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187 Cards in this Set

  • Front
  • Back
What "border" did the term "borderline" in borderline personality refer to?
The behaviors exhibited by people with borderline personality disorder lie on continuum between neurotic and psychotic disorders
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.
Barbituate withdrawal
is more dangerous and longer-lasting than most drugs.
Opium and heroin
were originally used by physicians as pain relievers.
Which of the following best explains why women tend to "not hold their booze" as well as men?
Women metabolize their food less quickly than men
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.
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 personality disorder might Sam have?
Schizoid
Which statement about project MATCH is accurate?
It showed that matching a client's personality to a form of treatment makes no difference.
The reciprocal influence model suggests that
it may be possible to interrupt the cycle by changing expectancies about drinking.
Which of the following is a consequence of organic impairment resulting from long-term substance use as opposed to being a consequence of drug toxicity
Alcohol amnestic disorder
Carl has psychopathy. You would expect him to
Be very interested in rewards and to continue his behavior even when the rewards don't come as often as they did.
People find Adam difficult to be around. His behavior is unpredictable and erratic but most often is annoying to others. He doesn't seem to learn from his bad experiences, instead he keeps repeating the same mistakes over and over. His family says Adam has been like this since at least junior high school. Adam most likely has
Personality disorder
An example of a moderating influence would be
The effect of time expectancy on alcohol
Why might opiate antagonists be used in the treatment of alcoholism?
to minimize cravings
Early criminal behavior is most characteristic of
antisocial personality disorder
Transient psychotic and dissociative experiences can occur in what personality disorder?
borderline
Personality disorders were once known as
characteristic disorders
Which of the following men has an alcohol-risk personality
Sean, who is impulsive, risk taking, and poor at planning
A moderating variable is
something that influences two other variables
Which is NOT true of treating personality disorders?
. People with both an Axis I and an Axis II diagnosis are easier to treat than people with just an Axis II disorder because they have more distress.
Which of the following statements is true about alcohol use?
Alcoholism increases the risk of suicide.
In contrast to schizoid individuals, those with avoidant personality disorder
are extremely upset by their lack of social relationships.
Misdiagnoses are common when looking at potential personality disorders because
many of the personality disorders share common features
Which statement about personality disorders is accurate?
The category is broad and encompasses behavioral problems that vary widely in form and severity.
What core belief might explain the behavior of the individual with dependent personality disorder?
"I am helpless."
About half of the individuals with borderline personality disorder also qualify for a diagnosis of ________ at some time.
a mood disorder
Which of the following is a factor that complicates determining the causes of personality disorders?
The high likelihood that an individual with one personality disorder may also have another
Which of the following is true about the connection between psychopathy and antisocial personality disorder?
Many people who have antisocial personality disorder do not have psychopathy.
The research on the association between borderline personality disorder and childhood sexual abuse
are problematic - the abuse most likely is occurring with other factors that might be more important.
While the individual with ________ personality disorder appears cool and aloof, the individual with ________ personality disorder is best described as odd.
schizoid; schizotypal
Passing out from a high blood level of alcohol
may actually be a safety device.
Impaired memory and concentration, sluggishness, lack of motor coordination, and brain damage are side effects associated with excessive use of
sedatives.
Tom tells you that he can make his roommate take out the trash by simply thinking about his roommate doing it. He agrees with you that this could sometimes just be a coincidence, but he seems to truly believe he can sometimes get people to do things just by thinking about it. You find him understandable when he talks, but sometimes hard to follow. His clothes are messy and don't match. Tom tells you not to tell anyone about his power, because he knows that other people don't like him because they are jealous and they would hurt him if they could. The best diagnosis for Tom is
schizotypal personality disorder.
Hope believes that she is the "star" of her graduate class and that the other students dislike her because they are jealous of her superior intelligence. She believes that she is entitled to be exempted from an important exam because of her outstanding performance in class. Hope probably suffers from
Narcissistic personality disorder
Problematic drinking behavior commonly develops during
crisis periods in a marriage or other intimate personal relationship.
Why does it make sense to view addiction as a mental disorder?
The symptoms reflect behaviors that involve the pathological need for a substance.
Children of mothers who use crack
are at risk for being mistreated by their mothers.
Observed changes in drinking patterns suggest that in the future
38. b. the ratio of male to female problem drinkers will decrease.
