ABNORMAL PSYCHOLOGY
PSY 309 - Spring 2001
Test 5

Multiple Choice:  Circle the letter corresponding to the single most correct answer (@ 1 point).

1. Setting the age at which one is considered ‘old,’ which is now 65, is based upon
 A. clear biological changes that begin at about that age
 B. social policy
 C. the age at which individuals begin to refer to themselves as old
 D. a scientific standard
 E. both A & D

2. Which of the following statements is an example of an age effect?
 A. Today’s older adults are less likely to seek mental health services because when they were growing up, mental illness was stigmatized
 B. Because exercise has become widely promoted in the media, many older adults are now exercising and thus healthier than was predicted by earlier measure of their physical well-being
 C. Because of the effects of aging on the brain, older adults do less well than younger adults on measures of academic performance
 D. In a longitudinal study, many of the elderly subjects died before the follow-up data was collected
 E. both A & D

3. Which of the following statements is an example of a time-of-measurement effect?
 A. Today’s older adults are less likely to seek mental health services because when they were growing up, mental illness was stigmatized
 B. Because exercise has become widely promoted in the media, many older adults are now exercising and thus are healthier than was predicted by earlier measures of their physical well-being
 C. Because of the effects of aging on the brain, older adults do less well than younger adults on measures of “fluid” intelligence
 D. in a longitudinal study, many of the elderly subjects died before the follow-up data was collected

4. Impairment in which of the following areas is the most prominent symptom of dementia?
 A. memory                                 C. judgment
 B. abstract thinking                     D. language

5. Delirum can be distinguished from dementia in that delirium is associated with
 A. forgetfulness, memory loss                     C. slow insidious onset
 B. poor social judgment                              D. erratic, changing behavior

6. Treatment of delirium consists primarily of
 A. support and assistance to maintain functioning as long as possible
 B. institutionalization to lower stress and reduce accident risks
 C. prescribing drugs to manage symptoms
 D. identifying and treating the underlying cause

7. Which of the following mood disorders is most common among older adults?
 A. major depression                          C. mania
 B. cyclothymic disorder                     D. bipolar I disorder

8. Which of the following paranoid delusions is more typical of a younger person than an older one?
 A. “My husband is having affairs with other women.”
 B. “My former girlfriend is tapping my phone conversations.”
 C. “Dangerous rays are being sent down through my chimney from somewhere in outer space.”
 D. “Poisonous pellets are being planted in my garden by my next door neighbor.”
 E. both A & B

9. While a study done in the 1950s found a decline in sexual activity with age, a study done in the 1980s found no such decline.  The hypothesis that this difference is due to older adults being healthier in the 1980s is an example of a(n)
 A. a time-of-measurement effect                     C. age effect
 B. experimenter bias                                       D. cohort effect
                                                                       E. all of the above

10. When a researcher determines, objectively, an outcome of a study on schizophrenia associated with reduction in negative symptoms, that is referred to as
 A. effectiveness                         C. positive effects
 B. efficacy                                 D. grant-funded

11. Early in therapy, Tom has found that he enjoys meeting with his therapist.  The two seem to be working toward a common goal, and the time appears to go quickly.  This would characterize a good
 A. rapport                                          C. process
 B. initial symptom reduction                 D. working alliance

12. In which of the following ways are gestalt therapy and client-centered therapy similar?
 A. both emphasize inner conflict as the root cause of psychological disturbance
 B. each encourages structured behavioral exercises to alleviate inner distress
 C. both focus on an innate goodness of the client
 D. none of the above are correct

13. Beck’s Cognitive Therapy and Ellis’ Rational Emotive Behavior Therapy differ in that
 A. Beck’s approach is more collaborative with the client
 B. Ellis’ methods are ground more in scientific methods
 C. Ellis’ approach is more didactic
 D. None of these are correct; These two therapies are identical

14. Ted has noticed that as his behavior has changed, so has his thinking about his problems.  He has also noticed that his work environment does not appear as unpleasant as it had when he began therapy.  Bandura would refer to this as
 A. a placebo effect                         C. emotional modification
 B. triadic reciprocality                     D. cognitive
                                                       E. all of the above

15. As part of treatment for insomnia, Jack was told to deliberately remain awake.  This type of intervention is consistent with a
 A. direct cognitive challenge                                 C. paradoxical intervention
 B. desensitization to the need for sleep                  D. token economy
                                                                             E. all of the above

16. A common element across therapies, regardless of paradigm, is
 A. focusing directly upon symptoms
 B. challenging irrational beliefs
 C. determining stimuli that control dysfunctional behavior
 D. maintaining a positive relationship between therapist and client
 E. both A & C

