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40 Cards in this Set

  • Front
  • Back
what is the primary symptom of all somatoform disorders?
physical complaint for which an identifiable physical cause cannot be found
the hallmark symptom of hypochondriasis is______; in contrast, an illness phobia involves________.
-fear of having a disease
-fear of getting/developing a disease
in contrast to hypochondriasis and illness phobia, the primary symptom of somatizationdisorder involves_________.
anxiety over physical symptoms
what does crosscultural research tell us about the role of culture on the expression of somatization disorder?
culture has a big role in how the disorder is expressed
somatization disorder is linked by family and genetic studies to which personality disorder?
anti-social disorder
what is the primary symptom of a conversion disorder?
loss of sensory motor function
whereas______involves intentionally faking the presense of a disorder for material gain, ________involves intentionally faking the presence of a disorder for no obvious benefit other than to take on a "sick role." The most famous of the latter is_______.
malingering/factitious/Munchausen's
________involves a pre-occupation with an imagined defect in physical appearance. It is associated with which of the anxiety disorder?
body dysmorphic disorder/OCD
this disorder involves a loss of a sense of one's own reality. It also involves a/an (increase/decrease) in emotional responding.
depersonalization/decrease
these two disorders may involve the inability to remember specific event, typically of a traumatic nature, that occur suring a specifc period of time.
PTSD and dissociative amnesia
what are the five somatoform disorders?
(1) hypochondriasis
(2) somatization disorder
(3) conversion disorder
(4) pain disorder
(5) body dysmorphic disorder
people with hypochondriasis have a strong disease conviction based on what three things?
(1) misperceptions of symptoms
(2) checking behaviors
(3) high trait anxiety
what are some causes of hypochondriasis?
(1) disorder of cognition and perception of physical signs and sensations
(2) familial history of illness
(3) stressful life events
(4) high family disease incidence
(5) "benefits" of illness
what are three treatments for hypochondriasis?
(1) psychodynamic
(2) education and support
(3) CBT
people with somatization disorder are concerned about what?
symptoms, not meaning
to be diagnosed with somatization disorder, you must be diagnosed with eight symptoms which are...
4 pain symptoms
2 GI symptoms
1 sexual symptom
1 pseudo-neurological symptom
what are some behaviors of people with somatization disorder?
impulsivity
novelty-seeking
provatcative sexual behavior
what disorder uses a "gatekeeper" physician as a form of treatment, and what does this mean?
somatization and the patient reports all physical symptoms to this physician, which reduces visits to numerous specialists
if a medication has side effects, what disorder tends to get magnified?
somatization
what is the disorder with a physical dysfunction but non physical cause? (generally in sensory-motor areas)
conversion disorder
what is the lack of distress shown by some individuals presenting conversion, somatization, or amnestic disorders?
la belle indifference
what is conversion hysteria?
obsolete, Freudian term for conversion disorder that unconscious conflicts somehow "convert" into physical symptoms
conversion occurs in special populations, what are they and which has a better prognosis?
-soldiers in hand to hand combat
-children (better long term outlook)
what is the Freudian psychodynamic view of conversion?
-trauma, conflict experience is unacceptable
-repression of conflict
-"conversion" to physical symptoms (primary gain)
-attention and support from others (secondary gain)
what is the behavioral cause of conversion?
-traumatic event
-avoidance is not an option
-social acceptability of illness
-negative reinforcement
what are two unusual behaviors classified by BDD?
-ideas of reference- everything that goes on in world is related to defect
-checking/compensating rituals to see if defect has changed
what are treatment options for BDD?
-SSRIs
-exposure and response prevention
-plastic surgery is often unhelpful and makes symptoms worse
what is the generalized type of dissociative amnesia?
person cannot remember any of their personal info, including identity
what is the specialized type of dissociative amnesia?
someone cannot remember a specific time period or event
what is the disorder where a person has memory loss and then engages in travel and adopts in a new life/identity?
dissociate fugue
what is retrograde memory loss?
loss of memory of everything up until the present-> "past memories"
what is anterograde memory loss?
inability to form new memories
how many "alters" can be present in DID?
2 to 100
what is the "host" in DID?
the personality presenting for treatment-> rarely who person really is
what is the "switch" in DID?
when person switches from one personalitiy to another
do men or women tend to have more "Alters" in DID?
women
can DID be faked?
yes, but often faked "too good"
what type of disorders are seen in axis 1?
anxiety, depression, substance abuse
what type of disorders are seen in axis 2?
personality
when is the onset for DID?
childhood, before the age of nine