Questions and Answers
Which of the following is true of individuals who return home to a family with high expressed emotion after a psychotic episode?
Psychotic delusions are usually categorized in terms of their:
Negative symptoms in psychosis are easily confused with:
The dimensional approach to psychosis argues that:
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Some research suggests that excessive dopaminergic activity in schizophrenia is linked with:
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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?
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The hallucinations reported by people with schizophrenia are most often:
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The use of 'schizophrenia' as a diagnosis has been challenged because:
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Psychotic disorders are often misperceived as involving the presence of only:
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Eugen Bleuler invented the term 'schizophrenia', referring to:
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With regard to treatment during the acute phase of psychosis, research trials have indicated which of the following treatment options results in symptom reduction?
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Formal thought disorder includes the following except:
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Use of cannabis by people with psychosis:
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What are the criteria for identifying individuals in the prodromal phase of psychosis?
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The Zubin and Spring stress vulnerability model of causes of psychosis suggests that vulnerability to psychotic illness:
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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:
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Which of the following is true of the finding that symptoms of anxiety and depression are common among people with medically unexplained physical symptoms?
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Most individuals with dissociative identity disorders also meet criteria for:
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Which answer best describes factitious disorder?
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The posttraumatic model of dissociative identity disorder argues that most individuals with this disorder show the following except:
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According to the fantasy model of dissociative identity disorder:
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The predominant neurobiological model of pain is the:
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According to the iatrogenic theory, dissociative identity disorder is the product of:
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The most common precipitants of depersonalization include all of the following except:
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Treatments for chronic somatic symptoms and related disorders include all of the following except:
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The case of Anna O and the account of psychoanalytic treatment of somatic symptoms is historically important because:
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The most common acute somatic symptom is:
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People with somatic disorders have been found to have higher levels of:
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There has been one addition in the DSM-5 to the criteria used in diagnosing dissociative identity disorder. What is it?
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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:
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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.
