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Chapter 8
Somatoform and Dissociative Disorders
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8.1-6. John and Ira eat dinner together after work. Several hours later, each starts
to feel nausea and stomach pains. John is a hypochondriac, Ira is not. Most likely:
a. both men will think that the food they ate made them sick.
b. John will think that he has stomach cancer and Ira will think the food he ate
made him sick.
c. John will think the food he ate made him sick and Ira will not think anything at
all.
d. Ira will think he has stomach cancer and John will think the food he ate made
him sick.
Difficulty: 2
Question ID: 8.1-6
Page Ref: 267
Topic: What Are Somatoform Disorders?/Hypochondriasis
Skill: Applied
Answer: b. John will think that he has stomach cancer and Ira will think the food he ate
made him sick.
8.1-8. Sara notices a lump on her side. She goes to her physician because she is
worried that it is cancer. The physician sends her for a biopsy. During the three
weeks between first noticing the lump and getting her results that it is not cancer,
Sara was almost unable to function. She felt constant anxiety and thought constantly
about having cancer. After she found out that she did not have cancer, Sara felt
much better. Sara
a. has hypochondriasis.
b. has conversion disorder.
c. has somatization disorder.
d. has no mental disorder.
Difficulty: 1
Question ID: 8.1-8
Page Ref: 267
Topic: What Are Somatoform Disorders/Hypochondriasis
Skill: Applied
Answer: d. has no mental disorder.
8.1-10. According to the proposed revisions for the DSM-5, most people previously
diagnosed with ______________ will be diagnosed with complex somatic symptom
disorder.
Copyright © 2013 by Pearson Education, Inc. All rights reserved.
a. hypochondriasis
b. factitious disorder
c. somatization disorder
d. body dysmorphic disorder
Difficulty: 2
Question ID: 8.1-10
Page Ref: 271
Topic: Somatoform Disorders: DSM-5 Proposed Revisions
Skill: Factual
Answer: a. hypochondriasis.
8.1-12. Research on hypochondriasis has shown that people with the disorder tend
to
a. ignore information about illness.
b. overestimate the dangerousness of diseases.
c. underestimate the dangerousness of diseases.
d. overestimate their ability to handle being ill.
Difficulty: 2
Question ID: 8.1-12
Page Ref: 268
Topic: What Are Somatoform Disorders/Hypochondriasis
Skill: Factual
Answer: b. overestimate the dangerousness of diseases.
8.1-18. Dan's various medical complaints and hospital stays finally led him to
psychiatrist. After a thorough medical and psychological evaluation, the twenty-
eight-year-old teacher and father of two was diagnosed with both depression and
somatization disorder. What is atypical about this case summary?
a. Such diagnoses are usually made in adolescence.
b. Somatization disorder is seen much more commonly in women.
c. Somatization disorder and depression are rarely comorbid disorders.
d. It is rare for an individual with somatization disorder to marry and have
children.
Difficulty: 2
Question ID: 8.1-18
Page Ref: 270
Topic: What Are Somatoform Disorders?/Somatization Disorder
Skill: Applied
Answer: b. Somatization disorder is seen much more commonly in women.
8.1-20. Ryan has diabetes but has no trouble functioning. One day, his wife informs
him that she is leaving him. Ryan suddenly develops terrible pain in his back, to the
Copyright © 2013 by Pearson Education, Inc. All rights reserved.
point he is unable to get out of bed. His wife agrees to stay for "a while" to take care
of him. Ryan probably has
a. somatization disorder.
b. pain disorder associated with psychological factors.
c. pain disorder associated with both psychological factors and a general medical
condition.
d. body dysmorphic disorder.
Difficulty: 2
Question ID: 8.1-20
Page Ref: 272
Topic: What Are Somatoform Disorders?/Pain Disorder
Skill: Applied
Answer: b. pain disorder associated with psychological factors.
8.1-26. In what way was Freud's view of conversion disorder consistent with
behavioral theories?
a. Freud proposed that faulty thinking underlies the symptoms of conversion
disorder.
b. He advocated treating conversion disorder by punishing the problem behaviors.
c. He believed that the symptoms of conversion disorder were maintained by the
relief from anxiety they provided.
d. Freud believed that those with conversion disorder were suffering bodily
symptoms due to a conflict between their inner desires and the demands placed on
them by society (the environment).
Difficulty: 2
Question ID: 8.1-26
Page Ref: 273
Topic: What Are Somatoform Disorders?/Conversion Disorder
Skill: Conceptual
Copyright © 2013 by Pearson Education, Inc. All rights reserved.
