Test 4 - Chapters 10-12 Flashcards

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1
Q

Far from recognizing their dangerously low weight as a problem, people with anorexia:

A) are frequently unconcerned about their weight
B) frequently gain excessive weight, which they view as a problem
C) often appear to take pleasure in weight loss
D) cycle between being extremely underweight and excessively overweight

A

C) often appear to take pleasure in weight loss

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2
Q

In what ways does bulimia nervosa differ from anorexia nervosa?

A) Bulimics will exercise, vomit or use laxatives to rid their bodies of unwanted calories
B) Bulimics are usually within the normal weight range
C) Anorexics have more extreme fear of fat
D) Anorexics do not engage in binging behaviour

A

B) Bulimics are usually within the normal weight range

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3
Q

The media contributes to the development of eating disorders by:

A) displaying ads for various weight loss products
B) Their portrayal of the “ideal” woman as being thin and beautiful
C) equating happiness with thinness
D) all of the above

A

D) all of the above

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4
Q

Why is dieting considered to be a dangerous method of weight loss?

A) Dieting may precipitate or cause an eating disorder
B) Media influences make if difficult to determine which diets are safe and which diets are safe and which are not
C) Dieting is very widespread among women and is considered normative
D) All of the above

A

D) All of the above

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5
Q

The evidence linking low self-esteem to eating disorders has shown that:

A) low self-esteem is associated with a higher score on a measure of eating disorders
B) low self-esteem could be the result of failure at dieting
C) self-esteem is likely to be decreased by body dissatisfaction
D) all of the above

A

D) all of the above

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6
Q

Which of following does not appear to characterize families of eating disordered patients:

A) low expressiveness
B) conflicted and lacking cohesion
C) poor communication and nurturing
D) all of the above are characteristics of families of eating disordered patients

A

D) all of the above are characteristics of families of eating disordered patients

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7
Q

Probably the most important first step in the treatment of anorexia nervosa is

A) forced feeding
B) nutritional therapy
C) family therapy
D) individual psychotherapy

A

B) nutritional therapy

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8
Q

Both older tricyclics and newer SSRIs have been shown to be highly successful in the long-term treatment of bulimia

A) True
B) False

A

B) False

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9
Q

Research has shown that the most effective type of treatment for bulimia is:

A) SSRIs
B) supportive psychotherapy
C) Cognitive-behavioural therapy
D) group therapy

A

C) Cognitive-behavioural therapy

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10
Q

Tolerance and withdrawal symptoms define dependence while, ____________ dependence is known as habituation.

A) somatic; emotional
B) Psychological; physical
C) Emotional; Somatic
D) Physical; psychological

A

B) Psychological; physical?

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11
Q

It is an accepted fact that alcohol abuse and dependence runs in families but this does not disentangle the genetic and environmental influences.

A) True
B) False

A

A) True

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12
Q

Medications are sometimes used in the treatment of alcoholics, mainly to:

A) reduce withdrawal symptoms
B) Produce feelings of nausea
C) reduce the pleasurable feelings that result from drinking
D) all of the above

A

B) Produce feelings of nausea

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13
Q

The twelve steps that define AA indicate that

A) alcoholics are powerless to control drinking and must rely on a Higher Power
B) Alcoholism can be cured if meetings are attended regularly
C) Alcoholics must attend Mass regularly in conjunction with AA meetings
D) Success depends only on social support

A

A) alcoholics are powerless to control drinking and must rely on a Higher Power

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14
Q

Failure of the person’s coping skills to deal with alcoholism results in a _____________

A) Drinking Spree
B) Lapse
C) Relapse
D) Slip

A

C) Relapse

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15
Q

A potential result of long-term cannabis abuse is

A) Hallucinations
B) Abstinence Syndrome
C) Irregular Heart beat
D) A motivational Syndrome

A

C) Irregular Heart beat

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16
Q

Psychoanalysts see personality disorders as resulting from

A) The failure to resolve the Oedipal or Electra complex
B) Penis Envy (in women only)
C) failure to use adequate defense mechanisms
D) Disturbances in parent-child relationships

A

D) Disturbances in parent-child relationships

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17
Q

_____________________________Theory states that children learn how to relate to others by the way in which their parents relate to them

A) Parental
B) Parental-attachment
C) Attachment
D) Relationship

A

C) Attachment

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18
Q

Joan is a psychologist who argues that her client has a disorder due largely to the fact that his schemata (i.e. beliefs and assumptions) have become rigid and inflexible. Joan is taking a (n) ____________________ approach to understanding the etiology of personality disorders.

