Deck 7: Somatic Symptom and Dissociative Disorders

Question 1

Which of the following best illustrates the concept of dissociation?

A)While traveling from home to work and thinking about an important meeting, Jonathan noticed that he traveled several miles without remembering anything about the drive.
B)At a high school reunion, Kerry cannot remember the names of some of her former classmates.
C)A nervous Marlene cannot remember her lines during the opening of a play.
D)Even after two weeks in the hospital, Thomas remains unconscious following a motorcycle accident.

Answer 1

A

Question 2

In a classroom presentation, Kato reports, "Dissociative disorders are nonpsychotic conditions in which people develop physical problems even though there is no physiological cause.They are very rare." What error has Kato made?

A)Dissociative disorders do not involve physical problems.
B)Dissociative disorders are physiologically caused.
C)Dissociative disorders are psychotic conditions.
D)Dissociative disorders are relatively common, except for depersonalization disorder, which is rare.

Answer 2

A

Question 3

Pedro has the most common form of dissociative amnesia.He was a witness to his father's murder but has no memory of the event.This illustrates ____.

A)depersonalization
B)fugue
C)localized amnesia
D)generalized amnesia

Answer 3

C

Question 4

Caitlyn has been diagnosed with depersonalization disorder.We can guess that she would make which of the following statements?

A)"I must be going crazy because it seems that my body is distorted and unreal."
B)"I can remember going into the house when it was on fire, but I cannot remember getting out."
C)"I found myself in a new city with a new identity and no recollection of who Caitlyn was."
D)"I have strange feelings when people seem to know me but call me by the name Caitlyn; I don't even know who they are talking about."

Question 5

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

Question 6

Jane Doe had total memory loss of her previous life.Even when her parents identified her when she appeared on television, she claimed she could not remember them as her parents.Jane illustrates ____.

A)generalized amnesia
B)localized amnesia
C)selective amnesia
D)systematized amnesia

Question 7

Colleen has been diagnosed with depersonalization disorder.Which of the following symptoms should be present?

A)Vague and diverse physical complaints such as nausea and headache
B)An inability to remember events just before and during a crisis
C)Travel to another town and the establishment of a new identity
D)Perceptions that her body and her environment are unreal

Question 8

Which form of dissociative amnesia involves the inability to remember only certain details of an incident and is quite commonly claimed by individuals charged with homicide?

A)selective amnesia
B)continuous amnesia
C)dissociative fugue
D)localized amnesia

Question 9

Children and adolescents are rarely affected by the dissociative disorder known as ____.

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

Question 10

The symptoms of dissociative disorders generally become known through ____.

A)clinical observation
B)complaints by a patient's family members
C)self-reports
D)psychological testing

Question 11

Research by Pezdek, Blandon-Gitlin, and Gabbay (2006)points out that ____.

A)only plausible information can be planted in someone's memory
B)both plausible and implausible memories can be planted.
C)it is easier to plant implausible memories than plausible memories
D)it is almost impossible to plant false memories

Question 12

Which type of dissociative amnesia disorder is correctly paired with its chief characteristic?

A)generalized amnesia-partial loss of memory for a short period of time
B)localized amnesia-loss of all memory for a short period of time
C)systematized amnesia-inability to recall events between a specific time in the past and the present
D)selective amnesia-memory loss associated with fleeing a stressful event and developing a new identity

Question 13

Dante is a middle-aged man with a history of depression.Recently, he was diagnosed with dissociative fugue.He adopted a completely new identity while staying in his hometown.His amnesia lasted only a short time.What aspect of this case is unusual for dissociative fugue?

A)It is unusual for depression to be associated with dissociative fugue.
B)It is unusual for fugue to involve a completely new identity.
C)It is unusual for people with fugue to remain in their hometown.
D)It is unusual for dissociative fugue to last only a short time.

Question 14

Depersonalization disorder differs from other dissociative disorders in that it ____.

