Abnormal Psych Ch. 6 – Flashcards
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significant physical symptoms for which there is no apparent cause
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somatic symptom disorder
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a woman thinks she is pregnant but she is not
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pseudocyesis
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how many specific somatic symptom disorders are there?
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5
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people have an actual, documented physical illness or defect that is worsened by psychological factors
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psychological factors affecting other medical conditions
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although somatic symptom disorder can affect any part of the body, what are three common areas that it makes itself present in?
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gastrointestinal, pain, neurological
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what are the three main characteristics of somatic symptom disorder?
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excessive time/energy spent related to the somatic symptoms, one or more somatic symptoms, persistent (6 months)
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what is the distinguishing difference between somatic symptom disorder and illness anxiety disorder?
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people with somatic symptom disorder actually experience physical symptoms; people with illness anxiety disorder worry that they will
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which disorder is more likely to seek medical treatment: those with somatic symptom disorder, or those with illness anxiety disorder?
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illness anxiety disorder
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people with illness anxiety disorder often have concerns about ___________ in the air or in their food, contributing to their illness.
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toxins
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for people with illness anxiety disorder, it must be present as a preoccupation for how long?
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6 months
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illness anxiety when a person frequently goes to the doctor
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care-seeking type
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illness anxiety when a person does not seek treatment for their illnesses
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care-avoidant type
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multiple symptom complaints for people with illness anxiety is more common in _________ people or in ________________
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older, children
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multiple heath complaints run in families, primarily among _____________ relatives
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female
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male relatives of people with lots of health complaints have higher rates of _____________ and ________________ personality disorder
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alcoholism, antisocial
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although they may run in families, there is not much evidence to support the idea that the multiple health concerns and somatic symptoms are _____________
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genetic
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these therapies used to treat somatic symptom disorder focus on providing insight into the connections between emotions and physical symptoms by helping people recall events and memories that may have triggered their symptoms
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psychodynamic therapies
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these therapies used to treat somatic symptom disorder help identify the reinforcements the patient gets for their health complaints, eliminate these reinforcements, and increase positive reinforcement for when they are acting in a healthier manner
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behavioral therapies
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these therapies used to treat somatic symptom disorder help the patient to interpret their physical symptoms appropriately and to learn to avoid catastrophizing them
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cognitive therapies
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these therapies are used to focus on identifying and challenging illness beliefs and misinterpretations of physical sensations
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cognitive-behavioral therapies
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a somatic symptom disorder in which people lose neurological functioning in a part of their bodies, but not due to medical causes.
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conversion disorder
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what are the 7 most common types of conversion disorder?
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paralysis, blindness, mutism, seizures, loss of hearing, loss of coordination, anesthesia in a limb
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what is the name of the conversion disorder where people can't feel their hand>?
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glove anesthesia
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can people with conversion disorder have multiple types (e.g. blindness for a while, then paralysis in their hand, etc.) or is it limited to one symptom?
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multiple
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What two nerves innervate the hand? (The reasoning behind why it is unlikely that glove anesthesia is physical)
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ulnar, radial
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what is the name for conversion disorder that doesn't assume psychological cause?
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functional neurological symptom disorder
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although persistent conversion disorder prevalence is relatively low, unexplained neurological symptoms are present in about what percent of cases?
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20%
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the reduction in anxiety that is a result of conversion disorder
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primary gain
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the attention and concern from others/being relieved of obligations and expectations as a result of conversion disorder
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secondary gain
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what type of theories of conversion disorder emphazize the role conversion symptoms play in alleviating distress by removing the individual from difficult enivronments and allowing him or her to avoid unwanted responsibilities or situations
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behavioral theories
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during the two world wars, soldiers would often become blind or paralyzed, as an eample of
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conversion disorder
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when people afflicted by conversion disorder are unconcerned about the symtpoms
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la belle indifference
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research shows that people with conversion disorder are highly susceptible to what kind of therapy?
