Dissociative Disorders (Topic 6)

Mrs. Jones' husband passed away over a yer ago. During the funeral and reception, her family noticed that she was unresponsive to affection and sympathy from family and friends, which was not typical for her. Family expressed concern because it seemed that she was "just going thru the motions." A few weeks later, friends asked if she was ok, and she said she did not feel like herself. Months later, coworkers were concerned because she seemed "out of it" Mrs. Jones said some days she does not feel like she is in her body. Mrs. Jones may be suffering from a) Depersonalization/derealization disorder b) Dissociative Fugue c) Dissociative Disorder d) Somatic Symptom Disorder

a) Depersonalization/derealization disorder

The element that is most linked to risk of heart attack for those with established heart disease is a) hostility or a quickness to anger ("short fuse") b) ambitiousness or drive to succeed c) competitiveness or need to win d) time urgency or impatience

a) hostility or a quickness to anger ("short fuse")

The biological research on DID suggests it may be related to __. a) structural or functional differences in certain brain areas associated with memory and/or emotional differences or sleep problems b) an enlarged nucleus accumbens. c) reduction in cognitive processing and overly acute hearing. d) neurotransmitter delay, particularly with serotonin

a) structural or functional differences in certain brain areas associated with memory and/or emotional differences or sleep problems

A client who is talking calmly and rationally all of a sudden begins whining and complaining like a spoiled child. If that client suffers from true dissociative identity disorder, the client just experienced: a) switching. b) mutual cognizance. c) host transfer. d) lability.

a) switching.

Key features of dissociative disorder include a) feeling detached from the outside world or one's inner world b) a disruption or alteration in consciousness, sense of self or memory c) hypochondriasis or falsely claiming amnesia for associated events d) excessive focus on or complaining about the meaning or nature of physical problems or symptoms that do not have an identifiable physical cause.

b) a disruption or alteration in consciousness, sense of self or memory

An individual who had suffered from dissociative fugue likely would have experienced all of the following except: a) a fairly sudden ending to the dissociative fugue state. b) a recurrence of the problem months or years later. c) a traumatic event. d) relatively few aftereffects.

b) a recurrence of the problem months or years later.

Brain research studies have suggested that the functioning of the __ is associated with DID. a) neurotransmitter norepinephrine b) hippocampus c) association cortex d) amygdala

b) hippocampus

Both __ and __ appear to have a strong relationship with the occurrence of dissociative disorders. a) modeling from parental behavior, trauma b) classical deconditioning and sleep problems c) early trauma experiences, sleep problems d) somatic preoccupation, claustrophobia

c) early trauma experiences, sleep problems

The term referring to a physical disorder in which psychological factors play a causal or contributing role is a) hypochondriasis b) malingering c) psychosomatic d) dissociative

c) psychosomatic

according to research approximately 70% of persons diagnosed with DID have a history of a) schizophrenia. b) body dysmorphic disorder. c) suicide and self-harm. d) mental retardation.

c) suicide and self-harm.

Herb Hans is diagnosed with diabetes. His doctor informs him he could lose a limb if he doesn't treat his condition properly. He gives up hope promptly after being told this and buys a wheelchair. While using it, he meets a group of those with paraplegia who play on a basketball team. He decides to join and play basketball with them and enjoys the special attention that the team gets. Hans is likely suffering from a) Factitious disorder b) Somatic symptom disorder c) Malingering d) Dissociative identity disorder

c) Malingering

The holders of the sociocultural view of DID believe that: a) DID is caused by biological influences. b) people with dissociative disorders place themselves in internal trances. c) The online mass media and it's publication of DID provide a model of the disorder and some people take this on to deal with their problems. d) people with low levels of susceptibility to hypnosis are strong candidates for dissociative disorders.

c) The online mass media and it's publication of DID provide a model of the disorder and some people take this on to deal with their problems.

A psychodynamic theorist would use repression as the chief explanation for all dissociative disorders except: a) dissociative identity disorder. b) dissociative amnesia. c) There are no exceptions. d) dissociative fugue.

c) There are no exceptions.

