Dissociative Disorders Overview
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Questions and Answers

What is a requirement for diagnosing personality disorder (PD) in individuals younger than 18?

  • Symptoms must be related to academic performance
  • Symptoms must be present for at least 1 year (correct)
  • Symptoms must appear only during adolescence
  • Symptoms must be present for at least 6 months
  • Which of the following is NOT one of the symptoms linked to paranoid personality disorder?

  • Persistent doubts about the loyalty of friends
  • Reluctance to confide in others
  • Holding grudges over perceived insults
  • A strong desire for social interactions (correct)
  • What emotional expression characteristic is associated with schizoid personality disorder?

  • Frequent emotional outbursts
  • Restricted emotional expression (correct)
  • Intense emotional attachment to family
  • Extroverted behavior in social settings
  • Which symptom is associated with adult interpersonal challenges linked to childhood experiences?

    <p>Social detachment and poor peer relationships</p> Signup and view all the answers

    What type of therapy is mentioned as a treatment for these personality disorders?

    <p>Cognitive-Behavioral Therapy</p> Signup and view all the answers

    What percentage of dissociative identity disorder cases are attributed to physical and sexual abuse?

    <p>95%</p> Signup and view all the answers

    What is the most common gender associated with dissociative identity disorder?

    <p>Females</p> Signup and view all the answers

    What does misinterpreting benign remarks as threatening signify?

    <p>Paranoid personality disorder</p> Signup and view all the answers

    Which of the following best describes individuals with schizoid personality disorder?

    <p>Emotionally detached and inward-turning</p> Signup and view all the answers

    What is the average number of alters that a person with dissociative identity disorder may have?

    <p>15</p> Signup and view all the answers

    Which symptom is NOT typically associated with paranoid personality disorder?

    <p>Trust in close relationships</p> Signup and view all the answers

    What is a primary characteristic of the alters in dissociative identity disorder?

    <p>They possess distinct personality states.</p> Signup and view all the answers

    Which therapy approaches are commonly used in the treatment of dissociative identity disorder?

    <p>Trauma-Focused Cognitive Behavioral Therapy and EMDR</p> Signup and view all the answers

    What describes the 'Host Identity' in individuals with dissociative identity disorder?

    <p>The first personality to seek treatment</p> Signup and view all the answers

    How can dissociative identity disorder symptoms be observed?

    <p>Symptoms may be reported by others</p> Signup and view all the answers

    What are recurrent gaps in recall primarily associated with?

    <p>Memories of trauma</p> Signup and view all the answers

    What is required for a diagnosis of erectile dysfunction in terms of symptom persistence?

    <p>Symptoms must persist for at least 6 months.</p> Signup and view all the answers

    Which term refers to erectile dysfunction that is not limited to specific situations or partners?

    <p>Generalized</p> Signup and view all the answers

    What characterizes mild severity of erectile dysfunction?

    <p>Mild distress over symptoms.</p> Signup and view all the answers

    What onset type indicates that erectile dysfunction is present since the individual became sexually active?

    <p>Lifelong</p> Signup and view all the answers

    What is the primary symptom of female orgasmic disorder?

    <p>Marked delay in orgasm.</p> Signup and view all the answers

    Which characteristic applies to 'situational' erectile dysfunction?

    <p>Symptoms occur only with certain types of stimulation.</p> Signup and view all the answers

    What does 'acquired' refer to in the context of erectile dysfunction?

    <p>Symptoms began after a period of normal sexual function.</p> Signup and view all the answers

    What generally characterizes the severity of female orgasmic disorder when classified as moderate?

    <p>Moderate distress over symptoms.</p> Signup and view all the answers

    What defines negative symptoms in a mental health context?

    <p>The inability to initiate actions or express pleasure</p> Signup and view all the answers

    How long must symptoms persist in order to meet the criteria for schizoaffective disorder?

    <p>At least 6 months</p> Signup and view all the answers

    What is a distinguishing feature between schizoaffective disorder and major depressive disorder with psychotic features?

    <p>Persistence of psychotic symptoms for at least two weeks</p> Signup and view all the answers

    What duration must a delusion last for it to be categorized under delusional disorder?

    <p>Between 1 day and 1 month</p> Signup and view all the answers

    In the context of schizoaffective disorder, what is critical to note about the calling for prior functioning?

    <p>Return to premorbid functioning is required</p> Signup and view all the answers

    Which of the following statements is true regarding psychotic symptoms in schizoaffective disorder?

    <p>They can manifest without any mood disorder present</p> Signup and view all the answers

    What type of delusion is characterized by a belief that someone is in love with the individual?

    <p>Erotomanic delusion</p> Signup and view all the answers

    What is the minimum functional decline duration required for diagnosing schizophrenia?

    <p>6 months</p> Signup and view all the answers

    What is the primary focus of transvestism?

    <p>Dressing in clothing of the opposite sex</p> Signup and view all the answers

    Which of the following disorders is characterized by sexual attraction to the same sex?

    <p>Transvestic disorder</p> Signup and view all the answers

    What additional factor can accompany fetishistic disorder?

    <p>Masturbation</p> Signup and view all the answers

    In what circumstances are personality disorders typically recognized?

    <p>They originate in childhood and persist through life</p> Signup and view all the answers

    Which treatment option is often prescribed to reduce sexual urges in various disorders?

    <p>Selective serotonin reuptake inhibitors (SSRIs)</p> Signup and view all the answers

    Which of the following statements about autogynephilia is true?

    <p>It is characterized by arousal from thoughts or images of oneself as a woman</p> Signup and view all the answers

    Which of the following is NOT considered a type of fetishistic disorder?

    <p>Engaging primarily in incestuous relationships</p> Signup and view all the answers

    Which statement best describes 'rare paraphilias'?

