Exam 2 Flashcards
- From Wolpe’s classical conditioning perspective, neurotic depression:
a. is a conditioned response that can be alleviated through extinction trials in which the neutral (conditioned) stimulus is
repeatedly presented without the depression-inducing (unconditioned) stimulus.
b. is a response to anxiety and can, therefore, be alleviated by using systematic desensitization to eliminate the anxiety.
c. is due to attributional biases that, through conditioning, have become associated with certain types of events and can be
eliminated through reattribution training.
d. results when there is an absence of response contingent reinforcement and is best treated by counterconditioning in which
depression is paired with a variety of pleasure-producing (unconditioned) stimuli.
B– Even if you are unfamiliar with Wolpe’s explanation of depression, you may have been able to pick the right answer to this question as long as you have him associated with systematic desensitization. Wolpe distinguished between several types of depression. He linked neurotic depression to anxiety and considered systematic desensitization to be an effective treatment.
- Recently the relationship between Frank and one of his adult sons has become increasingly tense, conflicted and distant. Frank considers himself a loving and supportive father. He dismisses the problem as a temporary “phase” to avoid the situation. Frank’s attempt to explain away the problem, according to Whitbourne’s self-concept model, is an attempt to maintain his own self-concept through:
a. identity assimilation
b. identity accommodation
c. identity styles
d. rationalization
A– Identity process theory proposes that adjustment to aging can be conceptualized as involving the three processes of identity assimilation (maintaining self-consistency), identity accommodation (making changes in the self), and identity balance (maintaining a sense of self but changing when necessary). Despite the changes in the relationship with his son, Frank continues to think of himself as having a loving relationship in order to maintain his consistent sense of self. Research indicates only identity balance is positively related to internal state awareness, suggesting that the ability to incorporate age-related changes within an identity and at the same time maintain a consistent and positive view of the self is most conducive to successful aging. (See: Sneed, J.R. & Whitbourne, S.K. (2003). Identity Processing and Self-Consciousness in Middle and Later Adulthood. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 58, 313-319.)
- A factorial design, unlike a two group design:
a. allows more independent variables to be studied
b. requires a larger sample
c. shows the effect of an independent variable on the dependent variable
d. cannot detect a curvilinear relationship between variables
A– In a two group design, one group is exposed to a treatment and another, control group, is not exposed or gets a different treatment. The results of both groups are tested in order to compare the effects of treatment. A factorial design is a design with more than one independent variable. In this design, the independent variables are simultaneously investigated to determine the independent and interactive influence they have on the dependent variable. The effect of each independent variable on the dependent variable (c.) is called a main effect and in a factorial design there are as many main effects as there are independent variables. An interaction effect between two or more independent variables occurs when the effect that one independent variable has on the dependent variable depends on the level of the other independent variable. At least three levels must be used to predict a curvilinear relationship (d.).
- A psychologist is hired as a consultant by an agency which works with homosexual men whose behavior places them at very high risk for the HIV virus. The psychologist is asked to work with groups of the agency’s clients, with the goal of decreasing high-risk activity in this population. Assuming the psychologist is familiar with the research in this area, she is most likely to take which of the following approaches?
a. attempting to engender a group norm of disapproval for high-risk activity
b. providing knowledge to the group about AIDS
c. threatening the group with punishment if they don’t change their behavior
d. taking a laissez-faire approach and letting the group learn on its own how dangerous its behavior is
B– Studies show that, among individuals who are at high-risk for the AIDS virus, knowledge about AIDS is a better predictor of less risk-taking behavior than perceived peer norms. Thus, choice B is the best answer. By contrast, among low-risk groups, perceived peer norms are a better predictor. So if this question was about the best strategy for low-risk groups, choice A would have been a better answer.
