Chapter 12 - MCQ

Question 1

Personality theorists describe qualities which are persistently displayed over time and in various situations as
A) personality disorders.
B) states.
C) lasting qualities.
D) types.
E) traits.

Answer 1

E) traits.

Question 2

Which of the following statements is true?
A) People with personality disorders show a far more restricted range of traits than do most people.
B) People with personality disorders show a far less restricted range of traits than do most people.
C) People with personality disorders are characterized by their flexibility to adapt to different situations.
D) People with personality disorders are far more dependent on situational contexts than are most people.
E) People with personality disorders are typically characterized by a number of major personality traits.

Answer 2

A) People with personality disorders show a far more restricted range of traits than do most people.

Question 3

The DSM-5 lists ___________ specific personality disorders which are organized into ___________ broad clusters.
A) 10; 3
B) 8; 2
C) 8; 3
D) 10; 2
E) 15; 5

Answer 3

A) 10; 3

Question 4

hich of the following matches is incorrect?
A) anxious and fearful cluster : dependent personality disorder
B) anxious and fearful cluster : avoidant personality disorder
C) odd and eccentric cluster : paranoid personality disorder
D) dramatic, emotional, or erratic cluster : antisocial personality disorder
E) odd and eccentric cluster : depressive personality disorder

Answer 4

E) odd and eccentric cluster : depressive personality disorder

Question 5

What is a psychological autopsy?
A) a medical chart review that is undertaken after someone has died, to determine what psychological disorders they had.
B) a detailed investigation of the state of mind of a person at the time they died.
C) A research method used after someone dies by suicide that involves detailed interviews with people in the life of the person who has died, and with their health care providers.
D) There is no such thing as a psychological autopsy.
E) An investigation of psychological factors that may have contributed to death from a physical disease.

Answer 5

C) A research method used after someone dies by suicide that involves detailed interviews with people in the life of the person who has died, and with their health care providers.

Question 6

Which of the following is NOT identified as a difficulty in diagnosing personality disorders (PDs)?
A) PD criteria can permit gender biases to influence the assessment process
B) PD symptoms are often not acknowledged by the patient
C) PD symptoms tend to be dormant for long periods of time
D) certain apparently-maladaptive attitudes and behaviours may be appropriate for distinct cultures
E) there is often similarity of symptoms in two or more different PDs

Answer 6

C) PD symptoms tend to be dormant for long periods of time

Question 7

Diagnosis and therefore estimation of the prevalence of the personality disorders is quite difficult. Study methodologies have been criticized. With this in mind, the highest estimates of PD prevalence suggest that
A) approximately 1% of the population has a personality disorder.
B) approximately 5% of the population has a personality disorder.
C) approximately 15% of the population has a personality disorder.
D) approximately 25% of the population has a personality disorder.
E) approximately 30% of the population has a personality disorder.

Answer 7

C) approximately 15% of the population has a personality disorder.

Question 8

Which of the following best describes the prevalence rates of personality disorders in outpatients as compared to those in inpatients?
A) They are generally higher among outpatients.
B) They are generally lower among outpatients.
C) They are higher for antisocial personality disorder, but the same for the remaining personality disorders.
D) Outpatients are generally diagnosed with disorders from Cluster A and inpatients with disorders from Cluster B.
E) They are generally the same.

Answer 8

B) They are generally lower among outpatients.

Question 9

Research shows that ___________ % or more of people with personality disorders never seek treatment for their problems.
A) 60
B) 95
C) 20
D) 40
E) 80

Answer 9

E) 80

Question 10

Many personality disorders are ___________, which means that the person does not believe they have a problem.
A) egoplatonic
B) egosyntonic
C) egodystonic
D) ego accepted
E) egotonic

Answer 10

B) egosyntonic

Question 11

Several researchers have suggested that the diagnostic criteria for some personality disorders are
A) culture-biased.
B) neither gender- nor culture-biased.
C) both gender- and culture-biased.
D) age-biased.
E) gender-biased.

Answer 11

C) both gender- and culture-biased.