A) Attachment
B) Psychoanalytic
C) Behavioural
D) Cognitive-behavioural

A

D) Cognitive-behavioural

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19
Q

Individuals with this condition seem to avoid intimate involvement with others

A) Antisocial Personality Disorder
B) Avoidant Personality Disorder
C) Borderline Personality Disorder
D) Dependent Personality Disorder
E) Histrionic Personality Disorder
F) Narcissistic Personality Disorder
G) Obsessive-Compulsive Personality Disorder
H) Paranoid Personality Disorder
I) Schizoid Personality Disorder
J) Schizotypal Personality Disorder
A

B) Avoidant Personality Disorder

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20
Q

A pervasive pattern of avoiding interpersonal contacts and an extreme sensitivity to criticism and disapproval characterize these clients

A) Antisocial Personality Disorder
B) Avoidant Personality Disorder
C) Borderline Personality Disorder
D) Dependent Personality Disorder
E) Histrionic Personality Disorder
F) Narcissistic Personality Disorder
G) Obsessive-Compulsive Personality Disorder
H) Paranoid Personality Disorder
I) Schizoid Personality Disorder
J) Schizotypal Personality Disorder
A

B) Avoidant Personality Disorder

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21
Q

Pervasive suspiciousness regarding the motives of other people and a tendency to interpret what others say and do personally meaningful in a negative way are the primary feature of these patients

A) Antisocial Personality Disorder
B) Avoidant Personality Disorder
C) Borderline Personality Disorder
D) Dependent Personality Disorder
E) Histrionic Personality Disorder
F) Narcissistic Personality Disorder
G) Obsessive-Compulsive Personality Disorder
H) Paranoid Personality Disorder
I) Schizoid Personality Disorder
J) Schizotypal Personality Disorder
A

H) Paranoid Personality Disorder

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22
Q

Fluctuations in mood, an unstable sense of their own identity, and instability in their relationships characterize these patients

A) Antisocial Personality Disorder
B) Avoidant Personality Disorder
C) Borderline Personality Disorder
D) Dependent Personality Disorder
E) Histrionic Personality Disorder
F) Narcissistic Personality Disorder
G) Obsessive-Compulsive Personality Disorder
H) Paranoid Personality Disorder
I) Schizoid Personality Disorder
J) Schizotypal Personality Disorder
A

C) Borderline Personality Disorder

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23
Q

These patients grandiosely consider themselves to have unique ad outstanding abilities

A) Antisocial Personality Disorder
B) Avoidant Personality Disorder
C) Borderline Personality Disorder
D) Dependent Personality Disorder
E) Histrionic Personality Disorder
F) Narcissistic Personality Disorder
G) Obsessive-Compulsive Personality Disorder
H) Paranoid Personality Disorder
I) Schizoid Personality Disorder
J) Schizotypal Personality Disorder
A

F) Narcissistic Personality Disorder

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24
Q

The essential feature of this personality disorder is a “pervasive pattern of disregard for and violation of, the rights of others that begins in childhood or early adolescence and continues into adulthood”.

A) Antisocial Personality Disorder
B) Avoidant Personality Disorder
C) Borderline Personality Disorder
D) Dependent Personality Disorder
E) Histrionic Personality Disorder
F) Narcissistic Personality Disorder
G) Obsessive-Compulsive Personality Disorder
H) Paranoid Personality Disorder
I) Schizoid Personality Disorder
J) Schizotypal Personality Disorder
A

A) Antisocial Personality Disorder

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25
Q

These patients appear to be afraid to rely on themselves to make a decision; they seek advice and direction from others, need constant reassurance, and seek out relationships where they can adopt a new submissive role

A) Antisocial Personality Disorder
B) Avoidant Personality Disorder
C) Borderline Personality Disorder
D) Dependent Personality Disorder
E) Histrionic Personality Disorder
F) Narcissistic Personality Disorder
G) Obsessive-Compulsive Personality Disorder
H) Paranoid Personality Disorder
I) Schizoid Personality Disorder
J) Schizotypal Personality Disorder
A

D) Dependent Personality Disorder

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26
Q

Inflexibility and a desire for a perfection, in the absence of obsessional thoughts and compulsive behaviours, characterize this disorder

