Psych Test 4
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Questions and Answers

What is the primary gains of being sick?

  • Relief of anxiety, conflict, or distress (correct)
  • Receiving medication such as fluoxetine
  • External or personal benefits from others
  • Learning problem-solving methods
  • What type of medication is commonly used to treat somatic symptom illness?

  • Antibiotics
  • Antidepressants
  • SSRIs such as fluoxetine, sertraline, and paroxetine (correct)
  • Painkillers
  • What is a characteristic of clients with somatic symptom illness?

  • They rarely engage in online health searches
  • They provide a lengthy and detailed account of previous physical problems (correct)
  • They rarely receive external benefits from others
  • They provide brief accounts of their physical problems
  • What is the goal of problem-focused coping strategies

    <p>To resolve or change a client's behavior or situation</p> Signup and view all the answers

    What is cyberchondria?

    <p>Excessive or repeated online searches for health-related information</p> Signup and view all the answers

    What is the purpose of emotion-focused coping strategies?

    <p>To help clients relax and reduce feelings of stress and anxiety</p> Signup and view all the answers

    What is somatization?

    <p>The transference of mental experiences and states into bodily symptoms</p> Signup and view all the answers

    What is characterized by one or more physical symptoms that have no organic basis?

    <p>Somatic symptom disorder</p> Signup and view all the answers

    What is also known as conversion disorder?

    <p>Functional neurological symptom disorder</p> Signup and view all the answers

    What is the primary symptom of pain disorder?

    <p>Pain that is not relieved by analgesics</p> Signup and view all the answers

    What is characterized by a seeming lack of concern or distress about the functional loss?

    <p>La belle indifference</p> Signup and view all the answers

    _____ is the intentional production of false or grossly exaggerated symptoms with the purpose of gaining an external incentive or outcome resulting directly from the illness such as getting money or drugs, avoiding work, or evading prosecution and once obtained the client stops the symptoms.

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

    What is also known as Munchausen syndrome?

    <p>Factitious disorder imposed on self</p> Signup and view all the answers

    Who are factitious disorders most common in?

    <p>People familiar with medical professions</p> Signup and view all the answers

    What is the main difference between malingering and somatic symptom disorders?

    <p>In malingering, symptoms are willfully controlled, while in somatic symptom disorders, they are not.</p> Signup and view all the answers

    What is the current term for the preoccupation with the fear of having or contracting a serious disease?

    <p>Illness anxiety disorder</p> Signup and view all the answers

    What is the primary motivation behind factitious disorder imposed on others?

    <p>To be seen as a hero and savior</p> Signup and view all the answers

    What is the term for the external or personal benefits received from others because one is sick?

    <p>Secondary gains</p> Signup and view all the answers

    What is the key difference between internalization and somatization?

    <p>They are both unconscious defense mechanisms that clients are not consciously aware of</p> Signup and view all the answers

    Medically unexplained symptoms and functional somatic syndromes are more frequently used in the medical setting.

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

    ________ - symptoms are intentionally produced for purpose or gain.

    <p>fabricated or induced illness</p> Signup and view all the answers

    What is characterized by involuntary and repetitive use of socially unacceptable language?

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

    Which of the following is a characteristic of people with ADHD?

    <p>Decreased metabolism in the frontal lobes</p> Signup and view all the answers

    What is a SNRI used to treat ADHD?

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

    What is characterized by rhythmic, repetitive behaviors?

    <p>Stereotypic movement disorder</p> Signup and view all the answers

    What is a characteristic of Tourette's disorder?

    <p>Multiple motor tics and one or more vocal tics</p> Signup and view all the answers

    Which of the following is used to treat tic disorders?

    <p>Risperidone or aripiprazole</p> Signup and view all the answers

    What is characterized by inattentiveness, overactivity, and impulsiveness?

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

    What is a sudden, rapid, recurrent, nonrhythmic, stereotyped motor movement or vocalization?

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

    What is a neurodevelopmental disorder characterized by communication deficits, problems building social relationships, and overdependence on routines?

