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This course offers an in-depth exploration of personality disorders, examining their classification, etiology, and clinical presentation according to major diagnostic systems such as the DSM-5. Students will learn about the core features and diagnostic criteria of disorders such as borderline, antisocial, narcissistic, and obsessive-compulsive personality disorders. The course covers theories of development and risk factors, as well as current approaches to assessment and evidence-based treatment strategies, including psychotherapeutic and pharmacological interventions. Case studies and recent research findings will be integrated to provide a comprehensive understanding of challenges and advances in the diagnosis and management of personality disorders.
Recommended Textbook
Abnormal Psychology 1st Canadian Edition by Deborah C Beidel
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Q1) Which of the following is a technique that Freud used for treatment?
A) undoing
B) regression
C) interpretation
D) sublimation
Answer: C
Q2) Object relations theory proposes that people have a basic drive for
A) dominating others.
B) satisfying sexual instincts.
C) engaging in social interactions.
D) spiritual development.
Answer: C
Q3) Neurons release neurotransmitters into synapses. These neurotransmitters
A) land on the receptor site of the next neuron, causing it to fire.
B) block further messages from being sent to the next neuron.
C) land on an axon, causing it to fire and send an electrical impulse.
D) establish a permanent link between one nerve cell and the next.
Answer: A
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Q1) Adoption studies provide a rich setting for discriminating between the contributions of genetics and environment on behaviour. In such a study, which of the following would indicate an environmental influence on behaviour?
A) An adoptive parent selects a child to adopt who is similar in temperament.
B) An adopted child is more similar in behaviour to a biological parent than to an adoptive parent.
C) The adopted child and the adoptive parent are similar in a behavioural trait.
D) An adoptee in a selective placement is similar in behaviour to the adoptive parent. Answer: C
Q2) Explain the function of a placebo control condition and blinded assessment in clinical research.
Answer: A drug may seem to have an effect because of participants' expectations that it will have an effect. Placebo control conditions control for this expectation effect. Blinded assessment refers to patients and researchers (or anyone rating outcomes) being blind as to the condition to which the participant was assigned. This further controls for expectations and biases on the part of the researcher.
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Q1) Whereas the earliest version of the DSM reflected a _____ perspective on abnormal behaviour, the current DSM-5 reflects a _____ perspective on abnormal behaviour.
A) biomedical; developmental B) biomedical; psychodynamic
C) psychodynamic; developmental
D) psychodynamic; cognitive
Answer: C
Q2) Select the statement that is True of the DSM classification system.
A) It continues to include important diagnostic information such as assumptions about the causes of each disorder.
B) It undergoes revision based on new research and field studies regarding disorders.
C) The number of diagnostic categories continues to decline as new research data emerges on disorders.
D) The system uses broad categories of underlying conflicts to explain the causes of maladaptive reactions.
Answer: B
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Sample Questions
Q1) Females are ____ times more likely than males to report symptoms of an anxiety disorder.
A) two
B) four
C) three
D) five
Q2) An expanded definition of the traumatic event that triggers PTSD has been proposed. The use of expanded criteria to define trauma has led epidemiologists to estimate that ____ of adults could meet the standard for experiencing a traumatic event.
A) almost 90 percent
B) over 90 percent
C) below 12 percent
D) 50 percent
Q3) A factor to be considered in discriminating normal anxiety from abnormal anxiety is
A) the type of object feared.
B) the genetic component.
C) the patient's response to medication.
D) functional impairment.

Page 6
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Sample Questions
Q1) Even though approximately 20% of the general population report physical symptoms with no organic basis, many
A) do not seek medical treatment.
B) do not meet DSM criteria for a somatic symptom disorder.
C) doctor-shop but do not choose to have surgery.
D) know that their symptoms have psychological origins.
Q2) Approximately, 6 to 22 percent of child victims of factitious disorder die as a result of medical illnesses
A) that are over-medicated.
