• Announcements

    • Gurpal

      New question bank for paper B   05/11/18

      Please see the link below for a new question bank: http://www.superegocafe.com/online-courses/mrcpsych-paper-b-multiple-choice-question-bank/  
Sign in to follow this  
Followers 0
Gurpal

Part II ISQ Club - Forensic

19 posts in this topic

Part II ISQs on two topics will be posted twice a week. You are encouraged to post a reply in the thread, stating whether you think an ISQ is true or false and why (eg. a short explanation, with reference to the textbook you used). Please only deal with one ISQ in each post and include the question as the first line of your post. All ISQs are taken from previous posts by Forum members.

In a few days this ISQ Club thread will be moved to the Question Bank board. If you submit an answer, your status will be changed to 'Question Bank member' and you will be able to see the Question Bank board. Please allow up to 48 hours for this change to happen.

1. Fetishism can be treated by the Squeeze technique

2. In paedophiles, a change in behaviour needs to be seen before empathy for the child victim

3. If there is a recent history of sexual abuse in a child, immediate removal from the house is necessary

4. Homosexuals have usually spent less time with their father

5. Aggressive behaviour is expressed in hierarchies in wild baboons

6. Clinical assessment is better than actuarial approaches in the assessment of violence

7. Perinatal insult predicts or increase the chances of violence in later life

8. Epileptic automatisms occur in 15-25% of cases of murder by the mentally ill

9. People with dissocial personality disorder are unable to benefit from supportive psychotherapy

10. Suicide is as common as homicide in schizophrenia

11. More than 1/3 of prisoners are estimated to suffer from mental disorder

12. Homicides by people with learning disability are increased compared to the normal population

13. Desensitisation therapy for fetishism involves counter conditioning

14. In group rape, alcohol has been consumed in 90% of cases

15. Challenging behaviour occurs in 40% of people with learning disability

16. Common law is often based on case law

17. The number of people killed by schizophrenics in a given year approximates to a normal distribution

Share this post


Link to post
Share on other sites

1. Fetishism can be treated by the squeeze tecnique

false

effective treatment- psychoanalysis, behavioural treatment (pg 603 shorter oxford text)

Share this post


Link to post
Share on other sites

1. Fetishism can be treated by the Squeeze technique

2. In paedophiles, a change in behaviour needs to be seen before empathy for the child victim. both false.

Cognitive-behavioural treatment has generally focused on the following: :-*

techniques to reduce or block inappropriate sexual arousal and/or to increase or maintain non-deviant appropriate sexual arousal 8)

improving pro-social behaviour, including assertiveness training, anger-management training, social skills training, intimacy skills training,

cognitive therapy to address distorted thinking patterns that the paraphiliac has used to justify his inappropriate sexual behaviour, as well as the establishment of empathy for the individuals he has victimized :'(

relapse prevention, a long-term maintenance therapy which helps offenders to identify and manage more effectively situations that place them at risk of reoffending, to establish or improve social support systems, to develop a methodology for evaluating the effectiveness of their treatment, and to maintain a balanced lifestyle.. oxford textbook

Share this post


Link to post
Share on other sites

8) False serious violence during epileptic auotmatism is rare (Gun & Fenton )

ref Companion pg 316

Share this post


Link to post
Share on other sites

5) True.

Pubmed gave this results:

2: Virgin CE Jr, Sapolsky RM. Related Articles, Links

Styles of male social behavior and their endocrine correlates among low-ranking baboons.

Am J Primatol. 1997;42(1):25-39.

3: Owens NW. Related Articles, Links

A comparison of aggressive play and aggression in free-living baboons, Papio anubis.

Anim Behav. 1975 Nov;23(4):757-65.

7) True. At least should increase the chances:

Child Psychiatry Hum Dev. 1976 Summer;6(4):198-213. &nbsp:lol:iagnostic evaluation of the juvenile offender: toward the clarification of often overlooked psychopathology.

Lewis DO

9) True.

Am J Psychother. 1999 Summer;53(3):289-319.

An overview of the psychotherapy of dissociative identity disorder.

Kluft RP.

Share this post


Link to post
Share on other sites

::)11. More than 1/3 of prisoners are estimated to suffer from mental disorder .true

1991 survey in england and wales 37% had psychiatric illness, only 3% needed hospital treatment, 10% in prison, 5 in tc and 77% did not . >:( page 347 Faulk basic forensic psy

Share this post


Link to post
Share on other sites

???Mr Honourable Manisha Carlo, i must dispute 9 and 7 being true ,almost everyone benefits from supportive therapy and obstetric risk see 8)

Raine et al.........studied an initial cohort of over 4000 males born in a maternity department in Copenhagen. Cluster analysis of risk factors identified a group with obstetric risks only, a group with poverty risk factors only, and a :-*biosocial group with early neuromotor deficits and unstable family environments. Use was made of obstetric and early neuromotor measures collected in the first year of life, family social demographic and behavioural measures at ages .between 17 and 19 years, and criminal data at ages between 20 and 27 years. :-*The biosocial group had rates of adult violence, theft, and total crime double that of the other two groups, and exhibited significantly more behaviour and academic problems in adolescence. When early neuromotor deficits and negative family factors clustered together, individuals were particularly likely to become criminal and violent, accounting for 70.2 per cent of all crimes in the entire sample. oxford textbook

Share this post


Link to post
Share on other sites

10) Suicide is as common as homicide in schizophrenia

False

17) The number of people killed by schizophrenics in a given year approximates to a normal distribution Probably True

Suicide rates are as high as 14-20 %

Homicide rates are difficult to assess (command hallucinations present/absent.. dual diagnosis..)

but in the range of very mild increase compared to general population.

