ABPSYCH Midterms (Mostly PDs)

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Questions and Answers

Which of the following scenarios BEST exemplifies the 'failure to function adequately' criterion for defining abnormality?

  • An individual with obsessive-compulsive disorder needing to hand-wash to be happy.
  • An individual who occasionally feels overwhelmed by daily tasks.
  • An individual who experiences distress due to societal expectations.
  • An individual who is unable to maintain basic hygiene, hold a job, or interact meaningfully with others. (correct)

A researcher is studying the prevalence of social anxiety in different cultures. How could cultural relativism impact the interpretation of what constitutes 'abnormal' social behavior?

  • Behaviors considered abnormal in one culture may be acceptable or even expected in another, complicating the comparison. (correct)
  • Cultural norms universally define social anxiety, making cross-cultural comparison straightforward.
  • Only behaviors recognized by the World Health Organization can be classified as abnormal, ensuring cross-cultural validity.
  • Statistical infrequency is the primary determinant of abnormality, regardless of cultural context.

A psychologist is using the DSM-5 to diagnose a patient. Which of the following BEST describes how the DSM-5 defines a mental disorder?

  • A condition primarily characterized by violation of social norms.
  • Any behavior that deviates from statistical norms.
  • A clinically significant disturbance in cognition, emotion regulation, or behavior that reflects a dysfunction in underlying processes. (correct)
  • Any condition that causes personal distress, regardless of its impact on functioning.

A person experiences significant distress and impairment in social and occupational functioning due to a phobia. According to the DSM criteria, which Axis would this information be recorded on?

<p>Axis I (Clinical Disorders) (A)</p> Signup and view all the answers

A patient is evaluated using the Global Assessment of Functioning (GAF) scale. Which aspect of the patient's condition does this scale primarily assess?

<p>The patient's overall level of functioning in social, occupational, and psychological domains. (A)</p> Signup and view all the answers

A researcher is investigating the impact of neurotransmitter imbalances on mood disorders. Which paradigm of abnormal psychology is being utilized?

<p>Neuroscience Paradigm (C)</p> Signup and view all the answers

A therapist is using exposure therapy to treat a patient's phobia. Which paradigm underlies this approach?

<p>Behavioral (C)</p> Signup and view all the answers

In the context of abnormal psychology, what does the term 'prepared learning' refer to?

<p>The innate ability to quickly learn about things that contribute to the survival of the species. (B)</p> Signup and view all the answers

A patient reports experiencing 'auditory hallucinations.' What type of disturbance is this categorized as?

<p>Disturbance in Perception (D)</p> Signup and view all the answers

A patient exhibits a 'flat affect' during a clinical interview. What does this observation suggest?

<p>The patient is exhibiting a near absence of emotional expression. (D)</p> Signup and view all the answers

A client diagnosed with a substance use disorder continues to use the substance despite recognizing it is causing significant health problems. According to the criteria for substance dependence, which of the following concepts does this MOST directly relate to?

<p>Persistent Use Despite Knowledge of Problems (D)</p> Signup and view all the answers

Which of the following is an example of 'magical thinking' as it relates to schizotypal personality disorder?

<p>Believing that wearing a specific hat protects one from negative thoughts. (C)</p> Signup and view all the answers

A person consistently disregards the rights of others, engages in deceitful behavior, and lacks remorse for their actions. These behaviors began in childhood and have continued into adulthood. Which personality disorder is MOST consistent with these characteristics?

<p>Antisocial Personality Disorder (B)</p> Signup and view all the answers

A client displays excessive emotionality, attention-seeking behavior, and inappropriate seductiveness. Which personality disorder is most likely indicated by these symptoms?

<p>Histrionic Personality Disorder (B)</p> Signup and view all the answers

A person is preoccupied with orderliness, perfectionism, and control, to the point where it impairs their ability to complete tasks. Which personality disorder aligns with these characteristics?

<p>Obsessive-Compulsive Personality Disorder (C)</p> Signup and view all the answers

There are a total of ____ disorders for Substance-Induced.

<p>7 (A)</p> Signup and view all the answers

A pervasive pattern of distrust or suspiciousness such as others’ motives are interpreted as malevolent.

