Case Studies In Abnormal Psychology 11th Edition Thomas F. Oltmanns, Michele T. Martin - Solutions

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Research evidence-based interventions or approaches to working with teens with eating disorders. What training is required to develop competency in those approaches? (D4, D10)
Gather resources in your own area for eating disorder support (e.g., counselors with specialty, clinics, support groups). Create a handout for parents and/or teens. (D4, D7)
Beebe-Frankenberger and Goforth (2014) discuss this issue of lack of access to external resources with specific types of expertise. They also discuss how lack of public transportation can limit families’ ability to access these limited outside resources. They suggest telehealth as a potential
What should the team research to assist them in deciding about eligibility for a 504 plan? (D10)
Read the Frequently Asked Questions (FAQs) page of information from the U.S. Department of Education related to 504 plans (United States Department of Education, 2020a). Also, read their general guidance on 504 plans (United States Department of Education, 2020b). What information can be gleaned by
What are the main “takeaways” from these resources from the US Department of Education as it relates to this case? (D10)
Should Jessica qualify for a 504 Plan? Why or why not? (D10)
If she does not qualify for a 504 Plan, what other services or supports should the school be providing for Jessica? What are her needs that may not have been met by the school during her transition back to school for fifth grade? (D3, D4)
Jessica’s mother is not comfortable that the school is truly understanding her concerns. Why might this be? What can the team do differently/better to develop a more collaborative relationship with Jessica’s mother? (D7)
The school psychologist is interested in learning more from Jessica’s oncologist. What steps should the school psychologist take to initiate this contact? Why is this potentially a critical step in determining how the school can better serve Jessica? (D7, D10)Advanced Applications
Jessica’s mother reports in the meeting about the oncologist’s information regarding the potential impact of treatment for leukemia on functioning and development. Conduct research about how various treatments might impact cognitive, academic, behavioral, social, or emotional development.
What might be included in the 504 plan for Jessica? Find a 504 plan template and complete a sample plan that could be used to provide accommodations for Jessica. (D3, D4, D10)
Role play a team meeting with Jessica’s parents and teachers to practice team facilitation, active listening, paraphrasing, and reflection of feelings. (D2, D7)
Review Glaser and Shaw’s (2014) “Best Practices in Collaborating With Medical Personnel” chapter and Riccio et al.’s (2014) “Best Practices in Meeting the Needs of Children With Chronic Illness.” Summarize the salient points from these chapters and apply these practices to this
1. To intervene in Sam’s tantrums and violent outbursts, the therapy involved squirting Tabasco sauce into his mouth when he started a tantrum by screaming. Do you think this form of intervention is ethical? What are the pros and cons of using such a treatment?
2. Had you heard before about the vaccine controversy related to autism spectrum disorder?Despite repeated investigations that have exonerated vaccines, many parents are still refusing to vaccinate their children. What should researchers, physicians, and the media do about this?
3. Why are there increases in the number of diagnosed cases of autism spectrum disorder?
4. The most effective treatment for autism spectrum disorder is early intensive behavior therapy, which is very costly. What ethical dilemmas does this pose for our society? How should we balance the need for autism spectrum disorder treatment with the need for preventative health care for other
1. In what ways was Ken’s disorder linked to added stress on his family? Was this cause or effect?
2. Research has linked watching a lot of television during the toddler years with later attention problems. How common is this practice? Has this increased or decreased in recent years? What advice do you have, given these findings, for parents of toddlers?
3. Ken’s therapy did not involve medication. If you were his therapist, would you have recommended medication for him? Why do you think his therapist did not?
4. Up to 20 percent of fifth‐grade boys are taking psychostimulant medications, even though ADHD affects many fewer than one in five boys. What forces do you think this have led to this? What are the consequences?
1. One simple way to define a delusion would be to say that it is a false belief. But there is more to it than that. How would you describe Bill’s delusional belief about the film that had presumably been made about him? What characteristics of his belief system were important, beyond the fact
2. What were the earliest symptoms that Bill was beginning to develop a psychotic disorder?Were there any meaningful signs of his disorder prior to the onset of hallucinations and delusions? If medication is effective for most people who have psychotic symptoms, should it also be prescribed for
3. Given the broad range of symptoms and social deficits that are often associated with schizophrenia, these patients often need a broad array of services and support systems.Other than antipsychotic medication, what are the most important forms of mental health service that would be helpful, both
4. Who should pay for mental health services to patients with serious mental disorders such as schizophrenia? Should they be included in standard health insurance programs? Should they receive a priority that is comparable to other medical disorders, such as cancer and heart disease?
