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Essentials of Abnormal Psychology

Third Canadian Edition Canadian 3rd


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Chapter 6 Test Item File Nevid

1) Excessively rigid patterns of behaviour, or ways of relating to others, that ultimately


become self-defeating because of their rigidity are called ________ disorders.
A) adjustment
B) psychotic
C) personality
D) neurotic

Answer: c
Diff: 1 Type: MC Page Ref: 215 Skill: Conceptual

2) The warning signs of personality disorders usually become evident in ________.


A) childhood
B) adolescence
C) middle adulthood
D) late adulthood

Answer: a
Diff: 2 Type: MC Page Ref: 215 Skill: Factual

3) People who have personality disorders tend to perceive their disturbed behaviours or
traits as ________.
A) superfluous
B) egocentric
C) ego syntonic
D) ego dystonic

Answer: c
Diff: 2 Type: MC Page Ref: 215 Skill: Factual

4) The term that refers to personality traits that are perceived as a natural part of oneself
is ________.
A) integral
B) egocentric
C) ego syntonic
D) ego dystonic

Answer: c
Diff: 2 Type: MC Page Ref: 215 Skill: Conceptual

5) Each of the following is true of people with personality disorders EXCEPT ________.
A) they are likely to seek professional help on their own for their problems
B) their behaviour patterns are highly resistant to change
C) they do not generally perceive a need to change their behaviours
D) their rigidity prevents them from adjusting to external demands

Answer: a

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Diff: 2 Type: MC Page Ref: 215 Skill: Factual

6) People who have anxiety or mood disorders tend to perceive their disturbed behaviours
as ________.
A) integral
B) egocentric
C) ego syntonic
D) ego dystonic

Answer: d
Diff: 2 Type: MC Page Ref: 215 Skill: Factual

7) The term that refers to personality traits that are perceived as being separate or outside
one's self-identity, and thus changeable, is ________.
A) superfluous
B) egocentric
C) ego syntonic
D) ego dystonic

Answer: d
Diff: 2 Type: MC Page Ref: 215 Skill: Conceptual

8) The DSM-IV lists personality disorders on Axis ________.


A) I
B) II
C) III
D) IV

Answer: b
Diff: 2 Type: MC Page Ref: 215 Skill: Factual

9) The DSM-IV groups personality disorders into ________ clusters.


A) two
B) three
C) four
D) five

Answer: b
Diff: 2 Type: MC Page Ref: 215 Skill: Factual

10) The DSM-IV lists ________ individual personality disorders.


A) 2
B) 6
C) 10
D) 14

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Answer: c
Diff: 2 Type: MC Page Ref: 215 Skill: Factual

11) In the DSM-IV listing of personality disorder clusters, people who are perceived as
odd or eccentric would be listed under cluster ________.
A) A
B) B
C) C
D) D

Answer: a
Diff: 2 Type: MC Page Ref: 215 Skill: Factual

12) Which of the following is NOT a DSM-IV cluster A personality disorder?


A) paranoid
B) schizoid
C) antisocial
D) schizotypal

Answer: c
Diff: 3 Type: MC Page Ref: 215 Skill: Factual

13) In the DSM-IV listing of personality disorder clusters, people whose behaviour is
overly dramatic, emotional, or erratic would be listed under cluster ________.
A) A
B) B
C) C
D) D

Answer: b
Diff: 2 Type: MC Page Ref: 215 Skill: Factual

14) Which of the following is NOT a DSM-IV cluster B personality disorder?


A) avoidant
B) histrionic
C) narcissistic
D) antisocial

Answer: a
Diff: 3 Type: MC Page Ref: 215 Skill: Factual

15) Which of the following is NOT a DSM-IV cluster B personality disorder?


A) borderline
B) passive-aggressive
C) histrionic
D) narcissistic

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Answer: b
Diff: 2 Type: MC Page Ref: 215 Skill: Factual

16) In the DSM-IV listing of personality disorder clusters, people who often appear
anxious or fearful in their behaviour are listed under cluster ________.
A) A
B) B
C) C
D) D

Answer: c
Diff: 2 Type: MC Page Ref: 215 Skill: Factual

17) Which of the following is NOT a DSM-IV cluster C personality disorder?


A) dependent
B) avoidant
C) histrionic
D) obsessive-compulsive

Answer: c
Diff: 3 Type: MC Page Ref: 215 Skill: Factual

18) Which of the following is NOT a DSM-IV cluster C personality disorder?


A) dependent
B) borderline
C) avoidant
D) obsessive-compulsive

Answer: b
Diff: 3 Type: MC Page Ref: 215 Skill: Factual

19) People with personality disorders listed under DSM-IV cluster ________ often have
difficulty relating to others or show little or no interest in developing social
relationships.
A) A
B) B
C) C
D) D

Answer: a
Diff: 2 Type: MC Page Ref: 215 Skill: Factual

20) The defining trait of ________ personality disorder is pervasive suspiciousness.


A) antisocial
B) paranoid

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C) schizoid
D) avoidant

Answer: b
Diff: 1 Type: MC Page Ref: 216 Skill: Conceptual

21) Ginette is overly sensitive to criticism. She takes offence at the most trivial real or
imagined slight. She does not trust others, is easily angered, and holds grudges. She
has few friends and is extremely jealous and possessive of her one boyfriend, whom
she is always accusing of "playing around" on her. She is most likely suffering from
________ personality disorder.
A) antisocial
B) paranoid
C) histrionic
D) avoidant

Answer: b
Diff: 1 Type: MC Page Ref: 216 Skill: Applied

22) The DSM-5 includes all of the following changes EXCEPT __________.
A) a reduction of the number of personality disorders
B) an increase in the number of personality disorders
C) updated criteria based on core impairments
D) a new measure of dysfunction called the Levels of Personality Functioning
Scale

Answer: d
Diff: 2 Type: MC Page Ref: 216 Skill: Factual

23) In the DSM-5, the definition of a personality disorder focuses on all of the following
EXCEPT __________.
A) pervasive and problematic patterns of thinking, emotions, and behaviour
B) personality traits that contribute to a failure to adapt
C) an impaired sense of identity
D) a failure to develop effective interpersonal functioning

Answer: a
Diff: 2 Type: MC Page Ref: 216 Skill: Factual

24) In the DSM-5, there are __________ instead of __________ personality disorders.
A) 8; 10
B) 12; 10
C) 6; 8
D) 6; 10
a
Answer: d

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Diff: 2 Type: MC Page Ref: 216 Skill: Factual

25) The DSM-5 has dropped __________ personality disorder.


A) narcissism
B) obsessive-compulsive
C) schizoid
D) avoidant

Answer: c
Diff: 2 Type: MC Page Ref: 216 Skill: Factual

26) The DSM-5 has dropped __________ personality disorder.


A) dependent
B) avoidant
C) schizotypal
D) antisocial

Answer: a
Diff: 2 Type: MC Page Ref: 216 Skill: Factual

27) The DSM-5 has dropped __________ personality disorder.


A) borderline
B) paranoid
C) antisocial
D) narcissistic

Answer: b
Diff: 2 Type: MC Page Ref: 216 Skill: Factual

28) The DSM-5 has dropped __________ personality disorder.


A) histrionic
B) antisocial
C) avoidant
D) schizotypal

Answer: a
Diff: 2 Type: MC Page Ref: 216 Skill: Factual

29) The DSM-5 includes __________ domains on a Five-Factor Model of Personality.


A) trait
B) adaptive
C) characteristic
D) interpersonal functioning

Answer: a
Diff: 2 Type: MC Page Ref: 216 Skill: Factual

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30) The DSM-5 includes all of the following domains EXCEPT _________.
A) compulsivity
B) extroversion
C) disinhibition
D) antagonism

Answer: b
Diff: 2 Type: MC Page Ref: 216 Skill: Factual

31) People with paranoid personality disorder are ________ to seek treatment for
themselves and are more likely to be ________.
A) unlikely; men than women
B) likely; men than women
C) unlikely; women than men
D) likely; women than men

Answer: a
Diff: 1 Type: MC Page Ref: 217 Skill: Factual

32) People from other cultures tend to be guarded or defensive in their behaviour.
Clinicians need to be careful not mistake this behaviour for ______ personality
disorder.
A) paranoid
B) schizoid
C) schizotypal
D) antisocial

Answer: a
Diff: 1 Type: MC Page Ref: 217 Skill: Factual

33) Social isolation is the cardinal feature of ________ personality disorder.


A) schizoid
B) schizotypal
C) narcissistic
D) avoidant

Answer: a
Diff: 2 Type: MC Page Ref: 217 Skill: Conceptual

34) Alexis is a "loner." She has little interest in social relationships and appears distant
and aloof. She rarely shows any emotional expression and seems indifferent to praise
and criticism. She is usually wrapped up in abstract ideas and has little time for, or
interest in, people. She is most likely suffering from ________ personality disorder.
A) schizotypal
B) schizoid

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C) narcissistic
D) avoidant

Answer: b
Diff: 2 Type: MC Page Ref: 217 Skill: Applied

35) Those with schizoid personality disorder usually ________.


