Psychopathology and Research Methods

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Questions and Answers

Which of the following best illustrates the interaction of biological, psychological, and social factors in the development of schizophrenia?

  • An imbalance in dopamine that is completely unrelated to environmental influences
  • A genetic predisposition leading directly to symptoms
  • The presence of genetic vulnerability, stress, and environmental factors interacting to influence symptom expression (correct)
  • Childhood trauma triggering the onset of schizophrenia with no biological influence

Which of the following statements about DSM-5-TR is TRUE?

  • It completely replaced the categorical model with a dimensional model
  • It does not recognize comorbid conditions
  • It acknowledges the role of cultural factors in mental health diagnoses (correct)
  • It eliminates cultural considerations in diagnosis

Which research method is best suited to determine whether early childhood trauma increases the risk of developing mood disorders in adulthood?

  • Case study
  • Experimental study
  • Longitudinal study (correct)
  • Cross-sectional study

What is a major limitation of using experimental research in psychopathology?

<p>Ethical constraints make it difficult to manipulate variables related to mental disorders (B)</p> Signup and view all the answers

Which of the following neurotransmitters is most directly implicated in the reinforcing effects of addictive substances?

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

A 28-year-old man reports experiencing persistent intrusive thoughts about harming others, even though he has no desire to act on them. To manage his anxiety, he engages in repeated rituals such as counting in sets of five before leaving the house. What is the most likely diagnosis?

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

Which of the following symptoms would most clearly differentiate PTSD from panic disorder?

<p>Persistent intrusive flashbacks and avoidance of trauma-related stimuli (A)</p> Signup and view all the answers

Which of the following is a defining characteristic of borderline personality disorder?

<p>Alternating extremes of idealization and devaluation in relationships (C)</p> Signup and view all the answers

A patient with schizophrenia shows significant improvement when taking an antipsychotic medication, but also develops involuntary facial movements. Which of the following side effects is most likely responsible?

<p>Tardive Dyskinesia (D)</p> Signup and view all the answers

Which of the following characteristics distinguishes bipolar I disorder from bipolar II disorder?

<p>The requirement of at least one full manic episode in bipolar I (C)</p> Signup and view all the answers

Which of the following findings best supports the hypothesis that major depressive disorder has a biological basis?

<p>Twin studies indicate higher concordance rates among identical twins (A)</p> Signup and view all the answers

Which of the following symptoms must be present to diagnose schizophrenia?

<p>Hallucinations or delusions (C)</p> Signup and view all the answers

Which of the following is a primary feature of dissociative identity disorder (DID)?

<p>Alternating personalities with distinct identities and memory gaps (D)</p> Signup and view all the answers

A child with a history of multiple Adverse Childhood Experiences (ACEs) exhibits emotional dysregulation, difficulty forming attachments, and hypervigilance. Which disorder is most likely?

<p>Reactive Attachment Disorder (RAD) (C)</p> Signup and view all the answers

Which of the following therapeutic approaches would be most appropriate for a patient with PTSD who experiences extreme avoidance of trauma-related stimuli?

<p>Exposure therapy (D)</p> Signup and view all the answers

The DSM-5-TR has completely abandoned categorical classification in favor of a dimensional model.

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

The presence of hallucinations alone is sufficient for a diagnosis of schizophrenia.

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

Trauma-Informed Care (TIC) is designed to minimize the risk of re-traumatization in clinical settings.

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

A high score on the ACEs questionnaire predicts inevitable mental health problems in adulthood.

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

Electroconvulsive therapy (ECT) is primarily used for treatment-resistant major depressive disorder.

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

Cultural factors influence how mental disorders are expressed and diagnosed.

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

Schizophrenia is caused solely by environmental factors.

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

Dissociative identity disorder (DID) is characterized by alternating multiple personalities with gaps in memory.

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

Exposure therapy is a widely used treatment for PTSD.

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

Personality disorders are typically diagnosed in childhood.

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

What is the primary ethical concern when conducting research on individuals with a history of trauma?

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

Which of the following best describes the controversy surrounding the expansion of diagnostic criteria in DSM-5-TR?

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

Which statement best reflects a limitation of the categorical model of diagnosis?

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

Which of the following is an example of a Protective Childhood Experience (PCE)?

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

Flashcards

Schizophrenia Development

The onset of schizophrenia is influenced by genetic, stress, and environmental factors interacting together.

DSM-5-TR Cultural Role

The DSM-5-TR acknowledges cultural factors in diagnosing mental health conditions.

Longitudinal Study

A research method following participants over time to understand long-term effects.

Ethical Constraints in Research

Ethical constraints limit the manipulation of variables related to mental disorders in experiments.

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Dopamine and Addiction

Dopamine is the primary neurotransmitter involved in the reinforcing effects of addictive substances.

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Obsessive-Compulsive Disorder (OCD)

A disorder characterized by intrusive thoughts (obsessions) and compulsive behaviors (rituals).