Question 12

According to the text, clinicians have been shown to be reluctant to diagnose males as having ___________ personality disorder, while they are sometimes hesitant to diagnose females as having ___________ personality disorder.
A) antisocial; avoidant
B) histrionic; antisocial
C) dependent; paranoid
D) antisocial; histrionic
E) avoidant; antisocial

Answer 12

B) histrionic; antisocial

Question 13

Research has shown that, on average, ___________ % of the people identified as suffering from borderline personality disorder through structured interviews are women.
A) 80
B) 20
C) 60
D) 100
E) 40

Answer 13

A) 80

Question 14

Because the term has been traditionally applied to women, the name of ___________ personality disorder was changed to histrionic personality disorder.
A) avoidant
B) neurotic
C) borderline
D) psychotic
E) hysterical

Answer 14

E) hysterical

Question 15

Despite the research, the Correctional Service of Canada seems reluctant to accept the fact that
A) psychopathy can occur in children.
B) psychopathy can occur in men.
C) psychopathy is a valid diagnosis.
D) psychopathy can occur in women.
E) psychopathy exists at all in the prison population.

Answer 15

D) psychopathy can occur in women.

Question 16

___________ refers to the co-occurrence in the same person of two or more different disorders, while _______refers to the similarity of symptoms in two or more different disorders.
A) Egosyntonia; ego dystonia
B) Overlap; comorbidity
C) Multiple personality disorder; multiple symptomalogy
D) Egodystonia; egosyntonia
E) Comorbidity; overlap

Answer 16

E) Comorbidity; overlap

Question 17

One study found that almost ___________ percent of those diagnosed as having borderline personality disorder met the criteria for antisocial personality disorder.
A) About 10
B) About 20
C) About 30
D) About 40
E) About 50

Answer 17

E) About 50

Question 18

Pinel described what he called manie sans delire, which was the predecessor of what has become known as
A) narcissistic personality disorder.
B) paranoid personality disorder.
C) avoidant personality disorder.
D) dependent personality disorder.
E) antisocial personality disorder.

Answer 18

E) antisocial personality disorder.

Question 19

Sociologists replaced the term psychopath with sociopath in order to reflect their belief that __________.
A) the social consequences (i.e., impact on others) are of principal importance
B) the disorder is caused by social forces and factors
C) sociological approaches to studying the disorder are necessary
D) the disorder is usually caused by parental socialization practices
E) sociopaths are simply reacting to childhood trauma

Answer 19

B) the disorder is caused by social forces and factors

Question 20

The term psychopath was replaced with sociopath by __________.
A) psychologists
B) sociologists
C) Pinel
D) psychiatrists
E) Freud

Answer 20

B) sociologists

Question 21

The most influential book ever published on antisocial personality disorder was The Mask Of Sanity by
A) Pinel.
B) Pritchard.
C) Hare.
D) Ross.
E) Cleckley.

Answer 21

E) Cleckley.

Question 22

The specific causes of personality disorders were not considered until the development of
A) the psychoanalytic movement.
B) behaviourism.
C) cognitive-behavioural theories.
D) the existentialist movement.
E) attachment theory.

Answer 22

A) the psychoanalytic movement.

Question 23

Psychoanalysts see personality disorders as resulting from
A) the failure to resolve the Oedipal or Electra complex.
B) disturbances in the parent-child relationship.
C) failure to use adequate defense mechanisms.
D) penis envy (in women only).
E) unsatisfied oral needs during infancy.

Answer 23

B) disturbances in the parent-child relationship.

Question 24

___________ theory states that children learn how to relate to others by the way in which their parents relate to them.
A) Schema
B) Parental
C) Interpersonal
D) Attachment
E) Individuation

Answer 24

D) Attachment

Question 25

Attachment researchers have found that if parent-child attachments are poor, the child will typically develop adult relationship styles that __________. A) are characterized by antisocial and psychopathic behaviours B) are characterized by ambivalence, fear, or avoidance C) are characterized by avoidant interpersonal behaviour D) are characterized by overprotectiveness and clinging behaviours E) are characterized by ambivalence regarding the feelings of others

Answer 25

B) are characterized by ambivalence, fear, or avoidance

Question 26

Joan is a psychologist who argues that her client has a personality 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) psychiatric D) behavioural E) cognitive-behavioural

Answer 26

E) cognitive-behavioural

Question 27

According to Linehan, individuals who develop borderline personality disorder: A) come from families where at least one member has a psychotic spectrum disorder. B) come from families that are encouraging and supportive. C) have parents who are overprotective. D) have at least one parent with histrionic personality disorder. E) come from families who consistently invalidate their childhood emotional experiences.

Answer 27

E) come from families who consistently invalidate their childhood emotional experiences.

