Dissociative Disorders Flashcards
- disorders caused by a common mechanism, DISSOCIATION
- results in some aspects of cognition of experiences being inaccessible consciously
Dissociative Disorders
- unable to recall important personal information about some traumatic experience
- information is not permanently lost, but it cannot be retrieved during the episode of amnesia; may last for several hours-several years
- usually disappears as suddenly as it began, with complete recovery and only a small chance of recurrence
Dissociative Amnesia
- Latin word FUGERE “to flee”
- severe subtype of amnesia
- memory loss is more extensive
- relatively brief duration
- recovery is usually complete, though it takes varying amounts of time
- able to remember all the details of your life except for the EVENTS that occurred during the episode
FUGUE
Dissociative disorder involve deficits in _____________
Explicit memory
Conscious recall of experiences
Explicit memory
learning based on experiences that are not consciously recalled
Implicit memory
- person’s perception of self or surroundings is disconcertingly and disruptively altered; altered perceptions are usually triggered by STRESS
- NO Disturbance of memory
- lose sense of self, involves unusual sensory experiences
- may sometimes feel mechanical or robotic
- begins in adolescence
Depersonalization/Derealization Disorder
- requires the person to have at least 2 separate personalities or alters
- different modes of being, thinking, feeling, and acting that exist independently of one another and exist at different times
- usually begins in childhood
- is rarely diagnosed until adulthood
- more severe and extensive than the other dissociative disorders
- recovery may be less complete
- more common in women than in men
Dissociative Identity Disorder
people use dissociation to cope with trauma, causing people to develop alters after the trauma
Posttraumatic Model
- DID as a result of learning to enact social roles
- alters appear in response to suggestions by therapists, exposure to media reports about DID, or other cultural influences
Sociocognitive Model
- goal should be to convince the person that splitting into different personalities is no longer necessary to deal with traumas
- can help teach the person more effective ways to cope with stress
Treatment of DID
- excessive concerns about physical symptoms or health
- physical symptoms that had no known physical cause
- labeled as SOMATOFORM because the symptoms took the form of bodily sensations
- tend to seek frequent medical treatment
- may try many different medications
- hospitalization and even surgery are common
Somatic Symptom disorder
- one or more somatic symptoms that are distressing or result in significant disruption in daily life
- excessive anxiety, concern, or time and energy devoted to the somatic concern
- duration of at least 6 months
- predominant somatic complaints, predominant health anxiety, or predominant pain
Complex Somatic Symptom Disorder
- preoccupation with fears of having a serious disease despite having no significant somatic symptoms
- for diagnosis, these fears must lead to excessive care seeing or maladaptive avoidance behaviors that persist for at least 6 months
- somewhat parallel to hypochondriacs
Illness anxiety disorder
- person suddenly develops neurological sumptoms such as blindness or paralysis
- labeled as conversion disorder
- symptoms suggest an illness related to neurological damage but tests indicate that everything is fine
Functional Neurological Disorder
loss of voice
Aphonia
loss of sense of smell
Anosmia
- intentionally faking a psychological or somatic symptoms
- to gain from those same symptoms
- to avoid responsibility
Malingering
- falsification of psychological or physical symptoms without evidence of gains from these symptoms
- to assume the role of the patient
Factitious
2 stage model
- people can process visual information outside of their conscious awareness
- motivations
Psychodynamic perspective
- coaching general practitioners and their treatment teams to provide care for people with this disorder
- goal is to establish a strong relationship so the patient will feel more reassured about their health
Treatment of Somatic Symptom Disorders
- identify and change the symptoms that trigger somatic concerns
- change their cognitions regarding somatic symptoms
- change their behaviors so they stop being the sick person and gain more reinforcement for engaging in other types of social interactions
CBT for Somatic Symptom Disorders