Abnormal Psychology Somatoform And Dissociative Disorders Chapter 6

Front 1

Describe a Dissociative experience

Back 1

where the individual feels sensations of detachment, slight alterations in consciousness, identity or reality.

Front 2

What was hysterical neurosis attributed to?

Back 2

Somatoform and dissociative disorders. or physical symptoms without any real organic cause.

Front 3

List the five basic somatoform disorders

Back 3

hypochondriasis,
somatization disorder,
conversion disorder
pain disorder
body dysmorphic disorder

Front 4

What is hypochondriasis

Back 4

the sever anxiety on the possibility of having a serious disease.

Front 5

What are the 6 Criteria for Hypocondriasis?

Back 5

1. Preoccupation with fears and ideas of having a serious disease, based on misinterpretations of bodily symptoms.
2. Preoccupations persists despite medical reassurance.
3. The belief is not delusional nor is it concerned with appearance.
4. Preoccupation causes distress, socially, occupationally, or other important areas.
5. Duration is 6 months.
6. Not accounted for by:
Generalized Anxiety,
OCD,
Panic Disorder,
Major Depression
seperation anxiety,
or another somatoform disorder.

Front 6

Disease conviction is associated with what Disorder?

Back 6

Hypochondriasis

Front 7

Hypochondriasis most commonly occurs with what other mental disorder?

Back 7

Panic Disorder

Front 8

What are the common symptomatic concerns associated with Panic Disorder,
and what of Hypochondriasis?

Back 8

Panic Disorder: concerns arise of 10-15 sympathetic nervous system response.

while Hypochondriasis has a much wider range.

Front 9

What is Chinese anxiety disorder in which individuals believe their genitals are receding back into their bodies?

Back 9

Koro

Front 10

What is the Sex Ratio for Hypchondriasis?

Back 10

50-50.

Front 11

Indian disorder regarding the loss of semen

Back 11

Dhat
Symptoms include, dizzyness, weakness and fatigue.

Front 12

What are two factors of genetic contributions in Hypochondriasis

Back 12

1. That of inherited hypersensitivity to external stimuli
2. Learning from parents about voicing concern of symptoms, and also being rewarded for such.

Front 13

What are some treatments for Hypochondriasis?

Back 13

Cognitive Behavioral therapy
and also SSRI's (specifically fluoxetine)

Front 14

What the the initial name given to those with Somatization disorder?

Back 14

Briquet's Syndrome
(from 1859-1980)

Front 15

What are the 2 major criteria for somatization disorder

Back 15

1. History of physical complaints that start from before age 30 and several years of seeking aid or having impairment.

2. a history of four symptoms must be met:
a. four pain symptoms (different areas)
b. two gastrointestinal symptoms
c. one sexual symptom
d. one pseudoneurological symptom

Front 16

How many symptoms must undifferentiated somatization disorder patient have?

Back 16

Four to Six symptoms

Front 17

What other disorder does somatization share a heritable genetic pattern with?

Back 17

Antisocial personality disorder.
Somatization disorder seems to run mostly on the female side of families while ASPD on the male.

Front 18

What is the link between somatization disorder and ASPD?

Back 18

A Disinhibition syndrome characterized by impulsive behaviour.

More specifically the attainment of short term goals at the expense of long term goals.

Front 19

WHat are some treatments included for somatization disorder

Back 19

Using a "main" physician to oversee all complaints first.

Second, group behavioral therapy has been proven beneficial.

Front 20

WHat is astasia-abasia (a type of conversion disorder)

Back 20

The gradual paralysis and inability to walk.

Front 21

What is globus hystericus (another type of conversion disorder)

Back 21

The sensation of a lump in the throat that makes it difficult to swallow, eat or sometimes talk.

Front 22

What are the six criteria for Conversion Disorder?

Back 22

1. One or more symptoms or deficits in voluntary motor movement or sensory function.
2. Psychological factors are judged to be associated (previous life stressors)
3. Symptoms are not intentional or feigned
4. After proper investigation, there are not physical conditions.
5. Symptoms cause distress or impairment in social, occupational or other important areas of functioning
6. Symptoms not limited to pain or sexual dysfunction or during somatization disorder.

Front 23

How can one distinguish between malingering and Conversion disorder?
There are three

Back 23

1. La belle indifference
2. Usually occur after marked stress
3. Unaware of ability to function normally.

Front 24

Another name for "Manchausen syndrome by proxy" and what is it?