Question 28

Biological accounts of personality disorders have been most thoroughly explored with ___________ personality disorder. A) narcissistic B) antisocial C) paranoid D) histrionic E) avoidant

Answer 28

B) antisocial

Question 29

Studies of brain structure and function in borderline personality disorder have shown dysfunction in the _____________ and _____________. A) Temporal lobe and occipital lobe B) Prefrontal areas and the amygdala C) Hippocampus and thalamus D) Spinal cord and amygdala E) Prefront areas and insula

Answer 29

B) Prefrontal areas and the amygdala

Question 30

Jane has a tendency to see everything people do as a personal attack on her safety and privacy. Judging from this characteristic, which personality disorder is Jane most likely to have? A) avoidant B) paranoid C) dependent D) narcissistic E) histrionic

Answer 30

B) paranoid

Question 31

As paranoid personality occurs quite commonly in the relatives of people with ___________, a genetic link with this disorder has been proposed. A) depression B) panic disorder C) obsessive-compulsive disorder D) schizophrenia E) bipolar mood disorder

Answer 31

D) schizophrenia

Question 32

Andrew does not have many friends, and seems determined to avoid involvement with others. He displays little emotional responsiveness, and often seems confused by the emotional displays of others. Judging from this description, which personality disorder is Andrew most likely to have? A) schizotypal B) narcissistic C) avoidant D) schizoid E) anti-social

Answer 32

D) schizoid

Question 33

Which of the following is NOT characteristic of a person with schizotypal personality disorder? A) belief in paranormal phenomena B) social isolation C) eccentricity D) excessive focus on himself or herself E) magical thinking

Answer 33

D) excessive focus on himself or herself

Question 34

Which of the following personality disorders is characterized by eccentricity of thought and behaviour? A) paranoid B) avoidant C) histrionic D) narcissistic E) schizotypal

Answer 34

E) schizotypal

Question 35

Which of the following is NOT true of schizotypal personality disorder? A) The long-term prognosis for those suffering from the disorder is moderate to good. B) Researchers have placed most emphasis on the schizophrenic-like features. C) Low doses of antipsychotic drugs somewhat relieve cognitive problems. D) Many family members of people with schizophrenia exhibit symptoms of schizotypal personality disorder. E) Antidepressants have been somewhat helpful in relieving symptoms.

Answer 35

A) The long-term prognosis for those suffering from the disorder is moderate to good.

Question 36

The essential distinguishing feature of ___________ personality disorder is a pervasive pattern of disregard for, and violation of, the rights of others. A) narcissistic B) avoidant C) schizotypal D) antisocial E) histrionic

Answer 36

D) antisocial

Question 37

What is the key difference between DSM-5 antisocial personality disorder, and psychopathy? A) There are no differences; the two terms refer to the same population. B) Psychopathy is a less severe variant of DSM-5 antisocial personality disorder. C) Individuals high in psychopathy are very extroverted; whereas those with DSM-5 antisocial personality disorder tend to be introverted. D) Psychopathy consists of a richer set of emotional, behavioural, and interpersonal features than does DSM-5 antisocial personality disorder, which concentrates chiefly on observable behaviour. E) DSM-5 antisocial personality disorder is a much more enduring personality type than is psychopathy.

Answer 37

D) Psychopathy consists of a richer set of emotional, behavioural, and interpersonal features than does DSM-5 antisocial personality disorder, which concentrates chiefly on observable behaviour.

Question 38

The relationship between psychopathy and antisocial personality disorder appears to be ______________________ and it has been found that __________. A) symmetrical; some persons diagnosed in each category do not meet criteria for the other disorder B) symmetrical: most people diagnosed with one will meet criteria for the other C) symmetrical: most people diagnosed with one will NOT meet criteria for the other D) asymmetrical; most people who meet criteria for psychopathy will also meet criteria for APD but the converse is not true E) asymmetrical; most people who meet criteria for APD will also meet criteria for psychopathy but the converse is not true

Answer 38

D) asymmetrical; most people who meet criteria for psychopathy will also meet criteria for APD but the converse is not true

Question 39

The DSM-5 criteria for the diagnosis of antisocial personality disorder presents ___________ exemplars reflecting the violation of the rights of others, and ___________ or more must be met for the diagnosis to be applied. A) 10; 5 B) 7; 5 C) 7; 3 D) 10; 3 E) 12; 2

Answer 39

C) 7; 3

Question 40

The ___________ hypothesis suggests that people with APD have a higher threshold for feeling fear than do other people. A) threshold B) fearlessness C) avoidance D) fear threshold E) self-regulation

