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The part of the treatment plan for DID that is similar to the treatment plan for posttraumatic stress disorder is


A) integration of personality fragments.
B) use of antipsychotic medications.
C) reliving and reprocessing the trauma.
D) hypnotic regression to early life experiences.

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

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One aspect of the DSM-IV criteria for diagnosis of dissociative identity disorder is ______.


A) patient awareness of the distinct personalities
B) existence of three or more personality fragments
C) amnesia
D) history of abuse

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

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Some suicide attempts are believed to represent manipulative behavior rather than a true death wish.This type of suicide attempt


A) is common in individuals with somatization disorder.
B) indicates la belle indifference.
C) both of the above
D) none of these

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

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Hypochondriasis exists when


A) normal bodily sensations are interpreted by the patient as a sign of a serious illness.
B) real physical illness is exaggerated to the point where the patient can only focus on the pain.
C) the patient has an unrealistic fear of contacting germs.
D) the patient is truly ill but does not trust the medical establishment enough to seek treatment.

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

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Research suggests that somatization disorder often occurs in families with a strong tendency toward __________.


A) antisocial personality disorder
B) schizophrenia
C) depression
D) obsessive-compulsive disorder

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

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The average number of alter personalities observed in individuals with dissociative identity disorder is ______________.


A) 1
B) 2
C) 15
D) 100

E) A) and D)
F) None 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) C) and D)
F) A) and D)

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Although Jill 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) illness phobia.
B) hypochondriasis.
C) somatization disorder.
D) body dysmorphic disorder.

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

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Revisions of the DSM may result in which of the following changes to the classification of somatoform disorders?


A) The disorders will be removed entirely.
B) The disorders will be reclassified with schizophrenia.
C) They may be redefined.
D) They will remain unchanged.

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

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Hypochondriasis focuses on physical sensations and illness.For example,children report the same symptoms as other family members have had.Which of the following is not one of the three other influential factors of hypochondriasis?


A) Numerous instances of disease in the family during childhood
B) Having suicidal thoughts or past family history of suicide
C) A stressful life event, such as death or illness
D) Realizing the benefits of being the ill person

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

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Without treatment,it is expected that DID will last ___________.


A) 10 years
B) a lifetime
C) several months
D) 20 years

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

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Undifferentiated somatoform disorder


A) is similar to somatization disorder but with fewer symptoms.
B) was included in DSM-III but not DSM-IV.
C) both a and b
D) includes symptoms of somatization disorder and conversion disorder.

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

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What is the common link among somatoform disorders?


A) In each of the disorders, individuals are pathologically concerned with the appearance or functioning of their bodies.
B) They all stem from anxiety.
C) They are a subset of dissociative disorders.
D) Both b and c

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

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All of the following have been implicated in the development and maintenance of hypochondriasis EXCEPT


A) the additional attention one receives when sick.
B) a specific hypochondriac gene.
C) the high incidence of disease in the family during the hypochondriac's childhood.
D) learning to worry from family members overly concerned with health.

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

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Somatization disorder and antisocial personality disorder are often associated with gender and may be explained by similar underlying neurological mechanisms.Which of the following statements best describes this relationship?


A) Behavioral inhibition and activation systems (fight/flight systems) are characterized by differing behavioral outcomes in males and females due to cultural norms.
B) Males and females both have inhibition and activation systems, but males have better developed activation systems and females have better developed inhibition systems.
C) Women with antisocial personality disorder may have an underlying deficit in the behavioral activation system and men with somatization disorder may have an underlying deficit in the behavioral inhibition system.
D) None of these

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

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During a fugue state,patients diagnosed with dissociative fugue


A) travel and typically experience memory loss during their trip.
B) travel but do not experience memory loss.
C) experience memory loss but do not travel.
D) seldom recover any sense of their own identity.

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

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Minor,seemingly hypochondriacal concerns are common among ____________.


A) young children
B) adolescents
C) the middle aged
D) the elderly

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

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Since Jane is a hypochondriac,we can expect her to see her physician


A) often and feel completely reassured that there is nothing wrong with her health.
B) rarely but continue to believe that she is quite ill.
C) almost never because she does not trust physicians.
D) often but continue to be anxious about her health anyway.

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

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Hypochondriacal patients are likely to


A) avoid doctors.
B) demand unnecessary medical procedures.
C) be reassured by assurances that they are healthy.
D) ignore the long-term process of illness.

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

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With regard to Freud's explanation of "la belle indifference" (the observation that conversion disorder patients are not concerned about their symptoms) ,research conducted by Lader and Sartorius (1968) suggests that


A) conversion disorder patients do display "la belle indifference," but Freud's explanation of primary gain is not supported.
B) Freud's explanation is essentially correct since there is great variability in the amount of concern that conversion disorder patients display regarding their symptoms.
C) conversion disorder patients actually are quite concerned with their symptoms, so Freud's explanation of primary gain is not supported.
D) "la belle indifference" is a myth, thus validating Freud's explanation of primary gain.

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

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