Preface
Chapter 1 ABNORMAL BEHAVIOR: PAST AND PRESENT PERSPECTIVES 1
Chapter 2 ASSESSMENT AND DIAGNOSIS 33
Chapter 3 DISORDERS OF INFANCY, CHILDHOOD, and ADOLESCENCE 58
Chapter 4 DEVELOPMENTAL DISORDERS AND LEARNING DISABILITIES 85
Chapter 5 STRESS, SLEEP, AND ADJUSTMENT DISORDERS 110
Chapter 6 PSYCHOLOGICAL FACTORS AND HEALTH 134
Chapter 7 ANXIETY DISORDERS 155
Chapter 8 DISSOCIATIVE AND SOMATOFORM DISORDERS 181
Chapter 9 MOOD DISORDERS AND SUICIDE 205
Chapter 10 SCHIZOPHRENIA 238
Chapter 11 COGNITIVE DISORDERS 263
Chapter 12 PERSONALITY DISORDERS 281
Chapter 13 SUBSTANCE-RELATED DISORDERS 309
Chapter 14 SEXUAL AND GENDER IDENTITY DISORDERS 339
Chapter 15 BIOLOGICAL TREATMENT OF MENTAL DISORDERS 365
Chapter 16 PSYCHOTHERAPY 385
Chapter 17 ALTERNATIVES TO INDIVIDUAL PSYCHOTHERAPY 410
Chapter 18 LEGAL AND ETHICAL ISSUES IN MENTAL DISORDERS 431
, Chapter 1
ABNORMAL BEHAVIOR: PAST AND PRESENT PERSPECTIVES
1. 1 Which facet of your text's definition of "abnormal behavior" is universally
Ans. D accepted?
Fac a. individual disturbance of behavior or physical functioning
p. 4 b. psychological distress or impaired functioning
E c. a kind of disturbance that is unexpected in the culture
d. None of the above apply.
1. 2 If you were a citizen of ancient Egypt, what would you be most likely to cite
Ans. C as the cause of Nelson McGrath's behavior?
App a. weakness of character
p. 5 b. bodily illness
E c. evil
d. irrational thoughts & perceptions
1. 3 Evidence from cultures around 3500 to 3000 B. C. suggests that a
Ans. D model would have been used to explain abnormal behavior.
Fac a. medical
p. 5 b. humanistic
E c. rationalistic
d. demonological
1. 4 How might an early Mesopotamian individual be treated if she or he
Ans. C demonstrated bizarre actions, strange speech, and extremely unusual beliefs?
App a. bloodletting with leeches
p. 5 b. confinement to an asylum
M c. trephining
d. a special diet to restore bodily imbalances
1. 5 Ancient Chinese and Hebrew civilizations employed several methods in the
Ans. B treatment of abnormal individuals. Which approach, however, was NOT
Fac common?
p. 5 a. exercise and special diet
M b. special care in asylums
c. faith healing
d. concoctions to poison spirits and demons
1. 6 The movie "An American Werewolf in London" reflects a belief in which of
Ans. A the following?
App a. lycanthropy
p. 5 b. hysteria
E c. tarantism
d. stigmata diaboli
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, 1. 7 In your historical review of early approaches to understanding abnormality, to
Ans. D whom would you credit the birth of the medical tradition?
App a. Roman philosophers
p. 5 b. Islamic scholars
E c. Egyptian healers
d. Greek physicians
1. 8 If you assert that humans are primarily rational beings who gain knowledge
Ans. C through reasoning and recollection to discover universal truths, to whom do
Con you clearly owe an intellectual debt?
p. 5 a. Hippocrates
M b. Avicenna
* c. Plato
d. Descartes
1. 9 Marc considers himself an empirical scientist of psychology, gathering and
Ans. C evaluating information from perceptual experiences. Which Greek philosopher
Con set forth the intellectual foundation for Marc's perspective?
p. 5 a. Plato
M b. Hippocrates
c. Aristotle
d. Galen
1. 10 Which humorous Greek is considered the father of medicine?