<p>Paranoid Personality Disorder (A)</p> Signup and view all the answers

For a diagnosis of Paranoid Personality Disorder, what is the minimum number of characteristic behaviors or thought patterns related to distrust and suspicion that must be present?

<p>4 or more (A)</p> Signup and view all the answers

A pervasive pattern of detachment from social relationships and a restricted range of emotional experience

<p>Schizoid Personality Disorder (A)</p> Signup and view all the answers

For a diagnosis of Schizoid Personality Disorder, what is the minimum number of characteristic behaviors or emotional patterns related to social detachment and restricted emotion that must be present?

<p>4 or more (A)</p> Signup and view all the answers

A pervasive pattern of acute discomfort in close relationships, presence of cognitive and perceptual distortions and eccentricities in behavior

<p>Schizotypal Personality Disorder (A)</p> Signup and view all the answers

For a diagnosis of Schizotypal Personality Disorder, what is the minimum number of characteristic behaviors or cognitive patterns, related to social discomfort, perceptual distortions, and eccentricities that must be present?

<p>5 or more (A)</p> Signup and view all the answers

A pervasive pattern of disregard for and violation of the rights of others

<p>Antisocial Personality Disorder (B)</p> Signup and view all the answers

What is the minimum number of characteristic behaviors, related to the violation of others' rights, that must be present to consider a diagnosis of Antisocial Personality Disorder?

<p>3 or more (B)</p> Signup and view all the answers

A pervasive pattern of instability of interpersonal relationships, self-image, and affect and marked impulsivity

<p>Borderline Personality Disorder (D)</p> Signup and view all the answers

What is the minimum number of characteristic behaviors or emotional patterns, related to instability and impulsivity, that must be present to consider a diagnosis of Borderline Personality Disorder?

<p>5 or more (A)</p> Signup and view all the answers

A pervasive pattern of excessive emotionality and attention seeking

<p>Histrionic Personality Disorder (B)</p> Signup and view all the answers

What is the minimum number of characteristic behaviors or emotional patterns, related to excessive emotionality and attention-seeking, that must be present to consider a diagnosis of Histrionic Personality Disorder?

<p>5 or more (A)</p> Signup and view all the answers

A pervasive pattern of grandiosity (in fantasy or behavior), need for admiration, and lack of empathy

<p>Narcissistic Personality Disorder (A)</p> Signup and view all the answers

What is the minimum number of characteristic behaviors or emotional patterns, related to grandiosity, need for admiration, and lack of empathy, that must be present to consider a diagnosis of Narcissistic Personality Disorder?

<p>5 or more (A)</p> Signup and view all the answers

A pervasive pattern of social inhibition, feelings of inadequacy, hypersensitivity to negative evaluation

<p>Avoidant Personality Disorder (B)</p> Signup and view all the answers

What is the minimum number of characteristic behaviors or emotional patterns, related to social inhibition, feelings of inadequacy, and hypersensitivity to negative evaluation, that must be present to consider a diagnosis of Avoidant Personality Disorder?

<p>4 or more (C)</p> Signup and view all the answers

A pervasive and excessive need to be taken care of that leads to submissive or clinging behavior and fears of separation

<p>Dependent Personality Disorder (B)</p> Signup and view all the answers

When diagnosing Dependent Personality Disorder, how many of the defining characteristics, indicating an excessive need to be taken care of, leading to submissive or clinging behavior and fears of separation, must be observed?

<p>5 or more (B)</p> Signup and view all the answers

A pervasive pattern or preoccupation with orderliness, perfectionism, mental and interpersonal control, at the expense of flexibility, openness, & efficiency

<p>Obsessive Compulsive Personality Disorder (A)</p> Signup and view all the answers

When diagnosing Obsessive-Compulsive Personality Disorder, how many of the defining characteristics, indicating a preoccupation with orderliness, perfectionism, and control, must be observed?

