Exam 2 Flashcards
(43 cards)
dissociative disorders
- the person experiences disruptions of consciousness
- they lose track of self-awareness, memory, and identity
somatoform disorders
- the person complains of bodily symptoms that suggest a physical defect or dysfunction that no physiological reason can be found for
- psychological symptoms take a physiological form
dissociation
when some aspects of cognition or experience are inaccessible consciously
dissociative amnesia
memory loss, typically of a stressful experience
dissociative fugue
memory loss accompanied by leaving home and establishing a new identity
depersonalization disorder
alteration in the experience of the self
dissociative identity disorder
at least two distinct personalities that act independently of each other (usually associated with trauma)
posttraumatic model theory of DID
- some people are particularly likely to use dissociation to cope with trauma
- children who dissociate are more likely to develop psychological symptoms after trauma
sociocognitive model theory of DID
- it is the result of learning to enact social roles
- alters appear in response to suggestions by therapists, exposure to media reports of DID, or other cultural influences
treatment for DID
- empathic and gentle stance with the goal of helping the client function as one wholly integrated person
- assist with healthy coping techniques
pain disorder
pain brought on by psychological factors
body dismorphic disorder
preoccupation with imagined or exaggerated defects in physical appearance
hypochondriasis
- preoccupation with fears of have a serious illness
- must persist for at least 6 months
somatization disorder
- AKA Briquet’s syndrome
- recurrent,multiple physical complaints that have no biological basis
conversion disorder
- sensory or motor symptoms without any physiological cause
- ex: paralysis, loss of voice
malingering
physical incapacity faked to avoid responsibility
factitious disorder
- AKA Munchhausen’s
- intentionally produced symptoms
- deceptive behavior is present without obvious external rewards
- factitious disorder imposed on self: present themselves as ill or injured
- factitious disorder imposed on another: person fabricates or induces symptoms in another person and presents that person as ill or injured
etiologies of conversion disorder
- psychodynamic: results when a person experiences an emotionally overwhelming event, but the emotion isn’t expressed and the memory is cut off from consciousness (no support)
- psychodynamic revised: there’s a disruption in the normal functions of consciousness so the person doesn’t have an explicit awareness of sensory and motor info
- social and cultural factors: it is more likely to occur in cultures and subcultures that prohibit psychological expression of distress
cognitive behavioral models for somatoform disorders
- Physiological symptom because of either a medical illness or a nonpathological change in physiological functioning
- They pay greater attention to these symptoms
- Make negative attributions to the symptoms
- Catastrophizing the symptoms leads to symptom exacerbation and further distress
- Person may assume the sick role
- Person may seek reassurance from family and doctors and the help-seeking behavior is reinforced if it results in the person getting attention or sympathy
treatment for somatoform disorders
- CBT:
- Identify and change the emotions that trigger their somatic concerns
- Change their cognitions regarding their somatic symptoms
- Change their behaviors so they stop playing the role of a sick person and gain more reinforcement for engaging in other types of social interactions
- Treating anxiety and depression often reduces some somatoform symptoms
- Training people to pay less attention to their body or help people identify and challenge negative thoughts about their bodies.
- Helping people resume healthy activities and decrease reliance on playing the sick role
major depressive disorder
- must include depressed mood or loss of interest and pleasure and at least four symptoms or 5 symptoms in DSM-5
- requires depressive symptoms for 2 weeks
- episodic disorder
dysthymia
- depressed mood for most of the day for more than half the time for 2 years (1 year for children and adolescents)
- symptoms don’t clear for more than 2 months at a time
bipolar I disorder
- single episode of mania or mixed episode in a person’s life
- may or may not be experiencing current symptoms of mania when diagnosed
- don’t need to have a depressive episode
bipolar II disorder
- milder form of bipolar disorder
- one major depressive episode and at least one episode of hypomania