to function in society. The DSM-IVTR, Axis II diagnosis for these individuals would be:

(a) exactly the same
(b) categorically different
(c) in the same category but reflect the different levels of pathology
(d) in the same category with different specifiers
The five factor model of personality includes all of the following as personality dimensions EXCEPT:

(a) extroversion
(b) conscientiousness
(c) expressiveness
(d) emotional stability
Cross-cultural research on the five factor model of personality suggests that:

(a) there is no such thing as a universal human personality structure
(b) the five dimensions are fairly universal
(c) only two dimensions are universal
(d) Western type personality structure differs from the non-Western type
A therapist who views personality disorders as a continuum sees Axis II Disorders in terms of:

(a) Dimensions
(b) Categories
(c) Attitudes
(d) groups
DSM-IV-TR divides personality disorders into ____ distinct clusters.

(a) 1
(b) 2
(c) 3
(d) 4
Which of the following would not be an advantage of a dimensional model of personality disorders?

(a) increased information
(b) flexibility
(c) avoiding arbitrary decisions about diagnosis
(d) it would clearly categorize people
Which set of adjective pairs correctly describes the clusters into which DSM-IV-TR personality disorders are grouped?

(a) odd/eccentric, dangerous/inconsistent, and shy/withdrawn
(b) shy/withdrawn, anxious/fearful, and dangerous/inconsistent
(c) shy/withdrawn, dramatic/emotional, and bizarre/thought disordered
(d) odd/eccentric, dramatic/emotional, and anxious/fearful
In the U.S. the prevalence of personality disorders is estimated to be between:

(a) .1 and .5%
(b) .5 and 2.5%
(c) 2.5 and 5%
(d) 5 and 10%
The characteristic features of personality disorders tend to develop with:

(a) rapid onset in late adolescence
(b) gradual onset in adulthood
(c) rapid onset in adulthood
(d) onset in childhood that is difficult to pinpoint
the main reason that we do not have sufficient research examining the development of personality disorders

(a) many individuals do not seek treatment in the early phases of these disorders
(b) there is insufficient research funding for these disorders due to relative lack of public awareness
(c) sophisticated research methods are needed to study disorders that are ingrained in personality
(d) all
According to your text it is likely that future users of the DSM will:

(a) eliminate personality disorders altogether
(b) emphasize categorical views of personality disorders
(c) incorporate elements of a dimensional approach to personality disorders
(d) Will reduce the number of personality disorders listed.
The cluster approach to categorizing personality disorders is based on:

(a) resemblance
(b) recognition
(c) redundancy
(d) repetition
A study by Ford and Widiger (1989) suggests that the gender differences observed in the prevalence of many personality disorders (i.e., histrionic, dependent, antisocial) may be due to:

(a) genetic differences
(b) gender specific learned behavior patterns
(c) gender bias on the part of the diagnosing clinician
(d) cultural scripts that dictate the type of disordered behavior appropriate for each gender
A woman demonstrating very stereotypical female traits probably would be diagnosed with histrionic personality disorder. Which of the following would probably occur if a man demonstrated very stereotypical masculine traits?

(a) He would be given a diagnosis of antisocial personality disorder.
(b) He would be given a diagnosis of avoidant personality disorder.
(c) He would be given a diagnosis of narcissistic personality disorder.
(d) He would not be diagnosed with a personality disorder.
The diagnosis of more than one personality disorder in an individual patient is:

(a) common
(b) impossible unless the person suffers from dissociative identity disorder
(c) rare
(d) only possible for personality disorders in the same DSM-IV cluster
Max is always sure that others are trying to harm him. His perception that the world is a threatening place impacts most of his life. Most likely Max would be diagnosed with the personality disorder called:

(a) histrionic
(b) avoidant
(c) paranoid
(d) antisocial
An individual presents for treatment and keeps talking about how gangsters are "out to get him." Before diagnosing paranoid personality disorder, we must determine whether:

(a) his fears are justified
(b) his family life is stable
(c) he has ever been in trouble with the law
(d) he avoids socialization
The language barrier of refugees from other countries and people with hearing impairments may make these individuals particularly susceptible to:

(a) histrionic personality disorder
(b) paranoid personality disorder
(c) schizotypal personality disorder
(d) schizoid personality disorder
You are waiting to board a plane when you hear that the flight has been delayed due to a passing thunderstorm. The man sitting next to you says, "Passing thunder storm, sure! That's Jim again; he's been doing everything to make me miss this meeting because he's trying to get me fired!" Of the following, this statement would be most consistent with ____ personality disorder.

