Ch. 7: Somatic and Dissociative Disorders/Symptoms

Question 1

What is the definition of somatic?

Answer 1

of the body, not mental

Question 2

Factitious disorder is also known as __________ syndrome

Answer 2

Munchausen

Question 3

What are the symptoms of factitious disorders?

Answer 3

Purposeful producing of symptoms with no medical cause

Question 4

Describe Munchausen by proxy

Answer 4

A caregiver or parent of a child will fake a child’s symptoms to get attention

Question 5

A functional neurological sx disorder is also known as a __________ disorder

Answer 5

conversion

Question 6

What are some symptoms of a conversion disorder?

Answer 6

Symptoms that affect motor/sensory functioning with no neurological basis
Pt. does not purposely produce symptoms

Question 7

What criteria need to be present to diagnose a person with Somatic Symptom disorder?

Answer 7

1+ symptoms that are interrupting daily life.

Excessive thoughts or feelings about somatic symptoms, persistent for over 6 months.

Question 8

What must you specify in somatic symptom disorder?

Answer 8

Predominant pain

Persistent more than 6 mo.

Question 9

What are the severity specifications in somatic symptoms disorder?

Answer 9

Mild: 1sx from 2nd criteria
Moderate: 2sx from 2nd criteria
Severe: 2 sx from 2nd criteria plus multiple somatic sx

Question 10

What is the psychodynamic view on the cause of conversion/somatic symptom disorders?

Answer 10

Unconscious conflicts from childhood

Question 11

What is the primary gain of the psychodynamic view on conversion/somatic symptoms disorder

Answer 11

Somatic symptoms keep internal conflict out of awareness

Question 12

What is the secondary gain of the psychodynamic view on conversion/somatic symptoms disorder?

Answer 12

Somatic symptoms elicit kindness from others or an excuse to avoid unpleasant activities

Question 13

What view says somatic symptoms bring rewards to the patient in conversion/somatic disorders?

Answer 13

Behavioral

Question 14

What does the cognitive view say about conversion/somatic symptoms disorder?

Answer 14

Somatic symptoms are a form of communication, a way to express emotions that are difficult to convey.

Question 15

What does the multicultural view say about conversion/somatic symptoms disorder?

Answer 15

Somatic symptoms are superior to psychological ones, experienced by many cultures

Question 16

What does the biological view say about conversion/somatic symptoms disorder?

Answer 16

Symptoms are primarily psychological/sociocultural but rule of placebo here

Question 17

What are some treatment options for those with conversion/somatic symptom disorder?

Answer 17

Though psychotherapy is last resort, if they agree it is used with drugs. There’s also insight, exposure, drug therapy (causes) and hypnosis, reinforcement and confrontational (physical)

Question 18

Illness anxiety disorder (hypochondria) is what?

Answer 18

Preoccupation with having or getting an illness. Performs excessive health related behaviors that last for at least 6 months

Question 19

Describe body dysmorphic disorder?

Answer 19

Concerned about minor flaws in appearance. Many seek plastic surgery and perform repetitive behaviors to relieve appearance concerns.

Question 20

A loss of memory and identity with no physical cause, usually trigger?

Answer 20

Dissociative disorders

Question 21

Describe dissociative amnesia?

Answer 21

Can’t recall important info, usually upsetting in nature

Question 22

What is localized amnesia?

Answer 22

memory loss with limited time frame

Question 23

What is selective amnesia?

Answer 23

remember some, not all, of specific time

Question 24

What is continuous amnesia?

Answer 24

memory loss past event to present

Question 25

Describe dissociative fugue?

Answer 25

Person abruptly forgets personal identity and life details. Flee to new location Can last hours to months

Question 26

Describe Dissociative Identity Disorder?

Answer 26

Pt has distinct subpersonalities with their own features.

Question 27

__________ is a transition from one subpersonality to another.

Answer 27

Switching

Question 28

In DID, when a patient has no awareness of the other personalities, is it known as what?

Answer 28

mutually amnesic relationships

Question 29

A mutually cognizant pattern is what?

Answer 29

Pt. with DID has awareness of other personalities.

Question 30

When some personalities are aware of the others, this is known as what?

Answer 30

One-way amnesic relationships

Question 31

Co-conscious subpersonalities are what?

Answer 31

Those who are aware

Question 32

Psychodynamic view of dissociative disorders says that they are caused by ________.

Answer 32

repression

Question 33

Behavioral view on dissociative disorders is what?

Answer 33

response is learned thru operant conditioning, reinforced for forgetting.

Question 34

What is state dependent learning?

Answer 34

Learning is associated with condition under which it occurred. May recall event when aroused. Different levels may produce subpersonalities.

Question 35

What is self-hypnosis?

Answer 35

parallel between hypnotic amnesia and dissociative disorders. Some theorists believe dissociative state may be self hypnotic state.

Question 36

What is the psychodynamic therapy for dissociative amnesia?

Answer 36

Search unconscious to bring forgotten experiences into consciousness

Question 37

Hypnotherapy helps guide patients to _______ events.

Answer 37

forget

Question 38

What's sodium pentobarbital?

Answer 38

Truth serum used to recall forgotten memories?

Question 39

What is the prognosis of DID?

Answer 39

Treatment is complex but most patients won't recover without it.

Question 40

What is the therapists' role in helping patients with DID?

Answer 40

educate on disorder, recover gaps in memory, and integrate subpersonas into one persona.

Question 41

Describe depersonalization-derealization disorder?

Answer 41

No memory loss, but one feels that their mental functioning and surroundings are detached.

Question 42

Observing self from outside, mind appears to be floating above is known as what?

Answer 42

doubling

Question 43

What groups of people are depersonalization-derealization disorder found in?

Answer 43

Kidnapping, rape and torture victims