<p>4 or more (A)</p> Signup and view all the answers

A persistent personality disturbance that represents a change from the individual’s previous characteristic personality pattern

<p>Personality Change due to another medical condition (A)</p> Signup and view all the answers

Other Specified Personality Disorder applies to presentations in which symptoms/characteristics of a PD causes clinically significant distress or impairment in areas of functioning but do not meet the full criteria for any of the personality disorders

<p>True (A)</p> Signup and view all the answers

Unspecified Personality Disorders are used when a clinician chooses to communicate the specific reason of the criteria being unmet

<p>False (B)</p> Signup and view all the answers

This is used in situations in which the clinician chooses not to specify the reason that the criteria are not met

<p>Unspecified Personality Disorders (A)</p> Signup and view all the answers

Which of the following criteria is MOST likely to be found in both Narcissistic Personality Disorder (NPD) and Borderline Personality Disorder (BPD), making differential diagnosis challenging?

<p>Instability in interpersonal relationships and marked impulsivity (C)</p> Signup and view all the answers

Which of the following criteria is MOST likely to be found in both Avoidant Personality Disorder (AVPD) and Dependent Personality Disorder (DPD), making differential diagnosis challenging?

<p>Social inhibition and feelings of inadequacy (B)</p> Signup and view all the answers

Which of the following criteria is a differentiating factor between Antisocial Personality Disorder (ASPD) and Narcissistic Personality Disorder (NPD)?

<p>Disregard for the rights of others (C)</p> Signup and view all the answers

John consistently accuses his colleagues of plotting against him, even when there's no evidence. He's extremely guarded and finds it hard to trust anyone. He also believes his spouse is cheating on him despite zero evidence. Which personality disorder best fits this description?

<p>Paranoid PD (B)</p> Signup and view all the answers

Sarah often talks about having 'special powers' and believes she can read minds. She's socially awkward, dresses eccentrically, and has difficulty forming close relationships. Which personality disorder best fits this description?

<p>Schizotypal PD (C)</p> Signup and view all the answers

Gabriel has a long history of breaking the law, showing no remorse for his actions. He frequently manipulates others for personal gain and displays a blatant disregard for the safety and feelings of those around him. Which personality disorder best fits this description?

<p>Antisocial PD (C)</p> Signup and view all the answers

Lisa's relationships are tumultuous. She experiences intense mood swings, fears abandonment, and engages in impulsive behaviors, such as self-harm. She feels empty and has a very unstable sense of self. Which personality disorder best fits this description?

<p>Borderline PD (B)</p> Signup and view all the answers

David constantly seeks attention and is overly dramatic in his emotional expressions. He is easily influenced by others and uses his physical appearance to gain attention. Which personality disorder best fits this description?

<p>Histrionic PD (C)</p> Signup and view all the answers

Carlo believes he is superior to everyone else and demands constant admiration. He lacks empathy and often exploits others to achieve his goals. He is very sensitive to critisism.

<p>Narcissistic PD (B)</p> Signup and view all the answers

Keilah avoids social gatherings because she fears being criticized or rejected. She feels inadequate and is extremely sensitive to negative evaluation. Which personality disorder best fits this description?

<p>Avoidant PD (B)</p> Signup and view all the answers

Trixie has difficulty making decisions on her own and relies heavily on others for guidance. She fears being alone and often agrees with others, even when she disagrees, to avoid disapproval. Which personality disorder best fits this description?

<p>Dependent PD (D)</p> Signup and view all the answers

Jaica is excessively preoccupied with rules, order, and details. He is a perfectionist and has difficulty delegating tasks. His need for control often interferes with his productivity and relationships. Which personality disorder best fits this description?

<p>Obsessive-Compulsive PD (B)</p> Signup and view all the answers

Individuals with Antisocial Personality Disorder (ASPD) often experience intense feelings of guilt and remorse for their actions.

<p>False (B)</p> Signup and view all the answers

Individuals with Narcissistic Personality Disorder (NPD) typically exhibit high levels of genuine empathy towards others' feelings

<p>False (B)</p> Signup and view all the answers

Individuals with Borderline Personality Disorder (BPD) frequently exhibit a pattern of unstable and intense interpersonal relationships, characterized by alternating between extremes of idealization and devaluation.

<p>True (A)</p> Signup and view all the answers

Flashcards

Abnormal psychology

A branch of psychology dealing with psychopathology and abnormal behavior, studying unusual patterns of emotion, behavior, and thought.

