First Aid Psych 11-2 Somatoform And Factitious Disorders

Front 1

31. Factitious Disorder DSM?

Back 1

a. Patients INTENTIONALLY produce signs of physical or mental disorders
b. They produce the symptoms to produce the sick role (primary gain)
c. Lack of secondary gain distinguishes factitious disorder from malingering.
d. There are no external incentives (such as monetary reward, etc) as in malingering.
e. Intentional, conscious production of physical or psychological signs and symptoms.

Front 2

32. Commonly feigned symptoms in Factitious Disorder?

Back 2

a. Psychiatric- hallucinations, depression, pseudologia fantastica.
b. Medical- fever (by heating the thermometer), abnormal pain, seizures, skin lesions, and hematuria.

Front 3

33. Tx of Factitious Disorder?

Back 3

a. Collect collateral information from medical treaters and family.
b. Collaborate w/PCP to avoid unnecessary procedures.
c. Avoid early confrontation. Pts who are confronted while in the hospital often leave against medical advice and seek hospitalization elsewhere.
d. Repeated and long-term hospitalizations are common.

Front 4

34. Malingering?

Back 4

a. Malingering involves the feigning of physical or psych sx in order to achieve personal gain.
b. They often have a long med hx w/many hospital stays.
c. They are generally uncooperative and refuse to accept a good prognosis even after extensive medical evaluation.
d. Their sx improve once their desired objective is obtained.

Front 5

35. Fundamental difference between Factitious Disorder and Malingering?

Back 5

a. The intention of the patient; in malingering, the motivation is external (ie money), whereas in factitious disorder, the motivation is internal.

Front 6

36. Presentation of malingering pts?

Back 6

a. Pts usually present w/multiple vague complaints thatdo not conform to a known medical condition.
b. They often have a long medical hx w/many hospital stays.
c. They are generally uncooperative and refuse to accept a good prognosis even after extensive medical eval.
d. Their sx improve once their desired objective is obtained.

Front 7

37. In whom is malingering more common?

Back 7

a. Men.

Front 8

38. Somatoform disorder?

Back 8

a. Pts BELIEVE they are ill and do not intentionally produce or feign sx.

Front 9

39. Factitious Disorder?

Back 9

a. Pts intentionally produce sx of real illness bc of a desire to assume sick role, not for external reward.

Front 10

40. Malingering?

Back 10

a. Pts intentionally produce or feign sx for external rewards.

Front 11

41. Complete

Back 11

41. Complete