NAME (PRINT):

Last/Surname
First /Given Name

STUDENT #:
— SIGNATURE: -

UNIVERSITY OF TORONTO MISSIS

SAUGA
DECEMBER 2017 FINAL EXAMIN
ATION
PSY240H5F
Introduction to Abnormal Psycho
logy
Norman Farb
Duration - 3 hours
Aids: None
The University of Toronto Mississau
ga and You, as a student, share
academic integrity. You are remind a commitment to
ed that you may be charged with
an academic

If, during an exam, any of these item

s are found on your person or in the
desk other than in the clear, seal area of your
able, plastic bag, you may be char
academic offence. A typical penalty ged with an
for an academic offence may cause
course. you to fail the

Please note, once this exam has begu

n, you CANNOT re-write it.
]
 Instructions and Multiple Choice / Definition Question Sheets
(DO NOT HAND IN) Page 2 of 22

INSTRUCTIONS

PLEASE NOTE: The end of this booklet contains an answer booklet

section. Please DETACH the question
booklet from the answer booklet. You can keep your questio
n booklet! Please only submit the
scantron sheet and answer booklet sheets.

Don’t worry about writing your name and student # on multiple

choice pages. However, you must
write your name and student number on every page of the answer
sheets. Pages will be separated
during grading. Use the point allocation for a question as a guide
for detail you need in your answer.

Multiple Choice (1 point each) 1x80 =80 points

Definitions (% point each) %x20 =10 points
Short Answer (5 points each) 5x4 =20 points € Choose 4 of 6!
Total =110 points

Please note that for the short answer questions, you may write
in point form sentences, but you can
only use abbreviations after you have defined a term. Write legibly
in the space provided. Give a clear
answer and stick to the point of the question. Quality of writing
will be taken into account in grading.
Please do not exceed the space limits for each question, as indicate
d. if you exceed the limit, the
excess will not be marked. Please write legibly and concisely.

There are 22 pages in total in the question hooklet—check that

you have them all!

In this booklet: the multiple choice section has 80 questions, worth

1 mark each, and there are 20 case
study definitions following it. There is no penalty for wrong answers
. Make sure that your final choice
for multiple choice questions are clearly indicated on the comput
er (formerly called scantron) sheet.
We will not be collecting the question booklet for muitiple choice,
so whatever is on the scantron sheet
will be considered your final answer. Your definitions and short
answer responses go in the answer
booklet,

Please keep your answers within the space provided. You may also
do any rough work on the backs of
the test pages. To avoid rough work on the front of your page being
marked, draw a line through the
rough work before handing in your paper.

PLACE YOUR STUDENT CARD ON THE WRITING SURFACE BESIDE

YOU,
YOU MAY NOT LEAVE THE TEST ROOM DURING THE LAST TEN
MINUTES.
DO NOT TURN OVER THIS PAGE UNTIL YOU ARE TOLD TO START.

Ready? Take a breath and remember that there’s a reason that

you
are here today- you earned the right to be here! Best of luck.
Instructions and Multiple Choice / Definition Question Sheets {DO
NOT HAND IN) Page 3 of 22

MULTIPLE CHOICE

1) A medical anthropologist is examining the words used to describe mental

illness in a variety of
cultures, including an array of traditional, non-Western societies. The
anthropologist is MOST
likely to find
a. words for anorexia and other eating disorders in most cultures
b. few, if any, words for disorders in some cultures
¢. a word for schizophrenia only in Western cultures
d. There is no consistency of disorders found across cultures.
e. words for anxiety and depression in most cultures

2) With respect to biological treatments for mental iliness, invasive is to noninvas

ive as is
to .
a. frontal lobotomy; deep brain stimulation
b. electroconvulsive therapy; transcranial magnetic stimulation
¢. deep brain stimulation; frontal lobotomy
d. deep brain stimulation; transcranial magnetic stimulation
e. deep brain stimulation; electroconvulsive therapy

3) Brain imaging techniques make it possible to

a. determine how people with mental disorders perform cognitive and emotional tasks
differently from those with no disorder
b. diagnose a mental disorder that a person may have
c. determine a person's intelligence level
d. determine which treatment plan is best for an individual with a mental disorder
e. predict whether a person will get dementia in the distant future

4) Shannon is studying in her room, concentrating on a passage in her chemistr

y textbook and
solving a few practice problems. Suddenly, she notices how chilly the room is. In
Shannon’s
brain, activity of the network has momentarily interrupted processing in the
network.
a. central executive; salience
b. salience; central executive
c. default; central executive
d. salience; default
e. central executive; salience
Instructions and Multiple Choice / Definition Question Sheets (DO NOT HAND
IN} __Page40f22