A) experience anxiety in social situations.
B) express emotions openly
C) show little or no emotion
D) are oversensitive to criticism

Answer: c
Diff: 2 Type: MC Page Ref: 217 Skill: Factual

36) Rachid puts on a superficial display of social aloofness. But deep inside he harbours
deep curiosities about other people, and exquisite sensitivity. He wishes for love that
he cannot openly express, and often expresses his sensitivity in deep feelings and
affection for animals rather than for people. He is typical of someone with ________
personality disorder.
A) schizotypal
B) dependent
C) borderline
D) schizoid

Answer: d
Diff: 2 Type: MC Page Ref: 217 Skill: Applied

37) André appears aloof but harbours deep curiosities about people and wishes for love
that he cannot express. He is able to express his love for his poodle. André likely has
__________ personality disorder.
A) schizotypal
B) paranoid
C) schizoid
D) antisocial

Answer: c
Diff: 3 Type: MC Page Ref: 217 Skill: Applied

38) Manny falsely believes his co-workers are talking about him and that they get
depressed because he regularly listens to blues music. This thinking style is called
_________.
A) paranoia
B) ideas of reference
C) a fifth sense
D) ideas of forecast

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Answer: b
Diff: 3 Type: MC Page Ref: 218 Skill: Applied

39) With schizoid personality disorder, sensitivity is sometimes expressed in deep


feelings for _______.
A) children
B) nature
C) animals
D) family

Answer: c
Diff: 2 Type: MC Page Ref: 218 Skill: Factual

40) Schizotypal personality disorder usually becomes evident in ________.


A) childhood
B) adolescence
C) early adulthood
D) middle adulthood

Answer: c
Diff: 2 Type: MC Page Ref: 218 Skill: Factual

41) People whose behaviours and mannerisms are particularly odd, but not severe enough
to merit a diagnosis of schizophrenia, are said to be suffering from ________
personality disorder.
A) schizoid
B) schizotypal
C) schizoaffective
D) histrionic

Answer: b
Diff: 2 Type: MC Page Ref: 218 Skill: Conceptual

42) Danielle is a little "different" from other people. She often feels as if deceased
relatives are in the room with her. She believes she possesses a "sixth sense" by which
she can read people's minds and foretell the future. She talks to herself frequently and
often speaks to others in a meandering, vague, although not incoherent manner. She is
often unkempt, believes people are talking about her, and tends to be socially aloof.
She is most likely suffering from ________ personality disorder.
A) schizoid
B) avoidant
C) histrionic
D) schizotypal

Answer: d

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Diff: 2 Type: MC Page Ref: 218 Skill: Applied

43) Schizotypal personality is believed to affect about ________ % of the general


population.
A) 1
B) 3
C) 7
D) 10

Answer: b
Diff: 3 Type: MC Page Ref: 218 Skill: Factual

44) The eccentricity associated with schizoid personality is ________.


A) limited to a lack of interest in social relationships
B) limited to bizarre ideation regarding one's destiny or importance in life
C) limited to obsessive interest in the bizarre or the occult
D) pervasive, affecting nearly every aspect of the person's life

Answer: a
Diff: 2 Type: MC Page Ref: 218 Skill: Factual

45) The eccentricity associated with personality is ________.


A) limited to a lack of interest in social relationships
B) limited to bizarre ideation regarding one's destiny or importance in life
C) limited to obsessive interest in the bizarre or the occult
D) pervasive, affecting a wide range of odd behaviours, beliefs, and perceptions

Answer: d
Diff: 2 Type: MC Page Ref: 218 Skill: Factual

46) Each of the following is true of people with personality disorder EXCEPT ________.
A) they may develop ideas of reference
B) they may feel the presence of deceased family members in the room and not
realize that the person is not really there
C) they may attach unusual meanings to words, and their own speech may be
vague or unusually abstract
D) they may appear unkempt and display unusual mannerisms, such as talking to
themselves in the presence of others

Answer: b
Diff: 2 Type: MC Page Ref: 218 Skill: Factual

47) Schizotypal personality disorder may actually be a mild form of ________.


A) paranoia
B) major affective disorder
C) schizophrenia

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D) an adjustment disorder

Answer: c
Diff: 1 Type: MC Page Ref: 219 Skill: Conceptual

48) ________ people diagnosed with schizotypal personality disorder go on to develop


schizophrenia.
A) Relatively few
B) About half
C) A great majority
D) Virtually all

Answer: a
Diff: 2 Type: MC Page Ref: 219 Skill: Factual

49) People with personality disorders listed in cluster ________ of the DSM-IV tend to
engage in excessive, unpredictable, and self-centred patterns. They have difficulty
forming and maintaining relationships.
A) A
B) B
C) C
D) D

Answer: b
Diff: 2 Type: MC Page Ref: 219 Skill: Factual

50) People with ________ personality disorder persistently disregard the rights and
feelings of others and feel little or no remorse for their actions.
A) paranoid
B) borderline
C) narcissistic
D) antisocial

Answer: d
Diff: 2 Type: MC Page Ref: 219 Skill: Conceptual

51) To people who know her casually, Lynette is very charming. But underneath her
superficial charm is a monster. She is impulsive, self-centred, insensitive to others,
and irresponsible; has little anxiety; and feels no guilt or remorse when she hurts
someone else. She blames others for her problems and rarely learns from her
mistakes. She sees others as tools to be used to meet her own needs. While she can
appear to be the nicest person in the world, if you get in her way—watch out! Mary is
most likely suffering from ________ personality disorder.
A) paranoid
B) narcissistic
C) sadistic

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D) antisocial

Answer: d
Diff: 2 Type: MC Page Ref: 219 Skill: Applied

52) A cardinal feature of ________ personality disorder is lack of remorse.


A) antisocial
B) borderline
C) narcissistic
D) paranoid

Answer: a
Diff: 1 Type: MC Page Ref: 219 Skill: Conceptual

53) Men are ________ likely than women to have antisocial personality disorder.
A) less
B) just as
C) almost as
D) more

Answer: d
Diff: 2 Type: MC Page Ref: 219 Skill: Factual

54) People with _________ personality disorder display low levels of anxiety in
threatening situations.
A) paranoid
B) schizoid
C) schizotypal
D) antisocial

Answer: d
Diff: 2 Type: MC Page Ref: 219 Skill: Conceptual

55) The prevalence of antisocial personality disorder in Canada has been ________ for
men and ________ for women.
A) declining; declining
B) rising; declining
C) declining; rising
D) rising; rising

Answer: d
Diff: 2 Type: MC Page Ref: 220 Skill: Factual

56) To receive a diagnosis of “antisocial personality disorder,” a person must be at least


________ years of age.
A) 12

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B) 15
C) 18
D) 21

Answer: c
Diff: 2 Type: MC Page Ref: 220 Skill: Factual

57) Children who exhibit antisocial behaviour patterns are said to be suffering from
________ disorder.
A) psychopathic
B) conduct
C) attention-deficit
D) maturity

Answer: b
Diff: 2 Type: MC Page Ref: 220 Skill: Factual

58) The terms psychopath and sociopath once referred to individuals diagnosed with
________ personality disorder.
A) sadistic
B) paranoid
C) antisocial
D) schizotypal

Answer: c
Diff: 1 Type: MC Page Ref: 220 Skill: Conceptual

59) The PCL-R is used to measure interpersonal and affective traits, such as ________.
A) callousness, selfishness, and the remorseless use of others
B) anxiety and depression
C) paranoia, social isolation, and persistent suspiciousness of others
D) delusional thinking

Answer: a
Diff: 3 Type: MC Page Ref: 220 Skill: Factual

60) Paul Bernardo is a classic example of a person with ________ personality disorder.
A) narcissistic
B) paranoid
C) antisocial
D) schizotypal

Answer: c
Diff: 2 Type: MC Page Ref: 220 Skill: Applied

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61) Researchers now believe psychopathic personality is composed of ________


somewhat independent dimensions.
A) two
B) three
C) four
D) five

Answer: a
Diff: 3 Type: MC Page Ref: 220 Skill: Factual

62) The diagnostic features of antisocial personality disorder require evidence of a


conduct disorder prior to age __________.
A) 21
B) 18
C) 16
D) 15

Answer: d
Diff: 2 Type: MC Page Ref: 221 Skill: Factual

63) About ________ % of prison inmates could be diagnosed with antisocial personality
disorder.
A) 25
B) 50
C) 75
D) 100

Answer: b
Diff: 3 Type: MC Page Ref: 222 Skill: Factual

64) Psychopathic personality is composed of _________ factors.


