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By the end of the nineteenth century,


A) custodial care had largely replaced moral treatment.
B) psychoanalysis had largely replaced moral treatment.
C) moral treatment had become the dominant form of therapy in mental hospitals.
D) care of the mentally ill had shifted from large mental hospitals to small ones.
E) almshouses had become the most common sites for care of the mentally ill.

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Which of the following played a main role in deinstitutionalization?


A) the development of new psychoactive drugs for treating mental illness
B) public horror at the maltreatment of mentally ill persons
C) financial changes in insurance and in federal funding
D) the overcrowding of state mental hospitals
E) the feminization of aging

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Most psychiatrists now primarily treat patients with


A) drugs.
B) psychotherapy.
C) psychoanalysis.
D) electroshock therapy.
E) none of the above

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Critique the medical model of mental illness, using evidence from the textbook.

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The Rosenhan study suggests that


A) mental health workers cannot always tell whether someone needs psychiatric care.
B) definitions of mental illness vary cross-culturally.
C) mental illness is primarily caused by organic problems.
D) homosexuality should not be considered a mental illness.
E) psychiatrists are less well trained than psychologists.

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Pre-modern societies were better able than modern societies to cope informally with individuals who acted in unacceptable and incomprehensible ways because pre-modern societies


A) could offer those individuals acceptable, low-level roles.
B) could often cure illness through prayer.
C) generated little stress.
D) killed such individuals before puberty.
E) developed religious institutions to control such individuals.

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A

A sociologist who studies how being labeled as mentally ill affects individuals' views of themselves is using


A) functionalist theory.
B) role theory.
C) life events theory.
D) symbolic interactionism theory.
E) aligning theory.

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Individuals who experience psychiatric problems often initially


A) define themselves as mentally healthy.
B) accept others' definitions of their condition.
C) agree with the diagnosis of mental health professionals.
D) perceive their situation as illness rather than as "problems."
E) trust doctors' ability to diagnose and treat them.

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Research using the Diagnostic and Statistical Manual (DSM) suggests that


A) the DSM has a high degree of reliability.
B) clinicians are able to arrive at consistent diagnoses.
C) different clinicians may diagnose the same patient differently.
D) politics are not involved in the construction of diagnostic categories.
E) diagnostic categories are stable over time.

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Which of the following statements is true?


A) Definitions of what constitutes mental illness have changed over time.
B) Definitions of what constitutes mental illness vary from social group to social group.
C) Socially powerful groups are more able to enforce their definitions of what constitutes mental illness than are socially powerless groups.
D) all of the above
E) a and b only

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Explain the link between stress and mental illness, and then use that explanation to explain class, gender, and race differences in mental illness.

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The "social drift" theory argues that


A) lower class life causes mental illness.
B) those who suffer from mental illness over time move downward in social class.
C) gender does not affect rates of mental illness.
D) social class does not affect rates of mental illness.
E) mentally ill persons often become more religious.

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Following the development of capitalism,


A) religious control over persons we might now label mentally ill declined.
B) family networks strengthened and so families became better able to care at home for those labelled mentally ill.
C) the market broadened, making it easier for those we might label mentally ill to find productive work.
D) the rise of Christianity led to more people being labelled as mentally ill.
E) none of the above

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Social stress is most likely to lead to mental illness if the stress


A) is chronic.
B) is an acute trauma.
C) is linked to a life event, rather than an ongoing situation.
D) is treated with antidepressants.
E) is treated with antipsychotics.

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The history of the Diagnostic and Statistical Manual (DSM) suggests that


A) those working in mental health generally agree on the causes of mental illness.
B) our system of psychiatric diagnoses has resulted in part from a series of political fights.
C) those working in the mental health field generally agree on how to treat the different mental illnesses.
D) psychiatrists generally agree on how to treat homosexuality.
E) the DSM is now highly valid.

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Approximately what percent of U.S. adults experience a diagnosable mental illness in a typical year?


A) 5 percent
B) 10 percent
C) 30 percent
D) 50 percent
E) 70 percent

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C

The medical model of mental illness assumes that


A) objectively measurable conditions define mental illness.
B) mental illness stems largely or solely from something within individual psychology or biology.
C) treatment sometimes can pose serious risks.
D) all of the above
E) a and b only

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The sociological model of mental illness assumes that


A) psychiatrists label any behavior that breaks social norms as mental illness.
B) anyone who breaks social norms is equally likely to be labeled mentally ill.
C) behavior becomes labeled as mental illness when powerful persons consider it both unacceptable and incomprehensible.
D) treatment for mental illness may not help, but it cannot hurt.
E) sociologists can treat mental illness better than psychologists can.

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C

How do society's views on, and responses to, mental illness resemble those of past centuries? How do they differ?

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Once an individual seeks treatment for psychiatric problems, doctors typically


A) remedicalize the journals they use.
B) assume that the individual has a mental illness.
C) work to reduce the stigma of mental illness.
D) work to identify the individuals' cultural background and its impact on treatment.
E) seek to understand the social context in which the individual's symptoms or problems emerged.

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