Dissociative and Somatic Disorders Test Bank Flashcards
Somatic symptom-related disorders and dissociative disorders are similar in that both
a) have symptoms suggesting a physical dysfunction.
b) typically begin after a stressful experience.
c) involve aggressive outbursts.
d) are delusional in quality.
b) typically begin after a stressful experience.
Dissociative disorders share
a) obsessive thoughts.
b) an alteration in consciousness or identity.
c) an inability to distinguish reality from fantasy.
d) physical symptoms with no physiological basis.
b) an alteration in consciousness or identity.
The DSM-5 includes all of the following dissociative disorders EXCEPT:
a) dissociative amnesia.
b) depersonalization/derealization disorder.
c) dissociative identity disorder.
d) dissociative anxiety disorder.
d) dissociative anxiety disorder.
Which theorists view dissociative disorders as avoidance responses that protect the person from consciously experiencing stressful events?
a) psychodynamic
b) behavioral
c) cognitive
d) both a and b
d) both a and b
Dissociative identity disorder must involve
a) at least three distinct personalities.
b) selective amnesia.
c) at least two distinct personalities.
d) depersonalization.
c) at least two distinct personalities.
Which of the following is an example of mild dissociation?
a) worrying excessively over your grades
b) not remembering material you studied for a test
c) difficulty committing to social relationships
d) being so preoccupied you forget an appointment
d) being so preoccupied you forget an appointment
Why are there many questions regarding the role of memory under stress with respect to dissociative disorders?
a) People have trouble recalling events.
b) Few brain-imaging studies have been conducted to date.
c) Some lines of research indicate that high levels of stress enhance memory.
d) Research indicates that, under stress, people store memories in different areas of the brain.
c) Some lines of research indicate that high levels of stress enhance memory.
With regard to the theory that adults can recover memories of childhood abuse after many years, it is
a) best to assume that such people are malingering.
b) viable to assume that such recovered memories are indeed true.
c) best to treat these people as sufferers of PTSD.
d) safest to regard such theories as tentative.
d) safest to regard such theories as tentative.
Memories often hold __________ power.
a) emotional
b) cognitive
c) physiological
d) physical
a) emotional
Dissociative amnesia may be BEST distinguished from brain injury by
a) the loss of ego functioning in dissociative amnesia.
b) additional cognitive deficits in brain injury.
c) the presence of prograde memory loss in dissociative amnesia.
d) the presence of severe anxiety in dissociative amnesia.
b) additional cognitive deficits in brain injury.
The prognosis for dissociative amnesia usually involves a __________ remission with __________ recovery.
a) gradual; complete
b) gradual; partial
c) sudden; complete
d) sudden; partial
c) sudden; complete
Explicit memory is to conscious recall of experiences as implicit memory is to
a) repressed memories.
b) behaviors based on experiences that cannot be consciously recalled.
c) behaviors based on experiences that occurred before the onset of speech.
d) dreams.
b) behaviors based on experiences that cannot be consciously recalled.
Donna was brutally assaulted outside the local 7-Eleven. Although she cannot recall the details of the assault, she becomes terrified when she drives past the 7-Eleven. This is an example of a situation in which a person
a) has an explicit memory, but no implicit memory.
b) has neither explicit nor implicit memory.
c) will most likely develop dissociative identity disorder.
d) has no explicit memory, but has an implicit memory.
d) has no explicit memory, but has an implicit memory.
Among the dissociative disorders, dissociative amnesia: subtype-dissociative fugue is characterized by
a) massive repression.
b) moving away and establishing a new identity.
c) sudden development following severe stress.
d) memory loss for virtually all past events.
b) moving away and establishing a new identity.
Following a dissociative amnesia-subtype dissociative fugue episode, the person often
a) does not remember the events that occurred during the episode.
b) remembers most of the events occurring during the episode, although may deny them to avoid embarrassment.
c) is predisposed to have further episodes at times of stress.
d) is likely to develop another type of dissociative disorder.
a) does not remember the events that occurred during the episode.
Since watching his mother get hit and killed by a car two years ago, Chris has felt as if he has been watching himself from outside of his body and thinks that voices sound strange. He is probably suffering from
a) depersonalization/derealization disorder.
b) dissociative identity disorder.
c) dissociative amnesia .
d) none of the above.
a) depersonalization/derealization disorder.
Mildred has been struggling with feelings of chronic depersonalization/derealization for several years. If she has depersonalization/derealization disorder, she most likely
a) has impaired memory functioning.
b) has a well-developed sense of self, just feelings of not being present.
c) has experienced some abuse at an earlier age.
d) is not employed.
c) has experienced some abuse at an earlier age.
Depersonalization/derealization disorder usually begins in
a) early childhood.
b) middle childhood.
c) adolescence.
d) adulthood.
c) adolescence.
Ms. Hall consulted a physician because of the following experience: The week before, she felt that another voice was talking to her, although she tried to ignore it. She then had a period of hours that she was unable to recall, but her boyfriend reported later that during that period she behaved like a completely different person, being loud and boisterous in contrast to her usual shy and sedate personality. She has had similar experiences in the past and is at a loss to explain them. Ms. Hall’s symptoms most likely meet the criteria for
a) schizophrenia.
b) depersonalization/derealization disorder.
c) dissociative identity disorder.
d) none of the above.
c) dissociative identity disorder.