5) George and Henry are identical twins. George was raised by his
mother, and Henry was raised
by his father. Based on this information, one can conclude that
the boys’
a. phenotypes will be the same because their genotypes are exactly
the same
b. phenotypes will be different even though their genotypes are
exactly the same
c. genotypes will be different because their phenotypes are differen
t
d. genotypes will be the same because their phenotypes are the same
e. phenotypes and genotypes will be completely unrelated because of their
different
upbringing

6) DeAndre is recording instances of physical aggression among children in

a schoolyard at recess.
He is undertaking
a. naturalistic observation
b. an experiment
c. correlational research
d. a case study
€. a meta-analysis

7} Paul records data that indicate that the number of hot chocolates sold at
a concession stand
increases as temperature outside decreases. (For example, more hot chocolat
es are purchased
during late fall than late spring.) Which statement is the MOST accurate depictio
n of this
finding?
a. There is no correlation between the two variables.
b. There is an unknown correlation between the two variables.
c. There Is a positive correlation between the two variables,
d. There is a negative correlation between the two variables.
e. One variable causes the other

8) Which of the following is NOT a possible operational definition of happine

ss?
a. the variability in a person’s heart rate in an hour
b. the number of times an individual smiles in an hour
¢. an individual’s self-rating on a 10-point happiness scale
d. the ratio of positive to negative emotion words a person uses when
describing how he or
she feels
e. a feeling of joy or contentment
Instructions and Multiple Choice / Definition Question Sheets (DO NOT HAND IN) Page 5 of 22

9) Devon is running an experiment in which children are observed interacting with simple toys,
and their behavior is coded based on different categories. Devon has two experimenters
observing and coding the behavior. Devon computes a correlation coefficient to see if the two
experimenters produce similar scores. Which of the foliowing describes how Devon is
attempting to verify his observational method?
a. content validity
b. concurrent validity
c. inter-rater reliability
d. test—retest reliability
e. external validity

10) Among individuals diagnosed with comorbid mental disorders, the severity of any one of their
disorders is correlated with the number of other disorders with which they are
diagnosed. This is with a dimensional approach to diagnosis.
a. not; consistent
b. not; inconsistent
c. positively; consistent
d. positively; inconsistent
e. negatively; consistent

11) Which statement is evidence suggesting that depression is NOT the result of a novel reaction of
the nervous system to the modern environment?
a. The fundamental aspects of the modern environment differ significantly from prehistoric
environments.
b. Depression is more prevalent among females compared with males.
c. Depression rates have risen slowly since the industrial revolution.
d. The nervous system continues to adapt to the changing environment.
e. Depression is seen in a variety of animals whose environments have not changed drastically
in recent times.

12) Depressive symptoms must be present for a diagnosis of

a. bipolar | disorder but not bipolar Il disorder
b. bipolar Il disorder but not bipolar | disorder
c. both bipolar | disorder and bipolar Il disorder
d. neither bipolar |, nor bipolar II disorder
e. bipolar | disorder or cyclothymia, but not bipolar Ii disorder
Instructions and Multiple Choice / Definition
Question Sheets {DO NOT HAND IN)
Page 6 of 22

13} The symptoms of major depressive disorder

do NOT include
a. loss of interest or pleasure
b. physical symptoms, such as headache or stoma
ch pains
c. difficulty concentrating
d. psychomotor agitation
e. feelings of guilt or worthlessness

14) Rhonda is a 19-year-old college freshman. All else

being equal, Rhonda’s risk of experiencing
major depressive disorder at some point in her
life is about times that of her 19-year-
old male classmates.
a. 0.5
b.1
€2
d.4
e. 10

15) Electroconvulsive therapy (ECT) has been shown

to be particularly effective for treating
depression among .
a. individuals for whom other treatments do not
work
b. individuals with a comorbid anxiety disorder
c. children and adolescents
d. individuals with mild depression
e. individuals with family history of depression

16) Which situation is MOST likely to involve the action

of the parasympathetic nervous system?
a. Brooke's finger accidentally grazes the hot iron;
she immediately jerks her hand away.
b. Replaying a difficult conversation in his head,
Sahib begins to sweat and feel tension in his
neck.
c. Walking toward her car in a deserted parkin i
g garage one night, Danica is surprised by a
strange man who seems to appear from nowhe
re.
d. After a satisfying evening meal, Callum relaxe
s in front of the television.
e. Eddie’s heart starts to pound, and he has “butte
rflies in his stomach” as he approaches the
podium to give a speech in one of his college cours
es.
Instructions and Multiple Choice / Definition Question Sheets (DO NOT HAND
IN) Page 7 of 22

