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"Functional neurological symptom disorder" is associated with which disorder in the DSM-5?


A) Conversion disorder
B) Illness anxiety disorder
C) Somatic symptom disorder
D) None of these are correct

E) B) and C)
F) A) and B)

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Shelley experiences persistent feelings of detachment from herself, as if she were observing herself from outside her body. The experience is so intense that she often has trouble remembering who she is and functioning in a coherent manner. Shelley most likely suffers from


A) severe anxiety attacks.
B) a dissociative disorder.
C) persistent depression.
D) illness anxiety disorder.

E) A) and B)
F) A) and C)

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Some theorists suggest that dissociative identity disorder is an extreme subtype of


A) dissociative amnesia.
B) obsessive-compulsive disorder.
C) posttraumatic stress disorder.
D) antisocial personality disorder.

E) C) and D)
F) None of the above

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Which of the following is NOT a part of cognitive-behavioral therapy for illness anxiety disorder in Barsky and Ahern's 2005 clinical trial?


A) Reassurance to the patients that their symptoms did not reflect a serious illness
B) Identifying and challenging illness-related misinterpretations of physical sensations
C) Purposely "creating" symptoms by focusing attention on certain body areas
D) Coaching on seeking less reassurance regarding patients' illness concerns

E) A) and B)
F) A) and C)

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A

The experience of dissociation (feelings of unreality; blunting of emotional experience and physical pain) during or immediately following a life-threatening situation is


A) a sign of psychopathology.
B) extremely rare in nondisordered individuals.
C) not well documented.
D) a normal reaction.

E) B) and D)
F) A) and C)

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Vanessa, who is 40, apparently believes that she is a 20-year-old woman. Suddenly, however, she starts to speak and behave very differently, and says she no longer thinks of herself as "Vanessa." Instead, she claims to be Elise, a 10-year-old child. It is likely that Vanessa has just experienced a


A) switch.
B) dissociative fugue.
C) conversion reaction.
D) manic episode.

E) A) and D)
F) A) and B)

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Brain imaging studies have found that depersonalization is associated with all of the following EXCEPT


A) deficits in perception.
B) deficits in emotion regulation.
C) dysregulation in the HPA axis.
D) dysregulation of the visual cortices.

E) B) and C)
F) A) and B)

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Vicki, who suffers from illness anxiety disorder (aka hypochondriasis), comes from a very concerned and loving family that takes her physical complaints quite seriously. Describe three treatment approaches (and their level of effectiveness) that may help Vicki get better.

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1) Cognitive-behavioral therapy (CBT): CBT is a highly effective treatment approach for illness anxiety disorder. It helps individuals like Vicki identify and challenge their irrational thoughts and fears about their health. By working with a therapist, Vicki can learn to recognize and change her patterns of thinking and behavior that contribute to her anxiety about illness. 2) Exposure therapy: Exposure therapy involves gradually exposing Vicki to her fears and anxieties about illness in a controlled and safe environment. This can help her learn to tolerate and eventually overcome her fears, reducing the intensity of her physical complaints and anxiety. 3) Family therapy: Involving Vicki's family in her treatment can be beneficial, as they play a significant role in how her illness anxiety is reinforced or alleviated. Family therapy can help her family members understand the nature of her disorder and learn how to support her in a way that is helpful and not reinforcing her fears. These treatment approaches have been shown to be effective in helping individuals with illness anxiety disorder. However, the level of effectiveness may vary depending on the individual and their specific circumstances. It's important for Vicki to work with a qualified mental health professional to determine the best treatment approach for her.

Anxiety, mood, and personality disorders are commonly found in individuals with


A) depersonalization-derealization disorder.
B) dissociative amnesia.
C) somatic symptom disorder.
D) conversion disorder.

E) B) and C)
F) C) and D)

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The average length of time between an individual's first symptoms of dissociative identity disorder and the identification and diagnosis of the disorder by a professional is


A) one year.
B) 20 years.
C) less than one month.
D) seven years.

