somatoform_lec

somatoform_lec - SOMATOFORM DISORDERS * * * * Physical...

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SOMATOFORM DISORDERS * Physical symptoms that have no apparent medical basis * Symptoms are judged to be associated with psychological conflict or stress * Symptoms are not intentionally produced or feigned * Symptoms cause clinically significant distress or impairment DSM-IV distinguishes: I. “Hysterical Type” Somatoform Disorders * CONVERSION DISORDER * SOMATIZATION DISORDER * PAIN DISORDER Note: Overlap with dissociative disorders II. “Preoccupation Type” Somatoform Disorders * HYPOCHONDRIASIS * BODY DYSMORPHIC DISORDER Note: Overlap with the anxiety disorders I. Hysterical Type Somatoform Disorders CONVERSION DISORDER (Freud’s “Conversion Hysteria”) DSM -IV Criteria: * Dramatic loss of function resembling a physical (neurological) disorder * Symptoms are judged to be associated with psychological conflict or stress * Symptoms are not intentionally produced or feigned * Symptoms cause clinically significant distress or impairment
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Examples of Conversion Symptoms : * Impaired coordination or balance * Paralysis or weakness * Inability to swallow (“lump in the throat”) * Loss of touch or pain sensation * Blindness * Mutism * Deafness * Psychogenic seizures or convulsions Onset and Course: * Symptoms appear suddenly and dramatically * Symptom may disappear suddenly or switch to a new symptom * 90% recover within one month Prevalence: * Rare disorder in modern societies (0.5%) * Sometimes seen in recent immigrants * Seen in medically unsophisticated and suggestible individuals Gender Ratio: * 2:1 (female: male) Historical Excursion: Freud’s “Conversion Hysteria” * Josef Breuer and Sigmund Freud’s “Studies on Hysteria” (1895) * Case of “Anna O.” (= Bertha Pappenheim) * Berta later became a pioneering feminist social worker
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This note was uploaded on 07/16/2009 for the course PSC 168 taught by Professor Zane during the Fall '07 term at UC Davis.

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somatoform_lec - SOMATOFORM DISORDERS * * * * Physical...

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