Block 7 Physical, Somatiform, and Dissociative D/O Flashcards
intense fear of having a disease=
Hypochondriasis
Often presents as seizure disorder in children less than ten years of age=
conversion disorder
relieves anxiety by masking inner emotional turmoil=
primary gain
produces symptoms to meet a recognizable goal=
malingering
being relieved of responsibilities, having dependency needs met=
secondary gain
a preoccupation with a physical difference or defect in ones body=
body dysmorphic disorder
the fight or flight response=
physiological stress response
a stress response mechanism seen in animals that protects them during times of stress or illness=
fight or flight response
survival tool to get enough energy to run or fight=
physiological stress response
biochemical reactions of the stress response and their effects on various body systems=
general adaptation syndrome
when do individuals learn how to perceive and response to stress?
in childhood
children who have experienced an unstable home environment may react to stress as adults with…
exaggerated hormonal mechanisms
which body system experiences most of the stress response?
the gastrointestinal tract
what is the stress response theory?
individuals are biochemically patterned to react to stress
certain personality types are prone to develop certain illnesses is whos theory?
erich fromm’s
every individual has one body system that is more sensitive than the other systems is what theory>
organic weakness theory
Somatization=
feeling the physical symptoms in the absence of disease or out of proportion to an aliment.
feeling the physical symptoms in the absence of disease or out of proportion to an aliment=
somatization
a person who has no organic medical condition that explains symptoms expressed may have what type of disorder?
somatoform disorder
a person who has a disorder that significantly disrupts or impair ones level of functioning like doing ADL’s or working may have what type of disorder?
somatoform disorder
a client who is unaware of or is unable to express his or her emotional distress like weakness for men that lets them get attention and sympathy may have what disorder?
somatoform disorder
this condition is associated with many s/s
polysymptomatic disorder
often people with this disorder seek treatment from several physicians at the same time=
polysymptomatic disorder
clients with this disorder you need to get a full drug history and watch their perscriptions
polysymptomatic disorder
smatoform disorder is more common in…
women…and runs in families
involvement in a description of disease with multiple organ systems and has no medical validation suggests…
a somatization disorder
a person with this disorder will describe a disease with an early onset and is a chronic condition in which no physical changes occur over time=
somatoform disorder
a person with this disorder will have an absence of any significant lab values which indicates that the underlying problem may be emotionally based=
somatoform disorder
when differentiating somatoform disorders from a medical problem the elderly is usually always…
physical and not somatoformed
this disorder is considered to be a somatoformed disorder in which the individual presents problems related to sensory or motor functions=
conversion disorder
conversion disorders appear more commonly in these three types of people…
persons of lower socioeconomic status. those living in rural areas. individuals with little heath care knowledge.
conversion disorders are thought to result from these three things…
emotional conflict, environmental stressors, and personal conflict.
this is a somatoform disorder in which one has an intense fear of or preoccupation with having a serious disease or medical condition based on misinterpretation of body s/s
hypochondriasis
clients with this disorder commonly doctor shop
hypochondriasis
how do factitious disorder and malingering disorders differ from somatoform disorders?
the s/s are produced intentionally
clients with this disorder willfully produce the s/s of illness for some form of gain=
factitious disorder
factitious disorder by proxy=
munchausens syndrome
factitious disorder by proxy(munchausens syndrome)=
involves intentionally producing s/s in another person. often a mother or caregiver.
individuals with this disorder produces s/s to meet a recognizable goal=
malingering
ex. of malingering=
playing sick for school
what is the goal of care for psychophysical problems such as somatoform disorders, conversion disorders, hypochondriasis, factitious disorders, and malingering?
rule out the presence of any physical disease or dysfunction and develop a TRUSTING care-giver client relationship
all the attitudes, notions, beliefs, and convictions that make up a persons self-knowledge=
self concept
a personality that is able to effectively perceive and function within their world and are able to struggle with life’s problems while feeling good about living=
healthy personality
where you were born=
culture
where you live=
society
these two things have a big impact on a person’s self concept=
culture and society
this group learns to trust each other when their needs are consistently met=
infants
rejection in infancy result in
strong negative effect on self concept
this group tries to explore the limits of their abilities=
toddlers
this group become independent by exploring=
toddlers
this group become aware of different perspectives on life=
school-aged children
self concept in childhood with when self concept is…
established
this group is where comfortable self concept of childhood is challenged=
early teen years
early teen years self concept is influenced by these four things
relationships. confidence. sexual identity. body image.
self concept in adolescence is when self concept is
developed
adults with a low self concept view the self as…
inadequate or incapable
adults that can freely explore their environment because they have a background of success and effectiveness have a
strong and positive self concept
self concept in adult is
strengthened
in older adulthood many occurrences and situations can do what to a positive self concept
threaten
health care providers can enhance older clients feelings of self worth by…
actively listening and demonstrating concern
in older adulthood self concept is
refined
an attempt to cope with deep seated emotional anxiety or distress=
dissociation
low self esteem is a common component of
many mental health disorders
failure to bring various childhood identifications into an effective adult personality=
identity diffusion
loss of memory=
amnesia
characterized by an inability to remember personal information that cannot be explained by ordinary forgetfulness=
dissociative amnesia
most lapses of dissociative amnesia are related to…
extremely stressful events
sudden, unexpected travel with an inability to recall the past=
dissociative fugue
occurs in response to an overwhelmingly stressful or traumatic event=
dissociative fugue
what kind of relationship is VERY important with your client with dissociative fugue?
trusting
this is entered into voluntarily and cause no distress or harm to the individual
cultural trance
during this, clients do not lose their identity
cultural trance
this occurs when trances cause clinically significant distress or function impairment=
dissociative trance disorder
presence of two or more identities or personalities that repeatedly take control of an individuals behavior=
dissociative identity disorder
presence of other personalities within one individual=
dissociative identity disorder
each personality in dissociative identity disorder is unique and represent…
the individual at a different developmental stage
the main goal of treatment in dissociative identity disorder is
to combine all of their personalities into one
treatment for dissociative disorders involves
long term therapy provided in an outpatient setting
hospitalization for a dissociative disorder is only required if these three things are present
anger aggression or violence is directed toward self or others and presents a danger. they are unable to function because of memory loss, rapid switching between identities, flashbacks, or overwhelming emotions. medications need evaluated or adjusted.
what is important DURING therapy for dissociative disorders?
safety
treatment for dissociative disorders is often based on…
symptoms
stabilization of dissociative disorders is where…
dx is established
