Chapter 6: Somatic Symptoms and Related Disorders and Dissociative Disorders Flashcards
Somatic Symptom Disorder
characterised by consistently incorrect association/prediction surrounding illness based on somatic sensations/symptoms
6+ months
formerly Briquet’s Syndrome
SSD 1/3 Reqs.
persistent thoughts about symptoms
anxiety about health/symptoms
time and energy devoted to these symptoms
Koro
Chinese culture; the idea that genitals are retracting into the body
Illness Anxiety Disorder
characterised by fear/anxiety about having a disease, though it usually doesn’t have somatic symptoms
formerly hypochondriasis
Dhat
Indian culture; the loss of semen bringing on thoughts of potentially becoming ill
Kyol goeu/Khyal
wind overload (too much wind in the body); associated with dizziness, weakness, fatigue
Conversion Disorder
characterised by physical malfunctioning that has no apparent organic cause; neurophysiological in nature (like blindness or paralysis)
Factitious Disorder
characterised by someone faking symptoms of an illness/induces illness upon themselves to gain some kind of intrinsic benefit
Factitious Disorder imposed on another
characterised by someone physically creating symptoms of illness in another person so that they can care for the ill (ex making a child ingest poison)
Derealisation
sense of external world/reality is lost
Depersonalisation
temporary loss of the sense of one’s self/own reality, thinkg 3rd Person POV
Dissociation
separating of the conscious experience so that it is no longer experienced in full
Disintegrated experience
when someone forgets who they are, takes on false memories, and can alter their sense of self/reality
Depersonalisation-Derealisation Disorder
characterised by feelings of unreality dominating ones life, and bringing monumental distress
show an inhibited emotional response to stimuli
Dissociative Amnesia
characterised by retrospective loss of memory
associated with current trauma
can be attributed to possession, spirits, or seen as more acceptable in other cultures
Dissociative Fugue
characterised by memory loss of a trip somewhere, occurring usually to escape an unbearable situation
usually has the memories come back
can be characterised by the adoption of a new identity or identity disintegration
Amok
non-Western form of DD
afflicts men more often
a trance-like state while performing a violent action, usually killing another person or animal
if they are not successful in their goal, they usually kill themselves
Dissociative Identity Disorder
categorised by experiencing multiple personalities (2+, usually 15)
recurrent gaps of everyday info, important personal info, or traumatic events
not part of what is widely accepted in a culture
Host
the main personality who tries to hold the person together, and is often not the original personality
Switch
the transition between one identity/personality and another
Prevalence of DID
9:1 for women and men
onset is usually childhood
comorbidity with anxiety, substance abuse, depression, etc
Etiology for DID
immense childhood abuse/trauma + lack of social support during/after the abuse
unlikely to develop past 9yo
Autohypnotic model: those who are more susceptible can use dissociation to escape/defend against trauma
generalised biological vulnerability to stress/tension
false memories being planted potentially
Treatment for DID
working through triggers through visualisation
hypnosis
antidepressants (though not widely used)
Etiology for SSD
tends to link up with a tragic event
tend to have disproportionate incidence of disease compared to family members
functionality of the sick role
generalised psych vulnerability
negative feedback loop caused by cognitions and perceived symptoms
