Ch. 7: Somatic and Dissociative Disorders/Symptoms Flashcards

1
Q

What is the definition of somatic?

A

of the body, not mental

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2
Q

Factitious disorder is also known as __________ syndrome

A

Munchausen

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3
Q

What are the symptoms of factitious disorders?

A

Purposeful producing of symptoms with no medical cause

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4
Q

Describe Munchausen by proxy

A

A caregiver or parent of a child will fake a child’s symptoms to get attention

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5
Q

A functional neurological sx disorder is also known as a __________ disorder

A

conversion

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6
Q

What are some symptoms of a conversion disorder?

A

Symptoms that affect motor/sensory functioning with no neurological basis
Pt. does not purposely produce symptoms

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7
Q

What criteria need to be present to diagnose a person with Somatic Symptom disorder?

A

1+ symptoms that are interrupting daily life.

Excessive thoughts or feelings about somatic symptoms, persistent for over 6 months.

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8
Q

What must you specify in somatic symptom disorder?

A

Predominant pain

Persistent more than 6 mo.

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9
Q

What are the severity specifications in somatic symptoms disorder?

A

Mild: 1sx from 2nd criteria
Moderate: 2sx from 2nd criteria
Severe: 2 sx from 2nd criteria plus multiple somatic sx

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10
Q

What is the psychodynamic view on the cause of conversion/somatic symptom disorders?

A

Unconscious conflicts from childhood

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11
Q

What is the primary gain of the psychodynamic view on conversion/somatic symptoms disorder

A

Somatic symptoms keep internal conflict out of awareness

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12
Q

What is the secondary gain of the psychodynamic view on conversion/somatic symptoms disorder?

A

Somatic symptoms elicit kindness from others or an excuse to avoid unpleasant activities

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13
Q

What view says somatic symptoms bring rewards to the patient in conversion/somatic disorders?

A

Behavioral

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14
Q

What does the cognitive view say about conversion/somatic symptoms disorder?

A

Somatic symptoms are a form of communication, a way to express emotions that are difficult to convey.

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15
Q

What does the multicultural view say about conversion/somatic symptoms disorder?

A

Somatic symptoms are superior to psychological ones, experienced by many cultures

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16
Q

What does the biological view say about conversion/somatic symptoms disorder?

A

Symptoms are primarily psychological/sociocultural but rule of placebo here

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17
Q

What are some treatment options for those with conversion/somatic symptom disorder?

A

Though psychotherapy is last resort, if they agree it is used with drugs. There’s also insight, exposure, drug therapy (causes) and hypnosis, reinforcement and confrontational (physical)

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18
Q

Illness anxiety disorder (hypochondria) is what?

A

Preoccupation with having or getting an illness. Performs excessive health related behaviors that last for at least 6 months

19
Q

Describe body dysmorphic disorder?

A

Concerned about minor flaws in appearance. Many seek plastic surgery and perform repetitive behaviors to relieve appearance concerns.

20
Q

A loss of memory and identity with no physical cause, usually trigger?

A

Dissociative disorders

21
Q

Describe dissociative amnesia?

A

Can’t recall important info, usually upsetting in nature

22
Q

What is localized amnesia?

A

memory loss with limited time frame

23
Q

What is selective amnesia?

A

remember some, not all, of specific time

24
Q

What is continuous amnesia?

A

memory loss past event to present

25
Q

Describe dissociative fugue?

A

Person abruptly forgets personal identity and life details.
Flee to new location
Can last hours to months

26
Q

Describe Dissociative Identity Disorder?

A

Pt has distinct subpersonalities with their own features.

27
Q

__________ is a transition from one subpersonality to another.

A

Switching

28
Q

In DID, when a patient has no awareness of the other personalities, is it known as what?

A

mutually amnesic relationships

29
Q

A mutually cognizant pattern is what?

A

Pt. with DID has awareness of other personalities.

30
Q

When some personalities are aware of the others, this is known as what?

A

One-way amnesic relationships

31
Q

Co-conscious subpersonalities are what?

A

Those who are aware

32
Q

Psychodynamic view of dissociative disorders says that they are caused by ________.

A

repression

33
Q

Behavioral view on dissociative disorders is what?

A

response is learned thru operant conditioning, reinforced for forgetting.

34
Q

What is state dependent learning?

A

Learning is associated with condition under which it occurred. May recall event when aroused. Different levels may produce subpersonalities.

35
Q

What is self-hypnosis?

A

parallel between hypnotic amnesia and dissociative disorders. Some theorists believe dissociative state may be self hypnotic state.

36
Q

What is the psychodynamic therapy for dissociative amnesia?

A

Search unconscious to bring forgotten experiences into consciousness

37
Q

Hypnotherapy helps guide patients to _______ events.

A

forget

38
Q

What’s sodium pentobarbital?

A

Truth serum used to recall forgotten memories?

39
Q

What is the prognosis of DID?

A

Treatment is complex but most patients won’t recover without it.

40
Q

What is the therapists’ role in helping patients with DID?

A

educate on disorder, recover gaps in memory, and integrate subpersonas into one persona.

41
Q

Describe depersonalization-derealization disorder?

A

No memory loss, but one feels that their mental functioning and surroundings are detached.

42
Q

Observing self from outside, mind appears to be floating above is known as what?

A

doubling

43
Q

What groups of people are depersonalization-derealization disorder found in?

A

Kidnapping, rape and torture victims