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189 terms

test 5 psych 3230

STUDY
PLAY
Transient psychotic symptoms are often seen in which of the following personality disorders?
schizoid and paranoid
The single best word for the person with paranoid personality disorder is:
mistrustful
The fear of ________ is a common issue for dependent and borderline personality disorders
abandonment
Individuals with schizoid and paranoid personality disorders differ significantly in their
level of emotionality
________ personality disorder is much more common in men than women and involves the exploitation of others without remorse
antisocial
Both a lack of parental indulgence and parental overindulgence have been proposed as explanations for ________ personality disorder
narcissistic
A lack of parental indulgence of a child's overconfidence might play a causal role in ________ personality disorder
narcissistic
Which of the following is most likely to be mistaken for schizophrenia?
schizotypal
The individual with avoidant personality disorder is unlikely to develop lasting relationships as a result of their
fear of rejection
Which of the following differentiates the borderline from antisocial personality?
self injurious behavior
Like many individuals with personality disorders, individuals with histrionic personality disorder are rarely able to maintain relationships over time. Why?
their need for attention is likely to drive others away
Which is NOT part of the clinical picture in antisocial personality and psychopathy?
careful planning of future activities that will help their families
Which best accounts for why women are more likely to be diagnosed with histrionic than men?
the symptoms tend to be exaggerations of traits normally seen in women
Which of the following is NOT a Cluster B personality disorder?
depressive
Which best explains why it is such a challenge to treat personality disorders?
by definition they are enduring patterns of thought and behavior
Which of the following is most typical of the IP attitudes and behaviors of someone with antisocial personality disorder?
cruel and callous exploitation of others for personal gain
The behavioral patterns of individuals with personality disorders...
are thought to be relatively consistent over time, with little adaptation to new kinds of experiences
Which personality disorders may be mistaken for anxiety disorders?
Cluster
Which is most typical of the IP attitudes and behaviors of someone with histrionic personality disorder?
repeated manipulation of others to gain attention
Unlike the person with paranoid schizophrenia, the person with paranoid personality disorder
experiences, at worst, transient psychotic symptoms
Hope believes that she is the 'star' of her graduate class and that others dislike her because they are jealous of her superior intelligence. She probably suffers from
narcissistic personality disorder
The "clusters" of personality disorders found in the DSM-IV-TR are grouped based on
symptom similarities
John has a great need for order and perfection. What personality disorder does this suggest?
obsessive compulsive
Why does the person with OCPD have problems in IP relationships?
they have no time for relationships
The histrionic seeks _________, while the narcissist needs________
attention;admiration
Which statement about personality disorders is accurate?
the category is broad and encompasses behavioral problems that vary widely in form and severity
Personality disorders were once known as
character disorders
Involvement in an abusive relationship would be most expected of the individual with _______ personality disorder
dependent
According to the DSM-IV-TR, which must be true for a diagnosis of a personality disorder?
the patient's behavior must not be explained by the presence of another disorder
After a single date, Glenn believed that Sam loved her and that she could not live without him. When he told her he did not want to see her again, she became violently angry and manipulated him to stay with her by threatening suicide. She probably has
borderline
James has 2 alcoholic parents. Research suggests that his risk for alcoholism is
greater than if he had one alcoholic parent
Emotional immaturity, low frustration tolerance, impulsivity, and aggressiveness are characteristics of
the pre-alcoholic personality
Which statement about alcohol abuse disorders and other psych disorders is accurate?
the personality disorder most often associated with alcohol abuse is antisocial personality disorder
One of the most frequent causes of divorce in the US is
excessive alcohol use
The most effective approach to alcohol treatment appears to be
a multidisciplinary approach that may also involve intensive treatment in an inpatient setting
Relapses and continued deterioration after treatment for alcohol abuse are generally associated with
a lack of close relationships with family or friends
Drug abuse and dependence are most common in what age group and in what type of community
adolescence and young adulthood; economically depressed communities
About 100 years ago, the drug ______ was hailed as a cure for morphine addiction; today, the drug ______ is used to treat people with a heroin addiction.
