Dimensional Approach , 4th Edition Chris Kearney
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Chapter 1 - Psychopathology and Life
1. Ella has been severely depressed in the past year. She is constantly sad, almost to the point of numbness. She ruminates
constantly about what a failure she is and how nothing she does is ever right. She finds it hard to get out of bed and get
going. Which of these symptoms is an example of a cognitive symptom of Ella’s mental disorder?
a. constant sadness
b. feeling numb
c. ruminating on her failures
d. difficulty getting out of bed
ANSWER: c
2. Lyle is experiencing a number of thoughts that are making it difficult for him to stay focused on his work. Although he
is still able to accomplish his assigned tasks, he is very upset by the difficulties he is having. He may be classified as
having a mental disorder based on
a. the distress he is causing his coworkers.
b. feelings of rejection.
c. his own distress at his cognitive symptoms.
d. number of negative thoughts
ANSWER: c
3. Dr. Gotti is teaching a course on different mental disorders. The course focuses on exploring scientific thought on
problematic feelings, thoughts, and behaviors associated with mental disorders. The learning objectives include strategies
for evaluating patients who might have a mental disorder, understanding the causes behind mental disorders, and
prevention and treatment strategies for mental disorders. The title of Dr. Gotti’s course is most likely
a. Psychopathology.
b. Testing and Assessment.
c. Counseling Psychology.
d. Community Psychology.
ANSWER: a
4. Gudina has been reading articles posted online by people who say they suffer from mental disorders. He tells his friend
that he is engaging in the study of psychopathology. What is missing from his definition of psychopathology?
a. the fact that scientific study is involved
b. examining troublesome feelings associated with mental disorders
c. studying behavior that is considered abnormal
d. applying the techniques of psychology to psychopathology
ANSWER: a
5. Deviance, adaptation difficulties, and personal distress are concepts used to describe
a. intellectual impairment.
b. students on probation from college.
c. behavior that deviates from the norm.
d. psychological adjustment.
ANSWER: c
6. Which criterion is considered when determining whether a behavior is normal or a deviation from the norm?
a. ability to learn from mistakes
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Chapter 1 - Psychopathology and Life
b. poor academic performance
c. experience of personal distress
d. outward appearance
ANSWER: c
7. Patterns of behavior that deviate from the norms of society are called
a. prosocial behavior.
b. normal behavior.
c. psychopathological behavior.
d. college behavior.
ANSWER: c
8. Treva Throneberry vanished as a young woman and turned up in another town insisting that she was a high-school
student named Brianna Stewart. Her behavior would be considered psychopathological because it
a. deviated from the norm.
b. caused distress for people around her.
c. showed an attempt to fit in.
d. involved a change in location.
ANSWER: a
9. Cerball was diagnosed as having a mental disorder after he was found repeatedly cutting himself. In terms of the
criteria for psychopathological behavior, cutting could be considered
a. deviant from the norm.
b. difficult to watch.
c. disturbing.
d. ritualistic.
ANSWER: a
10. Which criterion is particularly attractive to researchers because it offers clear guidelines for distinguishing between
normal and psychopathological behavior?
a. statistical deviance
b. cultural appropriateness
c. difficulty adapting
d. distress caused by symptoms
ANSWER: a
11. Different cultures have different ideas about what normal behavior is. This is a key limitation of which criterion for
defining psychopathology?
a. deviance from the norm
b. impact on one's occupation
c. difficulties adapting to life's demands
d. experience of personal distress
ANSWER: a
12. Dr. Jones is working with a client from a culture other than his own. He would like to use the deviation-from-the-norm
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Chapter 1 - Psychopathology and Life
criteria based on this. This would be inappropriate to use because
a. daily problems prompt people to seek treatment.
b. statistical deviance only offers guidelines for researchers.
c. cultures differ in how they define what is normal.
d. none of these are correct—this is in fact an appropriate criterion.
ANSWER: c
13. How does the Einstein example in your text illustrate a drawback of the statistical deviance approach to defining
mental disorders?
a. Deviance is always a disorder.
b. The measurement accuracy is limited.
c. Too many people have high intelligence.
d. Statistical deviance is not necessarily a disorder.
ANSWER: d
14. As discussed in the text, suddenly disappearing from home and assuming a new identity, as Treva did, would be
considered statistically
a. deviant from the norm.
b. within normal limits.
c. close to the norm.
d. irrelevant.
ANSWER: a
15. When a mental health professional treats someone from another culture, it is important for the professional to
remember that
a. a uniform approach to mental disorders may be used cross-culturally.
b. symptoms of mental disorders differ from culture to culture.
c. cultural analysis of scores is nearly impossible to perform.
d. scoring high on an intelligence score may indicate culturally biased questions.
