Integration Seminar in Psychology Group 7 PDF
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This is a psychology past paper with questions about ethical considerations for psychological assessment, handling protocols, internet connection issues from perspectives of different stakeholders. It involves integration of seminar in psychology; including group discussion and questions.
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Name: Date: Section: Score: Integration Seminar in Psychology 3. Amy is scheduled for an online...
Name: Date: Section: Score: Integration Seminar in Psychology 3. Amy is scheduled for an online assessment online with Bernadette, a GROUP 7 licensed Psychologist. Before the test begins, Bernadette explains to Amy the importance of having a strong and stable internet connection and that it 1. All of the statements are considered true EXCEPT: can impact her performance if the connection is poor. What should Amy a. We judiciously select and administer only those tests which are understand about the implications of poor internet connectivity during the pertinent to the reasons for referral and purpose of the assessment. test? b. We release test data in the forms of raw and scaled scores, a. It may not affect her results since the test is designed to client’s responses to test questions or stimuli, and notes accommodate delays regarding the client’s statements and behaviors during the b. If Amy’s internet connection became unstable, it could disrupt examination unless regulated by the court. the process, affecting her performance c. We release test results only to the sources of referral and with a c. Amy wouldn’t mind since Bernadette’s going to provide a different written permission from the client if it is a self-referral. version of the test if she ever gets to experience internet problems d. We do not release test data in the forms of raw and scaled scores, d. Amy can pause and stop the test client’s responses to test questions or stimuli, and notes regarding the client’s statements and behaviors during the examination unless B- If Amy’s internet connection is unstable, it could disrupt her progress regulated by the court. in her test and affect her performance. B - We do not release test test data in the forms of raw and scaled scores, 4. Leah, a high school student aged 16 years old, is brought to a psychologist client’s responses to test questions or stimuli, and notes regarding the by her mother for a psychological assessment to determine if she has a client’s statements and behaviors during the examination unless learning disability. Before the assessment begins, Marcy, a licensed regulated by the court. psychologist explains the nature of the services, the cost for the sessions, the emotional impact of the assessment, and the limits of confidentiality. Because 2. What should be done with reusable booklets after the test is completed? Leah is a minor and not fully able to provide informed consent on her own, a. Dispose all of them afterwards Marcy also discusses these details to Leah’s mom. According to the Code of b. Storing them in a secured manner and reuse them for future test Ethics, which of the actions is the most appropriate for Marcy in this assessments with proper handling protocols scenario? c. Allow the clients to take them home once they are finished a. Marcy should only obtain informed consent from Leah since she is d. Allow the clients to take picture of the booklets and post it online as the one undergoing the assessment a reference b. Marcy should provide all information about the assessment to Leah’s mom but it’s not necessary to explain anything to Leah since she is a B - it can be used for tests later in the future, but they must be stored minor securely to prevent leaks or any unauthorized access. c. Marcy should explain the nature of the assessment and limits of confidentiality to both Leah and her mother and to obtain 7. You have a client who is not making progress in therapy. How do you informed consent from the mother address this in your assessment? d. Marcy should proceed with the assessment without discussing any a. Avoid discussing progress to keep the session positive. details with Leah or her mother since Leah’s school referred her for b. Address the lack of progress directly and explore possible the assessment reasons. c. Blame the client for not putting in enough effort. C- The answer aligns with the ethical guidelines, as minors require d. Ignore it and continue with the current plan. parental or guidance consent, but it’s also important to ensure that Leah understands the process at a level appropriate for her age. B – Address the lack of progress directly and explore possible reasons. Openly discussing a client’s lack of progress is crucial for treatment 5. A client discloses sensitive personal information during the assessment. efficacy and transparency. This supports APA Ethical Principles, What is your responsibility? Standard 9.06 - Interruption of Testing, which encourages professionals a. Keep the information to yourself, as it's confidential. to address interruptions in assessment or treatment directly. b. Document it but ensure it remains confidential. c. Discuss the information with colleagues to get advice. 