Solution Manual for Psychopathology, Exams of Psychopathology

Solution Manual for Psychopathology

Typology: Exams

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Solution Manual for Psychopathology
Chapter 1 - Essay
1. Psychopathology may include deviance, distress, dysfunction, and danger. Explain what these terms mean
regarding psychopathology and provide an example of a time when each feature of psychopathology would
not be considered pathological.
ANSWER: There are said to be four Ds of psychopathology.
The first feature is deviance, which describes behavior, thoughts, and emotions that are atypical
for their place and time. An example of atypical behavior that would not be considered
pathological is a person who sleeps outside when camping. While sleeping outdoors is not the
norm in our society, we make exception for this behavior under this specific circumstance.
The second feature is distress. When an individual feels distress over symptom manifestation,
we often consider this to be a marker of psychopathology. An example of when distress would
not be considered pathological would be a situation in which a parent experiences distress
because their child is serving in the military in a war zone. The feelings of distress inherent in a
child serving abroad would not be a sign of psychopathology.
The third feature is dysfunction. Behavior tends to be considered dysfunctional when it
interrupts the ability to function in daily living. An example of when dysfunction would not be
considered pathological would be if someone voluntarily engaged in a hunger strike out as a
form of protest. Often these individuals are considered heroic rather than dysfunctional.
The final feature is danger, which is usually classified as an individual being a danger to
themselves or others. An example of when dangerous behavior would not be considered
pathological could be a firefighter or other emergency responder who risks injury and death in
the service of others as part of their professional calling.
2. How do differences between cultures, and cultural changes over time, make it hard to be consistent about
what we call deviant?
ANSWER: Different cultures have different norms about personal appearance and behavior. This means
that before we can say, for instance, whether a young woman's desire to stretch her neck with
brass rings is typical or deviant, we have to decide whether we are judging her by Western
standards or by the standards of a culture where neck-lengthening is common practice. In
addition, although heavy tattooing on a person's neck and arms would once have been
considered strange and possibly deviant in the United States, it has become relatively common.
Even clearly unhealthy behavior, like binge drinking, is so much part of the culture in some
places (on college campuses, for instance) that it is hard to classify it as deviant.
3. Suppose a friend says to you, "I feel overwhelmed today, and I don't know why. You're studying
psychology— what do you think?" If, after a conversation, your friend feels better about things, have you
provided true therapy? Why or why not? Include the essential features of therapy in your answer.
ANSWER: According to the text, this interaction does not qualify as psychological therapy. Clinical
theorist Jerome Frank stated that all true therapy has three essential features. The first feature is
a patient who seeks relief from the healer. The second feature of true therapy is that it must be
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Solution Manual for Psychopathology

Chapter 1 - Essay

  1. Psychopathology may include deviance, distress, dysfunction, and danger. Explain what these terms mean regarding psychopathology and provide an example of a time when each feature of psychopathology would not be considered pathological. ANSWER: There are said to be four Ds of psychopathology. The first feature is deviance, which describes behavior, thoughts, and emotions that are atypical for their place and time. An example of atypical behavior that would not be considered pathological is a person who sleeps outside when camping. While sleeping outdoors is not the norm in our society, we make exception for this behavior under this specific circumstance. The second feature is distress. When an individual feels distress over symptom manifestation, we often consider this to be a marker of psychopathology. An example of when distress would not be considered pathological would be a situation in which a parent experiences distress because their child is serving in the military in a war zone. The feelings of distress inherent in a child serving abroad would not be a sign of psychopathology. The third feature is dysfunction. Behavior tends to be considered dysfunctional when it interrupts the ability to function in daily living. An example of when dysfunction would not be considered pathological would be if someone voluntarily engaged in a hunger strike out as a form of protest. Often these individuals are considered heroic rather than dysfunctional. The final feature is danger, which is usually classified as an individual being a danger to themselves or others. An example of when dangerous behavior would not be considered pathological could be a firefighter or other emergency responder who risks injury and death in the service of others as part of their professional calling.
  2. How do differences between cultures, and cultural changes over time, make it hard to be consistent about what we call deviant? ANSWER: Different cultures have different norms about personal appearance and behavior. This means that before we can say, for instance, whether a young woman's desire to stretch her neck with brass rings is typical or deviant, we have to decide whether we are judging her by Western standards or by the standards of a culture where neck-lengthening is common practice. In addition, although heavy tattooing on a person's neck and arms would once have been considered strange and possibly deviant in the United States, it has become relatively common. Even clearly unhealthy behavior, like binge drinking, is so much part of the culture in some places (on college campuses, for instance) that it is hard to classify it as deviant.
  3. Suppose a friend says to you, "I feel overwhelmed today, and I don't know why. You're studying psychology— what do you think?" If, after a conversation, your friend feels better about things, have you provided true therapy? Why or why not? Include the essential features of therapy in your answer. ANSWER: According to the text, this interaction does not qualify as psychological therapy. Clinical theorist Jerome Frank stated that all true therapy has three essential features. The first feature is a patient who seeks relief from the healer. The second feature of true therapy is that it must be