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

    What is the term for repeating words over and over?

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

    What is the term for a progressive brain disorder that causes a gradual decline in functioning, including loss of speech, loss of motor function, and personality changes?

    <p>Alzheimer's disease</p> Signup and view all the answers

    What is the term for the inability to recognize or name objects despite intact sensory abilities?

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

    What is the term for the deterioration of language function?

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

    What is the term for impaired ability to execute motor functions despite intact motor abilities?

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

    What is the term for a central nervous system disorder that typically develops in adults 40 to 60 years of age and involves altered vision, loss of coordination or abnormal movements, and dementia?

    <p>Creutzfeldt-Jakob disease</p> Signup and view all the answers

    What is the term for a type of dementia caused by long-term, excessive alcohol intake that results in a chronic thiamine or vitamin B deficiency?

    <p>Korsakoff's syndrome</p> Signup and view all the answers

    What is chronic traumatic encephalopathy (CTE) often seen in?

    <p>Boxing and football</p> Signup and view all the answers

    What is the primary characteristic of dementia?

    <p>Memory impairment</p> Signup and view all the answers

    What is Huntington's disease primarily characterized by?

    <p>Demyelination and enlargement of brain ventricles</p> Signup and view all the answers

    What is dementia characterized by?

    <p>Progressive deterioration of cognitive functioning</p> Signup and view all the answers

    What is a characteristic of confabulation?

    <p>Making up answers to fill in memory gaps</p> Signup and view all the answers

    What is Huntington's disease primarily characterized by?

    <p>Cerebral atrophy, demyelination, and enlargement of the brain ventricles</p> Signup and view all the answers

    What is the main feature of Huntington's disease?

    <p>All of the above</p> Signup and view all the answers

    What is a common feature of Huntington's disease and dementia?

    <p>Gradual decline in functioning</p> Signup and view all the answers

    confabulation: clients may make up answers to fill in memory gaps; usually associated with organic brain problems

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

    Which type of dementia is characterized by a gradual decline in functioning, including loss of speech, loss of motor function, and personality changes?

    <p>Pick's disease</p> Signup and view all the answers

    What is the term for the inability to recognize or name objects despite intact sensory abilities?

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

    Which type of dementia is marked by symptoms similar to those of Alzheimer's disease, but with an abrupt onset and rapid changes in functioning?

    <p>Vascular dementia</p> Signup and view all the answers

    What is the term for the ability to think abstractly and to plan, initiate, sequence, monitor, and stop complex behavior?

    <p>Executive functioning</p> Signup and view all the answers

    Which type of dementia is characterized by progressive cognitive impairment and extensive neuropsychiatric symptoms, as well as motor symptoms?

    <p>Lewy body dementia</p> Signup and view all the answers

    What is the term for a type of protein that can trigger normal proteins in the brain to fold abnormally?

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

    Study Notes

    Somatic Symptom Disorders

    • Somatization: the transference of mental experiences and states into bodily symptoms.
    • Somatic Symptom Disorder: characterized by one or more physical symptoms that have no organic basis.

    Conversion Disorder

    • Functional Neurological Symptom Disorder (FNSD): also known as Conversion Disorder.
    • Characterized by "la belle indifference": a seeming lack of concern or distress about the functional loss experienced.

    Pain Disorder

    • Primary symptom: pain that is not relieved by analgesics and is greatly affected by psychological factors.

    Illness Anxiety Disorder

    • Previously known as Hypochondriasis: preoccupation with the fear of having or acquiring a serious disease and misinterpreting bodily functions.

    Factitious Disorders

    • Fabricated or induced illness: symptoms intentionally produced for purpose or gain.
    • Malingering: intentional production of false or grossly exaggerated symptoms for external incentive or outcome.
    • Factitious Disorder Imposed on Self (Munchausen Syndrome): fabricating illness to gain attention.
    • Factitious Disorder Imposed on Others (Munchausen by Proxy): fabricating illness in others to gain attention and sympathy.