E) A) and D)
F) All of the above

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Conversion disorder patients were conceptualized by Freud as


A) converting unconscious conflicts into physical symptoms.
B) converting unconscious conflicts into defense mechanisms.
C) experiencing physical symptoms as a result of the superego.
D) experiencing internal conflicts as a result of physical illness.

E) All of the above
F) A) and B)

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In dissociative identity disorder, the "host" personality is usually the one that


A) is the most aggressive of the personalities.
B) asks for treatment and becomes the patient.
C) earns income for the individual.
D) is sexually provocative.

E) B) and C)
F) A) and D)

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One of the individual differences that appears to help explain who is likely to develop dissociative identity disorder following childhood trauma is


A) physical health.
B) suggestibility.
C) number of siblings.
D) number of abusers.

E) B) and D)
F) All of the above

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Jill is constantly worried that she will get sick. Although she feels fine now and believes that she is healthy, she still worries endlessly about developing a serious illness. Most likely Jill would be diagnosed with


A) generalized anxiety disorder.
B) illness anxiety disorder.
C) a specific phobia of germs.
D) body dysmorphic disorder.

E) B) and D)
F) All of the above

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Which of the following statements is the most accurate?


A) While DID symptoms can be faked or developed through suggestion, many physiological changes observed in DID patients would be very difficult to fake.
B) DID symptoms and the many physiological changes observed in DID patients can be developed through suggestion and are easily faked.
C) While physiological changes associated with DID are relatively easy to fake, the symptoms of DID are very difficult to fake or to develop through suggestion.
D) Almost all cases of DID are probably faked or developed through therapist suggestion.

E) All of the above
F) None of the above

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Illness anxiety disorder is also known as (and previously listed in the DSM as)


A) hypochondriasis.
B) illness psychosis.
C) fictitious disorder.
D) dissociation.

E) A) and B)
F) C) and D)

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Describe the subtype of dissociative amnesia referred to a dissociative fugue.

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Answered by ExamLex AI

Dissociative fugue, a subtype of dissociative amnesia, is a rare and temporary condition characterized by an unexpected and purposeful travel away from one's home or usual place of work, accompanied by an inability to recall one's past and confusion about personal identity, or even the assumption of a new identity. During a dissociative fugue, individuals may appear normal and capable of normal activities to others, but they are often experiencing severe distress and confusion internally. The onset of a dissociative fugue is typically sudden, and the duration can range from hours to days, weeks, or even longer in rare cases. The episode may end as abruptly as it began, with the individual having no recollection of the events that occurred during the fugue state. The return of memory is often complete, but there may be a period of distress as the person realizes the time that has been lost. The exact cause of dissociative fugue is not well understood, but it is believed to be related to extreme stress, trauma, or other psychological factors. It is often seen in individuals with a history of trauma or dissociative disorders, and it may be triggered by events that remind the person of past trauma or stress. Treatment for dissociative fugue typically involves psychotherapy to help the individual deal with the stress or trauma that triggered the episode. In some cases, medication may be used to address associated symptoms such as depression or anxiety. The goal of treatment is to help the individual integrate the dissociated memories and experiences and to develop coping strategies to prevent future episodes.

Somatic symptom disorder and illness anxiety disorder have all of the following in common EXCEPT


A) they are both outdated terms that are no longer officially part of the DSM.
B) they are both associated with frequent visits to the doctor.
C) disease conviction is a core feature of both disorders.
D) for both, the essential problem is anxiety.

E) None of the above
F) All of the above

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A switch


A) usually occurs instantaneously.
B) is the transition from one personality to another in dissociative identity disorder.
C) may exhibit physical transformations.
D) all of these are correct

E) C) and D)
F) All of the above

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Depersonalization is defined as


A) altered perception including loss of the sense of one's own reality.
B) altered perception involving loss of the sense of reality of the external world.
C) vivid hallucinations.
D) the feeling that one is no longer a person.

E) B) and D)
F) C) and D)

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