A) social and personality
B) personality and behaviour
C) social and behaviour
D) social and cognition

Answer: b
Diff: 2 Type: MC Page Ref: 222 Skill: Factual

65) In Canada, males are __________ times more likely than females to be diagnosed
with antisocial personality disorder.
A) two
B) three
C) four
D) five

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Answer: a
Diff: 1 Type: MC Page Ref: 222 Skill: Factual

66) Which of the following is NOT one of the psychophysiological or biological factors
associated with antisocial personality and psychopathy?
A) lack of emotional responsiveness
B) lack of restraint or impulsivity
C) a need for a low level of stimulation
D) limbic abnormalities

Answer: c
Diff: 2 Type: MC Page Ref: 223-224 Skill: Factual

67) Laboratory experiments provide evidence that people with antisocial personalities
experienced little anxiety in anticipation of impending ______.
A) emotions
B) incarceration
C) pain
D) ECT

Answer: c
Diff: 2 Type: MC Page Ref: 223 Skill: Factual

68) Which of the following is NOT a biological factor associated with the possible cause
of antisocial personality disorder and psychopathy?
A) lack of emotional responsiveness
B) craving for stimulation
C) overactive prefrontal cortexes
D) limbic system abnormalities

Answer: c
Diff: 2 Type: MC Page Ref: 223-224 Skill: Factual

69) The level of arousal associated with peak performance and maximum feelings of
well-being is referred to as _________ level of arousal.
A) baseline
B) optimal
C) exaggerated
D) heightened

Answer: b
Diff: 2 Type: MC Page Ref: 223 Skill: Factual

70) People with borderline personality disorder tend to see others as _________.
A) threatening
B) mirror images of themselves

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C) all good or all bad


D) a target for seduction

Answer: c
Diff: 2 Type: MC Page Ref: 224 Skill: Conceptual

71) Instability in self-image, relationships, and mood and a lack of control are the
hallmark features of ________ personality disorder.
A) schizoid
B) schizotypal
C) antisocial
D) borderline

Answer: d
Diff: 2 Type: MC Page Ref: 224 Skill: Conceptual

72) Marilyn Monroe and Lawrence of Arabia are two people with personality
characteristics similar to those of ________ personality disorder.
A) avoidant
B) dependent
C) borderline
D) narcissistic

Answer: c
Diff: 2 Type: MC Page Ref: 224 Skill: Applied

73) Marcella is uncertain about her goals, values, loyalties, career, and friends.
Sometimes she is not even certain if she is heterosexual or lesbian. She feels bored
and empty and is terrified of being alone. She clings desperately to her friends
because of her fear of abandonment. However, her clinging behaviour and her
oversensitivity to any sign of rejection often push away those friends. Marcella is
most likely suffering from ________ personality disorder.
A) avoidant
B) borderline
C) histrionic
D) dependent

Answer: b
Diff: 2 Type: MC Page Ref: 224 Skill: Applied

74) Borderline personality disorder is estimated to occur in about ________ % of the


population.
A) 0.5
B) 2
C) 5
D) 10

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Answer: b
Diff: 3 Type: MC Page Ref: 224 Skill: Factual

75) About ________ % of people diagnosed with borderline personality are women.
A) 35
B) 50
C) 75
D) 95

Answer: c
Diff: 3 Type: MC Page Ref: 224 Skill: Factual

76) The term “borderline personality” was originally used to refer to individuals whose
behaviour appeared to be on the border between ________.
A) introverted and extroverted
B) heterosexual and homosexual
C) passive and aggressive
D) neurotic and psychotic

Answer: d
Diff: 2 Type: MC Page Ref: 225 Skill: Conceptual

77) Borderline personality disorder appears to be closest in its dynamics to ________


disorders.
A) mood
B) adjustment
C) anxiety
D) dissociative

Answer: a
Diff: 3 Type: MC Page Ref: 225 Skill: Factual

78) Instability of moods is a central characteristic of ________ personality disorder.


A) dependent
B) paranoid
C) borderline
D) obsessive-compulsive

Answer: c
Diff: 2 Type: MC Page Ref: 225 Skill: Conceptual

79) Researchers have noted an association between _________ and later development of
borderline personality disorder.
A) alcohol abuse
B) conduct disorder

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C) attention-deficit disorder
D) childhood sexual abuse

Answer: d
Diff: 2 Type: MC Page Ref: 226 Skill: Factual

80) Persons with borderline personality disorder may exhibit __________ as an


expression of anger or a means of manipulating others.
A) self-mutilation
B) passive-aggressiveness
C) promiscuity
D) violent acts

Answer: a
Page Ref: 226

81) According to the psychodynamic perspective, borderline personalities ________.


A) cannot synthesize positive and negative aspects of personality into an
integrated whole
B) are fixated in the anal stage of development
C) cannot accept the mortality of their physical body and periodically lash out in
rebellion against eventual death
D) develop elaborate fantasy worlds as a defence against responsibilities they feel
ill-equipped to handle

Answer: a
Diff: 2 Type: MC Page Ref: 227 Skill: Factual

82) People who show excessive emotionality; who have excessive needs for praise,
reassurance, and approval; and who constantly need to be the centre of attention are
most likely suffering from ________ personality disorder.
A) dependent
B) histrionic
C) borderline
D) narcissistic

Answer: b
Diff: 2 Type: MC Page Ref: 227 Skill: Conceptual

83) Marc is a born actor. He is always the centre of attention. He is highly dramatic,
overemotional, self-centred, spoiled, and inconsiderate of his friends. While he can
appear charming, and is often flirtatious and seductive, he has no deep feelings
toward anyone and has never had a truly intimate relationship. He has poor self-
esteem and tries to impress others as a means of improving his own self-worth. He is
most likely suffering from ________ personality disorder.
A) histrionic

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B) dependent
C) narcissistic
D) antisocial

Answer: a
Diff: 2 Type: MC Page Ref: 227 Skill: Applied

84) The central feature of ________ personality disorder is a constant need for “hogging
centre stage” and getting others to pay attention to them.
A) histrionic
B) dependent
C) narcissistic
D) borderline

Answer: a
Diff: 2 Type: MC Page Ref: 227 Skill: Conceptual

85) Females may be more likely than males to be diagnosed with ________ personality
disorder, though some studies suggest that the actual rates of occurrence may be
similar.
A) antisocial
B) paranoid
C) narcissistic
D) histrionic

Answer: d
Diff: 1 Type: MC Page Ref: 227 Skill: Factual

86) People with conversion disorder are ________.


A) equally unlikely to show features of histrionic or dependent personality
disorder
B) more likely to show features of histrionic personality disorder than dependent
personality disorder
C) more likely to show features of dependent personality disorder than histrionic
personality disorder
D) very likely to show features of both dependent and histrionic personality
disorders

Answer: c
Diff: 2 Type: MC Page Ref: 227 Skill: Factual

87) Rapid alterations between adulation and outrage would be interpreted by a


psychoanalyst as __________.
A) splitting
B) polarization
C) ego defence

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D) ego suppression

Answer: a
Diff: 2 Type: MC Page Ref: 227 Skill: Conceptual

88) At a therapy session, Naomi told her therapist she was the best therapist in the whole
world and that only she could ever help her. At her next session, Naomi accused her
therapist of being inadequate, uncaring, and only in practice to make money using
sick people. Naomi is showing symptoms of __________ personality disorder.
A) narcissistic
B) paranoid
C) histrionic
D) borderline

Answer: d
Diff: 3 Type: MC Page Ref: 227 Skill: Applied

89) Alan puts on a front of being very flirtatious and seductive, and he typically draws
attention to himself by dressing in an overly “macho” manner. He hopes to someday
be a male model or an actor, but he is plagued by inner doubts and insecurities about
himself, despite his successful image, and he constantly feels the need to impress
others to boost his own ego and self-image. His behaviour is typical of someone with
________ personality disorder.
A) narcissistic
B) histrionic
C) borderline
D) schizotypal

Answer: b
Diff: 2 Type: MC Page Ref: 228 Skill: Applied

90) The central feature of ________ personality disorder is an overblown sense of


oneself.
A) dependent
B) histrionic
C) narcissistic
D) borderline

Answer: c
Diff: 1 Type: MC Page Ref: 228 Skill: Factual

91) Gisele loves to brag about her accomplishments. While she is not overly dramatic or
flirtatious, she enjoys being the centre of attention. She is self-absorbed and lacks
empathy for others. She is successful in her career and very proud of her
accomplishments. Gisele just wishes that others would show more appreciation of

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how wonderful she is. She is preoccupied with fantasies of future success, power, and
recognition. Gisele is most likely suffering from ________ personality disorder.
A) antisocial
B) histrionic
C) narcissistic
D) borderline

Answer: c
Diff: 1 Type: MC Page Ref: 228 Skill: Applied

92) Which of the following is NOT true of narcissistic personalities?


A) They are virtually invulnerable to criticism.
B) They are often driven by insatiable ambition.
C) They are often superficially charming and friendly, but they see people as
pawns who can serve their interests.
D) They seek and surround themselves with flatterers who lavish them with
unconditional praise.

