Key Assumptions for Independent Samples t-test:

Independence of Observations: The observations within each group and between the groups
must be independent of one another.
Normality: The dependent variable should be approximately normally distributed for each of the
two groups. This is particularly important for small sample sizes.
Homogeneity of Variances: The variances of the dependent variable should be equal across the
two groups. This is often checked using Levene's test for equality of variances.
Level of Measurement: The dependent variable must be measured on a continuous (interval or
ratio) scale, while the independent variable must be categorical with two distinct levels.
One-Way ANOVA
A one-way ANOVA is an extension of the t-test that allows for the comparison of means across
three or more independent groups. It is used to test the null hypothesis that the means of all
groups are equal against the alternative hypothesis that at least one group mean is different
from the others. Using multiple t-tests to compare several groups would inflate the Type I error
rate (the probability of a false positive); ANOVA avoids this by analyzing the variance between
groups and within groups simultaneously to produce a single F-statistic.
Example: A psychologist wants to determine if different therapeutic interventions have different
effects on the level of social anxiety. She randomly assigns clients to one of three groups:
Cognitive Behavioral Therapy (CBT), Mindfulness-Based Therapy, or a waitlist control group. The
independent variable is the therapy type (with three levels). The dependent variable is the score
on a social anxiety scale after the intervention. One-way ANOVA would be used to see if there is
a significant difference in the average social anxiety scores among the three groups.
Key Assumptions for One-Way ANOVA:
Independence of Observations: As with the t-test, all observations must be independent.
Normality: The dependent variable should be approximately normally distributed within each of
the groups.
Homogeneity of Variances: The variances of the dependent variable should be equal across all
groups. This is also checked using Levene's test.
Level of Measurement: The dependent variable must be continuous, and the independent
variable must be categorical with three or more distinct levels. Write example of each
assumption explain it more
Below is a detailed explanation of the key assumptions for both the Independent Samples t-test
and the One-Way ANOVA, complete with examples for each assumption.

Key Assumptions for Independent Samples t-test

An Independent Samples t-test is used to compare the means of two independent groups. For
the results of this test to be valid, several assumptions must be met [1] .
Independence of Observations
This assumption means there is no relationship between the subjects or observations in each
group, nor is there a relationship between the groups themselves [2] [1] . Each participant should
only be in one group, and the measurement for one participant should not influence the
measurement for another [3] [1] . This is primarily a function of study design [1] .
Example: A study compares the test scores of two different teaching methods. To meet this
assumption, a student can only be in one of the teaching method groups and cannot be
related to other students in the study in a way that would influence their scores [1] . Having
the same person in both groups would violate this assumption [4] .
Normality
The dependent variable should be approximately normally distributed for each of the two
groups [1] . The t-test is considered "robust" to minor violations of this assumption, meaning it
can still provide valid results if the data is slightly non-normal [1] [4] . This can be checked using
statistical tests like the Shapiro-Wilk test [1] .
Example: If measuring the IQ scores of two groups of students, the distribution of IQ scores
within each group should resemble a bell curve [1] . A few unusual scores might be
acceptable, but a heavily skewed distribution in one or both groups would violate this
assumption [1] [4] .
Homogeneity of Variances
This assumption requires that the variances of the dependent variable are equal across the two
groups [2] [1] . Levene's test is commonly used to check this assumption [2] [1] . If the test shows
that the variances are not equal (a small p-value), a different version of the t-test statistic that
does not assume equal variances must be used [2] . Statistical software like SPSS provides
output for both scenarios: "Equal variances assumed" and "Equal variances not assumed" [2] .
Example: When comparing the weights of two groups (e.g., males and females), the spread
or variability of weights within the male group should be similar to the spread of weights
within the female group [1] . If one group's weights are tightly clustered around the mean
while the other group's weights are widely spread out, this assumption is violated [2] .
Level of Measurement
The variables used in the test must be of specific types. The independent variable must be
categorical and consist of two distinct, independent groups [2] [1] . The dependent variable must
be measured on a continuous scale, which means it is an interval or ratio variable [1] [4] .
Example: To test if a new drug affects blood pressure, the independent variable would be
"treatment group," with two levels: "drug" and "placebo" [1] . The dependent variable would
be "blood pressure," measured in millimeters of mercury (a continuous scale) [1] .
No Significant Outliers
Outliers are data points that do not follow the usual pattern of the rest of the data and can
negatively impact the validity of the t-test results [1] .
Example: In a study of exam performance (scored 0-100) for two study groups, if one
student in a group that mostly scored between 70-85 instead scored a 5, this would be a
significant outlier [1] .
Key Assumptions for One-Way ANOVA
A One-Way Analysis of Variance (ANOVA) extends the t-test to compare the means of three or
more independent groups [5] [6] . It tests whether at least one group mean is different from the
others [7] .
Independence of Observations
Similar to the t-test, all observations must be independent both within and among the groups [3]
[8] . No participant should be in more than one group, and there should be no relationship
between participants [3] [4] . A violation of this assumption could involve measuring the same
individuals at multiple time points and treating them as independent groups [8] .
Example: A researcher wants to test if job-related stress differs among doctors, nurses, and
therapists [3] . To meet this assumption, each participant must belong to only one profession,
and their stress level measurement must not be influenced by others in the study [3] [8] .
Normality
The dependent variable should be approximately normally distributed within each of the groups
being compared [3] [4] . ANOVA is also considered robust to slight violations of normality [3] .
Example: In a study comparing the effectiveness of three different fertilizers on crop yield,
the crop yield measurements for each fertilizer type should form a bell-shaped
distribution [6] .
Homogeneity of Variances
The variances of the dependent variable need to be equal across all groups [3] [8] . This is also
tested using Levene's test [3] [4] . If this assumption is violated, an alternative test like the Welch
ANOVA should be used instead [3] . Unequal group sizes can make this assumption more
critical [4] .
Example: A company wants to see if the average delivery time differs between three
distribution centers. The variability (variance) in delivery times from the first center should
be equal to the variability in delivery times from the second and third centers [7] .
Level of Measurement
The dependent variable must be continuous (interval or ratio), while the independent variable
must be categorical with three or more distinct levels or groups [5] [6] [4] .
Example: An independent variable could be "brand of soda" with four levels (Coke, Pepsi,
Sprite, Fanta), and the dependent variable could be the "price per 100ml," which is a
continuous measure [6] .
No Significant Outliers
Outliers can have a negative effect on the one-way ANOVA by distorting the group means and
reducing the validity of the results [3] [4] .
Example: In a study on social anxiety scores across three therapy groups (CBT,
Mindfulness, Control), if one participant in the control group has a score drastically different
from everyone else in that group, they may be considered an outlier [3] .
⁂
Oedipuscomplex and Electra complex
The Oedipus and Electra complexes are psychoanalytic theories that describe a child's
unconscious feelings and desires toward their parents during a specific stage of development [9]
[10] . These concepts were developed by Sigmund Freud and his collaborator Carl Jung to
explain the formation of sexual identity and neurosis [11] .