Ans. B a. Galen
Fac b. Hippocrates
p. 5 c. Epictetus
E d. Aristotle
1. 11 An ancient Greek was diagnosed as suffering from melancholia. This
Ans. A individual was probably given a special diet as well as purgatives in order to
App treat an imbalance of
p. 5 a. black bile.
E b. phlegm.
c. yellow bile.
d. blood.
1. 12 Which of the following descriptive terms would best reflect Hippocrates'
Ans. C approach to abnormality?
Con a. madness
p. 5 b. evil
E c. illness
d. sinfulness
1. 13 You are Galen's medical assistant. What aspect of human psychology would
Ans. D you be studying?
App a. rational thinking processes
p. 6 b. social behavior
M c. intelligence
d. temperament
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,1. 14 What sort of intervention would Epictetus most likely recommend for a
Ans. A disordered individual?
Fac a. a talking cure
p. 6 b. laxatives and purgatives
E c. prayer and faith healing
d. commitment to a restful asylum
1. 15 "It's not what your boyfriend said to you that's upset you; it's the way you
Ans. B interpreted his comments that is bothering you. " Which of the following
Con philosophers would most heartily agree?
p. 6 a. Aristotle
M b. Epictetus
c. Avicenna
d. St. Vitus
1. 16 Stacy is a graduate student in clinical psychology and is learning the tools and
Ans. D techniques of psychotherapy. Her belief that these verbally-based methods will
App help her future clients is most similar to the view of the treatment
p. 6 of disorders.
M a. European Middle Ages'
b. ancient Hebrews'
c. ancient Egyptians'
d. classical Greek and Romans'
1. 17 Aaron lives in a feudal society, marked by frequent wars and economic crises.
Ans. C He also believes that abnormality is the work of the Devil. What is the most
App likely year that Aaron is alive in Western Europe?
p. 6 a. 120 B. C.
C b. 410A. D.
c. 755A. D.
d. 1480 A. D.
1. 18 A magical potion made up of eye of newt, heart of a cat, and the ovary of a
Ans. C goat killed on a Saturday midnight would probably be offered to a psychotic
App person during what historical age?
p. 6 a. Renaissance
M b. classical Greco-Roman
c. early European Middle Ages
d. late Islamic Middle Ages
1. 19 The text The Canon of Medicine provided a bridge between the philosophy of
Ans. A and the of the Renaissance.
Con a. Aristotle; science *
p. 6 b. Plato; rationalistic theology
M c. Socrates; medical practices
d. Hippocrates; science
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,1. 20 Although the rationalistic, naturalistic philosophy of the Greeks was lost during
Ans. D the Dark Ages of Europe, where were their works preserved?
Fac a. China
p. 6 b. Spain
E c. Indonesia
d. Islam
1. 21 What commonality exists between the work of Greek physicians, Islamic
Ans. B physicians, and the monasteries of Europe?
Con a. They emphasized a supernatural approach to understanding causes of
p. 6 abnormality.
C b. They provided sanctuaries for disordered individuals.
c. They pioneered psychological treatment methods that spurred the
development of Renaissance asylums.
d. They combined magic, common sense, and herbal remedies to treat
disordered individuals.
1. 22 When and to whom would you credit the first use of hospitals for the
Ans. B specialized treatment of mental disorders?
Fac a. 4th century Roman physicians
p. 6 b. 8th century Islamic physicians
E c. 12th century European monks
d. 16th century Renaissance physicians
1. 23 Whether caused by naturalistic or demonic forces, if you joined a group of
Ans. A people jumping and dancing, tearing off clothing, and frolicking in the streets,
App what form of madness would you be displaying?
p. 7 a. tarantism
E b. Dance de Diaboli
c. folie en masse
d. lycanthropy
1. 24 If you consulted the Malleus Maleficarum in the late 1400's, what was your
Ans. B goal?
