Beidel 1Ce Ch05 TIF - Chapter 2 PDF

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Chapter 5 Somatic Symptom, Dissociative, and Factitious Disorders Multiple Choice: 1) Approximately 85% to 95% of the general population experiences at least one physical symptom every A) day. B) week. C) 2-4 weeks. D) 2-3 months. ANSWER: C Diff: 2 Page Ref: 168 Topic: Chapter Opener Skill: Factual 2) Heather complains of weakness in the left side of her body, nausea, difficulty walking, and severe headaches. Although she has had a complete medical work-up, no physiological basis for her complaints has been found. Despite this medical clearance, she does not feel well enough to return to college studies. Which of the following best describes Heather’s symptoms? A) Factitious disorder B) Somatic symptom disorder C) Dissociative disorder D) Depersonalization disorder ANSWER: B Diff: 3 Page Ref: 169 Topic: Somatic Symptom and Related Disorders Skill: Applied 3) What do all types of somatic symptom and related disorders have in common? A) Awareness that the symptoms are psychological B) Lack of personal distress C) Lack of a recognizable medical cause D) Deception by the “ill” person ANSWER: C Diff: 2 Page Ref: 169 Topic: Somatic Symptom and Related Disorders Copyright © 2018 by Pearson Education, Inc. All rights reserved.

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Skill: Conceptual 4) In 1859, ________ wrote a paper describing psychiatric patients whose disorders appeared to lack medical causes for their distress. A) Pierre Briquet B) Philippe Pinel C) Sigmund Freud D) Josef Breuer ANSWER: A Diff: 1 Page Ref: 169 Topic: Somatic Symptom and Related Disorders Skill: Factual 5) Somatic symptom disorders were originally known as A) stress-related disorders. B) psychosocial disorders. C) psychophysiological disorders. D) hysteria. ANSWER: D Diff: 1 Page Ref: 169 Topic: Somatic Symptom and Related Disorders Skill: Factual 6) Which of the following is a somatic symptom and related disorder? A) Pain disorder B) depersonalization disorder C) Somatic symptom dissociative amnesia D) Factitious disorder ANSWER: D Diff: 1 Page Ref: 169 Topic: Somatic Symptom and Related Disorders Skill: Factual 7) Among all the symptoms of somatic symptom disorders, _______ is among the most frequently reported. A) pain B) heart palpitations C) limb weakness D) food intolerance ANSWER: A Diff: 1 Page Ref: 169 Topic Somatic Symptom and Related Disorders Copyright © 2018 by Pearson Education, Inc. All rights reserved.

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Skill: Factual 8) Among all the symptoms found in somatic symptom disorder, pseudoseizures are A) less common. B) more common. C) seen as frequently as pain complaints. D) excluded from the category. ANSWER: A Diff: 1 Page Ref: 169 Topic: Somatic Symptom and Related Disorders Skill: Factual 9) Altered sensory and motor experiences are characteristic of _____ disorder. A) somatic symptom B) conversion C) illness anxiety D) factitious ANSWER: B Diff: 1 Page Ref: 169 Topic: Somatic Symptom and Related Disorders Skill: Factual 10) The most common symptom group in conversion disorder is A) sensory defecits. B) globus. C) psychogenic convulsions. D) motor symptoms or deficits. ANSWER: D Diff: 1 Page Ref: 169 Topic: Somatic Symptom and Related Disorders Skill: Factual 11) Under what condition would a person be diagnosed with somatic symptom disorder? A) When the symptoms are due to a single physical condition B) When the condition first presents itself after an episode of heavy drinking C) When the symptoms are long-standing D) When the impairment occurs after use of a prescription drug ANSWER: C Diff: 2 Page Ref: 169 Topic: Somatic Symptom and Related Disorders Skill: Conceptual Copyright © 2018 by Pearson Education, Inc. All rights reserved.