(a) avoidant
(b) histrionic
(c) borderline
(d) paranoid
One of the greatest challenges for any therapist treating an individual with paranoid personality disorder is:

(a) understanding the patient's belief system
(b) getting the patient to trust the therapist
(c) convincing the patient to talk about his beliefs
(d) getting the patient to speak clearly
The data regarding treatment outcome for individuals with paranoid personality disorder:

(a) indicate no evidence for treatment success
(b) suggest that treatment can only be successful if the patient remains in therapy for a minimum of one year
(c) indicate that cognitive therapy is effective in most cases
(d) demonstrate that strict behavioral approaches are effective
Theo is quite a loner. He walks to class by himself, does not talk to anyone and appears indifferent to other people. It is clear that Theo neither desires nor enjoys closeness with others. He does not act in any obviously unusual ways nor does he appear to possess strange beliefs about the world. Of the following personality disorders, Theo appears to be:

(a) avoidant
(b) antisocial
(c) schizoid
(d) schizotypal
An individual who goes through life as a loner with no motivation to interact with others but with relatively normal behaviour and beliefs is likely to be diagnosed with ____ personality disorder:

(a) histrionic
(b) narcissistic
(c) schizoid
(d) paranoid
One prevalent outcome for individuals with schizoid personality disorder is:

(a) homelessness
(b) drug abuse
(c) eating disorders
(d) anxiety
The cause of schizoid personality disorder is:

(a) unknown
(b) biological
(c) genetic
(d) learned
Patients diagnosed with schizoid personality disorder are usually:

(a) motivated to begin therapy and generally make progress quickly
(b) motivated to begin therapy but generally make little progress
(c) not motivated to begin therapy and generally make little progress while in therapy
(d) not motivated to begin therapy but generally make progress quickly while in therapy
Individuals who are socially isolated behave in ways that seem unusual, tend to be suspicious and have odd beliefs are generally diagnosed with ____ personality disorder.

(a) schizotypal
(b) schizoid
(c) paranoid
(d) multiple
Individuals who have "ideas of reference" but who sense that these beliefs are probably unrealistic are generally diagnosed with ____ personality disorder.

(a) Schizotypal
(b) Paranoid
(c) Antisocial
(d) histrionic
The personality disorder that shares many similar symptoms with schizophrenia is:

(a) schizoid
(b) paranoid
(c) borderline
(d) schizotypal
Schizoid personality and schizotypal personality disorder both appear to be related to abnormal:

(a) dopamine function
(b) serotonin function
(c) norepinephrine function
(d) GABA function
According to the textbook the most likely cause of schizotypal personality disorder is:

(a) poor parenting
(b) social modelling
(c) biological
(d) isolation during childhood
As many as 30% to 50% of the individuals with schizotypal personality disorder who request clinical help also meet the criteria for:

(a) obsessive compulsive disorder
(b) substance disorder
(c) anorexia
(d) major depressive disorder
Alan has been diagnosed with schizotypal personality disorder and has begun psychotherapy. Since he is willing to attend therapy sessions, his prognosis for success in treatment is:

(a) excellent since most patients seeking treatment eventually are symptom free
(b) at best moderate since research shows only modest treatment gains for this diagnosis
(c) excellent only if he is willing to take medication
(d) poor since most patients go on to develop schizophrenia
Research suggests that the combination of medications, therapy and social skills treatment in schizotypal personality disorders:

(a) reduce or delay later schizophrenia
(b) increase chances of later schizophrenia
(c) unrelated to schizophrenia risk
(d) Alter symptoms of schizophrenia
Cluster B personality disorders tend to be characterized by:

(a) dramatic behaviour
(b) eccentric behaviour
(c) anxious behaviour
(d) understated behavior
Which of the following is not a Cluster B Personality Disorder?

(a) antisocial personality disorder
(b) borderline personality disorder
(c) histrionic personality disorder
(d) schizoid personality disorder
Steve steals money from his friends and family, lies to get what he wants and often hurts others with no sign of guilt or remorse. Steve should probably be diagnosed with ____ personality disorder.