    <p>They are unusual sexual interests that are less frequently observed</p> Signup and view all the answers

    Which of the following is NOT a characteristic of schizotypal personality disorder?

    <p>Indifference towards financial success</p> Signup and view all the answers

    What is a common effect of social detachment in individuals with schizoid personality disorder?

    <p>Limited enjoyment in activities</p> Signup and view all the answers

    Which of the following behaviors is indicative of eccentricity in individuals with schizotypal personality disorder?

    <p>Presenting an unconventional appearance</p> Signup and view all the answers

    Which of the following emotional responses is often observed in individuals with schizoid personality disorder?

    <p>Emotional coldness or flat affect</p> Signup and view all the answers

    What leads to the belief in personal significance in unrelated events among individuals with schizotypal personality disorder?

    <p>Ideas of reference</p> Signup and view all the answers

    Which of the following aspects is essential for diagnosing schizoid personality disorder?

    <p>Indifference towards criticism</p> Signup and view all the answers

    What type of beliefs may individuals with schizotypal personality disorder exhibit?

    <p>Odd beliefs or magical thinking</p> Signup and view all the answers

    Which of the following best describes the social relationships of individuals with schizoid personality disorder?

    <p>Absence of close relationships</p> Signup and view all the answers

    Study Notes

    Dissociative Disorders

    • Individuals feel detached from themselves or their surroundings
    • Similar to dreaming or living in slow motion
    • Reactions to these experiences vary
    • Not due to drugs (like hallucinogens) or psychosis
    • Depersonalization
      • Perception alters; temporary loss of one's own reality
      • Similar to an astral projection
      • Observing oneself in dream-like state
    • Derealization
      • External reality is lost
      • Surroundings may appear distorted
      • Changes in shape or size; lifeless, mechanical appearance of individuals
    • Depersonalization/Derealization Disorder
      • Experiences of depersonalization, derealization (either or both)
      • Feeling detached from thoughts or actions
      • Feeling detached from surroundings or experiencing them as unreal
      • Reality testing remains intact
      • Clinically significant distress or impairment
    • Dissociative Amnesia
      • Inability to recall significant autobiographical information
      • Not due to neurobiological damage or toxicity that affects memory storage or retrieval
      • Types of dissociative amnesia
        • Localized; inability to recall specific events or periods of time, often centered around traumatic incidents.
        • Selective; recall some aspects of a traumatic event or period
        • Generalized; broader memory loss that encompasses significant portions of one's life history & personal identity.
        • Systematized; memory loss affecting specific categories of information or related to a particular theme.
        • Continuous; inability to form new memories or recall recent events
    • Dissociative Fugue
      • Sudden unexpected travel with memory loss (identity and past life)
    • Dissociative Identity Disorder
      • People can have multiple alters (2-100), with complete sets of physical characteristics,
      • Senses of fashion, gestures
      • Different genders, and personalities
      • Alters start as voices then develop into full-fledged personality
      • Host: the primary person who seeks treatment; not necessarily the primary personality
    • Other dissociative disorders
      • Childhood trauma is common

    Other Psychotic Disorders

    • Psychosis: Loss of contact with reality
    • Delusions
      • Grandiose: Exceptional abilities, wealth, or fame
      • Control: Belief that others control their thoughts, feelings, or actions
      • Thought Broadcasting: Belief that one's thoughts are transparent
      • Persecution: Belief that one is being harmed, harassed, plotted against, or discriminated against
      • Reference: Belief that specific gestures, comments, or environmental cues are directed toward them
    • Hallucinations
      • Sensory experiences that seem real in the absence of external stimuli
      • Occur in any of the five senses: hearing, seeing, smelling, touching, tasting
    • Disorganized thinking (speech)
      • Circumstantial or tangential: Excessive details before arriving at the answer
      • Derailment (loss of train of thoughts); illogical connection
      • Retarded speech; slow/delayed speech
    • Disorganized behavior
      • Psychomotor symptoms
    • Negative symptoms
      • Reduced emotional expression
      • Poverty of speech and content (alogia)
      • Lack of interest, anhedonia
      • Lack of motivation (avolition)
      • Lack of interest in social relationships (asociality).

    Other Disorders (General)

    • Schizophreniform disorder
      • Similar to schizophrenia, but symptoms last one month to six months
      • Symptoms are not longer than six months
    • Schizoaffective disorder
      • Psychotic symptoms and a mood episode (depressive or manic, uninterrupted).
    • Delusional disorder
      • At least one delusion that lasts for a month.
      • Erotomaniac: belief that another person is in love with them.
      • Grandiose delusion: belief that they are exceptional in some way.
      • Jealous delusion: belief that one's partner is unfaithful.
      • Persecutory delusion: belief that they are being conspired against or plotted against
    • Depressive disorder with psychotic features
    • Schizophrenia
    • Persistent depressive disorder
    • Premenstrual dysphoric disorder
    • Genito-pelvic pain/penetration disorder
      • Persistent difficulties with one or more of the following, vaginal intercourse, vulvovaginal pain, fear of vulvovaginal or pelvic pain in anticipation of, or as a result of vaginal penetration, or pelvic floor muscle tensing
    • Hypoactive sexual desire disorder
    • Female orgasmic disorder
    • Premature ejaculation
    • Erectile disorder
    • Sexual masochism disorder
    • Sexual sadism disorder
    • Pedophilic disorder
    • Voyeuristic disorder
    • Exhibitionistic disorder
    • Frotteuristic disorder

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    Description

    Explore the complexities of dissociative disorders, including depersonalization and derealization. This quiz will test your understanding of how these conditions manifest and affect individuals. Gain insights into dissociative amnesia and the various experiences associated with these disorders.

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