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PTSD Symptoms

PTSD is characterized by persistent intrusive flashbacks and avoidance of trauma-related stimuli.

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Borderline Personality Disorder

A disorder with unstable relationships characterized by extremes of idealization and devaluation.

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Tardive Dyskinesia

A movement disorder caused by long-term use of antipsychotic medication, leading to involuntary facial movements.

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Diagnosis of Bipolar I vs II

Bipolar I requires at least one full manic episode, while Bipolar II involves hypomanic episodes.

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Biological Basis of Depression

Twin studies show higher concordance rates for major depressive disorder, suggesting a genetic influence.

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Core Symptoms of Schizophrenia

At least one core symptom is required for a schizophrenia diagnosis, such as hallucinations or delusions.

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Dissociative Identity Disorder (DID)

A disorder characterized by alternating identities with distinct memories and gaps.

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Reactive Attachment Disorder (RAD)

A condition in children with a history of severe neglect or trauma, leading to difficulties in attachment.

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Exposure Therapy for PTSD

A therapeutic approach that gradually reduces avoidance of trauma-related stimuli in individuals with PTSD.

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Ethical Concerns in Trauma Research

Preventing re-traumatization is the primary ethical concern when conducting research on trauma-exposed individuals.

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Diagnostic Criteria Controversy

The expansion of diagnostic criteria in DSM-5-TR may lead to over-diagnosis and medicalization of normal behaviors.

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Limitations of Categorical Diagnosis

The categorical model does not account for variations in symptom severity, limiting its effectiveness.

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Protective Childhood Experience (PCE)

A positive parenting experience, such as having a stable and nurturing caregiver, buffers against adverse experiences.

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Trauma-Informed Care (TIC)

An approach designed to minimize the risk of re-traumatization in clinical settings.

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Electroconvulsive Therapy (ECT)

A treatment primarily used for severe, treatment-resistant major depressive disorder.

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Cultural Influence on Disorders

Cultural factors significantly affect how mental disorders are expressed and diagnosed.

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Reality of ACEs

A high score on the ACEs questionnaire does not guarantee mental health problems in adulthood; resilience plays a role.

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Personality Disorder Diagnosis

Personality disorders are typically diagnosed in adulthood, although traits may appear in adolescence.

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Schizophrenia Causes

Schizophrenia arises from both genetic and environmental influences, not solely from one factor.

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Effective PTSD Treatment

Exposure therapy is widely recognized as a highly effective treatment for PTSD.

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Study Notes

Theoretical Knowledge & Research Methods

  • Schizophrenia interaction: Biological vulnerability, stress, and environmental factors interact to influence symptom expression.
  • DSM-5-TR: Acknowledges cultural factors in mental health diagnoses.
  • Research method for early childhood trauma: A longitudinal study is best.
  • Limitation of experimental research in psychopathology: Ethical constraints make it difficult to manipulate variables related to mental disorders.
  • Reinforcing neurotransmitter in addictive substances: Dopamine.

Clinical Application & Diagnosis

  • 28-year-old man with intrusive thoughts and rituals: Most likely diagnosis is Obsessive-Compulsive Disorder (OCD).
  • PTSD vs. panic disorder: Persistent intrusive flashbacks and avoidance of trauma stimuli distinguish PTSD from panic disorder.
  • Borderline personality disorder: Alternating extremes of idealization and devaluation occur in relationships.
  • Antipsychotic medication side effect: Tardive Dyskinesia is a possible involuntary facial movement side effect.
  • Characteristics of bipolar I disorder vs. II disorder: Bipolar I requires at least one manic episode, while Bipolar II involves hypomania.

Critical Thinking & Ethics

  • Ethical concern of trauma research: Preventing re-traumatization during data collection.
  • Controversy of DSM-5-TR diagnostic criteria expansion: Potential for over-diagnosis and medicalization of normal behaviors.
  • Limitation of categorical model of diagnosis: Lack of sufficient categorization for symptom severity variations.
  • Example of protective childhood experience: Having a stable and nurturing caregiver.
  • Ethical concerns in research on trauma victims: Avoiding further trauma to participants is a key consideration.

True or False Questions

  • Hallucinations alone for schizophrenia diagnosis: Incorrect; other symptoms including delusions and disorganised speech are also needed.
  • Trauma informed care (TIC): Designed to minimize re-traumatization.
  • High ACE score and inevitable mental health problems in adulthood: Incorrect, not every person with high ACE scores develop mental issues.
  • ECT for treatment resistant depression: Correct.
  • Culture impact on symptoms: True; culture influences how mental issues present.
  • Schizophrenia solely environmental: Incorrect; it has various causes.
  • Exposure therapy for PTSD: True; it is a common effective approach.
  • Diagnosis of personality disorder in childhood: Incorrect; typically diagnosed during adulthood.

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