8. You notice potential bias in your assessment process. What should you do? d. Share it with family members if they ask. a. Continue as planned, as it seems to work fine. b. Reflect on your biases and adjust the assessment accordingly. B – Document it but ensure it remains confidential. Proper c. Discuss it with a colleague but take no further action. documentation of assessment results is vital, but confidentiality must d. Dismiss your feelings and trust your instincts. always be maintained. This adheres to APA Ethical Principles, Standard 4.02 - Discussing the Limits of Confidentiality, which emphasizes that B – Reflect on your biases and adjust the assessment accordingly. psychologists must clearly explain confidentiality limits to clients. Psychologists must be aware of their biases and how these may affect their assessments. This is consistent with APA Ethical Principles, 6. During the assessment, you realize that the client may require additional Standard 2.06 - Personal Problems and Conflicts, which urges support beyond your expertise. What should you do? psychologists to manage personal issues that could interfere with their a. Proceed with the assessment and address it later. professional responsibility b. Refer the client to a qualified professional for additional support. c. Try to help the client with resources outside your expertise. 9. Which of the following is a requirement before releasing assessment d. Ignore the issue, as it's not your responsibility. results to third parties? a. The psychologist must receive verbal consent from the client. B – Refer the client to a qualified professional for additional support. If b. The psychologist must explain the results only if requested by the a client requires expertise beyond the clinician’s scope, a referral is third party. necessary. This aligns with APA Ethical Principles, Standard 2.01 - c. A written permission from the client is required, even in cases of Boundaries of Competence, which stresses that psychologists should only self-referral. provide services within their areas of competence. d. The psychologist can release results without consent when a legal authority requests it. B - When it is implied during routine organizational activities. While informed consent is a fundamental principle, there are specific contexts, C - A written permission from the client is required, even in cases of such as routine educational or organizational assessments, where it is self-referral. According to the PAP Code of Ethics, informed consent and implied. In such cases, the purpose of the assessment is generally confidentiality are central to the ethical practice of psychological understood, and explicit consent is not necessary as long as the client is assessment. A written permission safeguards the client's autonomy and participating in an established routine process. This ensures a balance privacy by ensuring that test data is not disclosed without their explicit between ethical obligations and practical workflow (PAP Code of Ethics consent. This holds true even in self-referral cases, where the client has 2022). independently sought assessment (PAP Code of Ethics 2022). 12. Which of the following is not considered a valid basis for interpreting 10. What is the ethical consideration regarding test security in the context of assessment results according to the PAP Code of Ethics? tele assessment? a. Cultural differences and situational factors. a. Tests administered online must be accessible to the general public for b. The client’s gender and age. transparency. c. The psychologist's intuition based on experience. b. Test materials can be shared with unqualified persons for educational d. Test-taking abilities and personal characteristics. purposes. c. All test materials, including those administered online, must be C - The psychologist's intuition based on experience. The PAP Code of handled only by licensed personnel. Ethics mandates that all psychological assessments and their d. Confidentiality is secondary to obtaining accurate assessment results. interpretations must be grounded in scientific evidence and objective data. While experience is valuable, interpretations based solely on C - All test materials, including those administered online, must be intuition are not acceptable as they can lead to bias and subjectivity. handled only by licensed personnel. The PAP Code of Ethics emphasizes Assessments must consider reliable factors such as cultural and personal that test security is paramount, and only qualified and licensed characteristics that influence test results (PAP Code of Ethics 2022). individuals can handle and administer assessment tools, whether the tests are conducted in-person or online. This protects the integrity of the 13. When interpreting outdated test results, what does the PAP Code of assessment process and ensures that only those with appropriate training Ethics require? can manage test materials, preserving both the accuracy of results and a. Psychologists may use outdated results if no alternative is available. client confidentiality (PAP Code of Ethics 2022). b. Psychologists must avoid using outdated results to base their interpretations and conclusions. 