Back 24

Factitious disorder by proxy,
The extent to where voluntarily creating illness for no other reason than attention, which is then extended to making other members of family sick. Example Mother making child sick.

Front 25

Name Freud's four basic processes associated with conversion disorders

Back 25

1. First event occurs that is unacceptable unconciously.
2. The event is then repressed
3. Event or unconcious dissonance continues to surge until it is converted to physical symptom to relieve pressure. (primary Gain)
4. The symptoms gain attention from other individuals and reinforce the disorder (secondary Gain).

Front 26

What are some methods of treatment for conversion disorders?

Back 26

reliving past experience (catharsis)
eliminating secondary gain, attentional reward.

Front 27

Why was pain disorder decided to be left within the DSM IV category of Somatoform disorder?

Back 27

Due to the prevalence of individuals who presented with pain disorder after a strong psychological contribution.

Front 28

What are the criteria for Pain Disorder?
There are 5

Back 28

1.Observance of pain in one or more anatomical sites.
2. Pain causes clinically significant distress
3. Psychological factors preceding the event has an important role.
4. Symptom is not intentional or feigned.
5. Pain is not due to mood, anxiety, psychotic nor does it meet criteria for dyspareunia.

Front 29

How does one tell that a pain symptom is actually physically based?

Back 29

The pain symptoms are described as coming from a localized and specific area.
The description has more sensory words to describe it
Also the patient is able to identify activities that increase or decrease the symptoms of pain.

Front 30

What is the other diagnosis given to individual with Body dysmorphic disorder?

Back 30

The other diagnosis given is that of delusional disorder: somatic type.
But this is only applied if the beliefs are of delusional standards

Front 31

What culture does taijin kyofushin come from and what is it?

Back 31

Is typically from Japan.
It is the anxiety directed towards bad breath or body odours. This then inhibits individuals from interacting in social situations.

Front 32

What other disorder is Body Dysmorphic disorder similar to?

Back 32

Obsessive Compulsive Disorder.

Front 33

What are some drugs that can help treat BDD and OCD?
What are some treatments?

Back 33

SSRI's such as clomipramine and fluvoxamine.
Exposure and response therapy (this was seen as most effective)

Front 34

Name the four dissociative disorders

Back 34

depersonalization disorder
dissociative amnesia
dissociative fugue
dissociative trance

Front 35

What other disorder's criteria falls closely to that of depersonalization disorder?

Back 35

Acute stress disorder.

Front 36

Name the four criteria for depersonalization disorder.

Back 36

1. Feelings of detachment from self, observing from an outside perspective
2. During episode, reality remains intact
3. Causes distress or impairs social occupational or other important ares.
4. not due to schizophrenia, panic disorder, acute stress disorder or another dissociative disorder. Not due to drugs or medical conditions (temporal lobe epilepsy)

Front 37

What are the criteria for dissociative amnesia

Back 37

1. episodes of inability to recall personal information, usually of traumatic nature
2. not due to dissociative identity disorder, dissociative fugue, PTSD, acute stress disorder, somatization disorder, drugs or medical disorder (head trauma)
3. clinical distress, impairment in social occupations or important areas of life

Front 38

Name the four criteria associated with Dissociative Fugue

Back 38

1. Sudden disappearance and trip, with inability to recall anything
2. confusion about personal identity,
3. Not due to: Dissociative identity disorder, drugs or medical condition (temporal lobe epilepsy)
4. Causes distress or impairment of social, occupational, or important ares of life.

Front 39

What is the inuit name for dissociative fugue.

Back 39

pivloktoq

Front 40

Name the four criteria for Dissociative Identity Disorder

Back 40

1. Has two or more distinct identities or personality states.
2. At least two of the personalities recurrently take control
3. Person has inability to recall important information not accounted for by normal forgetting
4. Not due to drugs, general medical condition.

Front 41

What is the sociocognitive model of Dissociative Identitiy Disorder?

Back 41

The influence of the therapist influences or reinforces the individual to form fragmented identities and early trauma.

Front 42

What are some distinguishing factors associated with real DID?

Back 42

-Changes in Optical functioning
-Differences in Galvanic Skin Response
-Different EEG waves
-Activity in hippocampus and temporal lobes after a switch

Front 43

What is the autohypnotic model of DID

Back 43

people who are suggestible may be able to use dissociation as a defense against extreme trauma

Front 44

What is one neurological disorder associated with DID?

Back 44

seizure disorders, namely tat effecting the temporal lobe.