Chapter 6 Flashcards
Where are somatic disorders seen?
In-patient hospitals, not out patient
What is a somatic disorder?
physical/bodily symptoms explained by medical condition, or stress explained through a physical condition
What is CSSD?
Complex somatic symptom disorder, where there is physical symptoms but no actual physiological problem, not under conscious control
What are the symptoms of CSSD?
Excessive stress over symptoms accompanied with high levels of health-related anxiety, 6+ months.
What is CSSD with somatization disorder?
chronic symptoms usually varied and are varied and vague across the body
What is CSSD with Pain?
sever pain that lingeries
What is Illness Anxiety Disorder?
Person with extreme fear that they have a disease, but have no physical disease
What are the symptoms of IAD?
Read medical manuals, doctor visits, WEBMED visits frequently, do not believe that they are unreasonable
What is functional neurological symptoms disorder?
Physical problems in sensory and motor functions, conversion disorder, people think they are sick than feel the feelings
Symptoms: disturbances of stance/gait (motor, blindness, loss of voice, motor tics, dizziness (sensory), psychogenic seizures
Factitious disorder
deliberately saying they feel sick
What is the biology for these disorders?
modest geentic factor
What is psychological?
could be a defense mechanism, unconscious, if you are ill you have less responsiblities
What is the sociocultural for soamtic?
sexual abuse, family life, parent modeling, culture differences
What is the biological treatment for Somatic?
SSRI, increased physical activity for conversion disorder
What is the psychological treatment for Somatic?
correcting cognitive distortion, showing empathy, coping skills, better social relationships, interoceptive exposure, CBT
What is CBT?
employ relaxation training, fix maladaptive thinking, help client become aware of alternative hypotheses about their perceived illnesses, change the reinforcement schedule
What is dissociative disorder?
disturbances in memory, identity, and consciousness, bad ways for dealing with stress
What is Dissociative Amnesia?
partial or total loss of important information of yourself, not from physical trauma but from a traumatic event, recovery abrupt/complete
Retain skills
Localized Amnesia: May not remember specific events
Dissociative fugue amnesia: confusion over/loss of personal identity; partial/complete assumption of new identity; “traveling amnesia”
Depersonalization/derealization disorder
Feeling unreal or detached from reality, most common, diagnosis is only given when impaired life, knowing they are not normal, a form of psychological escape
What is Dissociative identity disorder?
2+identity in a person, not drug-induced, often a host with two other identities, cause may be abuse usually sexual, Usual types: good vs bad, one for anger or sadness, one for school or work
Post Traumatic Model
- extreme childhood abuse or trauma
- high capacity to dissociate
- ability to mentally compartimlize
- different memory systems to help with trauma
Socio-cognition Model
learned avoidance behavior reinforced by the environment
-goal-directed behavior reinforced by the environment
-patient learned about DID from movies or culture
-therapist asks them leading questions
-avoid responsibility and gain rewards
-may adopt multiple personalities so that they can avoid responsibility
What is the biology etiology for DID?
variations of brain activity when dealing with different personalities
What is the psychology etiology for DID?
may try to cope with trauma by regression, but regression not complete forming multiple personalities, may add on for future stress
What is treatment for DID?
Supportive counseling, hypnotherapy, personality reconstruction (psychoanalysis), medications used to treat accompanying anxiety/depression
What is the treatment for Dissociative Amnesia?
stress management techniques, antidepressants or CBT,
usually remits
What is the treatment for Depersonalization?
calming the feelings down with either medications or CBT
What is the treatment for Post traumatic DID?
Try to work through memories may be diifcult because it activates their traumatic reactions, attempt to integrate personalities
Hypnosis for memory retrieval
develop alternate coping techniques
Etiology for DID and Somatic?
strong psychogenic origins, self-reports or patients
faking symptoms
hard to observe symptoms
