Deck 18: Disorders of Personality

Question 1

According to the textbook, one purpose of the DSM is to ________, and a second is to ________.

A) make psychiatric diagnosis more objective; guide research on disorders
B) make psychiatric diagnosis more objective; facilitate insurance billing
C) guide research on disorders; facilitate biological research on disorders
D) facilitate genetic research on disorders; make psychiatric diagnosis more objective

Answer 1

B

Question 2

According to the DSM-IV classification scheme, what are the Cluster A disorders?

A) schizotypal, schizoid, and borderline
B) schizotypal, paranoid, and borderline
C) schizotypal, schizoid, and paranoid
D) schizoid, obsessive-compulsive, and paranoid

Answer 2

C

Question 3

According to the DSM-IV classification scheme, what are the Cluster C disorders?

A) avoidant, schizoid, and obsessive-compulsive
B) narcissistic, schizotypal, and borderline
C) antisocial, borderline, and avoidant
D) dependent, avoidant, and obsessive-compulsive

Answer 3

D

Question 4

Which French psychiatrist identified the problem known as madness without distortion (manie sans delire)?

A) Jean-Paul Sartre
B) Philippe Pinel
C) Renee De Gaul
D) Jacques De Franco

Question 5

Severe psychopathologies such as major depressive episodes appear on which axis of the DSM?

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

Question 6

People who have ego-syntonic personality disorders ________.

A) are accurately aware of their disorder
B) lose their identities
C) are low in ego control and ego resiliency
D) do not think anything is wrong

Question 7

The DSM organizes personality disorders into ________.

A) two clusters
B) three clusters
C) two axes
D) five axes

Question 8

Which of the following is NOT accurate regarding ego-dystonic afflictions?

A) Most Axis I disorders are ego-dystonic.
B) People with such problems are not interested in treatment.
C) Depression is usually ego-dystonic.
D) Anxiety is usually ego-dystonic.

Question 9

What term describes the urge to seek erotic stimulation by rubbing up against others in crowded buses?

A) frotteurism
B) pica
C) fugue state
D) enuresis

Question 10

According to the DSM, which disorder is particularly difficult to assess with self-reports?

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

Question 11

What is the most recent edition of the Diagnostic and Statistical Manual (DSM)?

A) DSM-III
B) DSM-III-TR
C) DSM-IV-TR
D) DSM-V

Question 12

Which disorder appears on the DSM Cluster A?

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

Question 13

Personality disorders appear on which axis of the DSM?

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

Question 14

Which of the following is NOT accurate regarding structured interviews?

A) They tend to be fairly reliable.
B) The method corrects for many of the limitations of S data.
C) They are often considered the gold standard for psychological diagnosis.
D) They require at least minimal training to administer (e.g., undergraduate training in social science).

Question 15

According to psychiatrist Kurt Schneider, unusually extreme personality attributes that ________ are the defining features of personality disorders.

A) cause major problems in the workplace
B) cause depression or anxiety
C) cause major problems for the afflicted person or for others
D) cause a break from reality

Question 16

What is the most common basis for making a diagnosis of a personality disorder?

A) informant report
B) structured interviews
C) self-report screening instruments
D) clinical impressions

Question 17

According to recent research, what is the minimum amount of time required for an observer to identify traits associated with personality disorders?

A) 30 seconds
B) 5 minutes
C) 30 minutes
D) 2 hours

Question 18

Which disorder appears in the DSM Cluster B?

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

Question 19

According to the DSM-IV classification scheme, what are the Cluster B disorders?

A) histrionic, narcissistic, antisocial, and borderline
B) narcissistic, antisocial, and borderline
C) histrionic, obsessive-compulsive, and paranoid
D) schizotypal, narcissistic, antisocial, and borderline

Question 20

Physical illnesses that might be related to mental health appear on which axis of the DSM?

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

Question 21

Which disorder appears on the DSM Cluster C?

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

Question 22

Describing casual acquaintances as "very dear friends" is a behavior associated with which personality disorder?

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

Question 23

According to the textbook, Adolf Hitler exhibited many of the classic signs of which personality disorder?