Name: Class: Date: Chapter 1 - Essay administered by a trained, socially accepted healer who has expertise in what the individual is diagnosed with. The third essential element of therapy is that there should be a series of contacts with the patient to produce changes. Given the criteria set out by Jerome Frank, this encounter does not meet the criteria for true therapy because a psych student is not the same as a trained healer with expertise, and there was not a series of contacts to produce any changes. Although listening can sometimes bring great relief, there is a great difference between therapy and simply being a good friend.

  1. Compare and contrast how psychopathology was viewed and treated in the past with the way it is viewed and treated today. Are the changes for the better or the worse? ANSWER: The changes have been generally, though not uniformly, for the better. In the distant past, the belief that evil spirits or dark forces created psychological dysfunction permeated the belief about people with mental illness and their treatment. Eventually, the view evolved so that psychopathology was caused by natural factors, either in the body or in the mind. Along with the more naturalistic way of thinking about psychopathology came better treatment of people with mental illness. At first, those experiencing psychopathology were simply warehoused in asylums, where they received no meaningful treatment. In time, however, the "moral treatment" championed by reformers such as Tuke, Pinel, Rush, and Dix revolutionized the way in which people with mental illness were viewed and treated. Although this movement did not permanently change the institutional landscape, its framing of mental illness as something to be treated set the stage for those like Freud to develop theories that viewed clients and treatments with humanity. Psychotropic medication discovered in the twentieth century allowed many who may not have had a chance of recovery otherwise to function outside of an institutional setting. Psychotropic medications of the past also solidified the status of mental illness as a treatable and often biologically based illness. At the same time, deinstitutionalization was not an unmixed blessing. For people released from institutions, the care and support structure provided when they left was sorely lacking, and that remains the case today. Many people with mental illness are still unhoused or in prisons.
  2. Discuss the contributions to psychopathology treatments by three individuals. Include the time period and location where each lived and how these people's contributions helped shape current views and treatments for psychopathology. ANSWER: Answers can include any three of these: —Hippocrates: 460–377 B.C.E. Greece. Referred to as the father of modern medicine, Hippocrates contributed the belief that illnesses had natural causes, and he saw atypical behavior as arising from physical problems. This viewpoint encouraged searching for causes outside of evil forces, which also then supported lifestyle changes that could help prevent mental disorders.

Name: Class: Date: Chapter 1 - Essay ethical and appropriate strategy for treatment that the United States should continue to follow? Why or why not? Include specific examples. ANSWER: Deinstitutionalization in the United States was not conducted ethically or with an appropriate strategy. Patients who were residents of asylums for years, with no knowledge of how the outside world operated and often had no support structures when they left, were simply released only to become unhoused and without care. The text states that hundreds of thousands of people with mental illness are not receiving sufficient care. More than 140,000 are unhoused, and another 440,000 or more reside in jails or prisons. This is not a strategy the United States should continue to follow. One thing that could be done differently is to increase the numbers and accessibility of community health centers, especially those with mental health programs.

