Chapter 6: Somatic Symptoms and Related Disorders and Dissociative Disorders

Question 1

Somatic Symptom Disorder

Answer 1

characterised by consistently incorrect association/prediction surrounding illness based on somatic sensations/symptoms
6+ months
formerly Briquet’s Syndrome

Question 2

SSD 1/3 Reqs.

Answer 2

persistent thoughts about symptoms
anxiety about health/symptoms
time and energy devoted to these symptoms

Question 3

Koro

Answer 3

Chinese culture; the idea that genitals are retracting into the body

Question 4

Illness Anxiety Disorder

Answer 4

characterised by fear/anxiety about having a disease, though it usually doesn’t have somatic symptoms
formerly hypochondriasis

Question 5

Dhat

Answer 5

Indian culture; the loss of semen bringing on thoughts of potentially becoming ill

Question 6

Kyol goeu/Khyal

Answer 6

wind overload (too much wind in the body); associated with dizziness, weakness, fatigue

Question 7

Conversion Disorder

Answer 7

characterised by physical malfunctioning that has no apparent organic cause; neurophysiological in nature (like blindness or paralysis)

Question 8

Factitious Disorder

Answer 8

characterised by someone faking symptoms of an illness/induces illness upon themselves to gain some kind of intrinsic benefit

Question 9

Factitious Disorder imposed on another

Answer 9

characterised by someone physically creating symptoms of illness in another person so that they can care for the ill (ex making a child ingest poison)

Question 10

Derealisation

Answer 10

sense of external world/reality is lost

Question 11

Depersonalisation

Answer 11

temporary loss of the sense of one’s self/own reality, thinkg 3rd Person POV

Question 12

Dissociation

Answer 12

separating of the conscious experience so that it is no longer experienced in full

Question 13

Disintegrated experience

Answer 13

when someone forgets who they are, takes on false memories, and can alter their sense of self/reality

Question 14

Depersonalisation-Derealisation Disorder

Answer 14

characterised by feelings of unreality dominating ones life, and bringing monumental distress
show an inhibited emotional response to stimuli

Question 15

Dissociative Amnesia

Answer 15

characterised by retrospective loss of memory
associated with current trauma
can be attributed to possession, spirits, or seen as more acceptable in other cultures

Question 16

Dissociative Fugue

Answer 16

characterised by memory loss of a trip somewhere, occurring usually to escape an unbearable situation
usually has the memories come back
can be characterised by the adoption of a new identity or identity disintegration

Question 17

Amok

Answer 17

non-Western form of DD
afflicts men more often
a trance-like state while performing a violent action, usually killing another person or animal
if they are not successful in their goal, they usually kill themselves

Question 18

Dissociative Identity Disorder

Answer 18

categorised by experiencing multiple personalities (2+, usually 15)
recurrent gaps of everyday info, important personal info, or traumatic events
not part of what is widely accepted in a culture

Question 19

Host

Answer 19

the main personality who tries to hold the person together, and is often not the original personality

Question 20

Switch

Answer 20

the transition between one identity/personality and another

Question 21

Prevalence of DID

Answer 21

9:1 for women and men
onset is usually childhood
comorbidity with anxiety, substance abuse, depression, etc

Question 22

Etiology for DID

Answer 22

immense childhood abuse/trauma + lack of social support during/after the abuse
unlikely to develop past 9yo
Autohypnotic model: those who are more susceptible can use dissociation to escape/defend against trauma
generalised biological vulnerability to stress/tension
false memories being planted potentially

Question 23

Treatment for DID

Answer 23

working through triggers through visualisation
hypnosis
antidepressants (though not widely used)

Question 24

Etiology for SSD

Answer 24

tends to link up with a tragic event
tend to have disproportionate incidence of disease compared to family members
functionality of the sick role
generalised psych vulnerability
negative feedback loop caused by cognitions and perceived symptoms

Question 25

Treatment for SSD and Related Disorders

Answer 25

CBT, exposure therapy, and antidepressants