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Chapter 6
Somatic symptom and Dissociative disorder
24
Psychology
Undergraduate 1
10/06/2014

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Term
Somatic symptom disorder
Definition
Disorders that involve physical symptoms or anxiety over illness. Must be present for six months
Term
Illness anxiety disorder (hypochondriasis)
Definition
Persistent health anxiety and concern that one has an undetected physical illness with no or minimal somatic symptoms. 6 months. Cognitive based
Term
Conversion Disorder
Definition
Neurological disorder but no underlying medical cause. Not consciously being faked. Psychogenic: disturbance of walking
Sensory: Blindness, loss of voice
Term
Factitious disorder
Definition
Illness are deliberately induced with no apparent external incentive
Term
Malingering
Definition
Faking a disorder to achieve some goal
Term
Etiology of Somatic symptom disorders: Biological
Definition
Genetic factors. Hardwired into central nervous system: exaggerated focus on bodily sensation
Term
Etiology of Somatic symptom disorders:Psychological
Definition
Role of reinforcement, modeling, catastrophic, cognitions, or combination of cognitive factors: unrealistically interpret and overestimate dangerousness of bodily sumptoms
Term
Etiology of Somatic symptom disorders:Social
Definition
Abuse from family, history of sexual abuse or rape, parenting , social restrictions on women
Term
Etiology of Somatic symptom disorders:sociocultural
Definition
restriction on women, culture factors: poverty->education, immigration status
Term
Treatments of Somatic symptom disorders:biological
Definition
SSRIs and increased physical activity
Term
Etiology of Somatic symptom disorders:Psychological
Definition
Focus is understanding clients view regarding problem, empathy, cognitive-behavioral-correct cognitive distortions, interoceptive exposure
Term
Dissociative Disorders
Definition
Dissociation or separation of a part of person's consciousness, memory or identity: personal information or events to psychological factors or stressors
Term
Dissociative Disorders: localized amnesia
Definition
Lack of memory for a specific event or events
Term
Dissociative Disorders: Dissociative fugue
Definition
Episode of complete loss of memory of one's life and identity, unexpected travel to new location, or assumption of new identity
Term
Depersonalization/Derealization Disorder
Definition
Feelings or unreality concerning the self and the environment
Feeling of unreality and detachment cause major impairment in social or occupational functioning
Term
Dissociative Identity Disorder
Definition
Two or more relatively independent personality states appear to exist in one person. possession
Term
Etiology of Dissociative Disorders: Biological
Definition
self report so difficult
Atypical brain functioning
Permanent structural changes in brain due to trauma may play a role
Term
Dissociative Disorders: Psychological
Definition
Psychodynamic theory: repression blocks unpleasant or traumatic events from consciousness, protects from painful memories or conflicts
Severe childhood abuse
Capacity to dissociate
Walling off the experience
Developing different memory systems
Term
Dissociative Disorders: Social and sociocultural
Definition
Sociocognitive model (SCM) displays of role enactments that have been created, legitimized, and maintained by social reinforcement.
mass media
Latrogenic disorder
High levels of hypnotizability and suggestibility
Term
Latrogenic disorder
Definition
untentionally produced by therapists actions and treatments strategies
Term
Treatments of Dissociative Disorders
Definition
Supportive counseling, hypnosis, personality reconstruction
Term
Treatments of Dissociative Disorders: Dissociative amnesia and fugue
Definition
Symptoms usually spontaneously end->depression and/or stress
antidepressants for depression
stress management fo stress
Term
Treatments of Dissociative Disorders: Depersonalization/derealization
Definition
spontaneous remission:slower rate
Alleviating feeling of depression, anxiety, or fear of going insane: antidepressants and anti anxiety med
Term
Treatments of Dissociative Disorders:DID
Definition
trauma based therapy to develop healthier ways of dealing with stressors
Hierachial treatment
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