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

Question 24

Which disorder seems to be linked with economic status and urban settings?

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

Question 25

The hallmark of borderline personality disorder is ________.

A) grandiose self-evaluations
B) acute discomfort in social situations
C) a pervasive disregard for the feelings of others
D) emotional instability

Question 26

An individual who is typically irritable, aggressive, and irresponsible might have which personality disorder?

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

Question 27

Confused, delusional, and even self-destructive thinking is NOT typically associated with which of the following personality disorders?

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

Question 28

Which of the following is one of the diagnostic criteria for borderline personality disorder?

A) perfectionism
B) rapid mood shifts
C) overconcern with rules and details
D) lack of empathy

Question 29

Consistently and vehemently expressing strong opinions just for effect is symptomatic of which personality disorder?

A) narcissistic
B) borderline
C) histrionic
D) schizotypal

Question 30

A person with schizotypal personality disorder may believe the president's State of the Union speech contained a specific message for her. What term does the DSM use for this symptom?

A) ideas of reference
B) frotteurism
C) synesthesia
D) compulsions

Question 31

Someone who constantly monitors others for the slightest sign of betrayal may suffer from which personality disorder?

A) obsessive-compulsive
B) paranoid
C) schizotypal
D) histrionic

Question 32

Which of the following symptoms is NOT associated with schizoid personality disorder?

A) instability of self-image
B) social disinterest
C) solitary existence
D) blunted affect

Question 33

Which of the following is NOT one of the diagnostic criteria for borderline personality disorder?

A) self-destructive acts
B) uncontrollable anger
C) preoccupation with fantasies of ultimate attainment
D) chronic feelings of emptiness

Question 34

Dressing provocatively at very inappropriate times (such as at a funeral) might be symptomatic of which personality disorder?

A) dependent
B) borderline
C) schizotypal
D) histrionic

Question 35

Suicide and self-mutilation are characteristic of which personality disorder?

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

Question 36

Someone who brags about his physical health and vitality in front of a friend going through chemotherapy exhibits a symptom of which personality disorder?

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

Question 37

Individuals with this personality disorder are prone to "splitting" the ways that they view other people in their lives.

A) schizoid
B) histrionic
C) schizotypal
D) borderline

Question 38

An exceedingly strange individual who strongly believes she has direct contact with extraterrestrial life might have which personality disorder?

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

Question 39

Someone who takes absolutely no pleasure from social interactions ranging from conversation to sexual activities might have which personality disorder?

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

Question 40

An individual who truly believes that he or she should be the first person rescued from a burning building exhibits a symptom of which personality disorder?

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

Question 41

Recent work suggests that problems with the endogenous opioid system are associated with which personality disorder?

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

Question 42

What term describes the exemplar or ideal mental image associated with a particular category?

A) archetype
B) dialectical type
C) prototype
D) centroid

Question 43

Which of the following is NOT one of the maladaptive personality traits proposed for the DSM-V?

A) negative affectivity
B) antagonism
C) disinhibition
D) oddity

Question 44

Which childhood illness may have a link to obsessive-compulsive personality disorder?

A) mumps
B) chicken pox
C) strep throat
D) ear infections

Question 45

A description such as "emotional hemophilia" applies most accurately to which personality disorder?

A) borderline
B) avoidant
C) dependent
D) schizoid

Question 46

Which class of drugs has shown some success as a treatment for obsessive-compulsive personality disorder (OCPD)?

A) monoamine oxidase (MAO) inhibitors
B) antidepressants
C) antipsychotics
D) stimulants

Question 47

Which of the maladaptive personality traits proposed for the DSM-V bears the closest resemblance to low extraversion in the Big Five?

A) psychoticism
B) antagonism
C) disinhibition
D) detachment

Question 48

Someone who relies too heavily on others for making decisions is likely to have which personality disorder?

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

Question 49

Someone who consistently expects criticism, contempt, and rejection from others is likely to have which personality disorder?

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

Question 50

What is the name of the maladaptive personality trait proposed for the DSM-V that captures tendencies to have bizarre thoughts and experiences?