A)is caused by physiological abnormalities such as brain damage
B)involves total loss of memory of one's past
C)is relatively common
D)is rarely related to stressful events

Question 15

Are reports of formerly repressed memories authentic?

A)Research suggests that they are authentic in 80 to 90 percent of cases.
B)Research suggests that they are authentic in about half of all cases.
C)Research suggests that such memories are primarily the result of popular writings and leading questions by therapists.
D)At this point in time it is not clear how many cases of repressed memory are authentic.

Question 16

A psychologist says, "This person's problem 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

Question 17

Which statement about the validity of repressed memories is accurate?

A)Because hypnosis is the main way repressed memories are uncovered, we can be fairly certain they are valid memories, as hypnosis uncovers material deeply buried in one's unconscious.
B)Determining the validity of memories dating from an early age is very difficult.
C)In almost every case, it has been shown that repressed memories of sexual abuse are fabricated.
D)Because people do not forget other traumatic events, repression must be the explanation for forgotten sexual abuse.

Question 18

Repressed memories that surface after many years, often within the context of therapy, are generally believed to involve ____.

A)overprotective, smothering parents
B)overwhelming or threatening trauma in childhood
C)excessive intellectual and tactile stimulation early in childhood
D)a childhood in which the family moved at least once a year

Question 19

Jerald wakes up in New Jersey, some four hundred miles from his home in New Hampshire.He cannot remember how he got there, and he has no memory of his former life.He establishes a new identity in New Jersey.This illustrates ____.

A)dissociative identity disorder
B)localized amnesia
C)depersonalization disorder
D)dissociative fugue

Question 20

Which of the following is indicative of a dissociative disorders?

A)motor or sensory symptoms that are incongruent with any neurological or medical disorder
B)a separation of part of a person's consciousness or identity
C)faking symptoms of amnesia
D)the ability to only remember certain details of an incident

Question 21

Dr.Hart is a psychoanalyst treating a patient with dissociative identity disorder.He will probably explain the loss of memory in his patient as being due to ____.

A)the attention the patient receives for being so forgetful
B)excessive id control and a lack of superego
C)equally weak ego and id
D)extreme repression in the face of intense anxiety

Question 22

The posttraumatic model (PTM)of dissociative disorders is based on which perspective?

A)biological
B)sociocultural
C)psychodynamic
D)behavioral

Question 23

Dissociative identity disorder (DID)is more prevalent in ____ than in ____.

A)Japan; Canada
B)Mexico; the Netherlands
C)Turkey; Japan
D)Switzerland; the United States

Question 24

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

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."

Question 25

Maria, a Mexican adolescent with a history of sleepwalking, is diagnosed as having dissociative identity disorder (DID).She was severely abused as a child and, in response, developed three distinct personalities.What aspect of Maria's case is unusual for DID?

A)That she was severely abused as a child
B)That she has a history of sleepwalking
C)That she has more than two personalities
D)That she is Mexican

Question 26

According to the sociocognitive model (SCM)of dissociative identity disorder (DID), how is the development of the different "personalities" explained?

A)The "personalities" are developed by the patient consciously with the intent to deceive others.
B)The "personalities" emerge through the efforts of a therapist who is either incompetent or unethical.
C)The "personalities" emerge as a way of protecting the patient from anxiety.
D)The "personalities" develop spontaneously, without conscious deception.

Question 27

Which of the two most influential models of dissociative disorders gives an especially helpful explanation of 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).

Question 28

The ____ perspective explains the cause of dissociative disorders this way: "Extraordinary stress threatens the very existence of the ego and produces extraordinary repression."

A)behavioral
B)biological
C)sociocultural
D)psychodynamic

Question 29

According to the sociocognitive model (SCM)of dissociative identity disorder (DID), the disorder develops ____.

A)as the result of extreme abuse in early childhood
B)as the result of unethical therapeutic practices
C)through a biological predisposition
D)by learning about from the mass media

Question 30

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

Question 31

The hypothesized origin of dissociative identity disorder (DID)is that it is ____.

