Deck 8: Social Dimensions of Mental Illness

Question 1

The stress process is an example of which of the following explanations of mental disorder?

A) Social selection
B) Social causation
C) Social drift
D) Labelling

Answer 1

Social causation

Question 2

Which of the following is NOT an ascribed characteristic?

A) Age
B) Education
C) Ethnicity
D) Race

Answer 2

Education

Question 3

Overall population prevalence of psychiatric illness in the first generation of studies was estimated to be at:

A) 3-4%
B) 10-12%
C) 15-20%
D) 20-30%

Answer 3

3-4%

Question 4

"People in positions of higher SES have greater resources to protect them from the adverse consequences of stress." This statement describes which process/hypothesis?

A) Indirect effect hypothesis
B) Differential vulnerability
C) Differential exposure
D) Direct effect hypothesis

Question 5

The shift from the first to second generation of studies in psychiatric research was marked by which of the following factors?

A) Move from focusing on hospital patients to the community.
B) Move from community samples to national samples.
C) Move from focusing on caseness to identifying specific disorders.
D) Move from focusing on adults to focusing on children.

Question 6

Which of the following is NOT an explanation for the commonly reported higher rates of mental illness of women compared to men?

A) Social selection
B) Exposure
C) Vulnerability
D) Focus on depressive disorders

Question 7

The 2002 Canadian Community Health Survey CCHS) estimated the overall 12-month prevalence rate of mental disorders for both men and women at approximately:

A) 5%
B) 10%
C) 15%
D) 20%
E) The 12-month estimates among women were twice that of the 12-month estimates among men

Question 8

The shift from the second to third generation of studies in psychiatric research was marked by which of the following factors?

A) Move from focusing on hospital patient to the community.
B) Move from focusing on community samples to national samples.
C) Move from focusing on caseness to identify specific disorders.
D) Move from focusing on adults to focusing on children.

Question 9

The shift from the third to fourth generation of studies in psychiatric research was marked by which of the following factors?

A) Move from focusing on hospital patient to the community.
B) Move from focusing on community samples to national samples.
C) Move from focusing on caseness to identifying specific disorders.
D) Move from focusing on adults to focusing on children.

Question 10

The inability to tolerate stress is based on which explanation on differences in rates of mental illness?

A) Exposure
B) Vulnerability
C) Labelling
D) All of the above

Question 11

The intergenerational deterioration of socioeconomic status due to mental disorder refers to which of the following explanations

A) Social selection
B) Social causation
C) Social drift
D) Labelling

Question 12

Which of the following is an explanation for the higher rates of mental illness of women compared to men?

A) Exposure
B) Vulnerability
C) Focus on depressive disorders
D) All of the above

Question 13

Comorbidity refers to:

A) The co-agreement between people on what is considered to be morbid.
B) The co-occurrence of multiple mental disorders.
C) The co-occurrence of mental disorder and socio-economic disadvantage.
D) The co-manageability of mental disorder across psychiatrists and primary care physicians.

Question 14

Which of the following is not a component of the stress process?

A) Psychosocial resources
B) Social support
C) Mental illness
D) Self-esteem
E) All are components of the stress process

Question 15

According to the text, which of the following is a central criticism of labelling theory?

A) It does not consider the view of the patient.
B) It does not account for the biological basis of mental illness.
C) It ignores the link between stress and mental illness.
D) It does not account for the vulnerability of mentally ill patients.

Question 16

The famous Stirling County Study was conducted in a community in which Canadian province?

A) Manitoba
B) Nova Scotia
C) Prince Edward Island
D) Quebec

Question 17

The shift from the fourth to fifth generation of studies in psychiatric research was marked by which of the following factors?

A) Move from focusing on hospital patient to the community.
B) Move from community samples to national samples.
C) Move from focusing on caseness to identifying specific disorders.
D) Move from focusing on adults to focusing on children.

Question 18

Having a mental disorder leading to early school withdrawal and poorer employment opportunities would be an example of which of the following explanations?

A) Social selection
B) Social causation
C) Social drift
D) Labelling

Question 19

Which of the following was NOT a finding of the 2002 Canadian Community Health Survey CCHS)?

A) Older cohorts had higher 12-month prevalence rates of disorder than younger cohorts.
B) Women had higher 12-month prevalence rates of mood and anxiety disorder than men.
C) Men had higher 12-month prevalence rates of substance disorder than women.
D) There was a healthy immigrant effect.

Question 20

Rule-breaking behaviours and failure to adhere to expected societal norms is part of the explanation of which theory of mental illness?

A) Social causation
B) Social selection
C) Labelling
D) Vulnerability

Question 21

Which of the following best describes socioeconomic differences in social networks?

A) The social networks of high socioeconomic status individuals tend to be dense and multiplex.
B) The social networks of low socioeconomic status individuals tend to be smaller and uniplex.
C) The social networks of low socioeconomic status individuals tend to be large and diffuse.
D) The social networks of low socioeconomic status individuals tend to be dense and multiplex.
E) All are equally good descriptors of socioeconomic differences in social networks.

Question 22

Which of the following was a central factor in the move from institutions to hospitals in providing care for the mentally ill?

A) The 1957 Hospital Insurance and Diagnostic Services Act
B) Humanitarian and moral treatment of patients
C) Overcrowding in institutions
D) The rights of psychiatric patients

Question 23

A secondary stressor is:

A) A form of stress that results from exposure to a primary stressor and adversely affects health status.
B) A kind of stressor that is not as serious as a primary stressor i.e., it is secondary).
C) A stressor that is experienced by someone close to the person experiencing the primary stressor; for example, the stress you experience at work/school can affect someone else in your intimate network i.e., spouse or family member).
D) A resource mechanism that buffers the adverse effect of a primary stressor on health status.

Question 24

Intervening mechanisms of the stress process do not include which of the following?

A) Psychosocial resources
B) Social support
C) Mental illness
D) Self-esteem
E) All are intervening mechanisms of the stress process

Question 25

Which of the following was not identified by Wasylenki 2001) as a phase in the shift to deinstitutionalization among the mentally ill?

A) Release of long-term patients into the communities with an expectation that they would receive necessary services there
B) Conflict between various stakeholders including community service providers, hospital providers, patients, family organizations, and medical professions
C) Evidence-based approach and an emphasis on best practice models for treatment of patients
D) The discovery of new psychoactive and antidepressant drugs and other therapeutic treatments

Question 26

Which of the following was not a goal of the Mental Health Commission of Canada?

A) To develop a national mental health strategy
B) To share knowledge across provincial jurisdictions
C) To re-establish residential institutions as the principal source of inpatient care for the mentally ill
D) To promote public campaigns that will fight the stigma attached to mental illness

Question 27

Arguably, which was the biggest reason for the deinstutionalization of the mentally ill over the latter part of the twentieth century?

A) Increasing costs of patient care
B) Humanitarian and moral treatment of patients
C) Overcrowding in institutions
D) Debunking the myth of mental illness