Deck 9: Dissociative Disorders

Question 1

There are three variables that tend to produce a vulnerability to dissociative disorders. Which of the following is not applicable?

A)Imaginative involvement, absorption, or fantasy proneness
B)Sudden loss of memory for important information
C)Hypnotizability
D)Childhood trauma

Answer 1

B

Question 2

Which of the following is considered a dissociative disorder?

A)Factitious disorder
B)Malingering disorder
C)Hypochondriasis
D)Depersonalization disorder

Answer 2

D

Question 3

A less common form of dissociative amnesia, this disorder encompasses a loss of memory that includes all the experiences during the person's entire life from infancy to the present time. This is known as:

A)Generalized amnesia
B)Selective amnesia
C)Localized amnesia
D)Psychogenic amnesia

Answer 3

A

Question 4

In a person diagnosed with dissociative identity disorder, a "switch" can be characterized in all of the following situations except when:

A)A male alter changes into a female alter
B)There are changes in physical appearance and speech mannerisms
C)There is a change in dominant handedness and eyeglass prescriptions
D)The person shows an over active imagination

Question 5

Lila Wartzenager occasionally has sensations of being detached from her surroundings, "It's as if I am living in a dream," she says. This feeling of unreality almost always occurs when she is overtired. Lila is experiencing symptoms of:

A)Dysmorphic disorder
B)Acute stress disorder
C)Dissociative Experience
D)Specific phobia

Question 6

There has been increasing documentation of a connection between extreme childhood physical and/or sexual trauma and:

A)Dissociative fugue
B)Dissociative amnesia
C)Dissociative identity disorder
D)Depersonalization/derealization disorder

Question 7

Dissociative amnesia most often involves the following types of amnesia except:

A)Localized
B)Selective
C)Generalized
D)Interrupted

Question 8

A positive dissociative symptom can be seen as all of the following except:

A)Fragmentation of identity
B)Depersonalization
C)Derealization
D)Amnesia

Question 9

Generalized amnesia, as seen in dissociative amnesia, is characterized as:

A)A complete loss of memory for one's life history
B)The individual forgets each new event as it occurs
C)The individual loses memory for a specific category of information
D)A failure to recall events during a circumscribed period of time
True/False Questions:

Question 10

An "alter" is:

A)Any one of the different identities in persons with dissociative identity disorder
B)Triggered by drug use
C)Also called a transmogrify
D)Considered a person's host identity

Question 11

Depersonalization/derealization disorder is different from the other dissociative disorders because in depersonalization/derealization, there is/are no:

A)Anxiety or distress experienced
B)Experiences of contact with reality or detachment
C)Perceptual disturbances
D)Memory disturbances

Question 12

The cause of identity disorders has been attributed to all of the following except for:

A)Interpersonal maltreatment in childhood and adulthood
B)The process of aging
C)Overwhelming early life events
D)Long, painful early-life medical procedures

Question 13

A culturally accepted dissociative experience is known as:

A)Folie a deux
B)Ataque de Nervios
C)Amok
D)Creutzfeld-Jakob disorder

Question 14

This disorder includes a loss of one's sense of reality in the external world. The affected person may experience familiar objects or persons as strange and odd. It is called:

A)Splitting
B)Depersonalization/derealization
C)Continuous amnesia
D)Confabulation

Question 15

Boris Kluski has occasionally felt a sensation of being detached from his surroundings. He tells the social worker that he feels as if he were "in a dream" during these times. Boris' feelings of unreality most commonly occur when he is feeling overtired. What is the most likely diagnosis to consider for Boris?

A)Dissociative identity disorder
B)Acute stress disorder
C)Dissociative amnesia
D)Depersonalization/derealization disorder

Question 16

The defining characteristic of dissociative identity disorder is:

A)Persistent or recurrent experiences of derealization or experiences of unreality or detachment with respect to one's surroundings
B)Persistent or recurrent episodes of depersonalization or experiences of unreality, detachment or being an outside observer of oneself
C)The person's inability to recall important autobiographical information
D)The presence of two or more distinct personality states or an experience of possession

Question 17

The dissociative disorders are characterized by a disruption of and/or discontinuity in the normal integration of consciousness. Which of the following is not a functional area affected by the dissociative disorders.

A)Memory
B)Identity
C)Aggressive self-control
D)Emotion

Question 18

A young woman was found on the beach wandering aimlessly. She appeared to be battered and bruised as evidenced by blood on her torn clothes. She had no identification and when taken to the sexual assault trauma center, the social worker noted that this young woman had no memory of herself or her past. What is the most likely disorder for the social worker to consider for this young woman?

A)Dissociative identity disorder
B)Dissociative amnesia
C)Dissociative repression
D)Derealization disorder

Question 19

Which of the following specifiers apply to dissociative amnesia?