A)due to a biochemical imbalance in neurotransmitters
B)a modeled reaction
C)a form of malingering
D)a defense against intensely painful experiences

Question 32

Which statement about the development of dissociative identity disorder (DID)is accurate?

A)Child abuse is frequently reported as the trigger for the disorder.
B)The start of the disorder is usually unrelated to family stresses.
C)The disorder usually cannot be detected until middle age.
D)Characteristics of individuals diagnosed with DID have remained stable over time.

Question 33

Harvey is diagnosed with dissociative identity disorder.His mother severely abused him from the time he was 6 years old.The first of his personalities developed around seven.According to a psychoanalyst, the development of separate personalities served the purpose of ____.

A)providing substitute significant others to replace an unacceptable parent
B)taking the pain of the abuse so that his core personality would survive
C)helping Harvey to remember his mother's viciousness when he grew older
D)getting Harvey additional attention from family members

Question 34

A psychologist says, "The disorder develops because, in the face of overwhelming stress, the person has the capacity to dissociate and wall off the traumatic experience.This happens when there is no support in the family." The psychologist probably holds a ____ perspective on ____.

A)behavioral; dissociative identity disorder
B)behavioral; somatoform disorder
C)psychodynamic; hypochondriasis
D)psychodynamic; dissociative identity disorder

Question 35

Dr.Kim believes that increases in the frequency of diagnosing dissociative identity disorder have occurred because of iatrogenic effects.Which argument would Dr.Kim most likely use?

A)EEG patterns are consistently different when those diagnosed with the disorder experience different personalities.
B)Therapists tend to see the disorder as a way of escaping from unpleasant interpersonal situations.
C)Reports of child abuse cannot be influenced by instructions or expectations.
D)Most therapists who diagnose the disorder use hypnosis and other memory retrieval methods that rely on suggestion.

Question 36

Pope and colleagues (2006)reported that the number of publications related to dissociative disorder and dissociative amnesia ____.

A)has steadily increased from 1980 to the present time
B)increased between 1980 and the mid-1990s, then sharply decreased since then
C)has steadily decreased from 1980 to the present time
D)was relatively stable between 1980 and the mid 1990s, then sharply increased since then

Question 37

Which of the following is one of the complexities pointed out by Laney and Loftus (2005)with respect to interpreting reports of repressed memories?

A)Forgetting about abuse for a time means the memory is repressed.
B)Just because abuse is not mentioned by a survivor does not mean the memory of the abuse has been repressed.
C)Descriptions of false memories are usually extremely vague.
D)Because memory is concrete, details cannot be and false memories cannot be planted.

Question 38

According to psychodynamically oriented thinkers, traumatic events alone do not produce multiple personalities.There must also be a ____.

A)capacity to dissociate
B)lack of superego function
C)lack of id
D)model for this behavior

Question 39

After controlling for the effects of age, Vermetten and colleagues (2006)compared women with dissociative identity disorder (DID)with women who did not have that diagnosis.All women in the study had a history of childhood sexual abuse.The researchers found ____.

A)no meaningful differences in brain structures between the two groups of females
B)that the hippocampal and amygdalar volumes of females with DID were greater than for females without DID
C)that the amygdalar but not the hippocampal volume of females with DID was greater than for females without DID
D)that the amygdalar and the hippocampal volumes of females with DID were significantly reduced compared with that of females without DID

Question 40

Dr.Young asks these questions of a child: "Do you ever sort of space out? Does it ever happen that time goes by and you can't remember what you were doing during that time? Do you ever do things that surprise you and you later stop and ask yourself why you did that?" What problem is Dr.Young investigating?

A)conversion disorder
B)somatization disorder
C)dissociation
D)panic disorder

Question 41

Joshua is a rehabilitation counselor whose job is to help disabled people become reemployed in another appropriate occupation.Joshua is concerned that there has been an increase in the number of people claiming to be disabled by stress or feigning physical injuries in order to receive government disability payments.What concept best identifies Joshua's concern?