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hypnotizing
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neurological models suggest that conversion symptoms arise when ____________ or _______________ areas on the brain are impaired by anxiety
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sensory, motor
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the area of the brain involved in the experience of anxiety
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amygdala
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studies suggest that conversion disorder does not involve really loss of function in parts of the brain, but it's more about
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changes in connectivity between these areas and areas associated with anxiety
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therapy for conversion disorder that focuses on the expression of painful emotions and memories and on insight into the relationship between these and the conversion symptoms
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psychoanalytic therapy
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therapy for conversion disorder that focuses on relieving the person's anxiety centered on the initial trauma/reducing benefits they're receiving because of the conversion
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behavioral therapy
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somatic symptom disorder in which a person deliberately fakes an illness specifically to gain medical attention and play the sick role
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factitious disorder
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another name for factitious disorder
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Munchhausen's syndrome
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how is factitious disorder different from other somatic symptom disorders?
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factitious disorder involves evidence that the individual is providing false information
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what is the name for when people fake a symptom or disorder in order to avoid an unwanted situation, or in order to gain something?
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malingering
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in a word, what is the main difference between factitious disorder and malingering?
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motive
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when individuals falsify illness in someone else for attention
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factitious disorder imposed on another (by proxy)
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the process in which components of the mental experience are split off from consciousness but remain accessible through hypnosis
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dissociation
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the theory that there is a active and passive mode to consciousness that contributes to DID
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hidden observer phenomenon
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how many personalities did Eve White have?
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more than 20
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what is another name for another personality
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alter
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the most common type of alters
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child alters
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alters that inflict pain on the host/other personalities
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persecutor alters
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alters that offer advice to other personalities/perform activities that the host is mentally unable to cope with but must do
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protector/helper alters
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people with DID have bouts of
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amnesia
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how many people with DID have a history of suicide attempts
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3/4
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what percent of people with DID have a history of suicidal thoughts
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over 90%
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many aspects of DID can be influenced by the person's __________________ background
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cultural
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True or false: transitions in personalities of people with DID have to be reported by someone else, according to the DSM V
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False; can be self-reported
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people with DID in Western culture often feel that they are
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possessed
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out of Great Britain, the U.S., India,, Europe, or Japan, which has the most frequent diagnosis of DID?
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the U.S.
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What ethnic group has the highest rate of DID?
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latinos
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a culturally accepted reaction to stress among Latinos that involves transient periods of loss of consciousness, convulsive movements, and impulsive acts, just to name a few symptoms
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ataque de nervios
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the majority of people with DID have a history of ____________ ________________ abuse
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childhood sexual
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what model of DID argues that the alternate identities are created by patients who adopt the idea or narrative of DID as an explanation that fits their lives
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sociocognitive model
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is DID genetic?
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somewhat
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what is the end goal of treating DID?
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one coherent personality
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when people cannot recall important autobiographical information about themselves
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dissociative amnesia
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amnesia caused by a brain injury resulting from disease, drugs, accidents, or surgery
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organic amnesia
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organic amnesia that also involves not being able to remember new information
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anterograde amnesia
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amnesia that arises without any physical cause; rarely involves anterograde
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psychogenic amnesia
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the inability to remember events from the past; can have both organic and psychogenic causes
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retrograde amnesia
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people can't remember much personal or general information for several years or decades due to alcohol abuse
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korsakoff's syndrome
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a subtype of amnesia in which the individual travels to a new place and may assume a new identity with no memory of the previous identity; can last days or years; can have repeated episodes or just one
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dissociative fugue
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psychogenic amnesia is strongly associated with _____________ events
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traumatic
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what is the biggest complication with diagnosing amnesias?
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some people may use amnesia as an excuse to escape punishment for crimes
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people with this have frequent episodes during which they feel detached from their own mental processes or body, as if they are outside observers of themselves
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depersonalization/derealization disorder
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is depersonalization disorder more common in men or women?
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equally common
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average age of onset for people with depersonalization/derealization
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23
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the vast majority of people diagnosed with DID are
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adult women
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when was DID added to the DSM
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1980
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what disorder is DID commonly comorbid with
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PTSD
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before DID was included in the DSM, what was is likely prescribed as?
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schizophrenia
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5 categories of disorders often comorbid with DID
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major depression, an anxiety disorder, substance abuse, personality disorder, eating disorder