  1. How have health insurance plans often placed people with mental illness at a disadvantage? How has Congress tried to rectify this problem with legislation? ANSWER: People with mental illness have often been disadvantaged through insurance reimbursements that are lower for mental illnesses than for physical illnesses. Legal remedies for this unequal treatment include a 2008 federal parity law that mandates equal coverage for mental and physical problems, including equal coverage, and the mental health provisions of the 2014 Affordable Care Act, also known as Obamacare, which includes mental health care as one of 10 types of essential health benefits that all insurers must provide. However, unequal treatment persists, sometimes in the form of a lower standard of care. Congress passed yet another law in 2021, which called for stricter government regulation of each insurance company's parity coverage. Whether this law does indeed produce full parity remains to be seen.
  2. Clinical psychologists, psychiatrists, and clinical researchers are mental health professionals who work in the area of psychopathology. Describe what each does and how they differ from one another. ANSWER: Clinical psychologists earn a doctorate in clinical psychology and provide psychotherapy and related services to people with mental illness. Psychiatrists are physicians and have gone through medical school, earning either an MD or a DO, as well as specializing in treatment for people with mental illness. Psychiatrists can also provide counseling services but often prescribe medications when needed. Clinical researchers tackle the problems of psychopathology from the laboratory, attempting to explain and predict atypical behavior but not working with clients directly unless studying a specific mental illness. Clinical researchers do not treat patients. Both psychiatrists and clinical psychologists often do treat patients.
  3. What are the important differences between case studies and single-case experiments? Describe the advantages and disadvantages of each. ANSWER: A case study follows an individual, describing that person's life and problems as well as their history, symptoms, and treatment. In a case study, a clinician can follow the course of a

Solution Manual for Psychopathology

Chapter 1 - Essay treatment and offer new ideas or treatments to future clinicians. The benefits of case studies are that they can often show the value of new therapeutic techniques and give unusual problems focused attention that can be used to help others who show similar problems. The limitations of case studies are that often the observers can be biased because they may have an interest in seeing the patient succeed or having their methods work. Case studies rely solely on subjective evidence, so they also lack internal validity. In addition, case studies have limited generalizability, and because we often find that case studies have difficulty being applicable beyond the actual person of study, they rate low on external validity. Single-case experiments avoid many of the weaknesses of case studies because the researcher can directly manipulate the independent variable. This allows the researcher to draw conclusions about the cause of certain events. Like case studies, single-case experiments focus on a lone participant who is observed both before and after the manipulation of an independent variable. While the benefit of this type of experiment is clearly the amount of control exerted and the ability to establish a baseline, the limitations are many, because the findings may be highly specific to the individual. That is, the results may not be generalizable to broader populations.

  1. Suppose a researcher found a strong positive correlation between college grade-point average (GPA) and selfesteem. Describe three possible and distinctly different causal explanations for this relationship. ANSWER: A researcher could come up with three possible and distinctly different causal explanations for the positive correlational relationship between college GPA and self-esteem. First, the higher GPA creates higher self-esteem, or positive view of the self. Second, school involvement might create higher investment in academics as well as increased socialization; the latter might increase a person's sense of self-worth and actually serve as the impetus driving both variables. Third, having higher self-esteem might lead individuals to study harder so as to create internal consistency, with a higher GPA being a result.
  2. A major shortcoming of a correlational study is that even when a correlation between two variables is statistically significant, one cannot infer causation. For example, a significant correlation exists between stress and depression, yet one cannot say for sure that stress causes depression. Given this major shortcoming, what are some specific reasons one might still wish to conduct a correlational study, as opposed to an experimental study (from which one might infer a cause-and-effect relationship)? ANSWER: Although correlations do not determine causation, they can still be of great use, particularly to clinicians. Correlational studies tend to have good external validity, meaning that they often can be generalized to the general population. Even though they do not explain the relationship, often just noting that a strong relationship exists between variables can be significant. An example from the text examining correlational research between attempts to die by suicide and depression noted that even if the cause of the attempts to die by suicide is not fully understood,

Solution Manual for Psychopathology

Chapter 1 - Essay effect, after its discoverer. To prevent the effect, a doublemasked design keeps even the researchers from knowing which participants are in which group. For example, an aide can prepare a placebo drug that looks just like the real medication, so that the researcher administering a dose to a participant can record the batch number but does not know whether the batch contains the real drug or the placebo. Only after the data are gathered and analyzed is the masking removed to reveal whether the observed differences between the two groups confirm that the real treatment was effective.