(a) paranoid
(b) histrionic
(c) antisocial
(d) narcissistic
The most accurate statement regarding antisocial personality disorder and psychopathy is that they:

(a) are similar in almost every way except that psychopaths are criminals
(b) completely different populations
(c) overlap in some features but not all
(d) are just different names for the same features
With which of the following personality disorders is the term psychopath closely associated?

(a) schizotypal
(b) schizoid
(c) paranoid
(d) antisocial
One difference between a psychopath and a person with antisocial personality disorder is that ____ are used in diagnosing the psychopath but ____ are used to diagnose antisocial personality disorder.

(a) personality traits; observable behaviours
(b) observable behaviors; personality traits
(c) clinical judgments; objective test scores
(d) medical criteria; psychological assessments
An adult diagnosed with antisocial personality disorder is most likely to have met the criteria for ____ as a child.

(a) autism
(b) conduct disorder
(c) learning disabled
(d) mental retardation
Rob is a 15-year-old boy who has been repeatedly arrested for theft and assault. In addition to shoplifting and other theft, he has been caught stealing money from his parent's wallets and his young sister's piggy bank. Rob shows no guilt or remorse for the many ways that he hurts others. Rob's current diagnosis is most likely:

(a) antisocial personality disorder
(b) attention deficit hyperactivity disorder
(c) conduct disorder
(d) narcissistic personality disorder
The research examining the cause of antisocial personality disorder suggests that:

(a) the primary cause is genetics
(b) genetics and environment interact to cause the disorder
(c) the primary cause is poor parenting
(d) there is no evidence of either a genetic or environmental cause
Most of the research examining the causes of antisocial personality disorder has been conducted with:

(a) hospital inpatients
(b) criminals
(c) outpatient volunteers
(d) orphans
The presence of low frequency theta waves in the brains of psychopaths led to the development of the:

(a) underarousal hypothesis
(b) fearlessness hypothesis
(c) shamelessness hypothesis
(d) cortical-immaturity hypothesis
Which of the following are the two major theories that have been proposed to explain antisocial personality disorder?:

(a) underarousal and fearlessness
(b) underarousal and shamelessness
(c) Yerkes-Dodson and underarousal
(d) Yerkes-Dodson and shamelessness
According to the underarousal hypothesis, individuals with antisocial personality disorder may engage in their characteristic behaviors as a way to:

(a) deal with their fears
(b) provide a level of stimulation that most of us receive from more typical behaviours
(c) provide a sense of relief from the feelings of depression that they experience when they are not highly aroused
(d) reduce the generally high level of arousal that they feel
The concept of the fearlessness hypothesis of antisocial personality disorder is that individuals with this disorder:

(a) learn to avoid punishment
(b) have an under-active cortex
(c) under react to the threat of punishment
(d) have brain damage that inhibits their ability to understand the implications of their actions
One prominent theory of antisocial personality disorder suggests that the behaviors are caused by an imbalance between the brain's:

(a) behavioral inhibition system and fight/flight system
(b) fight/flight system and reward system
(c) cortical stimulation system and behavioral inhibition system
(d) behavioral inhibition system and reward system
Substance abuse is particularly common in people with:

(a) antisocial personality disorder
(b) paranoid personality disorder
(c) schizotypal personality disorder
(d) schizoid personality disorder
If you had absolutely no concept or fear of the consequences of your actions (for yourself or others) and were overly motivated by pleasing yourself, you might behave like a person with ____ personality disorder.

(a) Antisocial
(b) Narcissistic
(c) Histrionic
(d) schizotypal
Some research with psychopaths suggests that these individuals are:

(a) more likely to quit trying as soon as failure appears imminent
(b) less likely to attempt difficult goals
(c) more likely to keep trying even though failure is certain
(d) less likely to be motivated towards a goal
One of the contributing factors in the developmental history of individuals with antisocial personality disorder appears to be that their parents were more likely to have utilized:

(a) firm discipline
(b) inconsistent discipline
(c) an overly protective parenting style
(d) physical discipline
The antisocial behavior of those diagnosed with antisocial personality disorder tends to:

(a) continue to increase throughout the life span
(b) increase dramatically at about age 30
(c) decline significantly around age 40
(d) remain stable throughout the lifespan
Criminal behavior by individuals with antisocial personality disorder tends to ____ after the age of 40.

