T+C Flashcards

1
Q

Some researchers believe that restorative justice would be a useful intervention for psychopathy. During a restorative justice session, the perpetrator sits face-to-face with the victim and is instructed to take the perspective of the victim as they listen. Based on what you know about empathy functioning in psychopathy, would this approach be effective in psychopathic individuals?

a. No, because restorative justice requires affective empathy and psychopathic individuals are deficient in this

b. Yes, because the process of restorative justice requires deliberate perspective-taking, which psychopathic individuals can do.

c. No, because restorative justice only works with normal amygdala functioning and psychopathic individuals have deficient amygdala functions

d. Yes, because restorative justice reduces the demand of EF, which psychopathic individuals have difficulty deploying

A

B - Yes, because the process of restorative justice requires deliberate perspective-taking, which psychopathic individuals can do.

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2
Q

Callous-Unemotional Traits (CU) can decrease through interventions that target:

a. helping the parent express positive emotions

b. using time-out

c. pharmacological interventions

d. promoting anger control

e. all of the above

A

A - helping the parent express positive emotions

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3
Q

Patients with a lesion to the ________ show defective moral decision making, social inappropriateness, and lack of insight, but intact language, intelligence, attention, and EF

A

vmPFC

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4
Q

In a recent report, Michael Welner, a forensic psychiatrist, argues that youth with CU traits should be locked up for life, urging courts to overturn the Miller decision. This argument is problematic because:

a. CU traits can decrease over time in youth, without intervention

b. CU traits can decrease with proper intervention

c. The brain is still developing in youth in areas important for decision-making and emotionality

d. all of the above

A

D - all of the above

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5
Q

In 1992, Mr. Parks killed his mother-in-law and attacked his father-in-law while sleepwalking. During the trail, there was evidence presented of abnormal EEG activity. The jury acquitted him of murder and assault. In this case, the psychological and neuroscientific evidence supported:

a. That Mr. Parks was legally insane

b. That Mr. Parks had aggravating factors, increasing the culpability of his criminal activity

c. That Mr. Parks was not culpable of his crime

d. That Mr. Parks suffered from a brain lesion

A

C - That Mr. Parks was not culpable of his crime

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6
Q

In a recent study, Aharoni and colleagues found that the dysfunction in the ACC predicts recidivism in a sample of hundreds of adult incarcerated individuals. The authors advocate for using brain imaging as a risk assessment tool for predicting recidivism. The problem with this conclusion is that:

a. The research study looked at averages across people, making it unclear the extent to which this effect is true for an individual

b. The research study looked at brain activation after the time of the crime, making it unclear whether the brain is a mitigating factor

c. The research study only looked at adults, and risk assessment is only done in juveniles

d. A and B

e. A, B, and C

A

D - A and B

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7
Q

Imagine a child with a genetic predisposition to low arousal and who is raised in an environment with few resources (e.g. low socioeconomic status). To maximize gains in the resource-scarce environment, this child may need to prioritize their own needs, avoid negative experiences, and may benefit from being less sensitive to emotional experiences of others. These predispositions and experiences most likely result in:

a. proactive aggression

b. high anxiety

c. increased amygdala activity

d. over-reactivity to perceived threat

A

A - proactive aggression

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8
Q

A recent study gave some police officers a script to read during randomized breath test checkpoints. The script explained the officer’s motives for conducting the stop, gave the driver an opportunity to suggest other crime prevention tactics, and converted respect by addressing the drivers at eye level and thanking them for their time. In face, drivers who participated in the study were more likely than the control group to report satisfaction with the interaction and to be compliant with the officers orders. The process described in the script in consistent with the principles of ___________.

A

Procedural Justice Training

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9
Q

A recent study applied transcranial direct current stimulation (tDCS) to the dorsolateral prefrontal cortex in antisocial individuals. tDCS stimulates functioning in regions of the brain it is applied. Based on this information, you would expect individuals who engage in antisocial behavior would:

a. reduce intent to commit aggressive acts

b. improve performance on EF tasks

c. Improve abstraction reasoning

d. all of the above

A

D - all of the above

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10
Q

On August 1, 1966, Charles Whitman, a student and ex-Marine, fired down from the clock tower on the campus of the University of Texas, killing 14 people and wounding 31 others. Earlier in the day, Whitman had killed his wife and mother. Whitman was shot and killed by the police. An autopsy revealed that Whitman has a tumor pressed on the _________, a part of the brain in the limbic system responsible for processing emotions, such as fear and anxiety.

