L10 - diss and somat dx.f08

L10 - diss and somat dx.f08 - Overview Todays topics...

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Overview Today’s topics: Dissociative and somatoform disorders Next week: Mood disorders Reading: Chapter 9 RR#5 due next Monday!
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Dissociative and somatoform disorders Similarities? History (with anxiety): neuroses Differences?
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Dissociative disorders What is dissociation? Depersonalization-surreal feelings about bodily experience Derealization-everything around you seems surreal Common dissociative experiences? Daydreaming, driving w/out conscious experience
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Lifetime prevalence 0 0.5 1 1.5 2 2.5 3 Amnesia Fugue Depersonalization DID ? ?
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Dissociative disorders Dissociative (psychogenic) Amnesia Difference from organic amnesia Anterograde vs. retrograde amnesia Course Precipitants Dissociative Fugue Precipitants Gender differences
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Dissociative disorders Depersonalization Disorder Feel unreality about self. Dissociation in other cultures: Amok: Aggressive dissociation Pibloktoq: “Excited” dissociation Zar: Possession by spirits
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Depersonalization & the ANS 0 0.05 0.1 0.15 0.2 0.25 0.3 Depersonalization Normals Anxiety Unpleasant Pleasant Neutral SCR amplitude
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Dissociative Identity Disorder (DID) Clinical description Host and alters, switching Physiological changes- diff visual acuity, resting heartrate, diff results on personality tests Gender differences- 9 times more frequent in women, especially connie, who is fucking insane. Age of onset- hear voices by age 12, we don’t fine out about it til 20’s Comorbidity- depression Precipitants- over 90% abused as children
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Dissociative Disorders Interview Schedule (Ross et al., 1990) 1. Did you have imaginary playmates as a child?
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