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12) Linda was driving to work when she suddenly experienced a narrowing of her visual field. Pulling off to the side of the road, she suddenly lost her vision. After undergoing extensive medical testing, her physical condition was attributed to psychological factors. What diagnosis might Linda be given? A) Conversion disorder B) Undifferentiated somatic symptom disorder C) Somatic symptom disorder D) Hypochondriasis ANSWER: A Diff: 3 Page Ref: 169 Topic: Somatic Symptom and Related Disorders Skill: Applied 13) About _____% of the people diagnosed with conversion disorder are later found to have a diagnosable medical condition. A) 1-5 B) 5-10 C) 10-15 D) 15-20 ANSWER: C Diff: 2 Page Ref: 169 Topic: Somatic Symptom and Related Disorders Skill: Conceptual 14) Which of the following symptoms could lead to abnormal eating patterns or food avoidance? A) Aphonia B) Globus C) La belle indifference D) Glove anesthesia ANSWER: B Diff: 2 Page Ref: 171 Topic: Somatic Symptom and Related Disorders Skill: Conceptual 15) Conversion disorders and neurological problems may be discriminated from each other on the basis of A) neurological patterns. B) patient complaints. C) duration of symptoms. D) severity of symptoms.

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ANSWER: A Diff: 2 Page Ref: 171 Topic: Somatic Symptom and Related Disorders Skill: Conceptual 16) Glove anesthesia involves A) wearing gloves to avoid paralysis. B) complication of the neurological system. C) loss of sensitivity in the hand and wrist. D) sensation of extreme pain in the hand. ANSWER: C Diff: 2 Page Ref: 171 Topic: Somatic Symptom and Related Disorders Skill: Factual 17) Select the statement that is TRUE of “la belle indifference” in conversion disorders. A) It is a key symptom in its diagnosis. B) It is not seen in teens with the disorder. C) It causes significant psychological distress. D) Some people with conversion disorder do not exhibit it. ANSWER: D Diff: 2 Page Ref: 172 Topic: Somatic Symptom and Related Disorders Skill: Factual 18) As in the case of Anna O., the term “conversion disorder” implies a conversion of A) physical symptoms into neurological problems. B) psychological stress into real organic problems. C) psychological stress into physical symptoms. D) one psychological problem into another. ANSWER: C Diff: 2 Page Ref: 172 Topic: Somatic Symptom and Related Disorders Skill: Factual 19) Derrick has experienced intense pain in his lower back for the last 18 months. Even though an extensive medical evaluation found no physical basis for his complaints, he feels in too much pain to return to work. Derrick is becoming angry and depressed over his doctor’s view that his problem is in his head and often spends time visiting emergency rooms for pain medication. Given what you know, what may Derrick be experiencing? A) Conversion disorder B) Somatic symptom disorder C) Hypochondriasis D) Body dysmorphic disorder Copyright © 2018 by Pearson Education, Inc. All rights reserved.

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ANSWER: B Diff: 2 Page Ref: 169 Topic: Somatic Symptom and Related Disorders Skill: Applied 20) Mrs. Borhoquez is terrified that she has contracted a viral infection that is invading her body and weakening her immune system. In spite of medical tests that show no illness, she continues to surf the Internet looking for a diagnostic match to her symptoms. Family members were sympathetic at first but now are tired of hearing the same old complaints. Mrs. Borhoquez presents a classic case of A) illness anxiety disorder. B) pain disorder. C) conversion disorder. D) psychosomatic disorder. ANSWER: A Diff: 3 Page Ref: 173 Topic: Somatic Symptom and Related Disorders Skill: Applied 21) Which of the following is TRUE of illness anxiety disorder? A) It is rarely found in Eastern cultures. B) It rarely occurs in men. C) It is often comorbid with anxiety and depressive disorders. D) It always follows diagnosis of an actual medical problem. ANSWER: C Diff: 1 Page Ref: 173 Topic: Somatic Symptom and Related Disorders Skill: Factual 22) “Doctor, I know I have a terrible disease and you just aren’t telling me. I do not believe you when you say everything checked out okay.” Which DSM-5 diagnosis might be typical for someone making those comments? A) Factitious disorder B) Hypochondriasis C) Illness anxiety disorder D) Somatic symptom disorder ANSWER: C Diff: 2 Page Ref: 173 Topic: Somatic Symptom and Related Disorders Skill: Applied