Answer: a
Diff: 2 Type: MC Page Ref: 228 Skill: Factual

93) People with histrionic personality disorder share certain features with ___________
personality disorder.
A) schizoid
B) antisocial
C) narcissistic
D) borderline

Answer: c
Diff: 2 Type: MC Page Ref: 228 Skill: Conceptual

94) Rocco is very self-absorbed and likes to brag about his accomplishments. He likes to
be the centre of attention and lacks empathy. Rocco likely has _________ personality
disorder.
A) histrionic
B) antisocial
C) borderline
D) narcissistic

Answer: d
Diff: 3 Type: MC Page Ref: 228 Skill: Applied

95) People with personality disorders from DSM-IV cluster ________ share the common
component of fear or anxiety in their behaviour patterns.
A) A
B) B

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C) C
D) D

Answer: c
Diff: 2 Type: MC Page Ref: 230 Skill: Factual

96) Interpersonal relationships are invariably strained by the demands that people with
narcissistic personality disorder impose on others and by their lack of _______ with
and concern for other people.
A) working
B) identification
C) cooperation
D) empathy

Answer: d
Diff: 2 Type: MC Page Ref: 230 Skill: Conceptual

97) People who are so terrified of criticism or rejection that they are generally unwilling
to enter relationships are suffering from ________ personality disorder.
A) schizoid
B) paranoid
C) antisocial
D) avoidant

Answer: d
Diff: 2 Type: MC Page Ref: 230 Skill: Conceptual

98) Hansa wants to be involved with people. In fact, she truly loves people and has strong
needs for affection and acceptance. But her fears of rejection and public
embarrassment prevent her from reaching out to those around her. Instead, she sticks
to her routine and refuses to take any risks or try anything new. Hansa is most likely
suffering from ________ personality disorder.
A) dependent
B) avoidant
C) paranoid
D) histrionic

Answer: b
Diff: 2 Type: MC Page Ref: 230 Skill: Applied

99) Avoidant personality disorder is ________ as common in men as in women.


A) one-quarter
B) one-half
C) just
D) twice

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Answer: c
Diff: 2 Type: MC Page Ref: 230 Skill: Factual

100) There is a good deal of overlap between generalized social phobia and ________
personality disorder.
A) schizoid
B) dependent
C) antisocial
D) avoidant

Answer: d
Diff: 2 Type: MC Page Ref: 231 Skill: Conceptual

101) There is a good deal of overlap between avoidant personality disorder and
________.
A) posttraumatic stress disorder
B) generalized anxiety disorder
C) generalized social phobia
D) antisocial personality

Answer: c
Diff: 2 Type: MC Page Ref: 231 Skill: Conceptual

102) People who are overly reliant on others to give them advice or make decisions for
them are suffering from ________ personality disorder.
A) dependent
B) avoidant
C) schizotypal
D) histrionic

Answer: a
Diff: 1 Type: MC Page Ref: 231 Skill: Conceptual

103) Melissa is a thoughtful and considerate person but has a difficult time making
decisions on her own. She relies on her one best friend, someone she has known
since childhood, to give her advice on virtually every decision she makes.
Sometimes Melissa even asks the friend to make the decision for her. At work, she
holds a position far below her potential and has refused several promotion
opportunities. She is most likely suffering from ________ personality disorder.
A) dependent
B) avoidant
C) schizotypal
D) histrionic

Answer: a
Diff: 2 Type: MC Page Ref: 231 Skill: Applied

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104) Dependent personality disorder has been linked to each of the following disorders
EXCEPT ________.
A) major depression
B) bipolar disorder
C) social phobia
D) obsessive-compulsive disorder

Answer: d
Diff: 3 Type: MC Page Ref: 232 Skill: Factual

105) There appears to be a link between dependent personality disorder and what
psychodynamic theorists would label ________ behaviour problems.
A) phallic
B) anal
C) oral
D) genital

Answer: c
Diff: 3 Type: MC Page Ref: 231 Skill: Factual

106) Each of the following is true of people suffering from dependent personality
disorder EXCEPT ________.
A) it is diagnosed more frequently in women than in men
B) it is linked to problems with what psychodynamic theorists call “anal”
behaviours
C) it is linked to such physiological problems as hypertension, cancer, ulcers, and
colitis
D) dependent personalities often attribute their problems to physical, rather than
emotional, causes and seek advice from medical experts

Answer: b
Diff: 3 Type: MC Page Ref: 232 Skill: Factual

107) The defining features of ________ personality disorder are traits such as
perfectionism, rigidity, being overly meticulous, and having difficulties coping with
ambiguity.
A) histrionic
B) paranoid
C) obsessive-compulsive
D) avoidant

Answer: c
Diff: 2 Type: MC Page Ref: 232 Skill: Conceptual

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108) Matt is a perfectionist. He is so preoccupied with perfection that he almost never


gets things done on time. He procrastinates and focuses so closely on trivial details
that he often fails to see how the details fit into the bigger picture. Socially, he rarely
goes out because he is too busy working. He often won't make choices because he
fears making the wrong choice. Matt's life is dominated by rigid expectations and
goals. Matt is suffering from ________ personality disorder.
A) schizotypal
B) avoidant
C) obsessive-compulsive
D) histrionic

Answer: c
Diff: 2 Type: MC Page Ref: 232 Skill: Applied

109) About ________ % of people in community samples are diagnosed with obsessive-
compulsive personality disorder.
A) 1
B) 5
C) 8
D) 12

Answer: a
Diff: 3 Type: MC Page Ref: 232 Skill: Factual

110) Dependent personality disorder has been linked to such physical problems as
__________.
A) cancer
B) Alzheimer’s disease
C) lupus
D) osteoporosis

Answer: a
Diff: 2 Type: MC Page Ref: 232 Skill: Factual

111) Dependent personality disorder has been linked to all of the following EXCEPT
__________.
A) smoking
B) eating disorders
C) alcoholism
D) self-injury

Answer: d
Diff: 2 Type: MC Page Ref: 232 Skill: Factual

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112) The diagnosis of women with dependent personality disorder is controversial. It


may be due to a sense of blaming the victim, and __________ issues can explain
this.
A) socialization
B) women’s rights
C) family
D) personality

Answer: a
Diff: 3 Type: MC Page Ref: 232 Skill: Conceptual

113) Obsessive-compulsive personality disorder is ________ as common in men as in


women.
A) one-quarter
B) one-half
C) just
D) twice

Answer: d
Diff: 2 Type: MC Page Ref: 233 Skill: Factual

114) Which of the following is NOT a problem with the current system for the
classification of personality disorders?
A) There remain nagging questions about the reliability and validity of the
diagnoses of personality disorders.
B) There is not enough overlap among the various categories of personality
disorders.
C) The present classification system blurs the distinction between normal and
abnormal variations in personality.
D) Some of the categories of personality disorders may have underlying sexist
biases.

Answer: b
Diff: 3 Type: MC Page Ref: 233 Skill: Factual

115) Bastin went on vacation with his family. He found it necessary to schedule each day
with activities and even made a list for everyone to use. He resented eating in
restaurants, claiming that they could save money by eating meals in their motel
rooms. While away, all Bastin could think about was what he should be doing back
at work. Bastin likely has ___________ disorder.
A) dependent personality
B) obsessive-compulsive
C) histrionic personality
D) obsessive-compulsive personality

Answer: d

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Diff: 3 Type: MC Page Ref: 233 Skill: Applied

116) People with obsessive-compulsive disorder are preoccupied with _________.


A) themselves
B) their emotions
C) impulsive thinking
D) perfection

Answer: d
Diff: 1 Type: MC Page Ref: 233 Skill: Factual

117) Some commentators of the DSM system believe there is a high degree of
__________ among the personality disorders.
A) variance
B) predictability
C) inconsistency
D) overlap

Answer: d
Diff: 2 Type: MC Page Ref: 234 Skill: Conceptual

118) There are personality disorders for ________.


A) neither stereotypically masculine nor stereotypically feminine behaviour
B) stereotypically masculine but not stereotypically feminine behaviour
C) stereotypically feminine but not stereotypically masculine behaviour
D) both stereotypically masculine and stereotypically feminine behaviour

Answer: c
Diff: 2 Type: MC Page Ref: 235 Skill: Factual

119) The concept of ________ personality seems to be a caricature of the traditional


stereotype of the feminine personality.
A) narcissistic
B) dependent
C) borderline
D) histrionic

Answer: d
Diff: 2 Type: MC Page Ref: 235 Skill: Factual

120) The DSM-5 reduces the number of personality disorders from __________.
A) 10 to 6
B) 10 to 8
C) 12 to 6
D) 12 to 8

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Answer: a
Diff: 2 Type: MC Page Ref: 235 Skill: Factual

121) Livesley has suggested that the definition of personality disorder should also include
measureable dysfunction in all of the following domains EXCEPT _________.
A) self system
B) societal relationships
C) interpersonal relationships
D) family system

Answer: d
Page Ref: 235

122) Women are at greater risk of receiving a diagnosis of __________ personality


disorder, and men are at greater risk of receiving a diagnosis of _________
personality disorder.
A) histrionic; antisocial
B) histrionic; dependent
C) dependent; narcissistic
D) narcissistic; antisocial

Answer: a
Diff: 2 Type: MC Page Ref: 236 Skill: Conceptual

123) In one study, psychologists, social workers, and psychiatrists displayed gender bias
when it came to diagnosing __________ personality disorder.
A) histrionic
B) borderline
C) schizoid
D) narcissistic

Answer: b
Diff: 2 Type: MC Page Ref: 236 Skill: Conceptual

124) Each of the following statements is true EXCEPT ________.