Answer: c. He believed that the symptoms of conversion disorder were maintained by
the relief from anxiety they provided.
8.1-30. Which of the following disorders was once the most frequently diagnosed
disorder among soldiers in World War I?
a. Acute anxiety disorder
b. Conversion disorder
c. Dissociative identity disorder
d. Hypochondriasis
Difficulty: 2
Copyright © 2013 by Pearson Education, Inc. All rights reserved.
Question ID: 8.1-30
Page Ref: 275
Topic: What Are Somatoform Disorders?/Conversion Disorder
Skill: Factual
Answer: b. Conversion disorder
8.1-31. Which of the following best explains why conversion disorder is a less
common diagnosis today than it was historically?
a. Advances in the psychiatric profession have decreased the prevalence of all
disorders linked to traumatic events.
b. Those once diagnosed with conversion disorder are now more likely to be
diagnosed with PTSD.
c. Today's psychiatrists tend to view this diagnosis as one that lacks reliability and
validity, thus they are hesitant to even consider it as a diagnostic option.
d. Advances in the medical field have made patients more sophisticated about
medical and psychological disorders.
Difficulty: 2
Question ID: 8.1-31
Page Ref: 275
Topic: What Are Somatoform Disorders?/Conversion Disorder
Skill: Conceptual
Answer: d. Advances in the medical field have made patients more sophisticated about
medical and psychological disorders.
8.1-32. Following the rejection of his latest novel, Jim experienced an inability to
make some movements with his right hand. While he was unable to write, he could
scratch and make other simple motions with his affected hand. Two weeks later he
was able to write again. What is unique about Jim's case of conversion disorder?
a. Jim had some ability to move his hand.
b. Jim is male, and most people with this disorder are women.
c. Jim's symptoms subsided after only two weeks.
d. Jim only lost the ability to move his right hand.
Difficulty: 2
Question ID: 8.1-32
Page Ref: 275
Topic: What Are Somatoform Disorders/Conversion Disorder
Skill: Applied
Answer: b. Jim is male, and most people with this disorder are women.
8.1-34. Earl falls at work. The initial medical tests showed no major physical
problems. However, Earl calls the next day and tells his boss that he is unable to use
his right leg because it is paralyzed. He also informs his boss that he plans to sue the
company. Earl most likely
a. has conversion disorder.
b. has somatization disorder.
c. has factitious disorder.
d. is malingering.
Difficulty: 2
Question ID: 8.1-34
Page Ref: 276
Topic: What Are Somatoform Disorders?/Distinguishing Somatization, Pain, and
Conversion Disorders
Skill: Applied
Answer: d. is malingering.
8.1-37. People with body dysmorphic disorder are similar to people with
hypochondriasis in that
a. both ask for reassurance about their symptoms but don't feel relief when they
get it.
b. both believe that a disease is causing their symptoms.
c. both know that they are faking their symptoms for attention.
d. both focus only on symptoms involving the face.
Difficulty: 2
Question ID: 8.1-37
Page Ref: 278
Topic: What Are Somatoform Disorders?/Body Dysmorphic Disorder
Skill: Conceptual
Answer: a. both ask for reassurance about their symptoms but don't feel relief when they
get it.
8.1-41. Dissociation
a. only occurs in people with a dissociative disorder.
b. is a sign that something is seriously wrong.
c. is extremely common and not necessarily pathological.
d. is extremely rare and not necessarily pathological.
Difficulty: 2
Question ID: 8.1-41
Page Ref: 282
Topic: What Are Dissociative Disorders?
Skill: Factual
Answer: c. is extremely common and not necessarily pathological.
8.1-42. After learning of her father's death, Sophia felt dazed and confused but still
retained her sense of self. When speaking of her response to the news, she said she
felt like she was in a movie watching the events happening to her. Despite this
strange feeling, she understood what was happening and did the things that she
needed to do. What can be said of Sophia's response to her father's death?
a. Her response is not typical and suggests that she is suffering from acute stress
disorder.
b. She experienced an instance of derealization.
c. She had a psychotic break.
d. She experienced an instance of depersonalization.
Difficulty: 2
Question ID: 8.1-42
Page Ref: 282
Topic: What Are Dissociative Disorders?/Depersonalization Disorder
Skill: Applied
Answer: b. She experienced an instance of derealization.
8.1-43. The disorder involving the experience of sudden loss of the sense of self is
a. depersonalization disorder.