heroin; methadone
A person who has just "mainlined" heroin will experience
a euphoric spasm that lasts for about one minute
Which of the following statements about opiate addiction is true?
addiction involves both tolerance and withdrawal
Withdrawal from heroin
is not always a very painful and sometimes a dangerous process
Judd is ready to begin treatment for heroin addiction. Which offers the best chance of success?
methadone in combination with psychotherapy
What is buprenorphine?
a new medication that is an equally effective sub for methadone but with fewer side effects and no withdrawal symptoms when discontinued
Unlike opiates, cocaine
stimulates the cortex of the brain and induces excitement and sleeplessness
Impaired memory and concentration, sluggishness, lack of motor coordination, and brain damage are side effects associated with
barbiturates
An involuntary reoccurrence of perceptual distortions can occur weeks or months after taking a particular drug. This phenomenon is called ______; the drug is called _________.
a flashback; LSD
The hemp plant, Cannabis sativa, is the source of two psychoactive drugs:
marijuana and hashish
Bertha has been drinking to excess for many years. She is malnourished. This is because
although alcohol is full of calories, it has no nutritional value; alcohol impairs the body's ability to utilize nutrients
Dr. Tong says, "Alcohol abuse stems from a desire by the individual to bring about changes in mood, to feel less stress, and to gain peer approval." These comments illustrate the ______ of drinking
sociocultural viewpoint
The first stage in the treatment of alcoholism includes
treating physical withdrawal symptoms
An extensive four-year follow up of treated alcoholics found that
regardless of the treatment used, alcoholics are difficult to treat
The abstinence violation effect is
the effect that physiologically addicting drugs have in making continued abstinence difficult
The most frequently cited reason given by addicts for beginning to use heroin is
pleasure
If Gus is like most cocaine-dependent patients, his chances of effective treatment will be reduced because
he has severe antisocial personality disorder, too.
The combination of barbiturates and _________ is a potentially lethal one because each drug potentiates the depressant action of the other.
alcohol
The central feature of alcohol amnestic disorder is
a memory defect for recent events
Many alcohol treatment programs now include
biofeedback to teach individuals to reduce their alcohol cravings
Less than 20% of the world's population consumes 80% of the world's alcohol. This 20% comes from one culture:
European
Janet participates in a treatment program in which she receives alcohol after an intramuscular injection of emetine hydrochloride, which induces nausea and vomiting. This is designed to
Induce aversive conditioning
Barbiturate withdrawal
is far MORE severe than opiate withdrawal
Individuals with personality disorders
are unable to live up to societal expectations
What core belief might explain the behavior of an individual with dependent personality disorder?
"I am helpless"
The central problem of schizoid personality disorder is
an inability to form attachments to other people
Symptoms of what Axis I disorder are present in individuals who develop ASPD?
conduct disorder
Helen is suspicious and doubts the loyalty of even her friends. She is unwilling to forgive perceived insults and never forgets a grudge. She most likely has
paranoid personality disorder
Antisocial personality disorder differs from the other Cluster B disorders in that
a need for approval or attention is not displayed
Charlie has a tendency to be dramatic, emotional, and erratic. He acts impulsively and has been arrested several times. Which disorder does he most likely have?
borderline
Hattie has a dependent personality disorder. This means that she
has acute discomfort when she is alone
Conventional antipsychotics
work by blocking dopamine receptors
Others are needed for self-definition in ________ personality disorder
borderline
Helena has avoidant personality disorder. She is likely to
be hypersensitive to any sign of criticism or rejection
Once called character disorders, ________ disorders stem from the gradual development of inflexible and distorted patterns of behavior.
personality
Schizophrenic disorders seem to be most strongly linked genetically to _________ personality disorder
schizotypal
Children of parents with antisocial personality disorder who were adopted into other families
developed antisocial personality disorder at higher rates only if their adoptive parents had problems, such as marital conflict
The individual with __________ personality disorder is likely to be described as rigid and cold
obsessive-compulsive
Histrionic personality disorder is most likely to be diagnosed in people who
are attention seeking and overly emotional
Henry was a charming middle-aged man who came to the attention of authorities of bigamy charges. He had a long history of courting and supposedly marrying elderly widows, then absconding with their money.