11. In which scenario is it permissible to assess an individual without their c. Psychologists can use outdated results as long as they inform the informed consent according to the PAP Code of Ethics? client. a. When assessing a minor for educational purposes. d. Psychologists should prioritize updated tests but may rely on b. When it is implied during routine organizational activities. obsolete ones if justified by context. c. When the client refuses but the psychologist deems it necessary. d. When the assessment is done for a third-party report. B - Psychologists must avoid using outdated results to base their 16. In cases of an assessment instrument whose validity and reliability has interpretations and conclusions. The PAP Code of Ethics clearly states not been established, what should a psychologist do? that psychologists should not base their interpretations on outdated or a. Rely solely on the results of the instrument to make clinical decisions obsolete test results. This ensures that clients receive assessments that without further evaluation. are reflective of current standards, norms, and best practices, providing b. Use the instrument anyway, assuming it will provide useful accurate and reliable conclusions. Using outdated data risks information. compromising the validity of the assessment (PAP Code of Ethics 2022). c. Describe the strengths and limitations of test results and interpretation. 14. What does test data refer to? d. Psychologists should only use assessment instruments with a. The raw and scaled scores, theoretical constructs, client/patient established validity and reliability. responses to test questions or stimuli. b. The raw and scaled scores, client’s responses to test questions or C - When validity and reliability has not been established, psychologists stimuli, psychologists’ notes and recordings about the client’s describe the strengths and limitations of test results and interpretation. statements and behavior during examination. c. The raw and scaled scores, theoretical constructs, client’s responses 17. What should a psychologist do when an examination is not practical to to test questions or stimuli, psychologists’ notes and recordings about support their statements or conclusions in their recommendations, reports, the client’s statements and behavior during examination. and diagnostic statements? d. The raw and scaled scores, standardized norm used to interpret a. Exclude any mention of the examination from their report to avoid results, client’s responses to test questions or stimuli, psychologists’ confusion. notes and recordings about the client’s statements and behavior b. Make assumptions based on their professional judgment without during examination. further explanation. c. Appropriately limit the nature and extent of their conclusions or B - Test data refers to the raw and scaled scores, client’s responses to test recommendations. questions or stimuli, psychologists’ notes and recordings about the d. Psychologists must adequately support their recommendations at all client’s statements and behavior during examination. costs. 15. What is not included in test materials? C - When, despite reasonable efforts, such an examination is not a. Test data practical, psychologists document efforts they made and results of those b. Manuals efforts, clarify the probable impact of their limited information on the c. Protocols reliability and validity of their opinions, and appropriately limit the d. Test questions/stimuli nature and extent of their conclusions and recommendations. A - Test materials refers to manuals, instruments, protocols, and test 18. Emerging adulthood is often a time of experimentation before assuming questions/stimuli and does not include test data. adult roles and responsibilities. Identity development in emerging adulthood may take the form of recentering, the gradual development of a stable adult identity. a. The first statement is true, but the second statement is false 21. According to Schaie’s life-span model of cognitive development, at what b. The first statement is false, but the second statement is true stage is Darrenson currently, given that he is taking a Political Science as his c. Both statements are true college course to achieve his goal of becoming a lawyer? d. Both statements are false a. Legacy-creating stage C - Emerging adulthood is often a time of experimentation before b. Achieving stage assuming adult roles and responsibilities. Such traditional c. Acquisitive stage developmental tasks as finding stable work and developing long-term. d. Responsible stage 19. Commitment involves self-disclosure that leads to connection, warmth, B - Achieving stage occurs at young adulthood to achieve long-term and trust. In addition, it is also the decision to love and stay with the beloved. goals based on their application towards their cognitive abilities. a. The first statement is true, but the second statement is false 22. Pearl, a 27-year-old professional, is struggling with balancing her career b. The first statement is false, but the second statement is true aspirations and her desire for a long-term relationship. She recently turned c. Both statements are true down a promotion because it would require relocating far from her partner. d. Both statements are false Although she expresses contentment with this decision, she privately worries about falling behind her peers in her career. Based on Papalia’s discussion of B - Intimacy involves self-closure that leads to connection, warmth, and early adulthood, which stage of