17) Maya owes the credit card company $20,000, her adjustable rate mortgage has just
gone up,
and she has been out of work for 3 months. Today her husband of 15 years just told
her he was
having an affair and wants a divorce. With that news, she collapsed and had to be taken
to the
emergency room. According to Hans Selye, Maya is in the stage of the general
adaptation syndrome.
a.alarm
b. resistance
c. appraisal
d. exhaustion
e. extinction

18) refers to the body’s ability to achieve stability through an active process of change.
a. Allostasis
b. Homeostasis
c. Adrenergy
d. Adaptation
e. Thermoregulation

19) In Behaviorist terms, the notion that worry provides relief from stress responses suggests that
worry in generalized anxiety disorder is maintained by
a. negative punishment
b. negative reinforcement
¢. positive punishment
d. positive reinforcement
€. operant conditioning

20) Currently, the MOST common psychological treatment for generalized anxiety
disorder is
therapy.
a. psychodynamic
b. emotion-focused
c. dialectical behavior
d. cognitive behavioral
e. problem-focused
Instructions and Multipie Choice / Definition
Question Sheets (DO NOT HAND IN)
Page 8 of 22

21) “It’s like the feeling you get at the end of a page
/When you realize you don’t know what you'v
just read” are two lines from an early-'80s song e
by a band called the Missing Persons. These
lines MOST directly reflect the psychological conce
pt of
a. amnesia
b. malingering
c. dissociation
d. conversion
€. paranoia

22) During a therapy session, one of Rhett’s “personaliti

es” emerges, that of a rebellious 14-year-
old boy named “Skip.” Rhett is displaying
disorder; Skip is one of Rhett’s
a. conversion; alters
b. conversion; secondaries
c. dissociative identity; alters
d. dissociative identity; secondaries
e. dissociative fugue; alters

23) lohn, a 30-year-old male, acts “like a different

person” and often refers to himself by different
names when he is intoxicated. His friends worry
whether he has a mental health disorder. John
sees a psychologist, who informs him that he canno
t be diagnosed with dissociative identity
disorder. Why not, according to the APA?
a. John is too old for dissociative identity disord
er.
b. John should not have awareness of other identi
ties,
c. Dissociative identity disorder is more comm
on in females.
d. Men typically deny these symptoms when they
see a mental health professional.
e. Symptoms cannot be attributable to the physio
logical effects of a substance.

24) Ignacio comes from a culture that frequently includ

es spiritual possession and altered personas
as a part of religious ceremony. Some of his friend
s are concerned that these practices may be
an indicator of a dissociative disorder. His friend
s consult with a psychologist, who informs
them that Ignacio could not be diagnosed with
dissociative identity disorder. Why not,
according to the APA?
a. Dissociative identity disorder cannot be diagn
osed when the disturbance is a part of broadly
accepted religious or cultural practice.
b. Symptoms cannot be attributable to the physio
logical effects of a substance.
c. Dissociative identity disorder is more commeon
in females.
d. Men typically deny these symptoms when
they see a mental health professional,
e. Dissociative identity disorder requires that
the patient himself/herself, rather than friends
family, be concerned about the disorder. or
Instructions and Multiple Choice / Definition Question Sheets (DO NOT HAND IN})
Page 9 of 22

25) Luther has been diagnosed with iliness anxiety disorder. At a broader level, Luther has been
diagnosed with a(n) disorder.
a. anxiety
b. somatic symptom
c. dissociative
d. factitious
e. obsessive-compulsive

26) What is the primary difference between most somatic symptom disorders and illness anxiety
disorder?
a. There are no differences; these are both names for the same disorder,
b. Individuals with somatic symptom disorder actually experience physical symptoms, whereas
individuals with iliness anxiety disorder experience few, if any, symptoms.
c. Individuals with iliness anxiety disorder actually experience physical symptoms, whereas
individuals with somatic symptom disorder experience few, if any, symptoms.
d. Individuals with somatic symptom disorder are primarily male, whereas iliness anxiety
disorder affects mainly females.
e. Individuals with illness anxiety disorder are consciously making up symptoms, whereas
symptoms are not consciously driven in somatic symptom disorder.

