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Bethany has spent the past ten years in and out of hospitals. She suffers from numerous physical complaints including severe hip, joint, leg, and head pain, and frequent bouts of diarrhea and bloating, and often reports breathing problems. Although numerous doctors and extensive tests revealed no physical problems, Bethany still reports vague symptoms of physical problems. Her problems would best fit a diagnosis of ____.


A) premenstrual syndrome (PMS)
B) somatic symptom disorder
C) illness anxiety disorder (hypochondriasis)
D) body dysmorphic disorder

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Goff and Simms (1993) compared case reports of dissociative identity disorder from the years before 1965 and from the 1980s. More recent cases tend to have ____.


A) fewer personalities
B) their onset later in life
C) a greater proportion of males
D) a higher prevalence of reported child abuse

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The chief difference between somatic symptom disorder and factitious disorders is whether the condition is ____.


A) a way of avoiding responsibility or not
B) iatrogenic or not
C) produced by the doctor's treatment or not
D) self-inflicted or not

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What mental health problem is typically associated with both dissociative amnesia and dissociative fugue?


A) depression
B) stress
C) schizophrenia
D) alcohol abuse

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Mr. Able is diagnosed with illness anxiety disorder (hypochondriasis) , while Mr. Baker is diagnosed with somatic symptom disorder (somatization disorder) . How will their symptoms be different?


A) Mr. Able will fear he has an undetected fatal illness; Mr. Baker will have many vague physical complaints.
B) Mr. Able will have complaints about his body; Mr. Baker will not.
C) Mr. Able will not have any physical complaints; Mr. Baker will fear that he has cancer or a form of heart disease.
D) Mr. Able will claim that he cannot see or walk; Mr. Baker will fear that he has an undetected fatal illness.

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A psychologist reviews a client's records. "This individual's issue is that a part of her consciousness-her memory-has split off from the rest of her consciousness, even though there is no evidence of brain damage." The psychologist is describing a person with a(n) ____.


A) organic brain disorder
B) anxiety disorder
C) somatoform disorder
D) dissociative disorder

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The approaches that show the most promise for treating somatic symptom disorders are ____.


A) relaxation training, psychoeducation, and changing cognitions
B) flooding, modeling, and drug therapy
C) hypnotherapy, drug therapy, and changing cognitions
D) systematic desensitization, cognitive therapy, and exposure

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What is a particular concern when using hypnosis with clients who have dissociative disorders?


A) It may cause severe trauma for the client.
B) it may cause severe trauma for the client.
C) It may create personalities in suggestible clients.
D) It may uncover too many hidden personalities, which may cause more problems for the client.

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What have researchers concluded when comparing cognitive-behavior therapy (CBT) with standard medical care that is augmented with psychiatric consultation for treating somatization symptoms and complaints?


A) CBT is significantly more effective than standard medical care augmented with psychiatric consultation.
B) Standard medical care augmented with psychiatric consultation is more effective than CBT.
C) Both treatments are equally effective.
D) Although CBT has better initial outcomes, neither CBT or medical care remain effective long-term.

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The behavioral approach to treating depersonalization disorder would emphasize the use of ____.


A) hypnosis to uncover the unconscious conflicts that are responsible for the symptoms
B) stress-coping mechanisms, self-reinforcement, and teaching significant others to respond positively to the "normal" behavior of the patient
C) antianxiety and antidepressant medication
D) systematic desensitization, flooding, modeling, and virtual reality

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Saying that dissociative identity disorder is iatrogenic means that it is ____.


A) caused by blocking the full expression of id impulses
B) a fictitious or made-up diagnosis
C) an unintended result of therapy
D) an unacceptable way of avoiding social responsibilities

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Describe and distinguish the psychodynamic and iatrogenic explanations for dissociative identity disorder. What are the points of overlap between these explanations?

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The person with dissociative identity di...

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A friend of yours asks, "Isn't it easy to tell when a person is faking the symptoms of dissociative identity disorder?" What would be an accurate answer?


A) "No, because there is no way to accurately determine the existence of multiple personalities."
B) "Yes, you can give them personality tests, those can't be faked."
C) "Yes, diagnosis is usually done after hypnosis, when people are most truthful."
D) "Yes, differences in EEG tracing prove who is showing a different personality and who is not."

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How effectively do two influential models of dissociative disorders explain who develops these disorders?


A) The posttraumatic model (PTM) and the sociocognitive model (SCM) both give clear and useful explanations.
B) Neither the posttraumatic model (PTM) nor the sociocognitive model (SCM) is sufficient to explain who develops these disorders.
C) The posttraumatic model (PTM) gives a much better explanation than the sociocognitive model (SCM) .
D) The sociocognitive model (SCM) gives a much better explanation than the posttraumatic model (PTM) .

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Dr. Todd says, "Anna O. was not a victim of intrapsychic conflicts. She was an ambitious, intelligent woman with restricted opportunities. She felt great guilt when she resented having to care for her sick father. Her symptoms afforded her the opportunity to maintain contact with an intellectually stimulating doctor. She went on to become a feminist leader." These remarks ____.


A) support the psychodynamic explanation for somatic symptom disorder (somatization disorder) .
B) support the biological perspective on somatic symptom disorder (somatization disorder)
C) reject the behavioral explanation for dissociative disorders
D) support a sociocultural explanation for somatic symptom disorder (somatization disorder)

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"Persistent preoccupation with one's health despite consistent medical evaluations showing no organic problems" is a definition of ____.


A) functional neurological symptom disorder (conversion disorder)
B) depersonalization disorder
C) illness anxiety disorder (hypochondriasis)
D) body dysmorphic disorder

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Which therapists educate their patients about the relationship between misinterpreted bodily sensations and selective attention to topics of illness for treatment of illness anxiety disorder?


A) cognitive-behaviorists
B) family systems
C) humanists
D) psychoanalysts

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Reinforcement of illness behaviors and parental modeling of how to act sick are both etiological factors in which theory of functional neurological symptom disorder (conversion disorder) ?


A) biogenic
B) family systems
C) psychodynamic
D) cognitive-behavioral

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What is the primary difference between factitious disorder and malingering?


A) The feigning of symptoms in factitious disorder is induced deliberately with no apparent incentive, while the motivation in malingering is typically to achieve some goal.
B) The symptoms in factitious disorder are not produced intentionally, whereas they are in malingering.
C) The symptoms in malingering are not produced intentionally, whereas they are in factitious disorder.
D) The feigning of symptoms in factitious disorder is motivated by economic gain or to avoid some unpleasant task, whereas the motivation in malingering is to assume the sick role.

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Teresa has an intense and terrifying feeling that she is no longer real and that she is looking at herself and the world from a distance. These feelings have caused major impairments in her work and personal life The most likely diagnosis is ____.


A) dissociative amnesia
B) dissociative identity disorder
C) somatoform disorder
D) depersonalization disorder

Correct Answer

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