- Despite his many accomplishments and positive feedback from his supervisor, a client believes his work performance is below average because he feels like a failure. This is an example of:
a. minimization
b. selective abstraction
c. emotional reasoning
d. personalization
C– Emotional reasoning is one of several cognitive distortions described by Beck. It refers to a person believing that because he or she feels a negative emotion, there must be a corresponding negative external situation. Minimization (A) is seeing something as less significant than it really is. Selective abstraction (B) occurs when one focuses on a detail, taken out of context, at the expense of other information. Personalization (D) is the attribution of external events to oneself without evidence of a causal connection.
- Organizations that advocate individual responsibility, consensual-decision making, slow promotion, and holistic knowledge of the organization are using which of the following management philosophies:
a. Theory J
b. Theory A
c. Theory Z
d. TQM
C– Ouchi’s Theory Z is an organizational management philosophy that incorporates aspects from traditional American (Theory A) and Japanese (Theory J) management philosophies. The theory represents a middle ground, for example, emphasizing long-term employment versus short-term or lifelong and a moderately specialized career path instead of specialized or nonspecialized.
- When working in a forensic capacity, psychologists must often be careful to
a. acknowledge the limits of their data or conclusions.
b. take the time to study the facts of the case so they can arrive at their own conclusion regarding the guilt or innocence of the
defendant.
c. be present every day of the trial in case the judge requires the psychologist’s opinion at some point.
d. present their conclusions very forcefully and with confidence, so that the public’s confidence in the field of psychology is
reinforced.
A– It’s often important for forensic psychologists to acknowledge the limits of their conclusions. This is because forensic psychologists are often asked for opinions on matters (e.g., probability of future violence) that cannot be made with absolute certainty.
- The majority of child sex abusers when asked about their abusive behaviors:
a. deny the abuse but eventually admit their actions and express remorse after psychotherapy
b. admit their behavior but minimize the harmful effects on or blame the child
c. admit their actions, express shame and embarrassment, and say they will never do it again
d. claim they were unable to control their impulses
B–. A number of similar characteristics has been identified by research on child sex abusers and studies indicate that the majority of child sex abusers and other sex offenders minimize, rationalize, or justify their abusive behaviors. One such study presented at the 15th Annual Symposium of the American College of Forensic Psychology in 1999, found 57% of subjects admitted engaging in sexual behaviors with a child but minimized the behavior in some way. (See: R. Underwager and H. Wakefield. Sex offender treatment requiring admission of guilt, presented at the 15th Annual Symposium of the American College of Forensic Psychology, April 29, 1999, Santa Fe, New Mexico.)
- The earliest symptoms of Huntington’s Disease are usually:
a. memory impairments
b. mild motor disturbances (e.g., mild tremor, incoordination).
c. affective changes (e.g., irritability or depression).
d. confusion and disorientation.
C– Because the early signs of Huntington’s Disease often involve changes in affect, in the early stages, it may be erroneously diagnosed as a depression or other mental disorder.
- According to House’s path-goal theory, the optimal leader style:
a. is a democratic one that allows workers to participate in setting goals and identifying ways for achieving them.
b. is the one that emphasizes a task-oriented (versus person-oriented) approach that focuses on ways to achieve goals.
c. varies depending on the situation but always involves helping workers achieve their goals.
d. varies depending on the leader’s experience and personality but always focuses on ensuring that goals are consistent with
workers’ skills and knowledge.
C– As its name implies, path-goal theory predicts that leaders will be most successful when they show followers the path for achieving goals. Path-goal theory is also a contingency theory, which means that it proposes that the best leadership style depends on certain characteristics of the situation.
- Anger management training for children has been criticized for:
a. limited positive effects due to focusing on the individual
b. limited positive effects due to focusing on the behavior
c. being developmentally inappropriate due to children’s tendency to blame anger on others
d. being developmentally inappropriate due to children’s inability to control feelings and behaviors
A– One criticism of anger management training for children has been that most programs, which utilize a cognitive-behavioral approach, place the emphasis on the individual’s perceptions, feelings and behaviors while ignoring the interpersonal or systemic factors. Research indicates that training program effectiveness is increased by expanding beyond the individual to include family, peer and community relationships
- In consultee-centered case consultation, the consultant’s role is most similar to which of the following?
a. collaborator
b. coach
c. confidant
d. supervisor
D– In his discussion of consultee-centered case consultation, Gerald Caplan notes that, especially when the target of the consultation is the consultee’s lack of skill, this form of consultation most resembles “technical supervision.” See G. Caplan, Principles of Preventive Psychiatry, New York, Basic Books, Inc., 1964.