27) Brain research on conversion disorder has determined that its cause is
a. still unclear
b. primarily anxiety related
c. a problem with brain lateralization
d. hereditary
e. childhood trauma

28) John reports that he is very concerned because he feels as if something in his spinal column
is
“off.” This appears to upset him, and he visits multiple doctors in an attempt to validate his
concerns. The doctors find no evidence for a diagnosis. Further, on investigation, it is found
that John has reported to his supervisor that he could not attend work for a few weeks due toa
back injury. Which diagnosis is MOST appropriate for John?
a. somatic symptom disorder
b. factitious disorder
c. illness anxiety disorder
d. general anxiety disorder
e. No diagnosis. John is malingering.
Instructions and Multiple Choice / Definition Quest
ion Sheets (DO NOT HAND IN) Page 10 of 22

29) Studies have shown that compared with the other

age groups, are likely to
engage in risky decisions when in the presence of
peers.
a. adolescents; least
b. adolescents; most
¢. young adults; least
d. young adults; most
e. middle-aged adults; most

30) Following a small stroke, Lily has trouble knowing

when someone is lying to her. The strike
MOST likely damaged Lily’s
a. superior temporal sulcus
b. fusiform face area
c. anterior temporal cortex
d. prefrontal cortex
e. all regions are equally likely to have been impacted

31) In attachment, an infant in the strange situation shows

{1) more interest in the toys
than its mother, (2) little distress when its mother
leaves, and (3) little positive emotion when
its mother returns.
a. anxious/ambivaient
b. secure
c. avoidant
d. disorganized/controlling
e. borderline

32) disorder is NOT a neurodevelopmental disorder.

a. Intellectual development
b. Attention deficit/hyperactivity
¢. Autism spectrum
d. Conduct
e. Fetal aichohol syndrome

33) A child who is extremely worried about losing an

attachment figure is MOST likely to be
diagnosed with disorder, which is classified as an disorder.
a. reactive attachment; anxiety
b. reactive attachment; attachment
¢. insecure attachment; anxiety
d. separation anxiety; attachment
€. separation anxiety; anxiety
Instructions and Muitiple Choice / Definition Question Sheets (DO NOT HAND IN) Page 11 of 22

34) protects against neurocognitive disorders as one moves into older adulthcod.
a. Being financially successful
b. Being the middle child
c. Being male
d. Good diet and exercise
e. Regular work with puzzles and crosswords

35) Worldwide, the proportion of the population over the age of 65 has since 1900.
a. decreased greatly
b. decreased slightly
c. remained constant
d. increased slightly
e. increased greatly

36) Imagine you are a coroner tasked with identifying the cause of death of an elderly person who
recently passed away. When examining the person’s brain tissue, you notice that it is full of
tiny holes and resembles Swiss cheese or bread. This person most likely had
a. Alzheimer’s disease
b. Parkinson’s disease
c. Frontotemporal dementia
d. Prion disease
e, Huntington's disease

37) With respect to the etiology of schizophrenia, the prodromal phase the premorbid
phaseand ____ the psychotic phase.
a. follows; follows .
b. follows; precedes
¢. precedes; follows
d. precedes; precedes
e. precedes; also precedes

38) Which pair consists of negative symptoms of schizophrenia?

a. alogia and flat affect
b. anhedonia and disorganized speech
c. avolition and hallucinations
d. delusions and hallucinations
e. flat affect and word salad
Instructions and Multiple Choice / Definition Questi
on Sheets (DO NOT HAND IN) Page 12 of 22

39) The text states that the environmenta factors associated

with schizophrenia affect the
development of the social brain. These influences are MOST
likely to oceur during
a. prenatal development
b. infancy
c. early childhood
d. adolescence
e. middle-adulthood

40) Environmental risk factors for the development of schizo

phrenia do NOT include
a. childhood trauma
b. an urban environment
. cannabis use
d. early life adversity
e. parenting style

41) Among the first-degree relatives of people with schizophreni

a, endophenotypic abnormalities
are .
a. no more prevalent than they are among those with
no schizophrenic relatives
b. less prevalent than they are among those with no schizo
phrenic relatives
¢. more prevalent than they are among those with no schizo
phrenic relatives
d. just as prevalent as they are among their relative(s} with
schizophrenia
e. more prevalent than they are among their relative(s)
with schizophrenia

42) With respect to schizophrenia, the lateral prefrontal cortex

is to the medial striatum as
is to
a. negative symptoms; positive symptoms
b. catatonic schizophrenia; paranoid schizophrenia
¢. positive symptoms; negative symptoms
d. paranoid schizophrenia; catatonic schizophrenia
e. positive symptoms; paranoid schizophrenia

43) Early intervention is MOST appropriate in the

phase of schizophrenia.
a. premorbid
b. prodromal
c. psychotic
d. remission and relapse
e. stable
Instructions and Multiple Choice / Definition Question Sheets (DO NOT HAND IN) Page 13 of 22

44) Tardive dyskinesia is BEST described as a(n) side effect of first-generation

antipsychotics.
a. emotional
b. cognitive
¢. motor
d. perceptual
e. linguistic

45) Randy has to place ever-larger bets and seek “action” ever more fervently to get the same rush
when he gambles. Randy’s example BEST illustrates
a. impulsivity
b. tolerance
c. withdrawal
d. bingeing
e, craving

