Chapter 8 Flashcards

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1
Q

Conditions involving physical complaints or disabilities occurring in the absence of any physical pathology are…

A

somatic symptom disorders

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2
Q

Individuals with somatic symptom disorders…

A

believe that their symptoms are real and serious

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3
Q

Consciously faking symptoms is characteristic of…

A

malingering

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4
Q

Evan is terrified because he is convinced that he has a terminal heart condition, even though there is no physical pathology identified. He has…

A

hypochondriasis

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5
Q

John and Ira eat dinner after work. Several hours later, each starts to feel nausea and stomach pains. John is a hypochondriac, Ira is not. Most likely…

A

John will think he has stomach chancer and Ira will think the food he ate made him sick.

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6
Q

If ronald is typical of people with hypochondriasis, he will

A

avoid accepting a psychological explanation for the problem

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7
Q

According to revisions made for the dsm-5, most people diagnosed with _____________ will now be diagnosed with somatic symptom disorder

A

hypochondriasis

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8
Q

Dysfunctional assumptions about symptoms and diseases are a component of a cognitive-behavioral explanation of…

A

hypochondriasis

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9
Q

Research on hypochondriasis has shown that people with the disorder tend to…

A

overestimate the dangerousness of their disease

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10
Q

What is one method of treating hypochondriasis?

A

Response prevention therapy

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11
Q

Catastrophizing about minor bodily sensations is characteristic of individuals with both

A

hypochondriasis and somatization disorder

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12
Q

Somatization disorder, as defined in DSM-IV

A

Has been subsumed into somatic symptom disorder

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13
Q

Somatization disorder and hypochondriasis are similar in that

A

both pay more attention to bodily sensations and see them as symptoms

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14
Q

Somatization disorder and hypochondriasis differ because…

A

somatization disorder causes concern about many different physical symptoms, and hypochondriasis causes concern about having an organic disease

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15
Q

Somatization disorder is seen much more often in…

A

women

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16
Q

The most effective treatment fo somatization disorder is to…

A

decrease healthcare expenditures

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17
Q

Ryan has diabetes with no trouble functioning. One day, his wife tell shim she is leaving him. He suddenly develops pain in his back, and becomes bedridden. HIs wife agrees to stay for a while to take care of him. Ryan has…

A

pain disorder associated with psychological factors

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18
Q

Why is the timeframe of 6 months important in diagnosing pain disorder?

A

It determines whether the condition is chronic or acute

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19
Q

What would be most helpful to a person with a pain disorder?

A

Staying physically active despite the pain

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20
Q

People with pain disorder tend to have…

A

fewer somatic symptoms

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21
Q

A new disorder in the DSM-5 is

A

conversion disorder

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22
Q

What was conversion disorder previously called?

A

Hysteria

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23
Q

In what way was freud’s view of conversion disorder consistent with behavioral theories?

A

He believed that the symptoms were maintained by the relief from the anxiety they provided

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24
Q

The current prevalence of conversion disorder is…

A

decreasing as sophistication about disorders increases

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25
Q

The most common kind of speech-related conversion reaction is

A

aphonia

26
Q

What is a pseudoseizure?

A

A seizure that resembles an epileptic seizure but is different

27
Q

Which of the following disorders was once the most frequently diagnosed disorder among soldiers in World War I

A

conversion disorder

28
Q

Why is conversion disorder a less common diagnosis today than is was historically?

A

Advances in the medical field have made patients more sophisticated about medical and psychological disorders

29
Q

Most people with conversion disorder are…

A

women

30
Q

What is the best way to distinguish between a conversion disorder sufferer and malingering?

A

People with conversion disorder are very willing to talk about their symptoms

31
Q

What is one way to tell the difference between conversion disorder and true organic disturbances?

A

Conversion disorder doesn’t cause atrophy

32
Q

Munchausen’s syndrome by proxy is a variant of what disorder?

A

factitious disorder

33
Q

What disorder would include intentionally taking drugs to stimulate various illnesses?

A

Munchausen’s

34
Q

What do somatic and dissociative disorders have in common?

A

both alleviate anxiety

35
Q

Dissociation

A

Extremely common - not neccesarily pathological

36
Q

The disorder involving the experience of sudden loss of the sense of self is

A

depersonaliztion disorder

37
Q

The inability to learn new information is known as

A

anterograde amnesia

38
Q

When someone in a soap opera loses all of their memories, it is considered

A

dissociative fugue

39
Q

Though charlie remembered the main issues of his meeting at work, he had no recollection of the decision to eliminate the department he headed. Which disorder?

A

Dissociative

40
Q

Jeremy suffers from dissociative amnesia. He probably

A

had trouble remembering information stored before a traumatic incident

41
Q

Jill did not remember the accident happening at her graduation a couple of years ago. What form of memory loss is this?

A

episodic

42
Q

Gerard became amnesiac, wandered away from home, and assumed a new identity as a shoe salesman. He suffers from

A

dissociative fugue

43
Q

Once a dissociative fugue ends, people

A

can remember what happened before but not during the fugue

44
Q

When a person experiences dissociative amnesia, one type of memory is affected. Which?

A

Episodic (what happened)

45
Q

What has been demonstrated about the effects of dissociative amnesias on memory?

A

implicit memory is intact

46
Q

There has been little systematic research conducted on dossociative amnesia and fugue, yet some studeies have revealed new information. Which of the following would be a source of this new information?

A

Brain imaging methods to determine where loss of function occurs

47
Q

Dissociative identity disorder was formerly known as…

A

multiple personality disorders

48
Q

A person with two or more well-developed identities has the disorder called

A

dissociative identity disorder

49
Q

Which of the following is most commonly true of the host identity in DID?

A

It is not the original identity

50
Q

Which of the following is true of opposite sex alters in DID?

A

They are quite common

51
Q

Alter identities are typically

A

very different from the host

52
Q

In the individuals with DID, “switches” cause what?

A

gaps in memory

53
Q

What symptom is NOT associated with DID at all?

A

psychosis

54
Q

Why has the term “multiple personality disorder” been replaced with “dissociative identity disorder”?

A

Fully developed personalities are not present in DID, just varying expressions of different aspects of the patient’s personality

55
Q

50% of those with DID have

A

over ten identitites

56
Q

Why has the prevalence of DID been increasing?

A

Clinicians unknowingly encourage the emergence of new identities OR increased public awareness

57
Q

Experimental studies of DID find that interpersonality amnesia exists for

A

explicit memories

58
Q

There is debate as to the relationship between DID and abuse because…

A

other factors correlated with abuse may be the true causal factors in DID

59
Q

According to sociocognitive theory, DID

A

may develop when a suggestive patient is treated by an overzealous clinician

60
Q

When it comes to the effectiveness of treatment for dissociative disorders, we know

A

very little

61
Q

The treatment goal for most therapists who treat dissociative identity disorder is

A

integration of alter personalities

62
Q

Your textbook authors report that rigorously designed and controlled studies on the treatment of dissociative identity disorder

A

are nonexistent