Chapter 6

Mickey is an alter of Sam, who has dissociative identity disorder. Mickey is a cutter and has attempted suicide several times. Mickey is a _______ personality.

persecutor

The ______ personality is a type of alter that inflicts punishment on the other personalities.

persecutor

Justin has been diagnosed with dissociative identity disorder. One of his personalities was Phoebe, who was 6 years old. As Justin aged, Phoebe did not. Phoebe is known as a _____.

child alter

A factor that is often associated with the development of dissociative identity disorder is _____.

childhood trauma

Which of the following are criteria for functional neurological symptom disorder (conversion disorder)? (Select all that apply.)

At least one of the symptoms affects voluntary or sensory function with or without impairment of consciousness. Deficit is not better explained by another recognized medical or DSM disorder. Deficit is associated with clinically significant distress in social, occupational, or other important areas of functioning.

Which of the following symptoms are associated with dissociative amnesia? (Select all that apply.)

Cannot remember their personal identities Cannot remember important facts about their lives Are typically aware that there are large gaps in their memory of themselves

Which of the following are criteria for dissociative identity disorder? (Select all that apply.)

Disruption of identity characterized by two or more distinct personality states Alterations in affect, behavior consciousness, memory, perception, cognition, and/or sensory-motor functioning Recurrent gaps in the recall of everyday events and important personal information

Which of the following meet the criteria for depersonalization/derealization disorder? (Select all that apply.)

Experiences of unreality or detachment with respect to surroundings Experiences not attributable to direct physiological effects of a substance Experiences of unreality, detachment, or being an outside observer

________ is sometimes used in the treatment of dissociative identity disorder.

Hypnosis

Factitious disorders are also referred to as _____.

Munchausen's syndrome

Which of the following are common symptoms of conversion disorder? (Select all that apply.)

Mutism Paralysis Seizures

Which of the following are criteria for dissociative amnesia? (Select all that apply.)

Not better explained by DID, PTSD, acute stress disorder, or somatization disorder Symptoms that cause significant distress or impairment Inability to recall important autobiographical information

Which of the following are symptoms of somatic symptom disorder noted in the text? (Select all that apply.)

Seeks medical care for their distressing physical symptoms Spends a great deal of energy thinking about their physical symptoms Spends a great deal of time thinking about their physical symptoms

Which theory of dissociative identity disorder argues that the alternate personalities are created by patients who adopt the idea of dissociative identity disorder as an explanation that fits their lives?

Sociocognitive model

Which of the following are criteria of somatic symptom disorder? (Select all that apply.)

Symptoms result in significant disruption of daily life. Excessive time devoted to the somatic symptoms High level of anxiety about health or symptoms

Which of the following sometimes occurs when a person with dissociative identity disorder experiences a traumatic event as a child? (Select all that apply.)

They develop an alter who acts as a big brother or big sister. They develop a child alter. The host personality escapes into the protection of psychological oblivion.

Which of the following statements about dissociative identity disorder is true?

Which of the following statements about dissociative identity disorder is true?

In dissociative identity disorder, the multiple personalities that are present are known as _____.

alters

Tonya has been diagnosed with dissociative identity disorder. She sometimes displays other personalities with names such as Ralph, Geraldine, and Twinkle. The other personalities are known as _____.

alters

People with dissociative amnesia _____.

are unable to remember information about an event or set of events in their lives

Research indicates that the ability and tendency to dissociate as a coping mechanism in dissociative identity disorder may, to some extent _____.

biologically determined

Controversy over the diagnosis of dissociative amnesia increased in response to _____.

claims that some survivors of childhood sexual abuse repressed their memories of the abuse for years

The essential feature of___________________disorder is that the individual loses neurologic functioning in a part of his or her body, and it is not due to an underlying medical condition.

conversion

Harry had been studying for weeks for his medical college admission test. He knew he had to succeed because his family was counting on him to do well after going into debt paying for his education. He felt an inordinate amount of pressure and had an extremely fitful night of sleep the night before the exam. When he awakened the next morning, Harry discovered that he could not see. He was blind! Harry most likely was experiencing a common symptom of _____.

conversion disorder

One day Max was walking around the city, minding his own business, when suddenly he found himself looking down at himself from the marquee of a movie theater. It seemed unreal and weird. His hands began to shake as a result of the experience. Since then, he has had one experience like that after another, never completely feeling like he was back in his own body. Max's symptoms meet the criteria for _____.

depersonalization/derealization disorder

Toni often has blackouts. This is when Tony emerges. Tony is arrogant, assertive, and angry most of the time, whereas Toni is sweet, loving, and happy. Tony smokes, Toni does not. Toni has above average intelligence, Tony has average intelligence. Toni's disorder meets the criteria for _____.

dissociative identity disorder

The essential feature of conversion disorder is that the individual _____.

experiences a change in neurologic functioning not due to a medical condition

In______________disorder, people show a pattern of falsifying symptoms that are either physical, psychological, or a combination of both.

factitious

The treatment goal for dissociative identity disorder is to _____,

integrate all the alter personalities into one coherent personality

Believers in repressed memories argue that the clinical evidence for dissociative or psychogenic amnesia _____.

is ample

like conversion disorder____________________disorder involves the expression of psychological issues through bodily symptoms without any known medical condition or the effects of a substance.

somatic symptom

According to general consensus, the cause of the dissociative disorders is _________ that leads people to experience the splitting apart of their conscious experiences.

some type of traumatic event, usually during childhood,