46) Roughly of the vulnerability to addiction can be explained by genetic factors.

a. 5%-10%
b. 75%-100%
¢. 40%—60%
d. 10%-20%
e. 60%-75%

47) Which of the following best describes the pattern of addiction?

a. Intoxication = Binging - Withdrawal = Craving
b. Intoxication - Craving = Binging = Withdrawal
¢. Craving -> Intoxication -> Withdrawal - Binging
d. Craving = Binging = Intoxication = Withdrawal
e. Craving 2 Withdrawal - Intoxication = Binging

48) The system is the neural pathway or system is MOST implicated in addiction.
a. dorsolateral cortical
b. ventral cortical
c. limbic corticoid
d. serotonin selective
e. mesolimbic dopamine
Instructions and Multiple Choice / Definition Question
Sheets (DO NOT HAND IN) Page 14 of 22

49) As compared to the brains of lean adolescent girls, the

brains of obese adolescent girls show
somatosensory activity when they anticipate food and
reward circuit activity
when they eat it.
a. less; less
b. less; more
c. the same; more
d. more; less
e. more; more

50) Females tend to their weight, whereas males tend to their weight.
a. overestimate; underestimate
b. underestimate; overestimate '
C. overestimate; accurately estimate
d. accurately estimate; underestimate
e. overestimate; accurately estimate

51) Which of the following statements is generally true of the

three major eating disorders?
a. Eating disorders affect more men than women.
b. Eating disorders have a strong genetic component.
c. Eating disorders represent behaviors that were once adapti
ve but do not fit within current
society.
d. Eating disorders are more common in the elderly than
in adolescents.
e. Eating disorders are almost entirely driven by culture
rather than genetics

52) The restricting subtype of anorexia nervosa is NOT charac

terized by
a. dieting
b. lower than normal body weight
C. excessive exercise
d. fasting
e. binge episodes

53} To be considered a disorder, a sexual dysfunction must

persist for at least month(s).
a.l
b.2
c3
d.6
e 12
Instructions and Multiple Choice / Definition Question Sheets {DO NOT HAND IN}) Page 15 of 22

54) The main difference between paraphilia and paraphilic disorders is the
a. frequency of sexual behavior
b. intensity of sexual behavior
c. distress or harm that is caused
d. object of sexual attraction
€. how unusual the object of attraction is

55) The notion that individuals with pedophilic disorder can eliminate their sexual attraction has
support from empirical research.
a. no
b. weak
c. mixed
d. modest
e. strong

56} In disorder, an individual experiences sexual arousal from the act of being humiliated,
beaten, bound, or otherwise made to suffer that causes distress or impairment in the person’s
life.
a. paraphilic
b. pedophilic
¢. masochistic
d. sadistic
d. exhibitionistic

57) Jonah dresses in women's clothing and lip-syncs to ballads as LaDonna at a popular nightclub
one night each week. Jonah exemplifies
a. fetishism
b. transvestism
c. transsexualism
d. exhibitionism
e, transgenderism

58) Loosely, gender role is to gender identity as is to

a. external; internal
b. internal; external
c. involuntary; voluntary
d. voluntary; involuntary
e. learned; inherited
Instructions and Multiple Choice / Definition Question Sheets
(DO NOT HAND IN) Page 16 of 22

59) Gender identity is BEST described as sexual orientation.

a. similar to
b. identical to
¢. complementary to
d. different from
e. the opposite of

60) Of those who undergo sex reassignment surgery,

report increased satisfaction and
reduced dysphoria.
a. some
b. about half
¢. many
d. the great majority
e. ali

61) personality disorder seems to increase in severity over the

course of the lifespan.
a. Borderfine
b. Schizoid
¢. Antisocial
d. Avoidant
e. Dependent

62) What is a defining feature that distinguishes antisocial persona

lity disorder from psychopathy?
a. The criteria for antisocial personality disorder emphasize
breaking societal rules with a focus
on observable behaviors, whereas psychopathy has more
of a focus on internal personality and
lack of remorse.
b. There are specific diagnostic tests for psychopathy, which
do not exist for antisocial
personality disorder,
c. To qualify for psychopathy, someone needs to have a
history of conduct disorder in
childhood.
d. People with antisocial personality disorder always feel
remorse for their bad actions,
whereas psychopaths do not.
e. Psychopathy is a term for people with antisocial persona
lity disorder who have also been
convicted of a crime.
Instructions and Multiple Choice / Definition Question Sheets (DO NOT HAND IN) Page 17 of 22

63) Kyle reports dramatic fluctuations in his mood and an underlying sense of emptiness. He also
describes unstable interpersonal refationships and chronic fears of abandonment. Based on
this information, the MOST appropriate diagnosis for Kyle is personality disorder.
a. histrionic
b. narcissistic
c. borderline
d. dependent
e. avoidant

64) Impulsivity is probably LEAST often seen among people with personality disorder.
a. antisocial
b. obsessive-compulsive
c. borderline
d. histrionic
e. antisocial

65) A healthy, productive relationship between a client and the therapist is often called the
therapeutic
a. contract
b. compact
c. alliance
d. liaison
e. partnership

66) Which statement is NOT true concerning personality disorders?

a. They make it hard for the person to form lasting relationships
b. They last a long time.
c. They are usually apparent in adolescence.
d. They impair an individual’s life.
e. They tend to come and go.

