Workshop Questions Flashcards
For individuals with Autism Spectrum Disorder, a better prognosis has been linked to which of the following?
a. no or minimal delays in motor development
b. an ability to communicate verbally by age five or six
c. a brief period of active-phase symptoms
d. strong family support
b. an ability to communicate verbally by age five or six
A better prognosis for Autism Spectrum Disorder has been linked to an ability to communicate verbally by age five or six, an IQ over 70, and a later onset of symptoms.
Research investigating the effectiveness of neurofeedback as a treatment for ADHD has generally found which of the following?
a. It is not an effective treatment for most individuals with this disorder.
b. It is an effective treatment and exerts its strongest effects on inattention and
impulsivity.
c. It is an effective treatment and exerts its strongest effects on hyperactivity.
d. It is an effective treatment only when used in conjunction with a central nervous
system stimulant.
b. It is an effective treatment and exerts its strongest effects on inattention and impulsivity.
A meta-analysis of the research by Arns et al. (2009) found that neurofeedback (EEG biofeedback) produced a large effect size for inattention and impulsivity and a medium effect size for hyperactivity and that its effects are similar to those of stimulant medication. The results also indicated that the benefits of neurofeedback remained stable or increased over a two-year period.
Compared to children in the general population, children with a Specific Learning Disorder are:
a. at lower risk for ADHD and other mental disorders.
b. at about the same risk for ADHD and other mental disorders.
c. at about the same risk for ADHD and other mental disorders but at higher risk for
more severe symptoms.
d. at higher risk for ADHD and other mental disorders.
d. at higher risk for ADHD and other mental disorders.
Children with Specific Learning Disorder tend to be at higher risk for other mental health problems. For example, the rate of ADHD is about 5% for children in the general population but 20 to 30% for children with Specific Learning Disorder.
The mean age of onset of motor tics in Tourette’s Disorder is:
a. 1 to 3 years.
b. 5 to 7 years.
c. 9 to 11 years.
d. 12 to 14 years.
b. 5 to 7 years.
The reported mean age of onset of motor tics varies, but a commonly reported range is between 5 and 7 years. The onset of vocal tics is usually later, with a mean age of 11 years.
Of the brain abnormalities associated with Schizophrenia, which of the following has been found in the largest proportion of patients?
a. enlarged hippocampus
b. enlarged frontal lobes
c. enlarged temporal lobes
d. enlarged ventricles
d. enlarged ventricles
Of the structural brain abnormalities linked to Schizophrenia, enlarged lateral and third ventricles have been found in the largest proportion of patients with reported percentages ranging from 15 to 30%.
The biological brother of a person who has received a diagnosis of Schizophrenia is \_\_\_\_\_\_\_\_ times more likely to develop the disorder than a member of the general population. a. two b. five c. ten d. twenty
c. ten
Approximately 1% of the general population develops Schizophrenia. For biological siblings of a person with Schizophrenia, this increases to about 10%.
Seasonal affective disorder (SAD) has been most consistently linked to \_\_\_\_\_\_\_\_\_\_ abnormalities. a. cortisol b. glutamate c. melatonin d. GABA
c. melatonin
Seasonal affective disorder has been linked to a disruption in circadian rhythms that is caused by abnormalities in the secretion of melatonin by the pineal gland.
In adults, the rate of Major Depressive Disorder for women is about 1.5 to 3 times the
rate for men. This gender difference:
a. is the opposite of what is found in prepubertal children.
b. is the same as what is found in prepubertal children.
c. does not become evident until early adulthood.
d. does not become evident until mid-adolescence.
d. does not become evident until mid-adolescence.
The gender difference in the rates of Major Depressive Disorder does not become evident until puberty. Prior to that time, the rates for males and females are about equal.
In the United States, the highest rates of suicide for individuals ages 15 to 34 are for:
a. American Indian/Alaskan Natives.
b. Blacks.
c. Hispanics.
d. Whites.
a. American Indians/Alaskan Natives.
Recent data confirm that Whites generally have higher rates of suicide than members of other ethnic/racial groups. An exception is that, for American Indian/Alaskan Native adolescents and young adults, ages 15 to 34, the suicide rate is 2.5 times higher than the national average
for that age group.
The DSM-5 diagnosis of Panic Disorder requires at least two __________ panic attacks, with at least one attack being followed by __________ or more of persistent concern or worry about having another attack or the consequences of an attack and/or a significant
maladaptive change in behavior that is related to the attacks.
a. expected or unexpected; one month
b. expected or unexpected; three months
c. unexpected; one month
d. unexpected; two months
c. unexpected; one month
For a DSM-5 diagnosis of Panic Disorder, a person must have recurrent unexpected panic attacks, with at least one of the attacks being followed by “persistent concern or worry about additional attacks or their consequences” and/or “a significant maladaptive change in behavior related to the attacks” (APA, 2013, p. 208).
Mary Ann, age 29, seems very nervous during her first therapy session with you. When she speaks, her hands shake and she blushes. She tells you that, while she isn’t afraid to be around people, she gets anxious and flustered whenever she has to speak to people she
doesn’t know. Mary Ann also says she has trouble talking to her supervisor at work because he’s condescending and critical. Based on these symptoms, the most likely diagnosis for Mary Ann is which of the following?
a. Specific Phobia
b. Social Anxiety Disorder
c. Panic Disorder
d. Generalized Anxiety Disorder
b. Social Anxiety Disorder
Social Anxiety Disorder involves marked fear of or anxiety about one or more social situations in which the individual may be exposed to the scrutiny of others.
Studies suggest that which of the following is the most effective intervention for Generalized Anxiety Disorder?
a. flooding
b. systematic desensitization
c. stress inoculation
d. cognitive-behavioral therapy
d. cognitive-behavioral therapy
Reviews of the literature have confirmed that multicomponent cognitive-behavioral therapy is the most effective treatment for Generalized Anxiety Disorder.