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23) What percentage of individuals with illness anxiety disorder are diagnosed with this disorder alone? A) 10 B) 12 C) 18 D) 23 ANSWER: D Diff: 1 Page Ref: 173 Topic: Somatic Symptom and Related Disorders Skill: Factual 24) After contracting an actual acute illness, some individuals exhibit signs of which of the following, as they fear they are not over the illness or worry that they need to limit activities? A) la belle indifference B) body dysmorphic disorder C) factitious disorder D) transient hypochondriasis ANSWER: D Diff: 1 Page Ref: 173 Topic: Somatic Symptom and Related Disorders Skill: Factual 25) Which of the following would be associated with factitious disorder? A) A woman suffering from severe abdominal pains that have no medical basis. B) A man feigning illness to get out of criminal prosecution. C) In order to get money during a lawsuit, a man says he is experiencing great pain in his back with no medical corroboration. D) A woman holds a thermometer up to a hot surface to create a high temperature reading and then uses it as “evidence” that she has a fever. ANSWER: D Diff: 3 Page Ref: 174 Topic: Somatic Symptom and Related Disorders Skill: Factual 26) Which of the following would be the diagnosis if an individual intentionally fabricated physical or psychological illness? A) hypochondriasis B) body dysmorphic disorder C) factitious disorder D) conversion disorder ANSWER: C Copyright © 2018 by Pearson Education, Inc. All rights reserved.

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Diff: 2 Page Ref: 174 Topic: Somatic Symptom and Related Disorders Skill: Factual 27) A mother brings her child into the hospital emergency room repeatedly for various illnesses that include breathing problems, diarrhea, and seizures. The doctors could not find anything wrong with the child and determined that the symptoms were actually induced by the mother. What would this disorder be called? A) factitious disorder imposed on self B) factitious disorder imposed on another C) dissociative disorder D) malingering ANSWER: B Diff: 2 Page Ref: 176 Topic: Somatic Symptom and Related Disorders Skill: Applied 28) On average, how many fewer days per month do people with somatic symptom disorders work compared to those who do not have a somatic symptom disorder? A) 3.3 B) 5.6 C) 7.8 D) 9.2 ANSWER: C Diff: 2 Page Ref: 176 Topic: Somatic Symptom and Related Disorders Skill: Factual 29) People with somatic symptom disorders often have comorbid anxiety or A) dissociative disorders. B) personality disorders. C) depressive disorders. D) bipolar disorders. ANSWER: C Diff: 1 Page Ref: 176 Topic: Somatic Symptom and Related Disorders Skill: Factual 30) Overall, the course of recovery, remission, and chronicity in the somatic symptom disorders is A) complex. B) highly predictable. C) similar across diagnoses. Copyright © 2018 by Pearson Education, Inc. All rights reserved.

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D) different for men and women. ANSWER: A Diff: 1 Page Ref: 176 Topic: Somatic Symptom and Related Disorders Skill: Factual 31) People with factitious disorder often: A) self-loathe B) have personality disorders C) panic attacks D) self-injure ANSWER: D Diff: 1 Page Ref: 177 Topic: Somatic Symptom and Related Disorders Skill: Factual 32) According to the Research Hot Topic presentation in your text, chronic fatigue syndrome A) is the result of the Ross River Virus. B) is the result of an immune deficiency. C) may be the result of multiple factors. D) may be the result of a brain dysfunction. ANSWER: C Diff: 2 Page Ref: 178 Topic: Somatic Symptom and Related Disorders Skill: Factual 33) According to your text, patients with medically unexplained symptoms make up _____% of all primary-care physicians’ appointments. A) 5-10 B) 10-20 C) 15-30 D) 25-35 ANSWER: C Diff: 1 Page Ref: 171 Topic: Somatic Symptom and Related Disorders Skill: Factual 34) Even though approximately 20% of the general population report physical symptoms with no organic basis, many A) do not seek medical treatment. B) do not meet DSM criteria for a somatic symptom disorder. Copyright © 2018 by Pearson Education, Inc. All rights reserved.