  1. A researcher wishes to use experimentation to study the effects of stress on the development of pathological behaviors. Describe how the researcher might conduct that study, using either natural or analogue experiments. ANSWER: In natural experiments, nature itself manipulates the independent variable. One method for studying the effect of stress on the development of pathological behaviors would be to examine individuals after a natural disaster (which would inherently place stress on an individual). For example, if a natural disaster such as a hurricane flooded and destroyed a large city, a researcher could study the survivors (who function as an experimental group) and then gather data on individuals located far from the affected region (who function as a control group). The researcher could then compare them on behavioral measures of psychopathology (dependent variable) and acquire results. In analogue experiments, researchers can induce participants in a laboratory to behave in ways that resemble real-life pathological behavior and then conduct experiments on them to shed light on real-life psychopathology. A researcher looking to study individuals in this way may have difficulty ethically, even if using animal models, because this design naturally places both animals and humans in a distressed state. To conduct an analogue experiment examining the effects of stress on the development of pathological behaviors, an experimenter could elicit stress in the participant by placing them in a situation that would be inherently stressful and then measuring the pathological behaviors (dependent variable) to determine the relationship.
  2. Describe a situation where a researcher would choose a qualitative experimental design. What are the distinctive features of this kind of study? What are the pros and cons? ANSWER: A qualitative design would be chosen when the variable(s) being studied are not easily measured and quantified—for instance, the feelings of a person experiencing depression, or the meaning they or their family members attach to the patient's experience. This kind of study may use an open-ended survey or interview questions to collect data from the person(s) being studied. Answers are recorded as given. The advantage of this method is that it yields richer, more in-depth descriptive accounts than a series of forced-choice questions would, and the data is less likely to be filtered through the researcher's expectations.

Name: Class: Date: Chapter 1 - Essay The disadvantage of a qualitative research design is that it is hard to combine qualitative information gathered from several participants into a useful data set that supports broad conclusions and predictions about larger populations. Thus, the qualitative design is well suited for stimulating new ideas but poorly suited for formal hypothesis testing.

  1. What makes community-based participatory research (CBPR) different from all other forms of research? What practical results does community-based participatory research produce? ANSWER: Traditional psychology research is conducted by investigators with formal academic training. People struggling with mental health challenges—their own or those of loved ones—may be study participants but do not take any active role in directing the research or analyzing the data. In the CBPR approach, people affected by psychopathology work collaboratively with scientists, sharing responsibility for formulating research questions, gathering data, analyzing the results, and applying research findings. The CBPR approach has produced important insights into the causes and possible remedies of health disparity—the inequities in health care and health outcomes between members of different social groups. A specific example involves Black neighborhoods throughout the United States. Community members helped the researchers understand the role that barbershops and hair salons play in Black communities, as places where people socialize, discuss personal and family matters, and exchange information. This led to the formation of an initiative that trained barbers and hair stylists to provide health- related advice, information, support, and referral services to their patrons. Follow-up studies found significant improvements in the patrons' acquisition of medical and mental health information, quality of self-care, health care pursuits, and medical and mental health outcomes.

classmerit.com — The Marketplace to Buy and Sell Study Materials Name: Class: Date: Chapter 1 - Multiple Choice a. We have not advanced much beyond the demonology era. b. Although pathology is a well-defined concept, no consensus about treatment exists. c. The nature of pathology is still debated, despite consensus on effective treatments. d. Both the definition of psychopathology and the best forms of treatment are still being debated. ANSWER: d

  1. Commonly accepted features of psychopathology include deviance, distress, dysfunction, and: a. danger. b. docility. c. delusions. d. deference. ANSWER: a
  2. Clinical psychologists generally: a. accept one definition of psychopathology and practice one form of treatment. b. do not accept one definition of psychopathology but practice one form of treatment. c. accept one definition of psychopathology but practice more than one form of treatment. d. do not accept one definition of psychopathology and practice more than one form of treatment. ANSWER: d
  3. Which is NOT one of the four Ds of psychopathology? a. deviance b. danger c. dread d. dysfunction ANSWER: c
  4. Which is NOT a role of a clinical practitioner in the field of psychopathology? a. research b. detect c. assess d. treat ANSWER: a
  5. Which statement is accurate about the four Ds of patterns in psychopathology? a. Most clinicians agree on what qualifies under each of the four Ds. b. Every culture has generally identical criteria for what constitutes pathology.