- Components of health anxiety include disease conviction, disease fears, disease preoccupation, bodily checking and reassurance seeking, and disease-related avoidance and escape behaviors. Strong disease conviction is most associated with:
a. Specific (“disease”) Phobia
b. Delusional Disorder, Somatic Type
c. Hypochondriasis
d. Panic Disorder
C– Individuals with hypochondriasis have the presence of strong disease convictions, insisting that they have an undetected serious illness or disease. Often convictions result from misinterpreting normal bodily sensations and minor symptoms as serious disease warning signs. Specific “disease” phobia (a.) is a DSM-IV-TR Anxiety Disorder associated with a fear of acquiring or being exposed to a disease. It is also commonly a feature of hypochondriasis. An absence of disease conviction is a differential characteristic of the two disorders. The disease conviction for individuals with Delusional Disorder, Somatic Type (b.) reaches extremely strong, unreasonable and delusional proportions. Although during panic attacks people with panic disorder commonly worry about dying, disease conviction is not a characteristic that is strongly associated with Panic Disorder.
- The most commonly associated features of Tourette’s Disorder are
a. depression and shame
b. academic and social difficulties
c. orthopedic and skin problems
d. obsessions and compulsions
D– DSM-IV lists obsessions and compulsions as the most commonly associated features of Tourette’s Disorder. While the other features that are included in responses A, B, and C are also associated with the disorder, they are not as common.
- Depressive episodes that occur in a seasonal pattern most likely include:
a. loss of weight
b. increased sleep
c. increased energy
d. increased craving for protein-rich foods
B– Mood Disorder With Seasonal Pattern (better known as Seasonal Affective Disorder) is diagnosed when the person displays onset and remission of Major Depressive Episodes at characteristic times of the year. In most cases, onset is in fall or winter and remission is in spring. The depressive symptoms in Seasonal Affective Disorder most often include: decreased energy, increased sleep, overeating, weight gain, and a craving for carbohydrates.
- A woman seeks help from a psychologist in dealing with her 12-year-old daughter who has been misbehaving lately. The mother says that the daughter has not been listening to her and last week cursed at her mother. The mother reacted by slapping her daughter which left a bruise. The mother feels very remorseful about it and says that she has never done anything like that before. The psychologist should:
a. insist that the woman attend anger management classes
b. report the incident to a child protective services agency before the end of the session
c. monitor the situation and report any further abuse incidents to a child protective services agency
d. seek consultation
B– State laws require mandated reporters to report any reasonable suspicion of child abuse. Abuse generally includes, but is not limited to, physical injury that is inflicted upon a child by other than accidental means. The reporting laws do not provide exceptions for those who are remorseful or first-time offenders. Although the reporting laws do not require the reporter to inform the abuser of the report, or to involve him or her in making the report, it is often clinically useful to do so. Referral to anger management classes (A) might be appropriate, but the psychologist should not insist upon it and the psychologist must still meet the reporting requirements.
- Once exposed to the human immunodeficiency virus (HIV), the process of converting from antibody negative to antibody positive is referred to as:
a. retroviral-conversion
b. seroconversion
c. seronegative
d. seropositive
B– Seroconversion describes the development of antibodies to a particular antigen, or the conversion from seronegative (HIV negative) to seropositive (HIV positive) as the result of the presence of antibodies. An individual who is infected may develop symptoms of acute HIV infection while still having a negative HIV antibody test because seroconversion often does not occur until several weeks after infection.
- Of the following, which would be the most important factor to keep in mind when deciding whether to prescribe tricyclic anti-depressants to a patient?
a. the patient’s suicide risk.
b. the patient’s history of treatment success or failure with tricyclics.
c. whether or not the patient’s symptoms are atypical.
d. whether or not the patient’s symptoms are primarily vegetative.