A) Antisocial Personality Disorder
B) Avoidant Personality Disorder
C) Borderline Personality Disorder
D) Dependent Personality Disorder
E) Histrionic Personality Disorder
F) Narcissistic Personality Disorder
G) Obsessive-Compulsive Personality Disorder
H) Paranoid Personality Disorder
I) Schizoid Personality Disorder
J) Schizotypal Personality Disorder
A

G) Obsessive-Compulsive Personality Disorder

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27
Q

Attention-seeking behaviours distinguish people with this disorder

A) Antisocial Personality Disorder
B) Avoidant Personality Disorder
C) Borderline Personality Disorder
D) Dependent Personality Disorder
E) Histrionic Personality Disorder
F) Narcissistic Personality Disorder
G) Obsessive-Compulsive Personality Disorder
H) Paranoid Personality Disorder
I) Schizoid Personality Disorder
J) Schizotypal Personality Disorder
A

E) Histrionic Personality Disorder

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28
Q

The major presenting features of these patients is eccentrically of thought and behaviour

A) Antisocial Personality Disorder
B) Avoidant Personality Disorder
C) Borderline Personality Disorder
D) Dependent Personality Disorder
E) Histrionic Personality Disorder
F) Narcissistic Personality Disorder
G) Obsessive-Compulsive Personality Disorder
H) Paranoid Personality Disorder
I) Schizoid Personality Disorder
J) Schizotupal Personality Disorder
A

J) Schizotypal Personality Disorder

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29
Q

These patients display little on the way of emotional responsiveness

A) Antisocial Personality Disorder
B) Avoidant Personality Disorder
C) Borderline Personality Disorder
D) Dependent Personality Disorder
E) Histrionic Personality Disorder
F) Narcissistic Personality Disorder
G) Obsessive-Compulsive Personality Disorder
H) Paranoid Personality Disorder
I) Schizoid Personality Disorder
J) Schizotypal Personality Disorder
A

I) Schizoid Personality Disorder

30
Q

They have an exaggerated sense of self-importance; indeed, egocentricity is the hallmark of these patients

A) Antisocial Personality Disorder
B) Avoidant Personality Disorder
C) Borderline Personality Disorder
D) Dependent Personality Disorder
E) Histrionic Personality Disorder
F) Narcissistic Personality Disorder
G) Obsessive-Compulsive Personality Disorder
H) Paranoid Personality Disorder
I) Schizoid Personality Disorder
J) Schizotypal Personality Disorder
A

F) Narcissistic Personality Disorder

31
Q

The believe that other people intend to hurt them, and they are reluctant to share anything personal for fear it might be used against them

A) Antisocial Personality Disorder
B) Avoidant Personality Disorder
C) Borderline Personality Disorder
D) Dependent Personality Disorder
E) Histrionic Personality Disorder
F) Narcissistic Personality Disorder
G) Obsessive-Compulsive Personality Disorder
H) Paranoid Personality Disorder
I) Schizoid Personality Disorder
J) Schizotupal Personality Disorder
A

B) Avoidant Personality Disorder

32
Q

These clients like solitary activities and do not seek or seem to desire sexual relations

A) Antisocial Personality Disorder
B) Avoidant Personality Disorder
C) Borderline Personality Disorder
D) Dependent Personality Disorder
E) Histrionic Personality Disorder
F) Narcissistic Personality Disorder
G) Obsessive-Compulsive Personality Disorder
H) Paranoid Personality Disorder
I) Schizoid Personality Disorder
J) Schizotypal Personality Disorder
A

I) Schizoid Personality Disorder

33
Q

Their thinking tends to be magical and full of odd beliefs; they typically believe in paranormal phenomena such as telepathy and clairvoyance

A) Antisocial Personality Disorder
B) Avoidant Personality Disorder
C) Borderline Personality Disorder
D) Dependent Personality Disorder
E) Histrionic Personality Disorder
F) Narcissistic Personality Disorder
G) Obsessive-Compulsive Personality Disorder
H) Paranoid Personality Disorder
I) Schizoid Personality Disorder
J) Schizotypal Personality Disorder
A

J) Schizotypal Personality Disorder

34
Q

The DSM-IV-TR criteria for the diagnosis of this disorder presents seven prime examples reflecting the violation of the rights of others; nonconformity, callousness, deceitfulness, irresponsibility, impulsivity, aggressiveness, and recklessness

