Chapter 21 Somatic Symptom Illnesses Flashcards
Hysteria
multiple physical complaints with no organic basis; the complaints are usually described dramatically.
Somatization
transference of mental experiences and states into bodily symptoms.
Somatic symptom disorder
is characterized by one or
more physical symptoms that have no organic basis. Individuals spend a lot of time and energy focused on
health concerns, often believe symptoms to be indicative of serious illness, and experience significant distress and anxiety about their health.
Conversion disorder
sometimes called conversion reaction, involves unexplained, usually sudden deficits in
sensory or motor function (e.g., blindness, paralysis).These deficits suggest a neurologic disorder but are associated with psychological factors. There is usually
significant functional impairment. There may be an attitude of la belle indifférence, a seeming lack of concern or distress, about the functional loss.
Pain disorder
has the primary physical symptom of pain, which is generally unrelieved by analgesics and
greatly affected by psychological factors in terms of onset, severity, exacerbation, and maintenance.
Illness anxiety disorder, formerly hypochondriasis
is preoccupation with the fear that one has a serious disease (disease conviction) or will get a serious disease (disease phobia). It is thought that clients with this
disorder misinterpret bodily sensations or functions.
Hypochondria/ hypochondriasis
obession with the idea of having serious but undiagnosed medical condition.
Malingering
is the intentional production of false or grossly exaggerated physical or psychological symptoms; it is moti-
vated by external incentives such as avoiding work, evading criminal prosecution, obtaining financial compensation, or obtaining drugs. People who malinger have no real physical symptoms or grossly exaggerate relatively minor symptoms. Their purpose is some external incentive or outcome that
they view as important and results directly from the illness. People who malinger can stop the physical symptoms as soon as they have gained what they wanted
Factitious disorder
imposed on self, occurs when a
person intentionally produces or feigns physical or psychological symptoms solely to gain attention. People with factitious disorder may even inflict injury on themselves to
receive attention. The common term for factitious disorder imposed on self is Munchausen syndrome
Munchausen syndrome
A variation of factitious (artifically created or developed) disorder imposed on others.
Munchausen syndrome by proxy
occurs when a person inflicts
illness or injury on someone else to gain the attention of
Internalization
people with somatic symptoms illnesses keep stress, anxiety, or fustration inside rather than expressing outwardly.