A)Severity
B)Persistent
C)With predominant pain
D)With dissociative fugue

Question 20

Each of the following is true of dissociative identity disorder except when:

A)The disturbance is not due to substance use or a general medical condition
B)The person is unable to remember significant and important personal information
C)There must be at least four or more fully developed alter personalities
D)At least two of the identities consistently take control of the host behavior

Question 21

Generalized amnesia is the most common form of dissociative amnesia.

Question 22

Those individuals with dissociative identity disorder most often spontaneously improve without any form of professional treatment.

Question 23

Gaps in recall of everyday life events is not considered a criterion for definitions of amnesia in dissociative identity disorder.

Question 24

It is very uncommon for an individual diagnosed with dissociative identity disorder to have cross-gender alters.

Question 25

Dissociative identity disorder is considered the most serious of all of the dissociative disorders.

Question 26

Ataque de Nervios features uncontrollable crying, shouting, screaming, and lasts for a brief period of time. It is perceived to be adaptive within specific cultures.

Question 27

When a person reports being recognized by someone unfamiliar to them this may be considered as one of the signs of dissociative identity disorder.

Question 28

Persons who have dissociative identity disorder are not very suggestible.

Question 29

Dissociative fugue, seen as apparently purposeful travel or bewildered wandering associated with amnesia for identity or other important autobiographical information, is a separate diagnosis in the DSM-5.

Question 30

In localized amnesia, the affected person has uneven recollections of an event while other portions of time are completely forgotten.

Question 31

Alters are distinct personalities with unique memories, attitudes, habits and personal histories that are clearly apart from the "host" individual.

Question 32

All dissociative experiences are viewed as pathological.

Question 33

In localized amnesia, the affected person is unable to recall events that occurred during a particular time or following a profoundly disturbing event.

Question 34

The dissociative disorders are considered controversial.

Question 35

In order to diagnose dissociative identity disorder, the clinician or a reliable family member must witness the person's claimed disruption of identity.

Question 36

While dissociative disorders were previously thought to be extremely rare, they are now considered to occur more frequently.

Question 37

Formerly known as psychogenic amnesia, dissociative fugue disorder is a reversible condition.

Question 38

In dissociative identity disorder "switching" specifically refers to the changing or movement back and forth between one personality-identity and another.

Question 39

Depersonalization disorder occurs when the person feels detached from his or her own body, surroundings, and feels as if another person were observing them.

Question 40

Dissociative disorders can also include amnestic disorders.

Question 41

Duration of the fugue state can last from weeks to months.

Question 42

Individuals with certain neurological disorders, particularly seizure disorders, experience an increase of dissociative features.

Question 43

The person with depersonalization disorder experiences their symptoms as ego-syntonic.

Question 44

Fugue states do not generally appear until early adolescence but they more commonly occur in adulthood.

Question 45

The essential feature of the dissociative disorders is a disruption of the person's intrapersonal domain, specifically functions of consciousness, identity, perception of the environment and memory.

Question 46

When making a competency-based assessment of depersonalization disorder, the practitioner should not consider this diagnosis unless the symptoms are persistent, recurrent, or they seriously impair the client's functioning.

Question 47

Match each term with the appropriate definition:
$\begin{array}{|l|l|}\hline \text { Term: } & \text { Definition: } \\\hline \text { a) Dissociation } & \_\_\_\text { Culturally accepted dissociative experience } \\\hline \text { b) Alters } &\_\_\_ \text { Involves sudden travel away from home and } \\&\text { work or to another location }\\\hline \text { c) Ataque de Nervios } &\_\_\_ \text { Feeling detached from, and as if one is an } \\&\text { observer of, one's mental processes or body }\\\hline \text { d) Depersonalization }&\_\_\_ \text { Loss of memory for some but not all events in a }\\&\text { specific period of time }\\\hline \text { e) Continuous amnesia }&\_\_\_ \text { A rev ersible amnesia associated with emotional, } \\&\text { traumatic, or psychological stress }\\\hline \text { f) Derealization } & \_\_\_\text { A mechanism of defense to ward off the } \\&\text { emotional impact of traumatic, abusive ev ents or }\\&\text { memories }\\\hline\text { g) Dissociative } & \_\_\_\text { Persons may experience familiar objects or } \\\text { amnesia } & \text { persons as strange and odd }\\\hline\text { h) Dissociative fugue }&\begin{array}{ll}\_\_\_\text { Distinct personalities who have unique }\\\text { memories, attitudes, habits that are clearly different }\\\text { from the host individual }\end{array}\\\hline \text { i) Selective amnesia }&\_\_\_\text { The person forgets each new event as it occurs }\\\hline\end{array}$

Question 48

Daydreaming is one example of a non-pathological dissociative event.

Question 49

Dissociative disorder is often misconstrued as being a thought disorder, for example schizophrenia.

Question 50

The two most common dissociative disorders are derealization and dissociative fugue disorder.