Usmle step 1 behavioral sciences

USMLE' Step 1
:

Behavioral Sciences

Notes

J

me d IcaI
*USMLEis a joint program of the Federation of State Medical Boards of the United States, Inc. and the National Board of Medical Examiners.

KAPLAN @.

lI

@2002 Kaplan, Inc.

All rights reserved. No part of this book may be reproduced in any form, by photostat, microfilm, xerography or any other means, or incorporatedinto any information retrieval system, electronic or mechanical, without tbe written permission ofKaplan, Inc.

Authorand Executive Editor Steven R. Daugherty, Ph.D.
Director of Education and Testing Kaplan Medical Rush Medical College Chicago, IL

Contributor
Alina Gonzalez-Mayo, Ph.D.
Psychiatrist

Executive irector f Curriculum D o RichardFriedland,M.D. Director f PublishingndMedia o aMichelleCovello Managing Editor
Kathlyn McGreevy

Production ditor E
Ruthie Nussbaum

Production rtist A MichaelWolff CoverDesign
Joanna Myllo

CoverArt RichLaRocco

Tableof Contents
Preface. . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . vii

Chapter1: Epidemiology

1

Chapter 2: Statistics. . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 Chapter 3: Social life in the United States. . . . . . . . . . . . . . . . . . . . . . . . . . . 39 Chapter 4: Substance Abuse. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49 Chapter 5: Human Sexuality. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59 Chapter 6: Learning andBehavior Modification. . . . . . . . . . . . . . . . . . . . . . . 73 Chapter 7: Defense Mechanisms. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 83

Chapter 8: Psychologic Health and Testing. . . . . . . . . . . . . . . . . . . . . . . . . . . 97 Chapter 9: Child Development.. . . .. . . . . . . .. . . .. . . . .. .. . . . .. . .. .. 103
Chapter Chapter
10:

SleepandSleepDisorders. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 121 . . . . . . . . . . . . . . . . . . . . . . . . 131
141

11: Physician-Patient Relationships.

Chapter 12:Diagnostic and Statistical Manual IV(DSM IV)

Chapter 13: Organic Disorders. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 169

Chapter 14: Psychopharmacology.. . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . 181
Chapter 15: Ethical and Legal Issues

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 197

me d lea I

KAPLA

N'.

v

I
I
I

l I I I

Preface
These seven volumes of Lecture Notes represent a yearlong effort on the part of the Kaplan Medical faculty to update our curriculum to reflect the most-likely-to-be-tested material onthe current USMLEStep 1 exam. Please note that these are Lecture Notes, not review books. The Notes were designed to be accompanied by faculty lectures-live, on video, or on the web. Reading these Notes without accessing the accompanying lectures is not an effective way to review for the USMLE. To maximize the effectivenessof these Notes, annotate them as you listen to lectures. To facilitate thisprocess, we've created wide, blank margins. While these margins are occasionally punctuated by faculty high-yield "margin notes:' they are, for the most part, left blank for your notations. Many students find that previewing the Notes prior to the lecture is a very effectiveway to prepare for class. This allows you to anticipate the areas where you'll need to pay particular attention. It alsoaffords you the opportunity to map out how the information is going to be presented and what sort of study aids (charts, diagrams, etc.) you might want to add. This strategy works regardless of whether you're attending a live lecture or watching one on video or the web. Finally,we want to hear what you think. What do you like about the notes? What do you think could be improved? Please share your...