Statistical infrequency

Classifying behavior as abnormal if it's rare or statistically unusual.

Violation of social norms

Classifying behavior as abnormal if it violates unwritten rules about expected behavior in a social group.

Failure to function adequately

Classifying someone as abnormal if they cannot cope with the demands of everyday life.

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Deviation from ideal mental health

Classifying anything that deviates from what is normal/ideal as abnormal.

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DSM's definition of mental disorder

A clinically significant behavioral or psychological pattern associated with distress, disability, reflecting dysfunction in an individual; not merely a culturally sanctioned response.

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Multi-axial evaluation

A system that evaluates patients along several variables and contains 5 axes.

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What is Axis V GAF scale 91-100?

Superior functioning; no symptoms at all

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What is Axis V GAF scale 71-80?

Transient and expectable reactions to psychosocial stressors, mild symptoms

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Neurosis

A chronic or recurrent non-psychotic disorder characterized mainly by anxiety.

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Psychosis

Traditional meaning means gross impairment in reality testing.

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Hallucination

False perception, not associated with real external stimuli.

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Paramnesia

False sensory perception by distortion of recall.

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Nature

Innates attributes of a person

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Nurture

Explains a person's inheritance to certain vulnerabilities when right kind of stressors comes along.

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Study Notes

  • Abnormal psychology studies psychopathology and abnormal behavior.
  • It looks at unusual patterns of emotion, behavior, and thought that may or may not indicate a mental disorder.
  • It studies people who are "abnormal" or "atypical" compared to society members.
  • It covers disorders like depression, obsession-compulsion, and sexual deviation.
  • Counselors, clinical psychologists, and psychotherapists work in this field.

Defining Abnormality

  • Abnormality can be defined in several ways.

Statistical Infrequency

  • A person's trait, thinking, or behavior is abnormal if it is rare or statistically unusual.
  • This definition cannot distinguish between desirable and undesirable behavior.
  • Many rare behaviors or characteristics have no bearing on normality or abnormality.
  • Some characteristics are considered abnormal even if frequent, like depression which effects about 27% of elderly people (NIMH, 2001).

Violation of Social Norms

  • A person's thinking or behavior is abnormal if it violates the unwritten rules about expected or acceptable behavior in a particular social group.
  • Their behavior may be incomprehensible or threatening to others.
  • Social behavior varies markedly across cultures.
  • Social norms change over time where Behavior once seen as abnormal may become acceptable.
  • Homosexuality: until 1980 considered a psychological disorder by WHO, accepted today.

Failure to Function Adequately

  • A person is abnormal if they cannot cope with the demands of everyday life.
  • They may be unable to perform behaviors necessary for day-to-day living. such as self-care, holding a job, interacting meaningfully with others, and making themselves understood.

Characteristics Defining Failure to Function Adequately

  • Includes suffering.
  • Includes maladaptiveness (danger to self).
  • Includes vividness & unconventionality (stands out).
  • Includes unpredictability & loss of control.
  • Includes irrationality/incomprehensibility.
  • Causes observer discomfort.
  • Violates moral/social standards.
  • limitations where abnormal behavior is helpful/adaptive for the individual.
  • OCD patients feel better by washing hands.
  • Many people engage in maladaptive/harmful or threatening behaviors we don't classify as abnormal, like adrenaline sports, smoking, drinking alcohol.

Deviation from Ideal Mental Health

  • Defines abnormality by first defining what is normal/ideal.
  • This definition includes characteristics such as:
  • A positive view of self.
  • Capability for growth and development.
  • Autonomy and independence.
  • It is practically impossible for any individual to achieve all ideal characteristics all the time.
  • A person might not master his environment but be happy.
  • Absence of ideal mental health doesn't indicate a mental disorder.

Summary of Abnormality

  • No universal agreement on abnormality/disorder, related to:
  • Suffering.
  • Maladaptiveness.
  • Deviancy.
  • Violation of society standards.
  • Social discomfort.
  • Irrationality & unpredictability.
  • Subjective to social judgements.