Copyright © 2013 by Pearson Education, Inc. All rights reserved.
b. psychogenic amnesia.
c. disidentity disorder.
d. derealization disorder.
Difficulty: 1
Question ID: 8.1-43
Page Ref: 282
Topic: What Are Dissociative Disorders?/Depersonalization Disorder
Skill: Factual
Answer: a. depersonalization disorder.
8.1-45. In soap operas, characters often forget their past experience following some
trauma. They don't merely forget the traumatic event, they forget who they are,
where they came from - they lose almost all memory of their lives. They then move
to a new place and start a new identity. This would best be described as an instance
of
a. anterograde amnesia.
b. dissociative fugue.
c. continuous amnesia.
d. generalized amnesia.
Difficulty: 2
Question ID: 8.1-45
Page Ref: 284
Topic: What Are Dissociative Disorders?/Dissociative Amnesia and Dissociative Fugue
Skill: Applied
Answer: b. dissociative fugue.
8.1-46. Although Charlie remembered most of the main issues of the meeting, he had
no recollection of the decision to eliminate the department that he headed. Which
form of psychogenic amnesia would this be characteristic of?
a. Localized amnesia
b. Selective amnesia
c. Continuous amnesia
d. Generalized amnesia
Difficulty: 2
Copyright © 2013 by Pearson Education, Inc. All rights reserved.
Question ID: 8.1-46
Page Ref: 283
Topic: What Are Dissociative Disorders?/Dissociative Amnesia and Dissociative Fugue
Skill: Applied
Answer: b. Selective amnesia
8.1-48. Jill did not remember the accident happening or the following two days.
What form of amnesia is this memory loss characteristic of?
a. Localized
b. Generalized
c. Continuous
d. Selective
Difficulty: 2
Question ID: 8.1-48
Page Ref: 283
Topic: What Are Dissociative Disorders?/Dissociative Amnesia and Dissociative Fugue
Skill: Applied
Answer: a. Localized
8.1-49. Gerard became amnesic, wandered away from home and assumed a
completely new identity as a shoe salesman. He suffers from
a. dissociative fugue.
b. dissociative identity disorder.
c. malingering identity disorder.
d. depersonalization.
Difficulty: 1
Question ID: 8.1-49
Page Ref: 284
Topic: What Are Dissociative Disorders?/Dissociative Amnesia and Dissociative Fugue
Skill: Applied
Answer: a. dissociative fugue.
8.1-53. In the study mentioned in the text, the German man who had dissociative
fugue denied that he could speak German. However, he learned German-English
word pairs much faster than control words. This supports that
a. mainly episodic memory is lost, implicit memory stays intact.
b. mainly implicit memory is lost, episodic memory stays intact.
c. both episodic and implicit memory are affected.
d. most people with dissociative fugue are faking.
Difficulty: 3
Copyright © 2013 by Pearson Education, Inc. All rights reserved.
Question ID: 8.1-53
Page Ref: 285
Topic: What Are Dissociative Disorders?/Dissociative Amnesia and Dissociative Fugue
Skill: Conceptual
Answer: a. mainly episodic memory is lost, implicit memory stays intact.
8.1-54. Which of the following has been demonstrated about the effects of
psychogenic amnesias on memory?
a. Implicit memory is generally intact.
b. Explicit memory is rarely affected.
c. Episodic memory is not compromised.
d. Semantic memory is most dramatically affected.
Difficulty: 1
Question ID: 8.1-54
Page Ref: 285
Topic: What Are Dissociative Disorders?/Dissociative Amnesia and Dissociative Fugue
Skill: Factual
Answer: a. Implicit memory is generally intact.
8.1-55. Why has there been little systematic research conducted on dissociative
amnesia and fugue?
a. Case studies provide more useful information.
b. Both disorders are relatively brief, preventing researchers from having ample
time to systematically conduct full evaluations.
c. The diagnosis of both disorders is too controversial; until a consensus is
reached as to whether there is a true "psychogenic" amnesia, further study is
virtually impossible.
d. These conditions are too rare to permit more extensive study.
Difficulty: 3
Question ID: 8.1-55
Page Ref: 289
Topic: What Are Dissociative Disorders?/Dissociative Amnesia and Dissociative Fugue
Skill: Conceptual
Answer: d. These conditions are too rare to permit more extensive study.
8.1-58. A person with two or more well-developed identities has the disorder called
a. fugue state.
b. depersonalization disorder.
c. dissociative identity disorder.
d. localized psychogenic amnesia.
