Kaplan and Sadock's Chapter 05 Test
Questions and Correct Answers Graded
A+
5.1. Mr. A was a 26-year-old white man who had a history of bipolar I disorder. He was brought in for
treatment after not completing the last required course for his advanced degree and being arrested for
disturbing the peace. He had consistently lied to his family about where he stood with his coursework
and about having skipped an examination that would have qualified him to use his professional degree.
He had also not told them that he had been using marijuana almost daily for a number of years and
occasionally used hallucinogens. His arrest for disorderly conduct was for swimming naked in an
apartment complex in the middle of the night while under the influence of hallucinogens. Mr. A spent
most of his time reading and trying to write but compared himself unfavorably with other
famouswriters,feelinghimselftobeinferior.(Adaptedfrom Paul C. Mohl, MD, and Adam M. Brenner, MD.)
How would Alfred Adler view Mr. A?
A. Mr. - Answer: D. Mr. A has been attempting to move from inferiority to mastery in fantasy rather than
in realistic achievement.
5.2. Adolf Meyer would treat Mr. A by
A. assistingMr.Ainintegratingalienpartsofhimselfinto his ego complex B. focusing on the adequate
treatment of Mr. A's mental disorder C. challenging Mr. A to develop attachments outside of the family
D. encouraging Mr. A to join a support and educational group to better understand and accept his
mental illness E. none of the above - Answer: B. focusing on the adequate treatment of Mr. A's mental
disorder
5.3. A young woman presents to you complaining of lack of
energy,troublesleeping,depression,andhopelessnessthat has been present for the past year. You
diagnose her with major depressive disorder. Which of the following would have been Freud's
explanation of this disorder?
A. Her depression is actually internally directed anger. B. Her internal good objects have been destroyed
by aggression and greed. C. She never mastered the trust versus mistrust stage of ego development.
D. Sheisbeingpersecutedbyatormentinginternalobject. E. She feels despair that her self-object needs will
not be met by others. - Answer: A. Her depression is actually internally directed anger.
5.4. Lacanian theory
, A. places heavy emphasis on linguistics B. has little place for biology or drives C. postulates that an
individual is embedded in political and societal structure D. views the analytical process as an effort to
recognize alienation from one's true self E. all of the above - Answer: E. all of the above
5.5. The Oedipus complex as described by Freud involves all of the following except
A. adult sexuality B. rivalries C. anal phase D. intense love relationships E. both mother and father -
Answer: C. anal phase
5.6. The work of Anna Freud, daughter of Sigmund Freud, included all of the following except
A. contributions to child psychoanalysis B. development of modern ego psychology C. studies on the
function of the ego in personality development D. contradictions to her father's claims about
psychosexual development E. expansion on individual defense mechanisms - Answer: D. contradictions
to her father's claims about psychosexual development
5.7. According to Freud, the Oedipus complex is resolved through
A. the castration complex B. the acting out of symbolic rivalries C. moving on to the genital stage of
development D. the realization of one's gender identity E. identification with the opposite-sex parent -
Answer: A. the castration complex
5.8. EriksondiffersfromFreudbyhisplacinggreateremphasis on
A. interpersonal relationships B. cultural factors in development C. instinctual drives D. psychosexual
development E. object relations - Answer: B. cultural factors in development
5.9. You have a 72-year-old patient who has been very
concernedwithherappearanceeversinceyoumether.Shehas
hadthreefacelifts,neverleavesthehousewithoutmakeup, and refuses to allow her grandchildren to call
her "grandmother."WhichofthefollowingofErikson'sstagesisthis woman having difficulty mastering?
A. Narcissistic B. Generativity versus stagnationC. Egocentric D. Identity versus role confusion E. Integrity
versus despair - Answer: E. Integrity versus despair
5.10. Which of the following about Melanie Klein is false?
A. She denounced Freud's "death instinct." B. She described the "depressive position." C. She coined the
term "persecutory anxiety." D. She stressed the role of intrapsychic fantasy. E. She was a child analyst -
Answer: A. She denounced Freud's "death instinct."