Oedipus Complex
The Oedipus complex, a term introduced by Sigmund Freud, describes a boy's unconscious
sexual desire for his mother and a sense of rivalry and hostility toward his father [11] [10] [12] . The
concept is named after the Greek mythological figure Oedipus, who unknowingly killed his father
and married his mother [11] [9] .
Key Aspects:
Developmental Stage: This complex emerges during the phallic stage of psychosexual
development, typically between the ages of three and six [11] [10] .
Process: During this stage, a boy develops unconscious sexual desires for his mother and
sees his father as a rival for her affection [10] . These feelings lead to fantasies of replacing
his father [10] .
Castration Anxiety: The boy's hostility toward his father results in "castration anxiety," an
irrational fear that his father will punish him by removing his penis [11] [10] .
Resolution: To resolve this conflict, the boy begins to identify with his father, internalizing
his values and behaviors. This process, known as "identification with the aggressor," leads
to the development of the superego (the moral component of personality) and a masculine
gender identity [9] [10] . The father transforms from a rival into a role model, and the boy's
desire for his mother is substituted with a desire for other women [10] .
Positive vs. Negative Complex: Freud described a positive Oedipus complex as the desire
for the opposite-sex parent and a negative complex as the desire for the same-sex
parent [11] .

Electra Complex
The Electra complex is the proposed female counterpart to the Oedipus complex, describing a
girl's psychosexual competition with her mother for her father's affection [13] [14] . The term was
introduced by Carl Jung, though Freud himself rejected it [11] [14] . It is named after the Greek
mythological figure Electra, who conspired to avenge her father's murder by her mother [11] [14] .
Key Aspects:
Developmental Stage: Like the Oedipus complex, the Electra complex is said to occur
during the phallic stage (ages 3–6) [13] [10] .
Process: The complex begins when a girl realizes she does not have a penis, which Freud
termed "penis envy" [13] [10] . She blames her mother for this perceived "castration" and
redirects her desire toward her father [10] .
 Resolution: To resolve the conflict, the girl eventually identifies with her mother, repressing
her hostility for fear of losing her mother's love [13] . According to Freud, this identification is
less complete than a boy's, resulting in women having a weaker superego and a more
submissive personality [13] [10] . The resolution culminates in the desire to bear a child, which
serves as a substitute for the penis she lacks [13] .

Key Differences and Modern Perspectives

While often presented as parallel concepts, Freud saw significant differences between the two
complexes and rejected Jung's term "Electra complex" [11] . He argued that the analogy was
inexact because it failed to account for the different effects of the castration complex on boys
and girls [11] . For Freud, a boy's fear of castration provides a strong motivation to resolve the
complex, whereas a girl's motivation to identify with her mother is less clear [10] .
Criticisms and Contemporary Views:
The concepts, particularly the Electra complex, are not widely used by mental health
professionals today and are not listed in the Diagnostic and Statistical Manual of Mental
Disorders (DSM) [13] .
There is little empirical evidence to support the theories, as their predictions often do not
align with scientific observations of child development [13] .
Feminist psychologists have criticized the theories as being phallocentric (male-centered)
and sexist [14] . Some reinterpret the "desire" in the Electra complex as being related to
societal power rather than physical attributes [14] .
Other critics argue that the theory cannot be applied to children with same-sex parents and
that by replacing his earlier "seduction theory" (which linked neurosis to childhood sexual
abuse) with the Oedipus complex, Freud may have instigated a cover-up of child abuse [11] .
Despite these criticisms, the complexes remain influential in literary analysis and the arts,
with authors like Eugene O'Neill and Sylvia Plath using them to explore themes of family
conflict and identity [14] .
⁂

instinct freud
In Sigmund Freud's psychoanalytic theory, an instinct is an innate, unlearned pattern of behavior
that serves as a primary motivator for all human actions [15] . Rather than being the bodily need
itself, an instinct is the mental representation of that need—a desire or wish that arises from an
internal, physiological stimulus like hunger or thirst [16] . This process creates a state of tension,
and the aim of the instinct is to satisfy the need, reduce the tension, and restore a state of
physiological balance, or homeostasis [16] .
Freud proposed that human behavior is driven by the interplay of two primary, and often
competing, instinctual forces: the life instincts and the death instincts [17] [18] .
Eros (Life Instincts)
The life instincts, collectively known as Eros, are focused on the preservation of life, both for the
individual and the species [17] [16] . These instincts are responsible for behaviors that satisfy
fundamental survival needs such as hunger, thirst, and procreation [17] [16] .
Purpose and Behaviors: Eros drives individuals to engage in activities that promote life and
growth, such as eating, exercising, seeking pleasure, forming relationships, and social
cooperation [17] [18] [15] . Freud regarded sex as a primary motivation within this category,
believing humans are fundamentally pleasure-seeking beings [15] [16] .
Psychic Energy (Libido): The psychic energy associated with the life instincts is called the
libido [16] . This energy drives a person toward pleasurable thoughts and behaviors. The
libido can be invested in a person or object, a concept Freud termed "cathexis" [16] .
Role in Personality: Much of Freud's theory of personality revolves around the need to
manage, inhibit, or redirect the sexual longings that arise from Eros [16] .

Thanatos (Death Instincts)

In contrast to the life-affirming nature of Eros, Freud proposed the existence of death instincts,
known as Thanatos [19] [15] . This concept refers to an unconscious drive toward decay,
destruction, and aggression [16] . Freud theorized that all living things have an unconscious
desire to return to the inanimate state from which they came [19] [16] .
Purpose and Behaviors: Thanatos manifests in risky or aggressive behaviors, such as
starting fights, engaging in dangerous stunts, or other actions that show a disregard for
survival [17] [15] . This instinct can be directed inward, leading to self-destruction, or outward
toward others [15] .
The Aggressive Drive: A primary component of the death instinct is the aggressive drive,
which Freud described as the death wish turned against objects other than the self [16] . It is
the force that compels us to conquer, destroy, and kill [16] . Freud came to believe that
aggression was as compelling a part of human nature as sex [16] .
Theoretical Origins: The theory of Thanatos was developed later in Freud's career, partly
as an attempt to explain the large-scale destruction and aggression he witnessed during
World War I [19] .

