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WorksheetsTOP Midterm Exam
Total questions: 60
Worksheet time: 45mins
A little girl expresses fear that her mother will be angry if she receives attention from her father. She often talks about "babies in the tummy" and fears "mommy will get mad." What is she experiencing?
Superego
Attachment Styles
Projective Identification
Oedipus Complex
A child who feels unloved by his parents starts believing that others hate him. Which defense mechanism is he using?
Projection
Phantasies
Splitting
Internalizations
A therapist observes that a client sees people as either "entirely good" or "completely bad" with no middle ground. This suggests the client is fixated in which position?
Projective Identification
Depressive Position
Paranoid-Schizoid Position
Superego
During therapy, a client reports alternately idealizing and devaluing their partner, calling them "perfect" one day and "a monster" the next. Which process explains this?
Splitting
Introjection
Ego
Oedipus Complex
A husband accuses his wife of being controlling. Eventually, the wife begins to act in a controlling way, even though she wasn't before. What mechanism best explains this interaction?
Phantasies
Projective Identification
Objects
Superego
A 4-month-old infant begins to show distress when the mother stops breastfeeding and becomes comforted when the feeding resumes. According to Klein, what inner representation drives the baby's reactions?
Phantasies
Superego
Introjection
Ego
A child incorporates the nurturing aspects of the mother's breast into their psyche, providing a sense of safety even when the mother is absent. This is an example of:
Internalizations
Objects
Attachment Styles
Splitting
A 3-year-old child fears being punished because of their imagined desires to harm their mother and possess their father. This fear comes from which psychic structure in Klein's theory?
Ego
Superego
Phantasies
Objects
A baby is soothed when breastfeeding and mentally "keeps" this good experience within herself for comfort. What process is this?
Projection
Phantasies
Introjection
Attachment Styles
A client develops a pattern of overly dependent relationships in adulthood, possibly due to unmet needs from the early caregiver. Which concept explains this developmental root?
Objects
Projective Identification
Superego
Phantasies
Klein believed that this structure of the mind exists from birth and is capable of managing anxiety using defense mechanisms.
Superego
Ego
Objects
Depressive Position
After months of viewing her mother as "bad" when hungry and "good" when fed, a baby starts recognizing that the mother is one whole person. She then tries to "repair" the inner damage caused by earlier hateful feelings. This developmental change marks what position?
Projective Identification
Oedipus Complex
Depressive Position
Internalizations
Leo carefully constructs an image of himself as flawless, confident, and superior. He takes great offense when anyone points out his mistakes and often brags about his achievements. What concept is this an example of?
Personal Admiration
Tyranny of the Should
Neurotic Pride
Basic Anxiety
Despite appearing cheerful, Rob secretly punishes himself with harsh thoughts and sabotages his own efforts. He feels like a failure for not being the person he "should" be.
Moving Toward People
Self-Hatred
Restrict One's Life
Neurotic Needs
Ella avoids promotions and public recognition. She says she prefers to "stay low-key" and believes being unnoticed is the safest way to live. Which neurotic need is this?
Self-Sufficiency
Restrict One's Life
Social Withdrawal
Perfectionism
Mark often thinks, "I've done enough, so people should treat me better." He feels upset when others don't act according to how he believes they should. What concept does this illustrate?
Idealized Self-Image
Neurotic Claims
Personal Admiration
Moving Against People
Nathan believes the world is full of manipulators and tries to outsmart everyone to stay on top. He dominates group projects and dislikes showing vulnerability.
Self-Hatred
Moving Away from People
Moving Against People
Basic Anxiety
Sophia constantly checks her social media for approval. When she doesn't receive much attention, she questions her worth.
Perfectionism
Personal Admiration
Social Recognition or Prestige
Neurotic Needs
Carla prefers to be admired for her intelligence and creativity. She becomes visibly upset when others don't notice or praise her unique talents. Which neurotic need is dominant?
Self-Sufficiency
Moving Away from People
Personal Admiration
Social Recognition
Mia is exhausted from striving to be the perfect daughter, employee, and friend. She feels compelled to meet every expectation, often saying, "I should always do better."
Idealized Self-Image
Tyranny of the Should
Self-Hatred
Neurotic Pride
As a child, James was emotionally neglected. Now, he feels deep resentment toward his parents, though he rarely expresses it. He instead acts out subtly in relationships.
