Dr. Richard Raskin underwent surgery in the 1970s to change his assigned sex from male to female. Prior to the surgery, Dr. Raskin likely would have been diagnosed with gender identity disorder based on wanting to live as a woman. John gets nauseous thinking about sex and avoids sexual advances, so he may be diagnosed with sexual aversion disorder. Joseph experiences intense genital pain during sex, so he may have dyspareunia.

1. 1.20
(1 pts.) In the 70s, Dr. Richard Raskin underwent a radical
surgery in which his assigned sex was changed. He is now
known as a woman named Renee Richards. Prior to the surgery
Dr. Raskin might have been diagnosed as having
A) sexual aversion disorder.
B) gender identity disorder.
C) transvestic fetishism.
D) male erectile disorder.
# 1.21
(1 pts.) John gets nauseous when he thinks about having sexual
intercourse and he actively avoids the sexual advances of
others. John might be diagnosed as having
A) male erectile disorder.
B) sexual aversion disorder.
C) dyspareunia.
D) inhibited male orgasm disorder.
# 1.22
(1 pts.) Joseph experiences such intense and recurrent genital
pain during sexual intercourse that even the thought of having
sex is unbearable. Joseph might have
A) erectile disorder.
B) vaginismus.
C) dyspareunia.
D) inhibited male orgasm.
# 1.23
(1 pts.) Based on this information in the case report in the
textbook, what assessment information might have led Dr.
Tobin to conclude that Shaun Boyden was abused as a child?

2. A) His Rorschach responses indicated a great deal of
impulsivity.
B) Shaun's verbal IQ was somewhat higher than his
performance IQ.
C) Shaun's score on one of the MMPI lie scales indicated his
responses were guarded.
D) His TAT stories contained themes of victimization.
# 1.24
(1 pts.) Wayne has pedophilia. He tends to victimize boys but
does not engage in physical violence or nonsexual aggression.
Wayne would be categorized as a(n) ____ aggressor.
A) physiological
B) cognitive
C) affective
D) developmentally related
# 1.25
(1 pts.) Several of the patients with mental retardation portrayed
in the 1970s documentary "Willowbrook: The Last Great
Disgrace" walk around the ward with no clothes on. Which of
the following statements might best characterize this behavior?
A) In addition to being diagnosed with mental retardation, they
might be diagnosed with exhibitionism.
B) In addition to being diagnosed with mental retardation, they
might be diagnosed with voyeurism.
C) These individuals would be dually diagnosed with mental
retardation and hypoactive sexual desire disorder.
D) Because their behavior is likely due to brain damage, their
behavior would not be considered paraphilic.
# 1.26
(1 pts.) When Jimmy was a child, he used to hide out in his

3. closet, sit on the floor amid shoes, and masturbate. He now has
a shoe fetish. The development of his disorder would be of no
surprise to a
A) psychoanalyst.
B) humanist.
C) behavioral theorist.
D) psychiatrist.
# 1.27
(1 pts.) Five-year-old Timmy has older sisters who dress him up
occasionally and call him "Timbelina" since they really wanted
a little sister instead of a little brother. If this pattern continues
it is possible that Tim might develop
A) sexual masochism.
B) sexual sadism.
C) pedophilia.
D) transvestic fetishism.
# 1.28
(1 pts.) Why is it difficult to determine whether or not
individuals with gender identity disorder have a heterosexual or
a homosexual orientation?
A) because defense mechanisms are very strong and do not
allow the unconscious tendencies to surface
B) because most report having bisexual tendencies so they
really don't express a preference
C) because the definition of their orientation could be based on
either their assigned sex or their gender identity
D) because their gender identity confusion also makes them
feel confused about their sexual orientation as well
# 1.29
(1 pts.) Carol is extremely interested in sex but does not

4. experience the vaginal changes that ordinarily precede sexual
intercourse. Carol may have
A) sexual aversion disorder.
B) hypoactive sexual desire disorder.
C) inhibited female orgasm disorder.
D) female sexual arousal disorder.
# 1.30
(1 pts.) Pattie is extremely frustrated because every time she has
sex with her husband she has painful muscle spasms in her
vagina which prevent her husband from penetrating. Pattie may
very well have
A) dyspareunia.
B) anorgasmia.
C) frigidity.
D) vaginismus.
# 1.31
(1 pts.) Which of the following facts led Dr. Tobin to
hypothesize that Janice Butterfield was suffering from
depression even during their initial phone conversation?
A) Janice's rapid speech and grandiose thinking
B) Janice's faint and slow-paced speech
C) Janice's melodramatic tone
D) Janice's delusional thinking
# 1.32
(1 pts.) John is in a period of intense disruptive and heightened
thinking, behavior, and emotionality. John is experiencing a(n)
____ episode.
A) depressive
B) euphoric