A) Antisocial Personality Disorder
B) Avoidant Personality Disorder
C) Borderline Personality Disorder
D) Dependent Personality Disorder
E) Histrionic Personality Disorder
F) Narcissistic Personality Disorder
G) Obsessive-Compulsive Personality Disorder
H) Paranoid Personality Disorder
I) Schizoid Personality Disorder
J) Schizotupal Personality Disorder
A

A) Antisocial Personality Disorder

35
Q

The patients’ overriding instability in all aspects of their functioning makes them unpredictable and impulsive, and these features, along with their irritability and argumentative style, tend to seriously interfere with their relationships

A) Antisocial Personality Disorder
B) Avoidant Personality Disorder
C) Borderline Personality Disorder
D) Dependent Personality Disorder
E) Histrionic Personality Disorder
F) Narcissistic Personality Disorder
G) Obsessive-Compulsive Personality Disorder
H) Paranoid Personality Disorder
I) Schizoid Personality Disorder
J) Schizotupal Personality Disorder
A

C) Borderline Personality Disorder

36
Q

They are overly dramatic in their emotional displays, self-centered, and constant attempt to be the centre of attention

A) Antisocial Personality Disorder
B) Avoidant Personality Disorder
C) Borderline Personality Disorder
D) Dependent Personality Disorder
E) Histrionic Personality Disorder
F) Narcissistic Personality Disorder
G) Obsessive-Compulsive Personality Disorder
H) Paranoid Personality Disorder
I) Schizoid Personality Disorder
J) Schizotupal Personality Disorder
A

E) Histrionic Personality Disorder

37
Q

They are preoccupied with their own interests; they expect, and demand, to be treated as special, and this, along with their lack of empathy, leads them to exploit others

A) Antisocial Personality Disorder
B) Avoidant Personality Disorder
C) Borderline Personality Disorder
D) Dependent Personality Disorder
E) Histrionic Personality Disorder
F) Narcissistic Personality Disorder
G) Obsessive-Compulsive Personality Disorder
H) Paranoid Personality Disorder
I) Schizoid Personality Disorder
J) Schizotupal Personality Disorder
A

F) Narcissistic Personality Disorder

38
Q

These patients not only allow other people to assume responsibility for important aspects of their lives, they seem to desperately need to do so

A) Antisocial Personality Disorder
B) Avoidant Personality Disorder
C) Borderline Personality Disorder
D) Dependent Personality Disorder
E) Histrionic Personality Disorder
F) Narcissistic Personality Disorder
G) Obsessive-Compulsive Personality Disorder
H) Paranoid Personality Disorder
I) Schizoid Personality Disorder
J) Schizotupal Personality Disorder
A

D) Dependent Personality Disorder

39
Q

Suspiciousness

A) Antisocial personality Disorder
B) Avoidant Personality Disorder
C) Borderline Personality Disorder
D) Dependent Personality Disorder
E) Histrionic Personality Disorder
F) Narcissistic Personality Disorder
G) Obsessive-Compulsive Personality Disorder
H) Paranoid Personality Disorder
I) Schizoid Personality Disorder
J) Schizotypal Personality Disorder
A

H) Paranoid Personality Disorder

40
Q

Inflexibility and perfectionism

A) Antisocial personality Disorder
B) Avoidant Personality Disorder
C) Borderline Personality Disorder
D) Dependent Personality Disorder
E) Histrionic Personality Disorder
F) Narcissistic Personality Disorder
G) Obsessive-Compulsive Personality Disorder
H) Paranoid Personality Disorder
I) Schizoid Personality Disorder
J) Schizotypal Personality Disorder
A

G) Obsessive-Compulsive Personality Disorder

41
Q

Unable to function independently

A) Antisocial personality Disorder
B) Avoidant Personality Disorder
C) Borderline Personality Disorder
D) Dependent Personality Disorder
E) Histrionic Personality Disorder
F) Narcissistic Personality Disorder
G) Obsessive-Compulsive Personality Disorder
H) Paranoid Personality Disorder
I) Schizoid Personality Disorder
J) Schizotypal Personality Disorder
A

D) Dependent Personality Disorder

42
Q

Avoids intimacy

A) Antisocial personality Disorder
B) Avoidant Personality Disorder
C) Borderline Personality Disorder
D) Dependent Personality Disorder
E) Histrionic Personality Disorder
F) Narcissistic Personality Disorder
G) Obsessive-Compulsive Personality Disorder
H) Paranoid Personality Disorder
I) Schizoid Personality Disorder
J) Schizotypal Personality Disorder
A