(a) Decrease
(b) Increase
(c) decrease in frequency but increase in severity
(d) increase in frequency but decrease in severity
Regarding the likelihood of successful treatment outcome for individuals with antisocial personality disorder, most clinicians are:

(a) optimistic
(b) optimistic only if the patient is willing to work in therapy
(c) pessimistic only if the patient is mandated to therapy by the legal system
(d) pessimistic
Given what we know about the treatment of antisocial personality disorder, the best way to ensure that a person with this disorder and a history of violence is not a threat to society is:

(a) intensive psychotherapy
(b) medication
(c) behavioral treatment
(d) incarceration
Which of the following is an accurate statement regarding the treatment of antisocial personality disorder and related antisocial behaviors?

(a) Patients are generally willing participants in their therapy.
(b) Most patients refer themselves for treatment because they recognize that they have a problem.
(c) There has been greater success in reducing antisocial behavior in children than adults.
(d) Therapy is successful in about half of the cases treated.
Recent research (Flannery et al., 2003) suggests that one possible way to reduce the level of antisocial personality disorder in society may be:

(a) group therapy for individuals with antisocial personality disorder
(b) intensive individual therapy for individuals with antisocial personality disorder
(c) behavioral programs and social skills training for aggressive young children
(d) very strict behavioral programs of powerful reinforcers and strict punishers for "at risk" children
Lenny is 25 years old and has had multiple arrests for assaults, theft and drug use. He has hurt strangers, friends and family and has never shown any remorse or regret. Following his last arrest, Lenny met with a social worker who told him about antisocial personality disorder; he is now convinced that is "what's wrong" with him. Lenny recently went to a local community mental health center and asked to be treated by a psychotherapist. The problem with this story is that:

(a) individuals with antisocial personality disorder do not generally seek treatment
(b) Lenny has misdiagnosed himself since his behaviors are more typical of conduct disorder
(c) the drug use does not fit the pattern of antisocial personality disorder
(d) the description does not fit any known personality disorder
Which of the following is not true about people with antisocial personality disorder?

(a) Having a higher IQ is predictive of having run-in with the law.
(b) Some function quite well in fields such as entertainment and politics.
(c) They tend to come from families with a history of criminal problems.
(d) Some can learn from brushes with the law and go on to function well in society.
Researchers conducting endophenotypic research on antisocial personality disorders are searching for:

(a) the gene that causes antisocial personality disorder
(b) the genes that influence factors characteristic of the disorder such as aggression and impulsivity
(c) brain damage that causes the disorder
(d) antisocial causes of the disorder
Which of the following findings in people with antisocial personality disorder supports the underarousal theory?

(a) low levels of cortical arousal
(b) high resting heart rates
(c) high measures of skin conductance
(d) high fear thresholds
A possible brain based explanation for antisocial personality disorder would be:

(a) reduced behavioral inhibition and increased reward system activation
(b) increased behavioral inhibition and decreased reward system activation
(c) the absence of fight or flight responses
(d) brain deterioration
Which of the following is not thought to contribute to aggressive behavior in children?

(a) parental depression
(b) poor monitoring of child's actions
(c) withdrawal when child is coercive
(d) parent/child conflict in general
The personality disorder characterized by extreme instability in behavior and emotion, impulsivity, depression and selfinjurious behaviors is ____ personality disorder.

(a) narcissistic
(b) borderline
(c) dependent
(d) histrionic
Therapeutic communities involving up to 80 hours of therapy per week in prison settings have been shown to result in the highest offender rates among psychopathic inmates because:

(a) they don't learn the skills taught
(b) they use the skills they learn to manipulate others when they are released
(c) they are not intelligent enough to change
(d) they are angered by the treatment
Nicole has difficulty maintaining relationships because she goes back and forth from being a best friend to hating people in her life quite often. Her romantic relationships are always characterized by incredible loving passion alternating with episodes of horrible fighting, and sometimes she becomes violent. At times Nicole becomes so upset that she cuts herself and reports that this makes her feel better emotionally. Nicole suffers from ____ personality disorder.