Erikson’s psychosocial development does trust. Commitment, on the other hand, focuses on the decision to love Pearl’s conflict align with? and stay with the beloved. a. Intimacy vs. Isolation b. Identity vs. Role Confusion 20. Oliver and Hannah have been together for more than 5 years. While they c. Generativity vs. Stagnation are fully committed to each other, both Oliver and Hannah no longer have the d. Integrity vs. Despair intimacy and sexual desire for each other as the years go by. According to Sternberg’s Triangular Theory of Love, what type of love are they having? A - Intimacy vs. Isolation. Pearl’s conflict between her relationship and career aspirations is a key part of Erikson’s Intimacy vs. Isolation stage, a. Nonlove which characterizes early adulthood. This stage is marked by the b. Infatuation challenge of forming intimate relationships while maintaining one's own c. Empty Love identity. Pearl’s internal struggle reflects the tension between pursuing d. Fatuous Love intimate connections and the potential isolation from failing to achieve career goals (Papalia et al., 2012). C - Empty Love is where a relationship is sustained by commitment but lacks intimacy and passion. With that, both Hannah and Oliver are still 23. Miguel is a 32-year-old graphic designer who recently became a father. committed to each other despite the decline of intimacy and sexual He now finds himself constantly reevaluating his priorities between spending desire. time with his child and advancing his freelance business. Despite this, he often experiences stress and feels guilty, worrying that whichever choice he 25. Matt Maltese, a 35-year-old software engineer, is feeling increasingly makes, he is not fulfilling his responsibilities. Which concept from unfulfilled with his high-paying job despite his success in the field. He developmental psychology best explains Miguel’s struggle in early recently began volunteering for environmental organizations and has adulthood? considered switching careers to work in sustainability. However, he worries a. Role overload about the financial risks and the potential to disrupt the stability he has built. b. Cognitive dissonance Based on Papalia’s discussion of transitions in early adulthood, which life c. Life structure instability concept is Matt grappling with? d. Identity foreclosure a. The fantasy period of career development b. Life-course-persistent theory A - Role overload. Miguel’s feelings of stress and guilt stem from role c. Career consolidation vs. personal fulfillment overload, which occurs when the demands of multiple roles (such as d. Life structure transition being a father and a professional) exceed an individual’s capacity to manage them. This is a common issue in early adulthood when many D - Life structure transition. Matt’s situation reflects a life structure individuals face increasing responsibilities both at work and in their transition, where individuals in early adulthood re-evaluate their roles, personal lives (Papalia et al., 2012). goals, and overall satisfaction in life. His desire to shift careers from something financially stable to something more personally meaningful 24. Elle Marie-Thérèse, a 29-year-old medical student, recently completed reflects this type of transition, common in this life stage when individuals her degree but is hesitant to begin her residency because she feels she hasn't reassess their paths for fulfillment (Papalia et al., 2012). achieved the level of personal success expected by her family. She often compares herself to friends who have stable careers and families, which 26. Saerom, a 27-year-old woman, feels the need to pursue a master’s degree makes her anxious about making decisions for her future. What to advance in her field. However, she is also concerned about the financial developmental challenge is Elle most likely experiencing, and why is it burden and time commitment. Which concept related to early adulthood is particularly complex for individuals in early adulthood? Saerom grappling with in her decision-making process? a. Emerging adulthood identity crisis a. Identity crisis b. The Quarter-Life Crisis b. Life transitions c. Avoidant attachment c. Career aspirations d. Social clock pressure d. Financial anxiety D - Social clock pressure. Elle’s anxiety about not meeting expectations B - Life transitions refer to significant changes or milestones in an and her comparisons to her peers point to social clock pressure. This individual's life, such as furthering education or starting a family, which refers to societal expectations for achieving certain life milestones (such often require reevaluation of goals and priorities. as career and family) by a specific age. In early adulthood, this pressure can lead to feelings of being “behind,” which can cause stress and 27. Irene, a 30-year-old woman, and her partner are in a deep discussion indecision, especially when comparing oneself to peers (Papalia et al., about the possibility of starting a family. While Lisa feels excited about the 2012). idea, she also fears it may derail her career ambitions and lead to resentment if they can't maintain their current lifestyle. Her partner seems optimistic, believing that parenting will bring them closer together but underestimates d. Personal identity consolidation the potential sacrifices. What