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Which of the following is a reason why physicians do not thoroughly explain illness to people with Illness Anxiety Disorder?


A) Empirical evidence suggests that it makes no difference
B) Lack of time
C) Hypochondriasis is no longer recognized in the DSM
D) All of the above are true

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

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Dissociative trance disorder is diagnosed


A) only when the trance is unpredictable in terms of when it appears (i.e., individual goes into a trance without prior religious ritual) .
B) only when the trance is undesirable and considered pathological in the individual's culture.
C) only when the trance causes harm to the individual or others.
D) whenever an individual repeatedly enters a trance state.

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

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With regard to the treatment of illness anxiety disorder and somatic symptom disorder, some research supports the use of __________.


A) conditioning
B) psychoanalysis
C) cognitive-behavioral treatment and stress reduction
D) humanistic therapy

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

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Jason suddenly notices that the world looks weird to him. Some objects look bigger than normal and others look smaller. Cars passing by seem oddly shaped and people appear dead or mechanical. Joe is experiencing ________.


A) derealization
B) depersonalization
C) classic early psychosis symptoms
D) mania

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

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


A) Once established, the disorder lasts a lifetime without treatment.
B) For prevalence rates, the ratio of females to males is approximately 9 to 1.
C) The frequency of switching increases with age.
D) The form that the disorder takes does not differ substantially over the lifespan.

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

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With regard to the treatment of somatic symptom disorder and illness anxiety disorder, research exploring the use of reassurance in a process called "explanatory therapy" showed that


A) some significant gains were achieved.
B) reassurance did not work for hypochondriacs.
C) reassurance showed some gains but they lasted less than several days.
D) the gains were so significant that participants were essentially "cured."

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

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In dissociative identity disorder, the "host" personality is usually the one that


A) is the most aggressive of the personalities.
B) asks for treatment and becomes the patient.
C) earns income for the individual.
D) is sexually provocative.

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

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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 characterize...

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Joe just ate six chili dogs and drank a liter of soda. If Joe suffers from illness anxiety disorder, he would probably interpret any resulting stomach discomfort as


A) his own fault for eating so much.
B) the result of poor quality food.
C) gas pains from overeating.
D) a sign that something is seriously wrong with his stomach.

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

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Some theorists suggest that dissociative identity disorder is an extreme subtype of .


A) dissociative amnesia
B) obsessive-compulsive disorder
C) posttraumatic stress disorder
D) antisocial personality disorder

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

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In terms of antidepressant medication treatments for somatic symptom disorder, the most accurate statement based on the research so far is


A) antidepressants are effective but not significantly different from a placebo condition.
B) antidepressants are not effective.
C) some reports suggest that antidepressants may be effective, but placebo-controlled studies have not been performed.
D) placebo-controlled studies have been performed and the results suggest that antidepressants work for some hypochondriacs but not for most.

E) A) and C)
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) All of the above
F) None of the above

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According to the autohypnotic model, people who are suggestible may be


A) able to create false memories to ease their trauma.
B) able to use dissociation as a defense against extreme trauma.
C) able to remember the trauma that created the false memories.
D) unable to switch at will.

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

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The existence of a cross-gendered alter in dissociative identity disorder is .


A) common
B) rare
C) present in every patient
D) almost never seen in this disorder

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

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A distinctive dissociative state that is not found in Western cultures is .


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

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

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Joe injured his back at work several years ago. Although he was treated and considered healed by his physicians, he still complains of severe and debilitating back pain. Other than some minor scar tissue, his doctors can't find anything that could be causing more than some minor stiffness. It appears that Joe might be diagnosed with _________________.


A) conversion disorder
B) depersonalization/derealization disorder
C) somatic symptom disorder with predominant pain
D) illness anxiety disorder

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

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Clients with illness anxiety disorder are likely to


A) avoid doctors.
B) avoid unnecessary medical procedures.
C) soon reject assurances that they are healthy.
D) ignore the long-term process of illness.

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

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How might medical doctors help alleviate dissociative disorders in their patients in their normal course of duty?

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The text and several studies (described ...

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

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


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

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

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