(a) dependent
(b) histrionic
(c) borderline
(d) narcissistic
All of the following are common disorders that tend to be comorbid with borderline personality disorder EXCEPT:

(a) depression
(b) substance abuse
(c) bulimia
(d) obsessive-compulsive disorder
The approximate percentage of individuals diagnosed with borderline personality disorder who also have a substance related disorder is:

(a) 10%
(b) 40%
(c) 70%
(d) almost 100%
One of the influences associated with the development of borderline personality disorder is:

(a) history of child abuse or neglect
(b) developmental delay for major milestones (i.e., walking, talking)
(c) parental alcoholism
(d) deficits in neurotransmitter circuits involving dopamine
When presented with words projected on a computer screen, individuals with borderline personality disorder are more likely than individuals without the disorder to remember the word:

(a) celebrate
(b) abandon
(c) full
(d) charming
Childhood trauma as a cause of borderline personality disorder may be too simplistic an explanation because:

(a) there are too many neurological deficits that are noted in borderline personality disorder patients
(b) individuals with borderline personality disorder tend to respond to SSRI medications
(c) most individuals diagnosed with borderline personality disorder are female
(d) a significant percentage of individuals diagnosed with borderline personality disorder do not have a history of childhood trauma
Which of the following is the most likely model to explain the cause of borderline personality disorder?

(a) biological
(b) early trauma resulting in post traumatic stress disorder symptoms that are not recognized or dealt with during childhood
(c) stressful life events
(d) biological predisposition interacting with life events such as childhood trauma and later life stressors
Which of the following disorders has been called the female version of posttraumatic stress disorder?

(a) borderline disorder.
(b) narcissistic disorder.
(c) histrionic disorder.
(d) schizoid disorder.
Research regarding psychological treatment for borderline personality disorder suggests that ____ appears to be helpful in improving mood and reducing suicidal and self-injurious behaviors.

(a) dialectical behavior therapy
(b) cognitive therapy
(c) operant conditioning
(d) nothing
The psychological treatment that has been found to have significant effectiveness in helping patients with borderline personality disorder centers around:

(a) regressing patients to the time in their lives when they experienced trauma
(b) removing the reinforcing attention that they have received for their disordered behavior in the past
(c) joining a 12 step program such as Alcoholics Anonymous
(d) learning to cope with life stressors in a more effective manner
Borderline disorder may be related to mutations of the ____ transporter gene.
(a) serotonin
(b) dopamine
(c) norepinephrine
(d) epinephrine
Individuals who overreact to everything and are overly dramatic and vain are most likely to be diagnosed with ____ personality disorder.

(a) borderline
(b) histrionic
(c) narcissistic
(d) dependent
Amy quickly becomes the center of attention when she enters a room. She is a tall and attractive young woman who generally wears something striking. Amy is known as a flirt and acts in a seductive manner around men. When Amy speaks, she uses very exaggerated terms, even when describing relatively ordinary situations. Amy's diagnosis is most likely ____ personality disorder.

(a) histrionic
(b) narcissistic
(c) borderline
(d) dependent
There appears to be a relationship between ____ personality disorder and ____ personality disorder with some evidence that each may be gender-typed alternative ways of expressing the same underlying condition.

(a) histrionic; narcissistic
(b) dependent; histrionic
(c) antisocial; histrionic
(d) antisocial; dependent
According to your text, the most accurate statement regarding the treatment of histrionic personality disorder is that:

(a) there are no scientific studies demonstrating success
(b) patients who voluntarily attend therapy tend to get better
(c) strict behavioral programs have been shown to be effective in scientific research
(d) cognitive therapy is most effective
One of the likely problems a therapist may encounter while trying to help a patient with histrionic personality disorder is the patient's:

(a) unwillingness to admit there is a problem
(b) use of threatening language
(c) lack of intellectual ability necessary to succeed in therapy
(d) manipulative use of crying, charm, or seductive behavior
The cognitive style associated with histrionic personality disorder is:

(a) impressionistic
(b) paranoid
(c) magical
(d) insightful
Therapy for histrionic personality disorder tends to focus on:
(a) using medications to decrease anxiety
(b) exploring unconscious processes
(c) relaxation techniques
(d) Processing interpersonal relationships
Narcissistic personality disorder is characterized by:

(a) preoccupation with other people
(b) obsession with keeping things neat and orderly
(c) thinking of oneself as deserving of special treatment
(d) pathological dishonesty
Vince is extremely impressed with himself. Although he has only achieved a moderate amount of success, he thinks of himself as being uniquely special and deserving of the best of everything. Vince fantasizes frequently about great wealth and fame and does not really pay much attention to other people except to note how they react to him. Vince should be diagnosed with ____ personality disorder.

