Clinical Practice SWES Practice Exam

In assessing a personality disorder, which of the following would not typically be included?

1. Object relations

2. Ego functioning

3. Transference material

4. The presence of hallucinations

The correct answer is: The presence of hallucinations

In the assessment of personality disorders, the presence of hallucinations would not typically be included. Personality disorders are characterized by enduring patterns of behavior, cognition, and inner experience that deviate markedly from cultural expectations. They generally manifest in ways that affect interpersonal functioning and self-identity but do not typically involve psychotic features such as hallucinations. The other aspects mentioned in the choices are relevant to the assessment of personality disorders. Object relations often focus on how individuals perceive and relate to others based on their internalized experiences with primary caregivers. Ego functioning refers to the patient's ability to maintain a realistic sense of self and manage emotions effectively, which is crucial for understanding the overall personality structure. Transference material involves the patient's reactions and projections during therapy sessions, providing insight into their interpersonal dynamics and relationship patterns, which are essential for diagnosing personality disorders. In contrast, hallucinations are indicative of psychotic disorders rather than personality disorders, which is why this aspect is excluded from typical assessment parameters for personality disorders.