Answer 40

B) fearlessness

Question 41

Schmauk has suggested that psychopaths are not unresponsive to physical punishment, but rather respond opposite to the punisher's intention, presumably as a way of exercising some degree of control in the face of aversive experiences. This behaviour has been referred to as _____ behaviour. A) irrational B) defiant C) contradictory D) operant E) oppositional

Answer 41

E) oppositional

Question 42

Several researchers have reported that the symptoms of antisocial behaviour eventually end, often around the fourth decade of life. This occurrence has been called the __________factor. A) responsivity B) exhaustion C) aging D) burnout E) remittance

Answer 42

D) burnout

Question 43

Reviews of the literature on treatment efficacy for antisocial personality disorder patients have been _____ about the prognosis for those with this disorder. A) cautiously pessimistic B) unequivocally pessimistic C) strongly optimistic D) cautiously optimistic E) unequivocally optimistic

Answer 43

B) unequivocally pessimistic

Question 44

Which of the following is NOT true of the Psychopathy Checklist-Revised? A) It is used as a research instrument and as a clinical tool. B) It consistently discriminates between antisocial personality disorder and the other personality disorders. C) The PCL-R score is highly reliable over time. D) It is used in assessments to inform judicial decisions. E) It has good predictive validity regarding recidivism.

Answer 44

B) It consistently discriminates between antisocial personality disorder and the other personality disorders.

Question 45

Which of the following statements is true? A) Antisocial personality disorder, as measured by the PCL-R, has been demonstrated to be a more reliable construct than psychopathy. B) Antisocial personality disorder, as measured by the PCL-R, has been demonstrated to be as reliable a construct as psychopathy. C) Psychopathy, as measured by the PCL-R, has been demonstrated to be a less reliable construct than antisocial personality disorder. D) Psychopathy, as measured by the PCL-R, has been demonstrated to be a more reliable construct than antisocial personality disorder. E) Antisocial personality disorder, as measured by the PCL-R, has been demonstrated to be a less reliable construct than psychopathy.

Answer 45

D) Psychopathy, as measured by the PCL-R, has been demonstrated to be a more reliable construct than antisocial personality disorder.

Question 46

Which of the following is false regarding the relationship of psychopathy to crime and aggression? A) Psychopaths incarcerated in Canada commit significantly more crimes than do non-psychopaths. B) Psychopaths are significantly more likely than non-psychopaths to engage in violent re-offending within five years of their release from prison. C) Psychopaths display much lower levels of emotion during their offenses than do non-psychopaths. D) Psychopaths enjoy inflicting violence; whereas this is less the case in non-psychopaths. E) Psychopaths who are incarcerated tend to have committed white collar crimes whereas non-psychopaths who are incarcerated tend to have committed blue collar crimes.

Answer 46

E) Psychopaths who are incarcerated tend to have committed white collar crimes whereas non-psychopaths who are incarcerated tend to have committed blue collar crimes.

Question 47

Hare gives an estimate that ___________ percent of the Canadian population is psychopathic. A) .05 B) 10 C) 5 D) 1 E) .01

Answer 47

D) 1

Question 48

In Porter's (1996) theory, fundamental psychopathy is seen as the result of ___________ factors, whereas secondary psychopathy is believed to result from ___________ factors. A) biological; psychological B) emotional; social C) psychological; social D) social; psychological E) social; biological

Answer 48

A) biological; psychological

Question 49

Heather shows frequent fluctuations in her mood and great instability in her personal relationships. She is uncertain about who she "really is" and what she would like to do with her life. Judging from this description, which personality disorder is Heather most likely to have? A) antisocial B) dependent C) narcissistic D) borderline E) histrionic

Answer 49

D) borderline

Question 50

Borderline personality disorder has a lifetime prevalence of approximately ___________ % of the population. A) 12 B) 2 C) 20 D) 0.2 E) 5

Answer 50

B) 2

Question 51

Which of the following is true regarding the relationship between nonsuicidal self-injury and borderline personality disorder? A) Nonsuicidal self-injury is required for the diagnosis of borderline personality disorder. B) Nonsuicidal self-injury is a subtype of borderline personality disorder. C) Nonsuicidal self-injury is a behaviour that exists outside of borderline personality disorder. D) Nonsuicidal self-injury is a feature that is specific to borderline personality disorder. E) All individuals with borderline personality disorder report some form of nonsuicidal self-injury, but it is not necessary for the diagnosis.