B) Avoidant Personality Disorder

43
Q

Eccentricity

A) Antisocial personality Disorder
B) Avoidant Personality Disorder
C) Borderline Personality Disorder
D) Dependent Personality Disorder
E) Histrionic Personality Disorder
F) Narcissistic Personality Disorder
G) Obsessive-Compulsive Personality Disorder
H) Paranoid Personality Disorder
I) Schizoid Personality Disorder
J) Schizotypal Personality Disorder
A

J) Schizotypal Personality Disorder

44
Q

Instability

A) Antisocial personality Disorder
B) Avoidant Personality Disorder
C) Borderline Personality Disorder
D) Dependent Personality Disorder
E) Histrionic Personality Disorder
F) Narcissistic Personality Disorder
G) Obsessive-Compulsive Personality Disorder
H) Paranoid Personality Disorder
I) Schizoid Personality Disorder
J) Schizotypal Personality Disorder
A

C) Borderline Personality Disorder

45
Q

Violation of rights

A) Antisocial personality Disorder
B) Avoidant Personality Disorder
C) Borderline Personality Disorder
D) Dependent Personality Disorder
E) Histrionic Personality Disorder
F) Narcissistic Personality Disorder
G) Obsessive-Compulsive Personality Disorder
H) Paranoid Personality Disorder
I) Schizoid Personality Disorder
J) Schizotypal Personality Disorder
A

A) Antisocial personality Disorder

46
Q

Lack of emotional responsiveness

A) Antisocial personality Disorder
B) Avoidant Personality Disorder
C) Borderline Personality Disorder
D) Dependent Personality Disorder
E) Histrionic Personality Disorder
F) Narcissistic Personality Disorder
G) Obsessive-Compulsive Personality Disorder
H) Paranoid Personality Disorder
I) Schizoid Personality Disorder
J) Schizotypal Personality Disorder
A

I) Schizoid Personality Disorder

47
Q

Egocentricity

A) Antisocial personality Disorder
B) Avoidant Personality Disorder
C) Borderline Personality Disorder
D) Dependent Personality Disorder
E) Histrionic Personality Disorder
F) Narcissistic Personality Disorder
G) Obsessive-Compulsive Personality Disorder
H) Paranoid Personality Disorder
I) Schizoid Personality Disorder
J) Schizotypal Personality Disorder
A

F) Narcissistic Personality Disorder

48
Q

Attention-seeking

A) Antisocial personality Disorder
B) Avoidant Personality Disorder
C) Borderline Personality Disorder
D) Dependent Personality Disorder
E) Histrionic Personality Disorder
F) Narcissistic Personality Disorder
G) Obsessive-Compulsive Personality Disorder
H) Paranoid Personality Disorder
I) Schizoid Personality Disorder
J) Schizotypal Personality Disorder
A

E) Histrionic Personality Disorder

49
Q

According to the object-relations approach, treatment of personality disorders should involve:

A) Accepting the patient’s demanding and manipulative behaviours
B) Challenging the core beliefs of the patient
C) Correcting the flaws in the self resulting from unfortunate formative experiences
D) All of the above

A

C) Correcting the flaws in the self resulting from unfortunate formative experiences

50
Q

What are all the subtypes of personality disorders:

A
Antisocial personality Disorder
Avoidant Personality Disorder
Borderline Personality Disorder
Dependent Personality Disorder
Histrionic Personality Disorder
Narcissistic Personality Disorder
Obsessive-Compulsive Personality Disorder
Paranoid Personality Disorder
Schizoid Personality Disorder
Schizotypal Personality Disorder
51
Q

Drugs that inhibit neurotransmitter activity in the central nervous system e.g. alcohol, barbituates, benzo’s

A

Depressants

52
Q

A class of drugs that have a stimulating or arousing effect on the CNS, and create their effects by influencing the rate of uptake of the neurotransmitters dopamine and norepinephrine and serotonin at receptor sites in the brain

A

Stimulants

53
Q

Drugs that have effect of the body similar to those of the naturally occurring hormone adrenalin. Chronic use is associated with feelings of fatigue and sadness, as well as periods of social withdrawal and intense anger