critical developmental challenge is Irene navigating in this phase of early adulthood? C - Future orientation involves setting and planning long-term goals a. The conflict between personal identity and relational commitments based on personal values, a significant milestone during early adulthood b. The integration of career aspirations with the demands of family as individuals envision their future paths. life c. The balance of emotional intimacy and independence 30. Keria, a 22-year-old senior college student, is pursuing a bachelor’s d. The negotiation of shared goals in the face of differing aspirations degree in industrial engineering. During his internship, his manager at his company was interested in hiring him because of his excellent performance. B - In early adulthood, individuals often face the challenge of integrating However, he already made a plan on applying for an entry-level position at their professional goals with the responsibilities of family life. Irene’s his dream company despite the fierce competition. Thus, he keeps his options concerns about how parenthood may impact her career reflect this open by pushing through with his application in his dream company while significant tension, as she seeks to balance her ambitions with the also considering the job offer his manager proposed to him. What stage does realities of starting a family. Keria fall under in Schaie's life-span model of cognitive development? a. Attaining Stage 28. Karina, a 24-year-old recent college graduate, has received two job b. Achieving Stage offers: one in a stable corporate job and another in a startup that aligns with c. Accomplishing Stage her passions. She feels torn between financial security and personal d. Acquisitive Stage fulfillment. What stage of career development is Karina likely experiencing, given her dilemma? B - Achieving stage happens in late teens and early twenties, wherein a. Exploration they use what they know to pursue goals, such as career or family. In this b. Establishment particular case, Keria is weighing his options and thinking critically c. Maintenance about pursuing his best interests for his career and future. d. Role Conflict 31. Which of the following best exemplifies tacit knowledge? A - Exploration is the stage where young adults actively seek and a. Business decisions made by Kendall Roy are based on evaluate different career paths and life choices, often weighing personal comprehensive analyses that contain data and insights about market interests against societal expectations. trends, customer preferences, and competitive landscape. b. Roman Roy gained experience by learning the know-how of his 29. Jeonghan, a 29-year-old man, is meticulously planning his next ten years, father’s company through detailed instructions for onboarding new including career goals, potential marriage, and where he wants to live. He employees. frequently revisits his plans to ensure they align with his values. What c. Per her father’s request, Shiv Roy must spend 6 months working developmental milestone is Jeonghan focused on? beside Gerri, six months beside Karl, another 12 months in Hong a. Establishment Kong, partake in a 6-week management training program, and b. Life review finally, spend 12 months alongside her father in order to become the c. Future orientation next CEO of their company. d. Logan often employs a nuanced approach to negotiations, iii. The habits young adults develop during this time in their life span knowing when to push hard and when to back off, based on an are highly predictive of the likelihood they will experience good intuitive sense of the other party's needs and vulnerabilities. health at older ages. Iv. Alcohol consumption is the leading preventable cause of death, D - Tacit knowledge is information that is not formally taught but is illness and impoverishment worldwide. necessary to get ahead. Kendall Roy, Roman Roy, and Shiv Roy acquire a. Only i and iii are true. their knowledge from business through the use of data, information, and b. Only i and ii are true. instructions respectively. On the other hand, Logan uses knowledge he c. Only ii and iii are true. gained from experience to get ahead. d. Only iii and iv are true. 32. All of the following statements are true EXCEPT: A - Accidents are the leading cause of death for young Americans aged a. Immature thinking tends to be black and white. By contrast, 20 to 44. Smoking is the leading preventable cause of death, illness and postformal thought recognizes that the world is made up of shades of impoverishment worldwide. gray. b. According to Salovey and Mayer, emotional intelligence is the 34. Clyde, a 25-years-old graphic designer, would suddenly disappear from ability to understand and regulate emotions. Generally, women score his daily routine at work and from his family without any explanation. He higher on emotional intelligence than men do. was later seen a few weeks later in a different city that is unknown to him, c. Piaget believed that changes in cognition extends beyond the without any recollection of how he got there during the absence. This leaves formal operational stage. Adult cognition deals with postformal his family extremely concerned about his well-being and sudden departure thought and higher levels of reflective thinking. including his memory loss. What disorder Clyde is having? d. Reflective thinking becomes more prominent in adulthood. a. Dissociative Amnesia Disorder Reflective thinkers frequently and spontaneously engage in critical b. Illness Anxiety Disorder thinking. c. Somatic Symptom Disorder d. Conversion Disorder C- Piaget believed that formal operations thought is the pinnacle of cognitive development. Some developmental scientists maintain that A- Dissociative Amnesia involves the inability to remember important changes in cognition goes beyond that stage. Neo-Piagetian theory information that results in forgetting. Sudden inability or travel without concerns reflective thinking and postformal thought. explanation, to Clyde’s case may have no recollection of the events that occurred during the events of amnesia. 