Ch.5

Question 1

somatic symptom disorder

Answer 1

disorder involving extreme and long-lasting focus on multiple physical symptoms for which no medical cause is evident
soma- “body”
onset usuallly in adolescence
chronic
causes may be from familial history/stressful life events/ sensitivity to physical sensations/ benefits to illness

Question 2

dissociative disorder

Answer 2

disorder in which individuals feel detached from themselves or their surroundings and feel reality, experience, and identity may disintegrate
affect identity, memory, or consciousness

Question 3

illness anxiety disorder

Answer 3

somatic symptom disorder (previously known as somatoform disorder) involving severe anxiety over belief in having a disease process without any evident physical cause
medical reassurance does not seem to help
onset at any age
chronic
caused by cognitive perceptual distortions/ familial history of illness

Question 4

psychological factors affecting medical condition

Answer 4

the presence of a diagnosed medical condition that is adversely affected (increased in frequency or severity) by one or more psychological or behavioral factors

Question 5

conversion disorder

Answer 5

physical malfunctioning, such as blindness or paralysis, suggesting neurological impairment buy with no organic pathology to account for it
malingering: faking
rare with chronic course
onset in adolescence
freudian psychodynamic view still common
primary/secondary gains- attention, sympathy

Question 6

malingering

Answer 6

deliberate faking of a physical or psychological disorder motivated by gain

Question 7

factitious disorder

Answer 7

non-existent physical or psychological disorder deliberately faked for no apparent gain except, possibly, sympathy and attention

Question 8

derealization

Answer 8

situation in which the individual loses a sense of the reality of the external world
ie: living in a dream
things may change shape or size/ people may seam dead

Question 9

depersonalization-derealization disorder

Answer 9

dissociative disorder in which feelings of depersonalization are so severe they dominate the client’s life and prevent normal functioning
recurrent
may happen after extremely stressful event or extreme exhaustion
high comorbidity w/ anxiety and mood disorders
onset typically in adolescence
usually chronic
little known for treatment

Question 10

dissociative amnesia

Answer 10

dissociative disorder featuring the inability to recall personal information;usually of a stressful or traumatic nature
usually begin in adulthood with rapid onset and dissipation
little known for causes… possibly stroke or brain injury
most get better w/out treatment and remember forgoten

Question 11

generalized amnesia

Answer 11

loss of memory of all personal information, including identity

Question 12

localized or selective amnesia

Answer 12

memory loss limited to specific times and events, particularly traumatic events

Question 13

dissociative fugue

Answer 13

dissociative disorder featuring sudden, unexpected travel away from home, along with an inability to recall the past, sometimes with assumption of a new identity
usually begin in adulthood with rapid onset and dissipation
little known for causes… possibly stroke or brain injury
most get better w/out treatment and remember forgoten

Question 14

dissociative trance

Answer 14

altered state of consciousness in which people firmly believe they are possessed by spirits; considered a disorder only where there is distress and dysfunction
dissociative symptoms and sudden changes in personality
often attributable to life stressor or trauma
little known for treatment

Question 15

dissociative identity disorder (DID)

Answer 15

disorder in which as many as 100 personalities or fragments of personalities coexist within one body and mind. formerly known as multiple personality disorder
average 15 personalities
ratio F to M 9:1
onset in childhood or adolescence
chronic
linked to history of severe, chronic trauma, often abuse in childhood

Question 16

alters

Answer 16

shorthand term for alter ego, one of the different personalities or identities in dissociation identity disorder

Question 17

SSD treatment

Answer 17

CBT is best
reduce visits to medical specialists
assign gatekeeper physician
reduce supportive consequences of talk about symptoms

Question 18

IAD treatment

Answer 18

challenge illness-related misinterpretations
provide more substantial and sensititve reassurance and education
stress management and coping strategies
CBT
antidepressants

Question 19

CD treatment

Answer 19

if onset after trauma, may need to process trauma or treat posttraumatic symptoms
remove sources of secondary gain
reduce supportive consequences of talk about physical symptoms

Question 20

depersonalization

Answer 20

distortion in perception of one’s own body or experience

eg: feeling like own body isnt real/ feeling outside themselves

Question 21

host

Answer 21

the identity that keeps other identities together

Question 22

switch

Answer 22

quick transition form one personality to another

Question 23

DID treatment

Answer 23

focus on reintegration of identities
identity and neutralize cues/triggers
patient may have to relive and confront early trauma

Question 24

false memories

Answer 24

easy to create through suggestibility

therapists need to be careful not to suggest an untrue history by mistake