Clinical Psychology Question Paper

Clinical Psychology

Course:Bachelor Of Arts In Psychology

Institution: Kenyatta University question papers

Exam Year:2010

KENYATTA UNIVERSITY
UNIVERSITY EXAMINATIONS 2010/2011
FIRST SEMESTER EXAMINATION FOR THE DEGREE OF BACHELOR OF
ARTS
APS 401 :
CLINICAL PSYCHOLOGY

=================================================================
DATE: THURSDAY 25TH NOVEMBER 2010 TIME: 11.00 A.M. - 1.00 P.M.

INSTRUCTIONS
Attempt ALL questions in Section 1 and any other TWO questions in Section II

SECTION I (COMPULSORY) - 30 MARKS)

1.
a)
Briefly explain any two roles of a clinical psychologist.

(2 marks)

b)
Define the following terms as used in clinical psychology

i)
Precipitating factors

(1 mark)

ii)
Perpetuating factors

(1 mark)

iii)
Electro convulsive therapy

(1 mark)

iv)
Substance abuse

(1 mark)

v)
Flooding

(1 mark)

c)
State and explain any two techniques a therapist can use to get in touch

with the unconscious mind of a client.

(4 marks)

d)
Explain two aspects to be observed during client?s assessment.
(2 marks)
Page 1 of 3

e)
Outline any three features of substance dependence according to DSMIV

criteria.

(3 marks)

f)
Briefly explain the impact of mental disorders to the family / care givers.

(4 marks)

g)
Explain any two positive outcomes of psychotherapy.

(4 marks)

h)
Discuss any two factors that would lead to non compliance to therapy.

(4 marks)

i)
With suitable examples explain two ways in which cultural factors can

contribute to mental disorders.

(4 marks)

SECTION II
Answer any TWO questions

2.
a)
Explain any three factors a clinical psychologist needs to consider when

choosing a psychological test to use.

(6 marks)

b)
With reference to a specific tool, explain the concepts of reliability and

validity.

(8 marks)

c)
Explain three methods of determining reliability of a psychological test.

(6 marks)

3.
a)
With appropriate examples outline the five main axes of DSMIV. (5 marks)

b)
Discuss three components of assessment used on children in clinical settings

and their significance.

(9 marks)

c)
Explain three challenges a clinical psychologist may encounter during

assessment.

(6 marks)

4.
Carl Rogers, a humanist psychotherapist believed that human beings are trustworthy,

resourceful, self directed and self actualizing.

a)
To what extent do you agree with this assertion?

(7 marks)
Page 2 of 3

b)
Discuss any three implications of Carl Rogers view of human nature in

psychotherapy in relation to therapeutic relationship and therapist?s role /

function.

(9 marks)

c)
Pearson centered therapy emphasizes on adopting an internal locus of control.

Outline two advantages and two disadvantages of this stand.
(4 marks)

5.
Kamau is a 24 year old single unemployed University dropout from an extremely

close knit, guilt provoking and argumentative family. He is admitted to Mathare

hospital three weeks after he painted everything in sight , black, green, red and white,

including his room, his furniture, his clothes and finally even himself. He was

responding to a persistent male voice that told him that his behaviour would somehow

solve the tribal problems in Kenya after the post election violence. Kamau has been

hospitalized for at least five previous occasions during the past three year, each time

4-6 weeks. Each hospitalization was as a result of exacerbation of his illness with

some combination of command hallucinations, persecutory delusions and being

violent. He has always responded well to treatment with neuroleptics but hates to

take the medication. Between hospitalizations he is likely to take medication

irregularly or not at all and to miss more outpatient appointments than he keeps. His

functioning between episodes is poor and seems to be getting worse with increasing

social withdrawal, poor personal hygiene and disordered thinking (he says people are

controlling his thoughts and actions) . However when on medication he is somehow

calm, better in appearance and speaks more coherently.

a)
With evidence derived from the above case, diagnose the disorder presented

by Kamau.

(6 marks)

b)
Identify with reason four factors that seem to be perpetuating Kamau?s

problem.

(8 marks)

c)
Discuss a treatment plan you are likely to use to help Kamau.
(6 marks)
Page 3 of 3

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