Somatoform Disorders Flashcards
Somatoform disorder definition
- broad group of illnesses that have bodily signs as a major component
- pt’s with these believe their suffering come from some type of presumably undetected and untx’d bodily derangement
Factitious disorder
- conscious feigning of illness/sx’s for primary gain
- intentional production of physical and psych sx’s including self inflicted cndtns mainly to gain the emotional care and attn that comes with playing the role of the pt
- **no external incentives present
Munchauser syndrome
pt’s embellish personal history, psychiatric sx’s to gain hospital admission; move from hospital to hospital
Factitious disorder by proxy
- intentional production or feigning of physical/psych sx’s in another person who is under an individual’s care
- **usually mother and child
Factitious tx
-supportive confrontation, inpatient hospitalization
Malingering
- conscious feigning of sx’s for obvious recognizable environmental goal : get out of jail/work, get money
- can stop producing S/S when they are no longer profitable or risk is too great
Dissociative disorder essential features
-disruption in the usually integrated fxns of consciousness, memory, identity or perception of the environment
Dissociative amnesia
- inability to recall important personal info, usually of a traumatic and stressful nature, that is too extensive to be explained by ordinary forgetfulness
Dissociative amnesia main cause
trauma or stressful event
Dissociative amnesia tx
-patience and hypnotherapy
Dissociative fugue features
- unexpected travel away from home or one’s customary place of work, with inability to recall one’s past
- confusion about personal identity or assumption of new identity
Main cause of Dissociative fugue
- due to tramatic circumstance, leading to an altered state of consciousness dominated by a wish to flee
- other causes: pts are struggling with extreme emotions or impulses that are in conflict with pts’s conscience or ego ideals
Dissociative fugue tx
patience, hypnotherapy, elective psychodynamically oriented therapy
Dissociative identity disorder DSM IV criteria:
- aka: Multiple personality disorder
- DSM IV criteria:
1) presence of 2+ distinct identities or personality states ( each with its own relatively enduring pattern of perceiving, relating to, and thinking about environment and self)
2) at least o2 of these identities or personality states recurrently take control of the person’s behavior
3) Inability to recall important personal info that is too extensive to be explained by ordinary forgetfulness
Dissociative Identity disorder features
- begins in childhood
- usually 10 personalities
- usually develop to help child develop with recurrent abuse
- personality states or identities referred to as alters, self-states, parts