Other Psychological Disorders

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MCAT Psychological and Social Foundations › Other Psychological Disorders

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1

Which of the following psychological disorders listed would be categorized as dissociative disorders?

I. Schizophrenia

II. Schizoid personality disorder

III. Depersonalization disorder

IV. Post-traumatic stress disorder

III only

CORRECT

I, II, and III

0

III and IV

0

II and IV

0

I and II

0

Explanation

Dissociative disorders are characterized by periods of altered mental status (e.g. disruptions in memory, perception, self-identity, and/or awareness) that occur frequently enough to disrupt a person's ability to function normally. They are thought to be potential results of psychological trauma, but may also result from medication and/or drug use. Dissociative identity disorder, dissociative amnesia, and depersonalization disorder are all considered dissociative disorders.

On the other hand, schizophrenia is a psychotic disorder; although it may include occasional episodes of dissociation, the episodes where individuals lose touch with reality are characterized more by delusions and hallucinations, not a loss of memory or awareness. Individuals with schizoid personality disorder—which is a personality disorder, not a dissociative disorder—have little interest in close relationships with others and are generally "cold" or detached in affect. Post-traumatic stress disorder is an anxiety disorder characterized by sudden episodes of worry, unease, apprehension, and fear due to some emotional trigger that causes flashbacks to the traumatic event and hyperarousal during the event.

2

Which of the following best represents a class of psychiatric disorders in which an individual knowingly fabricates or exaggerates illness in order to receive medical treatment, sympathy, or care?

Factitious disorders

CORRECT

Somatic symptom disorders

0

Hypochondriasis

0

Conversion disorders

0

Explanation

“Factitious disorders” are psychiatric or behavioral conditions in which an individual knowingly fabricates or exaggerates illness in order to receive medical treatment, sympathy, or care. Factitious disorders are distinguished from “hypochondriasis,” “conversion disorders,” and “somatic symptom disorders” in that the individual is consciously creating their symptoms, while in the other disorders listed they are not.