What is an essential difference between somatic symptom disorders and factitious disorders?
a. Somatic symptom disorders are under voluntary control, whereas factitious disorders are unconscious and automatic.
b. Factitious disorders are precipitated by psychological factors, whereas somatic symptom disorders are related to stress.
c. Factitious disorders are individually determined and related to childhood sexual abuse, whereas somatic symptom disorders are culture bound.
d. Factitious disorders are under voluntary control, whereas somatic symptom disorders involve expression of psychological stress through somatization.
ANS: D
The key is the only fully accurate statement. Somatic symptom disorders involve expression of stress through bodily symptoms and are not under voluntary control or culture bound. Factitious disorders are under voluntary control. See relationship to audience response question.
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