antisocial personality disorder
In research studies, in addition to failing to learn to avoid punishments, psychopaths
did not show normal fear potential startle responses
Which basic personality traits from the 5 factor model seem most important in the development of obsessive compulsive personality disorder?
high conscientiousness and low compliance
What basic personality traits from the 5 factor model seem most important in the development of paranoid personality disorder?
antagonism and neuroticism
The borderline personality differs from histrionic disorder in that
the central role of sexuality is not present
Tina has been using cocaine for many months. She decides to stop. She can expect
to have depression, fatigue, disturbed sleep, and increased dreaming
The tension-reduction model of alcoholism
does not explain why some excessive drinkers are able to maintain control over their drinking while others are not
Why does it make sense to view addiction as a mental disorder?
the symptoms are behavioral
Which type of treatment for alcoholism has been found to be most effective?
none
Binge drinking in college
can lead to many alcohol related health and life problems
The main difference between borderline and antisocial personality disorders is that
both exploit others but the person with borderline does it due to an angry reaction to disappointments and the person with antisocial does it for gain and without guilt
In contrast to schizoid individuals, those with avoidant personality disorder
are extremely upset by their lack of social relationships
Bill is an alcoholic. His wife, Marge, has a lot of ready excuses she uses to explain to his boss, their friends, and their children to explain his frequent absences. This is an example of
why treatment need to include identifying factors that may encourage drinking
Which parenting skill or parental behavior is most associated with adolescent substance use?
lack of monitoring the adolescent's activities
The fear of abandonment is seen in both borderline and dependent personality disorder. A key difference is their reaction to it:
the person with borderline gets angry, and the person with dependent becomes submissive
The presence of psychopathy
is the single best predictor of future violence and crime recidivism
Which basic personality traits from the 5 factor model seem most important in the development of narcissistic personality disorder?
low agreeableness and high fantasy proneness
Donna has borderline personality disorder. She is in therapy, but progress is slow. Some days her therapist is the best person in the world, and other days he is the worst. This type of thinking is called
splitting
The individual with avoidant personality disorder behaves most similarly to someone with ______
schizoid personality disorder
Who is most likely to develop antisocial personality disorder?
a child with ADHD
Sam shows little emotion and is a loner. He has no social relationships, other than his family, and he seems to experience little pleasure, if any. What might he have?
schizoid
The 5 factor model
is a model of normal personality that includes an expanded description of the 5 basic personality dimensions
What "border" did the term "borderline" in borderline personality refer to?
because people with borderline personality disorder behave normally much of the time, they were thought to only be on the edge of mental illness
What do all Cluster A disorders have in common?
social dysfunction
The key causal factor in borderline personality disorder seems to be
failure to develop an articulated self-identity
102) Which basic personality traits from the 5 factor model seem most important in the development of borderline personality disorder?
high impulsivity and affective instability
Why is the use of medication for borderline personality disorder controversial?
because it is frequently associated with suicidal behavior
Which distinguishes narcissistic personality disorder from the other Cluster B disorders?
grandiosity
According to DSM-IV-TR, which must be true for a personality disorder diagnosis?
the person's behavior must cause them distress or impairment
Loretta has long history of first idealizing men, and then feeling they have abandoned her. Feelings of emptiness change into reckless acts of sexual promiscuity, gambling, and suicide attempts. She probably has ______
borderline
Carl has psychopathy. You would expect him to
be very interested in rewards and to continue his behavior even when they don't come as often as they used to
What is it that people with narcissistic personality disorder are unlikely to seek treatment?
they think they are nearly perfect and in no need of change
Alcoholic blackouts
can occur with just moderate drinking
Which is not a diagnosis found in the DSM?
