Question 1

The biological perspective on complex somatic symptom disorder with somatization features (somatization disorder)emphasizes which difference in these patients?
A)They perceive internal stimuli more acutely.
B)They have experienced more stress in early childhood.
C)They are unable to learn from punishment.
D)They are exposed to parents who model how to act sick.

Accepted Answer

The biological perspective suggests that patients with somatization disorder have a heightened sensitivity to internal bodily sensations, leading to increased focus and attention on these sensations, and ultimately resulting in the development of somatic symptoms. This suggests that they perceive internal stimuli more acutely than other individuals.

Question 2

The most promising treatment for somatic symptom disorders involves which approach?
A)biological
B)psychobiologicaldynamic
C)cognitive-behavioral
D)sociocultural

Accepted Answer

Cognitive-behavioral therapy (CBT) is the most promising treatment approach for somatic symptom disorders. CBT teaches patients to identify and change maladaptive thoughts and behaviors that contribute to the physical symptoms. It also involves exposure therapy, where patients gradually confront and tolerate the bodily sensations associated with the symptoms. Research studies have shown that CBT is effective in reducing somatic symptom severity and improving overall functioning.

Question 3

Dissociative fugue is best described as ____.
A)a generalized amnesia for one's identity and life history that may be accompanied by bewildered wandering or purposeless travel.
B)lack of memory for a specific event or events
C)a condition in which two or more independent personality states appear to exist in one person
D)feelings of unreality concerning the self and the environment

Accepted Answer

Dissociative fugue is characterized by a loss of personal identity and autobiographical memory, often accompanied by traveling or wandering without a clear purpose or memory of one's past life.

Question 4

A psychologist discusses a patient with illness anxiety disorder (hypochondriasis)this way: "She focuses on her health so that she can be protected from the anxiety her underlying conflicts cause.Then, when she is shown attention and sympathy, her dependency needs are met." This psychologist ____.
A)probably agrees with the behavioral perspective
B)takes a diathesis-stress approach to illness anxiety disorder (hypochondriasis)
C)is discussing primary and secondary gain
D)probably rejects the psychoanalytic perspective

Accepted Answer

The psychologist's statement about the patient's focus on her health as a way to cope with underlying conflicts and meet her dependency needs suggests the concept of primary and secondary gain in illness anxiety disorder. This perspective is often associated with psychodynamic theory. Therefore, option C is the most appropriate choice. Option A is not necessarily accurate, as the psychologist's statement does not exclusively reflect a behavioral perspective. Option B is not directly relevant to the psychologist's comment. Option D is not necessarily accurate, as the statement does not indicate outright rejection of psychoanalytic theory.

Question 5

Dr.Krank says, "Patients who continually report being in pain have a higher-than-normal arousal level." Dr.Krank's explanation of complex somatic symptom disorder with somatization features (somatization disorder)reflects which perspective?
A)psychodynamic
B)biological
C)sociocultural
D)cognitive-behavioral

Accepted Answer

Dr. Krank's explanation reflects a biological perspective, as it suggests that the patients' high arousal level is related to physiological processes in the body, rather than psychological or social factors.

Question 6

Reinforcement of illness behaviors and parental modeling of how to act sick are both etiological factors in which theory of functional neurological symptom disorder (conversion disorder)?
A)biogenic
B)family systems
C)psychodynamic
D)cognitive-behavioral

Accepted Answer

Reinforcement of illness behaviors and parental modeling of how to act sick are both specific components of the cognitive-behavioral theory of functional neurological symptom disorder. Biogenic theory emphasizes underlying physical causes, family systems theory emphasizes family dynamics and communication, and psychodynamic theory emphasizes unresolved conflicts and emotions.

Question 7

Which therapists use education about the relationship between misinterpretations of bodily sensations and selective attention to illness themes to treat patients with illness anxiety disorder (hypochondriasis)?
A)cognitive-behaviorists
B)family systems
C)humanists
D)psychoanalysts

Accepted Answer

The approach of educating patients with illness anxiety disorder about the relationship between misinterpretations of bodily sensations and selective attention to illness themes is a cognitive-behavioral technique. Therefore, cognitive-behavioral therapists are the ones who use this approach to treat patients with illness anxiety disorder (hypochondriasis).

Question 8

From a social perspective, somatic complaints reflect ____.
A)unsatisfying or inadequate social relationships
B)frustration and anger
C)unconscious conflicts
D)cognitive distortions

Accepted Answer

Somatic complaints are physical symptoms that have no medical explanation. From a social perspective, they are often seen as a manifestation of unsatisfying or inadequate social relationships, such as those characterized by lack of support, conflict or abuse. Therefore, choice A is the best answer. Choices B, C, and D are not necessarily incorrect, but they do not specifically address the social perspective of somatic complaints.