Which of the following is true about the rates of Obsessive-Compulsive Disorder for males and females?
a. In both children and adults, the rates are higher for males than for females.
b. In both children and adults, the rates are higher for females than for males.
c. In children, the rates are higher for males; in adults, the rates are about equal for males and females.
d. In children, the rates are higher for females; in adults, the rates are about equal for males and females.
c. In children, the rates are higher for males; in adults, the rates are about equal for males and females
Because the average age of onset of OCD is earlier for males than females, among children, the rate of the disorder is higher for males. However, in adulthood, the rates are about equal for males and females.
Your new client, Roberto R., was involved in a car accident three weeks ago in which the driver of the other car was killed. He is having “bad dreams” about car crashes, has been unable to drive or ride in a car, and is having trouble concentrating at work. He says that he doesn’t remember much about what happened the first few days after the accident and that, since the accident, he’s been unusually irritable and has frequently lost his temper for no good reason. The most likely diagnosis for Roberto is which of the following?
a. Posttraumatic Stress Disorder
b. Specific Phobia
c. Acute Stress Disorder
d. Generalized Anxiety Disorder
c. Acute Stress Disorder
The nature and duration of Roberto’s symptoms are consistent with Acute Stress Disorder. He was involved in a traumatic event, has memory loss for a period of time after the event, is re-experiencing the event in dreams, is avoiding activities associated with the event, is having
trouble concentrating, and is unusually irritable, and his symptoms have lasted for three weeks.
The presence of which of the following is more suggestive of Malingering than Factitious Disorder?
a. The motive for feigning symptoms is to obtain an external reward.
b. The motive for feigning symptoms is to keep a conflict or impulse out of conscious awareness.
c. Symptoms are related to an identified deception that is not associated with attainment of an external reward.
d. Symptoms are inconsistent with known neurological or medical conditions.
a. The motive for feigning symptoms is to obtain an external reward.
Malingering is included in the DSM-5 with Other Conditions That May Be a Focus of Clinical Attention and involves the intentional production of false or grossly exaggerated physical or psychological symptoms for personal gain. (Answer c is consistent with Factitious Disorder.) D is conversion disorder
As a treatment for Erectile Dysfunction, sildenafil citrate (Viagra) exerts its therapeutic effects by increasing:
a. androgen levels.
b. blood flow to the penis.
c. sensitivity in the penis.
d. sexual desire.
b. blood flow to the penis.
Viagra and similar medications (Levitra, and Cialis) are PDE-5 inhibitors, which promote erection by relaxing the smooth muscle in the penis and thereby increasing blood flow.
A 45-year-old man who began drinking heavily when he was in his early 30s and who now has Korsakoff syndrome is most likely to have difficulty remembering:
a. how to shave and brush his teeth.
b. the name of his high-school sweetheart.
c. his first job when he graduated from college at age 24.
d. the name of his first grandchild who was born when he was 42.
d. the name of his first grandchild who was born when he was 42.
A distinguishing feature of Korsakoff syndrome is that it impairs memory for relatively recent events (memory for events that occurred after the individual began drinking) more severely than memory for remote events.
The research has found that, after consuming the same amount of alcohol, older (versus younger) adults typically report:
a. stronger subjective feelings of intoxication as well as longer-lasting effects.
b. stronger subjective feelings of intoxication but shorter-lasting effects.
c. weaker subjective feelings of intoxication but longer-lasting effects.
d. weaker subjective feelings of intoxication and shorter-lasting effects.
a. stronger subjective feelings of intoxication as well as longer-lasting effects.
The studies have found that older adults not only report greater and longer periods of intoxication after ingesting the same amount of alcohol as younger adults but also exhibit more impairment in perceptual motor capacity as the result of alcohol consumption.
A patient with Neurocognitive Disorder Due to Alzheimer’s Disease is likely to exhibit which of the following during the initial stage of the disorder?
a. greater impairment in procedural memory than in episodic and semantic memory
b. greater impairment in episodic and semantic memory than in procedural memory
c. greater impairment in procedural and episodic memory than in semantic memory
d. a similar degree of impairment in procedural, episodic, and semantic memory
b. greater impairment in episodic and semantic memory than in procedural memory
In the early stages of Alzheimer’s Disease, anterograde amnesia affects both episodic and semantic memory, which are the two aspects of declarative memory. However, procedural memory remains relatively unaffected.
Individuals who receive a diagnosis of which of the following Personality Disorders will most likely no longer meet all of the diagnostic criteria for the disorder when they reach middle age?
a. Schizotypal Personality Disorder
b. Antisocial Personality Disorder
c. Paranoid Personality Disorder
d. Avoidant Personality Disorder
b. Antisocial Personality Disorder
While Antisocial Personality Disorder is chronic, its symptoms (especially involvement in criminal behavior) often become less severe and pervasive by the fourth decade of life.
A 32-year-old woman has refused two promotions at work because she doesn’t want to risk being criticized for failing to meet new responsibilities. She spends a lot of time alone fantasizing about an ideal mate; and, when her best friend invites her to parties or other social events, she declines, often claiming that she has a headache or is too tired. When in a social situation, the woman vigilantly watches the reactions of others. These symptoms are most suggestive of which Personality Disorder?
a. Paranoid
b. Schizoid
c. Borderline
d. Avoidant
d. Avoidant
Avoiding relationships due to fear of criticism and fantasizing about an ideal relationship are characteristic symptoms of Avoidant Personality Disorder.
A therapy client who has angry, hostile feelings for his soon-to-be ex-wife begins to verbally attack his supportive therapist for no reason. The client’s behavior illustrates which of the following defense mechanisms?
a. reaction formation
b. projection
c. sublimation
d. displacement
d. displacement
Displacement involves redirecting undesirable sexual or aggressive feelings toward one person onto a safe or vulnerable substitute.