67) The five-factor model uses a approach to describe personality. Personality disorders
are described using a
a. categorical; categorical approach, too
b. categorical; dimensional approach
c. dimensional; categorical approach
d. dimensional; dimensional approach, too
e. dimensional; orthogonal approach
Instructions and Multipie Choice / Definition Question Sheets
(DO NOT HAND IN) Page 18 of 22

68) personality disorder is NOT charactetized by coldness.

a. Dependent
b. Paranoid
¢. Schizoid
d. Schizotypal
e. Narcissistic

69) The legal term for mental iliness is

a. psychopathology
b. insanity -
¢. mental disorder
d. grave disability
e. clinically impaired

70) The two basic conditions of the M’Naghten rule are (1) the
presence of a mental disorder and
(2) .
a. the act was the product of the mental disorder
b. the person was not able to control themselves
c. the lack of comprehension of the wrongfulness of the act at the time of the act
d. the lack of comprehension of the wrongfulness of the act at the time of the trial
e. the lack of remorse for the wrongfulness of the act at the
time of the trial

71) Based on the textbook’s discussion, the insanity defense

is probably LEAST likely to be used by
an individual diagnosed with
a. major depressive disorder
b. bipolar disorder
c. substance use disorder
d. schizophrenia
e. derealization disorder

72) Over the past 75 years, the criteria for the insanity defens
e have
a. remained constant
b. fluctuated wildly
c. seem driven primarily by politics
d. become less stringent
e. become more stringent
Instructions and Multiple Choice / Definition Question Sheets (DO NOT HAND IN) Page 19 of 22

73} Shelvin is found not guilty by reason of insanity. He will likely

a. be released without parole
b. be released with parole
c. face a predetermined confinement in an institution
d. face an indeterminate confinement in an institution
e. be released but undergo mandatory counselling

74} The first step in a trial in which the defendant is believed to be mentally ill is to determine

a. whether or not the defendant has a mental illness

b. if the defendant is competent to stand trial
c. if the defendant is guilty of the crime
d. if the defendant knew what they did was wrong
e. if recidivism is likely

75) The duty to protect overrides the ethical principle of in professional therapist-client
relationships?
a. informed consent
b. beneficence
c. confidentiality
d. competence
e. unconditional support

76) The text suggests that the legal system holds adolescents less responsible for their actions than
it does adults because the adolescent brain is different than an adult’s. As compared to adult
brains, adolescent brains are deficient in because the has yet to mature.
a. emotional processing; limbic system
b. emotional processing; prefrontal cortex
¢. executive control; limbic system
d. executive control; prefrontal cortex
e. executive control; hippocampus

77) From this term's classroom assessments, it would be fair to say that the class:
a. Is almost all completely healthy, with only a few exceptions
b. Show questionnaire responses that indicate most students are not answering honestly
c. Is generally healthy, but for many disorders there are groups of students suffering from
moderate or greater symptom burden
d. Is not at all representative of the general population
e. Is in many ways worse off than the general population
Instructions and Multiple Choice / Definition Quest
ion Sheets (DO NOT HAND iN}) Page 20 of 22

78) From the support and emotion regulation measures

in the classroom assessments:
a. Suppressing negative emotions seems to be the
best way to cope
b. Being mindful seems more important than any
other regulatoy skill
c. Body awareness seems irrelevant for mental health
d. There is no evidence that emotion regulation strate
gies matter for mental health
e. Sacial support is one of the most important deter
minants of health

79} One issue with relying on demograph / sympto

icm correlations with the classroom data is:
a. Itis unethical to relate symptoms to particular gender
s, ages, or econimic backgrounds
b. Student data was not randomly sampled
¢. One cannot make inferences about data without a true
experimental approach
d. The range of most demographic variables is restric
ted
e. No strong associations were observed

80) From the class assessment data, having adaptive regula

tory skills is most important for:
a. Lowering the intensity of weekly stress
b. Reducing the association between stress and negati
ve affect
¢. Increasing the association between stress and positiv
e affect
d. Reducing the association between stress and positiv
e affect
e. Regulatory skills were not related to weekly mood
and stress scores

Exam Continued On Next Page

Instructions and Multiple Choice / Definition Question Sheets {DO NOT HAND IN) Page 21 of 22

Definition'Matching

Please match the descriptions to the disorders listed in your answer booklet. There is only 1 right
answer for each description. Please write the letter code beside each description beside the disorder
name in your answer booklet.

