Chapter 8 Conversion disorder and Somatic Symptom Disorder

Question 1

A disorder in which bodily symptoms affect voluntary motor and sensory functions, but the symptoms are inconsistent with known medical disease

Answer 1

conversion disorder

Question 2

1. Presence of one or more symptoms of deficits that affect voluntary or sensory functions
2. Symptoms are found to be inconsistent or incompatible with known neurological or medical disease
3. Significant distress or impairment

Answer 2

DSM-5 Checklist

Conversion Disorder

Question 3

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

Answer 3

True

Question 4

Numbness begins sharply at the wrist and extends evenly right to the fingertips

Answer 4

A conversion disorder called glove anesthesia

Question 5

to waste away

Answer 5

atrophy

Question 6

People with conversion disorder often experience atrophy. True or False

Answer 6

False

Question 7

People with Factitious disorder and those with Conversion disorder often consciously or purposely want to produce their symptoms. True or False

Answer 7

False

Question 8

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

Answer 8

conversion disorder or somatic symtom disorder

Question 9

Individuals with conversion disorder may experience neurological-like symptoms-blindness, paralysis, or loss of feeling-that have no neurological basis. True or False

Answer 9

True

Question 10

Physicians sometimes rely on _______ in the patient’s _______ picture to help distinguish between conversion disorder and medical problems

Answer 10

oddities, medical

Question 11

Why is this pattern called “conversion” disorder

Answer 11

because clinical theorists used to believe that individuals with the disorder are converting psychological needs into neurological symptoms

Question 12

When does conversion disorder usually begin

Answer 12

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

Question 13

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

Answer 13

somatic symptom disorder

Question 14

1. Presence of one or more somatic symptoms that are distressing and/ or significantly disruptive to daily life
2. 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
3. Symptoms are persistent, although not necessarily continuous, typically lasting more than 6 months

Answer 14

DSM-5 CHECKLIST Somatic symptom disorder

Question 15

Name the two patterns of somatic disorders

Answer 15

somatization pattern and predominant pain pattern

Question 16

the individual experiences a large and varied number of bodily symptoms

Answer 16

somatization pattern

Question 17

the person’s primarily bodily problem is the experience of pain

Answer 17

predominant pain pattern

Question 18

What is another name for somatization pattern and who is first describe the pattern?

Answer 18

Briquet’s syndrome, Pierre Briquet first describe the pattern in 1859

Question 19

A suffer’s ailment of Pierre Syndrome is often includes

Answer 19

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)

Question 20

What percentage of women in the U.S. may experience somatization pattern syndrome compared to men?

Answer 20

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

Question 21

What is the primary symptom of predominate pain pattern?

Answer 21

Pain and the source maybe known or unknown

Question 22

What is the percentage of women and men with predominate pain pattern and at what age does it start?

Answer 22

It may begin at any age, and women seem more likely than men to experience this pattern.

Question 23

How does predominate pain pattern occur?

Answer 23

It develops after an accident or during an illness that has caused genuine pain.

Question 24

What were conversion and somatic symptom disorder referred to as?

Answer 24

Hysterical disorders

Question 25

What was the label given to conversion and somatic symptom disorder meant to convey?

Answer 25

The label was meant to convey the prevailing belief that excessive and uncontrolled emotions underlie bodily symptoms found in these disorders

Question 26

Work by who in the late 19th century foster the notion that psychological factories were at the root of hysterical disorders

Answer 26

Ambroise-Auguste Liebault

Question 27

Who was one of the few clinicians of his day to treat patients with hysterical symptoms

Answer 27

Freud

Question 28

What was the Psychodynamic View of Conversion and Somatic Disorders according to Freud?

Answer 28

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.

Question 29

Define the Electra complex

Answer 29

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.

Question 30

What is the view of today’s psychodynamic theorists regarding conversion and somatic symptom disorder?

Answer 30

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.

Question 31

What are the two mechanisms psychodynamic theorist propose that are at work in conversion and somatic symptom disorders?

Answer 31

primary gain and secondary gain

Question 32

When their bodily symptoms keep their internal conflicts out of awareness, for example argument. What is this called

Answer 32

In the psychodynamic theory Primary gain of conversion and somatic symptoms disorder.

Question 33

When their bodily symptoms further enable them to avoid unpleasant activities or receive sympathy from others. What is this called?

Answer 33

In the psychodynamic theory Secondary gain of conversion and somatic symptoms disorder