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Which of the following statements accurately describes treatment for narcissistic personality disorder?


A) Narcissistic personally disorder treatment is often combined with treatment for severe depressive episodes.
B) The treatment is often focused on the patient's grandiosity and hypersensitivity.
C) Cognitive therapy aimed at replacing the patient's hedonistic fantasies with day-to-day pleasurable experiences that are truly attainable are a focus of the treatment.
D) All of these are correct

E) C) and D)
F) A) and D)

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A person with paranoid personality disorder may


A) mistrust other people.
B) get into arguments with people.
C) be quiet and withdrawn.
D) all of these are correct

E) None of the above
F) A) and B)

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When Axel arrives late for class, he walks in with a grand entrance and apologizes to the professor and the students in class. He proceeds to tell them he had every intention of being at class on time, but the traffic was terrible and many accidents occurred, which delayed him. Axel describes this in much exaggerated detail before he takes his seat. This commonly happens every time he is late. Axel could be diagnosed with which personality disorder?


A) Histrionic
B) Narcissistic
C) Borderline
D) Borderline.

E) None of the above
F) B) and C)

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When asked about their childhood, individuals diagnosed with avoidant personality disorder tend to remember their parents as


A) warm and loving.
B) substance abusing.
C) rejecting.
D) depressed.

E) None of the above
F) A) and C)

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Helen has been in therapy with Dr. Block for dependent personality disorder for the past three years. When she first came to therapy, she was in an abusive marriage and complained that her adult children treated her poorly and that people in her life "walked all over her." Helen has attended therapy religiously, been a "model" patient, and generally done everything that Dr. Block has suggested. At this time in her life, she is divorced, more assertive with her children, and generally feeling better about herself. Her current therapy sessions are often centered on everyday decisions for which she anxiously seeks Dr. Block's advice. The most appropriate next therapy step is


A) immediate termination.
B) working to reduce Helen's reliance on Dr. Block.
C) a behavioral plan to increase Helen's socialization.
D) exploration of the issues that made Helen seek therapy initially.

E) A) and B)
F) A) and C)

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Childhood trauma as a cause of borderline personality disorder may be too simplistic an explanation because


A) there are too many neurological deficits that are noted in borderline personality disorder patients.
B) individuals with borderline personality disorder tend to respond to SSRI medications.
C) most individuals diagnosed with borderline personality disorder are female.
D) a significant percentage of individuals diagnosed with borderline personality disorder do not have a history of childhood trauma.

E) All of the above
F) B) and C)

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Of the following, the most accurate statement regarding the research for treatment of obsessive-compulsive personality disorder is that


A) well-controlled research suggests the use of a highly structured behavioral program can be effective with motivated patients.
B) well-controlled research suggests the use of cognitive-behavioral treatment.
C) the great deal of research that has been conducted indicates there are currently no effective treatments.
D) cognitive-behavioral therapy that helps the individual relax or use cognitive reappraisal techniques to reframe compulsive thoughts appears to be an effective treatment.

E) A) and B)
F) None of the above

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One of the major problems with treating people with personality disorders is


A) they rarely identify themselves as needing treatment.
B) research suggests that the disorders are almost entirely based on biology and therefore difficult to treat interpersonally.
C) personality disorders are so rare that there is very little research on their treatment.
D) they are extremely unpredictable and difficult to manage in therapy sessions.

E) None of the above
F) B) and C)

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All of the following common disorders tend to be comorbid with borderline personality disorder EXCEPT


A) depression.
B) substance abuse.
C) bulimia.
D) obsessive-compulsive disorder.

E) B) and C)
F) A) and C)

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According to the DSM-5, the features of dependent personality disorder include


A) difficulty expressing disagreement.
B) an attitude of entitlement toward fulfilling expectations.
C) being easily influenced by others or circumstances.
D) episodes of inappropriate, intense anger.

E) A) and B)
F) A) and C)

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Patients diagnosed with schizoid personality disorder


A) often request treatment and generally make progress quickly.
B) often request treatment but generally make little progress.
C) rarely request treatment except in response to a crisis.
D) rarely request treatment but generally make progress quickly while in therapy.

E) B) and D)
F) B) and C)

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Describe the characteristics and causes of borderline personality disorder, and discuss possible treatment approaches and their efficacy.

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Answered by ExamLex AI

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Borderline personality disorder (BPD) is...

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What are the symptoms of people with BPD?


A) They will steal things from friends and families.
B) They are often intense, going from anger to deep depression in a short time.
C) They tend to be suspicious and have odd beliefs.
D) They seem aloof, cold, and indifferent to other people.

E) All of the above
F) B) and D)

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One of the major differences between individuals with obsessive-compulsive personality disorder and obsessive-compulsive disorder is that patients with the personality disorder generally


A) have more obsessive thoughts.
B) show more compulsive and ritualistic behaviors.
C) do not have obsessive thoughts and compulsive behaviors.
D) has more insight into their problems

E) A) and B)
F) A) and C)

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The circumstances of entering a new culture for refugees and for people with hearing impairments may make these individuals particularly susceptible to


A) histrionic personality disorder.
B) paranoid personality disorder.
C) schizotypal personality disorder.
D) schizoid personality disorder.

E) None of the above
F) A) and D)

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In the categorical versus dimensional classification debate, supporters of the dimensional view of personality disorders believe this system is superior because


A) there is too much overlap among the symptoms of the different disorders.
B) the clusters help to categorize but are not based on scientific evidence.
C) there is high comorbidity among the personality disorders.
D) all of these are correct

E) A) and C)
F) C) and D)

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All of the following are mentioned in your text as appropriate treatment strategies for narcissistic personality disorder EXCEPT


A) cognitive therapy to replace grandiose fantasies with more realistic goals.
B) coping strategies to help accept criticism.
C) exploration of early life trauma that led to the disorder.
D) being helped to focus on the feelings of others.

E) A) and D)
F) C) and D)

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In Jill's psychotherapy sessions, the therapist has been using systematic desensitization to gradually make her more comfortable with social situations. Similar to the treatments used for individuals with social phobia, the therapist has given Jill homework assignments that require her to practice talking to strangers, join informal groups, and speak in front of small groups. Most likely, she is being treated for ________ personality disorder.


A) avoidant
B) dependent
C) antisocial
D) histrionic

E) A) and B)
F) B) and C)

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Which of the following are the two major theories that have been proposed to explain antisocial personality disorder?


A) Underarousal and fearlessness
B) Underarousal and shamelessness
C) Overarousal and fearlessness
D) Overarousal and shamelessness

E) C) and D)
F) A) and B)

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When individuals with dependent personality disorder are in therapy, they are


A) seemingly "ideal" patients.
B) resistant to the therapeutic process.
C) too unstable to do the intellectual work that therapy requires.
D) demanding and impulsive.

E) C) and D)
F) A) and B)

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