Difficulty: 1
Question ID: 8.1-58
Page Ref: 286
Topic: What Are Dissociative Disorders?/Dissociative Identity Disorder
Skill: Factual
Answer: c. dissociative identity disorder.
8.1-59. Which of the following is most commonly true of the host identity in DID?
a. It does not answer to the person's actual name.
b. It is always the most well-adjusted of the identities.
c. It is the second or third alter to develop.
d. It is not the original identity.
Difficulty: 2
Question ID: 8.1-59
Page Ref: 286
Topic: What Are Dissociative Disorders?/Dissociative Identity Disorder
Skill: Factual
Answer: d. It is not the original identity.
8.1-61. Brigid has been diagnosed with dissociative identity disorder. Brigid is the
host personality. We can expect that the alter identities
a. are very much like Brigid.
b. are strikingly different from Brigid.
c. only "come out" when there is no stress in the environment.
d. are very much like one another.
Difficulty: 1
Question ID: 8.1-61
Page Ref: 286-287
Topic: What Are Dissociative Disorders?/Dissociative Identity Disorder
Skill: Applied
Answer: b. are strikingly different from Brigid.
8.1-62 Octavia has been diagnosed with dissociative identity disorder (DID). She has
seventeen different "alters," which are strikingly different from her host
personality. Some of her alters are not full personalities, but fragments and
memories. Some of the alters are children. What aspect of this case is unusual?
a. It is unusual for a person with DID to have seventeen alters.
b. It is unusual for a person with DID to have alters that are very different from
the host personality.
c. It is unusual for a person with DID to have fragmentary alters.
d. No aspect of this case is unusual.
Difficulty: 2
Question ID: 8.1-62
Page Ref: 286-287
Topic: What Are Dissociative Disorders?/Dissociative Identity Disorder
Skill: Applied
Answer: d. No aspect of this case is unusual.
8.1-64. The text presented the case of Mary Kendall, who suffered from dissociative
identity disorder. She is typical of individuals with this disorder in that
Copyright © 2013 by Pearson Education, Inc. All rights reserved.
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And now the third thing and the best—the quay. A little Georgian
town with a quay cannot go far wrong. In its electric theatres the
cinematoscope may buzz and dazzle; sixpenny-halfpenny bazaars
may be opened; its beautiful old mansions may house gas clerks; the
latest novelties may effloresce in its shop-windows; but the quay will
keep it sweet. Ships and mariners will arrest the meddling hand of
Time. For there is something about the sea that will ever refuse to
come into line. Wherever wind-tanned men with level eyes live all day
in blue jerseys, there the lover of ancient peace may safely abide. And
the quay of my little town and the boats in her great, spreading harbour
are populous with such men. They arrest progress. Even the arrival of
petrol and the spectacle of a fishing-boat gaining the open sea in the
teeth of a headwind at a rate of ten knots an hour has not injured them.
The sea remains the sea in spite of petrol: still the capricious,
dangerous mistress, never the same for two minutes together, never
quite to be trusted, and so jealous that in no other direction may the
eyes of her subjects rove.
Two little tugs trot in and out of the harbour all day long, often
enough dragging in some three-master that they have found in the bay;
and at the moment that I write a big German barque with a green hull
lies at one wharf; a Dutch tjalck at another; and a variety of coasters
thrust their masts and spars and cordage against the evening sky and
make it more wonderful still. And in one of the shipwrights’ yards a
huge schooner into whose way a man-of-war casually loafed in the
Channel a month ago is being fitted with a new bowsprit and prow; and
since the bowsprit that the man-of-war left her resembles a
birchbroom, there is no doubt that she needs them.
I had a little talk with one of the blue jerseys about smuggling. He,
like myself, thought of the past with some regret. “I’ve no quarrel with a
little smuggling,” he said, in his caressing, rich Southern voice. “No
harm in smuggling, I says. I don’t say but what I’ve done some in my
time. I don’t say that I should have any objection to running over to
Guernsey any day and bringing back a ton of tubs. But the difficulty is,
what to do with them? And you would look so blue if you were caught.”
“True,” I said; “but surely there are safe landings all about there?”
waving my hand towards the southern borders of this vast and
mysterious harbour, so rich in creeks and sandy shores. “Yes,” he said,
“yes. But that’s not it. You couldn’t do it alone: that’s the real trouble.
And in smuggling it doesn’t do to trust any one. No,” he said, “not even
your own brother. Not in smuggling.”
Mus Penfold—and Billy