Ch. 6 illness anxiety disorders aka somatic disorders

Question 1

True or false:

The key feature of dissociative identity disorders is anxiety.

Answer 1

False

Loss of memory, change in identity

Question 2

Each of the following statements is true EXCEPT:

A. Each of the personalities in multiple personality shows more integrated functioning that is seen in schizophrenics

B. Split personality is the term commonly used by laypersons to describe multiple personality

C. Schizophrenia is much more common than multiple personality

D. Multiple personality is a type of schizophrenia

Answer 2

D

Question 3

Which is the following statements is NOT true?

A. Themes of sexual ambivalence are common in multiple personality

B. Some of the personalities exhibited by people with dissociative identity disorder appear to be psychotic

C. The dominant personality is almost always aware of at least some of the other personalities in cases of multiple personality

D. In multiple personality cases, the mechanism of dissociation appears to be controlled by unconscious processes

Answer 3

C

Question 4

Which of the following statements is NOT true regarding dissociative amnesia?

A. The person may be confused about his or her personal identity or assumes a new identity

B. The person may start a new family or business

C. The information lost to memory is usually traumatic I stressful experiences

D. The person may feel as if he or she were living in a dream or acting like a robot

Answer 4

D

Question 5

Sandy was recently involved in a horrifying car accident. She was lucky to emerge from the accident with only minor physical injuries. However, she can’t remember anything that happened about 2 hours before until she woke up in the hospital the next day. She is suffering from _________ amnesia.

A. Selective

B. Generalized

C. Localized

D. Systemized

Answer 5

C

Note:

Systemized - specific/ associate memories

Question 6

True or false

Dissociative amnesia can persist for years

Answer 6

True

Question 7

Norman is a mystery. He experienced suddenly loss of memory, left his home in New York and travelled to California where he established an identity for himself. He has no memory of his life in New York and filled his mind with bogus mentors which he doesn’t realize are not genuine. He is suffering from_______.

A. Dissociative fugue

B. Dissociative amnesia

C. Depersonalized disorder

D. Dissociative identity disorder

Answer 7

A

Question 8

Which of the following is not true of people in a fugue state?

A. Their new sense of identity is usually more withdrawn and inhibited than their original identity

B. Their sense of self usually returns in a matter of hours or days

C. They act more purposefully than people with amnesia

D. When they regain memory of their original identity, they may lose all memories of the activities during the fugue state

Answer 8

A

Question 9

Millie feels as if she is a robot, watching herself from outside her body as she begins kissing her new boyfriend. This feeling d being in a dream or operating in “automatic pilot” happens to her whenever she begins to get emotionally aroused. She appears to be suffering from _____

A. Dissociative identity disorder

B. Dissociative fugue

C. Depersonalization disorder

D. Derealization

Answer 9

C

Question 10

True or false

Very few of us have episodes of feeling detached from our bodies or thought processes

Answer 10

False

Question 11

Each of the following is a diagnostic criterion for depersonalization disorders EXCEPT

A. The depersonalization experiences are severe enough to cause marked distress

B. The individual is unable to maintain reality testing during the depersonalization state

C. The depersonalization experiences cannot be attributed to other disorders

D. The depersonalization experiences must be recurrent or persistent

Answer 11

B

Question 12

Psychoanalysis helps people with dissociative identity disorder by

A. Helping people learn more effective coping behaviors for current problems caused by the disorder

B. Helping people find their “true selves” and actuality their hidden potential

C. Teaching people to change maladaptive thoughts and irrational beliefs

D. Helping people learn to uncover and cope with early childhood trauma

Answer 12

D

Question 13

According to cognitive theory, the following statements are true regarding dissociative disorders EXCEPT

A. Dissociative identity disorder is a form of role playing acquired through observational learning and reinforcement

B. By splitting and repressing guilt or shame, anxiety associated with dissociative disorder d is also alleviated

C. Dissociation is a learned response that involves psychologically distancing oneself from disturbing memories or motions

D. The habit of not thinking about disrobing acts or thoughts is negatively reinforced by relief from anxiety or by removal of feelings of guilt or shame

Answer 13

B

Question 14

True or false

The diagnosis of SSD requires that physical symptoms be persistent, lasting typically for a period of 2 months or longer, and they are associated with either significant personal distress or interference with daily function

Answer 14

False

For 6 months or longer

Question 15

True or false

In somatic symptom disorder and dissociative disorder, anxiety is directly expressed in behavior

Answer 15

False

Question 16

Many anxiety-related complaints such as trouble swallowing or breathing or a “lump in the throat” can be traced to over activity of the ____ nervous system.