A

Amygdala

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11
Q

Youth with conduct problems and Low CU traits and youth with conduct problems and High CU traits showed essentially the same pattern of amygdala activation in Viding et. al (2012).

a. true

b. false

A

B - false

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12
Q

In the Dadds et. al. (2006) study, youth with CU traits showed defected in emotion recognition under all conditions

a. true

b. false

A

B - false

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13
Q

It is possible that Parent Management Training is effective for youth with CD because:

a. it enhances consistency in parents’ discipline, and inconsistent harshness is related to CD

b. it sets rules clearly, circumventing the deficits in planning youth with CD tend to display

c. it rewards youth for good behavior, and youth with CD are sensitive to potential of rewards

d. all of the above

A

D - all of the above

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14
Q

You are on a cruise ship when there is a fire on board, and the ship needs to be abandoned. The lifeboats are carrying many more people than they were designed to carry. The lifeboat you’re in is sitting dangerously low in the water. If nothing is done, it will sink before the rescue boats arrive and everyone on board will die. However, there is an injured person who will not survive in any case. If you throw that person overboard, the boat will stay afloat and the remaining passengers will be saved. The moral question is: would you throw this person overboard in order to save the lives of the remaining passengers? Which of these statements is TRUE?

a. Psychopathic individuals would be more likely to throw the person overboard because that is the rationale decision, despite the life lost

b. Psychopathic individuals would not recognize the moral violation, and that is why they would push the person overboard

c. Psychopathic individuals only engage in moral violations when there is indirect or remote harm, so there is less of a chance of getting caught

A

A - Psychopathic individuals would be more likely to throw the person overboard because that is the rationale decision, despite the life lost

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15
Q

Which of the following statements is TRUE about CD-CU versus CD+CU:

a. youth with CD-CU and CD+CU show deficits in mentalizing

b. youth with CD-CU and CD+CU interpret happy faces as hostile

c. Harsh parenting is associated with CD-CU and CD+CU

d. youth with CD-CU and CD+CU show enhanced activity in the OFC

A

c. Harsh parenting is associated with CD-CU and CD+CU

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16
Q

For girls, CU traits increased delinquency and decreased academic achievement, even if CD is not present.

a. true

b. false

A

A - true

17
Q

The Family Affective Attitudes Rating Scale is a coding system for parental speech samples and a parent’s report of how well they get along with their child. The focus of this item is on ______________, a parenting style where lower levels are related to higher levels of CU behavior.

A

Parental warmth

18
Q

You are a lawyer who has been asked to represent a 16-year-old juvenile defendant. The defendant is accused of shooting a store owner when hearing the police sirens approaching in the distance. As the lawyer, what piece of evidence would you present as a mitigating factor that BEST explains the behavior in this scenario:

a. That all adolescent offenders have psychopathology and should not be held accountable for their crimes

b. that when under pressure, adolescents make riskier decisions than adults

c. that the juvenile was abused by his parents

d. the juveniles friend also had a criminal record

A

B - that when under pressure, adolescents make riskier decisions than adults

19
Q

Multisystemic Therapy is unique in that it looks to address community, family, and individual factors during the treatment process.

a. True

b. False

A

A - True

20
Q

In the Roberts et. al (2020) study, youth with conduct problems performed similarly to typically developing youth in their mind-minded descriptions, social judgements, and video-based assessment of mentalizing.

a. True

b. False

A

B - False

21
Q

“I hide my feelings from others.” This is an item from the Inventory of CU traits. Which diagnosis criterion of Limited Prosocial Emotions does this item reflect?