According to Margaret Mahler, which of the following is key to the development of object relations?
a. healthy narcissism
b. separation-individuation
c. mirroring
d. syntaxic cognitive expression
b. separation-individuation
Mahler describes early development as involving several stages. It is during the separation-individuation stage (which begins at about four months of age) that the
development of object relations occurs.
From the perspective of Gestalt therapy, transference:
a. represents confusion between fantasy and reality.
b. represents projection of disowned parts of the self.
c. is an attempt to avoid strong feelings.
d. is a manifestation of regression.
a. represents confusion between fantasy and reality
A Gestaltian views a client’s transference as a form of fantasy and, to get the client back in the here-and-now, helps him/her distinguish between that fantasy and reality (e.g., “I’m your therapist, not your mother!”).
__________ attributed individual differences in personality and behavior to differences in the way that people “construe” (anticipate, perceive, interpret, and predict) events. For example, one person may perceive a new task at work as “interesting,” while another
person may perceive the same task as “boring.”
a. George Kelly
b. Fritz Perls
c. Carl Rogers
d. William Glasser
a. George Kelly
According to Kelly, a person’s psychological processes are determined by the way he or she “construes” events, with construing involving the use of personal constructs, which are bipolar dimensions of meaning (e.g., interesting/boring) that begin to develop in infancy and
may operate on an unconscious or conscious level.
Prochaska, Norcross, and DiClemente’s (1994) transtheoretical model distinguishes between 10 change processes and proposes that the most effective combination of processes depends on the client’s stage of change. For example, they recommend consciousness raising, supportive relationships, self re-evaluation, and emotional arousal as the optimal combination for clients in the __________ stage.
a. maintenance
b. conformity
c. action
d. contemplation
d. contemplation
Prochaska, Norcross, and DiClemente identify the change processes listed in the question as the optimal combination of processes for clients in the contemplation stage.
During the first therapy session with a husband and wife who are experiencing marital problems, a therapist requests that, during the next week, they identify things in their relationship that they want to continue. Most likely, this therapist is a practitioner of:
a. psychoeducational family therapy.
b. behavioral marital therapy.
c. interpersonal therapy.
d. solution-focused therapy.
d. solution-focused therapy
The therapist has given the couple a task that will help them focus on the positive aspects of their relationship. In the context of solution-focused therapy, this assignment is an example of a “formula task.” Its purpose is to help the couple identify positive aspects of their relationship that, in turn, can lead to solutions to their marital difficulties.
Role disputes, role transitions, unresolved grief, and interpersonal deficits are the primary targets of:
a. reality therapy.
b. solution-focused therapy.
c. narrative therapy.
d. interpersonal therapy.
d. interpersonal therapy. Interpersonal therapy (IPT) is a brief structured manual-based therapy that was originally developed as a treatment for depression but has since been applied to other disorders. Its primary targets are the four problem areas listed in this question.
The information that family members continuously exchange and that helps minimize deviation and maintain the family’s current state of equilibrium is referred to as ________ feedback.
a. external
b. internal
c. negative
d. positive
c. negative
The information exchange between family members can act as either positive or negative feedback. Negative feedback helps the family system return to or maintain its current state of equilibrium (homeostasis) and thereby helps minimize deviation and change.
A family therapist notices that, whenever the mother talks, the father and son contradict what she says and criticize her. As described by Minuchin, the father and son’s behavior is an example of:
a. triangulation.
b. a stable coalition.
c. positive feedback.
d. scapegoating.
b. a stable coalition
Minuchin uses the term stable coalition to describe a relationship between two family members that involves the consistent joining of those members against a third member, which sounds like what’s going on in the situation described in this question. (As defined by
Minuchin, stable coalition and triangulation are both types of rigid triangles that serve to reduce stress. However, triangulation occurs when each parent demands that the child side with him/her so that the child is being pulled in two directions.)
A practitioner of Minuchin’s structural family therapy uses which of the following to alter the hierarchical relationships within a family system or subsystem?
a. unbalancing
b. tracking
c. reframing
d. mimesis
a. unbalancing
Unbalancing is a restructuring technique that is used by structural family therapists to change hierarchical relationships between family members. It may involve affiliating with a family member, ignoring a family member, or entering into a coalition with a family member against another member.
Howard et al.’s (1986) phase model proposes that a client’s progress in therapy occurs in three predictable phases. These are:
a. unfreezing, changing, and refreezing.
b. remoralization, remediation, and rehabilitation.
c. engagement, exploration, and evaluation.
d. contemplation, action, and termination.
b. remoralization, remediation, and rehabilitation.
As described by Howard et al., remoralization is an improvement in the subjective sense of well-being, remediation is a reduction in symptoms, and rehabilitation involves improvements in overall functioning.
Data published by Hans Eysenck in 1952:
a. confirmed the effectiveness of behavioral treatments for a variety of psychological disorders.
b. confirmed the “Dodo bird” hypothesis, which predicts that various types of treatment are equally effective for a variety of psychological disorders.
c. challenged the notion of “spontaneous remission.”
d. challenged the effectiveness of conventional psychotherapeutic interventions.
d. challenged the effectiveness of conventional psychotherapeutic interventions
Eysenck’s 1952 publication sparked research on psychotherapy outcomes. In that article, he reported that 66% of patients in eclectic therapy and 44% in psychoanalytic psychotherapy improved versus 72% of those with similar problems who did not receive therapy.
Efficacy studies are:
a. useful for determining a treatment’s cost-effectiveness.
b. conducted under well-controlled conditions.
c. better than effectiveness studies for evaluating a treatment’s generalizability.
d. no longer conducted because of their limited usefulness.
b. conducted under well-controlled conditions.
Efficacy studies are conducted in well-controlled conditions, often using a structured manualized format. In contrast, effectiveness studies are conducted in applied (clinical) settings with less experimental control. Efficacy studies are considered useful for establishing
whether or not a treatment has significant effects, while effectiveness studies are better for assessing a treatment clinical utility (i.e., for determining the treatment’s generalizability, feasibility, and cost-effectiveness).