Instincts as the Foundation of Personality

In Freud's model of the mind, instincts are the ultimate source of all psychic energy and
motivation [16] .
The Id, the most primitive part of the personality, is the reservoir for this instinctual energy
and operates on the "pleasure principle," seeking immediate gratification for all instinctual
needs [16] .
The Ego develops to mediate between the Id's primal desires and the constraints of the real
world, finding realistic and socially acceptable ways to satisfy these instincts [16] .
 Freud believed that the diversity of human behavior, as well as our adult interests,
preferences, and attitudes, is a result of the redirection of our original instinctual energy
toward different activities and substitute objects [16] .
⁂

Free association in freud

Free association is a foundational technique in psychoanalysis, developed by Sigmund Freud,
where a patient expresses their thoughts exactly as they occur, without censorship or
filtering [20] [21] . The goal is to gain access to the unconscious mind by following a chain of
thoughts that can reveal repressed memories, internal conflicts, and desires [20] [22] [23] .

Origins and Purpose

Freud developed the method of free association between 1892 and 1898 as a replacement for
hypnosis, which he found to be fallible [24] [25] [23] . He believed that hypnosis did not allow
patients to consciously work through their own material; instead, they were merely repeating an
analyst's suggestions [20] . Free association, in contrast, empowers patients to speak for
themselves and uncover crucial memories while fully conscious [20] [23] .
The technique is based on Freud's theory of psychic determinism, which posits that all mental
activity, even seemingly random thoughts, has an unconscious root [24] . By speaking freely, a
patient can bypass their internal censor and defense mechanisms—such as transference,
projection, and resistance—which normally block painful or embarrassing thoughts from
consciousness [24] [26] [25] . The ultimate purpose is to make the unconscious conscious, bringing
these hidden thoughts and feelings to the surface where they can be analyzed and
integrated [27] [24] .

The Process
In a traditional psychoanalytic session, the patient would often lie on a couch, a position
intended to promote relaxation, while the therapist sat out of view [21] [24] . The therapist would
instruct the patient to share anything and everything that comes to mind, no matter how
unimportant, incoherent, absurd, or unpleasant it may seem [21] [25] . This instruction is what Freud
called the "fundamental rule" of psychoanalysis: to be completely honest and hold nothing
back [20] .
The patient's expression can be a non-linear stream of words, images, daydreams, or
memories [27] [25] . For example, a stream of consciousness might sound like: "camel; green
blanket; drive; cereal; rainy morning" [26] . The content itself is important, but Freud was also
interested in the movement and connections between ideas, as well as the moments where the
flow of thought gets blocked [27] .
The therapist's role is not to direct the conversation but to listen carefully in a non-judgmental
atmosphere, looking for recurring themes, patterns, and underlying conflicts that emerge from
the patient's spontaneous thoughts [20] [21] . By analyzing this material, the therapist helps the
patient understand their psychic structure and the unconscious processes influencing their
behavior [21] [27] .

Free Association Today

While central to classical psychoanalysis, the practice of free association has evolved. In modern
psychodynamic therapy, the technique is often more collaborative [27] .
Patients typically sit in a chair facing the therapist rather than lying on a couch [27] .
The patient is a conscious participant, not hypnotized [27] .
While the core principle of uncensored speech remains, the goal is a journey of co-discovery
between the patient and therapist to enhance the patient's integration of thought, feeling,
and selfhood [20] [27] .
The technique is used to understand the roots of current fears, get behind psychological blocks,
and increase conscious understanding of emotions [27] . By allowing thoughts to flow freely,
patients can discover surprising connections, unearth buried emotions, and better understand
how their past impacts their present [27] [22] .
⁂

Answers the short questions

Based on the provided exam paper, here are the answers to the questions.

Multiple Choice Questions

13. Contingency management involves:
c) Reinforcing desired behaviors and withholding reinforcement for undesired
behaviors. Contingency management is a form of behavioral therapy where individuals
are rewarded for positive behavioral changes, such as meeting treatment goals like
sobriety [28] [29] [30] . It is based on the principle of operant conditioning, where behavior
is shaped by its consequences [31] [30] .
14. The four primary DBT skills modules are:
b) Mindfulness, Distress Tolerance, Emotion Regulation, Interpersonal
Effectiveness. Dialectical Behavior Therapy (DBT) is built upon four core skills modules.
Mindfulness and Distress Tolerance are considered "acceptance skills," while Emotion
Regulation and Interpersonal Effectiveness are "change skills" [32] .
15. Reinforcement given immediately after behavior is:
c) More effective than delayed reinforcement. According to the principles of
behavioral analysis, a behavior that is reinforced in close temporal proximity to its
occurrence is more likely to increase in frequency [29] .
16. Online therapy is not recommended as the primary mode of intervention for:
b) Clients in acute crisis or at high suicide risk. While online therapy can be effective
for a broad range of mental health conditions, including severe issues, it is generally not
 recommended for individuals in acute crisis or at high risk of suicide who require
immediate, in-person intervention for safety management [33] .
17. Empathic understanding involves:
c) Entering the client's world and understanding it. Empathic understanding, a core
concept in client-centered therapy, involves the therapist's ability to accurately
perceive the client's internal world and feelings as if they were their own, but without
losing the "as if" quality.
18. Which of the following best illustrates a violation of privacy:
b) Observing a person's behavior in a private space without consent. A violation of
privacy involves the unauthorized collection or handling of an individual's personal
information or intrusion into their private life [34] . Observing someone in a private space
without their permission is a direct infringement of their reasonable expectation of
privacy.
19. Regression is seen when an adult:
c) Returns to earlier developmental behaviors. Regression is a psychological defense
mechanism where an individual copes with stress or anxiety by reverting to behaviors
characteristic of an earlier stage of development.
20. In contingency management, a contingency contract typically includes:
c) A written agreement on behavior-reward relationships. Since contingency
management works by providing rewards for specific behaviors (e.g., negative drug
tests), a contract would formalize this relationship, outlining which behaviors will be
reinforced and what the rewards will be [29] [30] .