Social cognitive theorists would see dissociation as a) the splitting off from consciousness of unacceptable impulses b) a form of projective identification c) a form of role playing thru observational learning and reinforcement d) related to low self worth and striving for authenticity

c) a form of role playing thru observational learning and reinforcement

Myrtle came home from work at the factory one day after an accident in which a coworker's arm was seriously in a machine accident. The next day, she was suddenly unable to use her right hand to hold, pick up or write anything. Numerous medical evaluations could not find any basis for this, but Myrtle does not seem to be overly worried about this, and seems almost indifferent. She has been on a previously planned furlough from work since then anyway. She may be suffering from a) malingering. b) a post traumatic stress disorder. c) a somatic symptom disorder. d) an adjustment disorder.

c) a somatic symptom disorder.

What kind of therapy can be particularly helpful with decreasing nausea in those with chemotherapy? a) humanistic b) somatic symptom therapy c) behavior therapy d) group therapy e) psychodynamic therapy

c) behavior therapy

Which of the following hypotheses used to explain dissociative disorders is shared by psychodynamic and behavioral theorists? a) The attempts at forgetting are purposeful from the beginning. b) The individuals themselves are aware that their disorder is protecting them from facing a painful reality. c) The process involved in forgetting is supported by subtle reinforcement. d) They serve to help someone escape something unpleasant.

d) They serve to help someone escape something unpleasant.

A chihuahua named Tinkerbell was left alone outside poolside one day, after her owner, Paris Pilton, had left for a party with her new pet monkey. Tinkerbell walked thru her Hollywood neighborhood, hopped into the back of a truck, and days later found herself in Boston. There she began to live and work alongside her new owner, Charise Witherfork at Harvard University Law School. She suddenly behaved as if she was very smart, wore pink outfits daily, and was known as Cruiser. She never thought of, and in fact had no recall of her former life. If she was human, she would be considered to be suffering from a) dissociative identity disorder b) a time warp c) multiple personality disorder d) dissociative fugue e) body dysmorphic disorder f) somatic symptom disorder

d) dissociative fugue

Jakob saw a doctor 8 months ago for a cold with a sore throat. The doctor told him it was a common cold and to keep taking over the counter medications until the pain subsided. Since the cold, Jakob has become increasingly paranoid that the pain in his throat was actually linked to cancer of the larynx, and he frequently visits new doctors because of this fear, even though they all assure him this is not the case. Jakob has never smoked, and has never been around smokers except on rare occasions. Jakob is exhibiting symptoms of a) malingering b) body dysmorphic disorder c) conversion disorder d) illness anxiety disorder

d) illness anxiety disorder

Munchausen syndrome by proxy __ and is now known as __ a) is worry about the meaning of medical symptoms which is exaggerated or unfounded; malingering b) is being in a dissociative fugue; la belle indifference c) involves repeated episodes of derealization or depersonalization; multiple personality disorder d) is intentionally faking or causing the actual physical illness of a child or dependent person, factitious disorder imposed on another

d) is intentionally faking or causing the actual physical illness of a child or dependent person, factitious disorder imposed on another

The usual goal of therapy for dissociative identity disorders is to: a) have the "other" subpersonalities become subject to the subpersonality that has the "protector" role. b) gradually phase out all but one of the subpersonalities. c) have the subpersonalities develop equal "shares" of the person's functioning. d) merge the subpersonalities into a single identity.

d) merge the subpersonalities into a single identity.

Examples of __ disorders are ___ a) conversion; la belle indifference, fictitious b) somatic symptom; amuk, zar c) dissociative; koro, dhat d) psychosomatic; migraines, irritable bowel syndrome, headaches, asthma

d) psychosomatic; migraines, irritable bowel syndrome, headaches, asthma

Derealization is a) a type of memory loss in which a person abruptly leaves their usual life routine, goes to a new location, lacks recall of their personal information and takes on a new identity. b) the development of 2 or more distinct personalities and confusion about which is the real one. c) having feelings that seem detached or like one's body or self is not real. d) the ongoing sense that the world around & outside you is not real.

d) the ongoing sense that the world around & outside you is not real.