When making a diagnosis of somatic symptom disorder, what differentiates it from conversion disorder?
Conversion disorder requires certainty that symptoms are consciously feigned
Patients with somatic symptom disorder are preoccupied with having or acquiring a serious illness
In somatic symptom disorder, patients have disproportionate and persistent thoughts about the seriousness of their symptoms
In conversion disorder, patients must display la belle indifference (lack of concern about the nature or implications of the symptoms)
The Correct Answer is C
Choice A reason: Conversion disorder does not require that symptoms be consciously feigned. In fact, the symptoms are involuntary and not under conscious control. Misattributing intentionality would lead to a diagnosis of factitious disorder or malingering, not conversion disorder.
Choice B reason: Preoccupation with having or acquiring a serious illness is more characteristic of illness anxiety disorder, not somatic symptom disorder. SSD focuses on distress and behaviors related to actual somatic symptoms.
Choice C reason: Somatic symptom disorder is defined by the presence of one or more distressing somatic symptoms accompanied by excessive and disproportionate thoughts, feelings, or behaviors related to those symptoms. This cognitive-emotional preoccupation is the hallmark of SSD.
Choice D reason: La belle indifference may be observed in some cases of conversion disorder but is not a required diagnostic criterion. It refers to a paradoxical lack of concern about serious symptoms, but its absence does not rule out conversion disorder.
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Correct Answer is D
Explanation
Choice A reason: Cognitive behavioral therapy (CBT) focuses on identifying and changing negative thought patterns and behaviors. It is not classified as humanistic and was not developed by Carl Rogers.
Choice B reason: Dialectical behavioral therapy (DBT) is a form of CBT developed by Marsha Linehan, primarily for borderline personality disorder. It incorporates mindfulness and emotion regulation but is not humanistic.
Choice C reason: Rational emotive behavioral therapy (REBT) was developed by Albert Ellis and focuses on challenging irrational beliefs. It is cognitive-behavioral in nature, not humanistic.
Choice D reason: Person-centered therapy, developed by Carl Rogers, is a humanistic approach that emphasizes unconditional positive regard, empathy, and the client's capacity for self-healing. It is the correct answer.
Correct Answer is D
Explanation
Choice A reason: Harry Stack Sullivan focused on interpersonal theory and the role of relationships in personality development, not the structural model of the psyche.
Choice B reason: Milton Erickson was known for his work in hypnotherapy and strategic therapy, not psychoanalytic theory.
Choice C reason: Erik Erikson expanded on Freud’s theories by developing psychosocial stages of development but did not originate the concepts of id, ego, and superego.
Choice D reason: Sigmund Freud introduced the structural model of the psyche, which includes the id (instinctual drives), ego (reality-oriented mediator), and superego (moral conscience).
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