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47 Cards in this Set

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Does dissociative or somatoform disorders cause person to experience disruptions of consciousness -- he or she loses track of self-awareness, memory and identity?
Dissociative Disorders
Does dissociative or somatoform disorders cause the person to complain of bodily symptoms that suggest a physical defect or dysfunction -- sometimes dramatic in nature -- for which no physiological basis can be found?
Somatoform Disorders
Name the dissociative disorders
Amnesia, dissociative fugue, dissociative identity disorder, and depersonalization disorder
Dissociation
Mechanism which results in some aspects of cognition or experience being inaccessible consciously.
Dissociative Amnesia
Memory loss, typically of a stressful experience
Dissociative Fugue
Memory loss accompanied by leaving home and establishing a new identity
Depersonalization Disorder
Alteration in the experience of the self
Dissociative Identity Disorder
At least two distinct personalities that act independently of each other.
Inability to recall important personal information, usually information about some traumatic experience.
Dissociative amnesia
Is lost information of dissociative amnesia permanent?
No, the information is not permanently lost, but it cannot be retrieved during the episode of amnesia, which may last for a short period of several hours or as long as several years.
Does dissociative disorders typically involve deficit in explicit or implicit memory?
Explicit memory
Explicit Memory
Involves conscious recall of experiences, for example, describing a bicycle you had as a child.
Implicit Memory
Behaviors based on experiences that are not consciously recalled, for example, how to ride a bike compared to actually riding a one.
How many episodes must one have to meet the criteria of dissociative amnesia?
One or more episodes of inability to remember important personal information, usually of a traumatic experience, that is too extensive to be ordinary forgetfulness.
What is the DSM criteria for dissociative fugue?
Sudden, unexpected travel away from home or work, inability to recall one's past, confusion about identity or assumption of a new identity, symptoms are not explained by another medical or psychological disorder
Person's perception or experience of self is disconcertingly and disruptively altered. There is no disturbance of memory, and it is usually triggered by stress.
Depersonalizaiton disorder
What is the DSM criteria for DID?
Presence of two or more personalities or alters, at least two of the alters recurrently take control of behavior, inability of at least one of the alters to recall important personal information
What are the two major theories of DID?
Posttraumatic model and sociocognitive model
Posttraumatic Model
Proposes that some people are particularly likely to use dissociation to cope with trauma, and this is seen as a key factor in causing people to develop alters after trauma.
Sociocognitive Model
Alters appear in response to suggestions by therapists, exposure to media reports of DID, or other cultural influences
Describe the criteria for pain disorder
Pain is severe enough to warrant clinical attention, psychological factors are thought to be important to the onset, severity, or maintenance of pain, the pain is not intentionally produced or faked, and the pain is not explained by another psychological condition.
Person is preoccupied with an imagined or exaggerated defect in their appearance
Body dysmorphic disorder
Person has a preoccupation with fears of having a serious disease
Hypochondriasis
How long must symptoms last for a diagnosis of hypochondriasis?
Symptoms must last at least 6 months
What syndrome was called Briquet's syndrome?
Somatization disorder
Disorder defined by multiple, recurrent somatic complaints that have no physical explanation but still cause the person to seek treatment
Somatization disorder
Sudden sensory or motor symptoms, such as loss of vision or paralysis, that suggest illness related to neurological damage, but medical tests indicate bodily organs and nervous system are fine
Conversion disorder
Anesthesia
The loss of sensation
Aphonia
Loss of the voice other than whispered speech
Anosmia
Loss of the sense of smell
What are some symptoms of conversion disorder?
Partial or complete paralysis of legs and arms; seizures and coordination disturbances; a sensation of prickling, tingling, or creeping on the skin; insensitivity to pain; anesthesia; impaired vision; aphonia; ansosmia
What is the criteria for somatization disorder?
History of seeking treatment for many physical complaints beginning before the age of 30 and lasting for several years; at least four pain symptoms, as well as at least two gastrointestinal symptoms, one sexual symptom, and one pseudoneurological symptom; symptoms are not due to a medical condition or are excessive given the person's medical condition; symptoms do not appear to be faked.
Localized Amnesia
Present in an individual who has no memory of specific events that took place, usually traumatic. The loss of memory is localized with a specific window of time. For example, a survivor of a car wreck who has no memory of the experience until two days later is experiencing localized amnesia.
Selective Amnesia
Happens when a person can recall only small parts of events that took place in a defined period of time. For example, an abuse victim may recall only some parts of the series of events around the abuse.
Generalized Amnesia
Diagnosed when a person's amnesia encompasses his or her entire life.
Continuous Amnesia
The amnesia covers the entire period without interruption from a traumatic event in the past to the present.
Systematized Amnesia
Characterized by a loss of memory for a specific category of information. A person with this disorder might, for example, be missing all memories about one specific family member.
Analgesia
Absence of a sense of pain
Undifferentiated Somatoform Disorder
Unexplained physical complaints that don't meet for somatization disorder
Name four pain symptoms
Pain in head, back, during sex and urination
What are two gastrointestinal symptoms?
Nausea, diarrhea, bloating not due to pregnancy or period
Name one sexual symptom
Erectile dysfunction
Name one pseudoneurological Symptom
Paralysis, urinary retention, blindness
Conversion Disorder, Primary Gain
Somatic: Symptoms are symbolic of some emotional conflict
Conversion Disorder, Secondary Gain
External benefits or responsibilities can be evaded
What are the subtypes of conversion disorder?
With motor symptom or deficit, with sensory symptom or deficit, with seizures and convulsions, with mixed presentation
La belle indifference
Relative lack of concern about symptoms