Deck 6: Dissociative Disorders, Somatic Symptom and Related Disorders, and Psychological Factors Affecting Physical Health

Question 1

The key feature of ______ disorders is a change or disturbance in the functions of identity, memory, or consciousness that normally make an individual psychologically whole.

A) anxiety
B) somatoform
C) dissociative
D) adjustment

Answer 1

dissociative

Question 2

In earlier versions of the DSM, dissociative disorders were classified with__________ disorders under the general term________.

A) somatoform; psychosomatic disorders
B) memory; neurosis
C) neurological; psychosomatic disorders
D) anxiety; neurosis

Answer 2

anxiety; neurosis

Question 3

Individuals with dissociative identity disorders show _____________than what is noted with individuals? with schizophrenia.

A) more hallucinatory experiences and delusional behavior
B) more integrated functioning on cognitive, affective, and behavioral levels
C) less integrated functioning on cognitive, affective, and behavioral levels
D) less affective constriction

Answer 3

more integrated functioning on cognitive, affective, and behavioral levels

Question 4

The term ______ is now used to describe what used to be called multiple personality disorder.

A) schizotypal personality disorder
B) depersonalization disorder
C) dissociative identity disorder
D) schizoid personality disorder

Question 5

______________is describes as an inability to recall important personal material that cannot be accounted ? for by medical causes.

A) Depersonalization-derealization disorder
B) Dissociative conversion
C) Dissociative identity disorder
D) Dissociative amnesia

Question 6

Martin claims to have 16 different personalities, each with its own unique traits and memories, living inside him. If his claims are accurate, he is suffering from ______.

A) schizophrenia
B) schizoid personality disorder
C) depersonalization disorder
D) dissociative identity disorder

Question 7

Laypersons often confuse dissociative identity disorder with __________.

A) autism
B) bipolar illness
C) dissociative amnesia
D) schizophrenia

Question 8

In earlier versions of the DSM, dissociative and somatic symptom and related disorders were classified under the general category of "neurosis" based on the psychodynamic model, which holds that dissociative and somatic symptom and related disorders involve maladaptive ways of managing________.

A) anxiety
B) addiction
C) depression
D) mania

Question 9

In DSM-5, disorders involving physical symptoms with a psychological basis are known as ______ disorders.

A) psychosomatic
B) somatogenic
C) physioform
D) somatic symptom and related disorders

Question 10

The word "schizophrenia" comes from Greek roots meaning ____________.

A) multiple selves
B) fragmented mind
C) split mind
D) integrated mind

Question 11

Many practitioners continue to use the broad conceptualization of _________as a useful framework for grouping together anxiety disorders, dissociative disorders, and somatic symptom and related disorders.

A) mood disorders
B) neuroses
C) psychoses
D) somatic symptom disorders

Question 12

______ is the emergence of two or more distinct personalities.

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

Question 13

Episodes of feeling detached from one's self or one's body or having a sense of unreality about one's surroundings characterizes_________.

A) dissociative identity disorder
B) depersonalization-derealization disorder
C) dissociative amnesia
D) dissociative conversion

Question 14

_________ is defined by the emergence of two or more distinct personalities.

A) Depersonalization-derealization disorder
B) Dissociative identity disorder
C) Dissociative amnesia
D) Dissociative conversion

Question 15

People with __________disorders may report blindness or numbness, although no organic basis can be ? detected.

A) anxiety
B) somatic symptom
C) dissociative
D) hysterical

Question 16

The DSM-5 name for multiple personality disorder is ______.

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

Question 17

Andre shows no signs of overt anxiety, but says he can no longer remember who he is. He claims he cannot recognize any of his close family members, even though there is nothing
Medically wrong with him. Andre is suffering from a(n) _______ disorder.

A) anxiety
B) somatic symptom
C) dissociative
D) adjustment

Question 18

The DSM-5 breaks tradition with the historic earliest editions of the DSM by ________the other classical categories of neuroses-the dissociative and somatic symptom and related disorders.

A) separating the anxiety disorders from
B) combining the mood disorders with
C) combining the anxiety disorders with
D) separating the mood disorders from

Question 19

Larry woke up this morning and found himself totally blind. His physician can find no organic basis for his blindness. Larry doesn't appear to be worried about his loss of sight. In fact, he's
Almost indifferent to it. He is suffering from a(n) ______ disorder.

A) anxiety
B) somatic symptom
C) dissociative
D) adjustment

Question 20

Dissociative and somatic symptom and related disorders were categorized as ______ in early editions of the DSM.

