Which of the following scenarios best exemplifies the learning theory of the development of somatoform disorders?
A) An individual consciously develops fictitious complaints in order to distract himself or herself from stressors.
B) A person's family of origin models ineffective coping and conflict-based interactions.
C) An individual's neuroendocrine system is overstimulated and the person becomes accustomed to this condition.
D) A person unconsciously realizes that a particular physiological response produces a reward.
Ans: D
According to the learning theory, a person learns to produce a physiologic response (somatization) to achieve a reward, attention, or some other reinforcement. This process is unconscious rather than conscious. Learning theory does not emphasize the roles of family modeling, and a neuroendocrine etiology would rule out a diagnosis of somatoform disorder
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