Somatoform and dissociative disorders

Question 1

The process by which psychological needs are expressed in the form of physical symptoms; associated with repressed anxiety.

Answer 1

Somatization

Question 2

Severe and prolonged pain that causes impairment in functioning; cannot be explained by known medical conditions; frequent visits to physicians; excessive use of analgesics; requests for surgery.

Answer 2

Pain disorder

Question 3

Enables client to avoid some unpleasant activity

Answer 3

Primary gain

Question 4

Promotes emotional support or attention that the client might not otherwise receive

Answer 4

Secondary gain

Question 5

Unrealistic or inaccurate interpretation of physical symptoms or sensations , leading to preoccupation and fear of having a serious disease; history of “doctor shopping”;

Answer 5

Hypochondriasis

Question 6

“pseudoneurological” ; affect voluntary motor or sensory function ; loss or change in body function resulting from psychological conflict (blindness, paralysis …); lack of concern - la belle indifference

Answer 6

Conversion disorder

Question 7

False pregnancy - conversion disorder

Answer 7

Pseudocyesis

Question 8

Characterized by the exaggerated belief that the body is deformed or defective in some specific way (acne, thinning hair, facial swelling, asymmetry …)

Answer 8

Body dysmorphic disorder

Question 9

The splitting off clusters of mental contents from conscious awareness.

Answer 9

Dissociation

Question 10

Inability to recall important personal information, usually of a traumatic or stressful nature

1. Localized - all incidents associated with traumatic event (for specific time)
2. Selective - only certain incidents (for specific time)
3. Continuous - after specific time up to now
4. Generalized - entire lifetime + personal identity
5. Systematized - events that relate to specific category of information (family or event)

Answer 10

Dissociative Amnesia

Question 11

Sudden, unexpected travel away from home with inability to recall some or all of ones past ; assumes a new identity; rapid recovery

Answer 11

Dissociative Fugue

Question 12

Existence of two or more personalities in a single individual ; transition from one personality to other is sudden ; each personality is unique ; may be unable to recall - “gaps”

Answer 12

Dissociative Identity Disorder

Question 13

Disturbance in the perception of oneself ; feelings of unreality, changes in body image , feelings of detachment from the environment, or a sense of observing oneself from outside the body.

Answer 13

Depersonalization disorder

Question 14

1. Ineffective coping

2. Deficient knowledge (psychological causes for physical symptoms )

Answer 14

ND: somatization disorder

Question 15

1. Chronic pain

2. Social isolation

Answer 15

ND: pain disorder

Question 16

1. Fear (of having serious disease)

2. Chronic low self esteem

Answer 16

ND: hypochondriasis

Question 17

1. Disturbed sensory perception

2. Self care deficit

Answer 17

ND: conversion disorder

Question 18

1. Disturbed body image

Answer 18

ND: Body dysmorphic disorder

Question 19

1. Disturbed thought process

2. Powerlessness

Answer 19

ND: Dissociative amnesia

Question 20

1. Ineffective coping

2. Risk for other directed violence

Answer 20

ND: Dissociative fugue

Question 21

1. Risk for suicide

2. Disturbed personal identity

Answer 21

ND: DID

Question 22

1. Disturbed sensory perception ( Visual and Kinesthetic )

Answer 22

ND: Depersonalization disorder

Question 23

1. Supportive psychotherapy
2. Amobarbital - retrieve lost memories
3. Hypnosis

Answer 23

TX: Dissociative amnesia

Question 24

1. Supportive psychotherapy
2. Amobarbital , hypnosis
3. Cognitive therapy - thinking pattern
4. Group therapy

Answer 24

TX: Dissociative fugue

Question 25

1. Intensive, long-term psychotherapy (integration)

2. Abreaction - “remembering with feeling”

Answer 25

TX: Dissociative identity disorder