1. Angela clearly suffered from a wide variety of problems that involved symptoms associated with many different diagnostic categories in DSM‐5. Which do you think were most important or central? If you were in charge of her treatment, where would you start in trying to help her?
2. Patients who qualify for more than one diagnosis represent the most severely disturbed and least‐well‐understood people being treated by mental health service providers. What do you think are the most important barriers to understanding and serving the needs of these people?
3. Auditory hallucinations were a prominent part of Angela’s symptom profile. Should research on the causes and treatment of mental disorders focus on specific symptoms, such as hallucinations, rather than diagnostic categories (such as schizophrenia or opioid use disorder)? Or would that effort
4. Some psychotic patients do not want to take medication because they do not have insight into the nature of their disorder. Others find that it does not improve their symptoms, and many find the side effects quite troublesome. Should psychotic patients be forced to take medication, even if they
1. Patients with bipolar disorder are often reluctant to take their medication because they don’t want to give up periods of hypomania, when they feel exceptionally upbeat and productive.What would you say to a close friend with bipolar disorder who did not want to take medication?
2. Bipolar disorder can have a devastating impact on family relationships. Is there anything about the behavior of bipolar patients (especially during a manic episode) that might make it particularly difficult for a spouse to understand and accept the person’s behavior as being part of a
3. What evidence supports the decision to separate bipolar disorders and depressive disorders in the official classification system? In what ways are they different? In what ways are they similar? Can you think of other ways in which the mood disorders might be subdivided into more homogeneous
4. Do you think that people who suffer from bipolar disorder are more likely than other people to seek out and participate in activities and occupations that are particularly stressful?
1. Patients who are experiencing serious suicidal thoughts are frequently hospitalized involuntarily.What are the advantages and disadvantages of forcing a person to be hospitalized against her or his will?
2. Janet had experienced a series of stressful events and circumstances. Would anyone have become depressed if they were in the same situation? If not, what other factors might have combined with these stressful events to lead to her depression?
3. From the beginning of therapy, the psychologist encouraged Janet to become more actively involved in various pleasant activities. Do you think treatment would have been even more effective if they had initially spent more time discussing at length the sources of her distress(such as her feelings
4. Imagine that one of your close relatives has been depressed for several years. The person has not responded to previous forms of treatment (both medication and psychotherapy)and is now talking about committing suicide. Would you be willing to authorize a series of electroconvulsive therapy for
1. Patients who are experiencing serious suicidal thoughts are frequently hospitalized involuntarily.What are the advantages and disadvantages of forcing a person to be hospitalized against her or his will?
2. Janet had experienced a series of stressful events and circumstances. Would anyone have become depressed if they were in the same situation? If not, what other factors might have combined with these stressful events to lead to her depression?
3. From the beginning of therapy, the psychologist encouraged Janet to become more actively involved in various pleasant activities. Do you think treatment would have been even more effective if they had initially spent more time discussing at length the sources of her distress(such as her feelings
4. Imagine that one of your close relatives has been depressed for several years. The person has not responded to previous forms of treatment (both medication and psychotherapy)and is now talking about committing suicide. Would you be willing to authorize a series of electroconvulsive therapy for
1. What is the difference between an obsession and a delusional belief? In what ways are obsessions different from the everyday worries that all of us experience?
2. Most people experience brief intrusive thoughts, impulses, and images on a regular basis.Could the ability to experience such thoughts be adaptive, from an evolutionary perspective?When does the pattern cross the line to become maladaptive?
3. What impact does OCD have on other members of a patient’s family? Should the person’s spouse agree to tolerate or participate in compulsive rituals, such as special cleaning or checking procedures?
4. Exposure and response prevention is a challenging treatment procedure that can be quite anxiety provoking for patients. How hard should therapists push their patients to participate in treatments that will be upsetting in the short run if they know that they will be successful in the long run?
