module 3 Flashcards
what do somatic symptom disorders involve?
physical symptoms that cannot be explained by medical conditions and are believed to be caused by psychological factors such as anxiety
how can symptoms of somatic symptom disorders present
as dramatic, unexplainable bodily complaints
what is conversion disorder
a disorder where individuals experience sensory or motor symptoms (ex. paralysis, blindness, seizures) that lack a clear medical cause.
what is somatization disorder
this disorder is characterized by multiple, recurrent physical complaints without any identifiable medical cause.
what are symptoms of somatization disorder
individuals may experience a variety of symptoms affecting different body systems such as gastrointestinal, neurological, and sexual symptoms.
what are common treatments for somatic symptom disorders
psychotherapy, such as cognitive-behavioural therapy, family therapy, assertiveness training, social skills training, exposure therapy and sometimes medication for managing anxiety or depression
what are the main somatic symptom disorders
conversion disorder and somatization disorder
what are dissociative disorders
dissociative disorders include disruptions in consciousness, memory, and identity
what disorders does dissociative disorders include
dissociative disorders include dissociative amnesia, dissociative fugue, depersonalization /derealization disorder, dissociative identity disorder
what is anesthesias
a form of conversion disorder where the person experiences a loss of sensation or an impairment of sensation
what is dissociative amnesia
involves the loss of memory, often related to a traumatic event
what is dissociative fugue
a sudden, unexpected inability to recall one’s identity. it usually occurs after a person has experienced some severe stress.
- breaking bad when walter faked a dissociative fugue state to cover up his kidnapping
what is depersonalization/ derealization disorder
involves feelings of detachment from oneself or reality. it involves no disturbance of memory
- ex. someone has unusual sensory experiences (their limbs may seem drastically changed in size or their voices may sound strange to them) or they could have the impression that they are outside their bodies
What is dissociative identity disorder
the presence of two or more separate ego states or alters-different modes of being and feeling and acting that exist independently of each other and come forth at different times.
- usually caused from significant stress or trauma
what is malingering
faking symptoms to avoid a responsibility (ex. work) or to achieve a specific goal (ex. financial gain)
what is factitious disorder
intentionally producing symptoms without a clear external incentive
what is factitious disorder by proxy
(or munchausen syndrome by proxy)
individuals cause harm to others, usually a child, to gain attention or sympathy for themselves
what is the historical concept of dissociation
Pierre Janet, introduced the idea that dissociative disorders arise when trauma causes memories to be stored in a way that makes them inaccessible to the conscious mind. this results in symptoms such as amnesia or fugue
what is the behavioural view of dissociative disorders
some behavioural theorists suggest that dissociation is an avoidance mechanism that helps individuals to cope with painful memories and distressing experiences
what is the trauma model of dissociation
Dissociative identity disorder develops in childhood as a response to severe trauma, such as physical or sexual abuse
what is the social role enactment theory of dissociative disorders
Nicholas Spanos, suggests that DID could be a form of role-playing that is learned through social interaction, often influenced by therapists.
What did Nicholas Spanos do
conducted experiments showing that people can role-play multiple personalities under certain conditions such as hypnosis.
what is hypochondriasis
a somatoform disorder where the person, misinterpreting rather ordinary physical sensations, is preoccupied with fears of having a serous disease
what is hysteria
a physical incapacity such as paralysis, anaesthesia, is not due to a physiological dysfunction
what is illness anxiety disorder
the term given in the DSM-5 to refer to hypochondriasis and the tendency to worry obsessively about illness despite the apparent objective lack of a physical illness
what is pain disorder
a somatoform disorder in which the person complains of severe and prolonged pain that is not explainable by organic pathology
what is gender identity
a deeply ingrained sense of being male or female, typically formed early in childhood
what is sexual orientation
the gender to which a person is attracted
what is gender dysphoria
individuals with gender dysphoria experience significant distress because their gender identity conflicts with their biological sex, sometimes leading to a desire for physical transition to align with their identity.