B) for which the child is not hospitalized.
C) while hospitalized.
D) inflicted upon them by a caregiver.
Q3) Tad is being treated for factitious disorder and is currently undergoing relaxation training. He is most likely being seen by a therapist with which of the following orientations?
A) Psychoanalytic
B) Rational-emotive
C) Cognitive-behavioural
D) Psychiatric
Q4) Describe the five types of dissociative experiences outlined in your text.
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Q1) With respect to depression rates, the 2-to-1 female-to-male ratio is firmly established by A) middle childhood.
B) early adolescence.
C) late adolescence.
D) young adulthood.
Q2) An individual with dysthymia has symptoms that are never absent for more than A) two months.
B) one year.
C) four days.
D) 30 days.
Q3) Interpersonal psychotherapy is a time-limited intervention that has been shown to be effective in treating A) mild to moderate depression.
B) childhood depression.
C) bipolar disorder.
D) cyclothymia.
Q4) Discuss gender differences and factors related to suicide among males and females.
Q5) Distinguish between Bipolar Disorder I and Bipolar Disorder II.
Page 8
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Q1) In bulimia nervosa, binges are usually terminated because the person runs out of food, is interrupted by someone, or
A) a strong gag reflex starts.
B) feels satiated.
C) experiences a strong urge to purge.
D) becomes violently ill.
Q2) Psychological features often associated with anorexia nervosa include A) anxiety and personality disorders.
B) anxiety and childhood disorders.
C) depression and somatoform disorders.
D) depression and anxiety.
Q3) The most important personality trait found in cases of anorexia nervosa is A) perfectionism.
B) conscientiousness.
C) agreeableness.
D) responsibility.
Q4) Both shoplifting and impulsive spending are psychological features associated with bulimia nervosa.
A)True
B)False

Page 9
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Q1) Of the following statements, which accurately depicts our current state of knowledge about the development of sexual orientation?
A) In cultures that frown on same-sex behaviour, homosexual orientation is rare.
B) Five percent of men and women develop same-sex orientation worldwide.
C) It appears that sexual orientation is biologically based.
D) There is greater erotic plasticity among men than among women.
Q2) Those who have gender dysphoria may be at comorbid risk for anxiety, depression, and
A) schizophrenia.
B) personality disorders.
C) substance abuse.
D) suicide attempts.
Q3) The penile ____________ measures physical changes in the penis when a man is shown sexually arousing or nonarousing stimuli.
A) tumescence tube
B) refractory guage
C) erectographic gauge
D) plethysmograph
Q4) Outline the process one encounters in choosing sex reassignment surgery.
Page 10
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Q1) Alcohol abuse and dependence are
A) more likely to have negative health consequences for men than women.
B) more common among men than women.
C) less common among whites than Hispanic populations.
D) typically rare among Native American persons.
Q2) Select the statement below that is True of substance intoxication.
A) Its psychiatric meaning is the same as its legal meaning.
B) The effects are substance non-specific.
C) Its effects are irreversible.
D) It involves an effect ranging from mild to severe.
Q3) According to your text, caffeine influences the activity of the neurotransmitters
A) acetylcholine and dopamine.
B) acetylcholine and serotonin.
C) adenosine and acetylcholine.
D) adenosine and serotonin.
Q4) In Canada, cocaine is the third most used substance in the general population and among adults, after alcohol and marijuana.
A)True
B)False
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Q1) When medication is not entirely effective in treating psychotic symptoms, it may be supplemented with
A) cognitive-behavioural therapy.
B) dialectal-behavioural therapy.
C) psychotherapy.
D) eye movement desensitization and reprocessing therapy.
Q2) Medication compliance is one of the biggest obstacles to successful drug treatment of patients with schizophrenia.
A)True
B)False
Q3) A serious side effect associated with typical antipsychotic medications is a neurological condition characterized by abnormal and involuntary movements. This condition is called
A) dementia.
