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Globus hystericus, a common conversion disorder symptom, is the sensation of a


A) pain in the neck.
B) swollen kidney.
C) lump in the throat.
D) lump in the breast.

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

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African Americans from the South often refer colloquially to trance syndromes as


A) "phii pob."
B) "autohypnosis."
C) "frenzy witchcraft."
D) "falling out."

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

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Which of the following statements is correct regarding diagnosing a patient's symptoms as a conversion disorder?


A) It is quite apparent when a patient is malingering (faking) , but it is difficult to determine whether symptoms are due to real physical disorders or a conversion disorder.
B) It is quite apparent when a symptom is due to a real physical disorder, but it is impossible to determine the difference between a conversion disorder and patient malingering (faking) .
C) It is very difficult to determine whether symptoms are due to malingering (faking) , real physical disorders, or a conversion disorder.
D) The act of diagnosing a conversion disorder can sometimes immediately alleviate the symptoms.

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

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According to your textbook, in some religious groups, seizures, paralysis, and trances are often seen as evidence of


A) an increased power to cause natural disasters.
B) contact with a loved one who has passed away.
C) contact with God.
D) none of these are correct

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

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Describe the treatment that is generally used to treat patients with dissociative identity disorder. What is the rationale for each part of the treatment?

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The treatment for dissociative identity ...

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Jason suddenly notices that the world looks weird to him. Some objects look bigger than normal and others look smaller. Cars passing by seem oddly shaped, and people appear dead or mechanical. Joe is experiencing


A) derealization.
B) depersonalization.
C) classic early psychosis symptoms.
D) mania.

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

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Which of the following is NOT an accurate statement regarding conversion disorder symptoms?


A) They uniquely belong to Western culture.
B) They are common aspects of some religious/healing rituals.
C) They do not constitute a disorder unless they persist and interfere with an individual's functioning.
D) Some individuals who exhibit them are held in high esteem because they are sometimes seen as contact with God.

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

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Dissociation is likely to happen


A) after an extremely stressful or a traumatic event.
B) when there is potential secondary gain.
C) when there is primary gain.
D) when a patient is malingering.

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

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All of the following have been implicated in the development and maintenance of somatic symptom disorders 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) stressful life events.

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

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In factitious disorders, the patient


A) voluntarily makes up symptoms with no apparent motivation.
B) is unaware that he or she is making up symptoms.
C) truly experiences symptoms with no apparent physical cause.
D) makes up symptoms in an effort to avoid work or to receive some other benefit.

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

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The experience of dissociation occurs in


A) psychotic disorders only.
B) individuals with dissociative disorders only.
C) only in those individuals who have experienced great personal trauma.
D) certain psychological disorders but also in nondisordered people at times.

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

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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 involuntarily but do not experience memory loss.
C) temporarily lose memory of who they are but are able to recover their sense of identity after the fugue state.
D) permanently lose memory of who they are and seldom recover any sense of their own identity.

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

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Kyop goeu, or __________________, is an example of a culture-bound somatic concern found in the Khmer people of Cambodia.


A) a feeling of "wind overload"
B) fear losing semen
C) fear of genital retraction
D) a sensation of something crawling in the head

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

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Many dissociative identity disorder patients have at least one ________________ alter who handles sexuality and generates income, sometimes by acting as a prostitute.


A) street savvy
B) impulsive
C) criminal
D) sexually aggressive

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

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Without treatment, it is expected that dissociative identity disorder will last


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

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

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Min has been experiencing repeated seizures, but none of the neurologists he has visited could find any abnormal EEG activity. He is likely exhibiting a case of


A) psychogenic nonepileptic seizures.
B) globus hystericus.
C) aphonia.
D) dissociative disorder.

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

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With regard to a diagnosis of illness anxiety disorder, women are


A) as equally likely as men to be diagnosed.
B) less likely than men to be diagnosed.
C) more likely than men to be diagnosed.
D) more likely than men to be diagnosed during middle to late adulthood, but no more likely than men to be diagnosed during teen years and early adulthood.

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

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Hannah was diagnosed with asthma six months ago. Presently, Hannah is experiencing a phobic response to her inhaler and is not using it to improve her asthma. Explain how this is an example of a somatic symptom-related disorder.

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The essential feature of this disorder i...

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The victims most likely to have amnesia as a result of trauma are those who


A) suffered infrequent and relatively minor abuse.
B) suffered frequent but relatively minor abuse.
C) were victims of severe abuse and trauma.
D) were victims of natural disasters.

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

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With regard to "la belle indifference" (the observation that conversion disorder patients are not concerned about their symptoms) , research suggests that


A) conversion disorder patients display uncommonly high levels of concerns about their physical loss.
B) Freud's explanation is essentially correct.
C) conversion disorder patients show no difference in the distress over symptoms than those with organic disease.
D) "la belle indifference" is an accurate description of the lack of concern about their physical loss in conversion disorder patients.

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

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