5. C) dysthymic .
D) manic
# 1.33
(1 pts.) Howard suffers from mild mood swings that range from
dysphoria to hypomania. His mood can change rapidly and at
times his behavior borders on eccentric, but he still holds down
a job at the neighborhood hardware store, and his marriage
although a bit strained is on good ground. Howard might be
diagnosed as having
A) bipolar disorder.
B) major depressive disorder.
C) hypomania.
D) cyclothymic disorder
# 1.34
(1 pts.) Based on Seligman's ideas regarding depression, which
of the following attributions would be made by an individual
likely to become depressed?
A) I failed this exam because I am stupid.
B) I missed the game-tying foul shot because I was nervous.
C) I broke up with my girlfriend because of a difference of
opinion.
D) I was fired because my boss was a jerk.
# 1.35
(1 pts.) Brad's therapist is treating his depression by helping
Brad evaluate the rationality of his automatic thoughts, and
identify and alter the silent dysfunctional assumptions he makes
about things that happen to him. Based on this information, it
sounds as if Brad's therapist may be _____ in her orientation.
A) psychodynamic
B) behavioral

6. C) cognitive
D) interpersonal
# 1.36
(1 pts.) Beth is suffering from major depressive disorder. Which
of the following facts might lead her therapist to be highly
concerned about the possibility of her committing suicide?
A) the fact that she is middle-aged.
B) the fact that her GABA levels are so high .
C) the fact that two of her relatives have committed suicide
D) the fact that she has lost her job.
# 1.37
(1 pts.) Although Juanita has been severely depressed, her
motor activity has been frantic. The term for this type of motor
activity is
A) psychomotor agitation.
B) somatic hysteria.
C) psychomotor hyperactivity.
D) somatic mania.
# 1.38
(1 pts.) Joe has a mood disorder in which he experiences
alternating episodes of severe depression and mild bouts of
mania. Which of the following diagnoses would best describe
Joe's condition?
A) bipolar I disorder
B) bipolar II disorder
C) manic depression
D) cyclothymic disorder
# 1.39
(1 pts.) Catecholamine is to ____ as indolamine is to

7. A) serotonin; norepinephrine
B) GABA; serotonin
C) norepinephrine; serotonin
D) dopamine; norepinephrine
# 1.40
(1 pts.) The statement "My girlfriend dumped me; all women
must hate me" is an example of Beck's cognitive distortion
known as .
A) catastrophizing.
B) dichotomous thinking.
C) excessive responsibility.
D) overgeneralization.
# 1.41
(1 pts.) Andrea, a depressed client, was instructed by her
therapist to attend a retirement party she was invited to. Prior to
going, he asked her to try to estimate how much fun she would
have at the party. Andrea's therapist is having her conduct a(n)
A) graded task assignment.
B) in vivo exposure.
C) pleasure prediction experiment.
D) self-monitoring task.
# 1.42
(1 pts.) A therapist is treating Scott's depression using an
approach which focuses on the present and whose guidelines
have been established through research data. Scott's therapist is
most likely to have a(n) ___ orientation.
A) psychoanalytic
B) humanistic
C) interpersonal

8. D) intergenerational
# 1.43
(1 pts.) Jenny is suffering from clinical depression. As a result,
she typically wakes up early in the morning and tends to be
more gloomy in the morning than during the rest of the day.
Which of the following specifiers best applies to Jenny's case?
A) in remission
B) postpartum
C) melancholic type
D) seasonal pattern
# 1.44
(1 pts.) Which of the following facts from the case of Kay
Redfield Jamison would be of most interest to a behavior
geneticist? The fact that her
A) family moved a lot when she was a child.
B) first bout with a mood episode occurred when she was a
teenager.
C) aunt was diagnosed with schizophrenia.
D) father suffered from severe depressive episodes.
# 1.45
(1 pts.) Dr. Jaspers feels that Rhonda's manic episode is an
unconscious defense that she is using to guard against sinking
into a state of gloom and despair. Based on this information Dr.
Jaspers' orientation is most likely
A) humanistic.
B) behavioral.
C) existential.
D) psychodynamic.
# 1.46