A– All of these factors would be important to consider in deciding whether to prescribe tricyclics to a patient. However, safety considerations generally supercede all others; thus, choice “A” is the best answer. The risk of suicide in depressed patients must always be considered by physicians when writing prescriptions – particularly for potentially dangerous drugs such as tricyclics.
- In implosive therapy:
a. the client is gradually exposed, through the imagination, to a feared stimulus, one step at a time.
b. a client is immediately exposed, through the imagination, to a feared stimulus at its maximum intensity.
c. the client is gradually exposed, in-vivo, to a feared stimulus, one step at a time.
d. a client is immediately exposed, in-vivo, to a feared stimulus at its maximum intensity.
B– Implosive therapy involves imaginal exposure to a feared stimulus. The person is immediately exposed to the stimulus at its maximum intensity. The purpose of implosive therapy is to extinguish a person’s fear; in addition, the technique incorporates psychodynamic themes thought to underlie the fear into the imagery.
- A patient with Parkinson’s Disease is experiencing tremors. What transmitter is probably involved?
a. Acetylcholine
b. Glutamate
c. Zyprexa
d. Dopamine
D– A lack of norepinephrine at brain synapses is associated with depression, while excessive dopamine and norepinephrine are both associated with schizophrenia. Dopamine also plays a role in movement, and degeneration of neurons that secrete dopamine causes the muscular rigidity found in Parkinson’s disease.
- Alzheimer’s Dementia often results in problems in the executive functions such as:
a. aphasia and agnosia
b. apraxia and disorientation
c. planning and organizing
d. recalling and recognizing
C– According to the DSM-IV-TR, a diagnosis of Dementia of the Alzheimer’s type, or any other type, requires evidence of impairment in memory, and at least one other cognitive impairment such as aphasia (language disturbance), apraxia (impaired ability to carry out motor activities), agnosia (failure to recognize objects), or disturbance in executive functioning. All the choices in this question are symptoms of dementia, however, problems with executive functions refers specifically to planning, organizing, and abstract thinking.
- A psychologist in a rural area is referred a 17-year-old male who has been abusing OxyContin. Although the psychologist is trained and experienced in the treatment of substance abuse, she has not received training in, nor experience with, OxyContin abuse. The psychologist should:
a. refer the patient to a psychologist outside the area who is experienced in the treatment of OxyContin abuse
b. agree to treat the patient after attending a workshop on the treatment of OxyContin abuse
c. refer the patient for inpatient detoxification
d. provide the patient with treatment and read relevant literature
D– Psychologists have an ethical responsibility to practice within the boundaries of their competence. However, according to APA’s Ethics Standard 2.01(d), “When psychologists are asked to provide services to individuals for whom appropriate mental health services are not available and for which psychologists have not obtained the competence necessary, psychologists with closely related prior training or experience may provide such services in order to ensure that services are not denied if they make a reasonable effort to obtain the competence required by using relevant research, training, consultation, or study.” It should not, therefore, be necessary to refer the patient to a provider out of the area. It also would not be in the patient’s best interest to postpone treatment until the psychologist can attend a workshop on the subject (B). And, although OxyContin abuse is serious and potentially fatal, it generally would not require inpatient detoxification (C) unless the abuse progressed to dependence.
- The head of a psychological clinic hires a consultant to help therapists deal with some particularly difficult cases at the agency. This is an example of
a. consultee-centered administrative consultation.
b. client-centered administrative consultation.
c. consultee-centered case consultation.
d. client-centered case consultation.
D– Client-centered case consultation involves working with the consultee (here, the therapists) to develop a plan to work more effectively with a particular client or clients (here, the clinic’s patients). By contrast, in consultee-centered case consultation, the focus is on problems in the consultee (e.g., psychological problems, lack of skill) rather than on problems in the clients. And in both client-centered and consultee-centered administrative consultation, the focus is on program-wide administrative problems, rather than on problems in individual clients or therapists.