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Which of the following statements is TRUE about conversion disorders?


A) The prevalence of conversion disorders is equal in men and women.
B) Conversion disorders typically develop in the late 20s or early 30s.
C) Conversion disorders are not uncommon in males at times of extreme stress.
D) Once conversion disorders disappear, they do not reoccur.

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

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Minor, physical complaints are common among


A) young children.
B) adolescents.
C) the middle aged.
D) the elderly.

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

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The hypothesised connections between somatic symptom disorder and antisocial personality disorder are


A) poor modelling by parents and other authority figures.
B) sibling rivalry and attention deficits.
C) pleasure seeking and impulsivity.
D) genetic defects and poor nutrition.

E) None of the above
F) All of the above

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The process of changing from one personality to another generally occurs ________ in most patients with dissociative identity disorder.


A) slowly
B) quickly
C) rarely
D) only after many warning signs that a change is about to occur

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

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A possible link between antisocial personality disorder and somatic symptom disorder is


A) a lack of impulse control.
B) a lack of aggression.
C) social isolation.
D) dependence.

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

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Losing your own sense of reality is called


A) depersonalisation.
B) a fugue state.
C) a trance state.
D) a dissociative disorder.

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

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Dissociative identity disorder is most commonly found in


A) females.
B) males.
C) children.
D) the elderly.

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

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During a dissociative fugue state, it is not uncommon for individuals to


A) commit suicide.
B) see the world as a strange and foreign place.
C) take on a new identity.
D) contact friends and family.

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

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In dissociative identity disorder, the host personality usually


A) is of a gender opposite to that of the individual.
B) is male.
C) becomes overwhelmed trying to hold all of the personality fragments together.
D) is well aware of each personality and everything that happens while each personality is active.

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

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A commonly seen form of factitious disorder imposed on another is a set of conditions that


A) falls somewhere between malingering and conversion disorders.
B) falls under voluntary control like malingering.
C) is an atypical form of child abuse.
D) is a combination of a somatic symptom disorder and a dissociative disorder.

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

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Vareesa, who is 40, apparently believes that she is a 20-year-old woman.Suddenly, she starts to speak and behave very differently, and says she no longer thinks of herself as 'Vareesa'.Instead, she claims to be Elise, a 10-year-old child.It is likely that Vareesa has just experienced a


A) switch.
B) dissociative trance disorder.
C) conversion reaction.
D) schizophrenic moment.

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

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Conversion disorder patients were conceptualised by Freud as


A) converting unconscious conflicts into physical symptoms.
B) converting unconscious conflicts into defence mechanisms.
C) experiencing physical symptoms as a result of the superego.
D) experiencing internal conflicts as a result of id impulses being suppressed by the superego.

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

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The diagnosis of depersonalisation-derealisation disorder is


A) rare and only applied when the experience of depersonalisation interferes with normal functioning.
B) rare but applied to anyone who experiences depersonalisation.
C) fairly common since many people experience depersonalisation.
D) fairly common and applied to anyone who is frightened by an experience of depersonalisation.

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

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One method that is used to reduce the financial burden associated with somatic symptom disorder is


A) psychoanalysis.
B) encouraging patients to speak to family and friends about their symptoms.
C) exposure therapy.
D) assignment of a gatekeeper physician.

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

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Describe the factors that contribute to anxiety, focusing on physical sensations and illness, in illness anxiety disorder.

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Illness anxiety disorder is characterise...

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A comparison of dissociative reactions in 'normals' and in DID patients indicates that the experience of dissociation is ________________ in normal versus DID patients.


A) very different
B) very similar
C) identical
D) so different as to have no similarities at all

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

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Research suggests that somatic symptom disorder often occurs in families with a strong tendency towards


A) antisocial personality disorder.
B) schizophrenia.
C) depression.
D) obsessive-compulsive disorder.

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

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A mother who repeatedly seeks medical treatment for her child's unusual illness and is overly involved in the child's treatment might need to be assessed for


A) factitious disorder imposed on another.
B) malingering.
C) conversion disorder.
D) illness phobia.

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

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Studies of faking, amnesia and hypnosis such as the one conducted by Spanos (1996) suggest that symptoms of dissociative identity disorder


A) cannot be developed through therapist suggestion and reinforcement.
B) are almost always the result of hypnotically inserted (false) memories.
C) can be developed through therapist suggestion and reinforcement.
D) are almost never the result of therapist intervention.

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

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With regard to Freud's explanation of la belle indifference (the observation that conversion disorder patients are not concerned about their symptoms) , research conducted by Lader and Sartorius (1968) suggests that


A) conversion disorder patients do display la belle indifference, but Freud's explanation of primary gain is not supported.
B) Freud's explanation is essentially correct since there is great variability in the amount of concern that conversion disorder patients display regarding their symptoms.
C) conversion disorder patients actually are quite concerned with their symptoms, so Freud's explanation of primary gain is not supported.
D) la belle indifference is a myth, thus validating Freud's explanation of primary gain.

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

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