Short Questions
i. Write the names of common substances of abuse?
Commonly abused substances fall into several categories, including:
Depressants: Alcohol, benzodiazepines (e.g., Xanax), and barbiturates.
Opioids: Heroin, fentanyl, and prescription painkillers (e.g., oxycodone).
Stimulants: Cocaine, methamphetamine, and amphetamines (e.g., Adderall).
Hallucinogens: LSD, psilocybin (mushrooms), and PCP.
Cannabinoids: Marijuana (cannabis).
ii. Define operant conditioning and write the names of its types?
Operant conditioning is a learning process where behavior is shaped and maintained by its
consequences [31] [30] . The core idea is that behaviors followed by reinforcement will increase in
frequency, while behaviors followed by punishment will decrease.
The four main types are:
1. Positive Reinforcement: Adding a desirable stimulus to increase a behavior (e.g., giving a
prize for a negative drug test) [28] .
 2. Negative Reinforcement: Removing an aversive stimulus to increase a behavior (e.g., a car
stops beeping when you fasten your seatbelt).
3. Positive Punishment: Adding an aversive stimulus to decrease a behavior (e.g., scolding a
child for misbehaving).
4. Negative Punishment: Removing a desirable stimulus to decrease a behavior (e.g., taking
away a teenager's phone for breaking curfew).
iii. What is the role of macro-level intervention in addiction?
Macro-level interventions in addiction address the issue on a societal, community, or large-scale
population level, rather than focusing on the individual. The primary role is to create a broad
environment that prevents substance use and supports recovery. This includes:
Public Policy: Implementing laws such as increased taxes on alcohol, restrictions on
tobacco advertising, and funding for public treatment facilities.
Prevention Programs: Instituting widespread educational campaigns in schools and
communities to inform the public about the risks of addiction.
Reducing Stigma: Launching public health initiatives that frame addiction as a medical
disease to encourage individuals to seek help without shame.
iv. Define unconditional positive regard with the help of example?
Unconditional positive regard is a concept from humanistic psychology, meaning to accept and
support a person completely, regardless of what they say or do. It involves expressing care and
being non-judgmental.
Example: A therapist's client confesses to having engaged in behavior that is illegal or that
they are deeply ashamed of. The therapist listens without showing shock or condemnation,
communicating that while the behavior may not be positive, the client is still a person of
value and worth. This creates a safe space for the client to be honest.
v. Differentiate online therapy and physical therapy?
Assuming "physical therapy" is a typo for "in-person therapy," the differentiation is as follows:

Feature Online Therapy In-Person Therapy

Therapy is conducted remotely via internet-based Sessions take place face-to-face in a

Delivery tools like video calls, text messaging, or physical location like a therapist's
dedicated apps [33] . office or clinic.

Highly accessible; removes geographical barriers Limited by geography and fixed

Accessibility
and offers flexibility in scheduling [33] . appointment times; requires travel.

Allows for direct observation of body

Relies on digital communication, which may limit
Communication language, tone, and other non-verbal
the observation of subtle, non-verbal cues.
cues.

Effective for many conditions but generally not Better suited for managing acute
Suitability recommended for individuals in acute crisis who crises, as the therapist is physically
need immediate hands-on support [33] . present to intervene if necessary.

vi. Elaborate any two types of disputing in REBT?

In Rational Emotive Behavior Therapy (REBT), disputing is used to challenge a client's irrational
beliefs. Two common types are:
 1. Empirical Disputing: This involves questioning the factual evidence supporting an irrational
belief. The therapist helps the client act like a scientist examining the data.
Example: If a client believes, "Everyone must like me," the therapist might ask, "Where
is the evidence that everyone in the world has to like you? Have you ever met someone
that not everyone liked?"
2. Functional Disputing: This technique focuses on the practical consequences of holding an
irrational belief. The therapist questions whether the belief is helpful or harmful to the client.
Example: For the same belief, the therapist could ask, "How is holding onto the belief
that everyone must like you working for you? Does it make you feel more anxious or less
anxious in social situations?"
vii. Define any two defense mechanisms with example?
Defense mechanisms are unconscious psychological strategies used to cope with reality and
protect oneself from anxiety. Two examples are:
1. Denial: Refusing to acknowledge an external reality or fact that is too painful to accept.
Example: An individual who is a functioning alcoholic insists they do not have a drinking
problem, despite their family's concerns and related health issues.
2. Projection: Attributing one's own unacceptable thoughts, feelings, or motives to another
person.
Example: A person who is harboring feelings of aggression toward a coworker believes
that the coworker is hostile and aggressive toward them instead.
viii. Elaborate components or processes of observational learning?
Observational learning, a key part of Albert Bandura's Social Learning Theory, involves learning
by watching others. It consists of four processes:
1. Attention: To learn, an individual must pay attention to the model's behavior. The more
striking or interesting the model, the more likely they are to be observed.
2. Retention: The observer must be able to remember the behavior they witnessed. This
involves creating a mental representation of the action.
3. Reproduction: The observer must have the physical and cognitive capability to perform the
behavior they have stored in memory.
4. Motivation: The observer must be motivated to replicate the behavior. This motivation is
often influenced by seeing the model receive a reward (vicarious reinforcement) or
punishment for their actions.
ix. Define ABCDE model of REBT?
The ABCDE model is the central framework of Rational Emotive Behavior Therapy (REBT) used to
understand and change psychological disturbances:
A - Activating Event: An event or situation that triggers a response.
B - Beliefs: The individual's rational or irrational beliefs about the event.
C - Consequences: The emotional and behavioral consequences that result from the beliefs
(not the event itself).
 D - Disputation: The process of challenging and questioning the irrational beliefs.
E - Effective New Philosophy: The development of a more rational belief system, which
leads to healthier emotions and behaviors.
x. Differentiate between substance use disorder and substance abuse disorder?
The main difference is that these terms come from different versions of the Diagnostic and
Statistical Manual of Mental Disorders (DSM) and represent a shift in clinical understanding.
Substance Abuse Disorder (Outdated Term): In the DSM-IV, "Substance Abuse" was a
specific diagnosis, considered less severe than "Substance Dependence." It was defined by
a pattern of use leading to negative life consequences (e.g., legal problems, failure to fulfill
obligations).
Substance Use Disorder (Current Term): In the current DSM-5, the separate categories of
abuse and dependence were merged into a single, comprehensive diagnosis called
"Substance Use Disorder" (SUD). SUD is measured on a continuum from mild to severe
based on the number of diagnostic criteria met. This change reflects the modern view that
substance-related problems exist on a spectrum rather than as two distinct categories.
⁂

Provide answer in detail

Based on the provided exam paper, here are detailed answers to the subjective questions.

