Question 1

Which of the following is true regarding age and personality disorder diagnoses?&#10;A) The DSM-5 prohibits assignment of a personality disorder diagnosis in anyone under 18 years of age.&#10;B) The DSM-5 notes that personality disorders are most reliably diagnosed when an individual is at least 16 years of age.&#10;C) A note appears in the DSM-5 section on Cluster A personality disorders advising caution in diagnosing these disorders in older adults given their low prevalence in this population.&#10;D) A DSM-5 diagnosis of Antisocial Personality Disorder requires the individual to be at least 18 years of age.

Accepted Answer

A DSM-5 diagnosis of Antisocial Personality Disorder requires the individual to be at least 18 years of age, with evidence of conduct disorder before age 15.

Question 2

Cluster B personality disorders include all of the following except:&#10;A) Borderline&#10;B) Antisocial&#10;C) Histrionic&#10;D) Paranoid

Accepted Answer

Cluster B personality disorders are characterized by dramatic, overly emotional, or unpredictable thinking or behavior. They include Antisocial, Borderline, Histrionic, and Narcissistic personality disorders. Paranoid personality disorder is classified under Cluster A, which is characterized by odd or eccentric ways of thinking.

Question 3

An individual who presents as a &#34;loner,&#34; is cold, unemotional (lacking sensitivity), and prefers solitude and isolation might best be described as having which personality disorder?&#10;A) Paranoid&#10;B) Schizoid&#10;C) Schizotypal&#10;D) Avoidant

Accepted Answer

Schizoid personality disorder is characterized by a long-standing pattern of detachment from social relationships. Individuals with this disorder are often described as aloof, cold, and indifferent to others, which aligns with the description given. They typically have a limited range of emotional expression and prefer to be alone.

Question 4

A hypersensitivity to negative evaluations gives this personality disorder considerable overlap with Social Anxiety Disorder:&#10;A) Avoidant&#10;B) Dependent&#10;C) Paranoid&#10;D) Schizoid

Accepted Answer

Avoidant Personality Disorder is characterized by a pervasive pattern of social inhibition, feelings of inadequacy, and hypersensitivity to negative evaluation, which overlaps significantly with the features of Social Anxiety Disorder.

Question 5

The dynamic self-regulatory processing model attempts to explain self-esteem regulation in which personality disorder?&#10;A) Avoidant&#10;B) Narcissistic&#10;C) Histrionic&#10;D) Borderline

Accepted Answer

The dynamic self-regulatory processing model specifically attempts to explain self-esteem regulation in individuals with Narcissistic Personality Disorder. This model suggests that such individuals have a fragile self-esteem and engage in behaviors aimed at enhancing or protecting their self-esteem.

Question 6

The use of clarification, confrontation, and transference interpretations are used in which of the following treatments for Borderline Personality Disorder?&#10;A) Mentalization-Based Treatment&#10;B) Dialectical Behavior Therapy&#10;C) Transference-Focused Psychotherapy&#10;D) Schema-Focused Therapy

Accepted Answer

Transference-Focused Psychotherapy (TFP) is a treatment for Borderline Personality Disorder that uses techniques such as clarification, confrontation, and transference interpretations to help patients understand and change their interpersonal relationships and emotional responses.

Question 7

U.K. and U.S. guidelines for treatment of Borderline Personality Disorder differ, with UK guidelines recommending medication (e.g., antipsychotics) only in cases of crisis.

Accepted Answer

UK guidelines, specifically those from the National Institute for Health and Care Excellence (NICE), recommend that treatment for Borderline Personality Disorder (BPD) primarily focuses on psychological therapies, with medications such as antipsychotics suggested only for short-term use in crisis situations or for comorbid conditions, unlike some U.S. approaches where medication might be used more broadly as part of the treatment plan.

Question 8

Horowitz's Integrative Configural Analysis is used to treat:&#10;A) Schizotypal Personality Disorder&#10;B) Antisocial Personality Disorder&#10;C) Dependent Personality Disorder&#10;D) Histrionic Personality Disorder

Accepted Answer

The answer of Horowitz's Integrative Configural Analysis is used to...

Question 9

In treating Obsessive-Compulsive Personality Disorder (OCPD) in psychotherapy:&#10;A) Group therapy is typically not recommended because these individuals can be critical and domineering.&#10;B) Exposure and response prevention strategies used to treat OCD can be used.&#10;C) A focus on thoughts rather than feelings is more effective.&#10;D) Outcomes are likely to be enhanced if the client is also taking SSRI medication.

Accepted Answer

Individuals with OCPD often have traits that can make group therapy challenging, such as being critical and domineering, which can disrupt the group dynamic.

Question 10

Which of the following is false about Dialectical Behavior Therapy (DBT) for Borderline Personality Disorder (BPD)?&#10;A) It conceptualizes emotional dysregulation as a core clinical feature that drives other symptoms of BPD.&#10;B) The treatment emphasizes the synthesis of opposites or apparent polarities, the primary being acceptance and change.&#10;C) It is based on psychodynamic principles related to object relations.&#10;D) Treatment involves a balancing of two core strategies: validation and problem solving.

Accepted Answer

Dialectical Behavior Therapy (DBT) is primarily based on cognitive-behavioral principles rather than psychodynamic principles. It integrates strategies from various therapeutic approaches but its foundation is not in psychodynamic theories related to object relations.

Deck 13: Personality Disorders