Somatoform and dissociative disorders Flashcards Preview

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Flashcards in Somatoform and dissociative disorders Deck (25):
1

The process by which psychological needs are expressed in the form of physical symptoms; associated with repressed anxiety.

Somatization

2

Severe and prolonged pain that causes impairment in functioning; cannot be explained by known medical conditions; frequent visits to physicians; excessive use of analgesics; requests for surgery.

Pain disorder

3

Enables client to avoid some unpleasant activity

Primary gain

4

Promotes emotional support or attention that the client might not otherwise receive

Secondary gain

5

Unrealistic or inaccurate interpretation of physical symptoms or sensations , leading to preoccupation and fear of having a serious disease; history of "doctor shopping";

Hypochondriasis

6

"pseudoneurological" ; affect voluntary motor or sensory function ; loss or change in body function resulting from psychological conflict (blindness, paralysis ...); lack of concern - la belle indifference

Conversion disorder

7

False pregnancy - conversion disorder

Pseudocyesis

8

Characterized by the exaggerated belief that the body is deformed or defective in some specific way (acne, thinning hair, facial swelling, asymmetry ...)

Body dysmorphic disorder

9

The splitting off clusters of mental contents from conscious awareness.

Dissociation

10

Inability to recall important personal information, usually of a traumatic or stressful nature
1. Localized - all incidents associated with traumatic event (for specific time)
2. Selective - only certain incidents (for specific time)
3. Continuous - after specific time up to now
4. Generalized - entire lifetime + personal identity
5. Systematized - events that relate to specific category of information (family or event)

Dissociative Amnesia

11

Sudden, unexpected travel away from home with inability to recall some or all of ones past ; assumes a new identity; rapid recovery

Dissociative Fugue

12

Existence of two or more personalities in a single individual ; transition from one personality to other is sudden ; each personality is unique ; may be unable to recall - "gaps"

Dissociative Identity Disorder

13

Disturbance in the perception of oneself ; feelings of unreality, changes in body image , feelings of detachment from the environment, or a sense of observing oneself from outside the body.

Depersonalization disorder

14

1. Ineffective coping
2. Deficient knowledge (psychological causes for physical symptoms )

ND: somatization disorder

15

1. Chronic pain
2. Social isolation

ND: pain disorder

16

1. Fear (of having serious disease)
2. Chronic low self esteem

ND: hypochondriasis

17

1. Disturbed sensory perception
2. Self care deficit

ND: conversion disorder

18

1. Disturbed body image

ND: Body dysmorphic disorder

19

1. Disturbed thought process
2. Powerlessness

ND: Dissociative amnesia

20

1. Ineffective coping
2. Risk for other directed violence

ND: Dissociative fugue

21

1. Risk for suicide
2. Disturbed personal identity

ND: DID

22

1. Disturbed sensory perception ( Visual and Kinesthetic )

ND: Depersonalization disorder

23

1. Supportive psychotherapy
2. Amobarbital - retrieve lost memories
3. Hypnosis

TX: Dissociative amnesia

24

1. Supportive psychotherapy
2. Amobarbital , hypnosis
3. Cognitive therapy - thinking pattern
4. Group therapy

TX: Dissociative fugue

25

1. Intensive, long-term psychotherapy (integration)
2. Abreaction - "remembering with feeling"

TX: Dissociative identity disorder