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Psychiatry · Dissociative disorders: depersonalisation
Sample itemA 24-year-old student describes feeling detached from his body, as if watching himself from outside, while knowing it is not real. This is:
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Depersonalisation
Depersonalisation is a sense of unreality or detachment from one's own self, body or mental processes, while derealisation is a similar feeling about the surroundings. Reality testing remains intact, distinguishing it from psychosis.
Option by option
A. Delusion of control
Delusions of control involve beliefs of external control without insight.
B. Depersonalisation (correct)
Correct. Detachment from the self with intact insight is depersonalisation.
C. Visual hallucination
Hallucinations are perceptions without stimuli.
D. Derealisation
Derealisation concerns the external world.
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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