Moving Against People
Basic Hostility
Self-Hatred
Detachment
Monica rarely socializes and avoids emotional involvement. She insists on doing everything alone because she believes needing others makes her weak.
Basic Hostility
Social Recognition or Prestige
Moving Away from People
Restrict One's Life
Anna constantly goes out of her way to help others, even to her own detriment. She fears that if she says "no," people will stop caring for her.
Moving Away from People
Idealized Self-Image
Self-Hatred
Moving Toward People
Lance sees himself as morally superior and destined for greatness. He refuses to acknowledge flaws and believes he is more entitled than others.
Self-Realization
Idealized Self-Image
Basic Anxiety
Moving Toward People
Even at 70, Lito feels a deep sense of peace when looking back at his life. He often shares advice with younger people and finds beauty in life's cycle. What virtue has Lito likely developed?
Competence
Wisdom
Love
Fidelity
Trisha, age 3, avoids joining group play or starting games. Her parents notice that she hesitates to act on her own ideas, as if she's scared she'll do something wrong. What core issue is she experiencing?
Inhibition
Withdrawal
Rejectivity
Role Confusion
After a series of failures, 9-year-old Jerome has lost interest in schoolwork and avoids trying new things. He says, "I'm not good at anything." What basic strength is likely underdeveloped?
Will
Competence
Love
Hope
At 25, Claire enjoys forming meaningful relationships and has the capacity to care deeply for others without losing her own identity. Which basic strength does she show?
Love
Will
Purpose
Wisdom
Ethan, a 1-year-old, has been neglected by his caregiver. Now, even when offered comfort, he avoids eye contact and appears emotionally distant. Which core pathology has likely developed?
Inertia
Withdrawal
Inhibition
Rejectivity
Even though she is only 5, Liana is determined to button her own shirt, pour her own drink, and make small decisions. She becomes frustrated if not allowed to try. Which basic strength is she developing?
Wisdom
Hope
Will
Competence
As a teenager, Marco cannot decide who he wants to be. He refuses to join clubs, changes career dreams weekly, and avoids discussions about the future. What core pathology is he showing signs of?
Inhibition
Role Repudiation
Rejectivity
Compulsion
Erikson described development as a series of stages that unfold in a predetermined order, where progress in one stage supports the next. What principle does this reflect?
Identity Crisis
Epigenetic Principle
Cultural Grounding
Cognitive Maturation
During adolescence, Mia struggles with balancing how others see her and how she sees herself. She begins asking, “Who am I really?”
What ego function is emerging?
Ego Identity
Body Ego
Ego Ideal
Superego
12-year-old Diego feels proud when he finishes math problems quickly and receives praise from his teacher. He starts seeing himself as “smart” and sets higher goals.
Which internal structure is shaping his self-image based on ideals?
Ego Identity
Ego Ideal
Role Identity
Will
A young adult named Alex refuses to care about the community or invest in long-term relationships. He says, “I’ll just live for myself.”
What core pathology does Alex display?
Inertia
Rejectivity
Withdrawal
Disdain
After a long illness, Joy feels embarrassed about her body and avoids social activities. She says, “I just don’t feel like myself anymore.”
What part of the ego is affected in her experience?
Ego Ideal
Ego Identity
Body Ego
Role Repudiation
Despite being in a committed relationship, Raul insists on checking his partner’s phone, controlling her schedule, and even dictates what she wears. He says, “I only do this because I care.”
What mechanism of escape is most evident in Raul's behavior?
Masochism
Sadism
Malignant Narcissism
Incestuous Symbiosis
Leah finds joy in helping others, expressing herself through her artwork, and nurturing her family. She feels truly alive and authentic in doing so.
Which concept best describes Leah’s situation?
Frame of Orientation
Marketing Orientation
Syndrome of Growth
Rootedness
Since moving to a new country, Amir has felt directionless and unsure about who he is. He constantly says, “I feel like I’m floating without roots.”
Which basic human need is most clearly threatened?
Receptive Orientation
Frame of Orientation
Rootedness
Incestuous Symbiosis
Marco, age 16, joins a political group not out of conviction, but because everyone at school is doing it. He adopts all their beliefs without thinking critically.
Which term best describes his adopted false identity?
Frame of Orientation
Herd Identity
Exploitative Orientation
Genuine Love
Rosa sees herself as a helpless victim. She avoids making decisions and always depends on others to “give” her what she needs in life.
Which character orientation does she represent?
