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psyc- 6 and 7 notes

psyc- 6 and 7 notes - Chapter 6 Somatoform Disorders...

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Chapter 6: Somatoform Disorders + Dissociative disorders Anxiety is not always observable in somatoform disorders and dissociative disorders, whereas anxiety is always clearly present in the anxiety disorders. (anxiety disorders and somatoform+dissociative disorders are in separate categories in the DSM-IV) Onset of disorders of both classes (somatoform and dissociative) is hypothesized to be related to some stressful experience, yet symptoms do not involve direct expressions of anxiety or distress In somatoform disorders, the person complains of bodily symptoms that suggest a physical defect or dysfunction—sometimes dramatic in nature—for which no physiological basis can be found. In dissociative disorders, the person experiences disruptions of consciousness—they lose track of self-awareness, memory, and identity Somatoform disorders Not under voluntary control; not intentionally produced Disorders pain disorder, body dysmorphic disorder, hypochondriasis, and somatization disorder AND conversion disorder is no way to objectively measure someone’s pain PAIN DISORDER o Psychological factors play a role in the onset, maintenance, and severity of physical pain o Pain causes significant distress or impairment (ex: patient may be unable to work or is dependent on pain killers) DSM-IV-TR Criteria for pain disorder 1. Pain that is severe enough to warrant clinical attention 2. The pain causes significant distress or impairment 3. Psychological factors are thought to be important to the onset, severity or maintenance of pain 4. The pain is not intentionally produced or faked 5. The pain is not explained by another psychological condition Malingering intentionally faking something to avoid responsibility (voluntary control) La belle indifference a relative lack of concern or a blasé attitude toward symptoms
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that is out of keeping with their severity (helps distinguish malingering and conversion) Factitious disorder make up symptoms, but not to get out of a certain responsibility/goal BODY DYSMORPHIC DISORDER o Preoccupied with an imagined or exaggerated defect in their appearance o Women focus on skin, hips, breasts, and legs, while men focus on height, penis size, or body hair o Plastic surgery does little to allay their concerns o Social and cultural factors play a role o More common in women than men o Begins in late adolescence o *nearly all people with body dimorphic disorder meet the criteria for another disorder such as major depressive disorder, social phobia, OCD, substance abuse, and personality disorders DSM-IV-TR Criteria for body Dysmorphic disorder 1. Preoccupation with an imagined defect or markedly excessive concern over a slight defect in appearance 2. Preoccupation causes significant distress or impairment 3. Preoccupation is not explained by another mental disorder like anorexia nervosa HYPOCHONDRIASIS o Preoccupation with fears of having a serious injury o Often co-occurs with anxiety and mood disorders o
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