Chapter 20 Somatic Symptom And Dissociative Disorders

Front 1

Dissociation

Back 1

Splitting off of clusters of mental contents from conscious awareness, a mechanism central to hysterical conversion and dissociative disorder

Front 2

Munchausen Syndrome

Back 2

Fabricating symptoms for emotional gain; Pattern of behavior in which individuals fabricated or embellished their histories and signs and symptoms of illness.

Front 3

Factitious Disorders

Back 3

Individual pretends to be ill in order to receive emotional care and support commonly associated with the role of "patient"

Front 4

aphonia

Back 4

inability to produce voice

Front 5

anosmia

Back 5

inability to perceive smell

Front 6

Pseudocyesis

Back 6

false pregnancy

Front 7

Fugue

Back 7

characterized by a sudden unexpected travel away from customary places of daily activities or by bewildered wandering, with inability to recall some or all of one's past

Front 8

Tertiary gain

Back 8

The receipt of positive reinforcement for somaticizing by causing the focus of the family to switch to the individual and away from conflict that may be occurring withing the family.

Front 9

Depersonalization

Back 9

disturbance in the perception of oneself

Front 10

derealization

Back 10

Alteration in the perception of the external environment.

Front 11

Integration

Back 11

a blending of all the personalities into one

Front 12

abreaction

Back 12

remembering with feeling

can be so painful that the clients my cry, scream, and feel the pain that they felt at the time of abuse.

Front 13

Somatic symptom disorders

Back 13

characterized by physical symptoms suggesting medical disease but without demonstrable organic pathology or a known pathophysiological mechanism to account for them.

Front 14

Somatic symptom disorders are more commonly found in

Back 14

Women > men

Drug abuse and dependence

Emotionally dependent on others, pre-occupid with self

less educated persons

Rural > urban

Front 15

Types of Somatic Symptom disorders

Back 15

illness anxiety disorder

Conversion disorder

Factitious disorder

Front 16

Illness anxiety disorder

Back 16

unrealistic or inaccurate interpretation of physical symptoms or sensations

Preoccupation and fear of having serious disease

Front 17

Conversion Disorder

Back 17

loss of or change in body function that cannot be explained by any known medical disorder or pathophysiological mechanism.

Front 18

Primary gain

Back 18

describes the benefit to the client of avoidance of some unpleasant activity due to experiencing psychologically based pain. This avoidance directly decreases the client's anxiety.

Front 19

Dissociative disorders

Back 19

a disruption in the usually integrated functions of consciousness, memory, and identity

Front 20

Dissociative amnesia

Back 20

inability to recall important personal information that is to extensive to be explained by ordinary forgetfulness, and which is not due to the direct effects of substance use or a neurological or other medical condition

Front 21

Localized amnesia

Back 21

inability to recall all incidents associated with the traumatic event for a specific period following the event.

Front 22

selective amnesia

Back 22

inability to recall only certain incidents associated with a traumatic event for a specific period following the event.

Front 23

Generalized Amnesia

Back 23

inability to recall anything that has happened during the individual's entire lifetime, including personal identity

Front 24

Dissociative Identity Disorder (DID)

Back 24

Characterized by the existence of two or more personalities within a single individual.

Transition from 1 personality to another usually sudden, often dramatic, and usually precipitated by stress

Front 25

Depersonalization-Derealization Disorder

Back 25

Characterized by a temporary change in the quality of self-awareness, which often takes the form of:

Feelings of unreality

Changes in body image

Feelings of detachment from the environment

A sense of observing oneself from the outside the body

Front 26

Treatment for Somatic Symptom Disorders

Back 26

Individual psychotherapy

group psychotherapy

behavior therapy

psychopharmacology

Front 27

Treatment for Dissociative Disorders

Back 27

Individual psychotherapy

hypnosis

supportive care

cognitive therapy

group therapy

integration therapy (DID)

Psychopharmacology