33. Which of the following statements is/are true: i. Calorie restriction and the attendant weight maintenance of a 35. Ellie is a 43 years old manager, she frequently sees multiple healthcare thinner frame is associated with increased health and longevity over providers seeking relief for persistent pain in her lower back and legs. Given the life span. negative test results and medical evaluations, she still remains convinced that ii. Obesity is the leading cause of deaths among young adults in the there must be a physical cause for her discomfort. The pain continuously USA. impacts her thoughts and daily activities, leading to significant distress and discomfort with her work and social life. What disorder is Ellie suffering? a. Dissociative Amnesia Disorder B- Adjustment Disorder occurs when one has a difficulty towards b. Illness Anxiety Disorder adjusting to a life change including Laura’s father that passed away a c. Somatic Symptom Disorder year ago. d. Conversion Disorder 38. Carrie, a 34-year-old woman, has been experiencing frequent panic C - Ellie suffers persistent pain towards lower back and legs that’s left attacks, nightmares, and intrusive thoughts for the past eight months after a unexplained by medical tests and medical evaluations, which impacts her severe car accident. While avoiding highways and large intersections, she daily life towards work and social life. also reports feeling detached from reality, as if her surroundings are surreal and dreamlike. At times, she feels that she is observing herself from a 36. Zayn is a 7-year-old boy that tends to approach older strangers and distance during stressful moments, especially when crossing roads. Medical interacts with little or no hesitation. He would ask personal questions to them evaluations show no neurological abnormalities. Which condition best such as their name, their interests, and their hobbies. Zayn was completely explains her symptoms? oblivious to their discomfort as they tried to brush him off and he a. Dissociative Identity Disorder continuously repeated this action. What type of disorder does he most likely b. Somatic Symptom Disorder have? c. Post-Traumatic Stress Disorder with a. Disinhibited Social Engagement Disorder Depersonalization/Derealization b. Reactive Attachment Disorder d. Generalized Anxiety Disorder with Panic Features c. Acute Stress Disorder d. Adjustment Disorders C - Post-Traumatic Stress Disorder with Depersonalization/Derealization. Carrie’s combination of classic PTSD A - Disinhibited Social Engagement Disorder is when approaching symptoms (intrusive thoughts, nightmares, and avoidance) alongside people without hesitation, asking personal questions that leads to dissociative experiences (feeling detached from reality, watching herself discomfort towards unfamiliar individuals. This is often seen in children, from a distance) suggests PTSD with Depersonalization/Derealization. particularly Zayn, that experienced neglect in his childhood that The dissociative subtype of PTSD involves feeling detached either from developed the inability to form appropriate boundaries towards oneself (depersonalization) or from the environment (derealization), strangers. especially under stress (American Psychiatric Association [APA], 2022). 37. Laura's father passed away a year ago. Although she misses him, she is 39. Mr. Big, a 40-year-old man, works as an airline pilot. Over the past two starting to engage in new activities and is finding joy in life again. However, years, his coworkers have noticed that he occasionally "blanks out" during she still experiences moments of sadness when she thinks of her father. conversations and even during routine flight operations, though he has no a. Prolonged Grief Disorder memory of these events. Recently, he started experiencing overwhelming b. Adjustment Disorder headaches during stressful situations, particularly when tasked with difficult c. Acute Stress Disorder flights. He reports feeling as if he’s not in control of his body during these d. Posttraumatic Stress Disorder episodes, and one day, he found a handwritten note to his spouse that he doesn’t recall writing. Which disorder is most likely? a. Dissociative Identity Disorder b. Conversion Disorder c. Depersonalization/Derealization Disorder 41. Steve Brady, a 25-year-old soldier, recently returned from combat, d. Factitious Disorder develops sudden paralysis in both legs following a tense family dinner where a relative questioned his role in the military. His medical exams, including A - Dissociative Identity