A psychologist who is an expert in the field of geriatrics is hired by the designers of a retirement facility to make recommendations regarding the design of shared (community) spaces so that the social isolation of residents will be minimized. This is an example of:
a. tertiary prevention.
b. secondary prevention.
c. primary prevention.
d. strategic prevention.
c. primary prevention
The goal of a primary prevention is to reduce the likelihood that a mental disorder or other problem will occur. Designing a retirement facility in a way that reduces social isolation is an example of primary prevention.
A therapist familiar with the impact of cultural factors on symptom expression assumes that an Asian client’s somatic complaints are actually indicative of a mental disorder. This is an example of:
a. the fundamental attribution bias.
b. demand characteristics.
c. diagnostic overshadowing.
d. the parallel process.
c. diagnostic overshadowing
Diagnostic overshadowing occurs when one aspect of a client’s symptoms or condition “overshadows” the therapist’s ability to consider or recognize other symptoms or conditions. Although the term was originally used to describe diagnostic errors for individuals with mental retardation, it has since been applied to other diagnoses and situations.
Smith, Glass, and Miller’s (1980) meta-analysis of studies investigating the outcomes of psychotherapy found that, at the end of therapy, the average client “is better off than ___ percent of those who need therapy but remain untreated.”
a. 50
b. 65
c. 80
d. 95
c. 80
Smith, Glass, and Miller’s meta-analysis (1980) included 475 outcome studies published between 1941 and 1976 and produced an effect size of .85, which means that the mean for the treatment groups was .85 standard deviations above the mean for the control (no treatment) groups – or, put another way, the average treated patient was better off than about 80% of those who needed treatment but did not receive it.
Research on Helms’s White Racial Identity Development Model has found that a white therapist is most effective when working with clients from culturally-diverse groups when the therapist is in which of the following stages?
a. identity integration
b. internalization
c. reintegration
d. autonomy
d. Autonomy
Not surprisingly, the research has found that a white therapist is most effective in cross-cultural counseling situations when the therapist is in the final stage of identity development – i.e., the autonomy stage.
A therapist adopting an etic approach:
a. believes that psychological principles are universally applicable.
b. views different cultures in relativistic terms.
c. focuses on environmental factors that affect individual functioning.
d. is equally comfortable in multiple cultures.
a. believes that psychological principles are universally applicable
Etic is contrasted with emic. The former refers to universal (culture-general) approaches, while the latter refers to culture-specific approaches.
According to Berry’s acculturation model, a member of a culturally-diverse (minority) group is exhibiting marginalization when she or he:
a. has rejected the mainstream (dominant) culture.
b. has rejected her/his own minority culture.
c. is uninvolved in both the mainstream and minority culture.
d. is highly involved in the minority culture but uninvolved in the mainstream culture.
c. is uninvolved in both the mainstream and minority culture
Berry describes acculturation in terms of two independent dimensions: involvement in one’s minority culture and involvement in the mainstream (majority) culture. A marginalized person is uninvolved in both cultures.
According to Cross, an African-American adult in which of the following stages of identity development is likely to say that racial oppression is not a contributor to his problems and that he prefers to see a white therapist?
a. disintegration
b. pre-encounter
c. emersion
d. pseudo-independence
b. pre-encounter
Cross’s Nigrescence Identity Development Model distinguishes between four stages – pre-encounter, encounter, immersion-emersion, and internalization. According to this model, race has low salience for people in the pre-encounter stage. African-Americans in this stage are likely to deny the existence of racism and to prefer a white therapist.
During the first therapy session with a White female therapist, an African American male client says he’s concerned that he’ll feel uncomfortable talking about racial issues in therapy since she’s not African American. In response, the therapist says, “I understand how you feel. As a woman, I’ve also experienced discrimination.” As described by Sue and his colleagues (2007), the therapist’s response is an example of which of the following?
a. diagnostic overshadowing
b. microaggression
c. cultural encapsulation
d. ethnocentrism
b. microaggression
Sue and his colleagues define racial microaggression as “brief and commonplace daily verbal,
behavioral, and environmental indignities, whether intentional or unintentional, that communicate hostile, derogatory, or negative racial slights and insults to the target person or group” (p. 273). They also distinguish between three types of microaggression: microassaults
(explicit racial aggression that involves a violent verbal or nonverbal attack), microinsults (behaviors and verbal remarks or comments that are insensitive and demean the person’s racial heritage or identity), and microinvalidation (verbal comments and behaviors that
negate or nullify the thoughts, feelings, or experiences of a person of color). The therapist’s response to the client’s comment is an example of a microinvalidation. (Racial
microaggressions in everyday life: Implications for clinical practice, American Psychologist, 62, 271-286, 2007).
According to Sue (1978), most middle-class European Americans have:
a. an internal locus of control and an internal locus of responsibility.
b. an internal locus of control and an external locus of responsibility.
c. an external locus of control and an internal locus of responsibility.
d. an external locus of control and an external locus of responsibility.
a. an internal locus of control and an internal locus of responsibility. Sue (1978) describes a person’s worldview in terms of two dimensions – locus of control and locus of responsibility According to Sue, most middle-class European Americans have an internal locus of control and an internal locus of responsibility and, consequently, value personal responsibility and success and attribute their successes to their own efforts.
Variable A is paired with Variable B so that, eventually, the response automatically produced by Variable A is also produced by Variable B. Then, Variable B is paired with Variable C so that it too produces the same response. When Variable B is paired with Variable C, Variable B is being treated as a(n):
a. conditioned stimulus.
b. unconditioned stimulus.
c. secondary reinforcer.
d. primary reinforcer.
b. unconditioned stimulus
The technique described in the question is known as higher-order conditioning. When the original CS (Variable B) is paired with a second CS (Variable C), the original CS is acting as a US.
