Chapter 6 Somatic Symptom disorders

Question 1

somatic symptom disorders

Answer 1

soma means body, and the problems preoccupying these people seem, initially, to be physical disorders. What the somatic symptoms disorders have in common is that there is an excessive or maladaptive response to physical disorders

DSM: an excessive or maladaptive response to physical symptoms or to associated health concerns

Question 2

illness anxiety disorder

Answer 2

formerly known as “hypochindriaisis” which is still the term widely used among the public. in illness anxiety disorder as we know it today, physical symptoms are either not experienced at the present time or are very mild, but severe anxiety is focused on the possibility of having or developing a serious disease

DSM: Preoccupation with fears of having or acquiring a serious illness with absence of- or mild somatic symptoms

Question 3

conversion disorders

Answer 3

generally have to do with physical malfunction, such as paralysis, blindeness, or difficulty speaking (aphonia), without any physical or organic pathology to account for the malfunction

Question 4

malingering

Answer 4

faking

Question 5

factitious disorders

Answer 5

which fall somewhere between malingering and conversion disorder –> symptoms under voluntary control, but there is no obvious reason for voluntary producing the symptoms except, possibly, to assume the sick role and receive increased attention

DSM:Voluntary production/induction of symptoms
Can be imposed to someone “Factitious disorder imposed on another”

Question 6

depersonalization-derealization disorder

Answer 6

when feelings of unreality are so severe and frightening that they dominate an individual´s life and prevent normal functioning

Depersonalization: Experiences of unreality, detachment, or being an outside observer with respect to one’s thoughts, feelings, sensations, body or actions (e.g., perceptual alterations, distorted sense of time, unreal or absent self, emotional and/or physical numbing). (DSM-V)

Derealization: Experiences of unreality or detachment with respect to surroundings (e.g., individuals or objects are experienced as unreal, dreamlike, foggy, lifeless, or visually distorted). (DSM-V)

Question 7

dissociative amnesia

Answer 7

includes several patterns;
generalized amnezia - dont remember anything.
localized or selective amnesia - a failure to recall specific events, usually traumatic, that occur during a specific period.
dissociative fugue: memory loss resolves around a specific incident

An inability to recall important autobiographical information, usually of a traumatic or stressful nature, that is inconsistent with ordinary forgetting. Note: Dissociative amnesia most often consists of localized or selective amnesia for a speci c event or events; or generalized amnesia for identity and life history. (DSM-V)

Question 8

dissociative identity disorder (DID)

Answer 8

people may adopt as many as 100 new identities, all simultaneously coexisting, although the average number is closer to 15.

Disruption of identity characterized by two or more dis- tinct personality states, which may be described in some cultures as an experience of possession. The disruption of marked discontinuity in sense of self and sense of agency, accompanied by related alterations in affect, behavior, consciousness, memory, perception, cogni- tion, and/or sensory-motor functioning. These signs and symptoms may be observed by others or reported by the individual. (DSM-V)

Question 9

psychogenic non-epileptic seizures

Answer 9

seizures that may have an psychological origin, because they cannot be detected with EEG

Question 10

Globus hystericus

Answer 10

the sensation of a lump in the throat that makes it difficult to swallow, eat or talk