Lecture 4B: Somatic Stress Disorders 7

Front 1

Somatic stress disorders:

What is common with regard to reporting of symptoms?

Back 1

Amplification is common

Front 2

Somatic stress disorders:

“ Organic” vs. “Psychiatric” distinction is
_________.

Back 2

“Organic” vs. “Psychiatric” distinction is outdated.

NB: Many psychiatric disorders are increasingly looking more and more organic.

Front 3

Patients with SSDs may present with May present illusory mental health deny what two things?

Back 3

Deny emotional problems and history

Front 4

What does emotional suppression result in? (2)

Back 4

Adverse immune system effects.
Adverse cardiovascular effects.

Front 5

Are there are genetic differences in reactivity to stress?

Back 5

Yes

Front 6

Will everyone subjected to an intensely stressful life experience develop PTSD? What percentage will?

Back 6

No. Only 10% will.

Front 7

What is the nocebo effect?

Back 7

The nocebo effect occurs when a subject has a negative response to a treatment that is known to be inert.

Front 8

What two things play an important role in the nocebo effect?

Back 8

Conditioning and expectation play an important role in the nocebo response

Front 9

Most investigators agree that the size of the placebo effect is about how big?

Back 9

1/3 of any treatment effect

Front 10

In general…the more invasive the therapy….

Back 10

the stronger the placebo effect.

Front 11

What is pseudoneurologic disease? (hysteria)

Back 11

Neurologic symptoms without objective evidence of neurologic disease.