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Psychiatry · Dissociative disorders: possession
Sample itemA young woman at a village festival suddenly speaks in a different voice and claims to be a goddess, with later amnesia. This is accepted within her culture. How is it classified?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Possession trance, normal if culturally accepted and not causing distress or impairment
Trance and possession states are altered consciousness with replacement of personal identity. When they occur involuntarily outside accepted cultural or religious settings and cause distress, they are dissociative trance disorder. Within a culturally sanctioned ritual they are not pathological.
Option by option
A. Schizophrenia
Schizophrenia requires persistent psychotic symptoms.
B. Mania
Mania requires elevated mood and activity.
C. Possession trance, normal if culturally accepted and not causing distress or impairment (correct)
Correct. Culturally accepted possession without distress is not a disorder.
D. Delirium
Delirium requires disturbed consciousness with cognitive fluctuation due to a medical cause.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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