A. Somatic

B. Peripheral

C. Sympathetic branch of the autonomic nervous system

D. Parasympathetic branch of the autonomic nervous system

Answer 16

C

Question 17

Conversion disorder has been linked to ________

A. Parental illness

B. A rigid moral upbringing

C. Childhood sexual and physical abuse

D. Sibling rivalry

Answer 17

C

Question 18

Which of the following is NOT true of conversion disorder?

A. The symptoms are not intentionally produced

B. The person is not malingering

C. The physical symptoms appear gradually

D. The physical symptoms appear in context of stressful situations

Answer 18

C

They appear suddenly

Question 19

Alton had been under a lot of stress at work lately. One morning he wakes to find out he is totally blind. St his physician’s office, Alton says he is upset by the loss of his eyesight but he appears to be totally calm about it. He doesn’t seem to be nearly as upset as one would normally expect for someone who has just lost his eyesight. Alton’s lack of emotional reaction probably represents ______

A. Malingering

B. Emotional compensation

C. La belle indifference

D. Münchausen syndrome

Answer 19

C

Question 20

Maggie has hypochondriasis. As such, she is most likely to also suffer from which if the following psychological disorders?

A. Illness anxiety disorder

B. Bipolar affective disorder

C. Conversion disorder

D. A personality disorder

Answer 20

A

Question 21

Ana complains of physical problems, which date back to her adolescence. She has suffered from seizures, muscle weakness, abdominal pain, diarrhea, menstrual problems, chest pains, and urinary problems. Although she really suffers from those symptoms, her doctors have never been able to find a physical cause. She is most likely suffering from _____

A. Somatic symptom disorder

B. Conversion disorder

C. Hypochondriasis

D. Münchausen syndrome

Answer 21

A: umbrella term

Question 22

True or false

Many Indian males believe that preservation of semen guarantees health and longevity

Answer 22

True

Question 23

Both learning and psychodynamic theories agree that conversion disorder symptoms

A. Are modeled after parental behavior

B. Are based on events that occur in the first year of life

C. Cannot effectively be treated

D. Relieve anxiety

Answer 23

D

Question 24

True or false

Women in the US culture may have been socialized, more so than men, to react to stress by enacting a sick role.

Answer 24

True

Question 25

Cognitive theorists argue that hypochondriacs use their complaints as a _______ strategy

A. Withdrawal

B. Passive aggressive

C. Self-aggrandizing

D. Self-handicapping

Answer 25

D

Lowering expectations, less responsible

Question 26

The behavioral approach to treating somatic disorders focuses on _________

A. Punishing hysterical behaviors

B. Rewarding sources of primary gain

C. Removing sources of secondary gain (perks coming along with sick role)

D. Stimulus generalization

Answer 26

C

Question 27

Recent research has shown that _________ is (are) effective in testing hypochondriasis, now classified as somatic symptom disorder or illness anxiety disorder.

A. Modeling

B. Cognitive restructuring and exposure with response prevention

C. Psychodynamic insights into ones family of origin

D. Aversion therapy

Answer 27

B

Question 28

True or false

Transcendental meditation: narrowing awareness by focusing on repetitive stimuli:: mindfulness meditation: increasing awareness of thoughts without judgement or evaluations

Answer 28

True

Question 29

True or false

There is good evidence that if a person has depression after a heart attack, they are more likely to die from cardiac causes in the following months or years.

Answer 29

True

Question 30

True or false

Physiological factors related to stress, anxiety, and depression can increase susceptibility to asthmatic attacks

Answer 30

True