Exam #2 Flashcards

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1
Q

It has been suggested that media representations strongly influence patient presentations of dissociative identity disorder. T/F

A

True

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2
Q

What is the key diagnostic criterion for dissociative identity disorder?

A

The presence of two or more distinct states or expressions

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3
Q

______ can be defined as a feeling of unreality or detachment from oneself; whereas ______ include feelings of unreality or detachment from the world.

A

Depersonalization; derealization

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4
Q

With this type of amnesia, the individual experiences a complete loss of memory for most or all of their life history, and is often found wandering in a state of disorientation.

A

Generalized amnesia

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5
Q

A soldier may experience dissociative amnesia during the time they were deployed, yet still have some memories of positive experiences such as celebrating Thanksgiving or Christmas dinner with the members of their unit. Which type of amnesia is described here?

A

Selective amnesia

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6
Q

Individuals with dissociative identity disorder have _____.

A

the highest rate of childhood psychological trauma compared to all other psychiatric disorders

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7
Q

In dissociative identity disorder, the switching of personalities is generally precipitated by what?

A

A significant stressor

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8
Q

What treatment has been shown to be the most beneficial to patients with depersonalization/derealization disorder?

A

A combined treatment method of psychopharmacological and psychological treatment

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9
Q

According to your textbook, how many main types of dissociative disorders are there?

A

3

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10
Q

What area of the brain has been suggested to have a role in dissociative amnesia?

A

Frontal lobe

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11
Q

PTSD Criteria A-E & Timing

A

A. Stressor
B. Intrusion
C. Avoidance
D. Negative Changes in Cognitions & Mood
E. Alterations in Arousal & Reactivity
*Last longer than one month

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12
Q

Acute Stress Disorder

A

criteria is the same as PTSD but symptoms are present for 3 days - one month

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13
Q

Adjustment Disorder

A

-Symptoms follow a non-traumatic stressor
-Less intense then PTSD & Acute Stress

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14
Q

Prolonged Exposure Therapy

A

psychotherapy - pt. extensively talks out trauma history

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15
Q

Cognitive Processing Therapy

A

addresses unhelpful cognitive changes that occur post trauma

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16
Q

Imaginal Exposure

A

mental recreation of traumatic events

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17
Q

In Vivo Exposure

A

“live” in-person exposure

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18
Q

Gradual Exposure

A

Exposure Over Time

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19
Q

Flooding Exposure

A

Exposure All at Once

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20
Q

Iatrogenic

A

treatments that cause harm

21
Q

Generalized Amnesia

A

cannot remember anything autobiographical

22
Q

Localized Amnesia

A

cannot remember specific time periods

23
Q

Selective Amnesia

A

cannot remember some of the details

24
Q

Dissociative Amnesia

A

generalized amnesia w/ travel and escape

25
Q

Derealization

A

subjective experience of unreality of the OUTSIDE WORLD

26
Q

Depersonalization

A

subjective experience of unreality of THE SELF

27
Q

Dissociative Identity Disorder (DID)

A

-personalities emerge for a reason, typically in response to distress
-diagnosed in individuals w/ trauma history

28
Q

Sybil

A

Woman was given truth serum & hypnosis and had 16 personalities emerge
May have been influenced by the therapist (Iatrogenic)

29
Q

Problem w/ DID

A

-not a lot is known
-suggestibility plays a role
-false memories are an issue

30
Q

Anxiety

A

-future-oriented
-tension & avoidance

31
Q

Fear

A

-present-oriented
-fight/flight
-avoidance & escapist

32
Q

Panic

A

sudden overwhelming terror

33
Q

Panic Disorder

A

Fear of Fear

34
Q

Agoraphobia

A

Fear of public places

35
Q

Generalized Anxiety Disorder

A

Worry in many domains - 3 or more symptoms present for 6 months or more

36
Q

Specific Phobia

A

XXXX-phobia

37
Q

Social Anxiety Disorder

A

Social/Performance Fear

38
Q

Introceptive

A

recreate feared physical situations through different exercises
Ex. breathing through the straw for longer times

39
Q

Systematic Desensitization

A

desensitization over time

40
Q

Fear Hierarchy

A

levels of fear from least to greatest

41
Q

Modeling

A

Demonstrating desired behavior

42
Q

Medication Pros

A

-more immediate fix
-adjusts altered brain chemistry

43
Q

Medication Cons

A

-can have side effects
-does not address the underlying cause/problem

44
Q

Illness Anxiety Disorder

A

excessive preoccupation w/ having or getting a serious illness

45
Q

Somatic Symptom Disorder

A

-physical complaints that do not present a clear disorder
-the concern is w/ symptoms themselves (unlike Illness Anxiety)

46
Q

Conversion Disorder

A

neurological symptoms without underlying physical illness

47
Q

Factitious Disorder

A

falsification/exaggeration of physical symptoms

48
Q

Motivations for Conversion/Factitious Disorder (Primary/Secondary)

A

Primary - avoidance of anxiety/trauma
Secondary - garnering sympathy/attention + avoidance of distress

49
Q

Treatment Considerations for Somatic Symptom Disorders

A

-false symptoms can increase when attention is given
-if symptoms are not reinforced they will remit