A) negative affectivity
B) oddity
C) psychoticism
D) schizotypy

Question 51

Someone who is a workaholic might just suffer from which personality disorder?

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

Question 52

Sally is very high in extraversion and neuroticism while she is also low in agreeableness and conscientiousness. This pattern corresponds most closely to which personality disorder?

A) antisocial
B) paranoid
C) borderline
D) obsessive-compulsive personality disorder

Question 53

Which of the maladaptive personality traits proposed for the DSM-V captures many of the personality attributes associated with narcissism?

A) psychoticism
B) antagonism
C) negative affectivity
D) detachment

Question 54

An individual who consistently fears abandonment may suffer from which personality disorder?

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

Question 55

Which of the following is NOT one of the diagnostic criteria for obsessive-compulsive personality disorder (OCPD)?

A) perfectionism
B) inability to delegate
C) being a pack rat
D) lack of empathy

Question 56

Although the DSM states that the ________ personality is frequently reported, recent data suggest that it is fairly rare.

A) schizotypal
B) antisocial
C) dependent
D) obsessive-compulsive

Question 57

According to the text, which therapy has sometimes been effective for treating borderline personality disorder?

A) object relations-based psychotherapy
B) dialectical behavioral therapy
C) cognitive objective therapy
D) progressive desensitization therapy

Question 58

Someone who absolutely must have a relationship in which they are uncritically accepted is likely to have which personality disorder?

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

Question 59

High neuroticism is NOT associated with which personality disorder?

A) avoidant
B) paranoid
C) borderline
D) schizoid

Question 60

Which of the following is one of the diagnostic criteria for obsessive-compulsive personality disorder (OCPD)?

A) miserliness
B) preoccupation with fantasies of ultimate attainment
C) enviousness
D) arrogant behavior and attitudes

Question 61

According to the text, one of the purposes of the DSM is to provide psychiatrists and clinical psychologists with an official diagnosis for insurance purposes.

Question 62

Which of the maladaptive personality traits proposed for the DSM-V bears the closest resemblance to low conscientiousness in the Big Five?

A) psychoticism
B) antagonism
C) disinhibition
D) urgency

Question 63

Personality attributes that make someone a devoted and faithful romantic partner can be taken to the extreme. What personality disorder is most relevant to this extreme case?

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

Question 64

Which of the following is NOT accurate regarding some of the concerns that have been raised about the DSM?

A) The DSM system is not widely used by the psychiatric community.
B) There is a tendency to pathologize morally repugnant and criminal behavior.
C) There is little in the way of a clear definition of mental health in the DSM.
D) The labels in the DSM can be overused.

Question 65

Depression and anxiety are ego-syntonic disorders.

Question 66

What disorder might represent an extreme or exaggerated version of traits associated with conscientiousness?

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

Question 67

Narcissistic personality disorder might be the ultimate ego-dystonic disorder.

Question 68

Hallucinations are associated with schizoid personality disorder but not schizotypal personality disorder.

Question 69

Men who suffer from histrionic personality disorder might project a hypermasculine attitude and brag about their athletic abilities.

Question 70

The current DSM lists 15 personality disorders.

Question 71

Starting at around age 21, symptoms of antisocial personality disorder tend to subside.

Question 72

Females are more likely to suffer from schizoid personality disorder, whereas males are more likely to suffer from schizotypal personality disorder.

Question 73

Men are more likely than women to have narcissistic personality disorder.

Question 74

Individuals who are high in the trait of narcissism might seem charming and attractive at a first impression.

Question 75

The DSM explicitly links low economic status with antisocial personality disorder.

Question 76

Individuals with ego-dystonic disorders typically want to be cured.

Question 77

What disorder might represent an extreme or exaggerated version of traits associated with "marching to a different drummer" or acting original and somewhat idiosyncratically?

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

Question 78

The American Psychological Association publishes the DSM.

Question 79

An individual who absolutely must be the center of attention at all times might suffer from histrionic personality disorder.

Question 80

Paranoid personality disorder is more common in males than in females.