Chapter 6- Somatoform and Dissociative Disorders

Chapter 6- Somatoform and Dissociative Disorders - CHAPTER...

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DISORDERS SOMATOFORM DISORDERS Somatoform Disorders- pattern of physical complains with largely psychosocial causes Hysterical Somatoform Disorders- actual change in physical functioning Preoccupation Somatoform Disorders- people who are healthy mistakenly worry that there is something physically wrong with them WHAT ARE HYSTERICAL SOMATOFORM DISORDERS? Actual changes in physical functioning Makes it extremely hard to distinguish between real problem or psychological problem CONVERSION DISORDER Conversion Disorder- psychosocial conflict or need is converted into dramatic physical symptoms that affect voluntary motor or sensory functioning Begin between late childhood and young adulthood 2X as many women as men Appear suddenly (last a matter of weeks) Rare (5/1000) SOMATIZATION DISORDER Somatization Disorder (Briquet’s Syndrome) - many long lasting physical ailments that have little or no organic basis To qualify o Rang of ailments
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Pain (headaches, chest pain) Gastrointestinal symptoms (nausea, diarrhea) Sexual Symptom (erectile or menstrual) Neurological Symptom (double vision, paralysis Usually exaggerate symptoms Between .2 & 2% of US women per year (less than .2% men) Runs in families o 10-20% of close female relatives of women w/ disorder develop it Begins between adolescence and young adulthood Symptoms may fluctuate over time but rarely disappear completely 2/3 people receive treatment in US PAIN DISORDER ASSOCIATE W/ PSYCHOLOGICAL FACTORS Pain is the key element to figuring out the puzzle Fairly common Begin at any age Women r more likely than men Often develops after accident or illness that caused great pain HYSTERICAL VS MEDICAL SYMPTOMS Sometimes rely on patients medical picture Glove Anesthesia - real neuro damage is not abrupt Atrophy- deterioration of muscles due to not being used (paralysis) o Person with conversion disorder = no atrophy o Peron with conversion blindness = less accidents HYSTERICAL VS FACTITIOUS SYMPTOMS
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Malinger- intentionally fake illness to achieve some external gain People with factitious disorders go to the extreme to produce sickness o Research ailments and knowledgeable about medicine Munchausen Syndrome- extreme long term form of factitious symptoms -Munchausen by Proxy Syndrome (Factitious Disorder by Proxy) WHAT ARE PREOCCUPATION SOMATOFORM DISORDERS Preoccupation Somatoform Disorders- Hypochondriasis & Body Dysmorphic Disorders;
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This note was uploaded on 03/04/2010 for the course PSYCHOLOGY 031 taught by Professor Summons during the Fall '08 term at Kirkwood Community College.

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Chapter 6- Somatoform and Dissociative Disorders - CHAPTER...

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