classmerit.com — The Marketplace to Buy and Sell Study Materials Name: Class: Date: Chapter 1 - Multiple Choice c. An individual can be diagnosed with a mental illness only if all four Ds are present. d. None of the four Ds is, by itself, an adequate gauge of psychopathology. ANSWER: d

  1. Which term BEST completes this statement? Judgments of deviance depend on cultural norms, as well as: a. geography. b. specific circumstances. c. politics. d. our health care system. ANSWER: b
  2. Tyrone is so frequently and intensely anxious that the anxiety itself causes them psychological pressure. The psychological strain of their anxiety exemplifies the feature of psychopathology called: a. distress. b. danger. c. deviance. d. dysfunction. ANSWER: a
  3. Angeliqua is so fearful of the prospect of causing an accident while driving that they sometimes are unwilling to drive to work. They also mistrust taxi drivers and bus drivers. This condition exhibits the feature of psychopathology called: a. deviance. b. dysfunction. c. danger. d. distress. ANSWER: b
  4. The belief that the concept of mental illness is actually invalid was advocated by: a. Carl Rogers. b. Jerome Frank. c. Thomas Szasz. d. Dick Gregory. ANSWER: c
  5. When Htet is able to sleep, his dreams are full of nightmares. During the day, he is jittery and startles easily. If we learn that Htet is a refugee from a civil war: a. our sympathy for him diminishes. b. we know that his condition will improve on its own over time.

classmerit.com — The Marketplace to Buy and Sell Study Materials Name: Class: Date: Chapter 1 - Multiple Choice d. a person who engages in multiple checking rituals each day and consequently is unable to hold down a job ANSWER: d

  1. Morgan hears voices that others don't, but he is not distressed by them. This illustrates that: a. distress must always be used to determine pathology. b. behavior that is not really dangerous can never be considered pathological. c. distress does not have to be present for a person's behavior to be considered pathological. d. behavior that is not distressful is not pathological. ANSWER: c
  2. An individual has a 9-to-5 job. However, this person seldom gets up early enough to be at work on time and expresses great distress over this behavior. This individual's behavior would be considered pathological because it is: a. disturbed. b. deviant. c. dysfunctional. d. dangerous. ANSWER: c
  3. Which aspect of the definition for psychopathology includes the inability to care for oneself and work productively? a. distress b. deviance c. dysfunction d. danger to self or others ANSWER: c
  4. When behavior prevents a person from participating in ordinary social interactions, that behavior is said to be: a. deviant. b. dangerous. c. distressing. d. dysfunctional. ANSWER: d
  5. A person who is having suicidal thoughts BEST fits which feature of psychopathology? a. deviance

classmerit.com — The Marketplace to Buy and Sell Study Materials Name: Class: Date: Chapter 1 - Multiple Choice b. distress c. danger d. dysfunction ANSWER: c

  1. A Secret Service agent steps in front of the president of the United States, prepared to be killed or injured if the president's safety is threatened. Psychologically speaking, the Secret Service agent's behavior is: a. distressing to the agent and pathological. b. dangerous for the agent but not pathological. c. deviant but not pathological. d. dysfunctional and pathological. ANSWER: b
  2. Research shows that danger to self or others is found in: a. a minority of cases of psychopathological functioning. b. no cases of psychopathological functioning. c. all cases of psychopathological functioning. d. most but not all cases of psychopathological functioning. ANSWER: a
  3. Despite popular misconceptions, most people with psychological problems are NOT: a. dysfunctional. b. dangerous. c. distressed. d. deviant. ANSWER: b
  4. According to Thomas Szasz's views, the psychological conditions that society calls "mental illness" are really: a. coping strategies. b. problems in living. c. myths people tell themselves. d. biological disorders. ANSWER: b

classmerit.com — The Marketplace to Buy and Sell Study Materials Name: Class: Date: Chapter 1 - Multiple Choice d. No, the patient felt some relief, but there is no mention of the episodes resolving the problem permanently. ANSWER: c