A)factitious disorder
B)malingering
C)moral anxiety
D)collaborative empiricism

Question 42

Rule-governed and goal-directed experiences, displays of multiple role enactments, and social reinforcement are all key concepts in which explanation for dissociative disorders?

A)psychodynamic
B)family systems
C)sociocognitive
D)iatrogenic

Question 43

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

A)It may cause severe trauma for the client.
B)It may result in further repression of emotions and memories.
C)It may create personalities in suggestible clients.
D)It may uncover too many hidden personalities, which may cause more problems for the client.

Question 44

What is the major goal in treating dissociative identity disorder (DID)?

A)fusion and complete integration of the individual personalities
B)getting the personalities to work together
C)getting the client to understand that the personalities are different aspects of the client's own personality
D)having the client use each of the personalities for specific situations that fit a given personality's abilities

Question 45

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

Question 46

Dr.Abdullah's new patient is diagnosed with dissociative fugue.Rather than doing in-depth psychotherapy, the doctor prescribes an antidepressant and provides emotional support.Why would Dr.Abdullah respond this way?

A)The doctor probably sees the condition as iatrogenic.
B)The doctor probably agrees with the psychodynamic perspective.
C)The doctor probably knows that fugue is a hopeless condition that is untreatable.
D)The doctor probably knows that fugue goes away spontaneously and that depression is the only significant treatable symptom.

Question 47

Because the origin of dissociative identity disorder in some cases may stem from the expectations and reinforcements of therapists, the disorder may be considered ____.

A)somatoform
B)iatrogenic
C)psychosomatic
D)a form of malingering

Question 48

What can be said about the authenticity of the well-known case of dissociative identity disorder (DID)involving Sybil?

A)It has been well supported and substantiated.
B)There is no way to verify whether the events reported actually occurred.
C)Although Sybil continues to assert that the events occurred as reported, many psychologists doubt her assertions.
D)Its authenticity has been questioned and Sybil denied that the events and personalities described were true.

Question 49

Wanda fakes her pain complaints because she is hoping to get a large monetary award from an insurance company.Roberta experiences fever and pain because she has injected herself with bacteria.Wanda's behavior illustrates ____; Roberta's behavior illustrates ____.

A)malingering; somatoform disorder
B)malingering; factitious disorder
C)factitious disorder; malingering
D)factitious disorder; somatoform disorder

Question 50

A psychologist says, "We know it is a psychological disorder because the physical symptoms have no physiological basis and the symptoms are not under voluntary control." What is the psychologist describing?

A)a somatic symptom disorder
B)an anxiety disorder
C)alcoholism
D)a dissociative disorder

Question 51

Which symptoms are often found in association with fugue and dissociative amnesia?

A)stress and depression
B)conversion disorder and hysteria
C)hypochondriasis and phobia
D)depression and mania

Question 52

Dr.Newman used hypnosis to help Marianne return to her childhood and uncover a hidden trauma that might be causing her symptoms.Dr.Newman's therapeutic orientation is probably ____.

A)humanistic/existential
B)cognitive
C)psychodynamic
D)behaviorist

Question 53

In the movie Ferris Bueller's Day Off, Ferris deliberately faked his own headaches and stomach pains so that he could avoid going to school.Aside from his irresponsibility, Ferris would best be diagnosed as exhibiting ____.

A)factitious disorder
B)impulse control disorder
C)malingering
D)illness anxiety disorder (hypochondriasis)

Question 54

Donna is diagnosed as having dissociative identity disorder.She can expect that her therapist will likely help her become aware of her different personalities through the use of psychotherapy and ____.

A)antidepressant medication
B)biofeedback
C)systematic desensitization
D)hypnosis

Question 55

The chief difference between complex somatic symptom disorder with somatization features 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

Question 56

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.

Question 57

Which of the following is a somatic symptom disorder?