(a) antisocial
(b) histrionic
(c) narcissistic
(d) dependent
One reason why individuals with narcissistic personality disorder tend to become depressed at times is that they:

(a) become upset when their intimate relationships fail
(b) seldom live up to their unrealistic expectations of themselves
(c) are overly sensitive to the pain of others
(d) have faulty serotonin circuits
The personality disorder that sociologists have associated with the increased attention to individualism, competitiveness, success and the short-term pleasure seeking of the "me generation" is ____ personality disorder.

(a) antisocial
(b) dependent
(c) histrionic
(d) narcissistic
The most accurate statement with regard to treatment research for narcissistic personality disorder (Groopman & Cooper, 2001) is that the research is:

(a) extremely limited in both number of studies and reports of successes
(b) extremely limited in number of studies, though some promising results have been reported
(c) extensive, though few positive results are reported
(d) extensive, though the studies are not scientific
All of the following are mentioned in your text as appropriate treatment strategies for narcissistic personality disorder EXCEPT:

(a) cognitive therapy to replace grandiose fantasies with more realistic goals
(b) coping strategies to help accept criticism
(c) exploration of early life trauma that led to the disorder
(d) being helped to focus on the feelings of others
The reason that individuals with avoidant personality disorder avoid most relationships is that they:
(a) are extremely sensitive to the opinions of others and fear rejection
(b) generally dislike other people and prefer to be alone
(c) are so stimulated by the fantasy life in their own minds that they have little need for the company of others
(d) experience bizarre thoughts and beliefs that distance them from others
Without understanding the thought process motivating the patient's behavior, it would probably be impossible to determine whether a patient had ____ personality disorder or ____ personality disorder.

(a) narcissistic; antisocial
(b) dependent; narcissistic
(c) schizoid; avoidant
(d) borderline; histrionic
Individuals who keep to themselves because they are anxious and fearful of rejection are likely to be diagnosed with ____ personality disorder.

(a) avoidant
(b) schizoid
(c) schizotypal
(d) antisocial
When asked about their childhood, individuals diagnosed with avoidant personality disorder tend to remember their parents as:

(a) warm and loving
(b) substance abusing
(c) rejecting
(d) depressed
Of the following, the most accurate statement with regard to the treatment of avoidant personality disorder is:

(a) no well-controlled studies of treatment outcomes have been conducted
(b) there are well-controlled studies though none show any treatment success
(c) individuals with this disorder are seldom sufficiently motivated to succeed in treatment
(d) behavioral intervention programs for anxiety and social skills have had some success
In Jill's psychotherapy sessions the therapist has been using systematic desensitization to gradually make her more comfortable with social situations. Similar to the treatments used for individuals with social phobia, the therapist has given Jill homework assignments that require her to practice talking to strangers, join informal groups and speak in front of small groups. Most likely she is being treated for ____ personality disorder.

(a) antisocial
(b) dependent
(c) avoidant
(d) histrionic
The personality disorder characterized by unreasonable fear of abandonment, fear of being rejected, avoidance of disagreement, inability to make decisions for oneself and clinging behavior is ____ personality disorder.

(a) dependent
(b) avoidant
(c) schizoid
(d) histrionic
Mary has been married for 20 years and describes how her husband has been verbally abusive toward her for most of that time. She indicates that her husband has had multiple affairs with other women but she can't leave him because she "loves and needs him." When challenged by the interviewer regarding the wisdom of staying with such a man, Mary agrees with the interviewer although she later confides that she always agrees with everyone to avoid conflict and disapproval. Mary should be diagnosed with ____
personality disorder.

(a) avoidant
(b) histrionic
(c) dependent
(d) borderline
In terms of feelings of inadequacy, sensitivity to criticism and need for reassurance, individuals with ____ personality disorder and ____ personality disorder are quite similar.

(a) dependent; avoidant
(b) dependent; schizoid
(c) schizoid; avoidant
(d) histrionic; antisocial
Avoidant personality disorder tends to run in families with a history of:

(a) schizophrenia
(b) mood disorders
(c) anxiety
(d) substance abuse
A key to treating people with avoidant personality disorder is:

(a) teaching emotional skills
(b) building strong therapeutic relationships
(c) the use of medication
(d) increasing social contact
Individuals who have excessive feelings of social inadequacy, sensitivity to criticism and a need for reassurance are likely to develop either ____ personality disorder or ____ personality disorder.