A) personality disorders are convenient labels for identifying common patterns of
ineffective and ultimately self-defeating behaviour
B) the labels used to identify personality disorders have been useful in helping to
explain their causes
C) clinicians appear to have a gender bias in diagnosing some personality
disorders
D) many of the traits used to describe personality disorders are commonly found
in normal people

Answer: b
Diff: 2 Type: MC Page Ref: 236 Skill: Factual

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125) Freud believed that most personality disorders have their roots in the ________.
A) collective unconscious
B) Oedipus complex
C) anal stage of development
D) development of the id

Answer: b
Diff: 3 Type: MC Page Ref: 237 Skill: Conceptual

126) Freud believed that most personality disorders have their roots in ________.
A) poor toilet training
B) oral fixations
C) failure of the ego to develop properly
D) failure to resolve the Oedipus/Electra complex

Answer: d
Diff: 3 Type: MC Page Ref: 237 Skill: Conceptual

127) According to Freud, proper resolution of the Oedipus complex is represented by the
development of the ________.
A) id
B) ego
C) superego
D) persona

Answer: c
Diff: 3 Type: MC Page Ref: 237 Skill: Conceptual

128) According to Freud, many factors may interfere with appropriate identification with
a parent's moral reasoning, such as having a weak or absent _____.
A) superego
B) sibling
C) father
D) set of morals

Answer: c
Diff: 2 Type: MC Page Ref: 237 Skill: Factual

129) Recent (post-Freudian) psychodynamic theories have focused on the age period of
________ as the time period when most personality disorders begin.
A) birth to 18 months
B) 18 months to 3 years
C) 3 to 5 years
D) 5 to 9 years

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Answer: b
Diff: 3 Type: MC Page Ref: 237 Skill: Factual

130) Recent advances in psychodynamic theory focus on the development of ________.


A) the superego
B) the id
C) the collective unconscious
D) the sense of self

Answer: d
Diff: 2 Type: MC Page Ref: 237 Skill: Factual

131) Heinz Kohut's views on the development of personality are labelled ________
psychology.
A) personal
B) self
C) individual
D) client-centred

Answer: b
Diff: 2 Type: MC Page Ref: 237 Skill: Factual

132) According to Kohut, childhood narcissism ________.


A) is normal and sets the stage for healthy development when combined with
parental empathy
B) is normal and sets the stage for healthy development when confronted with
strict discipline from parents
C) is pathological and must be dealt with early and forcefully
D) is pathological if it involves the belief that “the world revolves around me”

Answer: a
Diff: 2 Type: MC Page Ref: 237 Skill: Factual

133) According to Kohut, lack of ________ may set the stage for pathological narcissism
in adulthood.
A) a structured environment
B) consistent discipline during toilet training
C) parental empathy and support
D) idealistic parental behaviour

Answer: c
Diff: 2 Type: MC Page Ref: 237 Skill: Factual

134) According to Kohut, lack of parental empathy and support may set the stage for
pathological ________ in adulthood.
A) paranoia

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B) insecurity
C) compulsiveness
D) narcissism

Answer: d
Diff: 3 Type: MC Page Ref: 237 Skill: Factual

135) Albert suffers from narcissistic personality disorder. His therapist says that his
problem is due to a lack of parental empathy and support for his normal childhood
narcissism. This conceptualization of Albert's problem is most like that of
________.
A) Kohut
B) Kernberg
C) Mahler
D) Millon

Answer: a
Diff: 2 Type: MC Page Ref: 237 Skill: Applied

136) The idea that borderline personality disorder stems from a pre-Oedipal failure to
develop a sense of constancy and unity in one's image of the self and others was
proposed by ________.
A) Kohut
B) Kernberg
C) Mahler
D) Millon

Answer: b
Diff: 2 Type: MC Page Ref: 238 Skill: Factual

137) The concept “splitting” is central to ________ psychodynamic theory of borderline


personality.
A) Kohut’s
B) Kernberg’s
C) Mahler’s
D) Millon’s

Answer: b
Diff: 2 Type: MC Page Ref: 238 Skill: Factual

138) Kernberg used the concept of “splitting” to explain ________ personality disorder.
A) dependent
B) avoidant
C) histrionic
D) borderline

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Answer: d
Diff: 2 Type: MC Page Ref: 238 Skill: Factual

139) According to Kernberg, children who fail to synthesize contradictory images of


good and bad in themselves and others are likely to have tendencies toward
________.
A) reactivity
B) splitting
C) individuation
D) schizotypal traits

Answer: b
Diff: 2 Type: MC Page Ref: 238 Skill: Factual

140) Brent suffers from borderline personality disorder. His therapist says that his
problems are due to a failure to develop a consistent self-image and splitting. This
conceptualization of Brent's problem is most like that of ________.
A) Kohut
B) Kernberg
C) Mahler
D) Millon

Answer: b
Diff: 2 Type: MC Page Ref: 238 Skill: Applied

141) According to Mahler, infants develop a(n) ________ attachment to their mothers.
A) reciprocal
B) ego syntonic
C) symbiotic
D) ego dystonic

Answer: c
Diff: 2 Type: MC Page Ref: 238 Skill: Factual

142) A state of “oneness” in which a child's identity is fused with that of the mother is
called ________.
A) symbiosis
B) synthesis
C) identity diffusion
D) reciprocation

Answer: a
Diff: 2 Type: MC Page Ref: 238 Skill: Conceptual

143) The concept of separation-individuation was developed by ________.


A) Kohut

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B) Kernberg
C) Mahler
D) Millon

Answer: c
Diff: 2 Type: MC Page Ref: 238 Skill: Factual

144) Mahler used the concept of separation-individuation to explain ________


personality disorder.
A) dependent
B) avoidant
C) histrionic
D) borderline

Answer: d
Diff: 2 Type: MC Page Ref: 238 Skill: Factual

145) Dominic suffers from borderline personality disorder. His therapist tells him that his
problem stems from a failure of separation-individuation while he was growing up.
His therapist's conceptualization of the problem is most like that of ________.
A) Kohut
B) Kernberg
C) Mahler
D) Millon

Answer: c
Diff: 2 Type: MC Page Ref: 238 Skill: Applied

146) Marcel suffers from dependent personality disorder. If learning theorists are correct,
his problem arises from ________ when he was a child.
A) too much parental attention and reinforcement attached to his physical
appearance
B) excessive parental control and discipline
C) lack of reward or encouragement for exploratory behaviour
D) sibling rivalry combined with attention-seeking, emotional parents

Answer: c
Diff: 2 Type: MC Page Ref: 239 Skill: Applied

147) Stephen suffers from obsessive-compulsive personality disorder. If learning


theorists are correct, his problem arises from ________ when he was a child.
A) too much parental attention and reinforcement attached to his physical
appearance
B) excessive parental control and discipline
C) lack of reward or encouragement for exploratory behaviour
D) sibling rivalry combined with attention-seeking, emotional parents

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Answer: b
Diff: 2 Type: MC Page Ref: 239 Skill: Applied

148) Jean-Pierre suffers from histrionic personality disorder. If learning theorists are
correct, his problem arises from ________ when he was a child.
A) consistently attentive parents
B) excessive parental control and discipline
C) lack of reward or encouragement for exploratory behaviour
D) sibling rivalry combined with attention-seeking

Answer: d
Diff: 2 Type: MC Page Ref: 239 Skill: Applied

149) Tyler suffers from antisocial personality disorder. If social-cognitive theorists are
correct, his problem arises from ________ when he was a child.
A) a complete lack of discipline and punishment
B) excessive parental control and discipline
C) lack of reward or encouragement for exploratory behaviour
D) lack of consistency and predictability in his learning experiences

Answer: d
Diff: 2 Type: MC Page Ref: 240 Skill: Applied

150) Researchers have found that people with borderline personality disorder remember
their parents as significantly more ________.
A) affectionate and smothering
B) controlling and less caring
C) permissive and inconsistent
D) confused and inconsistent

Answer: b
Diff: 3 Type: MC Page Ref: 240 Skill: Factual

151) When borderline personalities recall their earliest memories, they are more likely to
paint significant others as ________.
A) evil
B) affectionate
C) distant
D) strict

Answer: a
Diff: 3 Type: MC Page Ref: 240 Skill: Factual

152) Recent research has uncovered a link between borderline personality disorder and
________.

