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)