Quiz 7 Flashcards
Factitious Disorder Imposed on self:
A) Falsification of physical or psychological signs or symptoms, or induction of injury or disease, associated with identified deception.
B) The individual presents himself or herself to others as ill, impaired, or injured
C) The deceptive behavior is evident even in the absence of obvious external rewards.
D) the behavior is not better explained by another mental disorder, such as delusional disorder or another psychotic disorder.
Factitious Disorder Imposed on Another:
A) Falsification of physical or psychological signs or symptoms, or induction of injury or disease, in another, associated with identified deception.
B) The individual presents another individual (victim) to others as ill, impaired, or injured.
C) The deceptive behavior is evident even in the absence of obvious external rewards.
D) The behavior is not better explained by another mental disorder, such as delusional disorder or another psychotic disorder.
Factitious Disorder
Essential feature is the falsification of medical or psychological signs and symptoms in oneself or others that are associated with the identified deception. Those with the disorder can also seek treatment for themselves or another following induction of injury or disease. Diagnosis requires demonstrating that the individual is taking surreptitious actions to misrepresent, simulate, or cause signs or symptoms of illness or injury in the absence of obvious external rewards. Deception causes others to view the individual as more ill or impaired and this can lead to excessive clinical intervention.
Factitious Disorder
A) Preoccupation with one or more perceived defects or flaws in physical appearance that are not observable or appear slight to others.
B) At some point during the course of the disorder, the individual has performed repetitive behaviors (mirror checking, excessive grooming, skin picking), or mental acts (comparing appearance to another), in response to the appearance concerns.
C) The preoccupation causes clinically significant distress or impairment in social, occupational, or other important areas of functioning.
D) The appearance preoccupation is not better explained by concerns with body fat or weight in an individual whose symptoms meet diagnostic criteria for an eating disorder.
DIAG FEATURES: preoccupation with one or more perceived defects or flaws in their physical appearance, which they believe look ugly, unattractive, abnormal, or deformed. The perceived flaws are not observable or appear only slight to other individuals.
Body Dysmorphic Disorder
A) The inability to recall important autobiographical information, usually of a traumatic or stressful nature, that is inconsistent with ordinary forgetting.
B) The symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.
C) The disturbance is not attributable to the physiological effects of a substance or a neurological or other medical condition.
D) The disturbance is not better explained by dissociative identity disorder, PTSD, acute stress disorder, somatic symptom disorder, or major or mild neurocognitive disorder.
DIAG FEATURE: Defining characteristic of dissociative amnesia is an inability to recall important autobiographical information that 1) should be successfully stored in memory and 2) ordinarily would be readily remembered.
Dissociative Amnesia
A) One or more symptoms of altered voluntary motor or sensory function.
B) Clinical findings provide evidence of incompatibility between the symptom and recognized neurological or medical conditions.
C) The symptom or deficit is not better explained by another medical or mental disorder.
D) The symptom or deficit causes clinically significant distress or impairment in social, occupational, or other important areas of functioning or warrants medical evaluation.
Diag Feat: 1 or more symptoms of various types. Motor symptoms: weakness, paralysis, abnormal movements (tremor), gait abnormalities, abnormal limb posturing. Sensory symptoms include altered reduced, or absent skin sensation, vision or hearing. May be episodes of unresponsiveness resembling syncope or coma. Other symptoms include reduced or absent speech volume, altered articulation, a sensation of a lump in the throat, and diplopia. Must be clinical findings that show clear evidence of incompatibility with neurological disease. Diagnosis should be based on overall clinical picture, not just a single clinical finding.
Conversion Disorder
A) The presence of persistent or recurrent experiences of depersonalization, derealization, or both:
1) Depersonalization: Experiences of unreality, detachment, or being an outside observer with respect to one’s thoughts, feelings, sensations, body, or actions. (perceptual alterations, distorted sense of time, unreal or absent self, emotional/physical numbing)
2) Experiences of unreality or detachment with respect to surroundings (individuals or objects are experiences as unreal, dreamlike, foggy, lifeless)
B) During the depersonalization or derealization experiences, reality testing remains intact.
C) The symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.
D) The disturbance is not attributable to the physiological effects of a substance or another medical condition
E) The disturbance is not better explained by another mental disorder, such as schizophrenia, panic disorder, major depressive disorder, acute stress disorder, PTSD, or another dissociative disorder.
Depersonalization/Derealization Disorder
Persistent or recurrent episodes of depersonalization/derealization or both. The individual may feel detached from their entire being. Also they may feel subjectively detached from aspects of the self, including feelings, thoughts, whole body parts, or sensations. Sometimes depersonalization can be one of split self, with one part observing and one participating, known as “out of body experience.” Varying degrees of anxiety and depression are also common associated features.
Depersonalization/Derealization Disorder