A)generalized anxiety disorder
B)dissociative identity disorder
C)functional neurological symptom disorder (conversion disorder)
D)depersonalization disorder

Question 58

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

Question 59

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

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

Question 60

Coons (1986)did follow-up research on twenty patients treated for dissociative identity disorder.The findings show that ____.

A)almost all of them were successfully reintegrated
B)most showed great improvement in the first months, but all relapsed within a year
C)none of them showed enough improvement to be employed
D)about one-third were unable to work due to their disorder

Question 61

Marge has gone to doctors with more than twenty different somatic complaints in the past year and has had surgery four times.She has few anxiety or depressive symptoms, but doctors never satisfy her when they say, "There's nothing wrong with you physically." What is unusual about this patient?

A)People with complex somatic symptom disorders with somatization features (somatization disorders)rarely shop around for doctors.
B)People with complex somatic symptom disorders with somatization features (somatization disorders)usually show only one physical complaint.
C)Complex somatic symptom disorder with somatization features (somatization disorder)often includes depression and anxiety.
D)Complex somatic symptom disorder with somatization features (somatization disorder)affects mostly males.

Question 62

Sharon has caused diarrhea in her 3-year-old daughter by feeding her spoiled milk and rotten eggs.When the child is repeatedly hospitalized, Sharon acts like a very worried and caring mother.Since Sharon does not get to play the sick role and gets no obvious reward for her behavior, her appropriate diagnosis is ____.

A)complex somatic symptom disorder with somatization features (somatization disorder)
B)factitious disorder
C)factitious disorder imposed on another
D)malingering

Question 63

Complex somatic symptom disorder with somatization features (somatization disorder)used to be called ____.

A)hysteria
B)drapetomania
C)psychosomatic disorder
D)bile disorder

Question 64

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.Bethany's problems would best fit a diagnosis of ____.

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

Question 65

Monica complains of chest and head pains, amnesia, nausea, and sexual problems.She goes from doctor to doctor, but none can find a physical cause for her complaints.Stephen suddenly became blind one day shortly after his boss put him under great psychological stress.There is no physiological explanation for his blindness.Monica best illustrates ____, whereas Stephen best illustrates ____.

A)functional neurological symptom disorder (conversion disorder); factitious disorder
B)complex somatic symptom disorder with somatization features (somatization disorder); illness anxiety disorder (hypochondriasis)
C)illness anxiety disorder (hypochondriasis); factitious disorder
D)complex somatic symptom disorder with somatization features (somatization disorder); functional neurological symptom disorder (conversion disorder)

Question 66

Because glove anesthesia does not correspond to the distribution of nerve pathways in the body, it leads to a diagnosis of ____.

A)functional neurological symptom disorder (conversion disorder)
B)body dysmorphic disorder
C)complex somatic symptom disorder with somatization features (somatization disorder)
D)psychogenic pain

Question 67

Barbara was in a car accident and experienced neck pain immediately afterward.Doctors say that any injury to her neck healed within two weeks of the accident.Nine months later, Barbara begins to visit her doctor weekly, saying the pain is still unbearable and she needs stronger pain medication.What is a reasonable diagnosis?

A)complex somatic symptom disorder with somatization features (somatization disorder)
B)depersonalization disorder
C)illness anxiety disorder (hypochondriasis)
D)complex somatic symptom disorder with pain features (pain disorder)

Question 68

Tulugaq, an Inuit, experiences dissociative-like episodes that are accompanied by extreme excitement.He often performs aggressive and dangerous acts, although he does not remember them.One of his recent episodes was followed by convulsions and he went into a coma for two days.Tulugaq suffers from ____.

A)zar
B)brain fag
C)pibloktoq
D)dhat

Question 69

"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

Question 70

Amelia's parents were from India and continued to follow the traditions of that country.Her parents had selected her husband for her, and she was to be married in two weeks.One morning, however, Amelia woke up paralyzed, and she had no use of her legs.A thorough medical examination could find nothing physically wrong that would account for Amelia's paralysis.Amelia would most likely be diagnosed with ____.