Disorder. Mr. Big’s "blanking out" episodes, MRI and neurological tests, are all normal, and there is no known physical lack of memory for events during these times, and the discovery of a note cause for his paralysis. However, when asked about his experience in he doesn’t remember writing strongly indicate Dissociative Identity combat, the soldier becomes withdrawn and insists that nothing traumatic Disorder (DID). DID involves the presence of two or more distinct happened. Despite his paralysis, he expresses indifference to the loss of personality states and gaps in recall, especially during stress. The feeling mobility and continues to engage in social events using a wheelchair. What is of losing control of his body during stressful moments points to the the most likely diagnosis? switching of identity states (American Psychiatric Association [APA], a. Somatic Symptom Disorder 2022). b. Conversion Disorder with La Belle Indifference c. Factitious Disorder 40. Charlotte, a 29-year-old woman, has been experiencing severe, d. Dissociative Amnesia unexplained abdominal pain for three years. She has visited multiple hospitals, undergone extensive medical tests, and consulted various B - Conversion Disorder with La Belle Indifference. Conversion specialists, but no physical cause has been identified. Despite this, she is Disorder involves unexplained neurological symptoms (such as convinced that her pain must be caused by an undiagnosed illness. Her paralysis) following psychological conflict or stress. Steve’s indifference symptoms often intensify when she is experiencing stress at her job or in her to his paralysis (La Belle Indifference) is a classic feature of this relationship, though she is unwilling to consider this as a contributing factor. disorder. His avoidance of discussing potential trauma and the lack of She becomes agitated when doctors suggest psychological causes and medical explanation for his symptoms confirm Conversion Disorder. The switches doctors frequently, hoping for a diagnosis. What disorder does she onset after a stressful family interaction reinforces the psychological most likely have? underpinnings (American Psychiatric Association [APA], 2022). a. Somatic Symptom Disorder with Predominant Pain b. Conversion Disorder with Sensory Deficit 42. Jisoo, a 25-year-old woman, describes feeling detached from her body c. Illness Anxiety Disorder and surroundings since a traumatic incident. She struggles to stay present in d. Factitious Disorder Imposed on Self her daily life. What disorder might Jisoo be experiencing? a. Generalized Anxiety Disorder A - Somatic Symptom Disorder with Predominant Pain. Charlotte’s b. Depersonalization/Derealization Disorder experience of significant distress over physical symptoms (in this case, c. Obsessive-Compulsive Disorder abdominal pain) despite no medical cause aligns with Somatic Symptom d. Social Anxiety Disorder Disorder, particularly with predominant pain. Her refusal to accept psychological explanations and preoccupation with finding a medical B – Depersonalization/Derealization Disorder. Jisoo’s feelings of cause also indicate Somatic Symptom Disorder. The connection between detachment from her body and surroundings suggest stress and symptom escalation reinforces this diagnosis (American depersonalization/derealization disorder, where individuals experience Psychiatric Association [APA], 2022). persistent or recurrent feelings of detachment. This disorder involves recurrent experiences of feeling detached from one’s thoughts or body b. Acute Stress Disorder (depersonalization) or feeling detached from one’s surroundings c. Post-Traumatic Stress Disorder (PTSD) (derealization), often in response to trauma or extreme stress. d. Social Anxiety Disorder 43. Xiumin, a 32-year-old man, experiences frequent nightmares about a D – Social Anxiety Disorder. Pyo Jihoon’s symptom of difficulty relaxing traumatic event. He wakes up distressed and struggles to return to sleep. specifically in social settings suggests an intense discomfort or fear in Which disorder could Xiumin be experiencing based on his symptoms? those scenarios, which is a hallmark of Social Anxiety Disorder. a. Nightmare Disorder b. Insomnia Disorder 46. Natty, a 29-year-old woman, expresses feelings of sadness but cannot c. Generalized Anxiety Disorder identify the cause. She hints at having forgotten something significant from d. Adjustment Disorder her past. Which disorder should be considered for Natty? a. Major Depressive Disorder A – Nightmare Disorder. Xiumin experiences distressing nightmares b. Dissociative Amnesia about a traumatic event, which disrupts his sleep and causes significant c. Adjustment Disorder distress, indicating nightmare disorder. Nightmare disorder involves d. Persistent Depressive Disorder (Dysthymia) repeated occurrences of disturbing dreams that lead to awakening, distress, and impairment in functioning. B – Dissociative Amnesia. Natty’s inability to recall the cause of her sadness, along with the suggestion of forgotten significant events, aligns 44. Lisa, a 45-year-old woman, has various unexplained physical symptoms with dissociative amnesia. This disorder involves gaps in memory about that worsen during stressful situations. She’s confused and worried about her personal information, often related to trauma. health. What