Comer: Multiple-Answer Questions with Correct Answers and Detailed Explanations Covering
Chapters 1-16, DSM-5-TR Aligned
CHAPTER 1: Psychopathology – Past and Present (Questions 1–35)
Question 1 (Ch1-Q1)
Which of the following are among the "Four D's" commonly used to define abnormality? (Select
all that apply)
A) Deviance
B) Distress
C) Duration
D) Dysfunction
E) Danger
Correct Answers: A, B, D, E
Explanation: The Four D's are Deviance (different from social/cultural norms), Distress
(emotional pain), Dysfunction (interference with daily life), and Danger (risk to self/others).
Duration is clinically relevant but not one of the original Four D's.
Question 2 (Ch1-Q2)
According to historical records, which of the following were believed causes of mental illness in
ancient times? (Select all that apply)
A) Demon possession
B) Imbalance of bodily humors
C) Lunar cycles (lunacy)
D) Repressed childhood memories
E) Divine punishment
Correct Answers: A, B, C, E
Explanation: Ancient societies attributed mental illness to demons (A), humoral imbalances (B)
per Hippocrates, moon cycles (C), and gods' punishment (E). Repressed memories (D) are a
Freudian concept from the late 19th century.
,Question 3 (Ch1-Q3)
Which of the following treatments were used during the Middle Ages in Europe for mental
illness? (Select all that apply)
A) Trephination
B) Exorcism
C) Confinement in asylums
D) Restraints and chaining
E) Moral therapy
Correct Answers: B, C, D
Explanation: Middle Ages (500–1400 AD) saw exorcisms (B), early asylums like Bedlam (C), and
restraints (D). Trephination (A) was prehistoric/classical. Moral therapy (E) emerged in the late
1700s–1800s.
Question 4 (Ch1-Q4)
The biopsychosocial model of psychopathology emphasizes that abnormal behavior results from
interactions among which domains? (Select all that apply)
A) Biological factors (genes, brain chemistry)
B) Psychological factors (coping, cognition, emotions)
C) Social factors (family, culture, socioeconomic status)
D) Supernatural forces only
E) Developmental influences
Correct Answers: A, B, C, E
Explanation: The biopsychosocial model integrates biological (A), psychological (B), social (C),
and developmental (E) domains. D is incorrect because supernatural forces are not part of this
scientific model.
Question 5 (Ch1-Q5)
Which of the following are true regarding Philippe Pinel's contributions to psychopathology?
(Select all that apply)
A) He introduced moral therapy
B) He removed chains from asylum patients
C) He emphasized kindness and patient dignity
D) He invented electroconvulsive therapy
E) He worked at La Bicêtre in Paris
,Correct Answers: A, B, C, E
Explanation: Pinel pioneered moral therapy (A), unchained patients (B), emphasized dignity (C),
and worked at La Bicêtre (E). Electroconvulsive therapy (D) came much later (1930s).
Question 6 (Ch1-Q6)
Which of the following are examples of mass madness phenomena observed in Europe during
the Middle Ages? (Select all that apply)
A) Tarantism
B) Lycanthropy
C) Dissociative identity disorder
D) St. Vitus's dance
E) Bipolar disorder
Correct Answers: A, B, D
Explanation: Tarantism (A) involved dancing after a spider bite; lycanthropy (B) was the belief of
turning into a wolf; St. Vitus's dance (D) was dancing mania. C and E are modern diagnostic
categories not used as mass madness terms.
Question 7 (Ch1-Q7)
Which of the following are core features of "moral therapy" as developed in the late 18th
century? (Select all that apply)
A) Restraints and isolation
B) Respectful conversation
C) Work and recreational activities
D) Exorcism rituals
E) Small-group living in a supportive environment
Correct Answers: B, C, E
Explanation: Moral therapy included respect (B), work/activities (C), and supportive group living
(E). Restraints (A) and exorcism (D) were contrary to moral therapy's principles.
Question 8 (Ch1-Q8)
Which of the following factors contributed to the decline of moral therapy in the late 19th
century? (Select all that apply)
A) Overcrowding of asylums
B) Lack of trained staff
, C) Prejudice against the mentally ill
D) Discovery of effective medications
E) Rise of the mental hygiene movement
Correct Answers: A, B, C
Explanation: Overcrowding (A), understaffing (B), and prejudice (C) led to moral therapy's
decline. Effective medications (D) emerged in the 1950s. The mental hygiene movement (E)
actually grew from moral therapy's legacy.
Question 9 (Ch1-Q9)
Which of the following are characteristics of the DSM-5-TR classification system? (Select all that
apply)
A) It is published by the American Psychiatric Association
B) It uses a categorical approach for most disorders
C) It includes dimensional severity ratings for some disorders
D) It focuses exclusively on biological causes
E) It includes culture-related diagnostic issues
Correct Answers: A, B, C, E
Explanation: DSM-5-TR is APA-published (A), primarily categorical (B), adds some dimensional
measures (C), and includes cultural guidance (E). D is false — DSM is atheoretical about causes.
Question 10 (Ch1-Q10)
Which of the following are key components of clinical assessment? (Select all that apply)
A) Clinical interviews
B) Psychological testing
C) Behavioral observation
D) Trephination
E) Neuroimaging (when indicated)
Correct Answers: A, B, C, E
Explanation: Modern assessment includes interviews (A), tests (B), observation (C), and
neuroimaging (E). Trephination (D) is an ancient procedure, not current assessment.
Question 11 (Ch1-Q11)
The "demonological model" of mental illness assumed which of the following? (Select all that
apply)