ANSWER: b
16. One difficulty of using the deviation-from-the-norm criterion in determining if a behavior is psychopathological is
deciding
a. the statistical point at which the behavior is psychopathological.
b. who will be responsible for measuring behavior.
c. the definition of maladaptive behavior.
d. which theory should serve as a framework.
ANSWER: a
17. In determining whether a behavior is psychopathological, one key criterionthatmental health professionals look at is
a. how long a specific behavior has occurred.
b. if a cultural bias exists within the therapeutic relationship.
c. whether the individual is experiencing sadness and irritability at the same time.
d. whether the behavior interferes with a person’s ability to function effectively.
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ANSWER: d
18. Tri is 18 and believes that something outside of him is influencing his thoughts and that he must retrace his steps four
times to keep his thoughts under his control. This behavior causes him to be fired from his job due to being late to work
and failing to complete projects on time. A mental health professional would say that his behavior is psychopathological
because it
a. interferes with his ability to function effectively.
b. has presented quite early in life.
c. is not accepted in his culture.
d. exposes him to ridicule.
ANSWER: a
19. Tatiana worries about her mother’s cancer so much that she cannot concentrate on her schoolwork, which causes her
grades to drop. Her continual thoughts about her mother and her trouble concentrating would be considered maladaptive
because she
a. deviates from the norm of her family.
b. experiences difficulties adapting to life’s demands.
c. expresses personal distress to her therapist.
d. is unlikely to be helpful to her mother.
ANSWER: b
20. Darshan has always been a clean-shaven, well-kept individual. Lately he has failed to shower on a regular basis, has
neglected his clothing, and has been uninterested in eating. It appears that Darshan has begun to exhibit
a. damage to the occipital lobe.
b. maladaptive behavior.
c. suicidal tendencies.
d. personal distress.
ANSWER: b
21. Bahrom refuses to leave home due to his belief that the government is using chemicals sprayed from planes to try to
harm him. He is successfully working from home; has all of his food and other needs delivered to him; and communicates
on a regular basis with friends and family, with whom he enjoys positive relationships. This illustrates the problem with
the difficulties-adapting-to-life-demands criterion for diagnosing a mental disorder because Behrom is engaging in
a. behaviors that harm others from birth.
b. behaviors to become self-actualizing.
c. behaviors that are normal in cultures other than their own.
d. odd behaviors that do not interfere with their daily functioning.
ANSWER: d
22. One problem with interpreting the difficulty-adapting-to-life demands criterion is that
a. maladaptive behavior often results in considerable personal distress.
b. people who engage in maladaptive behavior typically seek help.
c. the criterion is too easily swayed by cultural considerations.
d. what some people consider appropriate, others may see as maladaptive.
ANSWER: d
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23. One problem that mental health professionals encounter when using personal distress as a measure of maladaptive
behavior is
a. establishing a cut-off point that indicates abnormality.
b. determining appropriate therapeutic guidelines.
c. combining culture and emotional response.
d. identifying a suitable theoretical framework.
ANSWER: a
24. Amato’s thoughts of death are causing him to lose sleep, eat poorly, and constantly worry. He expresses much concern
over his current mental state, so much so that he has made an appointment to see a counselor. We would refer to his
thoughts as psychopathological, since they
a. are statistically within expectations.
b. may cause him to experience legal problems.
c. cause him great personal distress.
d. do not meet the criteria for mental disorder.
ANSWER: c
25. When mental health professionals say that behaviors exist on a continuum, they are describing
a. the possible magnitude of a potential problem behavior.
b. how they believe a disorder developed.
c. how many similar behaviors exist in a population.
d. the extent to which nature and nurture affect the behavior.
ANSWER: a
26. An important consideration when evaluating the anxiety and stress levels of an individual is
a. how much of the stress is created by the individual.
b. the amount of impairment in daily functioning.
c. whether the individual can label his or her emotions.
d. the individual’s levels of isolation.
ANSWER: b
27. Which statement illustrates the individual's cognitive style?
a. Marjo tends to avoid people.
b. Sundar tends to feel nervous a lot.
c. Teresa likes to maintain an active lifestyle.
d. Rodica constantly thinks pessimistic thoughts.
ANSWER: d
28. Which description of behavior is most consistent with a more severe mental disorder?
a. skipping a few classes and feeling somewhat unmotivated to study
b. being unable to get out of bed, eat, or leave the house, along with a lack of energy and frequent crying
c. going to classes and making yourself study for the next round of tests
d. going to classes, but having some trouble studying and wanting less contact with others
ANSWER: b
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Chapter 1 - Psychopathology and Life
29. Boutros has been worried about his grades for about two months. He often thinks that everyone in his class is doing
better than he is and that if he asks a question, he will appear stupid. This is an example of Boutris’
a. cognitive style.
b. behavioral goals.
c. emotional state.
d. alter ego.