could be a relevant diagnosis for Lisa? a. Conversion Disorder 47. Faker, 27-year-old, is experiencing significant stress at work due to the b. Illness Anxiety Disorder demands of his job. One day, he wakes up and finds that he cannot move his c. Body Dysmorphic Disorder right arm. When he visited the doctor, the exam results came back normal, d. Somatic Symptom Disorder showing no physical cause for his arm’s immobility. And so, he becomes increasingly anxious, further developing additional symptoms such as D – Somatic Symptom Disorder. Lisa’s unexplained physical symptoms tremors in his left leg causing difficulty in walking. However, the test still worsening during stress may suggest somatic symptom disorder, where revealed no neurological impairment. What condition best explains his psychological factors are thought to play a significant role in physical symptoms? symptoms. This disorder involves significant physical symptoms and a. Malfunctioning Neurological Symptom Disorder-Conversion excessive focus on those symptoms. Disorder b. Functional Neurological Symptom Disorder-Conversion 45. Pyo Jihoon, a 38-year-old veteran, reports feeling constantly on edge and Disorder overly alert since returning from service. He finds it difficult to relax in c. Functioning Neurological Symptom Disorder-Conversion Disorder social situations. What disorder might Jihoon be exhibiting symptoms of? d. Functional Neurological Disorder-Conversion Disorder a. Generalized Anxiety Disorder B - Faker presents with immobility of his right arm and tremors in his d. Both statements are false. left leg, but neurological exams reveal no underlying physical or neurological cause. This is a hallmark feature of Functional Neurological C - Criterion A of DID. Symptom Disorder — the physical symptoms are real, but they don't have an identifiable cause based on conventional medical testing. 50. A 4-year-old boy named Zeus has been brought in for psychiatric Furthermore, his symptoms began after he experienced significant stress evaluation by his mother. His parents divorced when he was 2 years old and at work which is an associated feature of Conversion Disorder, wherein while his father received custody, his 8-month-stay with him was described he also developed additional symptoms as his anxiety increased due to as a chaotic environment. Meanwhile, his mother had to work overseas with unexplained immobility of his arms which exacerbated his condition. the armed forces. Thus, Zeus’ father led him to temporary placement with his grandparents before his mother resumed care. His physical development was 48. Dee Dee has insisted that her daughter, Gypsy Rose, is suffering from normal but language, cognitive, and social development were delayed. He multiple health conditions including sleep apnea, leukemia, and muscular also appeared to be immature and inappropriate. Furthermore, Zeus had dystrophy which required Gypsy Rose to be on a wheelchair and feeding difficulty modulating his affect, particularly anger, and was extremely tube. Gypsy Rose is frequently taken to various doctors and specialists, and impulsive and demonstrated poor attention and concentration. What could be undergoes numerous tests and treatments. When doctors began to confront a relevant diagnosis for Zeus? Dee Dee about her daughter’s medical conditions as test results would often a. Autism Spectrum Disorder come back normal, she would transfer Gypsy Rose to a different clinic. b. Reactive Attachment Disorder Which diagnosis best describes this situation? c. Disinhibited Social Engagement Disorder a. Munchausen Disorder d. Attention-deficit/hyperactivity Disorder b. Factitious Disorder Imposed on Self c. Factitious Disorder Imposed on Another B - Zeus experienced frequent changes in foster care which may limit his d. Factitious Disorder by Proxy ability to form stable attachments. As a result, he exhibits the hallmark features of RAD. He is described as immature and inappropriate. He C - Dee Dee presents the Gypsy Rose to others as ill, impaired, or injured also struggles to modulate his affect which is explained in criterion B of despite normal test results. Deliberate falsification of physical or RAD that explains episodes of unexplained irritability, sadness, or psychological signs or symptoms, or induction of injury or disease, in fearfulness during nonthreatening interactions with adult caregivers. another, associated with identified deception. The delays in cognitive, language, and social development are consistent with the effects of disrupted early attachment. RAD can impact a child's 49. i. In some cultures, disruption of identity may be described as an ability to develop appropriate social bonds, empathy, and self-regulation, experience of possession. all of which are crucial for cognitive and social growth. (Bonus Q - ii. Sustained periods of identity confusion/alteration may occur when Should have included the timeframe of when the symptoms occurred as psychosocial pressures are severe and/or prolonged which in some cases his mother took custody of Zeus.) present as the individual being possessed by external identities. a. The first statement is true,but the second statement is false. b. The first statement is false, but the second statement is true. c. Both statements are true. Prepared by: Sagun, Siano, Sularta, & Tabigo-on