Questions and Correct Answers Graded
A+
5.1. Mr. A was a 26-year-old white man who had a history of bipolar I disorder. He was brought in for
treatment after not completing the last required course for his advanced degree and being arrested for
disturbing the peace. He had consistently lied to his family about where he stood with his coursework
and about having skipped an examination that would have qualified him to use his professional degree.
He had also not told them that he had been using marijuana almost daily for a number of years and
occasionally used hallucinogens. His arrest for disorderly conduct was for swimming naked in an
apartment complex in the middle of the night while under the influence of hallucinogens. Mr. A spent
most of his time reading and trying to write but compared himself unfavorably with other
famouswriters,feelinghimselftobeinferior.(Adaptedfrom Paul C. Mohl, MD, and Adam M. Brenner, MD.)
How would Alfred Adler view Mr. A?
A. Mr. - Answer: D. Mr. A has been attempting to move from inferiority to mastery in fantasy rather than
in realistic achievement.
5.2. Adolf Meyer would treat Mr. A by
A. assistingMr.Ainintegratingalienpartsofhimselfinto his ego complex B. focusing on the adequate
treatment of Mr. A's mental disorder C. challenging Mr. A to develop attachments outside of the family
D. encouraging Mr. A to join a support and educational group to better understand and accept his
mental illness E. none of the above - Answer: B. focusing on the adequate treatment of Mr. A's mental
disorder
5.3. A young woman presents to you complaining of lack of
energy,troublesleeping,depression,andhopelessnessthat has been present for the past year. You
diagnose her with major depressive disorder. Which of the following would have been Freud's
explanation of this disorder?
A. Her depression is actually internally directed anger. B. Her internal good objects have been destroyed
by aggression and greed. C. She never mastered the trust versus mistrust stage of ego development.
D. Sheisbeingpersecutedbyatormentinginternalobject. E. She feels despair that her self-object needs will
not be met by others. - Answer: A. Her depression is actually internally directed anger.
5.4. Lacanian theory
, A. places heavy emphasis on linguistics B. has little place for biology or drives C. postulates that an
individual is embedded in political and societal structure D. views the analytical process as an effort to
recognize alienation from one's true self E. all of the above - Answer: E. all of the above
5.5. The Oedipus complex as described by Freud involves all of the following except
A. adult sexuality B. rivalries C. anal phase D. intense love relationships E. both mother and father -
Answer: C. anal phase
5.6. The work of Anna Freud, daughter of Sigmund Freud, included all of the following except
A. contributions to child psychoanalysis B. development of modern ego psychology C. studies on the
function of the ego in personality development D. contradictions to her father's claims about
psychosexual development E. expansion on individual defense mechanisms - Answer: D. contradictions
to her father's claims about psychosexual development
5.7. According to Freud, the Oedipus complex is resolved through
A. the castration complex B. the acting out of symbolic rivalries C. moving on to the genital stage of
development D. the realization of one's gender identity E. identification with the opposite-sex parent -
Answer: A. the castration complex
5.8. EriksondiffersfromFreudbyhisplacinggreateremphasis on
A. interpersonal relationships B. cultural factors in development C. instinctual drives D. psychosexual
development E. object relations - Answer: B. cultural factors in development
5.9. You have a 72-year-old patient who has been very
concernedwithherappearanceeversinceyoumether.Shehas
hadthreefacelifts,neverleavesthehousewithoutmakeup, and refuses to allow her grandchildren to call
her "grandmother."WhichofthefollowingofErikson'sstagesisthis woman having difficulty mastering?
A. Narcissistic B. Generativity versus stagnationC. Egocentric D. Identity versus role confusion E. Integrity
versus despair - Answer: E. Integrity versus despair
5.10. Which of the following about Melanie Klein is false?
A. She denounced Freud's "death instinct." B. She described the "depressive position." C. She coined the
term "persecutory anxiety." D. She stressed the role of intrapsychic fantasy. E. She was a child analyst -
Answer: A. She denounced Freud's "death instinct."
