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Explain the principles that characterize psychosomatic medicine.In what ways has it influenced the practice of health psychology?

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Dunbar's and Alexander's work helped shape the emerging field of psychosomatic medicine by offering profiles of particular disorders believed to be psychosomatic in origin,that is,caused by emotional conflicts.It is now known that all illnesses raise psychological issues.Moreover,researchers now believe that a particular conflict or personality type is not sufficient to produce illness.Rather,the onset of disease is usually due to several factors working together,which may include a biological pathogen coupled with social and psychological factors,such as high stress,low social support,and low socioeconomic status.The idea that the mind and the body together determine health and illness led to the biopsychosocial model.

Which of the following statements is true about theories?


A) Theories usually generate nonspecific predictions.
B) Theories rarely provide guidelines for how to do research and interventions.
C) Theories are untestable.
D) Theories that are simple and useful are considered the best.

E) A) and D)
F) A) and C)

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According to the humoral theory of illness,black bile is associated with


A) an angry disposition.
B) a passionate temperament.
C) sadness.
D) a laid-back approach to life.

E) A) and D)
F) None of the above

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The humoral theory of illness was replaced by the science of _____ during the Renaissance.


A) biotechnology
B) organic chemistry
C) molecular biology
D) cellular pathology

E) A) and C)
F) B) and C)

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D

_____ is the study of the frequency,distribution,and causes of infectious and noninfectious diseases in a population.


A) Ethnicity
B) Etiology
C) Ethnology
D) Epidemiology

E) A) and B)
F) None of the above

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Which of the following statements,if TRUE,will support the argument that health care delivery has a substantial social and psychological impact on people?


A) Few people in the United States have direct contact with the health care system as a recipient of services.
B) Health psychologists know what makes people satisfied or dissatisfied with their health care.
C) Health psychology rejects the notion that people's risky health behaviors can be modified before they become ill.
D) Health psychology mainly emphasizes cure rather than prevention to reduce the dollars devoted to the management of illness.

E) C) and D)
F) A) and B)

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Which of the following is a characteristic of an acute disorder?


A) It can only be managed,not cured.
B) It is currently the main contributor to disability and death.
C) It often develops because of a virus or bacteria.
D) It is usually a long-term illness.

E) A) and B)
F) None of the above

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The main function of a physical therapist is to


A) provide psycho-educational counseling to patients who suffer from chronic illnesses.
B) assess where patients need to go after discharge based on their psychosocial needs.
C) conduct dietary interventions for patients suffering from chronic illnesses,such as cancer,heart disease,and diabetes.
D) support patients in regaining the use of bodily functions that may have been compromised by illness.

E) All of the above
F) A) and B)

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D

According to the humoral theory of illness,phlegm is associated with sadness.

A) True
B) False

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Which of the following is emphasized by the biopsychosocial model?


A) Psychological conflict is sufficient to produce certain disorders.
B) Certain biological disorders can be related on a consistent basis to specific personality types.
C) Certain disorders are best treated medically;however,other disorders are best treated using psychotherapy.
D) Health is achieved by being attentive to biological,psychological,and social needs.

E) None of the above
F) B) and C)

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Which of the following is the primary concern for health psychologists?


A) development of superior quality medication
B) methods to reduce disability
C) rate of mortality in a given population
D) health-related quality of life

E) None of the above
F) B) and C)

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Morbidity may be expressed in two ways: as the number of new cases or as the total number of existing cases of an illness.

A) True
B) False

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_____ research looks forward in time to see how a group of people change,or how a relationship between two variables changes over time.


A) Correlational
B) Prospective
C) Retrospective
D) Applied

E) A) and B)
F) A) and C)

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Which of the following statements is true about chronic illnesses?


A) They are rapidly developing diseases.
B) They are diseases in which social factors are implicated as causes.
C) They rarely affect relationships with a partner.
D) They are curable.

E) A) and B)
F) B) and D)

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Which of the following best describes a retrospective design?


A) looking backward in time in an attempt to reconstruct the conditions that led to a current situation
B) looking forward to see how a group of people change,or how a relationship between two variables changes over time
C) measuring whether a change in one variable corresponds with changes in another variable
D) solving practical problems in society by using empirical methods

E) A) and D)
F) C) and D)

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Which of the following statements best defines a theory?


A) a combination of results from different studies that identify how strong the evidence is for a particular research finding
B) a proposition made based on a researcher's belief that provides a starting point for further investigation
C) a set of analytic statements that explain a set of phenomena,such as why people practice poor health behaviors
D) a creation of two or more conditions that differ from each other in exact and predetermined ways

E) All of the above
F) B) and C)

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Franz Alexander developed a profile of the ulcer-prone personality as someone with excessive needs for dependency and love.

A) True
B) False

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In the context of Flanders Dunbar and Franz Alexander's work in the field of psychosomatic medicine,which of the following disorders were believed to be psychosomatic in origin?


A) colitis
B) tuberculosis
C) diphtheria
D) diabetes

E) A) and B)
F) C) and D)

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According to the humoral theory of illness,yellow bile is known to be associated with


A) a laid-back approach to life.
B) an angry disposition.
C) sadness.
D) a passionate temperament.

E) A) and B)
F) A) and C)

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According to the psychological aspects of prevention and treatment of illness,health psychologists who work with people who are already ill focus on


A) altering their exercise patterns.
B) helping them in following their treatment regimen.
C) developing recommendations to maintain a healthy lifestyle.
D) advising individuals about career paths that are less stressful.

E) A) and C)
F) A) and B)

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