Abnormal Psych notes chap 6

Abnormal Psych notes chap 6 - Chapter 6: Somatoform...

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Chapter 6: Somatoform Disorders, Psychological Factors Affecting Medical Conditions, and Dissociative Disorders Case Report: Rose Marston 3 Went to the emergency room 23 times in the last year, complaining of an array of medical problems. Doctors could never find anything physically wrong with her, and finally told her that her problems were emotional, not medical. 4 She met with Dr. Tobin at her office in the hospital. She carried with her at all times a picnic basket filled with what looked like a “mini pharmacy.” She had had medical problems since childhood, and had begun to think that her problems were so unusual that science and medicine did not yet have the answers. 5 When Rose was 7, her little sister Emily was born with serious abnormalities. Her father already had a drinking problem and Rose worried that the stress of this event would make it worse. 6 Rose spend all of her free time with her sister, playing with her and tutoring her and protecting her from the kids that made fun of her. She says she did this because she felt guilty for being so much “luckier” than Emily. Emily died from heart trouble in her teens. Rose was supposed to go to college and become a special ed teacher, but when Emily died, Rose has a series of unexplainable illesses that caused her to drop out of college. She couldn’t keep a job because of her ailments, and could never hold down a serious relationship. She eventually applied for disability benefits from the government. 7 She was diagnosed with somatization disorder. Dr. Tobin recommended individual outpatient psychotherapy on a weekly basis, and also group therapy for people dealing with life stresses in general. She eventually dropped out of therapy after a car accident that required several minor operations. Somatoform Disorders 8 Include a variety of conditions in which psychological conflicts become translated into physical problems or complaints that cause distress or impairment in a person’s life. 9 Conversion Disorder: involves the translation of unacceptable drives or troubling conflicts into bodily motor or sensory symptoms that suggest a neurological or other kind of medical condition. Involuntary loss or alteration of a bodily function due to psychological conflict or need, causing serious distress. “Converting” the psychological conflict into a physical problem. Usually comes on suddenly and disappears in less than 2 weeks, but can return. Freud called conversion disorder hysterical neurosis , implying that it was a physical reaction to anxiety. 4 categories of conversion disorder:
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This note was uploaded on 04/20/2008 for the course PSYCH 380 taught by Professor Halgin during the Spring '08 term at UMass (Amherst).

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Abnormal Psych notes chap 6 - Chapter 6: Somatoform...

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