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A somatization patient tends to generate higher healthcare costs than an average patient due to.


A) an extensive medical and physical workup with every visit to a new physician.
B) the person's tendency to visit numerous medical specialists.
C) both a and b
D) neither a or b

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

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Describe how conversion reactions,real physical disorders,and outright malingering can be differentiated.

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It turns out that indifference to sympto...

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One method that is used to reduce the financial burden associated with somatization 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) A) and B)
F) None of the above

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Which of the following are typical characteristics of patients with somatization disorder?


A) Female and impulsive
B) Female and sexually conservative
C) Male and impulsive
D) Male and aggressive

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

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The common feature in almost every case of DID is


A) hallucinations and delusions.
B) unrelenting substance abuse.
C) a history of body dysmorphic disorder.
D) a history of severe child abuse.

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

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One reason that it is difficult to diagnose pain disorder is that


A) the experience of pain usually involves some level of both physical and psychological factors.
B) pain disorder is almost the same as conversion disorder.
C) most patients lie about the degree of pain that is experienced.
D) pain is often accompanied by secondary gains such as attention or disability payments from an employer.

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

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One distinction that may help determine those with DID from individuals who are malingering (faking their symptoms) is that malingerers are


A) usually eager to demonstrate their symptoms.
B) usually hiding the existence of a major life crisis.
C) more likely to have many alters.
D) less likely to seek treatment.

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

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Sue has DID.It is extremely likely that she also has


A) at least one other psychological disorder.
B) a problem with her weight.
C) a history of problems with the law.
D) no desire to get better.

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

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A dissociative disorder that is not found in Western cultures and appears to have some similarities to dissociative fugue is ____________.


A) amok
B) exorcism
C) trance
D) voodoo

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

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A switch


A) usually occurs instantaneously.
B) is the transition from one personality to another.
C) may exhibit physical transformations.
D) all of these

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

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With regard to the studies of DID described in your text regarding faking,amnesia,and hypnosis (Spanos,1994,Spanos,James,and de Groot,1990) ,as well as the studies regarding the physiological changes that occur in the different personalities (Miller,1989,Ludwig et al.,1972,Tsai,Condie,Wu,Chang,1999,Cardena & Gleaves,2003) ,the most accurate statement is


A) while DID symptoms can be faked or developed through suggestion, many physiological changes observed in DID patients would be very difficult to fake.
B) DID symptoms and the many physiological changes observed in DID patients can be developed through suggestion and are easily faked.
C) while physiological changes associated with DID are relatively easy to fake, the symptoms of DID are very difficult to fake or to develop through suggestion.
D) almost all cases of DID are probably faked or developed through therapist suggestion.

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

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Greta occasionally has sensations of detachment from her surroundings,as if she were in a dream.This feeling of unreality most often occurs when she is overtired.Greta is experiencing symptoms of


A) conversion hysteria.
B) a dissociative experience.
C) neurosis.
D) dysmorphic disorder.

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

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Paradoxically,an effective treatment for hypochondriasis involves helping the patient to focus on


A) creating their own symptoms.
B) ignoring their own symptoms.
C) getting reassurance about their symptoms.
D) understanding other life stressors.

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

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Comparisons of optical functioning in the various personalities of dissociative identity disorder patients show changes that would be


A) easy to fake.
B) absolutely impossible to fake.
C) consistent with an individual who was trying to fake.
D) difficult to fake.

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

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Studies of faking,amnesia,and hypnosis such as those conducted by Spanos (1996) and Spanos,James,and de Groot (1990) 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) B) and C)
F) A) and D)

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Somatization disorder is very difficult to treat.Which of the following is not a typical treatment approach for the disorder?


A) Reduction of help-seeking behavior
B) Reduction of stress
C) Traditional psychotherapy
D) Reassurance

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

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In a study of false memory,researchers asked 3-year-old girls who visited a physician's office whether they were touched in their genital area.The results of this study


A) suggest that 60% of the children who were examined genitally inaccurately reported that they were not examined.
B) suggest that 60% of the children who were not examined genitally inaccurately reported that they were.
C) suggest that young children are not very accurate in reporting what happened to them.
D) all of these

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

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Which of the following is NOT a similarity between hypochondriasis and panic attacks?


A) Age of onset
B) Family pattern
C) Personality characteristics
D) Manner in which anxiety is expressed

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

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Malingering differs from factitious disorder in that


A) in malingering, symptoms are intentionally feigned and in factitious disorder, they are not.
B) family-oriented psychotherapy is a more effective treatment for factitious disorder than for malingering.
C) malingering may include extending the symptoms to family members by proxy.
D) in malingering, there is an identifiable external gain.

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

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Disorders such as koro and dhat that are similar to hypochondriasis demonstrate the


A) influence of culture on psychopathology.
B) physical basis of many hypochondriacs' complaints.
C) difficulty of accurately diagnosing hypochondriasis.
D) influence of genetics on psychopathology.

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

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