9. (1 pts.) Which of the following statements best describes the
psychodynamic component of the interpersonal theory of
depression?
A) The theory emphasizes id ego and superego.
B) The theory incorporates behavioral contracting.
C) The theory explores the disturbed attachment bonds from
early childhood.
D) The theory posits psychosexual stages of development.
# 1.47
(1 pts.) Mary has been in a continual state of dysfunction that
has kept her from feeling truly happy or well-adjusted but she
has never had a full-blown depressive episode. Mary might be
diagnosed as suffering from
A) cyclothymic disorder.
B) dysthymic disorder.
C) bipolar disorder.
D) major depressive disorder.
# 1.48
(1 pts.) Although Katy is on medication to control her bipolar
disorder, her psychiatrist is still concerned that she may have
another manic episode in the weeks to come. Katy's doctor is
worried about the phenomenon known as
A) directing.
B) kindling.
C) snow-balling.
D) spontaneous recovery.
# 1.49
(1 pts.) Harriet's therapist is focusing on how the death of her
husband has disrupted her important automatic behavior
patterns or "scripts" and how this disruption seems to be

10. worsening her depression. Based on this information, what kind
of orientation does Harriet's therapist seem to have?
A) psychodynamic
B) cognitive
C) behavioral
D) humanistic
# 1.50
(1 pts.) Debbie has been diagnosed with the rapid cycling type
of bipolar disorder. Which of the following types of medication
is most likely to help her improve?
A) lithium carbonate
B) selective serotonin reuptake inhibitors
C) monoamine oxidase inhibitors
D) anticonvulsant medications
# 1.51
(1 pts.) Margaret is highly committed to dying but she has
chosen to ingest ten aspirin tablets. Her suicide attempt would
be described as being ______ in suicidal intent and ______ in
suicidal lethality.
A) low; low
B) high; high
C) low; high
D) high; low
# 1.52
(1 pts.) In the textbook case, David Marshall's belief that
television commercials were specifically directed to him is
referred to as a delusion of
A) persecution.
B) reference.

11. C) grandeur.
D) nihilism.
# 1.53
(1 pts.) Charlie, a client with schizophrenia, is being
encouraged by his therapist to talk with his co-workers and ask
them about their personal lives in hopes that he will learn that
they are not aliens from Venus trying to take over Earth. The
therapist is asking Charlie to use a technique best known as
A) reality testing.
B) labeling.
C) verbal challenge.
D) didactic listening.
# 1.54
(1 pts.) Jennifer recently experienced a brief psychotic episode
soon after her miscarriage. The symptoms lasted a little less
than a month. Jennifer had experienced
A) schizophreniform disorder.
B) schizoid personality disorder.
C) brief psychotic disorder.
D) disorganized schizophrenia.
# 1.55
(1 pts.) Reggie thinks that the any marital discord between the
president and his wife is because the First Lady is secretly in
love with him and wishes to spend the rest of her life with him.
Which type of psychosis is Reggie suffering from?
A) paranoid schizophrenia
B) delusional disorder, erotomanic type
C) schizoaffective disorder
D) disorganized schizophrenia

12. # 1.56
(1 pts.) Because of the vagueness and generality of the criteria
at the time, an individual diagnosed as having schizophrenia in
the 1960s
A) would probably not meet the current criteria for the
disorder.
B) would probably not recover as quickly as someone
diagnosed now.
C) would probably now be diagnosed as having an organic
dementia.
D) would probably have more limited symptoms than someone
diagnosed now.
# 1.57
(1 pts.) Frank seems to welcome the sympathy and attention that
he gets from his parents when he has a psychotic episode.
Which of the following might be maintaining his symptoms?
A) negative reinforcement
B) primary gain
C) secondary gain
D) vicarious reinforcement
# 1.58
(1 pts.) The symptoms of schizophrenia are associated with the
overactivity of neurons that respond to which neurotransmitter?
A) norepinephrine
B) GABA
C) serotonin ;
D) dopamine
# 1.59
(1 pts.) Low levels of dopamine are associated with ______,
while high levels of dopamine are generally associated with

