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Normality/ Approaches to classification Multiple choice questions Question 1 Which of the following would be considered abnormal according to the functional approach of normality? A. A boy wearing shorts to his school formal B. A 20-year-old who is four feet tall C. A 30-year-old unable to hold a stable job D. A woman with six toes Question 2 What sort of approach does the DSM-IV take to classifying mental illness? A. Graded B. Dimensional C. Categorical D. Transitional Question 3 In earlier times, it was considered ‘abnormal’ for women to seek a career and remain unmarried. However, in recent times such behaviour is considered ‘normal’. To which of the following approaches to normality does this example least apply? A. Sociocultural approach B. Historical approach C. Situational approach D. Medical approach Question 4 Peter moved from London when he was twelve years old to live in Australia. He had a heavy accent and was teased by many of his peers. He found it very hard to adapt to Australian culture and any attempt to forge new friendships was snubbed by his peers. He has now been diagnosed with depression. His lack of friendships may have been a ______________ factor contributing to the development of his mental disorder. A. Psychological B. Social C. Biological D. spiritual Question 5 Mr Bell loves wearing his slippers to teach Drama. According to which approach to normality would Mr. Bell’s behaviour most likely be considered abnormal? A. Medical B. Situational C. Statistical D. Historical 1 Question 6 Behaviour that is acceptable on some occasions but not others is a definition of which type of normality? A. Historical B. Situational C. Functional D. Statistical Question 7 The DSM-IV stands for: A. Depressive Symptoms Manual B. Diagnosing and Serving Mental Disorders C. Detailing and Surveying Mental Disorders D. Diagnostic and Statistical Manual of Mental Disorders Question 8 According to the biopsychosocial framework, which factor is most important in maintaining good mental health? A. Biological B. Psychological C. Social D. All of the above Question 9 According to the medical definition of normality, which person would most likely be considered normal? A. A man suffering from schizophrenia B. A child with bad eyesight C. A boy wearing pyjamas to school D. A woman with depression Question 10 The ICD-10 seeks to classify different mental and physical health issues. Under what chapter in the ICD-10 are mental disorders categorised? A. 4 B. 5 C. 6 D. 7 2 Short answer questions Question 1 Tick the boxes below to determine from which perspective the following people would be considered abnormal. Medical Approach Historical Approach Situational Approach Conjoined twins A woman feeling she has no right to work A man suffering from depression A student wearing bathers to free-dress day Question 2 Explain two uses of the ICD-10 for medical professionals. __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ 2 marks Question 3 Since the death of his wife last year, Terry has had difficulty sleeping. He is drinking a lot of coffee to help keep him awake during the day, but he is lethargic and unmotivated. He decides to take a holiday to refocus but finds it difficult to watch other couples together. He is eventually diagnosed with depression. Discuss how each of the following factors (biological, psychological and social) may have contributed to his mental illness. Biological factors __________________________________________________________________________________ __________________________________________________________________________________ Psychological factors __________________________________________________________________________________ __________________________________________________________________________________ Social factors __________________________________________________________________________________ __________________________________________________________________________________ 3 3 marks Question 4 Give one example of a behaviour that might be considered abnormal and one example of a behaviour that might be considered normal according to the following approaches. a) Statistical approach to normality Abnormal: __________________________________________________________________________________ __________________________________________________________________________________ Normal: __________________________________________________________________________________ __________________________________________________________________________________ b) Functional approach to normality Abnormal: __________________________________________________________________________________ __________________________________________________________________________________ Normal: __________________________________________________________________________________ __________________________________________________________________________________ 2 + 2 = 4 marks Question 5 a) Name one categorical system for classifying types of mental illness. __________________________________________________________________________________ b) What is one disadvantage of using categorical systems to classify mental health conditions? __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ 1 + 1 = 2 marks Question 6 Name two disorders that typically would be classified under Axis I of the DSM-IV. __________________________________________________________________________________ __________________________________________________________________________________ 4 2 marks Question 7 The DSM-IV can be used to try to classify different mental disorders. What is one advantage and one limitation of the DSM-IV? Advantage: __________________________________________________________________________________ __________________________________________________________________________________ Limitation: __________________________________________________________________________________ __________________________________________________________________________________ 2 marks Question 8 Explain how the biopsychosocial approach seeks to explain mental health? __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ 1 mark Question 9 Define the term ‘mental illness’. __________________________________________________________________________________ __________________________________________________________________________________ 1 mark 5 Solutions Multiple choice 1.C 6.B 2.C 7.D 3.A 8.D 4.A 9. C 5.B 10.B Short answers 1. Conjoined twins A woman feeling she has no right to work A man suffering from depression A student wearing bathers to freedress day Medical Approach Historical Approach Situational Approach 2. Any two of the following: for classifying/diagnosing mental health problems; for classifying/diagnosing physical problems; to monitor the prevalence of particular health problems; to allow compilation of mortality and morbidity rates. 3. Biological - Terry’s lack of sleep and consumption of large amounts of caffeine may have impacted on his physical health and thus contributed to his mental illness. Psychological - Terry feeling sad and emotional after the loss of his wife may have contributed to his mental illness. Social - Having lost a huge part of his social support network by losing his wife and feeling isolated while on holiday may have contributed to his mental illness. 4. a) abnormal - Having an ENTER score above 95 OR being over 7 feet tall. Normal - Successfully completing VCE OR turning 18 in Year 12. b) abnormal - Not being able to dress yourself OR not being able to hold a job over the age of 18 normal - Working part-time while at university OR being able to cook simple meals 5a) DSM-IV OR ICD-10. b) Classification systems can be very definite in deeming someone ill or healthy, or abnormal or normal but there is no recognition of how severe the disorder is. 6. Any two of the following: depression; anxiety disorders; schizophrenia; phobias; bipolar disorder. 7. Advantage – To determine if an individual suffers from a mental illness OR to help communicate with a patient what their diagnosis is. Limitation - There are no suggestions for causes or treatment OR it can be used by people without clinical training which can lead to inappropriate use. 8. The biopsychosocial approach identifies the significant role that biological, psychological and social factors all play in the development and treatment of health and wellbeing. 6 9. A mental illness is a psychological or behavioural pattern that occurs causing distress or functional difficulties. 7