Answer 51

C) Nonsuicidal self-injury is a behaviour that exists outside of borderline personality disorder.

Question 52

Borderline personality disorder typically begins in ___________ and is thought to be more common in __________. A) adolescence; women B) childhood; men C) adulthood; women D) adolescence; men E) adulthood; men

Answer 52

A) adolescence; women

Question 53

Many people with borderline personality disorder strongly desire intimacy with others, but once they begin to get close to their partner they become anxious and back away. This interpersonal style has been referred to as A) avoidant. B) anxious ambivalent. C) repression. D) anxious avoidant. E) confused.

Answer 53

B) anxious ambivalent.

Question 54

David has been described as flamboyant and overly dramatic in his emotional displays. He constantly seeks the spotlight in social situations and strongly dislikes being ignored. Judging from this description, which personality disorder is David most likely to have? A) histrionic B) antisocial C) borderline D) schizotypal E) avoidant

Answer 54

A) histrionic

Question 55

Egocentricity is the hallmark feature of which of the following personality disorders? A) histrionic B) avoidant C) borderline D) narcissistic E) antisocial

Answer 55

D) narcissistic

Question 56

Clara considers herself extremely talented at all that she does. She is excessively preoccupied with her own interests and demands that others treat her as special. Judging from this description, which personality disorder is Clara most likely to have? A) antisocial B) avoidant C) borderline D) narcissistic E) dependent

Answer 56

D) narcissistic

Question 57

Joe is extremely sensitive to criticism and disapproval, and as a result actively avoids intimacy with others. However, he is lonely and would like to have more friends. Judging from this description, which personality disorder is Joe most likely to have? A) schizoid B) narcissistic C) borderline D) avoidant E) dependent

Answer 57

D) avoidant

Question 58

What has been proposed to be the difference between avoidant personality disorder and the anxiety disorder, social phobia? A) there is no difference between these disorders. B) social phobia is characterized by a fear of social rejection, which is not the case in avoidant personality disorder. C) social phobia co-occurs more frequently with borderline personality disorder. D) social phobia and avoidant personality disorder differ in symptom severity. E) People with social phobia desire affection whereas those with avoidant personality disorder do not want affection.

Answer 58

D) social phobia and avoidant personality disorder differ in symptom severity.

Question 59

Sarah finds it very difficult to make decisions, and feels that she desperately needs others to assume responsibility for important aspects of her life. She accepted a job as a store clerk after asking her husband what job he felt she was best suited for. Judging from this description, which personality disorder is Sarah most likely to have? A) avoidant B) schizotypal C) borderline D) narcissistic E) dependent

Answer 59

E) dependent

Question 60

Research has found that the relatives of men with dependent personality disorder are more likely to experience ___________, whereas the relatives of females with dependent personality disorder are more likely to have __________. A) schizophrenia; depression B) panic disorder; depression C) depression; panic disorder D) generalized anxiety disorder; schizophrenia E) panic disorder; generalized anxiety disorder

Answer 60

C) depression; panic disorder

Question 61

Which of the following is NOT characteristic of people with obsessive-compulsive personality disorder? A) intrusive, unwanted thoughts B) a desire for perfection C) rigidity and inflexibility D) preoccupation with rules and order E) being moralistic and judgmental

Answer 61

A) intrusive, unwanted thoughts

Question 62

Inflexibility and a desire for perfection characterize ___________ disorder. A) narcissistic personality B) dependent personality C) avoidant personality D) obsessive-compulsive personality E) borderline personality

Answer 62

D) obsessive-compulsive personality

Question 63

Which of the following is NOT one of Sperry's five basic premises regarding treatment of personality disorders? A) these disorders are best conceptualized as having biological and psychological factors B) before treatment, it is essential to assess amenability to treatment C) effective treatment is flexible and tailored to meet the needs of the client D) the lower the client's amenability to treatment, the greater the need for multiple treatment approaches E) the basic goal of treatment should be to restore normal personality functioning

Answer 63

E) the basic goal of treatment should be to restore normal personality functioning

Question 64

___________, developed by Linehan, has specifically targeted borderline personality disorder. A) Neo-psychoanalysis B) Cognitive restructuring therapy C) Object-relations therapy D) Dialectical behaviour therapy E) Operant behaviour therapy

Answer 64

D) Dialectical behaviour therapy