    Somatic Symptom Illnesses

    • Clients do not voluntarily control their symptoms.
    • Primary gains: direct internal benefits of being sick (e.g., relief of anxiety, conflict, or distress).
    • Secondary gains: external or personal benefits received from others because one is sick.

    Treatment and Coping Mechanisms

    • SSRIs (e.g., fluoxetine/Prozac, sertraline/Zoloft, paroxetine/Paxil) are commonly used to treat somatic symptom illnesses.
    • Emotion-focused coping strategies: help clients relax and reduce feelings of stress (e.g., progressive relaxation, deep breathing, guided imagery, distractions).
    • Problem-focused coping strategies: help clients resolve or change their behavior or situation (e.g., problem-solving methods, role-playing interactions).

    Cyberchondria

    • Excessive or repeated online searches for health-related information that is distressing or anxiety-provoking for the person.
    • Illness anxiety disorder, formerly known as hypochondriasis, is a preoccupation with the fear of having or contracting a serious disease, accompanied by misinterpretation of bodily functions.

    Fabricated or Induced Illness

    • Fabricated or induced illness involves intentionally producing symptoms for a purpose or gain.

    Malingering and Factitious Disorders

    • In malingering and factitious disorders, individuals willfully control their symptoms.

    Somatic Symptom Illnesses

    • In somatic symptom illnesses, clients do not voluntarily control their symptoms.

    Factitious Disorder Imposed on Others

    • Factitious disorder imposed on others, also known as Munchausen by proxy, occurs when an individual fabricates illness in another person, often to receive praise or admiration for "saving" the victim.

    Medically Unexplained Symptoms

    • Medically unexplained symptoms and functional somatic syndromes are commonly used terms in medical settings.

    Defense Mechanisms

    • Internalization and somatization are unconscious defense mechanisms that clients are not consciously aware of and do not voluntarily control.

    Secondary Gains

    • Secondary gains refer to the external or personal benefits received from others due to being sick.

    Neurodevelopmental Disorders

    • ADHD is characterized by three main symptoms: inattentiveness, overactivity, and impulsiveness.
    • Atomoxetine, a SNRI, is used to treat ADHD.
    • People with ADHD have a noticeable decrease in metabolism in the frontal lobes.

    Autism Spectrum Disorder (ASD)

    • ASD is a neurodevelopmental disorder that appears in childhood, ranging from mild to severe symptoms.
    • Common symptoms of ASD include communication deficits, difficulties building social relationships, overdependence on routines, and high sensitivity to the environment.

    Speech and Language Disorders

    • Coprolalia is a speech disorder characterized by the involuntary and repetitive use of socially unacceptable language, often including obscene words.
    • Palilalia is a speech disorder where individuals repeat words over and over.

    Tic Disorders

    • A tic is a sudden, rapid, recurrent, nonrhythmic, and stereotyped motor movement or vocalization.
    • Tourette's disorder is a type of tic disorder that involves multiple motor tics and one or more vocal tics, occurring many times a day for more than 1 year.
    • Tic disorders are typically treated with atypical antipsychotics, such as risperidone or aripiprazole.

    Stereotypic Movement Disorder

    • Stereotypic movement disorder is characterized by rhythmic, repetitive behaviors, such as hand waving, rocking, head banging, and biting, that appear to have no purpose.

    Neurodevelopmental Disorders

    • ADHD is characterized by three key symptoms: inattentiveness, overactivity, and impulsiveness.

    Autism Spectrum Disorder (ASD)

    • ASD is a neurodevelopmental disorder typically first seen in childhood.
    • Symptoms of ASD vary from mild to severe and exist on a continuum.
    • Common symptoms of ASD include:
      • Communication deficits.
      • Difficulty building social relationships.
      • Overdependence on routines.
      • High sensitivity to the environment.

    Speech Disorders

    • Palilalia is a speech disorder characterized by the repetition of words over and over.
    • Tics are sudden, rapid, recurrent, nonrhythmic, and stereotyped movements or vocalizations.