DSM Definition of Mental Disorder

  • Clinically significant behavioral or psychological syndrome/pattern.
  • Associated with distress/disability (impairment in functioning areas).
  • Not a predictable/culturally sanctioned response to an event.
  • Considered to reflect behavioral, psychological, or biological dysfunction in an individual.

DSM 5 Definition

  • A mental disorder is a syndrome characterized by clinically significant disturbance in an individual's cognition, emotion regulation, or behavior.
  • It reflects a dysfunction in psychological, biological, or developmental processes underlying mental functioning.
  • It typically involves significant distress and disability in social, occupational, and other important activities.
  • It is not an expectable, culturally approved response to an event or socially deviant behavior unless it results from a dysfunction.

Classification System

  • Diagnostic and Statistical Manual of Mental Disorders (DSM): by the American Psychiatric Association.
  • International Classification of Diseases (ICD): by WHO.

Purpose of Classifying Mental Disorders

  • Distinguish psychiatric diagnoses for effective treatment.
  • Provide a common language for healthcare professionals.
  • Explore unknown causes of mental disorders.

Multiaxial Evaluation

  • DSM-IV-TR is multiaxial with five axes.
  • Axes I and II classify mental disorders into 17 major classifications and over 300 specific disorders.
  • AXIS I includes Clinical Disorders and other conditions that may be a focus of clinical attention.

Axis I Diagnoses

  • Disorders diagnosed in infancy, childhood, or adolescence (excluding M.R.).
  • Delirium, dementia, amnestic and other cognitive disorders.
  • Mental Disorder due to a general medical condition.
  • Substance-related disorders.
  • Schizophrenia & other psychotic disorders.
  • Mood Disorders.
  • Anxiety Disorders.
  • Somatoform Disorders.
  • Dissociative Disorders.
  • Sexual & Gender Identity Disorders.
  • Eating Disorders.
  • Sleep Disorders.
  • Impulse-control disorders.
  • Adjustment disorders.
  • Other conditions that may be a focus of clinical attention.
  • AXIS II consists of personality disorders and mental retardation.
  • Habitual defense mechanisms can be indicated.

Axis II Diagnoses

  • Paranoid Personality Disorder.
  • Schizoid Personality Disorder.
  • Schizotypal Personality Disorder.
  • Antisocial Personality Disorder.
  • Borderline Personality Disorder.
  • Histrionic Personality Disorder.
  • Narcissistic Personality Disorder.
  • Avoidant Personality Disorder.
  • Dependent Personality Disorder.
  • Obsessive Compulsive Personality Disorder.
  • Personality Disorder (Not otherwise specified).
  • Mental Retardation.
  • AXIS III lists any physical disorder/medical condition present with the mental disorder.
  • It may cause the disorder.
  • It may result from the disorder.
  • It may be unrelated.
  • If causative, listed in Axis I & III.
  • AXIS IV codes psychosocial/environmental problems contributing to development/exacerbation of the current disorder.

Axis IV Examples

  • Problems with primary support group.
  • Problems related to the social environment.
  • Educational problems.
  • Occupational problems.
  • Housing problems.
  • Economic problems.
  • Problems with access to health care services.
  • Problems related to interaction with the legal system.
  • Other psychosocial & environmental problems.
  • AXIS V is a global assessment of functioning on a 100-pt scale in which clinicians judge patients' overall functioning.
  • Functioning refers to a composite: social, occupational & psychological.

Axis V GAF Scale

  • 91-100: superior functioning, no symptoms.
  • 81-90: absent/minimal symptoms, good functioning, socially effective.
  • 71-80: symptoms transient & expectable reactions to stressors.
  • 61-70: some mild symptoms OR difficulty in social, occupational/school functioning.
  • 51-60: moderate symptoms OR moderate difficulties in social, occupational/school functioning.
  • 41-50: symptoms (suicidal ideations, stealing) OR serious impairment in social, occupational/school functioning.
  • 31-40: impairment in reality testing/communication OR major impairment.
  • 21-30: behavior influenced by delusions/hallucinations, communication & judgment impaired.
  • 11-20: danger of hurting self/others OR fails to maintain hygiene, speech impairment.
  • 1-10: persistent danger or inability to maintain hygiene.
  • 0: inadequate information.

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