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C) doctor-shop but do not choose to have surgery. D) know that their symptoms have psychological origins. ANSWER: B Diff: 2 Page Ref: 172 Topic: Somatic Symptom and Related Disorders Skill: Factual 35) There are two types of factitious disorder. The first is imposed on the self. The other is: A) malingering B) psychogenic seizure C) imposed on another D) globus ANSWER: C Diff: 1 Page Ref: 175 Topic: Somatic Symptom and Related Disorders Skill: Factual 36) Which of the following is the most common somatic symptom in adults? A) voluntary motor dysfunction B) sensory dysfunction C) pseudoseizures D) dysfunctional heart ANSWER: A Diff: 1 Page Ref: 179 Topic: Somatic Symptom and Related Disorders Skill: Factual 37) Although rare before adulthood, somatic symptom disorders A) are very prevalent in old age. B) are evaluated in children using different DSM criteria. C) are found to be more severe among adolescents and children. D) have the same diagnostic criteria in children, adolescents, and adults. ANSWER: D Diff: 1 Page Ref: 179 Topic: Somatic Symptom and Related Disorders Skill: Conceptual 38) Which theoretical construct provided the bases for the name “conversion disorder”? A) humanistic B) behavioural C) psychodynamic Copyright © 2018 by Pearson Education, Inc. All rights reserved.

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D) existential ANSWER: C Diff: 2 Page Ref: 179 Topic: Somatic Symptom and Related Disorders Skill: Factual 39) At this time, the etiology of somatic symptom disorders is poorly understood and usually approached from a ________ perspective. A) physiological B) psychological C) medical D) interpersonal ANSWER: B Diff: 2 Page Ref: 181 Topic: Somatic Symptom and Related Disorders Skill: Factual 40) From the psychoanalytic perspective, somatic symptom disorders may be understood as resulting from A) the failure of ego defense mechanisms to shield the person from anxiety. B) a conversion of psychological conflicts into physical symptoms. C) a fixation at an early developmental stage resulting in failure to resolve conflicts. D) a regression to an earlier stage of development when the person felt secure. ANSWER: B Diff: 3 Page Ref: 181 Topic: Somatic Symptom and Related Disorders Skill: Conceptual 41) Aisha’s mother tends to hover over her whenever she complains of not feeling well. Typically, she puts Aisha to bed, reads her a story, and spends the day bringing the child her favorite foods. From a behavioural perspective, Aisha’s mother may be increasing the child’s risk of developing a somatic symptom disorder because she is A) negatively reinforcing complaints about physical health. B) classically conditioning avoidance behaviour. C) punishing appropriate physical health complaints. D) reinforcing somatizing behaviours. ANSWER: D Diff: 3 Page Ref: 181 Topic: Somatic Symptom and Related Disorders Skill: Applied 42) Which of the following risk factors is most strongly associated with somatic symptom disorders in children? Copyright © 2018 by Pearson Education, Inc. All rights reserved.

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A) B) C) D)

stress family violence and conflict history of sexual abuse family separation and loss