13. ______.
A) tardive dyskinesia; Parkinson's disease
B) Graves' disease; Parkinson's disease
C) schizophrenia; Alzheimer's disease
D) Parkinson's disease; schizophrenia
# 1.60
(1 pts.) Before developing schizophrenia, Reggie was a
relatively successful attorney, but has stopped working and now
prefers to wander the streets in preparation for an "airlift" of
humans by extraterrestrials. Reggie's story lends credibility to
which hypothesis regarding the relationship between social
class and schizophrenic symptoms?
A) downward social drift hypothesis.
B) social causation hypothesis.
C) double bind hypothesis.
D) milieu hypothesis.
# 1.61
(1 pts.) Lori has a constant sensation that she has snakes
crawling through her intestines. Lori is experiencing a(n)
A) hallucination.
B) delusion.
C) apparition.
D) chimera.
# 1.62
(1 pts.) Even while talking about the death of her husband a
decade ago, Carol giggles almost uncontrollably. Many people
in the hospital characterize her as being silly. What type of
schizophrenia might she have?
A) undifferentiated schizophrenia

14. B) disorganized schizophrenia
C) catatonic schizophrenia
D) paranoid schizophrenia
# 1.63
(1 pts.) Why might it be difficult to determine the incidence and
prevalence of schizoaffective disorder?
A) because of the overlap between this disorder, the
schizophrenias, and the mood disorders
B) because most individuals who suffer from this disorder are
misdiagnosed as having an anxiety disorder
C) because of the highly specific criteria that must be met in
order to receive this diagnosis
D) because most psychiatrists use this diagnosis as a catch-all
category for a variety of disorders
# 1.64
(1 pts.) A woman is absolutely convinced that her recent car
accident was actually an attempt on her life by the CIA. What
delusional disorder might she have?
A) delusional disorder, grandiose type
B) delusional disorder, jealous type
C) delusional disorder, persecutory type
D) delusional disorder, somatic type
# 1.65
(1 pts.) Roger is participating in a test that requires him to stare
at a computer screen on which several letters of the alphabet are
being flashed at a very high speed. Every time Roger sees the
letter Q he is supposed to press a button. Roger is involved in a
test of
A) smooth pursuit eye movements.
B) sustained attention.

15. C) sensory gating.
D) event related potential.
# 1.66
(1 pts.) Martha is a recovering from schizophrenia. She has
been taking high doses of antipsychotic medications for a very
long period of time and has begun to experience uncontrollable
movements of her mouth and tongue that make her appear as if
she were chewing food in a very exaggerated way. Martha is
experiencing the symptoms of
A) tardive dyskinesia.
B) Parkinson's disease.
C) Graves' disease.
D) Tourette's syndrome.
# 1.67
(1 pts.) Judy has schizophrenia and walks around the hospital
ward constantly rubbing her hands together and twisting her
hair for no apparent reason. This behavior is illustrative of
A) catatonic excitement.
B) catatonic stupor.
C) catatonic rigidity.
D) residual catatonia.
# 1.68
(1 pts.) Jerry has schizophrenia, but no single symptom seems
to be dominant in his case. He exhibits a variety of symptoms
such as disturbances in sense of self, stereotyped movements,
flat affect, and delusional thinking. Jerry might be diagnosed as
having which type of schizophrenia?
A) catatonic
B) disorganized
C) hebephrenic

16. D) undifferentiated
# 1.69
(1 pts.) Ellen has forsaken the religious beliefs of her own
mainstream upbringing and has started to adhere to the strange
delusional religious beliefs of her very dominant husband, who
believes that he is the direct descendant of an ancient Greek
god. She now has no qualms about her husband sleeping with
other women since, according to her husband's interpretation of
the Bible, it is a man's given right. Ellen might be diagnosed as
having
A) a brief psychotic disorder.
B) shared psychotic disorder.
C) schizoaffective disorder.
D) delusional disorder, jealous type.
# 1.70
(1 pts.) The case of the Genain quadruplets, who developed
schizophrenia, provided evidence regarding the
A) difference between the paranoid and disorganized types of
schizophrenia.
B) role of dopamine in development of schizophrenia.
C) interaction of genetic and environmental factors in the
development of schizophrenia.
D) cross-fostering of schizophrenic traits among siblings.
# 1.71
(1 pts.) Why might it be difficult to utilize psychological
methods to treat a client with schizophrenia in the active phase
of the disorder?
A) During the active phase, many individuals with
schizophrenia need to be restrained because of violent
outbursts.