1. What are the similarities of hoarding disorder with other disorders related to problems controlling impulses, such as substance‐related disorders or gambling disorder? What are the differences?
2. Treatment of hoarding disorder poses some special challenges and obstacles. What do you think would be the most difficult of these?
3. How were Rebecca’s symptoms of anxiety related to her hoarding disorder? Do you agree with her therapist’s decision to focus on her hoarding disorder rather than on her symptoms of anxiety or depression? Why or why not?
4. Hoarding disorder results in costs for communities. What is the best way to balance the rights of the individual against the interests of the community? How much power should communities have to come into a person’s home and mandate changes in the way they are living?
1. Discuss the issues surrounding Jocelyn’s reluctance to report her rape. Should her therapist have reported it to the police without her patient’s consent? Given the university policy regarding the need to report all incidents, what are the best ways to protect the person who makes the
2. How did Jocelyn’s friends respond to her problems? Did they help the situation or make it worse? Is there anything that they could have done that would have been more beneficial to her?
3. Do you think that a person can develop PTSD after witnessing an assault, a bad accident, or some other kind of traumatic event (that happened to someone else)? Or does PTSD only occur in people who are directly the victims of trauma? What kind of evidence would be needed to answer this question
4. Do you think that PTSD is best classified in a separate heading of “Trauma‐ and Stressor‐Related Disorders?” Or should it be classified more broadly as a form of anxiety disorder(along with phobias and panic disorder)? Does it belong under the heading of dissociative disorders?
1. The initial presentation of dissociative identity disorder can be very confusing, both for the patient and the therapist. What were the various diagnostic options that Dr. Harpin originally considered when he began working with Paula? Why was DID a more appropriate diagnosis?
2. After he had been working with Paula for several years, Dr. Harpin stopped asking to talk to her alter personalities by name, preferring instead to address only Paula. Should he have adopted that strategy from the beginning of the case? Do you think his willingness to talk to her using different
3. Have you seen reports or discussions of DID in the popular media? Why do you think that some therapists say they have treated dozens of patients with DID while the vast majority of mental health professionals have never seen a single case?
4. Like patients with posttraumatic stress disorder, people with DID have often been the victims of serious sexual abuse. How are the symptoms of the two disorders similar? In what ways are they different?
1. What experiences from Meredith’s childhood were important in leading to her somatic symptom disorder?
2. Dr. Edwards was not able to convince Meredith to enter psychological treatment. Do you think he did enough to try? Do you think she would have benefited from therapy, or was the medical management enough?
3. In what way does not identifying somatic symptom disorder when it is there harm patients? In what way does identifying it when it is not there harm patients?
4. How do patients with somatic symptom disorder cause special difficulty for primary‐care physicians? What makes them especially hard to treat?
1. What special challenges does anorexia nervosa pose for family relationships? How does it affect patients in their roles as children, spouses, and parents?
2. What does anorexia nervosa have in common with substance abuse disorders?
3. Much research has focused on the role of the media and standards of beauty and the thin ideal in the etiology of anorexia nervosa. Do you think these factors are improving or worsening? Is there more or less pressure on adolescent girls and young adult women today to be thin? What about
4. No treatments have consistently been shown effective with adults with anorexia nervosa.If you were a psychologist treating a college student with the disorder, what treatment approach would you use? Why?
1. How would you draw a distinction between Tracy’s behavior during an episode of bingeing and purging and the behavior of a person who is suffering from obsessive compulsive disorder? Could her purging behavior be considered a compulsion? Why or why not?
2. Discuss the differences between bulimia and anorexia, especially with regard to issues related to impulse control.
3. Why was Tracy’s emotional experience with the little girl’s birthday cake an important turning point in her treatment? What was the most important factor in changing her motivation for treatment?
4. What are the connections among cognitive factors, emotion regulation, and binge eating?How are these issues related to dieting and restricted intake of food?
1. How could Daisy’s ethnic background have affected her disorder? What Asian cultural values are related to her symptoms?
2. Have you ever heard of any cases of ISP? What effect does change of awareness about this phenomenon have on people who experience it today?
3. What special challenges do you think students today face with sleep? What recommendations would you make to students about how to juggle competing demands on their time?
