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Unformatted text preview: CHAPTER 6- SOMATOFORM D ISORDERS AND D ISSOCIAT IVE D ISORDERS Somatoform Disorders- person experiences bodily symptoms that have no known physical cause. Not intentionally produced by the person- panic disorder, body dysmorphic, hypochondriasis, and somatization disorder. Treatment- cognitive behavioral and antidepressants Panic Disorders- pain is brought on to a significant extent by psychological factors (wife says shes experiencing pain in order to stop having sex with husband after car accident where she didnt get hurt). Treatment- antidepressant, cognitive behavioral- validating pain is real, relaxation training, reward person for less focus on pain. Body dysmorphic disorder- preoccupied with imagined or exaggerated defects in physical appearance. Similar to OCD but focus more on long term diseases rather than immediate. Treatment- exposure and response prevention (stop looking in mirrors), seratonergic reuptake inhibitors. Hypochondriasis- extreme fear of having a serious disease, must persist for 6 months. Treatment- reducing attention to bodily sensations, challenging negative thoughts, and discouraging them from seeing doctors. Difference between ^ Somatization- recurrent, multiple physical complaints that have no biological cause. Treatment- focusing on anxiety and depression that may cause the unexplained symptoms rather than allowing the person to focus on minor pains. Conversion- sensory or motor symptoms, related to neurological damage, but bodily organs and nervous symptoms are fine, not t ruly neurological (snake, arm paralyzed example). Treatment- none known. Anesthesia- the loss of sensation. Etiology of conversion- Pscyhoanalytic- people could be unconscious of certain perceptions and be motivated to have certain symptoms. Etiology of somatoform other than conversion- Genetic- not important in disorder, except possibly for body dysmorphic disorder because of OCD comorbidy. Cognitive Behavioral- process starts with a physiological disturbance, then attention to body, make negative attributions about body, then worry about health, next communication of distress and help seeking, and finally elevated anxiety may exacerbate somatic symptoms. Behavior- avoid work and seek reassurance. Dissociative Disorders- includes dissociative amnesia, dissociative fugue, dissociative identity disorder, and depersonalization disorder. Dissociation- results in some aspects of cognition or experience being inaccessible consciously. It involves failure of consciousness to perform its usual role of integrating cognitions, emotions, motivations and other aspects of experience. Psychoanalytic and behavioral theorists believe it to be an avoidance response that protects the person from consciously experiencing stressful events....
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- Fall '09