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Unformatted text preview: Chapter 8- Somatoform and Dissociative Disorder Somatoform Disorder Commonalities 1. “Body” – physical symptoms or has preoccupation 2. No identifiable medical cause 3. Psychological basis is assumed 4. Defend against psychological interpretations 5. Symptoms are not intentionally faked Ex) somebody has been experiencing psychological disorders that has been transformed to bodily way 1. Somatization Disorder λ Aka briquet’s disorder or syndrome λ Numerous physical complaints with no identifiable medical cause DSM Criteria: Pain symptoms at 4 sites or functions Two GI symptoms 1 sexual symptom (dysfunction or menstrual irregularity ) Psedoneurological loss of movement (left move my left arm), sensation (can hear from my left ear) Have to have all the symptoms. λ Over several years λ Started before age 30 as we aged we tend to get more physical problems λ Doesn’t mean there is a medical causes, just we don’t have evidence for it. Treatment: Medical management where appropriate Antidepressants CBT particularly Daily scheduling Stress management relaxation, biofeedback. Cognitive restructuring Supports 2. Conversion Disorder λ One or more physical symptoms that affects motor or sensory functions λ Sudden onset Paralysis, anesthesia, deafness, blindness, seizures λ Sudden recovery λ No neurological basis Aka hysteria ’wandering uterus’ 1800’s it was believed it was women only disorder, due to sexual frustration Ex) house exercise at home, massaging uterus, using vibrators λ Freud sexual anxiety or guilt converted to physical symptoms thought women were masturbating causes of numb λ WWI+II figured not only in women but male soldiers Conversion disorder: λ Huge decline in incidence during Freud’s time (1870-1900) λ Now relatively rare Treatment: λ Still hypnosis sometimes sued λ Problem solving λ Stress management λ Not reinforcing the symptom 3. Hypochondriasis λ Extreme “health” anxiety λ Ex) showering, figure out there is something on their back, went to physician but physician says there is nothing patient goes back and feel odd to have it, and research on it and then go back to physicians...
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- Winter '11
- Abnormal Psychology, dissociation, Dissociative Amnesia Dissociative, Dissociative Disorder Somatoform