Ch. 8 Somatic symptoms and psychophysiological Disorders Flashcards
Malingering Disorder
Intentionally faking illness for external gain (ex. money)
Factitious Disorder
intentionally faking illness for internal Gain (ex. attention from a medical professional or institution)
Munchausen Syndrome
A more extreme form of factitious disorder occurs when patient repeatedly travel from one hospital to another reciting their symptoms in order to get admission or treatment
Munchausen by proxy
parents induce symptoms onto their children to receive attention from a medical institution
Conversion Disorder
A sudden, dramatic, short-term, impairment of neurological/sensory function with no organic issue.
An alteration of physical functioning (ex. blindness and paralysis)
When do Conversion disorders occur?
Begin in childhood to young adulthood. Women 2x more likely than men to be diagnosed. During periods of stress
Treatment for Conversion disorders
if cause is known with exposure and response prevention (ERP). Otherwise suggestion, insight, reinforcement (SIR) or SSRI’s if low energy
Two types of Somatic Disorders
Somatization Disorder (Briquet’s Syndrome) and Predominant Pain Disorder
What is common of Somatic Disorders symptoms?
Appear to be physical/medical but are actually due to psychosocial factors that are long-term
Somatization Disorder (Briquet’s Syndrome)
Pain at four sites in the body with overall pain
two gastrointestinal problems
one sexual symptoms
one neurological
Pt’s of Somatization Disorder (Briquet’s Syndrome)
Are anxious or depressed and go from doctor to doctor, describe symptoms dramatically. 2% of women have it, few men runs in families and starts in adolescence or early adulthood
Predominant Pain Disorder (PPD)
Pain develops after painful accident or during illness. Pain in any area of the body that does not respond to medical intervention
Pain persist for 6 months in one area then travels
Psychological factors play a role in the onset severity/continuation of pain
More women than men report it
Treatments for Somatic Disorders
SIR
suggestions: hypnosis
insight: connecting the symptoms with the stressor
Reinforcement: reinforce healthy habits and change their rewards
SSRI’s if client is low energy
Illness Anxiety Disorder
Clients fearfully and unrealistically interpret normal functioning as a serious illness. PT’s go from doctor to doctor over many years and are not assured by negative test
Demographics of Illness Anxiety Disorder
Starts in early adulthood between 1-5% of PT exhibit the disorder
equally common in Men and Women
Treatment for Illness Anxiety Disorder
Similar to OCD:
Antidepressant medications (SSRI)
Exposure and response prevention (ERP)
cognitive-behavior therapy
Psychophysiological Disorders
Medical problems made worse by psychological issues
ulcers, asthma, insomnia, chronic headaches, hypertension( high Bp), and coronary heart diseases
Psychological explanation for Psychophysiological Disorders
personality types influence how they react to stress
Type A: driven, impatient, competitive, and hostile
Type D: social inhibition and negative affect
-both experience high coronary heart disease but type D more than others
Type B: less focused on time urgency and more relaxed about life’s challenges therefore both men and women are less inclined to have heart attacks and high bp
Biological explanation for Psychophysiological Disorders
Abnormal body functions; feedback is not functioning correctly and ANS is stimulated too easily; stress, lack of sleep, bad nutrient decreases the immune system
Socioculture explanation for Psychophysiological Disorders
stressful environment (poverty); social support helps protect both humans and animals from stress
Treatments for Psychophysiological Disorders
relaxation training biofeedback meditation hypnosis Insight therapy support groups cognitive self-instruction training- rid of neg thoughts psychological techniques used in combination with medicine is best