________ personality disorder is much more common in men than women and involves the exploitation of others without remorse.
Antisocial
The central problem of schizoid personality disorder is
an inability to form attachments to other people.
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 what 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
What 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 what personality disorder?
narcissistic
A lack of parental indulgence of a child's overconfidence might play a causal role in what 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 overtime. 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 behaviors and 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 C
Which is most typical of the I{ 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 DSMIVTR are grouped based on
symptom similarities
John has a great need for order and perfection. What personality disorder does this suggest?
OCD
Why does the person with OCPD have problems in IP relationships?
they have no time for relationships
The histrionic seeks blank, while the narcissist seeks blank.
attention; admiration
Which statement about personality disorder 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 blank personality disorder
dependent
According to the DSMIVTR, 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 she 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 an other psych disorders is accurate?
the personality disorder is 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 communites
About 100 years ago, the drug blank was hailed as a cure for morphine addiction; today the drug blank is used to treat people with heroine addiction
heroin; methadone
A person who has just "mainlined" heroine 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 heroine
is not always a very painful and sometimes dangerous process
Judd is ready to begin treatment for heroin addiction. Which offers the best chance of success?
Methadone in combination with psychoterapy
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 blank. The drug is called blank.
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 blank 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 heroine 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 blank is a potentially lethal one because each drug potentiates thee depressant action of the other
alcohol
The central feature of alcohol amnestic disorder
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 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
Barbituate withdrawal
is far MORE severe than opiate withdrawal
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 best 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 blank 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, blank disorders stem from the gradual development of inflexible and distorted patterns of behavior.
Personality
Schizophrenic disorders seem to be most strongly linked genetically to blank 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 blank 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 avoid punishments, psychopaths
did not show normal fear potential startle responses
Which basic personality trait 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 seen most important in the development of paranoid personality disorder?
antagonism and neuroticism
The borderline personality disorder differs from histrionic 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 other 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 anti social is that
both exploit others but the person with borderline does it due to angry reactions to disappointment 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
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 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
Which basic personality traits from the 5 factor model seem most important in the development of borderline?
high impulsivity and affective instability
Why is the use of meds for borderline controversial?
because it is frequently associated with suicidal behavior
Which distinguishes narcissistic from the other cluster B disorders?
grandiosity
According to DSMIVTR, which must be true for a personality disorder diagnosis?
the person's behavior must cause them distress or impairment
Loretta has a 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 some as often as they used to
What is it that people with narcissistic 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 test 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-related 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
A cognitive explanation for schizoid personality proposes that the individual with this disorder believes that
they are basically alone
Which is most typical of the interpersonal attitudes and behaviors of someone with borderline?
vacillation between overidealization and bitter disappointment
Which personality traits from 5 factor model seen most important in the developments of narcissistic?
low agreeableness and high fantasy prone
An employee evaluation: "He takes what he wants rather than earns it. He hates routine and boredom more than anything else. Thrill-seeking and impulsive actions have gotten him fired at this job. It will get him fired at many others." What kind of disorder is this?
psychopathy
Which of the following is the most typical of the interpersonal attitudes and behaviors of someone with histrionic?
repeated manipulation of others to gain attention
Helena has avoidant personality disorder. She is likely to
be hypersensitive to any sign of criticism or rejection
Children of mothers who use crack
main risk is of being mistreated by their mothers
Concerning the cases 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. 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 basic personality traits from the 5 factor model seem most important in the development of paranoid?
antagonism and neuroticism
Because they are regarded as being different from standard psychiatric syndromes, the personality disorders are
coded on Axis II
Loretta has a long history of first idealizing men and then feeling they have abandoned her....
borderline
Which is not true of treating personality disorders?
People with both Axis I and II diagnosis are easier to treat than someone with just an Axis II because they have more distress
Involvement in an abusive relationship would be most expected of the individual with
dependent
The finding that temperament 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
Misdiagnoses are common when looking at potential personality disorders because
many of the personality disorders share common features
Self-mutilation, such as is seen in borderline is
done to reduce anxiety and depression
Debbie is a salesperson at a department store.....
passive aggressive personality disorder
Histrionic 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 focuses on
underlying dysfunctional schemas in the client's mind
Antisocial differ from other Cluster B in that
a need for approval or attention is not displayed
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 between 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