FINAL

Question 1

_______ are not likely to be diagnosed with Cluster A disorders.

Answer 1

Women

Question 2

Schizoid is to ________ as paranoid is to ________.

Answer 2

Reclusive; distrustful

Question 3

Antisocial PD affects about ___ percent of the population

Answer 3

3

Question 4

Approximately 80% percent of people with antisocial PD…

Answer 4

abuse alcohol and drugs

Question 5

Clinicians who treat people with antisocial PD are…

Answer 5

pessimistic about their response treatment.

Question 6

_________ is a huge characteristic in borderline PD.

Answer 6

Unstable mood

Question 7

Individuals with ___________ tend to use mental health services more that individuals with other PDs do.

Answer 7

Borderline PD

Question 8

___________ in certain PDs have been linked to impulsive behavior.

Answer 8

Low serotonin levels

Question 9

People with ___________ think they should have different rules to follow

Answer 9

Narcissistic PD

Question 10

__________ has been studied more than other Cluster C disorders

Answer 10

Avoidant PD

Question 11

Avoidant PD is to ________ as social phobia is to _________.

Answer 11

Social interactions; social situations

Question 12

A person with obsessive compulsive PD is not likely to be…

Answer 12

tardy.

Question 13

The US legal system calls abnormal behavior …

Answer 13

mental illness

Question 14

The legal approach tends to legitimize…

Answer 14

the medical approach to disorders

Question 15

A person with _______ is most likely to be judged incompetent to stand trial.

Answer 15

schizophrenia

Question 16

A higher level of education…

Answer 16

decreases the likelihood of referral for competency evaluations

Question 17

“Not guilty by reason of insanity” is successful in…

Answer 17

approx. .25% of US cases

Question 18

One of the most celebrated cases of the notion of diminished capacity.

Answer 18

The Zoloft defense

Question 19

The M’Naghten Rule

Answer 19

Not knowing one’s actions are wrong.

Question 20

Broadened the insanity defense to include acts of passion.

Answer 20

The irresistible impulse rule.

Question 21

The notion of diminished capacity is aligned with….

Answer 21

the irresistible impulse rule

Question 22

One of the most celebrated applications of the notion of diminished capacity.

Answer 22

The Twinkie Defense

Question 23

Established that the insanity defense could be used for any crimes that were the product of mental disease or mental defect.

Answer 23

Durham vs. US

Question 24

Adopted the American Psychiatric Association’s definition of insanity.

Answer 24

The Insanity Defense Reform Act of 1984

Question 25

Has been adopted by some states as an alternative to not guilty by reason of insanity

Answer 25

The GBMI verdict

Question 26

Based on the criteria for involuntary commitment, a person who is ____________ will most likely be held in a psychiatric facility.

Answer 26

imminently suicidal

Question 27

In 1988, Mayor Koch of New York...

Answer 27

Used grave disability to justify involuntary hospitalization of homeless individuals.

Question 28

Our predictions of dangerousness to others tend to be...

