Chapter 8 Conversion disorder and Somatic Symptom Disorder Flashcards
A disorder in which bodily symptoms affect voluntary motor and sensory functions, but the symptoms are inconsistent with known medical disease
conversion disorder
- Presence of one or more symptoms of deficits that affect voluntary or sensory functions
- Symptoms are found to be inconsistent or incompatible with known neurological or medical disease
- Significant distress or impairment
DSM-5 Checklist
Conversion Disorder
Is it always possible that a diagnosis of conversion disorder is a mistake and that the patient’s problem has an undetected neurological disorder or other medical cause. True or False
True
Numbness begins sharply at the wrist and extends evenly right to the fingertips
A conversion disorder called glove anesthesia
to waste away
atrophy
People with conversion disorder often experience atrophy. True or False
False
People with Factitious disorder and those with Conversion disorder often consciously or purposely want to produce their symptoms. True or False
False
When bodily ailment has an excessive and disproportionate impact on the individual, no apparent medical cause, or is inconsistent with known medical diseases, doctors may suspect
conversion disorder or somatic symtom disorder
Individuals with conversion disorder may experience neurological-like symptoms-blindness, paralysis, or loss of feeling-that have no neurological basis. True or False
True
Physicians sometimes rely on _______ in the patient’s _______ picture to help distinguish between conversion disorder and medical problems
oddities, medical
Why is this pattern called “conversion” disorder
because clinical theorists used to believe that individuals with the disorder are converting psychological needs into neurological symptoms
When does conversion disorder usually begin
between late childhood and young adulthood. It is diagnosed in women twice as often as in men. it typically appears suddenly, at times of stress
It is thought to be rare, occurring in at most 5 of every 1,000 persons
A disorder in which persons become excessively distressed, concerned and anxious about bodily symptoms that they are experiencing, and their lives are greatly and disproportionately disrupted by the symptoms
somatic symptom disorder
- Presence of one or more somatic symptoms that are distressing and/ or significantly disruptive to daily life
- Excessive thoughts, feelings, and behaviors regarding the somatic symptoms(s) or related health concerns, including one of the following
- Disproportionate and persistent thoughts about the seriousness of the symptoms
- Persistent and high anxiety about health or the symptoms
- excessive time and energy devoted to the symptoms or health concerns - Symptoms are persistent, although not necessarily continuous, typically lasting more than 6 months
DSM-5 CHECKLIST Somatic symptom disorder
Name the two patterns of somatic disorders
somatization pattern and predominant pain pattern
the individual experiences a large and varied number of bodily symptoms
somatization pattern
the person’s primarily bodily problem is the experience of pain
predominant pain pattern
What is another name for somatization pattern and who is first describe the pattern?
Briquet’s syndrome, Pierre Briquet first describe the pattern in 1859
A suffer’s ailment of Pierre Syndrome is often includes
Pain symptoms (headaches or chest pain) gastrointestinal symptoms (nausea or diarrhea) sexual symptoms (erectile dysfunction and menstrual difficulties) and neurological-type symptoms (double vision or paralysis)
What percentage of women in the U.S. may experience somatization pattern syndrome compared to men?
Between 0.2 and 2.0 percent of women in the U.S. compared to less than 0.2 percent of men experience somatization pattern
What is the primary symptom of predominate pain pattern?
Pain and the source maybe known or unknown
What is the percentage of women and men with predominate pain pattern and at what age does it start?
It may begin at any age, and women seem more likely than men to experience this pattern.
How does predominate pain pattern occur?
It develops after an accident or during an illness that has caused genuine pain.
What were conversion and somatic symptom disorder referred to as?
Hysterical disorders
What was the label given to conversion and somatic symptom disorder meant to convey?
The label was meant to convey the prevailing belief that excessive and uncontrolled emotions underlie bodily symptoms found in these disorders
Work by who in the late 19th century foster the notion that psychological factories were at the root of hysterical disorders
Ambroise-Auguste Liebault
Who was one of the few clinicians of his day to treat patients with hysterical symptoms
Freud
What was the Psychodynamic View of Conversion and Somatic Disorders according to Freud?
Freud centered his explanation of such disorder on the needs of girls during the phallic stage (ages 3-5). he believed all girls develop a pattern of desires called the Electra complex. If the child’s parents overreact to her sexual feelings with punishments the Electra conflict will be unresolved and the child may reexperience sexual anxiety throughout her life. Whenever events trigger sexual feelings, she may have an unconscious need to hide them from both herself and others. This will convert these feelings into physical symptoms and concerns.
Define the Electra complex
Each girl experiences sexual feelings for her father at the same time recognizes that she must compete with her mother for his affection. However, more aware of her mother’s more powerful position and of cultural taboo’s, the child typically represses her sexual feelings and rejects these early desires for her father.
What is the view of today’s psychodynamic theorists regarding conversion and somatic symptom disorder?
Theorists take part with Freud’s explanation but they continue to believe that suffers of the disorder have unconscious conflicts carried forth from childhood, which arouse anxiety, and that the individuals convert this anxiety into more tolerable physical symptoms.
What are the two mechanisms psychodynamic theorist propose that are at work in conversion and somatic symptom disorders?
primary gain and secondary gain
When their bodily symptoms keep their internal conflicts out of awareness, for example argument. What is this called
In the psychodynamic theory Primary gain of conversion and somatic symptoms disorder.
When their bodily symptoms further enable them to avoid unpleasant activities or receive sympathy from others. What is this called?
In the psychodynamic theory Secondary gain of conversion and somatic symptoms disorder
