PSY 395 Ch 6 - Chapter 6 Hypochondriasis o Clinical...

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Chapter 6 Hypochondriasis o Clinical Description Anxiety or fear of having a disease High comorbidity with anxiety/ mood disorders Focus on bodily symptom Normal Mild Vague Modern times, refers to physical complaints without clear cause and particularly severe anxiety focused on the possibly of having a serious disease Medical reassurance does not seem to help Little benefit from medical reassurance Strong disease conviction Misperceptions of symptoms Checking behaviors High trait anxiety Get more attention when they are in the sick role Tell friends they may have cancer, because doctor is doing tests, but that isn’t true Preoccupied with bodily symptoms and misinterprets them as signs of a readed illness or disease Reassurance that person is healthy from the doctor only lasts for a short – term positive effect Somatization Disorder o Clinical Description Long history of physical complaints Significant impairment Concern about symptoms, not meaning Symptoms = identity Involves an extended history of physical complaints before age 30 Concern about the symptoms themselves They show little urgency to respond to take action despite always feeling ill “Grocery list” of physical complaints They have the actual illness DSM requires a person to report 8 symptoms to meet diagnostic criteria Pain Disorder o Clinical Description Refers to where there may have been initial clear reasons for pain, but where psychological factors play a large role in the persistence of pain Pain in one or more areas
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Significant impairment Etiology may be physical Maintained by psychological factors He’ll never leave me. I have a broken back! Important feature: the pain is real and it hurts Conversion Disorder o Clinical Description Physical malfunctioning Sensory – motor areas Conversion symptoms are perpetuated by some stressful event Freud believed that anxiety was “converted” into physical symptoms which
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