Bradford reports the following unusual experiences: He found used tea bags in the wastebasket, although he does not like tea and lives alone; he discovered several suits in his closet that he had no memory of buying and did not like; he has had people greet him, calling him “William” or “Christian,” whom he has never met before. Which DSM-5 diagnosis would best fit Bradford’s symptoms?
a) dissociative amnesia
b) Obsessive compulsive disorder
c) depersonalization/derealization disorder
d) dissociative identity disorder
d) dissociative identity disorder
The onset of dissociative identity disorder is generally believed to begin during __________ and is found most often in people with __________ history of abuse.
a) adolescence; no
b) adolescence; a severe
c) childhood; no
d) childhood; a severe
d) childhood; a severe
Dissociative identity disorder and schizophrenia
a) are two entirely different disorders.
b) are synonyms.
c) are very similar; the person with schizophrenia has two personalities, while the person with dissociative identity disorder has three or more.
d) are similar in that both have hallucinations and delusions.
a) are two entirely different disorders.
All of the following have been cited as reasons for changes in the prevalence of dissociative identity disorder over the years EXCEPT:
a) changes in the diagnostic criteria for the disorder.
b) publication of popular accounts such as “Sybil.”
c) changes in the medical sophistication and level of education in modern society.
d) changing definitions of schizophrenia.
c) changes in the medical sophistication and level of education in modern society.
The two major theories of DID are
a) post-traumatic and sociocognitive.
b) post-traumatic and psychoanalytic.
c) behavioral and psychoanalytic.
d) post-traumatic and cognitive-behavioral.
a) post-traumatic and sociocognitive.
The post-traumatic model of DID
a) has the most substantial empirical support.
b) assumes that DID begins in childhood as a result of severe abuse.
c) assumes that DID is created in therapy.
d) assumes DID is due to suggestion from the media
b) assumes that DID begins in childhood as a result of severe abuse.
DID usually begins in __________ but is rarely diagnosed until __________.
a) childhood; adulthood
b) childhood; adolescence
c) adolescence; adulthood
d) adulthood; late adulthood
a) childhood; adulthood
One major theory of the etiology of dissociative identity disorder is that it results from
a) fear of facing the complexities of adult living.
b) drug use in predisposed individuals.
c) suggestion by therapists or media influences.
d) having a fantasy life more reinforcing than reality
c) suggestion by therapists or media influences.
According to Claire’s friends, she never exhibited signs of DID. However, after watching Sybil on TV and visiting a therapist regularly, Claire began exhibiting different personalities. A sociocultural theory of the development of Claire’s DID would suggest that
a) Claire must have been sexually abused as a child.
b) Claire must have come from a dysfunctional family and had few friends growing up.
c) Claire’s alters appeared in response to exposure to media and therapists’ suggestions.
d) Claire has repressed memories for too long.
c) Claire’s alters appeared in response to exposure to media and therapists’ suggestions.
Most people with dissociative identity disorder exhibit high __________ and experienced a history of __________.
a) child abuse; criminal behavior.
b) hypnotic susceptibility; child abuse.
c) hypnotic susceptibility; criminal behavior.
d) sensation seeking; amnesia.
b) hypnotic susceptibility; child abuse.
Dr. Jones believes that different alters appear during adulthood after the suggestion of a therapist. This is consistent with
a) psychoanalytic theory.
b) behavioral theory.
c) social role enactment.
d) self-fulfilling prophecy.
c) social role enactment.
Although different alters report an inability to share memories,
a) studies suggest that alters can share some implicit memories.
b) studies suggest that alters share more explicit memories, but they are just repressed.
c) studies indicate that most alters are completely fabricated.
d) research suggests that role-playing is the best explanation of DID.
a) studies suggest that alters can share some implicit memories.
Therapists who are most likely to diagnose DID tend to
a) practice behavioral techniques.
b) use hypnosis.
c) use biofeedback.
d) support the sociocultural model.
b) use hypnosis.
The goal of treatment of dissociative disorders should be to
a) encourage repression of the underlying trauma.
b) encourage others to reinforce symptoms.
c) convince the person that splitting into different personalities is no longer necessary to deal with traumas.
d) provide a confrontational setting where symptoms are not needed.
c) convince the person that splitting into different personalities is no longer necessary to deal with traumas.
Research on the effectiveness of psychological treatment of dissociative identity disorder
a) shows that behavioral-cognitive therapy is moderately effective.
b) has been hampered by the publicity surrounding known cases.
c) supports the post-traumatic model of its etiology.
d) is limited to observations of a few specialized studies that did not involve control groups
d) is limited to observations of a few specialized studies that did not involve control groups
The most commonly diagnosed comorbid disorders with dissociative identity disorder are
a) anxiety and depression.
b) somatoform and substance abuse disorders.
c) bipolar disorder and depression.
d) schizophrenia and schizoaffective disorder.
a) anxiety and depression.