17. B) During the active phase, the individual is very much out of
touch with reality and may not respond to reason.
C) During the active phase, the individual is so exhausted from
the intensity of the symptoms that it is difficult to stay awake. '
D) During the active phase, the personality changes
experienced by the people with schizophrenia are very rapid.
# 1.72
(1 pts.) Dr. Carson defines sexual deviations as
A) practices and behaviors that are of harm to the individual or
to others.
B) aberrations from what society considers normal.
C) behaviors diverging from a common biological pathway for
human sexual behavior.
D) societal taboos.
# 1.73
(1 pts.) Ann and John are experiencing sexual difficulties;
specifically, John suffers from premature ejaculation, a common
dysfunction. Dr. Kaplan would look for
A) physical dysfunctions.
B) physical stressors, psychological problems, and relationship
difficulties.
C) relationship problems in the marriage.
D) low hormone levels in John.
# 1.74
(1 pts.) A typical behavioral cycle among exhibitionists
includes the following stages:
A) insult, depression, restoration of self-esteem by exposing,
shame.
B) exposing, shame, depression.
C) substance abuse, exposing, shame, depression.

18. D) substance abuse, shame, restoration of self-esteem by
exposing.
# 1.75
(1 pts.) Joe is a rapist who goes out drinking before committing
a rape. His drinking is a means of
A) lowering his inhibitions.
B) blocking painful memories.
C) breaking his regular response cycle.
D) engaging in preparatory behaviors.
# 1.76
(1 pts.) In contrast to desire disorders, _____ disorders involve
people who want to engage in sex but cannot.
A) psychogenic
B) orgasmic
C) arousal
D) functional
# 1.77
(1 pts.) Dr. Carson says that much of what we refer to as
deviant sexuality involves elements of
A) homosexuality.
B) sado-masochism.
C) power, aggression, and domination.
D) immature development.
# 1.78
(1 pts.) On a regular basis, Anthony is unable to satisfactorily
participate in sexual activities and has lost the ability and the
desire to have sex. This is considered
A) an arousal problem.

19. B) an orgasmic dysfunction.
C) a sexual performance problem.
D) a sexual dysfunction.
# 1.79
(1 pts.) Hypomania is
A) a mild form of mania.
B) a severe form of mania with psychotic features.
C) a severe form of mania without psychotic features
D) mania-making depression.
# 1.80
(1 pts.) The risk of suicide is greatest in which of the
following?
A) a mild depression
B) a manic phase of bipolar disorder
C) a stuporous depression
D) a severe depression
# 1.81
(1 pts.) In the case of the mood disorders, therapists can expect
to be consulted by
A) men and women in equal numbers.
B) more men than women.
C) more women than men.
D) more men with depression and more women with bipolar
disorder.
# 1.82
(1 pts.) Cognitive therapy is
A) a long-term treatment focusing on distortions in thinking
B) a long-term treatment focusing on depressive feelings

20. C) a short-term treatment focusing on distortions in thinking
D) a short-term treatment focusing on depressive feelings.
# 1.83
(1 pts.) Severe depression may be expressed in
A) psychomotor retardation.
B) impaired functioning
C) withdrawal
D) all of the above.
# 1.84
(1 pts.) Unipolar depression can look like
A) a mild depression.
B) hypomania.
C) bipolar disorder in the manic phase.
D) bipolar disorder in the depressive phase.
# 1.85
(1 pts.) A person who needs little sleep, experiences delusions,
and blindly does things that could harm himself or other people
is likely suffering from
A) hypomania.
B) a psychotic depression.
C) mania.
D) depressive stupor.
# 1.86
(1 pts.) Which of the following are characteristic of
schizophrenia?
A) unusual thoughts
B) unusual perceptions
C) disorganized thoughts and speech

21. D) all of the above
# 1.87
(1 pts.) Dr. Shulman suggests that some of the seemingly
bizarre behavior among the homeless may be due to
A) the high incidence of schizophrenia among the homeless ,
B) the high incidence of multiple personalities among the
homeless
C) the effects of being homeless
D) drug and /or alcohol abuse
# 1.88
(1 pts.) Janine's belief that others condemn and ridicule her is
an example of a(n)
A) auditory hallucination
B) visual hallucination
C) disorganization of speech
D) delusion
# 1.89
(1 pts.) Denise Ford's research on the families of people with
schizophrenia suggests that development of the disorder
A) alters the communication and mood patterns in the family
B) is the result of a schizophrenogenic mother
C) is the result of a schizophrenogenic father
D) is the result of genetic predisposition to the disorder