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A) a family history of schizophrenia


B) being adopted at or near birth
C) childhood trauma
D) social rejection in adolescence

Answer: c
Diff: 2 Type: MC Page Ref: 240 Skill: Factual

153) Family factors such as ________ have been implicated in the development of
dependent personality disorder.
A) a weak or absent parent
B) lack of emotional bonding between parents and children
C) overprotectiveness
D) permissiveness

Answer: c
Diff: 3 Type: MC Page Ref: 240 Skill: Factual

154) Family factors such as ________ have been implicated in the development of
dependent personality disorder.
A) a weak or absent parent
B) lack of emotional bonding between parents and children
C) authoritarianism
D) permissiveness

Answer: c
Diff: 3 Type: MC Page Ref: 240 Skill: Factual

155) The McCords have conducted research relating early childhood ________ and
subsequent delinquency.
A) fear experiences
B) parental rejection
C) failure experiences
D) sexual experiences

Answer: b
Diff: 2 Type: MC Page Ref: 240 Skill: Factual

156) According to the family perspective, the key factor in the development of antisocial
personality is ________.
A) parental rejection, parental neglect, and failure of the parents to love the child
B) extreme strictness in parental rules of conduct combined with unduly harsh
punishments
C) parental overprotectiveness and “smothering,” leading to rejection of parental
values by the child

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D) spoiling the child and excessive permissiveness by the parents in their


enforcement of conduct rules

Answer: a
Diff: 2 Type: MC Page Ref: 240 Skill: Factual

157) Antisocial adolescents tend to erroneously interpret other people's behaviour as


________.
A) vulnerable
B) uncaring
C) threatening
D) selfish

Answer: c
Diff: 1 Type: MC Page Ref: 241 Skill: Factual

158) Social-cognitive theorist Albert Bandura has studied the role of _____________ in
aggressive behaviour.
A) operant learning
B) observational learning
C) serotonin
D) Oedipal complexes

Answer: b
Diff: 1 Type: MC Page Ref: 241 Skill: Factual

159) Cognitive therapists have used problem-solving therapy to treat adolescents with
________ tendencies.
A) narcissistic
B) antisocial
C) borderline
D) schizoid

Answer: b
Diff: 2 Type: MC Page Ref: 241 Skill: Factual

160) ________ therapists have used problem-solving therapy to treat adolescents with
antisocial tendencies.
A) Psychodynamic
B) Family
C) Learning
D) Cognitive

Answer: d
Diff: 1 Type: MC Page Ref: 241 Skill: Factual

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161) Recent studies using fMRI have also provided evidence for ________ differences in
personality traits.
A) cognitive
B) neurological
C) psychodynamic
D) familial

Answer: b
Diff: 3 Type: MC Page Ref: 241 Skill: Factual

162) Which of the following personality disorders appears to run in families?


A) schizoid
B) paranoid
C) schizotypal
D) dependent

Answer: c
Diff: 3 Type: MC Page Ref: 241 Skill: Factual

163) Which of the following personality disorders appears to run in families?


A) narcissistic
B) antisocial
C) histrionic
D) avoidant

Answer: b
Diff: 3 Type: MC Page Ref: 241 Skill: Factual

164) Which of the following personality disorders appears to run in families?


A) obsessive-compulsive
B) borderline
C) histrionic
D) avoidant

Answer: b
Diff: 3 Type: MC Page Ref: 241 Skill: Factual

165) A recent study of identical twins from the normal population indicated that
________ was the most heritable of the 18 dimensions studied.
A) submissiveness
B) conduct disorders
C) identification
D) narcissism

Answer: d
Diff: 2 Type: MC Page Ref: 242 Skill: Factual

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166) Which of the following people is MOST likely to become a criminal?


A) a person whose biological and adoptive fathers were not criminals
B) a person whose biological father was a criminal, but whose adoptive father was
not
C) a person whose adoptive father was a criminal, but whose biological father was
not
D) a person whose biological and adoptive fathers were not criminals, but whose
adoptive parents divorced during adolescence

Answer: b
Diff: 2 Type: MC Page Ref: 242 Skill: Applied

167) Jang and his colleagues at University of British Columbia argue that people do not
just passively respond to nor are merely shaped by their environment, but that
____________ plays a role in the kinds of environments that will be actively sought
out.
A) genetics
B) personality
C) personal history
D) imitation

Answer: b
Diff: 2 Type: MC Page Ref: 242 Skill: Applied

168) Which of the following people is MOST likely to become a criminal?


A) a person whose biological and adoptive fathers were not criminals
B) a person whose biological father was a criminal, but whose adoptive father was
not
C) a person whose adoptive father was a criminal, but whose biological father was
not
D) a person whose biological and adoptive fathers were both criminals

Answer: d
Diff: 2 Type: MC Page Ref: 242 Skill: Applied

169) A Danish study found a ___________ times greater incidence of psychopathy


among the biological relatives of antisocial adoptees than among the adoptive
relatives.
A) 2
B) 5
C) 10
D) 30

Answer: b
Diff: 2 Type: MC Page Ref: 242 Skill: Factual

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170) The neuroscience theory of personality can be traced back to physiologist _______,
who introduced the concept of nervous system excitation.
A) Freud
B) Hare
C) Pavlov
D) James

Answer: c
Diff: 2 Type: MC Page Ref: 242 Skill: Factual

171) Jeffrey Gray has woven the theories of Pavlov and Eysenck into what is now known
as reinforcement _______ theory (RST).
A) sensitivity
B) satiation
C) salience
D) semblance

Answer: a
Diff: 2 Type: MC Page Ref: 243 Skill: Factual

172) From the sociocultural perspective, “treatment” of antisocial personality disorder


focuses on ________.
A) reshaping reward contingencies for more socially acceptable behaviours
B) redressing social injustices and ameliorating deprivation
C) raising self-esteem by making the person more aware of his or her authentic
feelings
D) giving the individual insight into the nature of his or her aggressive behaviours
and selfish needs

Answer: b
Diff: 1 Type: MC Page Ref: 243 Skill: Conceptual

173) The behavioural approach system (BAS) __________.


A) anticipates rewards and acts to seek out pleasure
B) is tied to defensive escape and avoidance
C) is sensitive to potential conflicts
D) is a fear response to punishing stimuli

Answer: a
Diff: Type: MC Page Ref: 243 Skill: Factual

174) The fight-flight-freeze system (FFFS) __________.


A) anticipates rewards
B) acts to seek out pleasure
C) is sensitive to potential conflicts

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D) is a fear response to punishing stimuli

Answer: d
Diff: 3 Type: MC Skill: Factual

175) The behavioural inhibition system (BIS) __________.


A) is sensitive to potential conflicts
B) acts to avoid pain
C) anticipates rewards
D) is tied to defensive escape and avoidance

Answer: a
Diff: 3 Type: MC Skill: Factual

176) The International Personality Disorder Examination (IPDE) found __________


personality disorder to be the most frequently diagnosed in various countries.
A) borderline and avoidant
B) antisocial and histrionic
C) borderline and antisocial
D) antisocial and avoidant

Answer: a
Diff: 3 Type: MC Page Ref: 244 Skill: Factual

177) Which of the following statements about people with personality disorders is NOT
true?
A) they condemn others for their problems
B) they desperately feel they need to change
C) they often fail to cooperate in therapy
D) they do not seek help on their own

Answer: b
Diff: 2 Type: MC Page Ref: 245 Skill: Conceptual

178) Therapists often find people with __________ personality disorder difficult to treat,
exhausting, and frustrating.
A) dependent
B) histrionic
C) antisocial
D) borderline

Answer: d
Diff: 2 Type: MC Page Ref: 245 Skill: Conceptual

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179) A therapist helps her client look for the roots of his self-defeating behaviour patterns
and develop more adaptive methods of relating to others. This therapist is probably
a ________ therapist.
A) psychodynamic
B) behavioural
C) cognitive
D) humanistic

Answer: a
Diff: 2 Type: MC Page Ref: 245 Skill: Applied

180) A therapist attempts to replace her client's maladaptive behaviours with adaptive
behaviours through techniques such as role-playing and modelling. This therapist is
probably a ________ therapist.
A) psychodynamic
B) behavioural
C) cognitive
D) humanistic

Answer: b
Diff: 1 Type: MC Page Ref: 245 Skill: Applied

181) A therapeutic technique that combines behaviour therapy and supportive


psychotherapy for the treatment of borderline personality disorder is ________.
A) self psychology
B) Gestalt psychology
C) attachment therapy
D) dialectical behaviour therapy

Answer: d
Diff: 3 Type: MC Page Ref: 246 Skill: Factual

182) ________ technique, called dialectical behaviour therapy (DBT), combines


behaviour therapy and supportive psychotherapy.
A) Paris's
B) Beth's
C) Beck's
D) Linehan's

Answer: d
Diff: 3 Type: MC Page Ref: 246 Skill: Factual

183) A study indicates that ________ can reduce aggressive behaviour and irritability in
impulsive and aggressive individuals with personality disorders.
A) Ritalin
B) Prozac

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C) marijuana
D) lithium

Answer: b
Diff: 1 Type: MC Page Ref: 246 Skill: Factual

184) ________ takes the approach that personality disorders are clusters of traits that can
be viewed as amplifications of normal personality traits.
A) Paris
B) Beck
C) Sutich
D) Linehan

Answer: a
Diff: 1 Type: MC Page Ref: 246 Skill: Conceptual

185) Researchers suspect that the impulsive aggressive behaviours typical of some
personality disorders may be related to deficiencies in ________.
A) epinephrine
B) acetylcholine
C) serotonin
D) dopamine

Answer: c
Diff: 3 Type: MC Page Ref: 246 Skill: Factual

186) Dialectical behaviour therapy (DBT) involves all of the following EXCEPT
__________.
A) mindfulness techniques
B) emotion regulation strategies
C) distress tolerance
D) social skill training

Answer: d
Diff: 2 Type: MC Page Ref: 246 Skill: Factual

187) In Canada, comprehensive treatment for persons with personality disorders focuses
on all of the following EXCEPT _________.
A) safety and crisis support
B) control and regulation
C) short admissions to psychiatric hospitals
D) long-term treatment

Answer: d
Diff: 2 Type: MC Page Ref: 147 Skill: Factual

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188) Research has revealed that reading books as a self-help module leads to significant
improvement for people with __________ traits.
A) obsessive-compulsive
B) histrionic
C) borderline
D) avoidant

Answer: a
Diff: Type: MC Page Ref: 247 Skill: Factual

189) Personality disorders are excessively rigid patterns of behaviours or ways of relating
to others.
A) True
B) False

Answer: True
Diff: 0 Type: TF Page Ref: 215

190) Warning signs of personality disorders may begin appearing in early childhood.
A) True
B) False

Answer: True
Diff: 0 Type: TF Page Ref: 215

191) People with personality disorders tend to perceive their traits as ego dystonic.
A) True
B) False

Answer: False
Diff: 0 Type: TF Page Ref: 215

192) People with anxiety disorders tend to perceive their disturbed behaviours as ego
syntonic.
A) True
B) False

Answer: False
Diff: 0 Type: TF Page Ref: 215

193) People with ego syntonic behaviour are prone to seek assistance for services.
A) True
B) False

Answer: False
Diff: 0 Type: TF Page Ref: 215

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194) People can be diagnosed on both Axis I and Axis II of the DSM-IV.
A) True
B) False

Answer: True
Diff: 0 Type: TF Page Ref: 215

195) The DSM-5 does not include histrionic personality disorder.


