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Which of the following is true of individuals who return home to a family with high expressed emotion after a psychotic episode?

  • They are more likely than others to relapse. (correct)
  • They are neither more likely than others to relapse nor to receive high levels of emotional support from their families.
  • They receive high levels of emotional support from their families.
  • They are more likely than others to relapse and they receive high levels of emotional support from their families.
  • They are less likely than others to relapse.
  • Psychotic delusions are usually categorized in terms of their:

  • Response to treatment.
  • Persistence.
  • Sensory modality.
  • Content and bizarreness. (correct)
  • Frequency.
  • Negative symptoms in psychosis are easily confused with:

  • Adverse medication effects.
  • All of the given options are correct. (correct)
  • None of the given options is correct.
  • Symptoms of depression.
  • Laziness.
  • The dimensional approach to psychosis argues that:

    <p>All of the given options are correct.</p> Signup and view all the answers

    Some research suggests that excessive dopaminergic activity in schizophrenia is linked with:

    <p>Positive symptoms.</p> Signup and view all the answers

    Some evidence suggests that the risk of suicide may have increased in people diagnosed with schizophrenia over the past 100 years. Which of the provided options is not a reason for this?

    <p>Brief hospital admissions as opposed to long-term admissions as occurred in the past.</p> Signup and view all the answers

    The hallucinations reported by people with schizophrenia are most often:

    <p>Auditory (hearing).</p> Signup and view all the answers

    The use of 'schizophrenia' as a diagnosis has been challenged because:

    <p>All of the given options are correct.</p> Signup and view all the answers

    Psychotic disorders are often misperceived as involving the presence of only:

    <p>Hallucinations and delusions.</p> Signup and view all the answers

    Eugen Bleuler invented the term 'schizophrenia', referring to:

    <p>The loosening of connections between thought structures.</p> Signup and view all the answers

    With regard to treatment during the acute phase of psychosis, research trials have indicated which of the following treatment options results in symptom reduction?

    <p>All of the given options are correct.</p> Signup and view all the answers

    Formal thought disorder includes the following except:

    <p>Catalepsy.</p> Signup and view all the answers

    Use of cannabis by people with psychosis:

    <p>Increases their rate of relapse.</p> Signup and view all the answers

    What are the criteria for identifying individuals in the prodromal phase of psychosis?

    <p>All of the given options are correct.</p> Signup and view all the answers

    The Zubin and Spring stress vulnerability model of causes of psychosis suggests that vulnerability to psychotic illness:

    <p>Can include both psychosocial and biological factors.</p> Signup and view all the answers

    The International Society for the Study of Trauma and Dissociation guidelines for the treatment of dissociative identity disorder emphasize all of the following treatment components except:

    <p>Hypnosis.</p> Signup and view all the answers

    Which of the following is true of the finding that symptoms of anxiety and depression are common among people with medically unexplained physical symptoms?

    <p>It supports the theory that psychological distress is converted into somatic symptoms.</p> Signup and view all the answers

    Most individuals with dissociative identity disorders also meet criteria for:

    <p>Posttraumatic stress disorder (PTSD).</p> Signup and view all the answers

    Which answer best describes factitious disorder?

    <p>An individual deliberately feigns illness for no obvious gain.</p> Signup and view all the answers

    The posttraumatic model of dissociative identity disorder argues that most individuals with this disorder show the following except:

    <p>High trait anxiety.</p> Signup and view all the answers

    According to the fantasy model of dissociative identity disorder:

    <p>Highly dissociative individuals are highly fantasy prone.</p> Signup and view all the answers

    The predominant neurobiological model of pain is the:

    <p>Gate control theory.</p> Signup and view all the answers

    According to the iatrogenic theory, dissociative identity disorder is the product of:

    <p>Therapy or the popular media.</p> Signup and view all the answers

    The most common precipitants of depersonalization include all of the following except:

