Chapter 8

Question 1

approx. of how many US adults have a mental illness

Answer 1

18%
about 1 in 5

Question 2

approx. how many diagnosed with a mental disorder have severe mental illness

Answer 2

1 in 5
less than 4% of adult US population

Question 3

severe mental illness

Answer 3

the class of disorders w/ psychotic features (schizophrenia, MDD, bipolar do) OR other symptoms that have the potential to very substantially affect an individual’s interpersonal and vocation functioning
(psychotic features=detachment from reality)

Question 4

mental illness

Answer 4

the disorders of the mind that interfere substantially w/ a person’s ability to cope w/ life on a daily basis

Question 5

What is the most common type of forensic assessment conducted for the criminal courts?

Answer 5

Assessment of competency to stand trial

Question 6

What refers to the phenomenon that occurs when a mental disorder or syndrome is unintentionally caused by a clinician or practitioner.

Answer 6

Iatrogenic

Question 7

Which disorder has been referred to as the “UFO of psychiatry”

Answer 7

Dissociative Identity Disorder ( or Multiple Personality Disorder)

Question 8

What is a legal term that refers to a defendant’s state of mind at the time of the crime.

Answer 8

Insanity

Question 9

Adjudicative competence is now the standard term for ______________.

Answer 9

competence to stand trial

Question 10

Symptoms in which an individual feels detached from himself or herself and his or her surroundings and basically loses some contact with reality is known as a what

Answer 10

dissociated state

Question 11

True or false
The use of amnesia as a defense has been largely unsuccessful in the United States.

Answer 11

true

Question 12

True or false
According to the text, the best predictor of future behavior is past behavior

Answer 12

true

Question 13

True or false
Supermax prisons, which exist in every state as well as the federal prison system, are notorious for producing psychological breakdowns among inmates who are often confined in individual cells for 23 hours a day

Answer 13

true

Question 14

diathesis stress model

Answer 14

you break at your weakest point

Question 15

DSM 5 (diagnostic & statistical manual 5th edition)

Answer 15

used to make a diagnosis (psychiatrists (MDs), psychologists, social workers and counselors can make diagnoses)

Question 16

diagnoses associated with criminal behavior

Answer 16

1. schizophrenia spectrum
2. bipolar disorder
3. depression
4. antisocial personality disorder
   (1-3 are most often used in insanity defense and are not usually successful)

Question 17

schizophrenia

Answer 17

-disturbances in cognition, emotion and behavior
-most often associated with crazy behavior
-made up of positive and negative symptoms

Question 18

psychotic disorder

Answer 18

individuals are detached from reality

Question 19

positive symptoms of schizophrenia

Answer 19

-hallucinations: sensing of perceiving things that aren’t there
-delusions: deeply entrenched beliefs that aren’t there (bizarre)
-disorganized thinking: derailment (hopping from idea to idea)
-neologisms: made up words
-abnormal motor behavior

Question 20

negative symptoms of schizophrenia

Answer 20

-avolition: lack of drive
-alogia: lack of speech
-asociality: withdrawn socially

Question 21

delusional disorder

Answer 21

1 symptom= delusions

Question 22

bipolar disorder

Answer 22

-alternations in mood (mania and depression), can be psychosis with bipolar
-high suicide rate (15x general population)
-coming down from a manic phase

Question 23

major depressive disorder

Answer 23

at least 2 weeks of depressed symptoms

Question 24

antisocial personality disorder

Answer 24

-history of violating rights of others
-cannot diagnose prior to age 18
-conduct disorder as a child –> about 1/3 –> APD

Question 25

competency to stand trial and insanity

Answer 25

1. schizophrenia
   -delusional disorder
2. bipolar
3. major depression

**defendants are competent to stand trial if they have “sufficient present ability to consult w/ their lawyer w/ a reasonable degree of rational understanding and a rational as well as actual understanding of the proceedings

Question 26

who can perform competency evaluations (SD)

Answer 26

psychiatrists (MD), psychologists (PhD), licensed practical counselors-MH (LPC-MH)

Question 27

who can raise issue of competence

Answer 27

defense attorney, prosecuting, judge

Question 28

IST

Answer 28

-assumption: you are competent to stand trials
-felony defendants: 2-8% are required to undergo competency evaluations