A) True
B) False

Answer: True
Diff: 0 Type: TF Page Ref: 216

196) The DSM-5 does not included narcissistic personality disorder.


A) True
B) False

Answer: False
Diff: 0 Type: TF Page Ref: 216

197) The DSM-5 includes new, additional classifications of personality disorders.


A) True
B) False

Answer: False
Diff: 0 Type: TF Page Ref: 216

198) Clinicians using the DSM-5 will be asked to rate people on five domains.
A) True
B) False

Answer: False
Diff: 0 Type: TF Page Ref: 216

199) Men with schizoid personality disorder are more likely to marry than are women
with the disorder.
A) True
B) False

Answer: False
Diff: 0 Type: TF Page Ref: 217

200) Paranoid personality disorder is characterized by paranoid delusions.


A) True

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B) False

Answer: False
Diff: 0 Type: TF Page Ref: 217

201) Paranoid personality disorder is diagnosed more often in men than in women.
A) True
B) False

Answer: True
Diff: 0 Type: TF Page Ref: 217

202) Social isolation is the cardinal feature of schizoid personality disorder.


A) True
B) False

Answer: True
Diff: 0 Type: TF Page Ref: 217

203) People with schizoid personality disorder rarely, if ever, experience strong anger,
joy, or sadness.
A) True
B) False

Answer: True
Diff: 0 Type: TF Page Ref: 217

204) Some people diagnosed with schizoid personality disorder have deeper feelings for
animals than they do for people.
A) True
B) False

Answer: True
Diff: 0 Type: TF Page Ref: 218

205) Ideas of reference are unique to paranoid personality disorder.


A) True
B) False

Answer: False
Diff: 0 Type: TF Page Ref: 218

206) There is evidence that schizotypal personality and schizophrenia share a common
genetic basis.
A) True
B) False

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Answer: True
Diff: 0 Type: TF Page Ref: 219

207) Most people with schizotypal personality disorder go on to develop schizophrenia or


some other psychotic disorder.
A) True
B) False

Answer: False
Diff: 0 Type: TF Page Ref: 219

208) There is evidence that people with antisocial personality disorder have rarely been
punished for their misdeeds.
A) True
B) False

Answer: False
Diff: 0 Type: TF Page Ref: 219

209) Antisocial personality disorder has been the personality disorder most studied by
researchers and scholars.
A) True
B) False

Answer: True
Diff: 0 Type: TF Page Ref: 219

210) “Psychopath” and “sociopath” refer to antisocial personality disorder.


A) True
B) False

Answer: True
Diff: 0 Type: TF Page Ref: 220

211) People with psychopathic personalities inevitably run afoul of the law.
A) True
B) False

Answer: False
Diff: 0 Type: TF Page Ref: 220

212) Some people can intentionally injure others without experiencing feelings of guilt or
remorse.
A) True
B) False

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Answer: True
Diff: 0 Type: TF Page Ref: 220

213) The personality traits associated with psychopathology remain the same across the
life span.
A) True
B) False

Answer: True
Diff: 0 Type: TF Page Ref: 221

214) The antisocial behaviours of antisocial personality disorder may disappear by the
time a person reaches age 40.
A) True
B) False

Answer: True
Diff: 0 Type: TF Page Ref: 222

215) Antisocial personality disorder is more common among people of lower


socioeconomic status.
A) True
B) False

Answer: True
Diff: 0 Type: TF Page Ref: 222

216) In Canada, antisocial personality is represented more in racial and ethnic groups.
A) True
B) False

Answer: False
Diff: 0 Type: TF Page Ref: 222

217) Antisocial personalities may commit the same misdeeds repeatedly, despite a history
of punishment.
A) True
B) False

Answer: True
Diff: 0 Type: TF Page Ref: 222

218) Psychopaths who scored high on the PCL-R had the highest rates of both recidivism
(80%) and violent recidivism (25%).
A) True

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B) False

Answer: True
Diff: 0 Type: TF Page Ref: 220

219) People with antisocial personality disorder show great anxiety in threatening
situations.
A) True
B) False

Answer: False
Diff: 0 Type: TF Page Ref: 223

220) Psychopathic individuals appear to have exaggerated cravings for stimulation.


A) True
B) False

Answer: True
Diff: 0 Type: TF Page Ref: 223

221) The emotional irregularities found in psychopathic offenders may be tied to


diminished input from brain structure within the frontal-temporal lobes.
A) True
B) False

Answer: False
Diff: 0 Type: TF Page Ref: 224

222) Many notable figures in history, from Lawrence of Arabia to Adolf Hitler, and even
Marilyn Monroe, have been depicted as borderline personalities.
A) True
B) False

Answer: True
Diff: 0 Type: TF Page Ref: 224

223) People with borderline personality disorder prefer to be alone.


A) True
B) False

Answer: False
Diff: 0 Type: TF Page Ref: 224

224) People with borderline personalities usually make good psychotherapy clients and
tend to have high “cure” rates.
A) True

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B) False

Answer: False
Diff: 0 Type: TF Page Ref: 226

225) Suicidal thinking is a characteristic of borderline personality disorder.


A) True
B) False

Answer: True
Diff: 0 Type: TF Page Ref: 226

226) Persons with borderline personality disorder tend to come from enmeshed and
clinging families.
A) True
B) False

Answer: False
Diff: 0 Type: TF Page Ref: 226

227) People with borderline personalities shift back and forth between viewing people as
all good or all bad, rather than as partly good and partly bad.
A) True
B) False

Answer: True
Diff: 0 Type: TF Page Ref: 227

228) Histrionic personality disorder is diagnosed more frequently in men than in women.
A) True
B) False

Answer: False
Diff: 0 Type: TF Page Ref: 227

229) People with histrionic personality disorder are often attracted to such professions as
modelling or acting.
A) True
B) False

Answer: True
Diff: 0 Type: TF Page Ref: 228

230) People diagnosed with narcissistic personality are most likely to be women.
A) True
B) False

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Answer: False
Diff: 0 Type: TF Page Ref: 229

231) A certain amount of narcissism can represent a healthy adjustment to insecurity.


A) True
B) False

Answer: True
Diff: 0 Type: TF Page Ref: 229

232) Many people with BPD also meet criteria for other personality disorders.
A) True
B) False

Answer: True
Diff: 0 Type: TF Page Ref: 229

233) People with narcissistic personalities seek the company of flatterers.


A) True
B) False

Answer: True
Diff: 0 Type: TF Page Ref: 229

234) People with BPD rarely do impulsive acts of self-mutilation.


A) True
B) False

Answer: False
Diff: 0 Type: TF Page Ref: 226

235) About 1 in 10 BPD patients commits suicide.


A) True
B) False

Answer: True
Diff: 0 Type: TF Page Ref: 227

236) People with narcissistic personalities tend to be preoccupied with fantasies of


success and power, ideal love, or recognition for brilliance or beauty.
A) True
B) False

Answer: True
Diff: 0 Type: TF Page Ref: 229

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237) Avoidant personality disorder is more common in men than in women.


A) True
B) False

Answer: False
Diff: 0 Type: TF Page Ref: 230

238) Unlike people with schizoid personalities, people with avoidant personalities have
little or no interest in or feelings of warmth toward other people.
A) True
B) False

Answer: False
Diff: 0 Type: TF Page Ref: 230

239) People with avoidant personalities tend to avoid only specific situations that make
them anxious, such as public speaking or large parties.
A) True
B) False

Answer: False
Diff: 0 Type: TF Page Ref: 230

240) Avoidant personality disorder may represent a milder form of social phobia.
A) True
B) False

Answer: False
Diff: 0 Type: TF Page Ref: 231

241) Dependent personality is diagnosed more frequently in women than in men.