Question 9

Suppose we interviewed fifty people with illness anxiety disorder (hypochondriasis).Which of the following quotes do you expect we would hear most often?
A)"My doctor is very accurate with her diagnoses."
B)"I can notice even the slightest changes in my body."
C)"I know that even when I am sick, nothing terrible is going to happen."
D)"I know I have some kind of illness, but I haven't been to see a doctor in years."

Accepted Answer

Individuals with illness anxiety disorder often have heightened bodily awareness, which can lead to them noticing even slight changes in their body and fixating on them as potential signs of illness.

Question 10

Dr.Bar-Illan wants to overcome his negative reactions toward his clients with a somatic symptom disorder.Which quality should he develop?
A)sympathy
B)patience
C)empathy
D)insight

Accepted Answer

Empathy involves putting oneself in another person's shoes and understanding their emotions and experiences. By developing empathy, Dr. Bar-Illan can begin to see his clients as individuals who are struggling and in need of support, rather than as frustrating and difficult to deal with. This can help him to overcome his negative reactions and to provide better care for his clients. Sympathy, patience, and insight are also important qualities for a healthcare provider, but empathy is specifically relevant to Dr. Bar-Illan's situation.

Question 11

Dr.Todd says, "Anna O.was not a victim of intrapsychic conflicts.She was an ambitious, intelligent woman with restricted opportunities.She felt great guilt when she resented having to care for her sick father.Her symptoms afforded her the opportunity to maintain contact with an intellectually stimulating doctor.She went on to become a feminist leader." These remarks ____.
A)support the psychodynamic explanation for complex somatic symptom disorder with somatization features (somatization disorder).
B)support the biological perspective on complex somatic symptom disorder with somatization features (somatization disorder)
C)reject the behavioral explanation for dissociative disorders
D)support a sociocultural explanation for complex somatic symptom disorder with somatization features (somatization disorder)

Accepted Answer

Dr. Todd's remarks indicate that Anna O.'s symptoms were a result of her limited opportunities and guilt, which suggests a sociocultural explanation for her complex somatic symptom disorder with somatization features. Her symptoms gave her the opportunity to maintain contact with an intellectually stimulating doctor, which highlights the importance of social and cultural factors in understanding somatization disorder.

Question 12

Research has found that Asian Americans often react to stress by ____.
A)becoming irritable
B)developing physical complaints
C)withdrawing
D)redirecting their energies into school or work

Accepted Answer

Research has found that Asian Americans often react to stress by developing physical complaints, such as headaches or stomachaches. This is known as somatization, where emotional distress is expressed as physical symptoms.

Question 13

Angel has been prescribed an SSRI to help her deal with her complex somatic symptom disorder with pain features (pain disorder).The medication is most likely to help Angel with ____.
A)her pain
B)articulating her ailments
C)revising her distorted self-perception
D)her depression

Accepted Answer

SSRIs are primarily used to treat depression and anxiety, which can often accompany somatic symptom disorders.

Question 14

Which statement about dissociative amnesia is accurate?
A)It is the partial or total loss of important personal information that is not "ordinary" forgetting.
B)Its onset is always slow and progressive.
C)It begins to develop in early childhood.
D)It only remits with psychodynamic therapy.

Accepted Answer

Dissociative amnesia is characterized by the partial or total loss of personal information that is not a result of the typical forgetting that occurs with age or stress. It can occur suddenly or gradually and can affect any age group. Treatment may include therapy, but it can also resolve on its own over time.

Question 15

What have researchers concluded when comparing cognitive-behavior therapy (CBT)with standard medical care that is augmented with psychiatric consultation for treating somatization symptoms and complaints?
A)CBT was significantly more effective than standard medical care augmented with psychiatric consultation.
B)Standard medical care augmented with psychiatric consultation was more effective than CBT.
C)Both treatments were effective.
D)Although CBT had better initial outcomes, over time both CBT and the medical care did not maintain any gains.

Accepted Answer

Researchers have found that CBT was significantly more effective than standard medical care augmented with psychiatric consultation for treating somatization symptoms and complaints. CBT has been found to produce more long-term benefits and improve the quality of life of patients.

Question 16

Mr.Able is diagnosed with illness anxiety disorder (hypochondriasis), while Mr.Baker is diagnosed with complex somatic symptom disorder (somatization disorder).How will their symptoms be different?
A)Mr.Able will fear he has an undetected fatal illness; Mr.Baker will have many vague physical complaints.
B)Mr.Able will have complaints about his body; Mr.Baker will not.
C)Mr.Able will not have any physical complaints; Mr.Baker will fear that he has cancer or a form of heart disease.
D)Mr.Able will claim that he cannot see or walk; Mr.Baker will fear that he has an undetected fatal illness.

Accepted Answer

Mr.Able's hypochondriasis will manifest as excessive fear or anxiety about having a serious illness despite medical reassurance, while Mr.Baker's complex somatic symptom disorder will involve multiple, vague physical complaints that are not fully explained by medical evaluation.

