Chapter 6 Flashcards
The DSM-5 lists five basic somatic symptom and related disorders, what are they?
1) somatic symptom disorder
2) illness anxiety disorder
3) psychological factors affecting medical condition
4) conversion disorder
5) factitious disorder.
define illness anxiety disorder
involves sever anxiety over belief in having a disease without any evident physical
If one or more physical symptoms are relatively severe and are associated with ____ and _____ , then the diagnosis would be ______ symptom disorder
- anxiety and distress
- somatic
what is the difference between care-seeking somatic type and care-avoidant somatic type?
care-seeking type: medical care, including physician visits or undergoing tests and procedures, is frequently used
care-avoidant type: Medical care is rarely used
what is psychological factors affecting medical condition?
Somatic condition in which a psychological characteristic affects a diagnosed medical condition, such as asthma being exacerbated by anxiety
what are somatic symptoms disorders?
disorders involving extreme and long-lasting focus on multiple physical symptoms for which no medical cause is evident; previously known as somatization disorders
what are dissociative disorders?
disorders in which individuals feel detached from themselves or their surroundings, and reality, experience and identity may disintegrate
what are conversion disorders?
physical malfunctions, such as blindness or paralysis, suggesting neurological impairment, with no organic pathology to account for it
what are factitious disorder?
nonexistent physical or psychological disorders deliberately faked for no apparent gain except possibly sympathy and attention
what is derealization?
situation in which the individual loses his or her sense of the reality of the external world
what is depersonalization-derealization disorder?
A dissociative disorder in which feelings of depersonalization are so severe they dominate the client’s life and prevent normal functioning
what is dissociative amnesia?
a dissociative disorder featuring the inability to recall personal information, usually of a stressful or traumatic nature
what is generalized amnesia?
a condition in which a person loses memory of all personal information, including his or her own identity
what is localized amnesia?
Memory loss limited to specific times and events particularly traumatic events
- also known as selective amnesia
what is dissociative fugue?
A dissociative disorder featuring sudden, unexpected travel away from home, along with an inability to recall past, sometimes with assumption of a new identity
what is dissociative trance disorder?
altered state of consciousness in which the person believes firmly that he or she is possessed by spirits; considered a disorder only where there is distress and dysfunction
what is dissociative identity disorder?
formerly known as multiple personality disorder, a disorder in which as many as one hundred personalities fragments of personalities coexist within one body and mind
what are alters?
shorthand term for alter egos, the different personality
define Malingering
deliberate faking of a physical or psychological disorder motivated by gain
Sarah has been lashing out at her friends lately, which is out of character for her. Sarah claims that this “isn’t her” and that she feels detached from the world and reality. What is Sarah likely experiencing?
dissociative disorders
what does the term hysterical refer to?
dramatic or histrionic behaviour
what does neurosis refer to?
suggests a specific cause for certain disorders. I
______ was eliminated from the diagnostic system in 1980 because it was too _____. It implied a specific but _____ cause for these disorders.
neurosis, vague, unproven
what was somatic symptom disorder previously called?
Briquet’s syndrome
Anjelena continually feels weak and ill, yet avoids taking action and avoids exercising because she thinks it will make her worse. What is Anjelena likely experiencing?
Somatic Symptom disorder
psychological or behavioural factors, particularly _____ and _____, are ______ing the severity and impairment associated with the physical symptoms
anxiety and distress
compounding
severe anxiety is focused on the possibility of having or developing a ____ _____
serious disease
only about ___ percent of patients who used to meet the diagnostic criteria for DSM-IV hypochondriasis now meet the criteria for illness anxiety disorder…
20
what was the point of the illness anxiety disorder category?
to cover that 20 percent segment who do not report symptoms
in illness anxiety disorder the concern is primarily with the ____ of of being sick instead of the physical symptom itself
idea
acute episode vs persistent in conversion disorder
acute epsiode: symptoms present for less than 6 months
persistent: symptoms occurring for 6 months or more
what is derealization?
situation in which the individual loses his or her sense of the reality of the external world
symptoms of unreality are characteristic of the ______ disorders because _______ is, in a sense, a psychological mechanism whereby one dissociates from reality.
dissociative, depersonalization
