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Dissociative trance disorder is diagnosed


A) only when the trance is unpredictable in terms of when it appears (i.e., individual goes into a trance without prior religious ritual) .
B) only when the trance is undesirable and considered pathological in the individual's culture.
C) only when the trance causes harm to the individual or others.
D) whenever an individual repeatedly enters a trance state.

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

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Studies suggest that hypochondriacal patients are characterized by a tendency to


A) interpret ambiguous stimuli as threatening.
B) minimize physical symptoms.
C) have low sensitivity to perceived illness.
D) avoid bad news cues.

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

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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 id impulses being suppressed by the superego.

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

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In treating conversion disorder,which of the following statements is TRUE?


A) Clients responded well to CBT.
B) Clients responded well to hypnosis.
C) Clients responded well when hypnosis and CBT were combined.
D) Like somatization disorder, clients do not respond well to any treatment.

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

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Freud described the physical symptoms of conversion hysteria as representing


A) a displacement of anxiety left over from the oral stage.
B) a conversion of an unconscious conflict into a socially acceptable form.
C) a reaction formation involving suppressed memories of a traumatic event.
D) a conversion involving suppressed memories of a traumatic event.

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

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A man who finds himself living in a small town in Alaska with no recall of how he got there may have ___________.


A) dissociative fugue
B) body dysmorphic disorder
C) dissociative trance
D) PTSD

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

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In terms of seriousness,body dysmorphic disorder is


A) very serious, with a significant suicide rate.
B) very serious because it generally leads to bipolar disorder.
C) very serious because patients usually become schizophrenic.
D) not very serious because it only involves patient perceptions.

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

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Conversion disorder symptoms generally appear ______________.


A) randomly
B) following a physical injury to the affected area
C) shortly after a stressful event
D) in children

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

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Treatment of conversion disorders


A) follows a family systems model.
B) deals with removing secondary gain.
C) is supported by Freudian theory.
D) both b and c

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

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Hypochondriasis is essentially an emotional disturbance triggered by


A) physical pathology.
B) misinterpretation of normal physical sensations.
C) social concerns.
D) severe or unusual physical sensations.

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

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Juanita,a therapist,believes that her feet are too big for her body and often complains that she will never have a normal social life because of her disability.She has begun to be absent from work,instead choosing to spend exorbitant amounts of time and money shopping for "foot-binding shoes." Her symptoms suggest


A) body dysmorphic disorder.
B) acute stress disorder.
C) hypochondriasis.
D) obsessive-compulsive disorder.

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

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A comparison of dissociative reactions in "normals" and in DID patients indicates that the experience of dissociation is ________________ in normal versus DID patients.


A) very different
B) very similar
C) identical
D) so different as to have no similarities at all

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

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With regard to evidence for the scientific validity of dissociative identity disorder (DID) ,the most accurate statement is


A) most DID patients are faking.
B) research suggests that faking dissociative experiences is possible.
C) it is virtually impossible to fake the types of changes that occur in dissociative identity disorder.
D) objective tests can always determine which patients are faking dissociative identity disorder.

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

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In regard to diagnosing a patient's symptoms as a conversion disorder,it is


A) quite apparent when a patient is malingering (faking) , but it is difficult to determine whether symptoms are due to real physical disorders or a conversion disorder.
B) quite apparent when a symptom is due to a real physical disorder, but it is impossible to determine the difference between a conversion disorder and patient malingering (faking) .
C) rather easy to determine the difference between symptoms that the patient fakes, those caused by real physical disorder, and symptoms caused by conversion disorder.
D) very difficult to determine whether the symptoms are due to malingering (faking) , real physical disorders, or conversion disorder.

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

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A major distinction between hypochondriasis and somatization disorder is that


A) in somatization disorder, the person is concerned with the symptoms themselves, whereas in hypochondriasis, the person is concerned with the meaning of the symptoms.
B) in hypochondriasis, the person is concerned with the symptoms themselves, whereas in somatization disorder, the person is concerned with the meaning of the symptoms.
C) hypochondriasis tends to run in families, whereas somatization disorder does not.
D) there is genetic evidence for somatization disorder, whereas for hypochondriasis there is not.

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

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In terms of antidepressant medication treatments for hypochondriasis,the most accurate statement based on the research so far is


A) antidepressants are effective but not significantly different from a placebo condition.
B) antidepressants are not effective.
C) some reports suggest that antidepressants may be effective, but placebo-controlled studies have not been performed.
D) placebo-controlled studies have been performed and the results suggest that antidepressants work for some hypochondriacs but not for most.

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

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In dissociative amnesia,the individual typically has no memory of


A) any events.
B) events prior to a trauma.
C) selective events, particularly those involving trauma.
D) events following a trauma, particularly those involving interpersonal issues.

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

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An alter is


A) an identity created by someone with dissociative identity disorder.
B) a new identity created by someone with dissociative fugue.
C) a new identity created by someone with generalized amnesia.
D) all of these

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

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During a dissociative fugue state,it is not uncommon for individuals to


A) commit suicide.
B) see the world as a strange and foreign place.
C) take on a new identity.
D) contact friends and family.

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

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Freud called the reduction in anxiety by converting unconscious conflicts into physical symptoms


A) primary narcissism.
B) secondary narcissism.
C) primary gain.
D) secondary gain.

E) A) and B)
F) None of the above

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