Answer 28

wrong more often than correct

Question 29

Cluster A

Answer 29

Odd, Eccentric Paranoid PD Schizoid PD Schizotypal PD

Question 30

Cluster B

Answer 30

``` Dramatic, Emotional, Erractic Antisocial PD Borderline PD Histrionic PD Narcissistic PD ```

Question 31

Cluster C

Answer 31

Anxious, fearful Avoidant PD Dependent PD Obsessive Compulsive PD

Question 32

Personality Disorders that mimic schizophrenia

Answer 32

Paranoid PD, schizoid PD, schizotypal PD

Question 33

Paranoid PD

Answer 33

Unwillingness to forgive perceived insults, excessive sensitivity to setbacks, distrustfulness and excessive self-reliance, projection of blame onto others, consumes by anticipation of betrayal, combative and tenacious adherence to personal rights, relentlessly suspicious

Question 34

Schizoid PD

Answer 34

Weak interpersonal skills, difficulty expressing anger, even when provoked, loner mentality, avoidance of social situations, appear to others as remote, aloof, unengaged, low sex drive, unresponsive to praise or criticism

Question 35

Schizotypal PD

Answer 35

Magical thinking or odd beliefs, experiences unusual perceptions, paranoid ideation, eccentric behavior or appearance, constricted or inappropriate affect, unusual or odd thinking and speech, lacks close friends

Question 36

PD closest related to schizophrenia

Answer 36

Schizotypal PD

Question 37

Antisocial PD

Answer 37

Inability to form positive relationships, engagement in behaviors that violate basic social norms and values, deceitfulness, violent crimes, no concern for consequences, poor impulse control

Question 38

Antisocial PD tends to be comorbid with...

Answer 38

Substance disorders

Question 39

Behaviors and thoughts characteristic of borderline PD

Answer 39

o Mood is unstable with bouts of depression, anxiety, or anger and unpredictable emotions o Self-concept is unstable with periods of self-doubt and opposite periods of grandiose self-importance o Tend to read “abandonment” and “rejection” into the actions of others o Impulsivity, self-damaging behaviors such as self-mutilating behaviors may reflect self-concept issues o Interpersonal Relationships unstable and can switch from idealizing others to despising them without provocation.

Question 40

Borderline PD vs. Histrionic PD

Answer 40

borderline has ups and downs while histrionic is more stable with its symptoms

Question 41

Histrionic PD

Answer 41

o Uncomfortable unless the center of attention o Provocative dresser o Seductive or flirtatious behavior o Disorder more common in women than men and evident in early adulthood. Characterized by unstable emotions and distorted self-image. Self-esteem depends on approval from others and does not arise from a true feeling of self-worth. Overwhelming desire to be noticed and behave dramatically and inappropriately to get attention

Question 42

Narcissistic PD

Answer 42

NOT RARE o Disorder characterized by pattern of self-centered or egotistical behavior that shows up in thinking and behavior in a lot of different situations and activities. People with this disorder can’t change their behavior even when it causes problems. o Time and money are worth more than others in their opinion o Absurd vanity and applied to people whose ambitions and aspirations are much grander than their evident talents. Sometimes applied to people whose achievements are spectacular or are simply full of themselves. o Preoccupations with fantasies of unlimited power or prestige o Self-involved fantasies of grandeur o Sense of entitlement o Want praise, compliments, deference, ect.

Question 43

intermittent explosive disorder

Answer 43

epeated episodes of impulsive, aggressive, violent behavior or angry verbal outbursts in which one reacts grossly out of proportion to the situation

Question 44

kleptomania

Answer 44

recurrent failure to resist urges to steal items that one generally doesn't really need and that usually have little value

Question 45

pyromania

Answer 45

individuals repeatedly fail to resist impulses to deliberately start fires

Question 46

pathological gambling

Answer 46

unable to resist impulses to gamble, which can lead to severe personal or social consequences

Question 47

trichotillomania

Answer 47

irresistible urge to pull out one's own hair, usually from their scalp, eyelashes, and eyebrows.

Question 48

What is evaluated in order to determine a person's competence to stand trial?

Answer 48

individual must have a reasonable amount of rational understanding and be able to participate in their own defense.

Question 49

What competency proceedings are held to determine

Answer 49

If someone is competent enough to stand trial

Question 50

What the typical characteristics are of persons most likely to be referred for competency evaluations

Answer 50

unable to care for basic needs, imminent danger to self or others

Question 51

What kind of term is insanity?

Answer 51

• At the time of the crime as a result of a mental disease or mental retardation the person was unable to appreciate the wrongfulness of his or her conduct

Question 52

Who has the insanity defense been increasingly for?

Answer 52

????celebrities/weathy????

Question 53

Durham Rule

Answer 53

• The crime was a product of a mental disease or defect

Question 54

ALI rule holds

Answer 54

• At the time of the crime as a result of a mental disease or defect person lacked substantial capacity either to appreciate the criminality (wrongful nature) of the act or to conform his or her conduct to the law

Question 55

What does the verdict of "guilty but mentally ill" imply?

Answer 55

o Defendants convicted are incarcerated for the normal terms designated for their crimes but also must receive treatment for mental illness during course of sentence o Defendant must be diagnosed with a mental disorder and did not at the time of his or her crime appreciate the criminality of his or her behavior. o Are confined for the duration of a regular prison term but with presumption that they will be five psychiatric treatments

Question 56

involuntary hospitilization

Answer 56

civil commitment

Question 57

Which movement contributed to the change in laws concerning cilvil commitment?

Answer 57

what David Satcher did in 1999: o Was the surgeon general under Bill Clinton o Issued a landmark report providing a review of scientific advances in the study of mental health and of mental illnesses. The report concluded that stigmatization of people with psychological disorders is the main obstacle to progress in the area of mental health.