    Cognitive Disorders

    • Agnosia: inability to recognize or name objects despite intact sensory abilities.

    Neurodegenerative Disorders

    • Alzheimer’s disease: progressive brain disorder with gradual onset, causing decline in functioning, including loss of speech, motor function, and personality and behavioral changes.

    Language Disorders

    • Aphasia: deterioration of language function.

    Motor Disorders

    • Apraxia: impaired ability to execute motor functions despite intact motor abilities.
    • Confabulation: making up answers to fill in memory gaps, often associated with organic brain problems.
    • Chronic Traumatic Encephalopathy (CTE): brain injury caused by repeated concussions, often seen in sports like boxing and football.

    Neurological Disorders

    • Creutzfeldt-Jakob disease: central nervous system disorder that develops in adults 40-60 years old, involving altered vision, loss of coordination, and dementia.

    Dementia

    • Dementia: mental disorder involving multiple cognitive deficits, initially involving memory impairment with progressive deterioration of all cognitive functioning.

    Inherited Disorders

    • Huntington’s disease: inherited, dominant gene disease causing cerebral atrophy, demyelination, and enlargement of brain ventricles.
    • Korsakoff’s syndrome: type of dementia caused by long-term, excessive alcohol intake, resulting in chronic thiamine or vitamin B deficiency.
    • Confabulation: a phenomenon where individuals fill in memory gaps by making up answers, often associated with organic brain problems.

    Brain Injuries

    • Chronic Traumatic Encephalopathy (CTE): a type of brain injury caused by repeated concussions, commonly seen in contact sports like boxing and football.

    Cognitive Disorders

    • Dementia: a mental disorder characterized by multiple cognitive deficits, initially affecting memory and progressively deteriorating to include all cognitive functions.

    Genetic Disorders

    • Huntington's Disease: an inherited, dominant gene disorder primarily affecting the brain, causing cerebral atrophy, demyelination, and enlargement of brain ventricles.

    Confabulation and Memory Distortions

    • Confabulation is a phenomenon where individuals make up answers to fill in memory gaps, often resulting in inaccurate information.
    • This phenomenon is commonly associated with organic brain problems, which can lead to memory distortions and confabulated responses.

    Huntington's Disease

    • Huntington's disease is an inherited disease caused by a dominant gene, meaning that a single copy of the mutated gene is enough to cause the condition.
    • The disease primarily affects the brain, leading to cerebral atrophy (shrinkage of brain tissue), demyelination (loss of the fatty insulation surrounding nerve fibers), and enlargement of the brain ventricles.
    • Huntington's disease is a progressive neurological disorder that can have a significant impact on cognitive and motor function.

    Neurodegenerative Diseases

    • Pick's disease is a degenerative brain disease that predominantly affects the frontal and temporal lobes, causing symptoms similar to Alzheimer's disease.

    Vascular Dementia

    • Vascular dementia has symptoms similar to Alzheimer's disease, but is characterized by an abrupt onset, followed by rapid changes in functioning, plateaus, and repeated cycles of decline and stabilization.

    Agnosia

    • Agnosia is a condition in which individuals are unable to recognize or name objects despite having intact sensory abilities.

    Executive Functioning

    • Executive functioning is a set of cognitive processes that enables individuals to think abstractly, plan, initiate, sequence, monitor, and stop complex behavior.

    Lewy Body Dementia

    • Lewy body dementia is a progressive disorder characterized by cognitive impairment, extensive neuropsychiatric symptoms (including delusions and visual hallucinations), and motor symptoms, with functional impairments potentially exceeding cognitive deficits in the early stages.

    Prion Diseases

    • Prion diseases are caused by abnormal protein folding triggered by a misfolded prion protein in the brain, leading to cell death and tissue damage.

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    Description

    This quiz covers the psychological concepts of somatization, somatic symptom disorder, functional neurological symptom disorder, and pain disorder. It explores the characteristics and symptoms of these disorders.

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