alcoholism
According to the tension-reduction explanation for alcoholism
all those who experience stress-reduction following consumption are at an increased risk for alcoholism
Your text describes two commonly recognized psychotic reactions to alcohol. They are
what used to be called "delirium tremens" and "Korsakoff's psychosis"
In 2000, which of the following accounted for 16% of all drug-relate emergency room admissions?
heroin
Why might opiate antagonists be used in the treatment of alcoholism?
to minimize cravings
Both alcohol and barbiturate withdrawal
can be minimized by administering another drug
One limitation on the findings of genetic influences on alcoholism is that
there have not been enough studies of the majority of children of alcoholics (those who do not become alcoholics)
Benzadrine is a(n)
amphetamine
The behavioral patterns of individuals with personality disorders
are thought to be relatively consistent over time, with little adaptation to new kinds of experiences
According to Paris' multidimensional theory of BPD, people with high levels of impulsivity and affective instability
are likely to develop BPD if they are exposed to trauma
Cirrhosis of the liver
is caused by overworking the liver trying to assimilate large amounts of alcohol
The individual with which Axis I disorder is most likely to also abuse alcohol?
depression
A cognitive explanation for schizoid personality disorder proposes that the individual with this disorder believes that
they are basically alone
Which of the following is most typical of the interpersonal attitudes and behaviors of someone with borderline personality disorder?
vacillation between overidealization and bitter disappointment
Hattie has a dependent personality disorder. This means that she
has acute discomfort when she is alone
Which basic personality traits from the 5 factor model seem momst important in the development of narcissistic personality disorder?
low agreeableness and high fantasy prone
An employee evaluation: "He takes what he wants rather that earns it. He hates routine and boredom more than anything else. Thrill-seeking and impulsive actions have gotten him fired a this job. It will get him fired at many others." What kind of disorder does the employee illustrate?
psychopathy
According to Paris' multidimensional theory of borderline personality disorder (BPD), people with high levels of impulsivity and affective instability
are likely to develop BPD if they are exposed to trauma
The best single-word description for the person with paranoid personality disorder is
mistrustful
Helen is suspicious and doubts the loyalty of even her friends. She is unwilling to forgive perceived insults and never forgets a grudge. She is most likely to be diagnosed with ___ personality disorder
paranoid
Which of the following is the most typical of the interpersonal attitudes and behaviors of someone with histrionic personality disorder?
repeated manipulation of other to gain attention
Impulsivity and extreme instability in interpersonal relationships, self-image, and mood best characterizes
borderline personality disorder
Both a lack of parental indulgence and parental overindulgence have been proposed as explanations for ___ personality disorders
narcissistic
Helena has avoidant personality disorder. She is likely to
be hypersensitive to any sign of criticism or rejection
Children of mother who use crack
main risk is of being mistreated by their mothers
Concerning the ceases of alcoholism,
there are probably several different patterns of causes associated with several different types of alcohol dependence
Men who are at high risk for becoming alcoholics
experience less stress reduction after alcohol consumption than nonalcoholic men
Betty was admitted to the hospital in a state of withdrawal from alcohol. She was diagnosed with alcohol withdrawal delirium (formerly known as delirium tremens). She most likely showed which of the following behaviors?
disorientation from time and place and vivid hallucinations
Which statement about crack cocaine use is accurate?
Chronic users develop sexual dysfunctions and a disinterest in sex
Which of the following personality disorders is most likely to be mistaken for schizophrenia?
schizotypal
Which basic personality traits from the 5 factor model seem most important in the development of paranoid personality disorder?
antagonism and neuroticism
Which parenting skill or parental behavior is most associated with adolescent substance use?
lack of monitoring the adolescent's activities
Because they are regarded as being different from standard psychiatric syndromes, the personality disorders are
coded on Axis II
Binge drinking in college
can lead to many alcohol related health and life problems
Which is not true of treating personality disorders?