ANSWER: D Diff: 2 Page Ref: 181 Topic: Somatic Symptom and Related Disorders Skill: Factual 43) The notion that sufferers of somatic symptom disorders may experience bodily sensations as intense, noxious, and disturbing is known as A) somatic over-sensitivity. B) somatic amplification. C) somatic desensitization. D) somatic delusions. ANSWER: B Diff: 2 Page Ref: 181 Topic: Somatic Symptom and Related Disorders Skill: Conceptual 44) “So many men get prostate cancer, it must be some type of unidentified bacterial infection.” This inaccurate belief about illness supports a _____________ theory of somatic symptom disorders. A) behavioural B) sociomedical C) psychoneurological D) cognitive ANSWER: D Diff: 2 Page Ref: 181 Topic: Somatic Symptom and Related Disorders Skill: Applied 45) According to the _____model, somatic symptom disorders reflect a complex interplay between physical and psychological factors. A) behavioural B) cognitive C) integrative D) psychodynamic ANSWER: C Diff: 2 Page Ref: 182 Topic: Somatic Symptom and Related Disorders Skill: Conceptual Copyright © 2018 by Pearson Education, Inc. All rights reserved.

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46) Which of the following accounts for the lowest inpatient medical costs? A) no somatization, no psychiatric disorder B) somatization and psychiatric disorder C) somatization only D) psychiatric disorder only ANSWER: D Diff: 2 Page Ref: 177 Topic: Somatic Symptom and Related Disorders Skill: Factual 47) Which of the following accounts for the largest outpatient medical costs? A) somatization and psychiatric disorder B) no somatization, no psychiatric disorder C) somatization only D) psychiatric disorder only ANSWER: A Diff: 1 Page Ref: 177 Topic: Somatic Symptom and Related Disorders Skill: Factual 48) Relaxation training, distracting attention, and correcting automatic thoughts are elements of the _____ treatment of somatic symptom disorders? A) biomedical B) psychodynamic C) integrative D) cognitive-behavioural ANSWER: D Diff: 2 Page Ref: 182 Topic: Somatic Symptom and Related Disorders Skill: Conceptual 49) Tad is being treated for factitious disorder and is currently undergoing relaxation training. He is most likely being seen by a therapist with which of the following orientations? A) Psychoanalytic B) Rational-emotive C) Cognitive-behavioural D) Psychiatric ANSWER: C Diff: 2 Page Ref: 182 Topic: Somatic Symptom and Related Disorders Skill: Applied Copyright © 2018 by Pearson Education, Inc. All rights reserved.

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50) What percentage of Canadian psychiatrists believe that there is strong scientific evidence to support a dissociative disorder diagnosis: A) 12% B) 25% C) 47% D) 14% ANSWER: D Diff: 1 Page Ref: 183 Topic: Dissociative Disorders Skill: Factual 51) Margo described upsetting experiences as “being out-of-body” and as being an observer of her own behaviour. Which type of dissociative experience was she undergoing? A) Depersonalization B) Derealization C) Amnesia D) Identity alteration ANSWER: A Diff: 2 Page Ref: 183 Topic: Dissociative Disorders Skill: Applied 52) Which of the following statements regarding dissociative experiences is FALSE? A) Any dissociative experience is considered evidence of a dissociative disorder. B) As many as 74% of the normal population experience occasional episodes of derealization. C) Dissociative experiences are also reported in persons with other psychological disorders. D) Experiences of dissociation may be temporary and transient or chronic conditions. ANSWER: A Diff: 2 Page Ref: 184 Topic: Dissociative Disorders Skill: Factual 53) Dissociative amnesia involving recall of factual information may be _____ or generalized. A) iatrogenic B) specific C) localized D) dispersed ANSWER: C Copyright © 2018 by Pearson Education, Inc. All rights reserved.

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Diff: 1 Page Ref: 184 Topic: Dissociative Disorders Skill: Conceptual 54) A young man was picked up by police after he was found wandering along the TransCanada Highway in a confused state. The man possessed no identifying information and he was unable to say who he was or where he lived. After his photograph appeared on television, a woman from an adjoining Province identified the man as her father. What form of dissociative disorder did this man appear to have? A) Dissociative identity disorder B) Dissociative fugue C) Dissociative amnesia D) Depersonalization disorder ANSWER: B Diff: 3 Page Ref: 184 Topic: Dissociative Disorders Skill: Applied 55) Which of the following has contributed to the questionable scientific status of the category dissociative identity disorder? A) Low prevalence rates of the disorder B) The violent nature of persons with the...