Oxford Textbook sect.9

Thanks to Satya & apologies to the others for the 7 - 9 answs above. They'r definitely false!

7) I didn't realize how old the study was & failed to find the answer on the Oxf Txt Bk

9) I forgot the question was negative after t search.

sorry ;o)

Share this post


Link to post
Share on other sites

4. Homosexuals have usually spent less time with their father

FALSE (used to be considered true in the past)

(Pg 485, Oxford Txt of Psych, 3rd Ed, Gelder et al)

Share this post


Link to post
Share on other sites

6. Clinical assessment is better than actuarial approaches in the assessment of violence

FALSE

“…one is the clinical judgment of trained practitioners who are knowledgeable about the individual who is making threats. Another is the actuarial method that employs statistical probabilities of violence based on individual, contextual and other “risk factors”. In general the actuarial method has been found to be as good or better than the clinical judgment in predicting violence in individuals (Borum et al., 1999)…”

http://www.unl.edu/srs/pdfs/threat.pdf

“…actuarial risk assessments continue to outperform clinical assessments alone…”

http://www.csc-scc.gc.ca/text/rsrch/reports/r95/r95_e.pdf (Pg 17)

Share this post


Link to post
Share on other sites

12. Homicides by people with learning disability are increased compared to the normal population

FALSE

(Pg 817, Comp to Psych Studies, 6th Ed, Johnstone et al)

Share this post


Link to post
Share on other sites

15. Challenging behaviour occurs in 40% of people with learning disability

FALSE

Less than 20%

(Pg 729, Oxford Txt of Psych, 3rd Ed, Gelder et al)

…Recent studies suggest that between 12-17% of those administratively defined as having an intellectual disability will display challenging behaviour…”

http://www.minervation.com/ld/challenging/heb/1.html

Share this post


Link to post
Share on other sites

16. Common law is often based on case law

TRUE

'The common law originally developed under the auspices of the adversarial system in historical England from judicial decisions that were based in tradition, custom, and precedent. The form of reasoning used in common law is known as casuistry or case-based reasoning.'

http://www.wordiq.com/definition/Common_law

'Case law (precedential law) is the body of judge-made law and legal decisions that interprets prior case law, statutes and other legal authority --

In the common law tradition case law regulates, via precedents, how laws are to be understood, based on how prior cases have been decided. Case law governs the impact court decisions have on future cases.'

http://www.wordiq.com/definition/Case_law

Share this post


Link to post
Share on other sites

3. If there is a recent history of sexual abuse in a child, immediate removal from the house is necessary

I guess the answer is FALSE because if the offender is not there for whatever reason there is no need to remove the child.

Share this post


Link to post
Share on other sites

13. Desensitisation therapy for fetishism involves counter conditioning

Can someone please explain what is counter conditioning?

Thanks in advance

Share this post


Link to post
Share on other sites

13. Desensitisation therapy for fetishism involves counter conditioning

True

Exposure-based treatments were developed according to two alternative rationales, counterconditioning and extinction. Methods based on counterconditioning are called desensitization. The presentation of the fear-evoking stimulus is paired with a behavior that induces an emotional state that is incompatible with anxiety (i.e., counterconditioning). In the first reported application of counterconditioning by Mary Cover Jones in 1924, a child's fear of rabbits was treated by using food as a counterconditioner. Another way of creating an anxiety-inhibiting state is through deep muscle relaxation. In this case, patients attend to the phobic stimulus while they are in a state of deep muscle relaxation. If anxiety develops, the exposure episode is terminated. Less common counterconditioners include assertive behaviors; relief from an aversive stimulus, such as mild electric shock or holding one's breath; or the therapist's encouragement and support.

Counterconditioning thus differs from extinction in that the conditional response not only disappears, it is also replaced by a new conditional response that is appropriate for the new unconditional stimulus. The distinction between extinction and counterconditioning is important for an understanding of various exposure treatments.

Cognitive-behavioral therapy consists of direct, behavioral interventions rather than an exploration of the possible early developmental factors and interpersonal conflicts that may be part of the etiology. The behavior therapies aim to teach patients techniques that they can use to decrease deviant sexual urges and to maintain control of their behaviors. These include olfactory aversion, covert sensitization, various masturbatory reconditioning techniques, modified aversive behavioral rehearsal, and imaginal desensitization training

Kaplan & Sadock's Comprehensive Textbook of Psychiatry

Share this post


Link to post
Share on other sites

Thanks Khuram,

That's very comprehensive. I can't ever forget this.

Cheers

Share this post


Link to post
Share on other sites

7. Perinatal insult predicts or increase the chances of violence in later life .....true manchester course

Share this post


Link to post
Share on other sites

Re: mental illness in prisons

Fazel, 2002

Men :

3.7% psychotic d/o

10% depression

65% personality d/o

Women:

4% psychotic d/o

12% major depression

42% personality d/o

Share this post


Link to post
Share on other sites
Sign in to follow this  
Followers 0