Question 1

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

Accepted Answer

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 2

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?

Accepted Answer

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 3

Maria, an adolescent with a history of sleepwalking, is diagnosed as having dissociative identity disorder (DID). She was severely abused as a child and, in response, has developed three distinct personalities. She has no gaps in her memory. What aspect of Maria's case is unusual for DID?

Accepted Answer

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 has no gaps in her memory

Question 4

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

Accepted Answer

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 5

Which statement about the validity of repressed memories is accurate?

Accepted Answer

A)  Because hypnosis is often used, we can be fairly certain they are valid memories. 
B)  Determining the validity of memories dating from an early age is very difficult. 
C)  In almost every case, repressed memories of sexual abuse are fabricated. 
D)  Because people do not forget other traumatic events the memories must be repressed.

Question 6

What is the primary difference between factitious disorder and malingering?

Accepted Answer

A)  The symptoms in factitious disorder may be deliberately induced while those in malingering are faked. 
B)  The symptoms in factitious disorder are not produced intentionally, whereas they are in malingering. 
C)  Both involve faking symptoms but those with factitious disorder are usually more successful than malingerers. 
D)  The feigning of symptoms in factitious disorder is motivated by economic gain, whereas the motivation in malingering is to get attention.

Question 7

Research has found that Asian Americans often react to stress by ____.

Accepted Answer

A)  becoming irritable 
B)  developing physical complaints 
C)  withdrawing 
D)  redirecting their energies into school or work

Question 8

Mrs. Klinger has a ten-year history of fearing a heart attack, although no doctor has found anything wrong with her heart. She frequently calls emergency services and lies in bed most days worrying that she will have a coronary. Mrs. Klinger suffers from ____.

Accepted Answer

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

Question 9

Barbara is in a car accident and experiences neck pain immediately afterward. Doctors say that any injury to her neck will heal 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?

Accepted Answer

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

Question 10

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?

Accepted Answer

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

Question 11

What form does the dissociation take in depersonalization disorder, dissociative amnesia, and dissociative identity disorder? What are the major differences in the symptoms and prospects for recovery in these three disorders?

Accepted Answer

The answer of What form does the dissociation take in...

Question 12

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

Accepted Answer

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

Question 13

A psychologist discusses a patient with illness anxiety disorder this way: "She focuses on her health so that she can be protected from the anxiety her underlying conflicts cause. Then, when she is shown attention and sympathy, her dependency needs are met." This psychologist ____.

Accepted Answer

A)  probably agrees with the behavioral perspective 
B)  takes a diathesis-stress approach to illness anxiety disorder 
C)  is discussing primary and secondary gain 
D)  probably rejects the psychoanalytic perspective

Exam 6: Somatic and Dissociative Disorders