Question 17

The class of drugs that appears to be most effective with patients that have a complex somatic symptom disorder is ____.
A)benzodiazepines
B)tricyclic antidepressants
C)SSRIs
D)stimulants

Accepted Answer

The class of drugs that appears to be most effective with patients that have a complex somatic symptom disorder is SSRIs (selective serotonin reuptake inhibitors). This is because they can help with the underlying anxiety and depression that often accompany this disorder, and may improve physical symptoms as well. Benzodiazepines and stimulants are not typically used for this disorder, and tricyclic antidepressants may be less effective than SSRIs.

Question 18

Evidence supporting the biological perspective on patients with illness anxiety disorder (hypochondriasis)includes research showing they ____.
A)are more sensitive than others to bodily sensations
B)have neurotransmitter imbalances
C)have lower arousal levels than others
D)have less of an increase in their heartbeats than others when stressed

Accepted Answer

Research has shown that patients with illness anxiety disorder are more sensitive than others to bodily sensations, which supports the biological perspective on the disorder. There is limited evidence for neurotransmitter imbalances or differences in arousal levels or heartbeat increases.

Question 19

The approaches that show the most promise for treating somatic symptom disorders are ____.
A)relaxation training, psychoeducation, and changing cognitions
B)flooding, modeling, and drug therapy
C)hypnotherapy, drug therapy, and changing cognitions
D)systematic desensitization, cognitive therapy, and exposure

Accepted Answer

Relaxation training, psychoeducation, and changing cognitions have consistently shown promising results in the treatment of somatic symptom disorders. Flooding and modeling techniques are generally not recommended for somatic symptom disorders, and drug therapy should only be used in conjunction with other approaches. Hypnotherapy has limited empirical support, and while cognitive therapy and exposure may be helpful, they are not consistently effective for all individuals with somatic symptom disorders.

Question 20

Mrs.Klinger has a ten-year history of fearing a heart attack, although no doctor has found anything wrong with her heart.She frequently calls emergency services and lies in bed most days worrying that she will have a coronary.Mrs.Klinger suffers from ____.
A)complex somatic symptom disorder with pain features (pain disorder)
B)functional neurological symptom disorder (conversion disorder)
C)malingering
D)illness anxiety disorder (hypochondriasis)

Accepted Answer

Mrs. Klinger's fear of a heart attack despite no medical evidence of heart disease and her preoccupation with bodily symptoms, as evidenced by her frequent calls to emergency services and her days spent in bed worrying, suggest that she has illness anxiety disorder (hypochondriasis). This disorder involves excessive anxiety and fear about having a serious illness, despite no evidence of physical disease.

Quiz 7: Somatic Symptom and Dissociative Disorders

The biological perspective on complex somatic symptom disorder with somatization features (somatization disorder) emphasizes which difference in these patients?

The most promising treatment for somatic symptom disorders involves which approach?

Dissociative fugue is best described as ____.

A psychologist discusses a patient with illness anxiety disorder (hypochondriasis) this way: "She focuses on her health so that she can be protected from the anxiety her underlying conflicts cause.Then, when she is shown attention and sympathy, her dependency needs are met." This psychologist ____.

Dr.Krank says, "Patients who continually report being in pain have a higher-than-normal arousal level." Dr.Krank's explanation of complex somatic symptom disorder with somatization features (somatization disorder) reflects which perspective?

Reinforcement of illness behaviors and parental modeling of how to act sick are both etiological factors in which theory of functional neurological symptom disorder (conversion disorder) ?

Which therapists use education about the relationship between misinterpretations of bodily sensations and selective attention to illness themes to treat patients with illness anxiety disorder (hypochondriasis) ?

From a social perspective, somatic complaints reflect ____.

Suppose we interviewed fifty people with illness anxiety disorder (hypochondriasis) .Which of the following quotes do you expect we would hear most often?

Dr.Bar-Illan wants to overcome his negative reactions toward his clients with a somatic symptom disorder.Which quality should he develop?

Research has found that Asian Americans often react to stress by ____.

Angel has been prescribed an SSRI to help her deal with her complex somatic symptom disorder with pain features (pain disorder) .The medication is most likely to help Angel with ____.

Which statement about dissociative amnesia is accurate?

What have researchers concluded when comparing cognitive-behavior therapy (CBT) with standard medical care that is augmented with psychiatric consultation for treating somatization symptoms and complaints?

Mr.Able is diagnosed with illness anxiety disorder (hypochondriasis) , while Mr.Baker is diagnosed with complex somatic symptom disorder (somatization disorder) .How will their symptoms be different?

The class of drugs that appears to be most effective with patients that have a complex somatic symptom disorder is ____.

Evidence supporting the biological perspective on patients with illness anxiety disorder (hypochondriasis) includes research showing they ____.

The approaches that show the most promise for treating somatic symptom disorders are ____.

Mrs.Klinger has a ten-year history of fearing a heart attack, although no doctor has found anything wrong with her heart.She frequently calls emergency services and lies in bed most days worrying that she will have a coronary.Mrs.Klinger suffers from ____.