A) neuroses
B) psychoses
C) affective disorders
D) personality disorders

Question 21

The presence of individuals claiming to have dissociative identity disorder has been observed to spread ______.

A) on college campuses
B) in housing projects
C) in inpatient psychiatric units
D) in Australia and New Zealand

Question 22

A leading authority on dissociative identity disorder who did not believe it was really a distinct disorder was ______.

A) Theodore Reik
B) John Warkentin
C) Nicholas Spanos
D) Virginia Satir

Question 23

The most common type of dissociative disorder is believed to be ______.

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

Question 24

In dissociative identity disorder, the main personality is known as the ______.

A) nucleus
B) host
C) captain
D) center

Question 25

According to the text, which of the following is the likely explanation for why some clinicians seem to "discover" many more cases of dissociative identity disorder than others?

A) The social reinforcement model
B) There are many more skilled clinicians specializing in this field.
C) The disorder has a strong genetic basis.
D) It tends to be localized in certain parts of North America where these clinicians practice.

Question 26

In dissociative identity cases, the theme of ______ is particularly common.

A) different emotional disorders
B) differing abilities in the same career
C) teacher or boss and student or employee
D) shifting sexual orientation

Question 27

A recent survey in Japan found ______ of dissociative identity disorder.

A) not a single case
B) only a few cases
C) several hundred cases
D) several thousand cases

Question 28

Psychogenic amnesia is the original name for what is now called ______.

A) dissociative amnesia
B) retrograde amnesia
C) dissociative fugue
D) depersonalization-derealization disorder

Question 29

Dissociative identity disorder is found primarily in ______.

A) Europe
B) Asia
C) Africa
D) North America

Question 30

What percent of people with multiple personalities studied in Canada had attempted suicide?

A) 12
B) 32
C) 52
D) 72

Question 31

In dissociative identity disorder, the main or dominant personality___________ the existence of other personalities.

A) may or may not know of
B) always is aware of
C) never is aware of
D) cannot be aware of

Question 32

The inability to recall important personal information that cannot be accounted for by medical causes or simple forgetting is known as ______.

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

Question 33

Among clinicians in North America, ___________psychiatrists and psychologists have encountered someone with multiple personalities.

A) a large number of
B) about half of all practicing
C) relatively few
D) about two-thirds of all practicing

Question 34

Dissociative identity disorder does appear to be culture-bound and largely restricted to__________.

A) the rural poor of a given country
B) North America
C) the Midwest of the United States
D) English-speaking countries

Question 35

For an individual with dissociative identity disorder, the sudden transformation of one personality into? another may be experienced as__________________.

A) a form of possession
B) an epileptic-like seizure
C) an overwhelming sense of urgency
D) a calming reassurance

Question 36

Which of the following statements about dissociative identity disorder is true?

A) The disorder is found in virtually all major cultures throughout the world.
B) Mental health clinician are hesitant to use the diagnosis due to the controversy surrounding its validity, thus it is underdiagnosed.
C) Some clinicians may unknowingly "cue" clients about the features of multiple personality.
D) Increased public attention to the disorder may result in more individuals attempting to "fake" the disorder so that they may be absolved of legal or moral responsibilities.

Question 37

Sudden loss of ability to recall important personal information, usually related to traumatic or stressful experiences, in the absence of any physical trauma to the brain or drug intoxication
Characterizes ______.

A) dissociative fugue
B) dissociative amnesia
C) retrograde amnesia
D) depersonalization-derealization disorder

Question 38

Nicholas Spanos believed that dissociative identity is not a distinct disorder, but describes it as a form of which of the following?

A) an extreme mood disorder
B) role playing
C) brain damage
D) a form of schizophrenia

Question 39

A survey of psychiatrists in Switzerland found that ______ percent of them had never seen a case of dissociative identity disorder.

A) 30
B) 50
C) 70
D) 90

Question 40

In most cases of dissociative identity disorder, which of the following best describes the relationship of the dominant personality to the alter personalities?

A) The dominant personality remains unaware of the existence of the alter personalities.
B) The core personality is abusive of the alter personality.
C) The dominant personality is always older than the alter personalities.
D) The dominant personality is ashamed of the alter personalities.

Question 41

The types of things people "forget" with dissociative amnesia tend to be memories of ______.

A) early sexual experiences
B) early childhood years
C) classroom material
D) stressful or traumatic events

Question 42

The most commonly occurring type of dissociative amnesia is ______.