A) Chloe feels that she is nothing without a partner to take care of her. She has been
described as “needy” and “clingy.

B) Ziggy complains of a disorder that doesn’t refiect known physioclogy, but doesn't seem
to have much to gain from such claims.

C) Elaine feels that her life is empty. She has lost interest in her career and hobbies, and
she wonders if she would be better off dead.

D) Tasmeer reports “seeing everything differently . . . everything starts blending and things
look more fluid.”

E) Pam reports that she is very concerned because she feels as if her lymph nodes are
inflamed. This is highly distressing for her, and she visits multiple doctors in an attempt
to validate her concerns. The doctors find no evidence of an iliness. Assume that she is
not fabricating this symptom for personal gain and that this is a long-standing pattern
of behavior.

F) Kylie is 8 and is willing to accept anyone as a parental figure. She is overly familiar with
strangers and was not cared for well by her biological parents. Kylie has been in over
five different foster homes.

G) Brittney has been having some trouble in school recently. She tells you that she has
been preoccupied with her parents’ health, her romantic relationship, her grades, her
relationship with her roommate, and her finances for some time. She also tells you that
she has begun avoiding things that make her worry and that negative things have been
happening as a result.

H) Melanie has an intellectual developmental disorder that occurs when a particular liver
enzyme does not function correctly.

1) Xander describes a long-standing history of believing in omens and telepathy; reports

having few friends; and shows odd, inappropriate affect, such as laughing when saying
something serious. What personality disorder does he most likely have?
1) Samuel exhibits symptoms of disorientation and memory loss.
Instructions and Multiple Choice / Definition Question Sheets {DO NOT
HAND IN) Page 22 of 22

K) These days, Adam is sleeping very little. He seems full of energy and enthusia
sm. His
extreme optimism has led him to take foolish risks. He has Jost a lot of money—f
or
instance, betting on a horse that he was sure would win.
L) Darlene exhibits drastic personality change and deteriorating decision-making,
sometimes having trouble with language as well,
M) Amy is 4 years old and, when upset, does not seek comfort from her mother.
She also
does not accept comfort from her mother when it is offered. In addition, Amy
is often
emotionally unresponsive and has generally only negative feelings toward
her mother.
N} Tommy gains sexual arousal from touching or rubbing against an unconse
nting person,
O] For the past four weeks, Nan has been feeling lethargic and worthless. Her
friends are
worried because she no longer shows interest in her normal social activities.
P} Without advance notice, Susan travels from her home in Tampa, Florida, to
Omaha,
Nebraska. She appears to have no memory of her life or work in Florida and seems
unable to recall even the journey to Nebraska.
Q) Roland can only become sexually aroused by leather gear. He has amassed
considerable debt purchasing expensive leather items from specialty retailers.
Roland’s
partner is likely to leave him because he cannot enjoy more traditional romantic
and
sexual experiences,
R) Anastasia refuses to eat very much, has below-normal body weight, and despite
this
believes herself to be overweight.
S) Tahira exhibits disordered thinking, bizarre behavior, and hallucin
ations.
T) Tim appears aloof and displays little emotion. He reports than he doesn’t
have any
friendships because he does not enjoy being with other people.
PSY240 F2017 ANSWER BOOKLET {PLEASE HAND IN} Page1of6
LAST NAME: FIRST NAME: STUDENT NUMBER:

ANSWER BOOKLET

PLEASE DETACH THIS BOOKLET FROM THE PRECEDING QUESTION BOOKLET

PLEASE WRITE YOUR NAME AND STUDENT NUMBER ON EVERY PAGE OF THIS ANSWER
BOOKLET.

Pages may be separated during grading. Use the point allocation for a question as a guide for
the required in each answer.

Multiple Choice (1 point each) 1x 80 / 80 points

Definitions (% point each) %x20 / 10 points

Short Answer {5 points each) 5x4 / 20 points € Choose 4 of 6!

Total / 110 points

PSY240 F2017 © ANSWER BOOKLET (PLEASE HAND IN) Page 2 0f 6
LAST NAME: FIRST NAME: STUDENT NUMBER:

Definition Matching

Please match each disorder name to the appropriate definition by writing the
definition’s letter
beside each term (1/2 mark each x 20 questions).