Question 3: Write a detailed note on Dialectical Behavior Therapy (DBT)? (15)

Dialectical Behavior Therapy (DBT) is a comprehensive type of cognitive-behavioral therapy
specifically adapted for individuals who experience emotions with great intensity [35] . Originally
developed in the 1980s by Dr. Marsha Linehan to treat chronically suicidal individuals diagnosed
with borderline personality disorder (BPD), its application has since expanded to treat other
conditions like depression, eating disorders, PTSD, and substance use disorders [36] [37] [35] .
Core Principles
The term "dialectical" refers to the process of synthesizing two opposites [35] . The central
dialectic in DBT is the balance between acceptance and change [37] . The therapist works to
validate and accept the client exactly as they are in the present moment, while simultaneously
helping them learn skills to change their maladaptive behaviors and build what Dr. Linehan calls
"a life worth living" [38] [37] . This non-judgmental approach aims to help clients understand and
accept their difficult feelings while also learning the skills needed to manage them and make
positive life changes [36] [35] .
Who Can Benefit?
DBT has a strong evidence base for treating the most severe symptoms of BPD, including self-
injury and suicide attempts [36] . However, its core skills training can be beneficial for anyone who
struggles with emotional dysregulation—the experience of emotions that are more frequent,
intense, and rapid than average [36] .
Structure and Components
A full DBT program is multifaceted and typically includes four main components designed to help
clients learn and apply new skills [38] :
1. Individual Therapy: These are typically weekly sessions where the therapist helps the client
stay motivated and apply DBT skills to specific challenges in their life. Clients often keep a
diary card to track emotions and behaviors, which is reviewed in sessions to set a target
agenda [38] .
2. Group Skills Training: This component functions more like a classroom than traditional
group therapy [38] . In a group setting, clients learn the four core DBT skills modules:
Mindfulness: The foundational skill of being fully aware and present in the current
moment without judgment.
Distress Tolerance: Skills for accepting and surviving crises and painful emotions
without resorting to problematic behaviors.
Emotion Regulation: Skills for understanding, managing, and changing intense
emotions.
Interpersonal Effectiveness: Skills for navigating relationships, maintaining self-
respect, and getting one's needs met effectively.
3. Phone Coaching: Clients can call their therapist for in-the-moment coaching on how to use
DBT skills to cope with difficult situations as they arise in their everyday lives.
4. Therapist Consultation Team: DBT therapists meet regularly as a team to support each
other, manage burnout, and ensure they are providing the treatment effectively and
adherently.

Question 4: Write a note on risk and protective factors influencing substance

misuse? (10)
The development of substance misuse and substance use disorders is influenced by a complex
interplay of risk factors that increase the likelihood of a negative outcome and protective factors
that reduce it [39] . Effective prevention and intervention strategies focus on reducing these risks
while strengthening protections [39] .
Risk Factors
Risk factors are characteristics at the biological, psychological, family, or community level that
precede and are associated with a higher chance of developing a substance use disorder [39] .
The more risk factors an individual has, the greater their vulnerability [40] . It's important to note
that many of these factors are not a result of individual choice but are facets of genetics,
environment, and life circumstances [40] .
Examples include:
Biological/Individual Factors: A genetic predisposition to addiction, early-life trauma,
chronic stress, or prenatal exposure to alcohol [40] [39] .
Environmental Factors: Having a family history of addiction, peers who use drugs, financial
instability, or adverse childhood experiences (ACEs) are significant variable risk factors [40]
 [39] .

Protective Factors
Protective factors are characteristics that are associated with a lower likelihood of substance
misuse or that can buffer the impact of existing risk factors [39] . They can be thought of as
positive, countering forces [39] .
Examples include:
Individual Factors: A positive self-image, strong self-control, good social competence, and
an optimistic outlook can help protect an individual [40] [39] .
Environmental Factors: Having healthy and supportive relationships with family and peers,
as well as financial stability, can lessen a person's risk [40] .
Even when multiple risk factors are present, substance misuse is not inevitable [40] . A strong
network of protective factors can significantly mitigate an individual's risk and promote
resilience.

Question 5: Elaborate techniques of Psychoanalysis? (10)

Psychoanalysis is a set of theories and therapeutic techniques aimed at discovering unconscious
processes and understanding their influence on conscious thought and behavior [41] . The goal is
to bring repressed conflicts and desires into conscious awareness, where they can be worked
through. Classical psychoanalytic technique involves several key methods [41] .
1. Free Association: This is the fundamental rule of psychoanalysis. The patient is instructed
to say whatever comes to mind, without censoring or filtering their thoughts, no matter how
random, embarrassing, or trivial they may seem. The analyst listens for patterns, slips of the
tongue (Freudian slips), and points of resistance to uncover links to the unconscious [41] .
2. Dream Interpretation: Freud called dreams "the royal road to the unconscious." In therapy,
the patient shares the content of their dreams, and the analyst helps them explore their
thoughts and feelings about the dream's elements. This process is used to uncover
unconscious wishes, fears, and conflicts that may be symbolically represented in the
dream [41] .
3. Analysis of Resistance: Resistance refers to the patient's unconscious attempts to block or
avoid bringing threatening material to consciousness. This can manifest as changing the
subject, missing appointments, or "forgetting" thoughts. The analyst doesn't see resistance
as a problem but as a crucial part of the therapy to be interpreted. By showing the patient
how they are avoiding their problems, the analyst helps them understand their underlying
conflicts [41] .
4. Analysis of Transference: Transference occurs when a patient unconsciously redirects
feelings and attitudes from a person in their past (often a parent) onto the therapist. For
example, a patient might feel intense anger or adoration toward the analyst that is rooted in
past relationships. The analyst uses the transference relationship as a tool, interpreting it to
show the patient how old conflicts continue to arise in their current relationships [41] .
Other techniques an analyst may use include clarification (rephrasing the patient's words),
confrontation (bringing a defense to the patient's attention), and interpretation (explaining
connections between the patient's past and present) [41] .

