Somatization Flashcards
Final exam (40 cards)
Psychosomatic
connection between mind (psyche) and body (soma)
Hysteria
multiple physical complaints with no organic basis
What was proposed by Freud:
Proposal by Freud that people can convert unexpressed emotions into physical symptoms
Hysteria
Somatization
transference of mental experiences, states into body symptoms
Somatic Symptom Illness have how many central features?
3
What are the three central features of somatic symptom illnesses?
- Physical complaints suggest major medical illness but have no demonstrable organic basis.
- Conflicts and/or stress seem important in initiating, exacerbating, and maintaining symptoms.
- Symptoms or magnified health concerns are not under client’s conscious control.
Types of Somatic Symptom Illnesses are described as:
Medical Conditions that can not be explained by medical evaluation
Three types of somatic symptom illnesses
- Somatic symptom disorder
- Conversion disorder
- Pain Disorder
When are somatic symptom disorders diagnosed?
Somatic symptom disorder isdiagnosed when a person has a significant focus on physical symptoms, such as pain, weakness or shortness of breath, to a level that results in major distress and/or problems functioning.
Conversion disorder
Conversion disorder isa condition in which a person experiences physical and sensory problems, such as paralysis, numbness, blindness, deafness or seizures, with no underlying neurologic pathology.
When do symptoms of conversion disorder usually begin?
Symptoms usually begin suddenly after a period of emotional or physical distress or psychological conflict
What does conversion disorder display?
Conversion disorder, displays la belle indifférence )
la belle indifférence
lack of concern about health condition
Pain disorder
Pain disorder ischronic pain which is believed to be caused by psychological stress. The pain is often so severe that it disables the patient from proper functioning.
When is the onset of somatization? When is diagnosis made?
Symptoms often experienced in adolescence; diagnoses may not be made until early adulthood.
Are somatic illnesses chronic or recurrent?
Either chronic or recurrent
How do patients relieve symptoms of somatic illnesses?
Clients go from one physician or clinic to another, or see multiple providers at once, to obtain relief of symptoms except conversion disorder
Patients with what disorder do not go to different doctors to relieve symptoms?
Clients go from one physician or clinic to another, or see multiple providers at once, to obtain relief of symptoms except conversion disorder
How do patients with somatic illnesses feel about healthcare in general?
Clients tend to be pessimistic about medical establishment.
How are somatic illnesses controlled by the patient?
The symptoms of somatic symptom illness are not under the client’s voluntary control.
Treatment of somatic illnesses
Symptom management, improvement in quality of life
Antidepressants for accompanying depression: SSRIs
Therapy
Stress Management
Somatic Illness Nursing Process Application Assessment- What do you do first
Investigation of physical health status; screening
Somatic Illness Nursing Process Application Assessment- History
usually detailed medical history; distress about health status (except client with conversion disorder, who displays la belle indifférence )lack of concern about health condition
Somatic Illness Nursing Process Application Assessment- appearance and motor behavior
General appearance and motor behavior