  1. Psychological treatment is any process or procedure designed to: a. place one person's psychological health in the hands of another person. b. bring a feeling of relief to a person who exhibits pathological behavior. c. change pathological behavior into less disturbed, more functional behavior. d. change society's views of a person with pathological behavior. ANSWER: c
  2. Kai is a loner. She lives in a cabin in the woods with no running water or electricity. While she manages to survive this way, living so far from the closest city makes it difficult for her to get and keep gainful employment. She is often unhappy with her situation yet feels it is unchangeable. Which term would NOT be used to describe Kai's behavior? a. deviant b. dysfunctional c. distressful d. dangerous ANSWER: d
  3. Ren has been feeling depressed. She has begun to feel helpless and hopeless and is considering dying by suicide. Which aspect of psychopathology is Ren exhibiting? a. deviance b. dysfunction c. danger d. delusion ANSWER: c
  4. According to research Weeks (2015) conducted on eccentric people, which statement is accurate? a. They have fewer emotional problems than the general population. b. They know they are different and usually wish to be more like others around them. c. They visit their physicians, on average, once every three months. d. Most are unhappy, malcontented individuals who feel that life treats them very badly. ANSWER: a

classmerit.com — The Marketplace to Buy and Sell Study Materials Name: Class: Date: Chapter 1 - Multiple Choice

  1. The term for a procedure designed to change pathological behavior into less atypical, more functional behavior is: a. treatment. b. reform. c. remediation. d. rectification. ANSWER: a
  2. A theorist who sees psychopathology as a problem in living usually refers to those seeking help with problems in living as: a. pupils. b. patients. c. trainees. d. clients. ANSWER: d
  3. Clinicians who think of themselves as teachers or coaches are MOST likely to view psychopathology as a: a. disease. b. problem in living. c. lifelong condition. d. moral failing. ANSWER: b
  4. It is thought that people in prehistoric societies believed pathological behavior resulted from: a. advancing age. b. a person not having a soul. c. evil spirits that invaded the body and mind. d. a state of being disconnected from Earth and nature. ANSWER: c
  5. The ancient operation in which a stone instrument was used to cut away a circular section of the skull is called: a. exorcism. b. shaman. c. couvade. d. trephination. ANSWER: d

classmerit.com — The Marketplace to Buy and Sell Study Materials Name: Class: Date: Chapter 1 - Multiple Choice

  1. Luther experiences unshakable sadness. His friends have stopped trying to cheer him up because nothing works. An ancient Greek physician would have labeled his condition: a. mania. b. hysteria. c. delusions. d. melancholia. ANSWER: d
  2. In the Middle Ages, outbreaks of tarantism were associated with people's belief that they: a. were possessed by wolves or other animals. b. were possessed by evil spirits. c. had an excess of yellow bile in their bodies. d. had been bitten by wolf spiders. ANSWER: c
  3. In the Middle Ages, the model of mental illness that most people believed in was the: a. moral model. b. medical model. c. psychogenic model. d. demonology model. ANSWER: d
  4. The condition mass madness from the Middle Ages referred to a large group of people who: a. believed that God does not exist. b. had borderline personality disorder. c. shared delusions and hallucinations. d. engaged in violent criminal acts against others. ANSWER: c
  5. Toward the end of the Middle Ages, cities began to flourish. How did this help foster a shift away from demonology? a. City officials made it illegal to teach demonology. b. Government officials took over care for people with mental illness. c. Government officials began to treat people with mental illness as criminals. d. People with mental illness were run out of cities and left to take care of themselves.

classmerit.com — The Marketplace to Buy and Sell Study Materials Name: Class: Date: Chapter 1 - Multiple Choice ANSWER: b

  1. The man regarded as the founder of the modern study of psychopathology is: a. Johann Weyer. b. William Tuke. c. Philippe Pinel. d. Benjamin Rush. ANSWER: a
  2. In the early asylums, treatment for mental illness began with the intention of providing: a. harsh treatment. b. good care. c. religious therapies. d. psychogenic therapy. ANSWER: b
  3. In the year 1547, Bethlehem Hospital in London became a: a. shrine. b. tourist attraction. c. sheltered workshop. d. center of moral treatment. ANSWER: b
  4. The asylums of the 1500s were originally: a. churches and parishes. b. privately owned homes. c. hospitals and monasteries. d. prisons and government offices. ANSWER: c
  5. Why did many of the asylums in the 1500s become virtual prisons over time? a. overcrowding b. food shortages during this period c. research linking mental illness with crime d. public outcry over the dangers of mental illness ANSWER: a
  6. Who brought the reforms of moral therapy to northern England?