4. Do you think more direct discussion of racial and ethnic issues in Daisy’s therapy would have been useful? Was it unnecessary? Would it have helped or hurt?
1. Barbara and Frank were both experiencing difficulties with their sexual relationship. She could be assigned a diagnosis of female orgasmic disorder. But was the problem hers?Or was it his or theirs? Could sexual dysfunction be treated in an individual who came to therapy without a partner?
2. What impact does culture have on the development and maintenance of sexual dysfunctions?Do you think the popular media have a positive or negative impact on attitudes regarding sexual behavior?
3. Did Barbara’s parents play an influential role in the development of her sexual problems?Many children grow up in similar homes without experiencing orgasmic difficulties as adults. Why did Barbara develop a problem while other people do not?
4. Viagra is now one of the most widely promoted and prescribed forms of medication in our society. If a female version of Viagra had been available when Barbara was being treated, do you think it would have solved her problem?
1. What are the most important considerations in determining whether a person is a man or a woman? What seem to be the most important things that matter other than genital characteristics and internal reproductive organs?
2. Do you think that gender dysphoria should be listed as a form of mental disorder in DSM‐5? Aside from the inconsistency between Chris’ gender identity and his assigned sex at birth, he was a well adjusted and happy person. On what basis is his experience considered to be a disorder?
3. How would you react if a member of your own family experienced gender dysphoria?Imagine that a sister or a brother told you that they were trapped in the wrong body. What would you advise them to do?
4. Chris decided against having gender affirming surgery. What would be the potential advantages and disadvantages of making that change? What do you think you would do if you were in the same situation?
1. Some television shows featuring families trying to cope with disruptive children have become popular in the United States. Have you ever seen them? Is disruptive behavior in children on the rise? If so, what factors do you think are responsible?
2. Why is it difficult to diagnose ODD in preschool children? What are the benefits and risks of providing treatment to such young children?
3. What are the reasons why psychologists do not often recommend spanking? If they are working with a family that uses spanking, what should they do, and why?
4. How do positive and negative reinforcement work in a coercive cycle? Have you ever seen a parent and a child engaged in such an interaction? If so, identify what was being positively and negatively reinforced, and how.
1. What do you think about therapists advocating controlled or moderate drinking instead of abstinence? Do you think Michael might have been more successful in stopping his drinking if Dr. Lawton encouraged him to be abstinent?
2. What are some of the social or cultural groups that encourage excessive alcohol consumption?What are the risks of doing this? What groups discourage alcohol consumption?
3. What are the health and social risks and costs of alcohol use disorder? What do you think about how our society handles this problem? Is there more we should be doing, or is society too involved in this issue?
4. What does it mean to say that problem drinking is a complex disorder with multiple causes that interact with each other? What are the examples of ways this could occur?
1. Other than being suspicious and sensitive to criticism, what are the most important characteristics of paranoid people?
2. Joe’s friends and coworkers would have described him as being paranoid. But he would not describe himself in that way. He would have said that he was angry (because people were making trouble for him). If other people saw him differently than he saw himself, what problems are raised for the
3. What is the difference between paranoid PD and a paranoid delusion? Do you think that, at some point, Joe might have been considered psychotic (i.e., delusional)?
4. If you were Dr. Fein, the psychiatrist with whom Joe consulted briefly, what could you have done (if anything) to persuade Joe to remain in treatment? Would it have made any difference in his long‐term outcome if he had stayed in treatment?
1. What is the main causal factor of BPD? Research has also found evidence for genetic factors; how can both be related?
2. How did Amanda cause difficulty for the patients and staff in the psychiatric hospital?How could staff handle this better?
3. Why do therapists find it difficult to treat this disorder? What specific symptoms and behaviors can be challenging?
4. Which treatment would you use if you were the therapist of a patient with BPD, Kernberg’s object relations therapy or Linehan’s DBT? Why?
1. What childhood experiences do you think were particularly important in the development of Pete’s paraphilic disorders? How do you think they relate to his later symptoms?
2. One common characteristic among men with paraphilic disorders is a lack of consideration of the effects of one’s sexual behaviors on others. How did Pete manifest this? Did it also extend to other areas of his life?

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Case Studies In Abnormal Psychology 11th Edition Thomas F. Oltmanns, Michele T. Martin - Solutions

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