Ch 24 Somatoform Dissociative & Sexual Disorders

Front 1

What is an Alters?

Back 1

- 2+ identity/personality states

Front 2

What is body dysmorphic disorder?

Back 2

-peroccupation c an imagined defect in apperance

Front 3

What is conversion disorder?

Back 3

-loss of voluntary motor or sensory functioning that appears to represent physiologic pathology but instead relates to psychological conflict or need.
--> conversion sx: "pseudoneurologic"

Front 4

What is depersonalization disorder?

Back 4

-recurring or persistent feeling that one is detached fomr one's own thinking.
--> clts feel that they are an observer- they are outside their mind or body

Front 5

what is dissociation?

Back 5

-altering self-awareness in an effort to escape an upsetting event or feeling

Front 6

What is dissociative amnesia?

Back 6

-loss of memory that is not organic & is more extensive than normal forgetfulness

Front 7

What is dissociative disorders?

Back 7

-a disruption in the usually intergrated functions of consciousness, memory, identity, or perception

Front 8

What is dissociative fugue?

Back 8

-sudden travel away from home coupled c an inability to remember the past & confusion about identity ot the adoption of a new identity

Front 9

What is dissociative identity disorder (DID)?

Back 9

-multiple personality disorder

Front 10

What is dissociative trance?

Back 10

-person's awareness of his/her immediate surrounding narrows; may exhibit stereotyped behaviors (eg immobilization, collapse, or loud shrieking beyond his/her control)

Front 11

What is dyspareunia?

Back 11

-painful intercourse in men/women

Front 12

What is factitous disorder?

Back 12

-clts deliberately make up of inflict sx to gain attention/to occupy a sick role
-->Munchausen syndrome by proxy

Front 13

What is hypervigillance?

Back 13

-the condition of maintianing an abnormal awareness of the body & its sensations
-->clts misinterpret & overreact to physical ssx

Front 14

What is hypochondriasis?

Back 14

-clts have a fear or belive that they have a serious disease despite no significant pathology or other reason for thinking so

Front 15

What is malingering?

Back 15

-consciously create or exaggerate false sx to avoid work or other responsibilities or to have material gain

Front 16

What are paraphilias?

Back 16

-recurring, intense sexual arousing fantasies, sexual urges or behaviors generally involving:
1. nonhuman objects
2. suffering or humiliation of oneself or one's partner
3. children or other nonconsenting persons
--> this occurs over a period of at least 6 months

Front 17

What is premature ejactulation?

Back 17

-persistent or recurrent onset of orgasm & ejaculation c minimal sexual stimulation before, on, or shortly after penetration & before clt wishes

Front 18

what is primary gain?

Back 18

-ssx block psychological conflict or anxiety from conscious awareness

Front 19

what is secondary gain?

Back 19

-relieve clts from expected responsibilities & increasing the attention they recieve (can + reinforce & help perpetuate somatic ssx)

Front 20

What is sexual dysfunction?

Back 20

-sexual expression characterized by a disturbance in the process that characterizes the sexual response cycle or by pain associated c sexual intercourse

Front 21

what is somatization disorder?

Back 21

-clts have exaggerated, inconsistent, yet complicated medical hx. they often seek tx from mulitple healthcare providers when their physical c/o are not addressed to their satisfaction
--> hysteria or Briquet's syndrome

Front 22

What are somatoform disorders?

Back 22

-clt experience physical ssx despite no underlying medical explanation for them; they are classified as mental disorders b/c PE & lab tests reveal no demonstrable organize pathology

Front 23

What is vaginismus?

Back 23

-recurrent or persistent involuntary spasms of the musculature of the outer 1/3 wall of the vagina that interferes c sexual intercourse

Front 24

What is Munchausen syndrome by proxy?

Back 24

-an adult (usually a parent) continously brings a child to the attention of healthcare providers for inexplicable & sudden illness. In reality the parent induces or fabricates the sickness to gain attention

Front 25

What is la belle indifference?

Back 25

-clts not alarmed or disturbed by their dramatic ssx

Front 26

What is satiation?

Back 26

-a technique in which sex offenders use their most erotic fantasies after orgasm in a boring, repetitive manner to extinguish their erotic quality

Front 27

what are signaled punishments?

Back 27

-a combination of aversion therapy & biofeedback of erections to deviant stimuli