___________

A

Shallow or Deficient Affect

22
Q

The concept of equifinality suggests that through externalizing and psychopathic individuals may display similar behaviors, the causes of those behaviors can be different.

a. True

b. False

A

A - True

23
Q

The finding that individuals with cocaine dependence and ASPD response best to contingency management in Messina et. al (2003) study fits with out psychobiology understanding of the disorder because:

a. individuals with ASPD do not care about rewards, so this helps them value rewards more

b. individuals with ASPD show dysfunction in the amygdala, which is important for the processing of rewards, and the contingencies make rewards clear

c. individuals with ASPD show dysfunctions in the OFC, which is important for integrating rewards signals and action, and the contingency make connections clear

d. A and B

e. A and C

f. B and C

g. A, B, and C

A

C - individuals with ASPD show dysfunctions in the OFC, which is important for integrating rewards signals and action, and the contingency make connections clear

24
Q

CU traits are associated with low interpersonal affiliation. Low interpersonal affiliation is a characteristic that can be inherited.

a. True

b. False

A

A - True

25
Q

It is common for clinicians to say that youth with CU traits are not responsive to psychological treatments. Based on the existing evidence, this statement is accurate.

a. True

b. False

A

B - False

26
Q

Which of the following measures would you use to DISTINGUISH between psychopathic and externalizing individuals?

a. PCL-R factor 1 traits

b. PCL-R factor 2 traits

c. impulsive-antisocial traits

d. Substance misuse

e. All of the above

A

A - PCL-R factor 1 traits

27
Q

Consistent with the response modulation model psychopathic individuals display fear/threat when emotion information is that ____________ focus of attention, but deficits when emotion is ____________.

A
  1. primary
  2. secondary
28
Q

During a robbery, the goal is to get the goods but there is an alarm blaring in the store calling the police. The attention bottleneck model of psychopathy would say that a psychopathic individual would ignore the alarm because:

a. EF are required to inhibit the response to the alarm and psychopathic individuals have deficits in EF

b. The sound of the alarm would not trigger a fear response

c. information related to the primary goal will take time to clear the bottleneck, preventing them from processing and incorporating information that signals danger

A

C - information related to the primary goal will take time to clear the bottleneck, preventing them from processing and incorporating information that signals danger

29
Q

Which of the following descriptors does NOT characterize reactive aggression?

a. automatic nervous system (ANS) arousal

b. reaction to frustration

c. purposeful (premeditated or planned) focus

d. Time-limited reaction

A

C - purposeful (premeditated or planned) focus

30
Q

Heritability for antisocial behavior is about .40. This means that 40% of any person’s antisocial behavior is due to his/her genes and the other 60% is due to his/her environment.

a. True

b. False

A

A - True

31
Q

The response modulation of psychopathy supposes that the amygdala is functioning normally (the same as healthy controls) in psychopathy.

a. True

b. False

A

A - True

32
Q

Jose Manuel Martinez - a doting grandfather known as the Black Hand - said he killed at least 36 people over 3 decades as one of America’s deadliest contract killers. Given that he killed so many people, he definitely has a diagnosis of a psychopathy.

a. True

b. False

A

B - False

33
Q

The following research finding are ONLY supported by the response modulation/attention bottleneck model of psychopathy:

a. startle to unpleasant pictures when probed later in the picture compared to earlier in the picture

b. startle to unpleasant pictures is normal when the picture is familiar compared to novel

c. amygdala response is reduced when threat is secondary to a non-threat goal compared to the primary focus of attention

d. inability to learn punishment when pursuing rewards

e. A and B

f. B and C

g. A, B, and C

h. A, B, C, and D

A

F - B and C

34
Q

Which of the following statements is TRUE:

a. Psychopathy is associated with problems attending to contextual information and emotional hypo-reactivity, whereas externalizing is associated with EF deficits and emotional hyper-reactivity

b. Psychopathy and externalizing are related to cognitive control defected and reward hypersensitivity

c. Psychopathy is related to working memory deficits and emotional hypo-reactivity, whereas externalizing is related to inhibition deficits and emotional hyper-reactivity

d. Psychopathy and externalizing are related to deficits in IQ

A

A - Psychopathy is associated with problems attending to contextual information and emotional hypo-reactivity, whereas externalizing is associated with EF deficits and emotional hyper-reactivity

35
Q

A psychopath and sociopath is distinguished by:

a. the amount of interpersonal traits

b. whether the PCL-R is used or not

c. underlying cause of behavior

d. the presence of absence of ASPD

A

C - underlying cause of behavior