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Abn chapter5 - Chapter 5 Somatoform and Dissociative...

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Chapter 5 Somatoform and Dissociative Disorders
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Somatoform Disorders Soma – Meaning Body Preoccupation with health and/or body appearance and functioning No identifiable medical condition causing the physical complaints
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Somatoform Disorders (continued) Types of DSM-IV Somatoform Disorders Hypochondriasis Somatization disorder Conversion disorder Pain disorder Body dysmorphic disorder
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Hypochondriasis Clinical Description Physical complaints without a clear cause Severe anxiety about the possibility of having a serious disease Strong disease conviction Medical reassurance does not seem to help
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Hypochondriasis (continued) Statistics Good prevalence data are lacking Onset at any age Runs a chronic course
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Hypochondriasis: Causes and Treatment Causes Cognitive perceptual distortions Familial history of illness Treatment Challenge illness-related misinterpretations Provide more substantial and sensitive reassurance Stress management and coping strategies
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Fig. 5.1, p. 176
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Somatization Disorder Clinical Description Extended history of physical complaints before age 30 Substantial impairment in social or occupational functioning Concern about the symptoms, not what they might mean Symptoms become the person’s identity
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Somatization Disorder (continued) Statistics Rare condition Onset usually in adolescence Mostly affects unmarried, low SES women Runs a chronic course
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Somatization Disorder: Causes and Treatment Causes Familial history of illness Relation with antisocial personality disorder Weak behavioral inhibition system Treatment No treatment exists with demonstrated effectiveness Reduce the tendency to visit numerous medical specialists
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Somatization Disorder: Causes and Treatment (continued) Assign “gatekeeper” physician Reduce supportive consequences of talk about physical symptoms
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Conversion Disorder Clinical Description
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