(a) narcissistic; antisocial
(b) dependent; narcissistic
(c) avoidant; dependent
(d) antisocial; histrionic
According to your text, treatment of dependent personality disorder is:

(a) generally successful with a cognitive-behavioral approach
(b) Well-researched, though no effective treatments have been established
(c) not well-researched
(d) successful when based on systematic desensitization and social skills training
When individuals with dependent personality disorder are in therapy, they are:

(a) seemingly "model" patients
(b) resistant to the therapeutic process
(c) too unstable to do the intellectual work that therapy requires
(d) demanding and impulsive
When working with a patient diagnosed with dependent personality disorder, the therapist must be particularly careful that the patient does not:

(a) take over the agenda of the sessions
(b) become inconsistent in attending sessions
(c) manipulate the therapist by being overly dramatic
(d) become overly dependent on the therapist
The personality disorder that is characterized by an insistence that things have to be done "the right way" is ____ personality disorder.

(a) antisocial
(b) avoidant
(c) paranoid
(d) obsessive-compulsive
Henry is viewed by many as a workaholic and not very social. He is at his desk every morning at 7:30 and takes few breaks (although these breaks are always at the same time every day). Henry is known to be a perfectionist. The problem is that he does not seem to get much accomplished since he spends so much time making sure that everything is perfect before moving on to the next task. Henry appears to suffer from ____ personality disorder.

(a) avoidant
(b) obsessive-compulsive
(c) schizoid
(d) antisocial
One of the major differences between individuals with obsessive-compulsive personality disorder and obsessive-compulsive disorder (OCD) is that patients with the personality disorder generally:

(a) have more obsessive thoughts
(b) show more compulsive and ritualistic behaviors
(c) do not have obsessive thoughts and compulsive behaviors
(d) have multiple diagnoses
One of the major differences between individuals with obsessive-compulsive personality disorder and obsessive-compulsive disorder (OCD) is that OCD is a disorder of:

(a) anxiety
(b) dopamine imbalances
(c) modeled behavior
(d) achievement related fears
One unusual finding discussed in your text is that ____ personality disorder may have played a role in the behavior of several serial killers.

(a) narcissistic
(b) histrionic
(c) obsessive-compulsive
(d) schizotypal
Of the following, the most accurate statement regarding the cause of obsessive-compulsive personality disorder is that obsessive compulsive personality disorder appears to be:
(a) caused by neurotransmitter imbalances
(b) influenced by an interaction between serotonin deficiencies and early learning
(c) influenced by genetics and early learning
(d) caused by classically conditioned social anxiety
Of the following, the most accurate statement regarding the research for treatment of obsessive-compulsive personality disorder is:

(a) well-controlled research suggests the use of a highly structured behavioral program can be effective with motivated patients
(b) well-controlled research suggests the use of cognitive-behavioral treatment
(c) the great deal of research that has been conducted indicates there are currently no effective treatments
(d) there is little research regarding the successful treatment of this disorder though relaxation and distraction techniques seem to make sense
Negativistic personality disorder:

(a) is characterized by passive aggression
(b) may be a subtype of narcissism
(c) is not yet a DSM category
(d) all of the above
One of the likely problems a therapist may encounter while trying to help a patient with histrionic personality disorder is the patient's:

(a) unwillingness to admit there is a problem
(b) use of threatening language
(c) lack of intellectual ability necessary to succeed in therapy
(d) manipulative use of crying, charm, or seductive behavior
Depressive personality disorder is characterized by:

(a) self-criticism
(b) dejection
(c) tendency towards guilt
(d) accepting stance towards others
During the "Abnormal Psychology Live" CD discussion of borderline personality disorder, it was mentioned that it is tough for therapists to treat this disorder because the therapists often feel ____ towards their patients.

(a) anger
(b) sorrow
(c) fear
(d) deep attachment
The individual with ASPD on the "Abnormal Psychology Live" CD discussed the fact that he:

(a) didn't care about himself or his family
(b) didn't start fighting until he was over 21
(c) was devoted to his kids
(d) was always lonely