chapter5 - Chapter5 Disorders SomatoformDisorders...

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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-TR somatoform disorders Hypochondriasis Somatization disorder Conversion disorder Factitious 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 Different than  illness phobia
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Hypochondriasis  (continued) Statistics Good prevalence data are lacking Onset at any age Runs a chronic course Influence of Culture Koro dhat
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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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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
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Somatization Disorder:  Causes  and Treatment  (continued) Treatment No treatment with demonstrated effectiveness exists Reduce the tendency to visit numerous medical  specialists Assign “gatekeeper” physician Reduce supportive consequences of talk about  physical symptoms
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Conversion Disorder Clinical description Physical malfunctioning
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