Question 6: Elaborate transtheoretical model for addictive behavior with

examples? (10)
The Transtheoretical Model (TTM), also known as the Stages of Change model, was developed
by James Prochaska and Carlo DiClemente. It is a framework for understanding how individuals
intentionally change addictive or other problematic behaviors. The model posits that change is a
process that unfolds over time through a series of distinct stages. People can progress through
the stages, but they can also regress to earlier stages, making the process cyclical rather than
linear.
The core stages are:
1. Precontemplation (Not Ready): In this stage, individuals are not intending to change their
behavior in the foreseeable future (typically the next six months). They are often unaware
that their behavior is problematic or may be in denial about its negative consequences.
Example: A person who drinks heavily every night says, "I don't have a drinking
problem. I just like to unwind, and I can handle it. Everyone is overreacting."
2. Contemplation (Getting Ready): Individuals in this stage are aware that a problem exists
and are seriously thinking about overcoming it, but they have not yet made a commitment to
take action. They are often ambivalent, weighing the pros and cons of changing their
behavior.
Example: The same person now admits, "I think my drinking might be hurting my health
and my family. I should probably cut back, but I'm not sure I'm ready to give it up
completely."
3. Preparation (Ready): In this stage, individuals are intending to take action in the immediate
future (usually within the next month). They may have already started taking small steps
toward the behavior change.
Example: The person decides, "I'm going to stop drinking starting next week." They
might search for local support groups, tell their friends about their decision, and remove
all alcohol from their home.
4. Action: This is the stage where individuals have made specific, overt modifications in their
lifestyles within the past six months. This requires a significant commitment of time and
energy to actively change their behavior and environment.
Example: The person has stopped drinking and is now regularly attending Alcoholics
Anonymous (AA) meetings, avoiding bars and social situations centered on alcohol, and
learning new ways to cope with stress.
5. Maintenance: In this stage, people are working to prevent relapse and consolidate the
gains attained during the action stage. The maintenance stage is considered to have been
reached when a person has sustained their behavior change for over six months.
Example: After nine months of sobriety, the person continues to use the strategies they
learned, feels confident in their ability to stay sober, and may serve as a sponsor for
someone new to recovery.
Relapse is often considered a sixth stage or an element that can occur at any point. It involves a
return to the old behavior. In the TTM, relapse is not seen as a failure but as a learning
opportunity that can help the individual re-engage with the change process, often returning to
the Contemplation or Preparation stage.
⁂

add more detail in each question

Based on the provided exam paper [42] , here are detailed answers to the subjective questions,
incorporating additional information for depth and clarity.

Question 3: Write a detail note on Dialectical Behavior Therapy (DBT)? (15)

Dialectical Behavior Therapy (DBT) is a comprehensive, evidence-based form of psychotherapy
developed by Dr. Marsha Linehan in the late 1980s [43] [44] . It is a type of cognitive-behavioral
therapy (CBT) specifically adapted for individuals who experience emotions with great intensity
[45] [46] . While initially designed to treat chronically suicidal individuals diagnosed with borderline
personality disorder (BPD), its application has since been proven effective for a range of other
conditions, including depression, eating disorders, post-traumatic stress disorder (PTSD), and
substance use disorders [43] [44] .
The Core Dialectic: Acceptance and Change
The term "dialectical" refers to the synthesis of opposites [47] . The central dialectic in DBT is the
balance between acceptance and change [45] . The therapist works to validate and accept
clients exactly as they are in the present moment, while simultaneously coaching them to learn
skills that foster positive changes [43] [47] . This non-judgmental approach helps clients
understand and accept their difficult feelings while also empowering them to manage those
feelings and build what Dr. Linehan calls "a life worth living" [43] .
The Four Components of Standard DBT
A comprehensive DBT program is multifaceted and typically includes four main components
designed to help clients learn and apply new skills in their daily lives:
1. Individual Therapy: Weekly one-on-one sessions where the therapist helps the client stay
motivated and apply DBT skills to specific life challenges. Clients often use diary cards to
track emotions and behaviors, which helps set the agenda for each session.
2. Group Skills Training: This component functions like a class where clients learn the core
DBT skills in a group setting. The group environment provides support and allows for
practice [46] .
3. Phone Coaching: Clients can call their therapist for in-the-moment coaching on how to use
DBT skills to cope with difficult situations as they arise. This helps generalize the skills from
the therapy room to real-world scenarios.
4. Therapist Consultation Team: DBT therapists meet regularly as a team to support each
other, manage burnout, and ensure they are providing the treatment with fidelity to the
model.
The Four Core Skills Modules
DBT is organized around four key skill sets that are taught in the group sessions:
Mindfulness: The foundational skill. It involves learning to be fully aware and present in the
current moment without judgment, moving beyond reactive states.
Distress Tolerance: Teaches skills for accepting reality and surviving crises and painful
emotions without resorting to problematic or self-destructive behaviors.
Emotion Regulation: Helps clients understand, manage, and change the intense emotions
that cause them problems in their lives.
Interpersonal Effectiveness: Provides skills for navigating relationships, maintaining self-
respect, and asserting one's needs and wants effectively.
Stages of Treatment
DBT treatment is structured in four stages, organized by the severity of the client's behaviors
[47] :

Stage 1: The primary focus is on stabilizing the client and achieving behavioral control,
especially for life-threatening behaviors like self-harm and suicide attempts.
Stage 2: Once behavior is controlled, the focus shifts to helping the client move from a state
of "quiet desperation" to experiencing emotions fully without shutting down.
Stage 3: The challenge is to learn to live a life of ordinary happiness and unhappiness,
defining life goals and building self-respect.
Stage 4: For some, this stage involves finding deeper meaning, often through a spiritual or
existential path.

Question 4: Write a note on risk and protective factors influencing substance

misuse? (10)
The development of substance misuse is not caused by a single factor but rather by a complex
interplay between risk factors, which increase the likelihood of substance use, and protective
factors, which reduce that likelihood or buffer the impact of risks [48] [49] . Effective prevention
strategies aim to reduce these risk factors while strengthening protective ones [50] . The balance
between these two sets of factors ultimately determines an individual's vulnerability to
developing a substance use disorder [50] .
Risk Factors
Risk factors are characteristics at the biological, psychological, family, or community level that
are associated with a higher chance of developing a substance use disorder [48] . The more risk
factors an individual is exposed to, the greater their vulnerability.
Key risk factors include:
Individual/Biological: A genetic predisposition or family history of addiction [48] [49] .
Engaging in substance use at a young age [51] . Experiencing emotional distress,
rebelliousness, or having favorable attitudes toward substance use [51] .
 Family: A chaotic home environment involving family conflict, abuse, or neglect [49] . Lack
of parental supervision, unclear expectations, or inconsistent punishment [51] . Favorable
parental attitudes toward substance use or having family members who use substances
[49] .