Receptive Orientation
Exploitative Orientation
Sadism
Rootedness
Tom constantly feels overwhelmed by the pressures of life. Even with freedom and independence, he often says, “I feel completely alone and powerless.”
What concept does this reflect?
Basic Anxiety
Frame of Orientation
Incestuous Symbiosis
Transcendence
Maya believes that everything she needs—affection, ideas, money—should be taken from others. She is manipulative and cunning in social situations.
Which orientation fits her behavior best?
Exploitative Orientation
Marketing Orientation
Malignant Narcissism
Hoarding Orientation
Kurt is obsessively neat, holds on to old objects, resists new ideas, and avoids emotional expression. He says, “Everything has its place and should stay there.”
What personality orientation does Kurt show?
Receptive Orientation
Hoarding Orientation
Frame of Orientation
Basic Anxiety
Ever since childhood, Dana has struggled to develop a separate identity from her overprotective mother. She feels suffocated but cannot imagine being apart.
What condition is this an example of?
Frame of Orientation
Incestuous Symbiosis
Hoarding Orientation
Sadism
Franz believes that life is about having a personal philosophy. He often reflects on his beliefs and makes decisions based on clear values and meaning.
Which human need is Franz fulfilling?
Relatedness
Frame of Orientation
Sense of Identity
Transcendence
Julia speaks with deep care, respect, and understanding toward her partner. She encourages growth while maintaining emotional closeness and autonomy.
What Frommian concept does this best represent?
Genuine Love
Receptive Orientation
Marketing Orientation
Masochism
Carlos believes he is the most morally upright person in his workplace. He often judges others harshly, brags about his integrity, and reacts aggressively to criticism.
Which pathological trait is he exhibiting?
Exploitative Orientation
Malignant Narcissism
Authoritarianism
Hoarding Orientation
Despite being a gifted artist, Mina avoids showcasing her work. She says, “What if I succeed? People might expect more from me, and I’m not ready for that.”
Which concept best explains her fear of growth?
Metamotivation
Jonah Complex
Deficiency Motivation
Coping Behavior
After surviving a robbery, Leo becomes obsessed with checking locks, installing cameras, and avoiding unfamiliar places.
What level of need is dominating his behavior?
Esteem Needs
Safety Needs
Cognitive Needs
Expressive Behavior
A child constantly seeks affection, hugs their parents often, and becomes sad when ignored or left alone.
Which need is most active in this situation?
Aesthetic Needs
Esteem Needs
Love and Belongingness Needs
Jonah Complex
Carlos works hard and is well-respected in his field. He feels fulfilled, not just from success, but from knowing he’s becoming the person he’s meant to be.
Which need is he satisfying?
Esteem Needs
Safety Needs
Self-Actualization Needs
Deficiency Needs
Talia values truth, justice, and beauty in her daily life and feels most alive when she's aligned with these values.
What guides her motivation?
Jonah Complex
Esteem Needs
B-values
Marketing Orientation
Vincent prefers working in organized, harmonious spaces filled with natural light and art. He feels anxious in cluttered or noisy places.
What kind of need is most relevant here?
Aesthetic Needs
Love and Belongingness
Safety Needs
Hoarding Orientation
Even after satisfying his material needs, Ben feels driven to learn new languages and explore different cultures simply out of curiosity.
What type of need is motivating him?
Cognitive Needs
Love and Belongingness
Esteem Needs
Receptive Orientation
Marla constantly pursues social recognition and status. She becomes extremely anxious when she feels ignored or unimportant.
Her focus on validation suggests which type of need?
Esteem Needs
B-values
Aesthetic Needs
Rootedness
Sam frequently changes hobbies and social groups, chasing attention without meaningful connections. Despite having many friends, he feels empty.
This pattern is most consistent with:
Coping Behavior
Neurotic Needs
Peak Experience
B-values
Alana dances spontaneously whenever she hears music, not for attention or approval, but simply because it brings her joy.
What type of behavior is this?
Expressive Behavior
Coping Behavior
Jonah Complex
Neurotic Motivation
Mario volunteers at a local shelter because it gives him purpose and meets his desire to contribute meaningfully to others' lives.
What type of behavior is he engaging in?
Expressive Behavior
Coping Behavior
Deficiency Motivation
Receptive Orientation
While hiking alone, Trina reaches the summit and is suddenly overwhelmed by a sense of unity, peace, and awe. Time seems to disappear.
What is she experiencing?
B-value realization
Peak Experience
Self-actualization block
Aesthetic Need
