Chapter 5: Dissociative Disorders

Shelley experiences persistent feelings of detachment from herself, as if she were observing herself from outside her body. The experience is so intense that she often has trouble remembering who she is and functioning in a coherent manner. Shelley most likely suffers from: a. Severe anxiety attacks. b. A dissociative disorder. c. Persistent depression. d. Illness anxiety disorder.

Dissociation is likely to happen: a. After an extremely stressful or a traumatic event b. When there is potential secondary gain c. When there is primary gain d. when a patient is malingering

The experience of dissociation occurs in: a. psychotic disorders only b. individuals with dissociative disorders only. c. only in those individuals who have experienced great personal trauma. d. certain psychological disorders but also in non-disordered people at times.

In healthy, well-adjusted individuals, dissociation typically occurs following: a. calm, reflective periods. b. participation in a group activity. c. reading or any activity that requires great concentration. d. stress or a traumatic event.

Depersonalization is defined as: a. altered perception including loss of the sense of one's own reality. b. altered perception involving loss of the sense of reality of the external world. c. vivid hallucinations. d. the feeling that one is no longer a person.

Derealization is defined as a. vivid hallucinations. b. altered perception involving loss of the sense of one's own reality. c. altered perception involving loss of the sense of reality of the external world. d. the feeling that one is no longer a person.

Jason suddenly notices that the world looks weird to him. Some objects look bigger than normal and others look smaller. Cars passing by seem oddly shaped, and people appear dead or mechanical. Joe is experiencing: a. derealization. b. depersonalization. c. classic early psychosis symptoms. d. mania.

While driving alone in her car, Sarah suddenly looks around and, for a moment, can't remember where she is, how she arrived at this point on the road, or even why she is driving her car. Sarah is experiencing a. derealization. b. depersonalization. c. the early stages of what will eventually become a severe psychotic disorder. d. symptoms of a mood disorder.

The diagnosis of derealization-depersonalization disorder is: a.often co-occuring with other disorders b.quite rare and only applicable to those diagnosed with psychosis c.fairly common, since many people experience derealization and depersonalization. d.fairly common and applied to anyone who is frightened by an experience of derealization or depersonalization.

n dissociative amnesia, the individual typically has no memory of: a. any events. b. events prior to a trauma. c. selective events or emotional tone attached to them, particularly those involving trauma. d. events following a trauma.

In dissociative fugue, the term fugue relates to: a. confusion. b. flight or travel. c. loss of consciousness. d. hallucination.

During a fugue state, patients diagnosed with dissociative fugue: a. travel and typically experience memory loss during their trip. b.travel involuntarily but do not experience memory loss. c. temporarily lose memory of who they are but are able to recover their sense of identity after the fugue state. d.Permanently lose memory of who they are and seldom recover any sense of their own identity.

During a dissociative fugue state, it is not uncommon for individuals to: a. commit suicide. b. see the world as a strange and foreign place. c. take on a new identity. d. Involuntarily contact friends and family.

In non-Western cultures, trance and possession are: a. extremely rare. b. never considered a disorder. c. the most common forms of dissociative disorders. d. the rarest forms of dissociative disorders.

Individuals with dissociative identity disorder generally: a. Take on only one other distinct personality. b. suffer a loss of their own identity that lasts several years. c. maintain complete awareness of all of their personalities. d. have several distinct personalities.

The defining feature of dissociative identity disorder is that aspects of the individual's personality are: a. fixated. b. completely suppressed. c. dissociated. d. Dissociative Disorders

With regard to dissociative identity disorder, the term alter refers to ________ within the individual. a. the "host" personality b. a dangerous personality c. the most recent personality to emerge d. a different personality

In dissociative identity disorder, the "host" personality is usually the one that: a. is the most aggressive of the personalities. b. asks for treatment and becomes the patient. c. earns income for the individual. d. is sexually provocative.

In dissociative identity disorder, the "host" personality usually: a. is of a gender opposite to that of the individual. b. becomes overwhelmed trying to hold all of the personality fragments together. c. is the "leader" of the multiple identities d. is well aware of each personality and everything that happens while each personality is active.

The existence of a cross-gendered alter in dissociative identity disorder is: a. common. b. rare. c. present in every patient. d. almost never seen in this disorder.

One aspect of the DSM-5 criteria for diagnosis of dissociative identity disorder is: a. patient awareness of the distinct personalities. b. existence of three or more personality fragments. c. amnesia. d. history of abuse.

Vanessa, who is 40, apparently believes that she is a 20-year-old woman. Suddenly, however, she starts to speak and behave very differently, and says she no longer thinks of herself as "Vanessa." Instead, she claims to be Elise, a 10-year-old child. It is likely that Vanessa has just experienced a: a. switch. b. dissociative fugue. c. conversion reaction. d. Manic episode.

A switch: a. usually occurs instantaneously. b. is the transition from one personality to another in dissociative identity disorder. c. may exhibit physical transformations. d. all of the above

The causes of dissociative identity disorder appear to be a. physical abuse. b. sexual abuse. c. witness to a traumatic event. d. any of the above

Some theorists suggest that dissociative identity disorder is an extreme subtype of a. dissociative amnesia. b. obsessive-compulsive disorder. c. posttraumatic stress disorder. d. antisocial personality disorder.

Dissociative identity disorder is most commonly found in: a. females. b. males. c. children. d. elderly.

The average length of time between an individual's first symptoms of dissociative identity disorder and the identification and diagnosis of the disorder by a professional is: a. 1 year. b. 20 years. c. less than 1 month. d. 7 years.

The common feature in almost every case of dissociative identity disorder is a. hallucinations and delusions. b. unrelenting substance abuse. c. a history of body dysmorphic disorder. d. a history of severe child abuse.

The general treatment plan for dissociative identity disorder patients usually centers on: a. integration of the personality fragments. b. hypnotic regression of the host and each alter. c. confrontation of the abuser. d. the typical substance abuse treatment model.

he part of the treatment plan for dissociative identity disorder that is similar to the treatment plan for posttraumatic stress disorder is: a. integration of personality fragments through psychoanalysis. b. use of antipsychotic medications. c. reliving and reprocessing the trauma, similar to treatments for PTSD. d. hypnotic regression to early life experiences.