Research using the dismantling strategy suggests that the benefits of systematic desensitization are due to:
a. counterconditioning.
b. extinction.
c. fading.
d. trace conditioning.
b. extinction
Although systematic desensitization is based on counterconditioning, research using a dismantling strategy suggests that its effects are actually due to exposure to the CS without the US (i.e., classical extinction).
Use of Wolpe’s “reciprocal inhibition” involves:
a. pairing anxiety-inducing stimuli with relaxation.
b. pairing an undesirable behavior with an aversive stimulus.
c. replacing external attributions with internal attributions.
d. narrowing the cues that trigger the target response.
a. pairing anxiety-inducing stimuli with relaxation
Reciprocal inhibition is used to reduce fear and anxiety responses and involves pairing stimuli that evoke fear with stimuli that produce relaxation or another incompatible response.
When using in vivo aversion therapy to eliminate a client’s shoe fetish, an electric shock or other unpleasant stimulus acts as a(n):
a. negative punisher.
b. positive punisher.
c. conditioned stimulus.
d. unconditioned stimulus.
d. unconditioned stimulus.
In this situation, the shoe is the conditioned stimulus (CS) and will be paired with electric shock or other stimulus that naturally produces an unpleasant reaction so that, eventually, the shoe also produces the unpleasant reaction. The electric shock or other stimulus that
naturally produces an unpleasant reaction is the unconditioned stimulus (US).
In the context of operant conditioning, “fading” refers to which of the following?
a. the gradual reduction of reinforcement
b. the gradual removal of prompts
c. a reduced response to punishment
d. the elimination of stimulus generalization
b. the gradual removal of prompts
When teaching a new response, nonverbal and verbal prompts may be used to help elicit that response. Because the ultimate goal is for the response to occur independently, prompts are gradually removed once the response is well-established. This procedure is referred to as fading. For the exam, you want to be sure not to confuse fading with thinning, which refers to
a reduction in reinforcement. (A is “thinning”)
Which of the following is an example of negative reinforcement?
a. A truck driver stops speeding after receiving her third ticket for driving over the speed limit.
b. A child keeps whining because of the negative attention he receives whenever he does so.
c. A college student cleans his dorm room in order to keep his roommate from nagging him about how sloppy he is.
d. A boy stops fighting with his sister because, whenever he fights with her, his parents subtract 50 cents from his weekly allowance.
c. a college student cleans his dorm room to keep his roommate from nagging him about
how sloppy he is
Negative reinforcement is occurring when a behavior is performed (increases) to escape or avoid a stimulus. In this case, the student cleans his room to avoid his roommate’s nagging. Negative reinforcement, like positive reinforcement, results in an increase in a behavior. In responses “a” and “d”, a behavior is not being performed (i.e., is decreasing) because of the
consequences. Both of these situations are examples of punishment. Response “b” is an example of positive reinforcement: The boy’s whining is increasing because of the stimulus that is applied following the whining.
Skinner attributed the “superstitious” behaviors of his experimental animals to which of the following?
a. successive approximation conditioning
b. higher-order conditioning
c. accidental reinforcement
d. overcorrection
c. accidental reinforcement
Skinner found that the odd behaviors exhibited by pigeons in his study were the result of accidental pairing of reinforcers with those behaviors. For example, if a pigeon was accidentally reinforced with food while it was pecking at the floor, it would continue pecking at the floor even though it had never been deliberately reinforced for doing so. Skinner concluded that the superstitious behaviors of humans can be attributed to accidental reinforcement.
The parents of a 7-month-old complain that he whines constantly and that he will only stop whining when they pick him up. The psychologist tells them to stop picking the boy up when he whines. When the parents do so, which of the following is most likely to occur?
a. The child’s whining will gradually decrease.
b. The child’s whining will first increase, then decrease.
c. The child’s whining will continue to increase.
d. The child’s whining will be replaced by another undesirable behavior.
b. The child’s whining will first increase, then decrease.
Use of extinction to eliminate a previously reinforced response often results in a temporary extinction (response) burst.
You reward a child whenever he does not exhibit the target behavior but, instead, engages in other activities during a prespecified period of time. This is called:
a. response cost.
b. overcorrection.
c. time out.
d. differential reinforcement.
d. differential reinforcement
Differential reinforcement for other behaviors (D.R.O.) involves reinforcing a person when he/she exhibits other, alternative behaviors to the target behavior during a prespecified period of time (e.g., every 10 minutes).
Mrs. Ichthys teaches her son to feed his pet goldfish by first showing him how to put the fish food into the aquarium. Once the boy has mastered that task, she teaches him to open the container of fish food and then put it into the aquarium. Finally, she teaches her son to
open the cupboard, take out the container of fish food, open it, and put the food into the aquarium. The procedure that Mrs. Ichthys has used is best described as:
a. backward chaining.
b. forward chaining.
c. stimulus control training.
d. sequential training.
a. backward chaining
Mrs. Ichthys’s son has been taught a complex behavior by teaching him the individual responses in the “behavior chain.” Since Mrs. Ichthys has started with the last behavior and “worked backward” from there, this is best described as an example of backward chaining.
In their revision of the learned helplessness model of depression, Abramson, Metalsky, and Alloy (1989) emphasize the role of:
a. punishment.
b. internal attributions.
c. feelings of hopelessness.
d. genetic predisposition.
c. feelings of hopelessness
In their version of the learned helplessness hypothesis, Abramson et al. de-emphasize the role of attributions (emphasized in the previous version) and emphasize the role of hopelessness in the development of depression.
When relying on the therapeutic approach of Beck, a cognitive therapist would emphasize use of which of the following?
a. circular questioning
b. Socratic questioning
c. deflection
d. positioning
b. Socratic questioning
An essential technique in Beck’s cognitive therapy is guided discovery, which makes use of Socratic questioning that is designed to help the individual identify the impact of cognitions on emotions and behavior.