Peer/Community: Having peers who use substances [51] . High availability of drugs and
alcohol in the community or school [49] . Low socioeconomic status or living in a
neighborhood where substance use is normalized [49] . Academic failure or a lack of
commitment to school [51] .
Protective Factors
Protective factors are positive influences that can counteract risk factors and are associated
with a lower likelihood of negative outcomes [48] . They help individuals develop coping skills
and resiliency [49] [50] .
Key protective factors include:
Individual: A positive self-image, high self-esteem, strong self-control, and good problem-
solving skills [48] [49] . The ability to be resilient in the face of stress and change [49] .
Family: Strong bonds with family and parental involvement in a child's life [49] [50] . Clear
and consistent parental expectations regarding substance use [49] .
Community/School: Strong bonds with school and community institutions [49] . Having
positive mentoring relationships and opportunities for pro-social involvement, such as after-
school activities [50] . Recognition for positive behavior and achievements [49] .
Understanding this balance allows for targeted interventions. For example, knowing that a family
history of addiction is a risk factor can empower parents to focus on strengthening protective
factors like open communication and parental involvement to reduce their children's risk [50] .

Question 5: Elaborate techniques of Psychoanalysis? (10)

Psychoanalysis, developed by Sigmund Freud, is a therapeutic approach based on the premise
that unconscious conflicts are the root of psychological issues [52] . Its techniques are designed
to bring these repressed thoughts, feelings, and memories into conscious awareness so they can
be understood and resolved [53] [52] . The classical technique involves several core methods.
1. Free Association: This is the foundational technique and the "fundamental rule" of
psychoanalysis. The patient is encouraged to talk freely about whatever comes to mind,
without any censorship or filtering [52] . The analyst pays close attention to this stream of
consciousness, looking for hidden meanings, slips of the tongue (Freudian slips), and
interruptions that may signal the emergence of repressed, anxiety-arousing material. The
goal is to follow the associative pathways to uncover unconscious conflicts [52] .
2. Dream Analysis: Freud called dreams "the royal road to the unconscious," believing they
are a primary means for expressing unconscious desires and fears that are too threatening
for conscious life [52] . In this technique, the patient reports their dreams, and the analyst
helps them explore the symbolic meanings. The analysis distinguishes between the
manifest content (the dream's storyline) and the latent content (the hidden, symbolic
meaning), to reveal unconscious intentions [52] .
 3. Analysis of Resistance: Resistance refers to the patient's unconscious attempts to block or
avoid bringing threatening material to consciousness [52] . This can manifest in behaviors like
refusing to speak, changing the subject, being late for appointments, or forgetting what one
was about to say. The analyst does not view resistance as an obstacle but as a crucial clue
to be interpreted. By identifying and interpreting the patient's resistance, the analyst helps
them understand what conflicts are particularly troubling and how they avoid them [53] [52] .
4. Analysis of Transference: Transference occurs when a patient unconsciously redirects
feelings and attitudes from a significant person in their past (often a parent) onto the
therapist [52] . For example, a patient might feel unwarranted anger, idealization, or
dependency toward the analyst. The analyst typically functions as a "blank screen" to allow
these feelings to emerge clearly. By interpreting the transference, the analyst helps the
patient understand how their past relationships continue to shape their present-day
functioning and interactions [53] [52] .

Question 6: Elaborate transtheoretical model for addictive behavior with

examples? (10)
The Transtheoretical Model (TTM), also known as the Stages of Change model, was developed
by James Prochaska and Carlo DiClemente to understand how intentional behavioral change
occurs [54] . It is a dominant framework in addiction treatment, positing that change is a process
that unfolds over time through a series of distinct stages. This process is often cyclical, meaning
individuals can progress through the stages but may also regress to earlier ones [55] [54] .
The model is composed of five primary stages, with relapse often considered part of the overall
process:
1. Precontemplation (Not Ready): In this stage, individuals do not intend to change their
behavior in the foreseeable future (usually the next six months). They are often unaware that
their behavior is problematic, a state sometimes described as "denial."
Example: A person who binges on video games every night, causing them to neglect
work and relationships, insists, "I don't have a problem. Gaming is just how I relax, and I
can stop whenever I want to."
2. Contemplation (Getting Ready): Individuals in this stage are aware that a problem exists
and are seriously thinking about changing, but they have not yet made a commitment to
take action. They are typically ambivalent, weighing the pros and cons of changing their
behavior.
Example: After receiving a warning at work for poor performance, the person thinks,
"Maybe my gaming is getting out of hand and causing problems. I should probably cut
back, but I'm not sure I'm ready to give it up entirely."
3. Preparation (Ready): In this stage, individuals intend to take action in the immediate future
(usually the next month). They may have already started taking small steps toward change,
such as creating a plan.
Example: The person decides, "I'm going to limit my gaming to one hour per night
starting next week." They uninstall some games from their computer, research other
hobbies, and tell a friend about their plan to get support.
 4. Action: This is the stage where individuals have made specific, overt modifications in their
behavior and lifestyle within the past six months. This requires a significant commitment of
time and energy.
Example: The person is now consistently sticking to their one-hour gaming limit. They
have joined a local sports team to fill their evenings and are actively practicing new
coping strategies when they feel the urge to play games excessively.
5. Maintenance: In this stage, individuals are working to prevent relapse and consolidate the
gains they made during the action stage. Maintenance is typically defined as having
sustained the new behavior for over six months.
Example: After nine months of controlled gaming, the person no longer struggles with
the urge to play for hours. Their new lifestyle feels normal, and they are confident in
their ability to maintain this change long-term.
Relapse is a return to the old behavior. In the TTM, relapse is not seen as a failure but as a
learning opportunity that can help the individual re-engage with the change process, often by
returning to the Contemplation or Preparation stage with new insights [54] . The model's strength
lies in its ability to tailor interventions, such as Motivational Interviewing, to an individual's
specific stage of readiness, which has been shown to enhance treatment outcomes [55] .
⁂