B) amnesia.
C) tardive dyskinesia.
D) tardive akathisia.
Q4) Describe and provide examples of positive symptoms found in the speech of schizophrenic persons.
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Q1) Alice has been ordered to attend counselling because she assaulted one of her husband's female coworkers. At the first session, she appeared highly guarded and refused to answer many of the questions posed to her. Eventually the therapist determined that Alice believed her husband was having an affair with the woman she attacked. Her husband has denied the affair and he, along with several other people, has repeatedly told Alice that the coworker is happily involved in a long-term relationship with her female partner. In the end, Alice angrily stomped out of the therapy session because she became convinced that the therapist was also attracted to her husband and was "just looking for dirt on her." Alice may have _____ personality disorder.
A) schizotypal
B) schizoid
C) paranoid
D) antisocial
Q2) At the heart of borderline personality disorder lies
A) the need to look up to others.
B) a sense of inadequacy and shyness.
C) the need to be the center of attention.
D) a deep fear of abandonment.
Q3) Choose a Cluster C personality disorder and describe its diagnostic criteria.
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Sample Questions
Q1) Treatment for learning disorders typically takes place in the home.
A)True
B)False
Q2) A work environment that teaches job skills to adults with significant cognitive impairments by having them complete tasks for other businesses is called
A) a sheltered workshop.
B) mainstreaming.
C) occupational workshops.
D) supported employment.
Q3) Phenylketonuria (PKU) is a genetic disorder in which
A) the body produces too much of the amino acid phenylalanine.
B) the body cannot break down the amino acid phenylalanine.
C) a lack of phenylalanine, if not supplemented, causes intellectual disability.
D) a missing enzyme can be supplied by a protein-rich diet.
Q4) ____________ is the voiding of urine into one's clothing or bedding.
A) Enuresis
B) Overactive bladder syndrome
C) Encopresis
D) Spastic bladder

Page 14
Q5) Discuss the role that gender plays in the diagnosis of intellectual disability.
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Q1) Older adults who suffer from anxiety
A) often experience symptoms of depression first.
B) typically attribute their symptoms solely to medical conditions or medication reactions.
C) use more psychological terms to describe their symptoms compared with younger adults.
D) focus more on their physical symptoms than their psychological distress.
Q2) Mental engagement is _____ associated with the age of onset of neurocognitive disorders.
A) negatively
B) minimally
C) not
D) positively
Q3) Pseudodementia refers to the presence of dementia symptoms that are resolved after a patient is successfully treated for anxiety.
A)True
B)False
Q4) Explain why only approximately half of the older adults who experience mental health problems receive proper treatment.
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Q1) Attitudes and behaviours can have an effect on immune system functioning.
A)True
B)False
Q2) A component of the nonspecific immune system that prevents microbes from getting into the body is called a(n) ______________barrier.
A) anatomical
B) protective
C) membrane
D) microbe
Q3) The interdisciplinary field that studies the relation between behavioural and biomedical science is known as
A) neuroscience.
B) medical psychology.
C) behavioural medicine.
D) holistic medicine.
Q4) In the appraisal process, primary appraisal refers to a person's identification of available coping skills.
A)True
B)False
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Q1) Privilege is established by federal law and only extends to therapists who are licensed to practice therapy within a particular province.
A)True
B)False
Q2) Until the 1960's, hospital confinement was the typical treatment for severely mentally ill patients because
A) overwhelming numbers of mentally ill persons were not able to obtain treatment in community mental health programs.
B) psychological treatment was best delivered in a medical setting.
C) effective medications and treatments had not yet been discovered.
D) few psychiatrists were willing to provide treatment outside of medical settings.
Q3) Children age 14 and older have the right to decline participation in a research study despite parental consent.
A)True
B)False
Q4) Therapists can breach patient confidentiality under certain circumstances.
A)True
B)False
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