As described by Beck, automatic thoughts involve:
a. interpreting experiences in patterned, reflexive ways.
b. enduring schemas that have been repeatedly reinforced.
c. “shoulds,” “musts,” or “oughts.”
d. seeing causal connections between unrelated events.
a. interpreting experiences in patterned, reflexive ways
As the name implies, automatic thoughts are automatic or reflexive. They also have an interpretive (evaluative) component – e.g., “this is awful.”
The three overlapping stages of Meichenbaum’s stress inoculation training are:
a. formulation, problem focus, and termination.
b. self-monitoring, self-evaluation, and self-reinforcement.
c. cognitive modeling, overt instruction, and covert instruction.
d. education, skills acquisition, and application.
d. education, skills acquisition, and application.
Unfortunately, the names given to the three stages of stress inoculation vary somewhat in the literature. The first stage is referred to as the education, conceptualization, or cognitive phase; the second stage as the skills application or training phase or the skills acquisition and rehearsal phase; and the third phase as the application or application and follow-through phase.
Thermal biofeedback would be most effective as a treatment for:
a. hyperventilation.
b. Raynaud’s disease.
c. stuttering.
d. Gerstmann’s syndrome.
b. Raynaud’s disease
Raynaud’s disease is a disorder of the blood vessels that limits circulation to certain areas of the body (usually the fingers and toes). Thermal (temperature) biofeedback has been found to be an effective treatment for this disorder.
One of your closest friends recently changed her e-mail address and, when you begin to compose an e-mail message to her, you accidentally type her old e-mail address. Which of the following best explains your error? a. retroactive interference b. proactive interference c. decay theory d. cue-dependent forgetting
b. proactive interference
Proactive interference occurs when previously acquired information (your friend’s old e-mail address) interferes with the ability to learn or recall recently or newly acquired information (your friend’s new e-mail address). Retroactive interference occurs when recently acquired
information interferes with your ability to recall previously acquired information. According to decay theory, forgetting is due to the fading of memory traces over time. Cue-dependent forgetting occurs when there are insufficient retrieval cues.
You are given a list of 12 unrelated words to remember. After reviewing the list several times, the list is taken away and you engage in a distracting task for ten seconds. After a brief delay, you are then asked to recall the words in any order. Your recall will be best for:
a. words in the beginning of the list.
b. words in the middle of the list.
c. words at the end of the list.
d. words that have only one syllable.
a. words in the beginning of the list
This question is asking about the serial position effect. Research on this phenomenon has found that when there is a delay between learning and recall, words at the beginning of the list are remembered best. (When there is no delay, words in the beginning and end of the list are remembered best and to about the same degree.)
Sensory memory:
a. holds a very small amount of sensory data for a brief period.
b. holds a very small amount of sensory data for a long period.
c. holds a large amount of sensory data for a brief period.
d. holds a large amount of sensory data for a long period.
c. holds a large amount of sensory data for a brief period
Sensory memory seems to be able to store a large number of sensory events, but it does so for only a very brief period of time (.5 to 1 second).
As described by the levels of processing model of memory (Craik & Tulving, 1975), __________ processing is the deepest level.
a. iconic
b. structural
c. implicit
d. semantic
d. semantic
The levels of processing model distinguishes between three levels of information processing which, from shallowest to deepest, are structural, phonemic, and semantic. Semantic processing produces the best recall and involves processing terms, concepts, etc. in terms of
their meaning.
Vicarious liability is most likely to be an issue when a psychologist is acting in the role of:
a. supervisor.
b. faculty member.
c. advocate.
d. mentor.
a. supervisor.
When a psychologist is liable for the actions of his/her supervisee or employee, this is referred to as vicarious liability.
Of the cases processed by the APA’s Ethics Committee as the result of revocation of a psychologist’s license by a state licensing board, the most common underlying cause for the loss of licensure is which of the following?
a. nonsexual dual relationship
b. sexual misconduct
c. confidentiality
d. practicing outside the boundaries of one’s competence
b. sexual misconduct
Loss of licensure is the most frequent reason for complaints processed by the APA’s Ethics Committee, and sexual misconduct is the most common underlying cause of the loss of licensure.
Dr. A. T. Tester, a licensed psychologist, is scheduled to testify on behalf of the prosecution in a criminal case. He receives a request from the defendant to act as a fact
witness. As an ethical psychologist, Dr. Tester should:
a. explain to the defendant’s attorney that he cannot do so since this would constitute a dual role, which is prohibited by ethical standards.
b. agree to do so only if he is able to get permission from the defendant and the plaintiff (or their attorneys) or from the court.
c. agree to act as a fact witness only after clarifying his responsibilities and role expectations with all parties.
d. agree to act as a fact witness since this does not conflict with his other role.
c. agree to act as a fact witness only after clarifying his responsibilities and role expectations with all parties.
The Specialty Guidelines for Forensic Psychology and the Ethics Code both caution against dual (multiple) roles in forensic settings but notes that, in some cases, they are acceptable. However, as noted in the Ethics Code, when a psychologist becomes involved in a dual
relationship, he/she should “clarify role expectations and the extent of confidentiality” at the outset and subsequently as changes occur.
During a court-ordered evaluation of a defendant to determine her competence to stand trial, she reveals information to you that confirms her guilt. You should:
a. use your discretion in determining what to include in the evaluation report.
b. include the information in the evaluation report since privilege is waived in this situation.
c. include only information relevant to the defendant’s competence in the evaluation report.
d. not provide the court with any information from the evaluation until the defendant signs a release.
c. include only information relevant to the defendant’s competence in the evaluation report.
In this situation, the defendant is protected by laws that prohibit the use of evaluation data to determine a defendant’s guilt without his/her consent.
