Psychiatry chapter
PSYCHIATRY

The Dissociative Disorders

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Questions

QUESTION 1
A patient experiences self-estrangement and feels as though they are perceiving themselves from a distance. Which phenomenon does this describe?
QUESTION 2
Which condition is explicitly listed as a possible complication of depersonalization?
QUESTION 3
Which mechanism is described in the psychological explanation of amnesia?
QUESTION 4
A patient reports that their surroundings seem strangely altered and that the external world has lost its sense of reality. Which phenomenon is present?
QUESTION 5
What course is described for amnesia beginning suddenly after severe psychosocial stress?
QUESTION 6
Which pattern of memory impairment is characteristic of organic mental disorders?
QUESTION 7
Following a profoundly disturbing event, a patient cannot recall any events from a circumscribed period covering the first few hours afterward. Which type of amnesia is this?
QUESTION 8
A patient has episodes involving travel and simple motor activity, without assuming a new identity. The associated affect is dysphoric. Which diagnosis matches this description?
QUESTION 9
A patient remembers some events from a circumscribed period but cannot recall others from that same period. Which type of amnesia is present?
QUESTION 10
A patient cannot recall events occurring after a specific time, with the memory gap extending up to and including the present. Which type of amnesia is this?
QUESTION 11
In the differential diagnosis of depersonalization disorder, how does recurrent depersonalization described merely as a symptom affect functioning?
QUESTION 12
Which feature distinguishes multiple personality disorder from the incomplete new identity that may occur in psychogenic fugue?
QUESTION 13
Which set of interventions constitutes the treatments of choice for psychogenic amnesia?
QUESTION 14
During a therapeutic interview, a patient with multiple personality disorder changes from one personality to another after a simple request. What is this transition called?
QUESTION 15
A patient suddenly becomes unable to recall important personal information. The inability is not due to an organic mental disorder. Which condition does this presentation define?
QUESTION 16
What is the characteristic onset and precipitating context of amnesia described under dissociative disorders?
QUESTION 17
What pattern of travel and social contact occurs in most cases of psychogenic fugue?
QUESTION 18
A person unexpectedly travels away from home, assumes a new identity and cannot recall their previous identity. Which diagnosis best fits this presentation?
QUESTION 19
After recovery from psychogenic fugue, what is the characteristic recollection of events that occurred during the fugue?
QUESTION 20
How may complex social activities appear in an elaborate episode of psychogenic fugue?
QUESTION 21
Which combination characterizes psychogenic amnesia?
QUESTION 22
Which relationship between psychogenic fugue and sleep is described?
QUESTION 23
What role may heavy alcohol use play in psychogenic fugue?
QUESTION 24
In which circumstances is psychogenic fugue described as most common?
QUESTION 25
Which feature defines multiple personality disorder?
QUESTION 26
Within the management approach using psychotherapy facilitated by hypnosis or sodium pentothal interviews, when are antidepressants, anticonvulsants, or antipsychotics useful?
QUESTION 27
What proportion of young adults is estimated to experience mild depersonalization without significant impairment at some time?
QUESTION 28
Which consequence of depersonalization episodes is part of the essential feature of depersonalization disorder?
QUESTION 29
Depersonalization is described as a common response to which circumstance?
QUESTION 30
When does depersonalization disorder typically begin?
QUESTION 31
In management involving psychotherapy facilitated by hypnosis or sodium pentothal interviews, what role is assigned to anxiolytics and sedatives?
QUESTION 32
How do transitions between personalities typically occur in multiple personality disorder?
QUESTION 33
Which proposed explanation attributes depersonalization to an inherent brain response in certain individuals?
QUESTION 34
A patient with depersonalization syndrome also describes an alteration in the experience of their surroundings. What is this associated phenomenon called?
QUESTION 35
Which pair of drugs has been reported to be useful in depersonalization disorder, especially shortly after onset?
QUESTION 36
Which patient characteristic supports the usefulness of therapeutic hypnosis in depersonalization disorder?
QUESTION 37
What is the usual course of depersonalization disorder?
QUESTION 38
Which description of hearing voices is specifically identified as a cue warranting careful diagnostic scrutiny?
QUESTION 39
Which diagnostic history is specifically listed as a cue for careful scrutiny in a patient with prior treatment failure?
QUESTION 40
A disorder with unknown exact prevalence becomes more common in wartime or during natural disasters. In which demographic group is it most often observed?
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