~~~~ treatment for personality disorders Flashcards

1
Q

what is the view of treatment of personality disorders

A) All personality disorders are curable with medication alone

B) They are difficult to treat

C) Treatment is unnecessary for personality disorders

D) Quick and straightforward resolution is possible for all personality disorders

A

B) they are difficult to treat

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2
Q

For people with severe personality disorders, therapy
may be more effective in situations

A) Where acting-out behavior can be constrained

B) Where the individual is left alone

C) Where external interventions are minimized

D) Where there is minimal structure and guidance

A

A) Where acting-out behavior can be constrained

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3
Q

Cognitive approaches are also increasingly used. Cog-nitive therapy for personality disorders assumes that the

A) Dysfunction is solely the result of genetic factors

B) Personality disorders are entirely caused by environmental influences

C) Dysfunctional feelings and behaviors are largely the result of schemas

D) Cognitive approaches are not effective in treating personality disorders

A

C) Dysfunctional feelings and behaviors are largely the result of schemas

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4
Q

Of all personality disorders, most clinical and research attention has been paid to the treatment of

A) borderline

B) narcissistic

C) avoidant

D) ocpd

A

A) borderline

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5
Q

why has clinical and research paid the most attention to the treatment of borderline pd

A) Lack of prevalence of other personality disorders

B) Severity of this disorder and the high risk of suicide

C) Ease of treatment for borderline PD

D) The low impact of borderline PD on individuals

A

B) severity of this disorder and the high risk of suicide

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6
Q

developed by Marsha Linehan, what is a unique kind of cognitive and behavioral therapy specifically adapted for BPD

A) Rational Emotive Behavior Therapy (REBT)

B) Cognitive-Behavioral Therapy (CBT)

C) Dialectical Behavior Therapy (DBT)

D) Person-Centered Therapy (PCT

A

C) Dialectical Behavior Therapy (DBT)

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7
Q

what is the primary goal of Dialectical behavior therapy (DBT)

A) Attempt to completely eliminate and eradicate negative affect from the individual’s emotional experience.

B) Encourage the individual to suppress and ignore negative emotions entirely.

C) Encourage patients to accept negative affect without engaging in self-destructive or other maladaptive behaviors

D) Discourage addressing and exploring negative emotions, focusing on other aspects of mental well-being.

A

C) encourage patients to accept negative affect without engaging in self-destructive or other maladaptive behaviors

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8
Q

Dialectical behavior therapy (DBT) was developed as a problem-focused treatment based on a

A) Random assortment of therapeutic techniques

B) Clear hierarchy of goals

C) Lack of specific treatment objectives

D) Fluid and flexible approach to treatment

A

B) clear hierarchy of goals

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9
Q

transference-focused psychotherapy was developed for the treatment of BPD and involves a variant of

A) Cognitive-behavioral therapy (CBT)

B) Psychodynamic psychotherapy

C) Humanistic psychotherapy

D) Interpersonal psychotherapy

A

B) psychodynamic psychotherapy.

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10
Q

the primary goal of transference-focused psychotherapy is

A) To eliminate transference dynamics completely

B) Seen as strengthening the weak egos of individuals, with a particular focus on their primary primitive defense mechanism of splitting

C) To encourage the expression of impulsive behaviors without judgment

D) To minimize the importance of early life experiences in shaping current behaviors

A

B) Seen as strengthening the weak egos of individuals, with a particular focus on their primary primitive defense mechanism of splitting

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11
Q

primitive defense mechanism of splitting leads those with borderline personality disorder to have

A) Stable and consistent thinking patterns

B) Reactivity toward slight differences and inconsistencies in the emotions and behaviours of others

C) An inability to perceive extremes in situations

D) All or nothing thinking and rapid shifting in reactions to self and others

A

D) all or nothing thinking and rapid shifting in reactions to self and others

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12
Q

how does transference-focused psychotherapy help with the defense mechanism of splitting in those with borderline PD

A) Reinforces the defense mechanism of splitting

B) By encouraging awareness of grey areas in their extreme thinking

C) Encourages black-and-white thinking

D) Discourages any exploration of nuanced perspectives

A

B) by encouraging them to see the grey areas in their extreme thinking

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13
Q

what is the goal of transference-focused psychotherapy for those with borderline PD

A) Encourage the reinforcement of splitting

B) Discourage any exploration of nuanced perspectives

C) Integrate positive and negative views of themselves and others into more nuanced views

D) Promote all-or-nothing thinking in individuals with borderline PD

A

C) Integrate positive and negative views of themselves and others into more nuanced views

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14
Q

Bateman and Fonagy’s mentalization is

A) A type of medication for mental health disorders

B) A process of cognitive restructuring

C) A defense mechanism

D) A new therapeutic approach

A

D) A new therapeutic approach

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15
Q

therapeutic approach of mentalization uses the

A) Current relationship issues, trying to help the person understand and change maladaptive interaction patterns

B) Therapeutic relationship to develop the skills patients need to accurately understand their own others’ feelings and emotions

C) Acting out fantasies concerning feelings of conflict to help individuals be aware of their self regulation

D) Utilization of behavioral interventions

A

B) therapeutic relationship to develop the skills patients need to accurately understand their own others’ feelings and emotions

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16
Q

what are antidepressants more appropriate to use for those with borderline PD

A) Exclusively for managing external symptoms

B) Only for individuals without comorbid mood disorders

C) When patients have a comorbid mood disorder

D) As a substitute for psychotherapy

A

C) When patients have a comorbid mood disorder

17
Q

what is one reason why there is no system-atic, controlled studies of treating people with either medication or psychotherapy yet exist for those with paranoid, schizoid, narcissistic, or histrionic personality disorders

A) Lack of interest in research

B) Limited availability of appropriate treatments

C) Lack of effective treatment options

D) They don’t seek treatment

A

D) they don’t seek treatment

18
Q

Winston and colleagues (1994) found significant improvement in patients with Cluster C disorders using a form of short-term psychotherapy that is

A) Passive and non-confrontational

B) Active and confrontational

C) Analytical and exploratory

D) Directive and structured

A

B) active and confrontational

19
Q

Several studies using cognitive-behavior treatment with avoidant personality disorder have reported

A) Limited success

B) Significant gains

C) Minimal improvement

D) Lack of change

A

B) significant gains

20
Q

study in the Netherlands found that short-term inpatient treatment for _______ personality disorders is even more effective than long-term inpatient
or outpatient therapy

A) Cluster A

B) Cluster B

C) Cluster C

D) none of the above

A

C) Cluster C