Unformatted text preview: Trauma Based Disorders Somatoform disorders Conditions involving physical complaints or disabilities that occur without any evidence of physical pathology to account for them Using the body in a physical process to express something about psychological pain DSM: Somatoform Disorders Conversion Disorder Pain Disorder Hypochondriasis Body Dysmorphic Disorder Somatoform Disorder NOS Conversion disorder Symptoms of physical ailments or loss of control appear without any underlying organic pathology Extreme No organic cause La belle indifference Pain Disorder Report of pain of sufficient duration & severity to cause significant life disruption in the absence of a medical pathology Hypochondriasis Preoccupation, based on misinterpretations of bodily symptoms, that one has a serious disease Factitious Disorders : physical or psychological symptoms are deliberately faked to maintain the personal benefits that a sick role may provide (including attention & concern of family, friends & medical personnel) Factitious Disorder by Proxy
(Munchausen's Syndrome by Proxy) & child abuse: a psychological disorder in which a mother falsely claims a child is sick or intentionally makes a child sick in order to gain attention or sympathy for herself http://www.youtube.com/watch?v=37QRuhsWWnc Self Body Dysmorphic
x x Hallucinations Bias Warped notion regarding a part of the body, i.e. nose, focus on how deformed it is. It is well beyond mere body dissatisfaction that many people have, patient does not want attention drawn to defect Person tends to see self a certain way... despite what is in mirror What do we see in the mirror? Body Dysmorphic: reflection comes back like looking in a distorting mirror Body Dysmorphic Person sees self (or part of self) as ugly http://www.youtube.com/watch?v=RT1tnfejcWI Mirror Mirror on the wall Like the person who doesn't feel loved despite having a loving partner Parents need to be careful.. to love child and discourage bad behavior... not discourage the child Mental Health professionals are polarized in belief of DID as a legitimate phenomenon Trauma leads to desperate measures to maintain oneself in one way or another Michael Jackson's feelings about his nose are an example of which disorder? A. Factitious disorder B. Body Dysmorphic Disorder C. Anorexia D. Delusions Dissociative Disorders: "disruptions in a persons sense of identity" Dissociative Amnesia Dissociative Fugue Dissociative Identity Disorder Depersonalization Disorder (sudden loss of sense of self; derealization: like watching self in a movie, feels like floating above body, watching self) Dissociative Disorder NOS *All involve Memory Loss *Studies of brains: support DID is real disorder Fugue Dissociative disorder that entails loss of memory for personal information accompanied by actual physical flight from accompanied by actual one's present life situation to a new environment or a less threatening one DID is extreme, separate, not integrated
DID__________________________daydream We all have opposing forces inside of us Internal conflict Integrated Vs Fragmented Self Continuum of dissociation Adaptive to escape when in pain Dissociative Identity Disorder Condition in which a person manifests a least 2 or more or less complete systems of identity. Formerly called multiple personality disorder "You can have amnesia for your amnesia" Possible for you to not remember that you haven't been remembering Movie Sybil, Three Faces of Eve http://www.youtube.com/watch?v=GB0_m6fW94 Most profound use of dissociation.. Associated with severe trauma in childhood NIMH study of 100 DID pts: 97% reported significant trauma in childhood ...
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- Fall '08
- Psychology, Body dysmorphic disorder, dissociation, Factitious Disorder, Depersonalization disorder