A) True
B) False

Answer: True
Diff: 0 Type: TF Page Ref: 232

242) Some people with dependent personality disorder have such difficulty making
independent decisions that they allow their parents to decide who they will or will
not marry.
A) True
B) False

Answer: True
Diff: 0 Type: TF Page Ref: 232

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243) People with dependent personalities often attribute their problems to emotional
rather than physical problems.
A) True
B) False

Answer: False
Diff: 0 Type: TF Page Ref: 232

244) Persons with obsessive-compulsive personality disorder are pre-occupied with


perfection.
A) True
B) False

Answer: True
Diff: 0 Type: TF Page Ref: 232

245) There is a high degree of overlap among the personality disorders.


A) True
B) False

Answer: True
Diff: 0 Type: TF Page Ref: 233

246) The reliability and validity of the definitions used in the DSM-IV is well
established.
A) True
B) False

Answer: False
Diff: 0 Type: TF Page Ref: 233

247) Many personality disorders appear to share common traits.


A) True
B) False

Answer: True
Diff: 0 Type: TF Page Ref: 234

248) The tendency to exaggerate your own importance usually means that you are
narcissistic.
A) True
B) False

Answer: False
Diff: 0 Type: TF Page Ref: 235

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249) It is often difficult to draw the line between normal variations in behaviour and
personality disorders.
A) True
B) False

Answer: True
Diff: 0 Type: TF Page Ref: 235

250) The conceptualization of certain types of personality disorders may be sexist.


A) True
B) False

Answer: True
Diff: 0 Type: TF Page Ref: 235

251) Livesley, a leading expert on personality disorders, questions the assumption that
personality disorders are discriminable from clinical syndromes, such as anxiety or
depressive disorders.
A) True
B) False

Answer: True
Diff: 0 Type: TF Page Ref: 235

252) Men are at greater risk of receiving a diagnosis of histrionic personality disorder.
A) True
B) False

Answer: False
Diff: 0 Type: TF Page Ref: 236

253) Kohut focused his attention on the development of borderline personality disorder
when he developed the concept of self-psychology.
A) True
B) False

Answer: False
Diff: 0 Type: TF Page Ref: 237

254) Heinz Kohut focused much of his attention on the development of the narcissistic
personality.
A) True
B) False

Answer: True

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Diff: 0 Type: TF Page Ref: 237

255) Kohut believed that people with narcissistic personalities may mount a facade of
self-importance to cover up deep feelings of inadequacy.
A) True
B) False

Answer: True
Diff: 0 Type: TF Page Ref: 237

256) Kernberg views borderline personality in terms of a pre-Oedipal failure to develop a


sense of constancy.
A) True
B) False

Answer: True
Diff: 0 Type: TF Page Ref: 238

257) Margaret Mahler believed that during the first year, an infant develops a symbiotic
attachment to its father.
A) True
B) False

Answer: False
Diff: 0 Type: TF Page Ref: 238

258) Learning theorists tend to focus more on the acquisition of behaviours than on the
notion of enduring personality traits.
A) True
B) False

Answer: True
Diff: 0 Type: TF Page Ref: 238

259) Behaviour therapists emphasize the role of reinforcement in explaining the origins
of antisocial behaviour.
A) True
B) False

Answer: True
Diff: 0 Type: TF Page Ref: 239

260) Family factors are implicated in nearly all cases of antisocial personality disorder.
A) True
B) False

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Answer: False
Diff: 0 Type: TF Page Ref: 240

261) As in the case of borderline personality disorder, researchers find that childhood
abuse or neglect is a risk factor in the development of antisocial personality disorder
in adulthood.
A) True
B) False

Answer: True
Diff: 0 Type: TF Page Ref: 240

262) Recent studies using fMRI technology have provided evidence for neurological
differences in personality traits.
A) True
B) False

Answer: True
Diff: 0 Type: TF Page Ref: 241

263) There is strong direct evidence for the genetic transmission of personality disorders.
A) True
B) False

Answer: False
Diff: 0 Type: TF Page Ref: 242

264) Adoption studies suggest that there may be a genetic predisposition toward criminal
behaviour.
A) True
B) False

Answer: True
Diff: 0 Type: TF Page Ref: 242

265) The central nervous systems of people with antisocial personality disorder appear to
be underresponsive to stressful stimuli.
A) True
B) False

Answer: True
Diff: 0 Type: TF Page Ref: 242

266) Jeffrey Gray has woven the theories of Pavlov and Eysenck into what is now known
as resistance sensitivity theory (RST)
A) True

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B) False

Answer: False
Diff: 0 Type: TF Page Ref: 243

267) People with antisocial personality tend to remain unduly calm in the face of
impending pain.
A) True
B) False

Answer: True
Diff: 0 Type: TF Page Ref: 243

268) Antisocial personality disorder is most common among members of the upper class.
A) True
B) False

Answer: False
Diff: 0 Type: TF Page Ref: 243

269) People with personality disorders believe they need to change and are, in fact, very
motivated.
A) True
B) False

Answer: False
Diff: 0 Type: TF Page Ref: 245

270) People with personality disorders usually do not seek help on their own.
A) True
B) False

Answer: True
Diff: 0 Type: TF Page Ref: 245

271) Therapists often find people with borderline personality disorder difficult to treat.
A) True
B) False

Answer: True
Diff: 0 Type: TF Page Ref: 245

272) Dialectical behaviour therapy (DBT) has been found to help those with antisocial
personality disorder.
A) True
B) False

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Answer: False
Diff: 0 Type: TF Page Ref: 246

273) Chemotherapy is one of the most effective treatments for personality disorders.
A) True
B) False

Answer: False
Diff: 0 Type: TF Page Ref: 246

274) Research has revealed that self-help books can decrease perfectionism in individuals
coping with obsessive traits.
A) True
B) False

Answer: True
Diff: 0 Type: TF Page Ref: 247

275) Research has indicated that, when treating people with personality disorders, single
modalities work better than systemic approaches.
A) True
B) False

Answer: False
Diff: 0 Type: TF Page Ref: 247

276) Define personality disorder, and discuss controversies in diagnosing personality


disorders.

Diff: 0 Type: ES Page Ref: 215-244

277) Describe the features of paranoid personality disorder.

Diff: 0 Type: ES Page Ref: 216-217

278) Describe the features of schizoid personality disorder.

Diff: 0 Type: ES Page Ref: 217-218

279) Describe the features of schizotypal personality disorder.

Diff: 0 Type: ES Page Ref: 218-219

280) Compare and contrast schizoid and schizotypal personality disorders.

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Diff: 0 Type: ES Page Ref: 217-219

281) Describe the profile of people diagnosed with antisocial personality disorder.

Diff: 0 Type: ES Page Ref: 219-221

282) Compare and contrast the profiles of antisocial personality disorder and
psychopathic personality.

Diff: 0 Type: ES Page Ref: 220-222

283) Describe the psychophysiological and biological factors associated with antisocial
personality and psychopathology.

Diff: 0 Type: ES Page Ref: 223-224

284) Describe the features of antisocial personality disorder.

Diff: 0 Type: ES Page Ref: 219-224

285) Describe the features of borderline personality disorder.

Diff: 0 Type: ES Page Ref: 224-227

286) Describe the features of histrionic personality disorder.

Diff: 0 Type: ES Page Ref: 227-228

287) Describe the features of narcissistic personality disorder.

Diff: 0 Type: ES Page Ref: 228-230

288) Describe the features of avoidant personality disorder.

Diff: 0 Type: ES Page Ref: 230-231

289) Describe the features of dependent personality disorder.

Diff: 0 Type: ES Page Ref: 231-232

290) Describe the features of obsessive-compulsive personality disorder.

Diff: 0 Type: ES Page Ref: 232-233

291) Discuss the problems in the classification of personality disorders, including their
reliability and validity, and sexist biases.

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Diff: 0 Type: ES Page Ref: 233-236

292) Discuss the issue of overlap of the personality disorders.

Diff: 0 Type: ES Page Ref: 234

293) Discuss the difficulty in distinguishing between variations in normal behaviour and
abnormal behaviour in reference to the personality disorders.

Diff: 0 Type: ES Page Ref: 235

294) Discuss the psychodynamic perspective on the personality disorders.

Diff: 0 Type: ES Page Ref: 237-238

295) Discuss the learning perspective on the personality disorders.

Diff: 0 Type: ES Page Ref: 238-240

296) Discuss the family perspective on the personality disorders.

Diff: 0 Type: ES Page Ref: 240-241

297) Discuss the cognitive-behavioural perspective on the personality disorders.

Diff: 0 Type: ES Page Ref: 237-238

298) Discuss the biological perspective on the personality disorders.

Diff: 0 Type: ES Page Ref: 241-243

299) Discuss the sociocultural perspective on the personality disorders.

Diff: 0 Type: ES Page Ref: 243-244

300) Discuss special problems in treating personality disorders.

Diff: 0 Type: ES Page Ref: 244-247

301) Discuss how a therapist would treat someone with a personality disorder using a
psychodynamic approach.

Diff: 0 Type: ES Page Ref: 245-246

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302) Discuss how a therapist would treat someone with a personality disorder using a
behavioural approach.

Diff: 0 Type: ES Page Ref: 245-246

303) Discuss how a therapist would treat someone with a personality disorder using a
biological approach.

Diff: 0 Type: ES Page Ref: 226

304) Discuss how a comprehensive, efficient, and effective system of care would help
treat a person with a personality disorder.

Diff: 0 Type: ES Page Ref: 246-247

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