Ch. 7: Somatic and Dissociative Disorders/Symptoms Flashcards
What is the definition of somatic?
of the body, not mental
Factitious disorder is also known as __________ syndrome
Munchausen
What are the symptoms of factitious disorders?
Purposeful producing of symptoms with no medical cause
Describe Munchausen by proxy
A caregiver or parent of a child will fake a child’s symptoms to get attention
A functional neurological sx disorder is also known as a __________ disorder
conversion
What are some symptoms of a conversion disorder?
Symptoms that affect motor/sensory functioning with no neurological basis
Pt. does not purposely produce symptoms
What criteria need to be present to diagnose a person with Somatic Symptom disorder?
1+ symptoms that are interrupting daily life.
Excessive thoughts or feelings about somatic symptoms, persistent for over 6 months.
What must you specify in somatic symptom disorder?
Predominant pain
Persistent more than 6 mo.
What are the severity specifications in somatic symptoms disorder?
Mild: 1sx from 2nd criteria
Moderate: 2sx from 2nd criteria
Severe: 2 sx from 2nd criteria plus multiple somatic sx
What is the psychodynamic view on the cause of conversion/somatic symptom disorders?
Unconscious conflicts from childhood
What is the primary gain of the psychodynamic view on conversion/somatic symptoms disorder
Somatic symptoms keep internal conflict out of awareness
What is the secondary gain of the psychodynamic view on conversion/somatic symptoms disorder?
Somatic symptoms elicit kindness from others or an excuse to avoid unpleasant activities
What view says somatic symptoms bring rewards to the patient in conversion/somatic disorders?
Behavioral
What does the cognitive view say about conversion/somatic symptoms disorder?
Somatic symptoms are a form of communication, a way to express emotions that are difficult to convey.
What does the multicultural view say about conversion/somatic symptoms disorder?
Somatic symptoms are superior to psychological ones, experienced by many cultures
What does the biological view say about conversion/somatic symptoms disorder?
Symptoms are primarily psychological/sociocultural but rule of placebo here
What are some treatment options for those with conversion/somatic symptom disorder?
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)
Illness anxiety disorder (hypochondria) is what?
Preoccupation with having or getting an illness. Performs excessive health related behaviors that last for at least 6 months
Describe body dysmorphic disorder?
Concerned about minor flaws in appearance. Many seek plastic surgery and perform repetitive behaviors to relieve appearance concerns.
A loss of memory and identity with no physical cause, usually trigger?
Dissociative disorders
Describe dissociative amnesia?
Can’t recall important info, usually upsetting in nature
What is localized amnesia?
memory loss with limited time frame
What is selective amnesia?
remember some, not all, of specific time
What is continuous amnesia?
memory loss past event to present
Describe dissociative fugue?
Person abruptly forgets personal identity and life details.
Flee to new location
Can last hours to months
Describe Dissociative Identity Disorder?
Pt has distinct subpersonalities with their own features.
__________ is a transition from one subpersonality to another.
Switching
In DID, when a patient has no awareness of the other personalities, is it known as what?
mutually amnesic relationships
A mutually cognizant pattern is what?
Pt. with DID has awareness of other personalities.
When some personalities are aware of the others, this is known as what?
One-way amnesic relationships
Co-conscious subpersonalities are what?
Those who are aware
Psychodynamic view of dissociative disorders says that they are caused by ________.
repression
Behavioral view on dissociative disorders is what?
response is learned thru operant conditioning, reinforced for forgetting.
What is state dependent learning?
Learning is associated with condition under which it occurred. May recall event when aroused. Different levels may produce subpersonalities.
What is self-hypnosis?
parallel between hypnotic amnesia and dissociative disorders. Some theorists believe dissociative state may be self hypnotic state.
What is the psychodynamic therapy for dissociative amnesia?
Search unconscious to bring forgotten experiences into consciousness
Hypnotherapy helps guide patients to _______ events.
forget
What’s sodium pentobarbital?
Truth serum used to recall forgotten memories?
What is the prognosis of DID?
Treatment is complex but most patients won’t recover without it.
What is the therapists’ role in helping patients with DID?
educate on disorder, recover gaps in memory, and integrate subpersonas into one persona.
Describe depersonalization-derealization disorder?
No memory loss, but one feels that their mental functioning and surroundings are detached.
Observing self from outside, mind appears to be floating above is known as what?
doubling
What groups of people are depersonalization-derealization disorder found in?
Kidnapping, rape and torture victims