App a. reconciliation of the teachings of the church and the values of humanism
p. 7 b. the detection, exposure, and purging of witches
E c. potions and incantations for the treatment of disordered individuals in
asylums
d. an understanding of the physical, mechanical workings of the human body
1. 25 Which of the following represents a strong backlash to the increasing influence
Ans. D of the secular world in the early years of the Renaissance?
Fac a. The Canon of Faith
p. 7 b. Paracelsus' study of abnormal behavior
E c. greater value placed on humanism
d. Malleus Maleficarum
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,1. 26 Which item does not belong with the other three?
Ans. A a. moral treatment
Con b. advent of humanism
p. 7 c. advent of the printing press
C d. Copernicus' cosmology
1. 27 You live in a time in which books are becoming more readily available,
Ans. D heretics are saying that the sun is the center of the universe, and humankind is
App becoming a topic of study worthy in its own right. With whom are you living?
p. 7 a. Plato and Hippocrates
M b. Avicenna and Galen
* c. Tuke and Pinel
d. Copernicus and Paracelsus
1. 28 Which of the following represents the correct order of predominant themes
Ans. C from the Greeks to the Middle Ages to the Renaissance?
Con a. theological > psychological > rational
p. 5-7 b. psychological > rational > theological
M c. rational > theological > psychological
d. supernatural > theological > psychological
1. 29 "I think, therefore I am. " The author of this phrase asserted that human mental
Ans. A activity could be thought of in mechanical, physical terms. Who was he?
Con a. Descartes
p. 7 b. Epictetus
M c. Copernicus
d. Chiarugi
1. 30 You are a modem student in a field of study whose first member risked the
Ans. D wrath of the church by condemning the practices in the Malleus Maleficarum.
App In what field are you studying?
p. 7 a. clinical psychology
M b. family medicine
c. philosophy
d. psychiatry
1. 31 If you were a mentally disordered person in the 16th century, to whom would
Ans. A you mm for humane help?
App a. Weyer
p. 7 b. Tuke
M c. Sprenger
d. Pinel
1. 32 The word "bedlam" derives its meaning from
Ans. B a. the strange "magical" treatments carried out in early monastery asylums.
Fac b. the deplorable conditions found in prison-like Renaissance hospitals for the
p. 7 insane
E c. the name of the city in which the first mental hospital was founded.
d. the early bedrest treatment used for acutely disturbed patients in asylums.
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,1. 33 Which member of the moral treatment era and his country are mismatched?
Ans. A a. Chiarugi: Spain
Con b. Rush: U. S.
p. 8 c. Pinel: France
E d. Tuke: England
1. 34 In your report on the background and outcomes of the moral treatment era,
Ans. C which statement should you omit?
Con a. Bicetre Hospital in France was the site of the first unchaining of inmates in
p. 8 1793.
M b. The transformation of asylums into U. S. state hospitals resulted in
* understaffing and eventual custodial care conditions.
c. Conditions in asylums of the early 1700's, while less than optimal, were
notably better than the conditions of such institutions in the Middle Ages.
d. The treatment approaches taken by the reformers shared the naturalistic
assumptions endorsed in the Enlightenment era.
1. 35 Candide is one of Pinel's early patients. Which treatment would he be most
Ans. A UNLIKELY to receive?
App a. bloodletting or purgatives
p. 8 b. a release from his chains
E c. an expectation that he would find employment
d. exposure to fresh air, sunshine, and kindness
1. 36 A synopsis of the U. S. mental hygiene movement should include each of the
Ans. B following statements EXCEPT
Con a. the movement was led by a former mental patient who helped form the
p. 9 National Committee for Mental Hygiene.
M b. it began an era of humane treatment in the U. S., lasting until the 1950's
and the discovery of drags.
c. as a result of Dorothea Dix's efforts, several large state hospitals were
constructed.
d. its underlying assumptions regarding abnormality were essentially those
held by Pinel, Tuke, and Rush.
1. 37 In your critique of the mental hygiene movement in the U. S., you would cite
Ans. B each of the following factors for its decline EXCEPT
Con a. the increasing reliance on biological vs social approaches to understanding
p. 9 abnormality.
