Favorable than if she lived in a developing country

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favorable than if she lived in a developing country because she may have a less extensive social support network. DIF: Difficult OBJ: 14.2e MSC: Applying NOT: APA Goal 1, Knowledge Base in Psychology | APA Goal 2, Scientific Inquiry and Critical Thinking | APA Goal 4, Communication 11. For the past year, Howard has been engaged in dialectical behavior therapy (DBT) because he suffers from borderline personality disorder. a. In general, what obstacles to treatment are presented by people with personality disorders?
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b. Explain the phases of DBT. (Hint: What is the goal? What happens at each step?) ANS: Answers may include: a. People with personality disorders are difficult to treat because they see the environment, not their own behavior, as the cause of their problems. Thus, they rarely seek therapy, and it is difficult for them to establish a positive client– therapist relationship. b. Phase 1—targeting extreme and dysfunctional behaviors and replacing them with less destructive ones; client learns problem-solving techniques and coping strategies. Phase 2—client engages in in-depth conversations with therapist to explore past traumatic experiences that may be at the root of his emotional and behavioral problems. Phase 3—teaching the client to develop feelings of independence and self-respect; this serves to reduce the likelihood of the client to depend on others for support and validation. c. Howard’s use of DBT improves his prognosis for borderline personality disorder. He is more likely to stay in treatment long-term and is less likely to be suicidal than people with BPD who undergo other forms of therapy. DIF: Moderate OBJ: 14.3b MSC: Understanding NOT: APA Goal 1, Knowledge Base in Psychology | APA Goal 2, Scientific Inquiry and Critical Thinking | APA Goal 4, Communication | APA Goal 5, Professional Development 12. Ahmad, a 40-year-old, has been diagnosed with antisocial personality disorder and is receiving treatment for his problems. a. Explain why psychotherapy might be challenging for Ahmad and his therapist. b. Describe two factors of a treatment plan that would provide the best chance for Ahmad to make progress with his disorder. c. Discuss Ahmad’s prognosis if he decides not to receive treatment. ANS: Answers may include: a. People with antisocial personality disorder care little for others’ feelings; do not care about the consequences of their actions; and have difficulty developing a relationship with the therapist, which prevents the therapist from being able to motivate the client to change. b. A treatment plan that uses operant procedures (reinforcing desirable behaviors) in an inpatient setting, where the client is part of a group, may produce the largest gains. Stimulants, anti-anxiety drugs, and lithium may show moderate effects, at least in the short term. c. Given Ahmad’s age, even if he does not receive treatment, he is likely to experience a reduction in symptoms. This is because after age 40, people with antisocial personality disorder improve with or without treatment, perhaps because of a reduction of biological drives or by gaining insight into self- defeating behaviors.
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