PSY 3604 Chapter 8 Questions with Verified Solutions

PSY 3604 Chapter 8 Questions with Verified Solutions What is the major commonality of the different somatic symptom disorders? A. A lack of control over physical functions, such as eating, sleeping, and sexual behaviors B. The presence of two or more fully formed identities within the same individual C. A loss of contact with reality and a tendency to respond to an internally generated fantasy world D. Bodily symptoms that cause significant psychological distress and impairment D What major change has been made to the category of somatic symptom and related disorders in DSM-5? A. An exclusion criterion has been added, removing this diagnosis for anyone who is currently using and/or abusing psychoactive drugs B. The clinical specifics of "with normal premorbid functioning" and "without normal premorbid functioning" have been added C. No distinction has been made between medically explained and medically unexplained symptoms D. The duration for which the symptoms must be present before a diagnosis is made has been extended to 12 years C Upwards of 80 percent of the population reports experiencing some somatic (physical) symptoms in the past week. Of these cases that drive people to visit doctors' offices, approximately what percentage are medically unexplained? A. Less than 5 percent B. 10 to 15 percent C. 5 to 10 percent D. 20 to 50 percent D The term "somatic disorder" can be understood in terms of its linguistic roots. "Soma" means __________. A. Psychological B. Physical C. Body D. Medical C Alan Frances, who served as the chair of the task force that developed DSM-IV, has called the new DSM-5 somatic symptom disorder a __________. A. "Much needed revision that focuses on real psychological symptoms" that should be a useful category for practicing clinicians B. "Cumbersome product that relies too heavily on identifiable physical conditions for diagnosis" C."Significant improvement over the separate, narrowly defined categories used in the DSM-IV" D. "Loosely defined and fatally flawed" diagnosis and recommended that clinicians not use it D The historical roots of somatoform disorders date back to __________. A. Medical models that looked at abnormalities in limbic system structures B. The psychoanalytic concept of hysteria and the work of Freud, Breuer, and Janet C. Early classical conditioning theorizing by Watson and the belief that behaviors associated with somatoform disorders were a product of faulty learning D. The humanist perspective championed by Rogers and Maslow which suggests that somatoform disorders develop in response to blocking self-actualization B According to cognitive-behavioral formulations, somatic symptom disorder can be viewed as a disorder of both __________. A. Perception and cognition B. Mind and spirit C. Insufficient dopamine availability in the brain and cognitive processes D. Emotional expression and physical state A Which of the following personality traits are considered risk factors for developing somatic symptom disorder? A. Extraversion, stoicism, and narcissism B. Conscientiousness, narcissism, and affect lability C. Negative affect, absorption, and alexithymia D. Openness, affect lability, and high fear of death C Zack, diagnosed with somatic symptom disorder, is participating in a form of behavioral therapy where his therapist has instructed him to not engage in checking his body as he routinely does and to not seek constant reassurance from others. Zack's therapist is using the technique of __________. A. Thought stopping B. Response prevention C. Behavioral experiment D. Imagery-based prevention B When hypochondriasis occurs with no or only very mild physical symptoms, what would be the correct DSM-5 diagnosis? A. Illness anxiety disorder B. Conversion disorder C. Somatic symptom disorder D. Body dysmorphic disorder A For how long must the preoccupation with a real or imagined illness persist before a diagnosis of illness anxiety disorder can be made? A. 1 month B. 6 months C. 3 months D. 1 year B