Which of the following best describes the provisions of the APA’s Ethics Code regarding pro bono services?
a. The Ethics Code advises against providing free services to clients.
b. The Ethics Code recommends providing free services to clients.
c. The Ethics Code requires psychologists to provide free services to clients-in-need.
d. The Ethics Code does not address providing free or low-cost services to clients.
b. The Ethics Code recommends providing free services to clients.
“Pro bono” services are provided for the public good without compensation. Although the term “pro bono” is not used in the Ethics Code, General Principle B (Fidelity and Responsibility) states that “psychologists strive to contribute a portion of their professional time for little or no compensation or personal advantage.” Because free or low-cost services are mentioned in the General Principles (which provide aspirational guidelines), this means that the Code recommends – but does not require – psychologists to provide these services.
Which of the following best describes requirements regarding the acceptance of contingent fees as provided in the Specialty Guidelines for Forensic Psychology (APA,
2011)?
a. Psychologists may provide services to a party in a legal proceeding on the basis of contingent fees.
b. Psychologists may provide services to a party in a legal proceeding on the basis of contingent fees only when the amount of the fees is “reasonable and consistent with
current standards.”
c. Psychologists should seek to avoid providing professional services to a party in a legal proceeding on the basis of contingent fees.
d. Psychologists are prohibited from providing professional services to a party in a legal proceeding on the basis of contingent fees only when doing so represents an unacceptable dual relationship.
c. Psychologists should seek to avoid providing professional services to a party in a legal proceeding on the basis of contingent fees.
This issue is addressed in Paragraph 5.02 of the Specialty Guidelines for Forensic Psychology (APA, 2011), which states that “forensic practitioners strive to avoid providing professional services on the basis of contingent fees.”
A psychologist has received a subpoena from an attorney requesting that she testify in court about a former client and provide the court with records related to the client’s
treatment. The psychologist does not have a release from the client to do so. The psychologist should:
a. testify and release the records as requested.
b. testify but refuse to release the records without a court order.
c. not appear in court without a signed release from the client.
d. appear in court and claim the privilege on behalf of the client.
d. appear in court and claim the privilege on behalf of the client.
Assuming that the subpoena is valid, the psychologist must appear as requested but should assert the privilege on the client’s behalf.
An expert witness is recognized by the court to be qualified to offer opinions on a specific issue. To qualify as an expert witness, a psychologist must:
a. have a valid professional license.
b. have a relevant doctoral degree from an accredited school.
c. have appropriate education, training, and experience.
d. be certified as a forensic psychologist by the ABPP.
c. have appropriate education, training, and experience.
Requirements for expert testimony are provided in state and federal law. For example, Federal Rule of Evidence 702 states: “A witness who is qualified as an expert by knowledge, skill, experience, training, or education may testify in the form of an opinion or otherwise if: (a) the expert’s scientific, technical, or other specialized knowledge will help the trier of fact to understand the evidence or to determine a fact in issue; (b) the testimony is based on sufficient facts or data; (c) the testimony is the product of reliable principles and methods; and (d) the expert has reliably applied the principles and methods to the facts of the case.”
Dr. Opt assists with hiring decisions at the mental health clinic where he works. He recommends that an applicant for a staff psychologist position not be considered because of an unresolved charge of sexual harassment that has been filed against her with the Ethics Committee. Dr. Opt’s recommendation about the psychologist is:
a. consistent with the provisions of the Ethics Code.
b. a violation of the provisions of the Ethics Code.
c. ethical as long as the psychologist is considered when she is acquitted of the charge.
d. not addressed by the Ethics Code.
b. a violation of the provisions of the Ethics Code.
This response is most consistent with Standard 1.08 (Unfair Discrimination Against Complainants and Respondents) of the Ethics Code, which states that “Psychologists do not deny persons employment, advancement, admissions to academic or other programs, tenure, or promotion, based solely upon their having made or their being the subject of an ethics
complaint.”
A licensed psychologist who provides individual and group therapy to adolescents and adults learns that she is HIV+. In terms of ethical requirements, the psychologist:
a. should refrain from initiating any professional activities that might be adversely affected by her medical condition.
b. should obtain supervision to ensure that her medical condition does not impair her ability to provide effective services to clients.
c. should inform her clients of her medical condition “as early as is feasible.”
d. is not obligated to take any special actions or precautions in this situation.
a. should refrain from initiating any professional activities that might be adversely affected by her medical condition.
Standard 2.06 requires psychologists to “refrain from initiating an activity when they know or should know there is a substantial likelihood that their personal problems will prevent them from performing their work-related activities in a competent manner.” Personal problems include emotional, social, health-related and other personal issues.
A client you have been seeing in therapy for several sessions tells you that her former therapist made repeated sexual advances toward her and that is why she stopped seeing him. She also says that she doesn’t want you to say anything about it to anyone. The
psychologist is someone you see frequently at professional meetings. As an ethical psychologist, you:
a. inform the client that you are ethically required to report the psychologist to the Ethics Committee or state licensing board.
b. attempt to resolve the issue informally by talking to the psychologist.
c. convince the client that it is in her best interests to file a report with the state licensing board herself.
d. tell the client that you will maintain confidentiality.
d. tell the client that you will maintain confidentiality.
This response is most consistent with the provisions of Standards 1.04 and 1.05, which require psychologists to give priority to client confidentiality when deciding how to handle knowledge about unethical behavior by a colleague.
Dr. S. Towne is the only mental health professional in Micropolis, population 912, and the next town is 105 miles away. She finds that some of her clients have problems that are outside her area of training. Dr. Towne should:
a. see the clients only if they are in a crisis situation.
b. use only interventions that she already has experience using.
c. refuse to see the clients until she receives adequate training.
d. obtain supervision or consultation by telephone.
d. obtain supervision or consultation by telephone.