Choose the correct answer

Here are the correct answers to the multiple-choice questions from the provided exam paper:
1. Which of the following is not one of Roger’s core therapeutic conditions?
Answer: c) Transference
2. Which level of intervention focus on the family, peers, and social networks?
Answer: a) Micro level
3. One key advantage of online therapy is:
Answer: d) Greater access for clients in remote areas
4. Reinforcement increases the likelihood of:
Answer: a) Weakening a behavior
(Note: This seems counterintuitive; typically reinforcement increases the likelihood of a
behavior. Possibly a typo in the question or options. If the question is about reinforcement,
the correct answer should be "strengthening a behavior." Please verify.)
5. Which situation requires breaching confidentiality?
Answer: d) Emergency protocol
6. Reinforcement increases the likelihood of:
Answer: a) Weakening a behavior
(Same note as #4.)
7. A client complains about work, shares issues taken economy to shape social skills. This
uses:
Answer: b) Role play
 8. A unique component of DBT that supports therapists is:
Answer: b) Consultation team
9. Negative punishment and real concepts used to describe:
Answer: a) Operant conditioning
10. Client-Centered Therapy is considered:
Answer: b) Non-directive therapy
11. Who developed Dialectical Behavior Therapy (DBT)?
Answer: b) Marsha Linehan
12. The behavioral therapy family functions to:
Answer: c) Maintain balance
Please note that for questions 4 and 6, the answer options and question wording seem
inconsistent with typical behavioral psychology principles. Reinforcement usually increases
(strengthens) behavior rather than weakens it. If possible, double-check the original question
text or clarify the intended meaning.
If you want, I can also help explain the rationale behind each correct answer.
⁂

1. https://statistics.laerd.com/spss-tutorials/independent-t-test-using-spss-statistics.php
2. https://libguides.library.kent.edu/spss/independentttest
3. https://statistics.laerd.com/spss-tutorials/one-way-anova-using-spss-statistics.php
4. https://usq.pressbooks.pub/statisticsforresearchstudents/chapter/one-way-anova-assumptions/
5. https://explorable.com/one-way-anova
6. https://www.scribbr.com/statistics/one-way-anova/
7. https://www.jmp.com/en_ca/statistics-knowledge-portal/one-way-anova.html
8. http://derekogle.com/Book207/ANOVA1Assumptions.html
9. https://www.britannica.com/science/Oedipus-complex
10. https://www.simplypsychology.org/oedipal-complex.html
11. https://en.wikipedia.org/wiki/Oedipus_complex
12. https://www.healthline.com/health/oedipus-complex
13. https://en.wikipedia.org/wiki/Electra_complex
14. https://www.ebsco.com/research-starters/psychology/electra-complex
15. https://www.simplypsychology.org/instinct-theory-of-motivation.html
16. https://www.scribd.com/presentation/729870153/Sigmund-Freud-Theories
17. https://study.com/learn/lesson/instinct-theory-motivation-overview-examples.html
18. https://www.verywellmind.com/life-and-death-instincts-2795847
19. https://www.cla.purdue.edu/academic/english/theory/psychoanalysis/definitions/instinct.html
20. https://en.wikipedia.org/wiki/Free_association_(psychology)
21. https://www.mentesabiertaspsicologia.com/blog-psicologia/what-is-free-association-in-psychoanalysis
22. https://study.com/academy/lesson/what-is-free-association-definition-lesson-test.html
23. https://www.wikidoc.org/index.php/Free_association
24. https://studylib.net/doc/7293037/free-association
25. https://www.goodtherapy.org/blog/psychpedia/free-association-in-therapy/
26. https://copecentre.org/what-is-free-association/
27. https://psychcentral.com/health/free-association-therapy
28. https://pa.highfocuscenters.com/what-is-contingency-management-therapy/
29. https://pmc.ncbi.nlm.nih.gov/articles/PMC3083448/
30. https://www.recoveryanswers.org/resource/contingency-management/
31. https://www.sciencedirect.com/science/article/abs/pii/S1077722915000255
32. https://elliottcounselinggroup.com/dbt-four-modules/
33. https://tinyeye.com/blog/unleashing-the-power-of-online-therapy-how-to-implement-effective-therapi
st-guided-internet-interventions.php
34. https://prowritersins.com/cyber-insurance-blog/violation-of-privacy/
35. https://www.mind.org.uk/information-support/drugs-and-treatments/talking-therapy-and-counselling/d
ialectical-behaviour-therapy-dbt/
36. https://www.health.harvard.edu/blog/dialectical-behavior-therapy-what-is-it-and-who-can-it-help-202
401223009
37. https://www.abct.org/fact-sheets/dialectical-behavior-therapy/
38. https://my.clevelandclinic.org/health/treatments/22838-dialectical-behavior-therapy-dbt
39. https://pressbooks.whccd.edu/hs045/chapter/5-2/
40. https://nida.nih.gov/research-topics/prevention
41. https://en.wikipedia.org/wiki/Psychoanalysis
42. WhatsApp-Image-2025-06-20-at-21.08.36_251fc0c3.jpg
43. https://www.yalemedicine.org/conditions/dialectical-behavior-therapy-dbt
44. https://en.wikipedia.org/wiki/Dialectical_behavior_therapy
45. https://my.clevelandclinic.org/health/treatments/22838-dialectical-behavior-therapy-dbt
46. https://www.mind.org.uk/information-support/drugs-and-treatments/talking-therapy-and-counselling/d
ialectical-behaviour-therapy-dbt/
47. https://www.camh.ca/en/health-info/mental-illness-and-addiction-index/dialectical-behaviour-therapy
48. https://pressbooks.whccd.edu/hs045/chapter/5-2/
49. https://www.in.gov/fssa/dmha/substance-misuse-prevention-and-mental-health-promotion/risk-and-pr
otective-factors-for-substance-use/
50. https://www.addictionpolicy.org/post/what-are-risk-and-protective-factors-for-addiction
51. https://www.samhsa.gov/sites/default/files/sptac-risk-protective-factors-substance-misuse-childhood.p
df
52. https://www.goodtherapy.org/learn-about-therapy/types/psychoanalysis
53. https://en.wikipedia.org/wiki/Psychoanalysis
54. https://www.transitionsky.org/news/transtheoretical-change-model
55. https://psychology.iresearchnet.com/health-psychology-research/transtheoretical-model/transtheoretic
al-model-in-addiction-treatment/