A)illness anxiety disorder (hypochondriasis)
B)factitious disorder
C)malingering
D)functional neurological symptom disorder (conversion disorder)

Question 71

Pain is to ____ as paralysis and absence of pain are to ____.

A)functional neurological symptom disorder (conversion disorder); complex somatic symptom disorder with pain features (pain disorder)
B)functional neurological symptom disorder (conversion disorder); illness anxiety disorder (hypochondriasis)
C)complex somatic symptom disorder with pain features (pain disorder); functional neurological symptom disorder (conversion disorder)
D)complex somatic symptom disorder with pain features (pain disorder); illness anxiety disorder (hypochondriasis)

Question 72

Paralysis, anesthesia, and impairment in sight or hearing are common complaints in ____.

A)illness anxiety disorder (hypochondriasis)
B)functional neurological symptom disorder (conversion disorder)
C)dissociative pain disorder
D)complex somatic symptom disorder with somatization features (somatization disorder)

Question 73

Which of the following persons has symptoms that most likely indicate a possible functional neurological symptom disorder (conversion disorder)?

A)Joan, who says her legs have been paralyzed for six months but who shows no muscle atrophy
B)Keith, who goes from doctor to doctor complaining of pains and symptoms in many different parts of his body
C)Lilly, who constantly thinks about the size of her ears and wants plastic surgery to reconstruct them
D)Wes, who has had backaches that have gone on longer than his doctor thinks is reasonable

Question 74

Barbie has complained of an unexplained illness for several years.She has had many painful and high-risk surgeries and other treatments, which she has willingly undergone.In fact, she seems to enjoy playing the "sick role." She gets extremely angry when anyone questions whether she really has an actual physical problem.These symptoms suggest that Barbie suffers from ____.

A)malingering
B)complex somatic symptom disorder with somatization features (somatization disorder)
C)factitious disorder
D)illness anxiety disorder (hypochondriasis)

Question 75

Worldwide, the most common forms of complex somatic symptom disorder symptoms are ____.

A)gastrointestinal complaints and abnormal skin sensations
B)menstrual and abdominal pains
C)abdominal and chest pains
D)body odor and kidney weakness

Question 76

Suppose you are the director of a mental health clinic in a neighborhood where many immigrants from India, China, and Korea live.You could expect that clients coming from these Asian backgrounds would ____.

A)feel that anyone with a somatic symptom disorder is morally weak
B)have almost no somatic symptom disorders
C)believe that any somatic complaints they have come from emotional stress
D)believe that physical problems produce emotional problems

Question 77

Yassir has been under great stress at work.He tells his doctor that he cannot feel his hand from his wrist to his fingertips.He says it is as though all the feeling in the nerves was cut off at the wrist.The doctor, knowing how nerves are distributed, will probably see Yassir as having ____.

A)complex somatic symptom disorder with pain features (pain disorder)
B)functional neurological symptom disorder (conversion disorder)
C)factitious disorder imposed on another
D)illness anxiety disorder (hypochondriasis)

Question 78

Which of the following symptoms is necessary for a diagnosis of complex somatic symptom disorder with pain features (pain disorder)?

A)difficulty controlling worrisome thoughts
B)a neurological symptom
C)multiple physical complaints
D)depression

Question 79

Which statement about complex somatic symptom disorder with somatization features (somatization disorder)is accurate?

A)It is a form of dissociative disorder.
B)It is rarely associated with anxiety, depression, or other psychiatric disorders.
C)It is relatively rare, having a prevalence of 2 percent for women and 0.2 percent for men.
D)It is more prevalent among educated individuals than among uneducated ones.

Question 80

As Will approached the witness stand, he stopped and clutched his throat.He had to leave the courtroom because he was unable to speak.If he had no other symptoms, his condition might be diagnosed as ____.

A)panic disorder
B)factitious disorder
C)agoraphobia
D)functional neurological symptom disorder (conversion disorder)