17. The primary focus of technical eclecticism is
 A. to establish interventions that work from other therapy orientations, but conceptualize it from a singular paradigm
 B. an effort to determine interventions that all schools of therapy share
 C. an effort to ultimately blend theories to one coherent paradigm
 D. an effort to bind all treatments to a single therapy school

18. Which of the following are factors that contribute to better outcome in therapy?
 A. similarity of cultural background between client and therapist
 B. same gender for therapist and client
 C. similarity of ethnic background
 D. all of the above are correct
 E. none of the above affect therapy outcomes

19. Which of the following is not a standard for determining insanity?
 A. did not understand the law            C.  did not now right from wrong
 B. irresistible impulse                         D.  product of mental disease or defect

20. The M’Naghten rule states that the insanity defense is appropriate if a person
 A. has an irresistible impulse leading him or her to commit a crime
 B. has a diagnosable mental illness
 C. is not competent to stand trial
 D. does not know right form wrong at the time of the criminal act

21. Annabel is an involuntary psychiatric patient at a state hospital.  She is docile and cooperative with staff but does not participate in most treatment activities.  Annabel refuses to take her prescribed medication, which the psychiatrist believes would help control her delusional symptoms enough to enable her to work at an unskilled job and perhaps even function in the community.  Can the psychiatrist force Annabel to take the medication?
 A. No, because Annabel has a right to refuse medication
 B. Yes, because Annabel is a danger to herself when not taking medication
 C. Yes, because the medication was prescribed as part of the involuntary commitment package presented to the court at her hearing
 D. Yes, but only if Annabelle’s parent or guardian as well as the court give their consent

22. All of the following people may refuse to be a subject in a research project EXCEPT
 A. a patient involuntarily committed to a psychiatric hospital after being found not guilty by reason of insanity
 B. a prisoner convicted of a felony
 C. a college student required to participate in research as part of a psychology class
 D. all of the above may refuse to participate in research

23. Audrey agreed to participate in a research experiment being conducted by a professor in psychology.  She was told that the experiment would last two hours and would be somewhat boring, but was not expected to be harmful in any way.  After one hour, Audrey got tired of the tasks she was asked to do and told the experimenter she had changed her mind and wanted to quit.  Can the experimenter tell her she has to continue?
 A. Yes, because Audrey used one hour of the experimenter’s time which will be wasted if she quits now
 B. Yes, since Audrey agreed to participate knowing that the experiment would be boring
 C. No, because Audrey has the right to stop at any time for any reason
 D. No, because the experimenter failed to obtain informed consent

24. Dr. Harvard decided to do an experiment that involved asking people living in poverty to fill out anonymous questionnaires about their life stress and social support.  He was a wealthy man and planned to offer them $500 each to fill out the questionnaires.   A human subjects committee denied him permission to do the experiment.  Why?
 A. The study was not scientifically sound
 B. The study involved undue invasion of privacy
 C. Confidentiality of the participants could not be ensured
 D. People living in poverty would need the money so much that they could not be viewed as freely consenting to participate

25. Confidentiality is based on ___________, whereas a privileged communication is _________________.
 A. state law; decided on by the individual therapist
 B. the ethical code of a profession; based on law
 C. the therapists’ obligation not to disclose information; the client’s obligation not to disclose opinions about the therapist
 D. verbal report in therapy; a written report of the therapist’s impression of a client

***KEEP THIS SHEET - you may record your multiple-choice answers on it to compare with the Answer Key after the test.

Write answers to these questions in your blue-book.
 

KEY TERMS & NAMES.  Select 5.  For each term, supply a precise definition including the context and a clear example.  For each name, supply the context and 2 other pieces of information about that person. (@ 3 points)
                    PL 94-142                                    Plaques & Tangles
                    Sociogenic Disorder                      Cohort Effect
                    Sounder vs Brennan                       Aphasia
                    Glucocorticoid                               Huntington's Chorea
 

ESSAY.  Select and answer 2 (@ 6 points).

1.  Specify which sample of the population is most likely to commit suicide.  Then create a specific, clear example of prevention for each of the 3 levels.

2.  Compare & contrast each pair by identifying 1 major similarity and difference:
                            A) Fred Gage vs Donald Price
                            B) Billie Boggs Brown vs Wendell Williamson
                            C) Trophic Factor vs Pseudodementia

3.  From the list distributed in class, list any 5 rights of psychiatric patients in Wisconsin.  Which one of those rights would you be most likely to violate for the "good" of the patient and why?