A

amphetamines

54
Q

First drug used in treatment of anxiety & tension and later for sleep. Used in third world countries because they are cheaper but not commonly used here because the benzo’s are more effective

A

barbiturates

55
Q

Hashish, which comes from the hemp plant, has psychoactive effects caused primarily by the chemical THC

A

cannabis

56
Q

False perceptions occurring in the absence of any relevant stimulus. Auditory ________ are the most common form, but they may occur within any sensory modality

A

hallucinogens

57
Q

A class of CNS depressants whose main effects are the reduction of pain and sleep inducement. Opium, the alkaloid from which opioids are deprived, comes from the seeds of opium poppy

A

opiods

58
Q

Recurrent substance use that results in significant adverse consequences in social or occupational functioning, or use of a substance that impairs one’s performance in hazardous situations, for example drinking and driving

A

substance abuse

59
Q

The need of a person for increased amounts of an addictive substance to achieve the desired effect

A

tolerance

60
Q

Unpleasant and sometimes dangerous symptoms such as nausea, headache, or tremors when the addictive substances is removed from the body.

A

withdrawal symptoms

61
Q

The return of an illness or disorder after a recovery

A

relapse

62
Q

Maladaptive behaviour is seen as a result of self-defeating thoughts and self-deception that can bring about “inadvertent” _________

A

slips

63
Q

A continuing pattern of apathy, profound self-absorption, detachment from friends and family, and abandonment of career and educational goals evident in some long-term users of cannabis

A

amotivational syndrome

64
Q

diagnostic criteria for anorexia:

A
  1. Refusal to maintain body weight at or above a minimally normal weight
  2. Intense fear of gaining weight or becoming fat, even though underweight
  3. Disturbances in the way in which one’s body weight or shape is experienced, undue influence of body weight or shape on self-evaluation, or denial of the seriousness of the current low body weight
  4. In postmenarcheal females, amenorrhea, i.e., the absence of at least three consecutive menstrual cycles.
65
Q

purging and non-purging types:

A

Purging type- during the current episode of bulimia, the person has regularly engaged in self-induced vomiting or the misuse of laxatives, diuretics, or enemas

Nonpurging type- during the current episode of bulimia, the person has used other inappropriate compensatory behaviours, such as fasting or excessive exercise, but has not regularly engaged in self-induced vomiting or the misuse of laxatives, diuretics, or enemas

66
Q

treating anorexia and bulimia

A

Bulimia has been treated with antidepressants in addition to CBT (cognitive behaviour therapy) of approximately 20 weeks

Anorexia is treated first by restoring the body weight to a minimal healthy level because it is important for medical stability.

67
Q

diagnostic criteria bulimia:

A

Recurrent episodes of binge eating. An episode of binge eating is characterized by both of the following

  1. eating, in discrete period of time
  2. a sense of lack of control of eating during the episode

Recurrent inappropriate compensatory behaviour in order to prevent weight gain, such as self-induced vomiting; misuse of laxatives, diuretics, enemas, or other medications; fasting or excessive exercise

68
Q

Works with more alcoholics worldwide than any other treatment organization. Self-help group that does not use professionally trained staff.

A

AA

69
Q

use of medication in treating alcoholism

A

Medications can be used to target neurotransmitters that mediate alcohol’s effects on the brain and “blocks” the pleasurable effects of alcohol. It is also used to help the craving, treat detox, and produce nausea when alcohol is consumed.

70
Q

five formal criteria in defining all personality disorders:

A

The DSM-IV-TR provides 5 formal criteria in defining all personality disorders:

Criterion A - states that the pattern of behaviour must be manifested in at least two of the following areas: cognition, emotions, interpersonal functioning, or impulse control.

Criterion B - requires that the enduring pattern of behaviour be rigid and consistent across a broad range of personal and social situations

Criterion C - states that this behaviour should lead to clinically significant distress

Criterion D - requires stability and long duration of symptoms, with onset in adolescence or earlier

Criterion E - states that the behaviour cannot be accounted for by another mental disorder

71
Q

five formal criteria for a diagnosis of substance dependence:

A
  1. tolerance, as defined as by either of the following
    a) a need for increased amounts of alcohol to achieve the desired effect
    b) diminished effect with continued use
  2. withdrawal
  3. the substance is often taken in larger amounts or over a longer period than was intended
  4. there is a persistent desire or unsuccessful efforts to cut down or control substance use
  5. a great deal of time is spent in activities necessary to obtain it