People with both an Axis I and Axis II diagnosis are easier to treat than someone with just an Axis II disorder because they have more distress
Involvement in an abusive relationship would be most expected of the individual with _______
Dependent
The finding that temperament may play a role in the etiology of personality disorders suggests that
A susceptibility to the development of a personality disorder may be inherited
Schizotypal disorder is
One of the least successful to treatment
Helena has avoidant personality disorder. She is likely to
Be hypersensitive to any sign of criticism or rejection
Misdiagnoses are common when looking at potential personality disorders b/c
Many of the personality disorders share common features
Self-mutilation, such as is seen in borderline personality disorder, is
Done to reduce anxiety and depression
The main difference b/w borderline personality disorder and antisocial personality disorder is
Both exploit others but the person with BPD does it due to an angry reaction....
Which is most typical of the interpersonal attitudes and behaviors of someone with antisocial personality disorder?
Cruel and callous exploitation of others for personal gain
Debbie is a salesperson in a department store...
Passive aggressive personality disorder
Histrionic personality disorder is mostly likely to be diagnosed in people who
Are attention-seeking and overly emotional
The presence of psychopathy
Is the single best predictor of future violence and crime recidivism
Cognitive therapy for personality disorders focuses on
Underlying dysfunctional schemas in the client's mind
Cirrhosis of the liver
Is caused by overworking the liver trying to assimilated large amounts of alcohol
Which if NOT a diagnosis found in the DSM?
Alcoholism
Which type of treatment for alcoholism has been found to be most effective
none
Malnutrition
May occur in alcoholics as alcohol interferes with the body's ability to use nutrients
A moderating variable is
Something that influences the connection b/w two other variables
Which is a narcotic?
Codeine
Which statement about alcohol problems is accurate?
The average life span of an alcoholic is 12 years shorter than the average citizen
Both alcohol and barbiturate withdrawal
Can be minimized by administering another drug
Children of mothers who use crack
Main risk is of being mistreated by their mothers
Why is the use of medication for BPD controversial?
Because it is frequently associated with suicidal behavior
Luisa is a lively and emotional graduate student...
Histrionic personality disorder
Personality disorders were once known as
character disorders
Children of parents with antisocial personality disorder who were adopted into other families
Developed antisocial personality disorder at higher rates only if their adoptive families had problems, such as marital conflict
Dialectical behavior therapy is
A promising, problem focused treatment for BPD
Why does it make sense to view addiction as a mental disorder?
The symptoms are behavioral
Studies of the genetics of alcoholism
Suggest that an inherited altered sensitivity might create a vulnerability to alcohol abuse
Which basic personality traits from the 5 factor model seem most important in the development of narcissistic personality disorder?
Low agreeableness and high fantasy proneness
Alcoholic psychosis may occur due to
Low thiamine levels
Which of the following seems to have the most impact in decreasing the amount of criminal activities of people with psychopathy and antisocial personality disorder?
growing older
Cognitive therapy for personality disorders focuses on
underlying dysfunctional schemas in the client's mind
Which basic personality traits from the 5 factor model seem most important in the development of dependent personality disorder?
high neuroticism and high agreeableness
What "border" did the term "borderline" in borderline personality disorder refer to?
The behaviors exhibited by people with borderline personality disorder lie on continuum between neurotic and psychotic disorders
Which of the following statements is NOT true for treating personality disorders?
People with both an Axis I and an Axis II diagnosis are easier to treat that someone with just an Axis II disorder because they have more distress
In contrast to other treatment programs, AA
offers both group and one-on-one support
In 2000, which of the following accounted for 16% of all drug-related emergency room admins?
heroin
Controlled drinking- teaching alcoholics to drink in moderation
seems to work for some people with less severe alcoholism
Passing out form a high blood level of alcohol
may actually be a safety device
Endorphins
are opium-like substances produced by the body
Rates of alcoholism among Asian populations are ____ than amount Europeans. This is related to ___.
lower; a mutant enzyme that leads to hypersensitive reactions to alcohol
Emily calls her husband every day at work to ask him what she should make for dinner. She spends her days at her moms...
borderline personality disorder
The main reason addicts gave for using heroin was
pleasure
Problematic drinking behavior commonly develops during
crisis periods in a marriage or other intimate personal relationship
Which basic personality traits form the 5 factor model seem most important in the development of schizoid PD?
high introversion and low openness to feelings