Although the Ethics Code requires psychologists to provide only services within the boundaries of their competence, there are exceptions. It is, for instance, perfectly acceptable for psychologists to acquire new skills and to treat new problems – but only when appropriate supervision or consultation are obtained. This is a difficult situation, but response d is the best given the circumstances and the alternatives provided in the responses.
During the initial session with a therapy client, the client tells Dr. Goodenough that she and her husband are having “marital problems” and that she thinks they may need couples counseling. As the client describes her husband, Dr. Goodenough realizes that she had an affair with him 15 years ago in graduate school, long before he married the client. Dr. Goodenough’s best course of action would be to:
a. make an appointment with the husband to discuss the matter with him before setting up a couples session.
b. see the wife in individual therapy and refer them to another therapist for marital counseling.
c. see the couple in therapy only if she feels her previous relationship will not interfere with her objectivity.
d. not see the wife or the couple in therapy and make a referral to another therapist.
d. not see the wife or the couple in therapy and make a referral to another therapist.
This is covered by Standard 10.07, which prohibits psychologists from providing therapy to former sexual partners. In addition, providing therapy to the wife only would violate Standard 3.06, which states that psychologists refrain from engaging in professional activities when “personal, scientific, professional, legal, financial, or other interests or relationships could reasonably be expected to (1) impair their objectivity, competence, or effectiveness in performing their functions as psychologists.”
A colleague at the mental health clinic where you are employed tells you that one of his clients has admitted to sexually abusing his daughter. The colleague says he is not going to report the abuse since it was mild in nature and the client has expressed remorse, promised not to do it again, and is willing to continue therapy. In addition, he feels that reporting the abuse would be detrimental to the community since the client is a widely-known, well-respected person. You should:
a. attempt to discuss the matter further with the colleague and encourage him to make a
report to the appropriate child abuse reporting authority but do not make a report yourself.
b. file a complaint against the colleague with APA or the state licensing board.
c. contact the appropriate child abuse reporting authority and provide them with information about the abuse and with the colleague’s name.
d. contact the appropriate child abuse reporting authority and provide them with information about the abuse but refuse to give them the colleague’s name if they request it.
c. contact the appropriate child abuse reporting authority and provide them with information about the abuse and with the colleague’s name.
This issue is addressed by Leland Swenson in Psychology and the Law for the Helping Professions, Brooks/Cole, Pacific Grove, CA, 1997. He states that “Any required reporter who knows that another required reporter has not reported must report the evidence of abuse as well as identify the nonreporter” (p. 413).
The police arrive at your office with an arrest warrant for one of your clients. They tell you that they need the client’s most recent address and telephone number. You should:
a. provide them with the information they request since they have a warrant.
b. make a copy of the warrant for your files before providing them with the information they request.
c. tell them you will have to get a signed waiver from the client before you can release any information about him.
d. not give them any information about the client.
d. not give them any information about the client.
Before providing information about a client (including the fact that he/she is a client), the psychologist would have to be provided with a search warrant, court order, or signed release from the client.
You have just evaluated a child at the request of his mother. The child’s mother and father are separated and have joint custody. You receive a call from the father who says that he and his new girlfriend will be joining the mother when you meet with her to discuss the results of the evaluation. You call the mother, but she says she doesn’t want the girlfriend to be present at the meeting or to have information about the evaluation. You
should:
a. comply with the mother’s request since she is the one who paid for the evaluation.
b. explain to the mother that you have to do what the husband requests since they have joint custody.
c. tell the father that you will meet with him and his girlfriend at another time.
d. meet with the mother and father either together or separately but don’t include the girlfriend.
d. meet with the mother and father either together or separately but don’t include the girlfriend.
This response is most consistent with requirements regarding confidentiality. Legally (and ethically), the child’s parents have a right to information about the child and test data should only be released to them. Although there might be circumstances when it would be appropriate to provide evaluation data to other interested parties, there is nothing in this question to suggest that this is the case in this situation.
You are a psychologist in private practice. In response to your growing caseload, you decide to bring in a second psychologist. The psychologist will be provided with office space and some secretarial services, and you will charge him 50% of fees collected from the patients you refer to him. This is:
a. unethical because referral fees are prohibited by the Ethics Code.
b. unethical because 50% is exploitative.
c. ethical as long as 50% is standard in your area of practice.
d. ethical as long as the 50% reflects your actual expenses.
d. ethical as long as the 50% reflects your actual expenses.
Referral fees are not entirely prohibited but, in situations like this one, must reflect the costs incurred by the person making the referral.
A new client says that she wants to pay for her therapy sessions with cash and that she doesn’t want you to keep a record of the sessions or of her payments. If you agree to this arrangement:
a. you have acted ethically as long as you ascertain that her reasons for making this request are valid.
b. you have acted ethically since it is up to you to decide what to include in your records.
c. you have acted ethically and legally as long as you include her payments as income on your income tax forms.
d. you have acted unethically and possibly illegally.
d. you have acted unethically and possibly illegally.
The APA’s Ethics Code and Record Keeping Guidelines require psychologists to maintain adequate records. This not only protects the welfare of the client but also protects the practitioner. In addition, many state laws require that client records be maintained and indicate the minimum information that must be included in such records.
Dr. S. Swapper is starting a program for adolescents who are experiencing peer problems. She tells the editor of the local newspaper that his adolescent daughter (who is unpopular with her peers) can attend the program for free if the editor writes an article about the program for the paper. This is:
a. ethical as long as the arrangement doesn’t compromise Dr. Swapper’s objectivity when working with the editor’s daughter.
b. ethical as long as Dr. Swapper doesn’t tell the editor what to put in the article.
c. unethical because the Ethics Code explicitly prohibits this type of arrangement.
d. ethically dubious but not covered by the Ethics Code.
c. unethical because the Ethics Code explicitly prohibits this type of arrangement.
Standard 5.02 explicitly prohibits psychologists from compensating employees of the press for publicity about the psychologist and his/her work in a news item.