1) Alzheimer's
____2} Anorexia Nervosa
____3) Conversion
_____4)Dependent

_____5) Derealization
____6) Disinhibited Social Engagement
_____7) Dissociative Fugue
___8) Fetishistic
_____9)Frontotemporal dementia

_____10) Frotteuristic
____11) Generalized Anxiety

—____12) Major Depression

_____13) Mania
_____14) Melancholia

_____15) Phenylketonuria

_____16) Reactive Attachment

_____17) Schizoid
_____18) Schizophrenia
______19) Schizotypal

20) Somatic Symptom

 PSY240 F2017 ANSWER BOOKLET (PLEASE HAND IN) Page 3 of 6
LAST NAME: FIRST NAME: STUDENT NUMBER:

SHORT ANSWER (4 x 5 marks each; point form is fine)

ANSWER ONLY 4 OF 6 QUESTIONS- WE WILL ONLY GRADE THE FIRST FOUR ANSWERS WITH
WRITING IN THEM!

1} Imagine that someone argues that people with mood, anxiety, and somatic disorders are all
5
just 'crying for attention' and would benefit from "tough love'. Describe why such an
approach is unlikely to work. In doing so, identify the most commonly accepted model of
vulnerability to mental disorders (1 mark). What does this model claim are the two chief
predictors of vulnerability {2 marks)? Why would a ‘tough love' approach fail to help if this
model is correct {1 mark)? Finally, present your own opinion about how people with mental
disorders should be treated in light of this dominant vulnerability model (1 mark).

2) Schizophrenia is believed to act primarily upon a striatal brain pathway, which runs along
the ventral surface of the brain towards the prefrontal cortex. This model has been useful
because it allows us to understand the progression of symptoms in schizophrenia. What is
15 the primary neurotransmitter thought to employ this pathway and how is it dysregulated in
early schizophrenia, i.e. is it over- or under-expressed (1 mark)? What are the two major
categories of schizophrenia symptoms- please give an example of each (2 marks)? How is
the lifetime progression of these 2 symptom categories over the course of the disease
explained by changes in activity along this striatal pathway (2 marks)?
PSY240 F2017 ANSWER BOOKLET (PLEASE HAND IN) Page 4 of 6
LAST NAME: FIRST NAME: STUDENT NUMBER:

3) Asdiscussed in class, there has been some controversy around what drugs are
truly the
most harmful in our society. Using the examples of methamphetamine, nicotine,
and
alcohol, describe what each drug does in terms of its major psychological effects-
15 no need
to get into neurochemistry {1 mark). Why each could be considered the most
harmful of the
three, introducing different harm criteria for each (3 marks). Given this discussio
n, which
drug do you think does the most harm to society right now, and why (1 mark)?

4) What are sexual disorders and gender disorders and how are they different from
each other
(2 marks)? What is one of the most difficult aspects of treating sexual disorders
, particularly
5 those involving non-consenting paraphilias {1 mark)? What is currently the
accepted
approach for treating a gender disorder in terms of (at least) 2 major phases involved
(2
marks)?
PSY240 F2017 ANSWER BOOKLET {PLEASE HAND IN} Page 5 of 6
LAST NAME: FIRST NAME: STUDENT NUMBER:

5} Complete the table below, listing each of the "big 5" personality traits (1 mark). Discuss the
5 adaptive advantages (2 marks) and disadvantages (2 marks) of each of the traits. Below the
table, describe an aspect of personality not covered by the "big 5"- be creative! (1 mark)
Trait Name Advantages Disadvantages

Extraversion

High level of social function and

adaptability

Easily fooled / taken advantage of

What's not covered:

6) In this course, we have discussed the idea that well-being is a fundamental dimension
underlying a variety of different disorders. What is a source of evidence for this claim that
we explored in class {1 mark)? Provide an example of one of the constructs that was reliably
5 associated with high well-being {1 mark) and one that was reliably associated with low well-
being (1 mark). Given this overlap, why is it important to still diagnose specific categories of
psychopathology rather than just measuring overall well-being (1 mark)? What regulatory
strategy do you think is the most adaptive way to deal with life stresses and why (1 mark)?
PSY240 F2017 ANSWER BOOKLET {PLEASE HAND IN) Page 6 of 6
LAST NAME: FIRST NAME: STUDENT NUMBER:

Box of Mystery. Don’t continue an answer in here- it will not be marked. Instead, please feel free
to write something you learned in the class or draw a picture inspired by your time in the class.
Ifit is thoughtful and/or makes us laugh, you can earn a bonus mark!

Okay, you are done! Don’t forget to hand in this answer booklet with your name and ID#
on
each and every page, as well as your scantron {multiple choice answer) sheet!
Hope you have a healthy and restorative winter break ©