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Lenny is 25 years old and has had multiple arrests for assaults, theft, and drug use. He has hurt strangers, friends, and family and has never shown any remorse or regret. Following his last arrest, Lenny met with a social worker who told him about antisocial personality disorder; he is now convinced that is "what's wrong" with him. Lenny recently went to a local community mental health center and asked to be treated by a psychotherapist. The problem with this story is that


A) individuals with antisocial personality disorder do not generally seek treatment.
B) Lenny has misdiagnosed himself since his behaviors are more typical of conduct disorder.
C) the drug use does not fit the pattern of antisocial personality disorder.
D) the description does not fit any known personality disorder.

E) A) and D)
F) B) and D)

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The most accurate statement with regard to treatment research for narcissistic personality disorder is that the research is


A) extremely limited in both number of studies and reports of successes.
B) extremely limited in number of studies, though some promising results have been reported.
C) extensive, though few positive results are reported.
D) extensive, though the studies are not scientific.

E) A) and B)
F) B) and D)

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Which of the following would NOT be an advantage of a dimensional model of personality disorders?


A) Increased information
B) Flexibility
C) Avoiding arbitrary decisions about diagnosis
D) It would clearly categorize people

E) B) and C)
F) None of the above

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Without understanding the thought process motivating the patient's behavior, it would probably be impossible to determine whether a patient had personality disorder or personality disorder.


A) narcissistic; antisocial
B) dependent; narcissistic
C) schizoid; avoidant
D) borderline; histrionic

E) B) and C)
F) C) and D)

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An individual who goes through life as a loner with no motivation to interact with others but with relatively normal behavior and beliefs is likely to be diagnosed with personality disorder:


A) histrionic
B) narcissistic
C) schizoid
D) paranoid

E) A) and D)
F) B) and C)

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According to your text, the most accurate statement regarding the treatment of histrionic personality disorder is that


A) there are no scientific studies demonstrating success.
B) patients who voluntarily attend therapy tend to get better.
C) strict behavioral programs have been shown to be effective in scientific research.
D) cognitive therapy is most effective.

E) B) and D)
F) B) and C)

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Childhood trauma as a cause of borderline personality disorder may be too simplistic an explanation because


A) there are too many neurological deficits that are noted in borderline personality disorder patients.
B) individuals with borderline personality disorder tend to respond to SSRI medications.
C) most individuals diagnosed with borderline personality disorder are female.
D) a significant percentage of individuals diagnosed with borderline personality disorder do not have a history of childhood trauma.

E) A) and D)
F) A) and C)

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One of the influences associated with the development of borderline personality disorder is


A) history of child abuse or neglect.
B) developmental delay for major milestones (i.e., walking, talking) .
C) parental alcoholism.
D) deficits in neurotransmitter circuits involving dopamine.

E) A) and D)
F) A) and B)

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All of the following are common disorders that tend to be comorbid with borderline personality disorder EXCEPT ______________.


A) depression
B) substance abuse
C) bulimia nervosa
D) obsessive-compulsive disorder

E) A) and B)
F) B) and D)

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All of the following are necessary conditions for the diagnosis of a personality disorder EXCEPT


A) patient feelings of distress.
B) distress to the person demonstrating the behaviors or others around them.
C) maladaptive functioning.
D) chronic course of behavior.

E) B) and C)
F) A) and D)

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One prominent theory of antisocial personality disorder suggests that the behaviors are caused by an imbalance between the brain's


A) behavioral inhibition system and fight/flight system.
B) fight/flight system and reward system.
C) cortical stimulation system and behavioral inhibition system.
D) behavioral inhibition system and reward system.

E) B) and C)
F) A) and D)

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Which of the following statements is TRUE about borderline personality disorder?


A) It is observed in every culture and seen in about 5% of the population.
B) Long-term outcomes are discouraging, with many relapsing within five years
C) Emotional dysfunction is one of the best predictors of suicide in this group.
D) A high number, almost 12%, succeed at suicide.

E) All of the above
F) B) and D)

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An adult diagnosed with antisocial personality disorder is most likely to have met the criteria for as a child.


A) autistic disorder
B) conduct disorder
C) learning disabled
D) a developmental disability

E) B) and D)
F) B) and C)

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Which of the following are the two major theories that have been proposed to explain antisocial personality disorder?


A) Underarousal and fearlessness
B) Underarousal and shamelessness
C) Yerkes-Dodson and underarousal
D) Yerkes-Dodson and shamelessness

E) None of the above
F) B) and D)

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The psychological treatment that has been found to have significant effectiveness in helping patients with borderline personality disorder centers around


A) regressing patients to the time in their lives when they experienced trauma.
B) removing the reinforcing attention that patients have received for their disordered behavior in the past.
C) joining a 12-step program such as Alcoholics Anonymous.
D) learning to cope with life stressors in a more effective manner.

E) A) and D)
F) A) and C)

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Regarding the likelihood of successful treatment outcome for individuals with antisocial personality disorder, most clinicians are _.


A) optimistic
B) optimistic only if the patient is willing to work in therapy
C) pessimistic only if the patient is mandated to therapy by the legal system
D) pessimistic

E) B) and C)
F) A) and B)

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Substance abuse is particularly common in people with personality disorder, occurring in 60% of people with this diagnosis.


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

E) A) and D)
F) B) and D)

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Research suggests that the combination of medications, therapy, and social skills treatment in schizotypal personality disorders


A) reduces symptoms or delays later development of schizophrenia.
B) increases chances of later development of schizophrenia.
C) is unrelated to schizophrenia risk.
D) alters symptoms of schizophrenia.

E) B) and C)
F) All of the above

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Vince is extremely impressed with himself. Although he has only achieved a moderate amount of success, he thinks of himself as being uniquely special and deserving of the best of everything. Vince fantasizes frequently about great wealth and fame and does not really pay much attention to other people except to note how they react to him. Vince should be diagnosed with personality disorder.


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

E) A) and B)
F) A) and D)

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Individuals who keep to themselves because they are anxious and fearful of rejection are likely to be diagnosed with personality disorder.


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

E) All of the above
F) A) and B)

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