• Shuffle
    Toggle On
    Toggle Off
  • Alphabetize
    Toggle On
    Toggle Off
  • Front First
    Toggle On
    Toggle Off
  • Both Sides
    Toggle On
    Toggle Off
  • Read
    Toggle On
    Toggle Off
Reading...
Front

Card Range To Study

through

image

Play button

image

Play button

image

Progress

1/43

Click to flip

Use LEFT and RIGHT arrow keys to navigate between flashcards;

Use UP and DOWN arrow keys to flip the card;

H to show hint;

A reads text to speech;

43 Cards in this Set

  • Front
  • Back

Somatoform and dissociative disorders usedd to be classified together under:

hysterical neurosis




Hiserical: referred to physical symptoms without knownorganic cause




neurotic disorders result from underlying unconsciousconflicts, anxiety that resulted from those conflicts and the implementation ofego defense mechanisms. Neurosis was eliminated from the diagnosis system in1980. Sdx

Freud coined conversion hysteria, which he beleives is:

internal conflicts will manifest as physical symtpoms

5 somatic symptom and related disorders:

- somatic symptom disorder


- illness anxiety disorder (hypochondriasis)


- psychological factors affecting medical condition


- conversion disorder


- factitious disorder

What did somatic sympdome disorder used to be called and why?

Briquet's syndrome




cuz the doc couldnt find any explanantions for the physica symptoms

what is somatic symptom disorder?

- The experienceof severe pain in which psychological factors play a major role in maintaining orexacerbating the pain whether there is a clear physical reason for the pain ornot. -




Excessivethoughts, feelings, and behaviours related to the somatic symptoms

How long must you be sympmatic to be diagnosed with it

6 months

the most importnat area for treatmetn is:

the psychological experiences of anxietyand distress focused on the somatic symptoms

What is illness anxiety disroder

there are no symptoms, or they are very mild, but the individual is concerned that they are developing an illness or disease, they have exterme anxiety about taht

How long must illness preoccupation be present for?

6 months

Speficy if:

it is the care seeking type


or the care avoiding type

Similarities between illness anxiety disorder, somaticsymptom disorder and anxiety and mood disorderes:

- similar age of onset


- runs in families


- personality characteristics


- oftern comorbid togetha




the main problem is anxiety, but in illness anxity disorder and somatic symptom disorder the expression of this anxiety is different. different target

Disease conviction is a core feature of both illness ancisty disorder and somatic symptome disorder, what is it?

when you are convinced that you have a disease, even when doctors tell you that you dont

differences between panic disorder and somatic symptom disorder:

somatic symptom disorder is a long term worry, they worry about a wider range of symtpoms, and they wil continue to go back to their doctors

Prevalence of somatic symptome disorder:

1 t 5%

the course of somatic symptome disorder is

chronic

What is the typical age of onset?

adolesnce

what is the typical profile of somene with somatic symptome disorder

woman, unmarried, low SES

tWhat is the cause of somatic symptome disorder

disorders of cognition and perception with strong emotional component




negative spiral, they are worried of illness and disease and so when they have asytpom they focus on it and this arousal increwases the intensity of the sympotom which increases the the anxiety and so on




tey also hold the beleif that health should be symptom free

- People with this disorder show enhancedperceptual sensitivity to illness cues – as demonstrated with the Stroop TaskF]US0[

ff

Somatic symptoms run in the family but this general biological contribution: is

senstiive overresponse to stress

the psychological vulnerability is: (it is the same as with anxiety)

the tendency to view life events as uncontrollable

wha are three important factors of -somatic symptome disroder:

- it developes in a stressful context


- the family of that person had many illnesses while growing up


- there are benefits to being sick

What disorder is Somaticsymptom disorder strongly linked to?

antisocial personality disroder




they both show impuslivity and are associated with short term gains but long term costs




the difference is the level of dependency

WHat treatments:

- explanatory therapy


- CBT



What is explanatory therapy?

takingthe time to explain the nature of the patient’s disorder in an eduationalframework was associated with a significant reduction in fears and beleifsabout somatic symptoms, and these gains were maintained over tim

CBT focuses on

challenging misconceptions of health and illness and showing them that they can induce their own symptoms by focusing on parts of their body - this gives tehm a sense of control


Other strategies:

- gettingthe patient to reduce heatlh seeking behavior




-getting the patient to talk to others about topics other than their helath

What is psychological factors affecting medical conditions?

- someone already has a medical condition and psychological or behaviour factors make the condition worse and influence the course of the condition and the treatment of the condition




ex: someone's anxiety makes their asthma worse

Developing stres or anxiety in response to a real medical condition would be considered an:

adjustment disorder

what does functional refer to?

a symptom without an organic cause

What is conversion disorder?

it is a physical malfunction without any physical cause accounting for it

ways to distinguish coversion disorder?

- la belle indifference


- they are usually able to function normally but arent awre of it, or dont get that sensory input


- the disroder is often precipitated by stress


-

In an fMRI study, they comparedconversion patients who had a tremmer to someone who mimicked it, the personwho mimicked it had the right inferior parietal cortex activated – this brainregion is infloved in comparing internal predictions with actual events. Ifthis area of the brain is not functioning properly, than the brain mightconclude that the movement is involuntary

parietal cortex not as active




conlucison that it is involuntary

What is factitious disroder?

the person's symptoms are under voluntary control




they do this to get gains such as secondary gains of the sick role

What is facticious disorder imposed on others?

this is when the person's symptoms is controlled by someone else


and that person does it to get the secondary gains




ex: mother and baby

What is the gender ratio of conversion dsiroders

primarily females

How does Freud believe conversion disorders develop:

1) the person experiences a trauma


2) the conflict form this trauma is not acceptable and so it is unconscious anxiety


3) the anxiety increases and threatens to go into consciouslness so it is converted into physical symptoms (primary gain)


4) the person gets benefits from being sick (secondary gain)

what we beleive today:

An individualwith conversion disorder has experienced a traumatic event that need to escape,but since they cant run away they get sick, but since getting sick on purposeisn’t socially acceptable, the process of them getting sick is unconscious, andbecause this escape behaviour (the conversion symptoms) is successful to anextent in obliterating the traumatic situation, the behaviour continues untilthe underlying problem is resolved

social cultural factors of conversion disroder:

it seems to occur in low ses groups and less educated

People with conversion disordertend to adopt symptoms with which they are familiar (ex: the symptoms thattheir family members exhibited in the past)

interesting

the incidence of conversion disorder is

decreasing

treatment for conversion disorder:

- identify and relive the traumatic event in a safe way




- remove secondary gains




- CBT

Dissociative disorders:

mmm