Chapter 6 - Dissociative and Somatic Symptoms Flashcards Preview

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Flashcards in Chapter 6 - Dissociative and Somatic Symptoms Deck (76)
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1

What do dissociative disorders include?

a wide range of different symptoms that involve severe disruptions in consciousness, memory, and identity

2

What do somatic symptom disorders include?

long-standing beliefs that they have a serious illness, resulting in excessive anxiety and dysfunction

3

Hysteria

emotional excitability and physical symptoms such as convulsions, paralyses, numbness, loss of vision etc. - in the absence of any evident organic cause

4

What did Plato believe about hysteria? (Ancient Greece)

symptoms were caused in women by a wondering womb - believed womb was like an animal that desired to reproduce

5

Hysteria - Middle Ages

supernatural explanations - demonic possession and exorcism was usually the treatment

6

Pierre Janet

viewed breakdown in mental processes occurring as a result of exposure to traumatic experiences

7

Josef Breuer and Sigmund Freud

trauma (often as sexual nature) was a pre-disposing factor for hysteria and established a relationship between dissociation and hypnotic-like states

8

Conversion symptoms - Freud

expressions of unconscious psychological symptoms
ex. "conversion" of anxiety is more acceptable physical symptoms relieved the pressure of having to dealing directly with the conflict

9

primary gain

avoidance of conflict - primary reinforcement maintaining the somatic symptoms

10

secondary gain

benefits a patient may either unknowingly or knowingly seek by adopting a sick role

11

dissociative disorders

severe maladaptive disruptions or alterations of identity, memory, and consciousness that are experienced as being beyond one's control

12

dissociation

lack of normal integration of thoughts, feelings, and experiences in consciousness and memory

13

dissociative amnesia

inability to recall important personal information - no organic impairment

14

five patterns of memory loss

1) localized amnesia
2) selective amnesia
3) generalized amnesia
4) continuous amnesia
5) systematized amnesia

15

localized amnesia

specific period of time is not recalled

16

selective amnesia

certain aspects of the event are not recalled

17

generalized amnesia

all information from the past is not recalled

18

continuous amnesia

from specific time until present is not recalled

19

systematized amnesia

certain types of information is not recalled

20

which three patterns of memory loss are less common

generalized amnesia, continuous amnesia and systematized amnesia - commonly associated with diagnosis of dissociative identity disorder

21

what is a subtype of dissociative amnesia

dissociative fugue

22

dissociative fugue

patient forgets their identity and may move away and assume a new identity - functioning is rarely impaired, linked to trauma

23

repressed memories

memories of traumatic events that a person forgets about/repress

24

depersonalization/derealization disorder

dissociation disorder in which the individual has persistent or recurrent experiences of depersonalization/derealization

25

depersonalization

sense of unreality and detachment from their own thoughts, feelings, sensations, actions, or body

26

derealization

sense of unreality/detachment from surroundings - experience people or objects in their environment as unreal, dreamlike, foggy or distant

27

when is depersonalization/derealization disorder?

when severe depersonalization is the primary problem

28

dissociative identity disorder (DID)

patient has two or more distinct personality that regularly take control of the patient's behaviour

29

alters

each subsequent personality

30

host

one personality is considered this