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Kaplan and Sadock's Chapter 05-07
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Kaplan and Sadock's Chapter 05-07
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Kaplan and Sadock's Chapter 05-075.1. Mr. A was a 26-year-old white man who had a history of bipolar I disorder. He was
brought in for treatment after not completing the last required course for his advanced
degree and being arrested for disturbing the peace. He had consistently lied to his
family about where he stood with his coursework and about having skipped an
examination that would have qualified him to use his professional degree. He had also
not told them that he had been using marijuana almost daily for a number of years and
occasionally used hallucinogens. His arrest for disorderly conduct was for swimming
naked in an apartment complex in the middle of the night while under the influence of
hallucinogens. Mr. A spent most of his time reading and trying to write but compared
himself unfavorably with other famouswriters,feelinghimselftobeinferior.(Adaptedfrom
Paul C. Mohl, MD, and Adam M. Brenner, MD.) How would Alfred Adler view Mr. A?
A. Mr.A'sproblemsareafailureofadaptationtohismental illness and adult life. B. Mr. A's
rebellion against conformity is a defense against his fear of being away from his
mother's protection and domination. C. Mr. A uses drugs and psychosis as escapes to
maintain some degree of self-esteem. D. Mr. A has been attempting to move from
inferiority to mastery in fantasy rather than in realistic achievement. E. Mr. A's process
of self-realization has been blocked - ANSWERS-D. Mr. A has been attempting to move
from inferiority to mastery in fantasy rather than in realistic achievement.
5.2. Adolf Meyer would treat Mr. A by
A. assistingMr.Ainintegratingalienpartsofhimselfinto his ego complex B. focusing on the
adequate treatment of Mr. A's mental disorder C. challenging Mr. A to develop
attachments outside of the family D. encouraging Mr. A to join a support and
educational group to better understand and accept his mental illness E. none of the
above - ANSWERS-B. focusing on the adequate treatment of Mr. A's mental disorder
5.3. A young woman presents to you complaining of lack of
energy,troublesleeping,depression,andhopelessnessthat has been present for the past
year. You diagnose her with major depressive disorder. Which of the following would
have been Freud's explanation of this disorder?
A. Her depression is actually internally directed anger. B. Her internal good objects have
been destroyed by aggression and greed. C. She never mastered the trust versus
mistrust stage of ego development.
D. Sheisbeingpersecutedbyatormentinginternalobject. E. She feels despair that her self-
object needs will not be met by others. - ANSWERS-A. Her depression is actually
internally directed anger.
5.4. Lacanian theory
A. places heavy emphasis on linguistics B. has little place for biology or drives C.
postulates that an individual is embedded in political and societal structure D. views the
analytical process as an effort to recognize alienation from one's true self E. all of the
above - ANSWERS-E. all of the above
,5.5. The Oedipus complex as described by Freud involves all of the following except
A. adult sexuality B. rivalries C. anal phase D. intense love relationships E. both mother
and father - ANSWERS-C. anal phase
5.6. The work of Anna Freud, daughter of Sigmund Freud, included all of the following
except
A. contributions to child psychoanalysis B. development of modern ego psychology C.
studies on the function of the ego in personality development D. contradictions to her
father's claims about psychosexual development E. expansion on individual defense
mechanisms - ANSWERS-D. contradictions to her father's claims about psychosexual
development
5.7. According to Freud, the Oedipus complex is resolved through
A. the castration complex B. the acting out of symbolic rivalries C. moving on to the
genital stage of development D. the realization of one's gender identity E. identification
with the opposite-sex parent - ANSWERS-A. the castration complex
5.8. EriksondiffersfromFreudbyhisplacinggreateremphasis on
A. interpersonal relationships B. cultural factors in development C. instinctual drives D.
psychosexual development E. object relations - ANSWERS-B. cultural factors in
development
5.9. You have a 72-year-old patient who has been very
concernedwithherappearanceeversinceyoumether.Shehas
hadthreefacelifts,neverleavesthehousewithoutmakeup, and refuses to allow her
grandchildren to call her "grandmother."WhichofthefollowingofErikson'sstagesisthis
woman having difficulty mastering?
A. Narcissistic B. Generativity versus stagnationC. Egocentric D. Identity versus role
confusion E. Integrity versus despair - ANSWERS-E. Integrity versus despair
5.10. Which of the following about Melanie Klein is false?
A. She denounced Freud's "death instinct." B. She described the "depressive position."
C. She coined the term "persecutory anxiety." D. She stressed the role of intrapsychic
fantasy. E. She was a child analyst - ANSWERS-A. She denounced Freud's "death
instinct."
5.11. WhichofthefollowingstatementsregardingFreud'sview of hypnosis is not true?
A. Freud believed hypnosis encouraged the patient to please the hypnotist. B. Freud
believed no patient was completely refractory to hypnosis. C. Freud eventually
abandoned the use of hypnosis for the use of free association. D.
Freudbelievedhypnosisconcealedaspectsoftransference. E. None of the above -
ANSWERS-B. Freud believed no patient was completely refractory to hypnosis.
5.12. According to Otto Rank, death fear is
A. the fear of dying usually associated with a phobia
B. the fear of losing all ties in the process of becoming separate
, C. the fear of dying "before one's time"
D. the fear of losing one's identity by fusing with another person
E. none of the above - ANSWERS-D. the fear of losing one's identity by fusing with
another person
5.13. A patient of yours reports having recurrent dreams of snakes shedding their skins.
According to Carl Gustav Jung, this image is an example of which of the following?
A. Illusions B. Phallic symbol C. Archetypes D. Manifest content E. Primary process -
ANSWERS-A. Illusions
5.14. Which of the following theorists is considered the founder of the attachment
theory?
A. John Bowlby B. Otto Kernberg C. Melanie Klein D. Heinz Kohut E. Adolf Meyer -
ANSWERS-A. John Bowlby
5.15. Erik Erikson's epigenetic principle states
A. thegeneticcomponentofpersonalitymustbeexplored to fully understand the ego B.
development spans the entire life cycle, from infancy through old age and senescence
C. each developmental stage must be completed but in no particular order D. each
sequential stage must be satisfactorily resolved for development to proceed smoothly E.
none of the above - ANSWERS-D. each sequential stage must be satisfactorily resolved
for development to proceed smoothly
5.16. According to Erich Fromm, which of the following character types are typical of
modern capitalist society?
A. Exploitative B. Hoarders C. Marketers D. Receptive E. All of the above - ANSWERS-
E. All of the above
5.17. Separation and individuation
A. have no associated anxiety B. involve attaining a sense of object permanence C.
involve a "practicing" subphase D. begins at approximately 8 or 9 months of age E. is
based on the work of Dan Stern, MD - ANSWERS-C. involve a "practicing" subphase
5.18. Whichofthefollowingisnot consideredamaturedefense mechanism?
A. Suppression B. Somatization C. Asceticism D. Anticipation E. Altruism - ANSWERS-
B. Somatization
5.19. According to Carl Gustav Jung, archetypes are
A. instinctual patterns B. expressed in mythological images C. expressed in
representational images D. organizational units of the personality E. all of the above -
ANSWERS-E. all of the above
5.20. All of the following statements concerning the concept of the preconscious are
true except
A. It is those mental events brought to consciousness by focusing attention. B. It acts as
a censor to unacceptable wishes and desires. C. It is characterized by primary process
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