ANSWER: a
30. During a time of economic hardship, what would you expect to be emphasized regarding mental disorders?
a. sociocultural causes of mental disorders
b. environmental causes of mental disorders
c. psychological treatments for mental disorders
d. biological treatments for mental disorders
ANSWER: d
31. If you were a person living in the times of ancient Egypt and developed a mental disorder, what sort of treatment
would you be most likely to receive?
a. a stay in an asylum
b. rest and abstinence from alcohol
c. bleeding and purging
d. exorcism
ANSWER: d
32. Magic, noisemaking, incantations, prayer, flogging, starvation, and medicinal techniques or potions all play a role in
the practice of
a. trephination.
b. analysis.
c. exorcism.
d. maladaptation.
ANSWER: c
33. The development of medical concepts among ancient Egyptians and Greeks helped to
a. replace supernatural theories with natural ones.
b. restore normal brain function through exorcism.
c. provide a rationale for the dissection of human cadavers.
d. defer the treatment of mental disorders to clergy.
ANSWER: a
34. Throughout ancient Greece and Rome, physicians emphasized which approach to learning about the causes of
psychopathology?
a. theoretical
b. spiritual
c. scientific
d. theological
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ANSWER: c
35. The Middle Ages had continued scientific progress in the Middle East while post-Roman empire Europe
a. discovered many natural drug substances.
b. returned to supernatural theories.
c. was polarized between humane treatment and torture.
d. reverted to Neanderthal morphology.
ANSWER: b
36. During the European Renaissance period, treatment for psychopathology
a. continued on a dismal path of superstition and torture.
b. sought a total abandonment of the concept.
c. often portrayed insanity.
d. saw a return of natural and scientific approaches.
ANSWER: d
37. The asylums created during the European Renaissance were generally
a. highly therapeutic with first rate treatment for the day.
b. lacking in treatment with poor living conditions.
c. about the same as the monasteries of the time.
d. only for the wealthy and therefore quite luxurious.
ANSWER: b
38. If you were to travel in time to meet Philippe Pinel and ask him what his life's work involved, he would probably tell
you
a. "to rid the world of supernatural approaches to treating mental disorders."
b. "to promote mental health through exorcism and religiosity."
c. "to create more humane conditions in mental hospitals."
d. "to integrate biological methods into the treatment of mental disorder."
ANSWER: c
39. The reform movement instigated by Pinel was characterized by
a. a slogan with change through revolution.
b. government takeover of mental illness diagnoses.
c. advances in the humane treatment of mental patients.
d. separation of rural and urban medical practices.
ANSWER: c
40. The type of treatment that paved the way for the modern approach to mental disorders was known as
a. the mental hygiene movement.
b. institutionalization in asylums.
c. supernatural treatment.
d. moral treatment.
ANSWER: d
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Chapter 1 - Psychopathology and Life
41. Pinel’s reforms in France soon spread to other locations. In America, who is credited with making the most significant
changes in treating individuals with mental disorders?
a. William Tuke
b. Clifford Beers
c. Dorothea Dix
d. Clara Barton
ANSWER: c
42. The mental hygiene movement emerged from a book titled A Mind that Found Itself by
a. Clifford Beers.
b. Dorothea Dix.
c. Philip Pinel.
d. Clara Barton.
ANSWER: a
43. Badulf’s physician is concerned that his symptoms, which include what would now be called hallucinations and
delusions, are getting worse and making it impossible for him to function normally. The physician proposes that Badulf be
placed in one of the new asylums, which are places to send people who cannot care for themselves. Badulf most likely
lives in
a. Ancient Egypt.
b. Ancient China.
c. Renaissance Europe.
d. Europe during the Middle Ages.
ANSWER: d
44. Rita’s physician is treating her for anxiety. He proposes a revolutionary idea—that there are mental causes for her
abnormal behavior. Rita’s physician is most likely
a. Vitus.
b. Paracelsus.
c. Pinel.
d. Hippocrates.
ANSWER: b
45. Which reformer raised awareness, funds, and political support and also established more than 30 hospitals?
a. Philippe Pinel
b. William Tuke
c. Benjamin Rush
d. Dorothea Dix
ANSWER: d
46. A theoretician who asserts that mental disorders are caused by mind-related factors as opposed to factors related to the
body would be best described as espousing which approach?
a. psychogenic
b. biogenic
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