Chapter 6

Question 1

The DSM-5 lists five basic somatic symptom and related disorders, what are they?

Answer 1

1) somatic symptom disorder
2) illness anxiety disorder
3) psychological factors affecting medical condition
4) conversion disorder
5) factitious disorder.

Question 2

define illness anxiety disorder

Answer 2

involves sever anxiety over belief in having a disease without any evident physical

Question 3

If one or more physical symptoms are relatively severe and are associated with ____ and _____ , then the diagnosis would be ______ symptom disorder

Answer 3

• anxiety and distress

- somatic

Question 4

what is the difference between care-seeking somatic type and care-avoidant somatic type?

Answer 4

care-seeking type: medical care, including physician visits or undergoing tests and procedures, is frequently used

care-avoidant type: Medical care is rarely used

Question 5

what is psychological factors affecting medical condition?

Answer 5

Somatic condition in which a psychological characteristic affects a diagnosed medical condition, such as asthma being exacerbated by anxiety

Question 6

what are somatic symptoms disorders?

Answer 6

disorders involving extreme and long-lasting focus on multiple physical symptoms for which no medical cause is evident; previously known as somatization disorders

Question 7

what are dissociative disorders?

Answer 7

disorders in which individuals feel detached from themselves or their surroundings, and reality, experience and identity may disintegrate

Question 8

what are conversion disorders?

Answer 8

physical malfunctions, such as blindness or paralysis, suggesting neurological impairment, with no organic pathology to account for it

Question 9

what are factitious disorder?

Answer 9

nonexistent physical or psychological disorders deliberately faked for no apparent gain except possibly sympathy and attention

Question 10

what is derealization?

Answer 10

situation in which the individual loses his or her sense of the reality of the external world

Question 11

what is depersonalization-derealization disorder?

Answer 11

A dissociative disorder in which feelings of depersonalization are so severe they dominate the client’s life and prevent normal functioning

Question 12

what is dissociative amnesia?

Answer 12

a dissociative disorder featuring the inability to recall personal information, usually of a stressful or traumatic nature

Question 13

what is generalized amnesia?

Answer 13

a condition in which a person loses memory of all personal information, including his or her own identity

Question 14

what is localized amnesia?

Answer 14

Memory loss limited to specific times and events particularly traumatic events
- also known as selective amnesia

Question 15

what is dissociative fugue?

Answer 15

A dissociative disorder featuring sudden, unexpected travel away from home, along with an inability to recall past, sometimes with assumption of a new identity

Question 16

what is dissociative trance disorder?

Answer 16

altered state of consciousness in which the person believes firmly that he or she is possessed by spirits; considered a disorder only where there is distress and dysfunction

Question 17

what is dissociative identity disorder?

Answer 17

formerly known as multiple personality disorder, a disorder in which as many as one hundred personalities fragments of personalities coexist within one body and mind

Question 18

what are alters?

Answer 18

shorthand term for alter egos, the different personality

Question 19

define Malingering

Answer 19

deliberate faking of a physical or psychological disorder motivated by gain

Question 20

Sarah has been lashing out at her friends lately, which is out of character for her. Sarah claims that this “isn’t her” and that she feels detached from the world and reality. What is Sarah likely experiencing?

Answer 20

dissociative disorders

Question 21

what does the term hysterical refer to?

Answer 21

dramatic or histrionic behaviour

Question 22

what does neurosis refer to?

Answer 22

suggests a specific cause for certain disorders. I

Question 23

______ was eliminated from the diagnostic system in 1980 because it was too _____. It implied a specific but _____ cause for these disorders.

Answer 23

neurosis, vague, unproven

Question 24

what was somatic symptom disorder previously called?

Answer 24

Briquet’s syndrome

Question 25

Anjelena continually feels weak and ill, yet avoids taking action and avoids exercising because she thinks it will make her worse. What is Anjelena likely experiencing?

Answer 25

Somatic Symptom disorder

Question 26

psychological or behavioural factors, particularly _____ and _____, are ______ing the severity and impairment associated with the physical symptoms

Answer 26

anxiety and distress

compounding

Question 27

severe anxiety is focused on the possibility of having or developing a ____ _____

Answer 27

serious disease

Question 28

only about ___ percent of patients who used to meet the diagnostic criteria for DSM-IV hypochondriasis now meet the criteria for illness anxiety disorder…

Answer 28

20

Question 29

what was the point of the illness anxiety disorder category?

Answer 29

to cover that 20 percent segment who do not report symptoms

Question 30

in illness anxiety disorder the concern is primarily with the ____ of of being sick instead of the physical symptom itself

Answer 30

idea

Question 31

acute episode vs persistent in conversion disorder

Answer 31

acute epsiode: symptoms present for less than 6 months

persistent: symptoms occurring for 6 months or more

Question 32

what is derealization?

Answer 32

situation in which the individual loses his or her sense of the reality of the external world

Question 33

symptoms of unreality are characteristic of the ______ disorders because _______ is, in a sense, a psychological mechanism whereby one dissociates from reality.

Answer 33

dissociative, depersonalization