Lesson 5.6.1
5.6.1 Issues and debates in clinical psychology Quiz: Pearson Edexcel Psychology, Unit 5
20 questions
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Lesson 5.6.1, Issues and debates in clinical psychology: 20 multiple choice questions for the Pearson Edexcel Psychology (9PS0), Unit 5: Clinical psychology, written with Revision Ninja.
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The 20 questions
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Which of these is an example of an ethical issue in clinical psychology research?
- Calculating the mean of a set of scores collected in a pilot study with a small group
- Selecting a standard font for the written report submitted to the research ethics panel
- Obtaining informed consent from participants who have a mental health condition
- Choosing a colour scheme for the poster presentation that will be shown at the conference
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Balancing validity with reliability in research design is an example of which issue or debate?
- Nature-nurture debates about whether genes or environment cause mental disorders in adults
- Practical issues in the design and implementation of research
- Culture and gender differences in how disorders are diagnosed across different populations
- Reductionism in explanations that reduce complex disorders to a single biological cause
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Which approach is an example of reductionism in clinical psychology?
- Comparing how two manuals classify the same disorder, noting differences in criteria used
- Considering biological and social factors together in one model that is tested as a whole
- Isolating a single cause of a disorder and ignoring other biological, psychological and social factors
- Using an interview to explore a person's experiences in depth, including their history and goals
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What does the comparison between ICD and DSM illustrate as an issue in clinical psychology?
- That classification systems never change over time, once they have been published in print
- That diagnosis is unrelated to the clinician's training, experience and professional judgement
- Different systems can classify and define the same disorders in different ways
- That all disorders are identical in every classification system used by clinicians worldwide
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Which example illustrates the debate about psychology as a science in clinical research?
- Writing an essay on the history of asylums and how they were run across the country
- Discussing a patient's life history in a therapy session with a trained practitioner present
- Asking participants to describe their feelings in a diary over several weeks of the study
- Using laboratory experiments and biological methods to study mental disorders
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Which issue relates to culture in clinical psychology?
- The colour of diagnostic forms
- The length of a standard therapy session in minutes
- The number of chairs in a waiting room
- Cultural differences in diagnostic practice
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What contrast does the nature-nurture debate draw in explaining mental disorders?
- Short-term treatment compared with long-term treatment only, measured over the same period
- Research using men compared with research using women only, across all studies in the field
- Biological explanations compared with social or learning explanations of what causes disorders
- Laboratory studies compared with questionnaire studies only, with no other kinds of research
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A researcher uses qualitative interviews to explore patients' experiences. Which statement best captures the trade-off?
- Qualitative data always contain exact numerical measurements
- Qualitative data can never be analysed scientifically
- Qualitative data are always more reliable than quantitative data
- Qualitative data give rich detail but are harder to standardise and generalise
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A diagnostic measure gives highly consistent results but does not measure the disorder it claims to. Which issue is shown?
- Reliability without validity
- High sensitivity without specificity
- Validity without reliability
- Generalisability without ethics
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A revised diagnostic manual changes the criteria for a disorder. Which debate does this illustrate?
- Ethical use of animals in research that involves invasive procedures on laboratory animals
- Sampling by opportunity in field studies that recruit participants from a single location
- How psychological understanding has developed over time
- Gender bias in laboratory experiments that use mainly male participants in their samples
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A treatment focused only on drugs is criticised because it treats distress as a chemical problem. Which debate does this raise most directly?
- Nature-nurture alone, since drugs are always biological in origin and so have no social side
- Sampling bias, since drugs are tested on volunteers who may differ from the general population
- Gender bias, since drugs are tested only on women in most of the large clinical trials done
- Reductionism, because complex distress is reduced to a single biological cause
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Mental disorders are diagnosed more often in men than women in one study. Which debate does this most directly raise?
- Ethics of animal testing in research that uses invasive procedures on laboratory animals
- Reliability of the test-retest method when the same measure is used on two separate occasions
- Use of case studies in therapy to illustrate treatment approaches with individual clients
- Gender, where differences may reflect diagnostic bias rather than a true difference in prevalence
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Policies for treating detained patients are criticised as a form of social control. What is the key point of this critique?
- Treatment is always delivered by untrained staff who lack any clinical training or supervision
- Treatment has no effect on the patient at all, whatever the setting or type of therapy used
- Treatment is always too expensive to deliver in any healthcare system or secure setting at all
- Treatment may be used to enforce conformity rather than to meet the individual's needs
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Clinicians use diagnostic labels that are later criticised for affecting how patients are treated. Which ethical issue is this?
- The speed of an internet connection in the clinic that is used for records and scheduling
- The use of colour in clinic signage to help patients find their way around the building
- The cost of printing diagnostic manuals in several languages for clinics across the country
- The risk of labelling and its effects on patients' self-image and treatment
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Researchers in a mental health service cannot randomly allocate patients to treatments. Which issue does this describe?
- Ethical and practical constraints that limit random allocation in real clinical settings
- A problem only in animal research where random allocation is rarely used in any study
- A benefit that ensures perfect validity so that results can be applied to every patient
- A problem that never affects field studies because they always use random allocation
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In an audit, 36 of 120 diagnoses changed on review. What percentage of diagnoses changed?
- 3 per cent
- 36 per cent
- 30 per cent
- 70 per cent
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Which is the strongest evaluation of relying on a single classification manual alone?
- It may encourage a categorical view that overlooks individual and cultural context
- It guarantees that all disorders are identical across countries
- It makes diagnosis fully accurate for every patient in every culture
- It removes all ethical concerns from clinical practice
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Is every psychological treatment a form of social control?
- No, but treatments can serve social control when they prioritise conformity over the person's wellbeing
- Yes, because all clinicians must follow the same rules set down by the government each year
- Yes, because every treatment is designed by the state to regulate the behaviour of its citizens
- No, because treatments never affect social behaviour in any group, community or institution
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Which argument shows that a reductionist approach can be useful in clinical research?
- It allows single variables to be tested precisely, building clear causal models that can be checked
- It shows that complex disorders always have a single simple cause that can be found easily
- It removes the need for any ethical review of research because it deals only with single variables
- It guarantees that patients will respond identically to treatment whatever their history or context
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A test has sensitivity of 0.9. If 50 people have the disorder, how many are false negatives?
- 45
- 50
- 5
- 10
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