when do gender identity issues often appear
in childhood, with behaviours such as cross-dressing and preferring gender non-conforming playmates. these behaviours typically begin between the ages of 2 and 4
what do body alterations include
- 6 to 12 months of psychotherapy to address underlying anxiety, depression, and explore options
- cosmetic procedures and hormone treatments are common steps before sex-reassignment surgery
what is sex-reassignment surgery
a surgical procedure that alters the genitalia to match the gender identity
what are paraphilias
paraphilias are disorders characterized by sexual attraction to unusual objects or activites, and they typically cause significant distress or impairment.
what is the distinction between paraphilias and paraphilic disorders
Paraphilias are unusual sexual behaviours. paraphilic disorders are when the behaviours cause distress or harm. this is critical in diagnosis.
what is fetishism
a person with fetishism has a recurrent, intense sexual attraction to inanimate objects (ex. shoes, stockings) or body parts (ex. feet)
- fetishists experience compulsive urges that make the object necessary for sexual arousal. they may also collect these objects.
when does fetishism often begin
in adolescence
- they may coexist with other paraphilias like pedophilia or sadism
what is transvestic disorder (or transvestism)
when a man experiences sexual arousal from dressing in women’s clothing, even though he identifies as a man.
when does transvestism typically start and who is it most common in
in childhood or adolescence, and is most common among heterosexual men
what is pedophilic disorder
adults deriving sexual gratification from prepubescent children, typically at least five years younger than the adult.
who is pedophilic disorder most common in and what does it often co-occur with
more common in men and often co-occurs with other mental health issues like mood disorders, anxiety, and substance abuse
what is incest
sexual relations between close family members
what are the short term effects of child sexual abuse
common issues include anxiety, depression, low self-esteem and conduct disorder.
what can child sexual abuse lead to for the child
PTSD, self blame, suicidal thoughts and behaviour
what is voyeurism
obtaining sexual gratification from watching others in a state of undress or engaged in sexual activities, often with an element of risk. physical contact is rare.
when does voyerism typically begin
adolescence
what is exhibitionism
obtaining sexual arousal from exposing one’s genitals to an unwilling person, typically in public settings
when does exhibitionism begin and why does it occur
begins in adolescence and is characterized by fantasies or actions aimed at shocking or embarrassing the victim
what is frotteurism
involves the touching or rubbing of an unsuspecting person, typically in public spaces
what is sexual sadism
involves deriving sexual pleasure from inflicting pain or humiliation on others
- some sadists may commit severe acts, including murder
what is sexual masochism
involves seeking gratification through being subjected to pain or humiliation
what behavioural therapies were used for people with paraphilias
aversion therapy and satiation
what are the two types of rape
forced rape and statutory rape
what is forced rape
involves sexual intercourse without the consent of the partner
what is statutory rape
involves intercourse with a minor, typically someone under the age of consent
what is the age of consent in canada
14
what are the possible natures of rape
can be planned or impulsive, and is often linked with intoxication.
some rapes are sexually motivated, while others are driven by a desire for power and control.
what is pohypnol
a “date rape drug” which can incapacitate the victim and cause memory loss of the event
what are common reasons rapists commit those actions
hostility towards women, they may lack empathy, have low self-esteem, and exhibit distorted beliefs about women.
what does therapy for rapists focus on
cognitive and behavioural techniques including anger management, empathy training, and relapse prevention.
what is the sexual response cycle
four stages:
desire, excitement, orgasm, resolution
what are common sexual desire disorders
hypoactive sexual desire disorder (low libido) and sexual aversion disorder (intense avoidance of sex)
what are common causes of sexual desire disorders
relationship problems, depression, and sexual trauma
what are common sexual arousal disorders
erectile dysfunction in men and sexual interest/arousal disorder in women
female orgasmic disorder (FOD)
the inability of women to achieve orgasm after a period of normal sexual excitement
what can female orgasmic disorder be caused by
- limited masturbation before intercourse
- alcohol use
- fear of losing control during sex
- psychosocial factors (ex. relationship difficulties)
Delayed ejaculation
in men, delayed ejaculation is a rare condition where a man is unable to ejaculate during sexual activity, despite prolonged sexual arousal