Chapter 8 - Dissociative Disorders and Somatic Symptom Disorders Flashcards

1
Q

3 Major Dissociative Disorders

A

Dissociative Amnesia
Depersonalization/Derealization Disorder
Dissociative Identity Disorder

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2
Q

Inability to recall personal information, usually information about some traumatic experience, wherein the holes in memory are too extensive to be explained by ordinary forgetfulness

A

Dissociative Amnesia

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3
Q

Dissociative amnesia that incluedes the inablity to recall one’s past, confusion about identity or assumption of a new identity and sudden, unexpected travel away from home or work.

A

Fugue (Latin Fugere to Flee)

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4
Q

Dissociative disorders deficits in _____ memory but not _____ memory

A

Explicit, Implicit

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5
Q

Memory involving the conscious recall of experiences

A

Explicit Memory

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6
Q

Learning based on experiences that are not consciously recalled

A

Implicit memory

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7
Q

Memory fails slowly over time, not linked to stress, and is accompanied by other cognitive deficits

A

Dementia

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8
Q

When a person suddenly loses his or her sense of self and sensory experiences, usually triggered by stress. They may have the impression that they are out of their bodies, viewing themselves from a distance

A

Depersonalization/Derealization Disorder

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9
Q

The sensation that the world has become unreal

A

Derealization

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10
Q

Persistent or recurrent experiences of detachment from one’s mental processes or body despite intact reality testing

A

Depersonalization

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11
Q

Disruption of identity characterized by two or more distinct personality states (alters) or an experience of possession as evidence by discontinuities in sense of self, cognition, behavior, affect, perceptions, and/pr memories

A

Dissociative Identity Disorder

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12
Q

Model that proposes that some people are likely to use dissociation to cope with trauma

A

Posttraumatic Model

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13
Q

Model that suggests that DID is the result of learning to enact social roles

A

Sociocognitive Model

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14
Q

Evidence raised for Posttraumatic Model and Sociocognitive Model debate

A

DID symptoms can be role-played (Bianchi)
Alters share memories, even when they report amnesia
Detection of DID differs by clinician
Many DID symptoms emerge after treatment starts

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15
Q

Goal of treatment of DID

A

convince the person that splitting into different personalities is no longer necessary to deal with traumas

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16
Q

Hypnosis that encourated the patient to go back in his or her mind to traumatic events in childhood

A

Age regression

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17
Q

Excessive concerns about physical symptoms or health

A

Somatic symptom disorder

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18
Q

3 Major Somatic Symptom Disorders

A

Complex Somatic Symptom Disorder
Illness anxiety disorder
Functional neurological syndrome

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19
Q

Disorder involving major distress or energy expenditure regarding a somatic symptom

A

Complex somatic symptom disorder

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20
Q

Disorder involving neurological symptoms that are medically unexplained

A

Functional neurological syndrome

21
Q

Disorder that involves fears about having a major medical illness in the absence of somatic symptoms

A

Illness anxiety disorder

22
Q

Criticisms of Somatic Symptom Disorders

A

Diversity among people diagnosed with the conditions
Defined by health concerns that are cause excessive anxiety or involve too much expenditure of time and energy (Subjective)
Diagnosis stigmatized by patients and clinicians

23
Q

2 changes in DSM 5 that address stigma of Somatic Symptom Disorders

A

removed the criterion that symptoms be medically unexplained from complex somatic symptom disorder
changed the name of the set of disorders from somatoform to somatic symptom disorders

24
Q

Intentionally faking psychological or somatic symptoms to gain from those symptoms

A

Malingering

25
Q

Falsification of psychological or physical symptoms without evidence of gains from those symptoms

A

Factitious disorder

26
Q

core criteria for complex somatic symptom disorder

A

one or more somatic symptoms that are distressing or result in significant disruption in daily life
excessive anxiety, concern or time and energy devoted to the somatic concern
duration of at least 6 months

27
Q

Disorders in the DSM IV TR that were merged to form complex somatic symptom disorder

A

Pain disorder and Somatization Disorder

28
Q

Preoccupation with fears of having a serious disease despite having no significant somatic symptoms

A

Illness anxiety disorder

29
Q

Criteria for diagnosis Illness Anxiety disorder

A

fears must lead to excessive care seeking or maladaptive avoidance behaviors
6 months
Preoccupation with and high level of anxiety about acquiring serious disease
Excessive illness behavior or maladaptive avoidance
No more than mild somatic symptoms present
not explained by other psych disorders

30
Q

Unfounded fear about serious illness, but have somatic symptoms that are a focus of their concerns

A

hypochondriasis

31
Q

Person suddenly develops neurological symptoms but medical tests indicate that the organs or systems are fine

A

functional neurological disorder

32
Q

wherein the visual field is constricted as it would be if the person were peering through a tube

A

tunnel vision

33
Q

loss of the voice over than whispered speech

A

aphonia

34
Q

loss of the sense of smell

A

anosmia

35
Q

an affliction limited to women brought about byt the wandering of the uterus through the body

A

hysteria GK Womb Hippocrates

36
Q

Criteria for diagnosis Functional Neurological Disorder

A

One or more neurologic symptoms affecting voluntary motor function, sensory function, cognition or seizure-like episodes
Physical signs or diagnostic findings are internally inconsistent or incongruent with recognized neurological disorder
Symptoms cannot be explained by a medical condition
Symptoms cause significant distress or functional impairment or warrant medical evaluation.

37
Q

common medical term for describing symptoms that are not explained by a medical disorder

A

functional

38
Q

anxiety and psychological conflict are converted to physical symptoms

A

Conversion theory Sigmund Freud

39
Q

in which a person experiences little or no sensation in the part of the hand and lower arm that would be covered by a glove

A

glove anesthesia

40
Q

tunnel wherein the nerves in the wrist run through becomes swollen, leading to tingling, numbness or pain in the hand

A

carpal tunnel syndrome

41
Q

Regions of the brain in charge of pain (physical and emotional) and uncomfortable physical sensations

A

anterior insula and anterior cingulate

42
Q

region of the brain involved with processing bodily sensations

A

somatosensory cortex

43
Q

Cognitive behavioral factors that increase awareness of an distress over somatic symptoms

A

focus on cues of physical health problems

attributional style

44
Q

Behavioral consequences of feeling sick

A

assume role: avoid work, social tasks, limit healthy behavior
seek reassurance from doctors and family members

45
Q

Conversion disorder wherein patients have suffered lesions in the visual cortex and report themselves blind but can perform well on some specific visual tests.

A

blindsight

46
Q

2 stage model for reports of blindness

A

people can process visual information outside of conscious awareness
motivation

47
Q

Social and Cultural factors Functional Neurological disorder

A

tolerance

medical diagnostic practices

48
Q

Cognitive Behavioral Treatment Somatic Symptom Disorders

A

identify and change emotions that trigger their somatic concerns
change cognitions regarding their somatic symptoms
change behaviors to stop playing the role of a sick person