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

Question 43

Ollie wakes up one morning and can't remember who he is or who any of his friends or relatives are. He can't remember where he works or even where he lives. A physician is
Unable to find anything physically wrong with Ollie's brain, although Ollie's friends say he's recently been under some stress. Ollie is probably suffering from ______.

A) dissociative fugue
B) dissociative amnesia
C) retrograde amnesia
D) depersonalization-derealization disorder

Question 44

Which of the following statements is true regarding dissociative amnesia?

A) The person may be confused about his or her personal identity or assumes a new identity.
B) The person may start a new family or business.
C) Information lost to memory is usually of traumatic or stressful experiences.
D) The person may feel as if he or she were living in a dream or acting like a robot.

Question 45

A form of dissociative amnesia in which the person forgets everything that occurred from a particular point in time up to and including the present is ______ amnesia.

A) localized
B) selective
C) generalized
D) continuous

Question 46

Which of the following is one of the types of dissociative amnesia?

A) restricted
B) intermittent
C) systemized
D) organized

Question 47

Years ago, Julie had an extramarital affair. While she can remember the period of time in which the affair took place, including all the details of her marriage and family life, she
Cannot remember the affair itself. She is suffering from _______ amnesia.

A) selective
B) intermittent
C) localized
D) systematized

Question 48

The type of dissociative amnesia in which people forget their entire lives, repressing all personal information while retaining objective information and personal skills, tastes, and
Habits, is called ______.

A) selective
B) generalized
C) localized
D) continuous

Question 49

The memory loss in dissociative amnesia is ______.

A) permanent
B) specifically for names of people and places
C) reversible
D) is best treated by a cognitive-behavioral approach

Question 50

When Howard's sister goes to visit him, he claims that he does not have a sister and has no memories of her. He recalls every other aspect of his family and past but has lost all
Memories of her. Howard is suffering from ______ amnesia.

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

Question 51

The type of dissociative amnesia in which people forget only the disturbing or stressful events which took place in a given time period, but remember everything else about that time period,
Is called ______ amnesia.

A) selective
B) intermittent
C) localized
D) systematized

Question 52

Carla has forgotten her entire life. She cannot remember who she is, what career she is pursuing, where she lives, or with whom she lives. Although she retains all of her habits,
Tastes, skills, and objective knowledge, she has forgotten all personal information that would
Reveal her identity. She is suffering from ______ amnesia.

A) selective
B) generalized
C) localized
D) continuous

Question 53

The type of dissociative amnesia in which all events occurring within a specific time period are forgotten, typically those involving some stressful event that happened during that time
Period, is called ______ amnesia.

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

Question 54

Rosa experienced a highly traumatic sexual assault and forgot everything from the time of the assault to the present. Rosa is suffering from ______ amnesia.

A) localized
B) selective
C) generalized
D) continuous

Question 55

There are ______ types of dissociative amnesia.

A) two
B) three
C) four
D) five

Question 56

Sandy was recently involved in a horrifying car accident. She was lucky to emerge from the accident with only minor physical injuries. However, she can't remember anything that
Happened from about two hours before the accident until she woke up in the hospital the
Next day. She is suffering from ______ amnesia.

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

Question 57

The text cites a case example about Rutger, a businessman who was hospitalized for a few days after becoming dazed and losing his identity. Upon admission to the hospital, Rutger
Was diagnosed with ______.

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

Question 58

Margaret suddenly lost her memory for important aspects of her life like her friends, family, job, and home. Nothing is wrong physically with Margaret and she is diagnosed with
Dissociative amnesia. Margaret's amnesia was most likely precipitated by __________.

A) brain damage
B) a psychological trauma
C) a psychotic breakdown
D) a nervous breakdown

Question 59

The text cites a case example about Rutger, a businessman who was hospitalized for a few days after becoming dazed and losing his identity. The amnesia Rutger was showing for the
Period between entering the emergency room and the morning he regained his memory for
Prior events is an example of ______.

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

Question 60

The text cites a case example about Rutger, a businessman who was hospitalized for a few days after becoming dazed and losing his identity. Rutger was suffering from ______.

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

Question 61

The text cites a case example of Burt, a man who unknowingly moved 2,000 miles away from his wife and family and established a new life in a new city. Although Burt knew which
Town he was in and the current date, he could not recognize his past nor was he concerned
About this lack of recognition. Burt was suffering from ______.

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

Question 62

Which of the following is true of people in a fugue state?