    <p>Amnesia.</p> Signup and view all the answers

    Treatments for chronic somatic symptoms and related disorders include all of the following except:

    <p>Exploring unconscious thoughts.</p> Signup and view all the answers

    The case of Anna O and the account of psychoanalytic treatment of somatic symptoms is historically important because:

    <p>All of the given options are correct.</p> Signup and view all the answers

    The most common acute somatic symptom is:

    <p>Pain.</p> Signup and view all the answers

    People with somatic disorders have been found to have higher levels of:

    <p>All of the given options are correct.</p> Signup and view all the answers

    There has been one addition in the DSM-5 to the criteria used in diagnosing dissociative identity disorder. What is it?

    <p>Pathological possession is included.</p> Signup and view all the answers

    According to Freud's psychoanalytic theory, a man who develops paralysis in his arm after seeing his wife flirting with another man would be displaying signs of:

    <p>Suppression of an unacceptable aggressive impulse.</p> Signup and view all the answers

    Study Notes

    Psychosis and Its Implications

    • Individuals returning to families with high expressed emotion after a psychotic episode are more likely to relapse.
    • Psychotic delusions are categorized by content and bizarreness, reflecting the nature of the beliefs held by individuals.

    Symptoms of Psychosis

    • Negative symptoms in psychosis can be confused with symptoms of depression, adverse medication effects, and perceived laziness.
    • Hallucinations experienced in schizophrenia are predominantly auditory (hearing) rather than visual or other sensory experiences.

    Diagnostic Approaches

    • The dimensional approach asserts that psychotic diagnoses are arbitrarily defined, suggesting overlapping experiences among individuals.
    • Vulnerability to psychotic illness can be attributed to both biological and psychosocial factors, integrating diverse influences.

    Treatment Modalities

    • Acute psychosis treatments show that options like cognitive behavior therapy combined with pharmacological approaches are effective in symptom reduction.
    • The Soteria model advocates for 24-hour support in a home-like environment, highlighting alternative treatment strategies.

    Misconceptions and Models in Mental Health

    • 'Schizophrenia' has faced scrutiny due to stigma and the overlap with other mental disorders.
    • The iatrogenic theory posits that Dissociative Identity Disorder (DID) may result from therapeutic practices or media influence rather than just early trauma.

    Substance Use and Its Effects

    • Cannabis use among individuals with psychosis tends to increase relapse rates and does not alleviate symptoms.

    Historical Perspectives and Recent Findings

    • The case of Anna O is significant in psychoanalysis, showcasing the relationship between trauma and somatic symptoms, which established psychotherapy's role in treatment.
    • The DSM-5 includes new criteria for diagnosing Dissociative Identity Disorder, recognizing pathological possession as a defined characteristic.

    Common Comorbidities and Misunderstandings

    • Anxiety and depression are prevalent among individuals with medically unexplained physical symptoms, challenging traditional illness models.
    • Individuals with somatic disorders may experience higher levels of alexithymia, indicating difficulties in emotional awareness and expression.

    Key Terms and Definitions

    • Factitious Disorder involves deliberate feigning of illness without obvious benefit, distinguishing it from malingering (where there is a gain).
    • Post-traumatic model posits that DID often reflects histories of significant childhood trauma and anxiety.

    Statistical Insights

    • Evidence suggests a historical increase in suicide risk among schizophrenia patients, potentially linked to modern treatment and societal factors.

    Miscellaneous Notes

    • The predominant neurobiological model of pain is the gate control theory, focusing on how pain perceptions can be moderated by psychological factors.
    • The most common acute somatic symptom reported is pain, highlighting its relevance in both physical and psychological contexts.

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    Description

    This quiz explores the complex world of psychosis, its symptoms, diagnostic approaches, and treatment modalities. Delve into the nuances of psychotic experiences, their implications within high-stress family environments, and the intersection of biological and psychosocial factors in vulnerability. Test your knowledge on recognizing symptoms and understanding effective treatments.

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