M b. the discovery of drags effective for treating mental disorders.
c. the shortage of staffing and resultant custodial care.
d. the ineffectiveness of moral treatment for severely disturbed patients.
1. 38 Gregory is working for Dr. Emil Kraepelin in the late 1800's. What is likely
Ans. A to be the focus of Gregory's efforts?
App a. assisting with the development of a classification system for disorders
p. 9 b. contributing to the discovery of the biological cause of general paresis
M c. conducting studies of hypnosis for the cure of hysteria
d. treating patients with bloodletting and tranquilizing chairs
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,1. 39 Hypnosis has a history stretching back to the Enlightenment. Which of the
Ans. B following reflects a correctly matched portion of that history?
Con a. Esdaile & magnetism
p. 9 b. Breuer & the talking cure
M c. Mesmer & hypnotic anesthesia
d. Charcot & treatments for anxiety
1. 40 Hysteria is to general paresis as is to .
Ans. D a. naturalistic; supernatural
Con b. biological; psychological
p. 9 c. supernatural; medical
M d. psychological; biological
1. 41 After the successful discovery of the cause of general paresis, some physicians
Ans. B were seeking the biological treatments for other mental disorders while Freud
Fac was developing the first modern psychological approach, known as
p. 9 a. hypnotherapy.
E b. psychoanalysis.
c. psychical conflict therapy.
d. psychiatry.
1. 42 Dr. Ramirez works in a local community mental health center, conducting
Ans. C assessment of intelligence, personality, and other characteristics, and she also
App provides psychotherapy. What type of professional is she?
p. 10 a. psychiatrist
E b. clinical social worker
c. clinical psychologist
d. psychiatric nurse
1. 43 Dr. Dmg is a physician who has spent several years in a residency in which he
Ans. D worked with individuals with mental disorders. What is his professional title?
App a. clinical physician
p. 10 b. clinical psychologist
M c. psychiatric social worker
d. psychiatrist
1. 44 Casandra was informed by her mental health professional that her anxiety
Ans. C symptoms were caused by a disrupted pattern of neurochemical messages that
App resulted in excessive motor activity, hyperalertness, and a sense of
p. 11 apprehension. What is this health professional's model of abnormality?
E a. psychoanalytic
b. cognitive
c. biological
d. mentalistic
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, 1. 45 Hypervigilance, emotional numbing, flashbacks, and other characteristics go
Ans. D together under the label "post traumatic stress disorder". Patterns of
App characteristics such as this are also referred to as a(n)
p. 11 a. symptom constellation.
E b. etiology.
c. prognosis
d. syndrome.
1. 46 Viktor is in a graduate program which involves several different disciplines
Ans. B devoted to studying the structure, function, and chemistry of the nervous
App system. What is the term for this area of study?
p. 11 a. biocognitive psychology
E b. neuroscience
c. biochemistry
d. neuroanatomy
1. 47 Your peripheral nervous system (NS) contains each of the following branches
Ans. D EXCEPT the
App a. autonomic NS.
p. 11 b. somatic NS.
E c. sympathetic NS.
d. central NS.
1. 48 Which specific portion of your nervous system is controlling the movements of
Ans. B your hand as you write your answers to mis exam?
App a. autonomic
p. 11 b. somatic
E c. sympathetic
d. peripheral
1. 49 You are studying quietly in the library when your best friend sneaks up and
Ans. C surprises you from behind. You let out an embarrassing shriek, your heart is
App racing, and your adrenaline is pumping. What specific portion of your nervous
p. 12 system is active at this point?
E a. autonomic
b. somatic
c. sympathetic
d. parasympathetic
1. 50 What portion of your brain automatically regulates breathing, heart rate, and
Ans. C blood pressure so that the rest of your brain can concentrate on other things, like
App this exam?
p. 12 a. thalamus
E b. reticular formation
c. medulla
d. midbrain
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