A) Their new identity is usually more withdrawn and inhibited than their original personality.
B) Their sense of self usually returns in a matter of hours or days.
C) They act less purposefully than people with amnesia.
D) While they typically regain most memory of their original identity, they always retain all memories of their activities during the fugue state.

Question 63

A temporary loss or change in the usual sense of one's own reality, in which a person feels detached from mind or body is called ______.

A) amnesia
B) fugue
C) depersonalization
D) derealization

Question 64

Dissociative fugue has been most likely to occur as a result of ______.

A) a jail sentence
B) war or a comparable disaster
C) breakup of a significant relationship
D) a financial disaster

Question 65

Changes in perception of surroundings, or in the passage of time, in which people or objects may seem to change their size and shape and time may appear to pass more slowly, are
Called ______.

A) delusions
B) fugue
C) depersonalization
D) derealization

Question 66

The word "fugue" derives its meaning from the term meaning ______.

A) lost
B) fight
C) flight
D) to wander

Question 67

The text cites a case example of Burt, a man who unknowingly moved 2,000 miles away from his wife and family and established a new life in a new city. He was suffering from a
Dissociative fugue state. The life factor in Burt's history that apparently led to his symptoms
Was ______.

A) a traumatic automobile accident
B) job-related stress
C) a painful divorce
D) early childhood sexual abuse

Question 68

Falsely claiming amnesia as a means of escaping responsibility is an example of ______.

A) malingering
B) loafing
C) dissembling
D) obfuscating

Question 69

Jillian is talking with her best friend when she begins to feel anxious, dizzy, and fears that she might be "going crazy." Time seems to be passing in slow-motion and her friend appears
To be the size of a toy baby-doll. The feelings and sensations slowly fade as her senses return
To normal. Jillian has just suffered an episode of ______.

A) dissociative fugue
B) episodic psychosis
C) depersonalization
D) derealization

Question 70

Norman is a mystery. He experienced a sudden loss of memory, left his home in New York and traveled to California where he established identity for himself. He has no memory of his
Life in New York and had filled his mind with bogus memories which he doesn't realize are
Not genuine. He is suffering from ______.

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

Question 71

Which of the following is true of people with depersonalization?

A) They do not know who they are.
B) They maintain contact with reality, even during a depersonalization episode.
C) The feelings of depersonalization tend to come on gradually and fade suddenly.
D) Their memories are rarely intact and they do not seem to know where they are.

Question 72

Fred, a middle-aged man, recently traveled to Las Vegas. While driving in a rented car, he struck and killed a young child. Fred was hospitalized for several days due to his own injuries. At the hospital, Fred claims to have no memory of renting the car or having the accident in which he killed the child. He recalls flying to Las Vegas and being in the ambulance. The type of memory loss Fred is experiencing is____________.

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

Question 73

Derealization is most commonly associated with ______.

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

Question 74

Millie feels as if she is a robot, watching herself from outside her body as she begins kissing her new boyfriend. This feeling of being in a dream or operating on "automatic pilot" happens
To her whenever she begins to get emotionally aroused. She appears to be suffering from
______.

A) dissociative identity disorder
B) dissociative fugue
C) depersonalization-derealization disorder
D) unconscious realization

Question 75

Which of the following statements is true?

A) Fugue and amnesia are both relatively common disorders.
B) While fugue is rare, amnesia is relatively common.
C) While amnesia is rare, fugue is relatively common.
D) Fugue and amnesia are both relatively rare disorders.

Question 76

Losing one's sense of reality in one's surroundings by experiencing strange changes in the environment or passage of time is known as ______.

A) derealization
B) fugue
C) depersonalization
D) delusion

Question 77

Years ago, Mandy had a very "messy" extramarital affair. While she still remembers the affair, when thoughtless people bring it up in conversation, she claims to have no memory of
The affair or person with whom she had it. Mandy's pretending to have amnesia is a form of
______.

A) malingering
B) loafing
C) dissociative fugue
D) depersonalization

Question 78

Dissociative fugue can be difficult to distinguish from ______.

A) amnesia
B) multiple personality
C) malingering
D) schizoid personality disorder

Question 79

A person who feels as if he or she were living in a dream world or acting like a robot most likely suffers from ______.

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

Question 80

While in a dissociative fugue, the person may appear ____________signs of mental disturbance.

A) unusually agitated but show no other
B) interpersonally distant and show moderate
C) "normal" and show no other
D) mute and show obvious