Week 3 Dissociative Disorders Psychophysiological Disorders Flashcards

Question

Physiological Health Problems

Answer 1

``` Cardiovascular Musculoskeletal Respiratory Gastrointestinal Genitourinary Endocrinologic ```

Answer 2

incidence of cancer repression of negative emotions, passivity, apologetic, overly cooperative, low self esteem, needs of others placed before self...all this is linked to incidence of cancer

Answer 3

``` Somatization disorder Conversion disorder Pain disorder Body dysmorphic disorder Hypochondriasis ```

Answer 4

munchausen's | munchausen's by proxy

Answer 5

real physical symptoms that cannot be medically explained

Answer 6

abnormal cognitive patterns that are related to how a person thinks and feels in relation to the their physical surroundings. They THINK there is a problem, and there IS a problem...but the individual created it. It can be evaluated medically.

Answer 7

``` Exempt from usual activities (if you're sick, you don't go to work/school) Not responsible for illness Expected to desire health Expected to seek assistance Expected to cooperate with plan of care ```

Answer 8

benefit from having that illness

Answer 9

``` Indirect benefit of illness (you get lay down and watch tv all day) Increased attention Treats and special privileges Not responsible for illness Recipient of care and nurturing ```

Answer 10

dependency needs that haven't been met at some point in a particular way

Answer 11

Genetic Biochemical Psychodynamic Learning Theory

Answer 12

Physical symptoms not fully explained by a medical condition Symptoms do cause impairment or distress ****Symptoms are not intentionally produced****

Answer 13

Exam the next day, you FEEL sick. (but no fever, etc)

Answer 14

``` Physical complaints Cannot be explained medically Usual onset before age 30 Extends to a period over years Pain, GI, Sexual, Neuro symptoms Symptoms are not intentionally produced 0.2-2% women, 0.2% men, prevalence ```

Answer 15

Voluntary motor/sensory functions Symptom is initiated or exacerbated by stressor Symptoms not intentionally produced Symptoms cannot be explained medically Impaired social, occupational, or role functioning “La belle indifference”

Answer 16

very matter-a-fact about the situation. i woke up and I can't walk. Meh.

Answer 17

Pain requiring clinical focus Causes distress in social, occupational or role function Psychological factors contribute to onset Not intentionally produced Not accounted for by a Mood, Anxiety or Psychotic disorder

Answer 18

Unrealistic focus regarding a deformed or defective feature Excessive grooming to disguise Clinically significant impairment of social, occupational or role function Not better accounted for by another disorder

Answer 19

Ineffective/maladaptive coping Disturbance in self perception Fears of chronic disease Disturbance in sensory perception

Answer 20

``` Identify gains provided by symptoms Clear review of objective findings Regular supportive brief contacts Hear concerns regarding emotional pain Incentive to resolve symptoms Support healthy function- no focus on disability ID maladaptive coping- teach adaptive strategy ID episodes of increased symptoms ```

Answer 21

``` Establish therapeutic alliance Non judgmental approach Careful documentation Behavioral therapy Individual and/or group psychotherapy Psychopharmacology Team management of boundaries ```

Answer 22

Recognition of symptoms Replace maladaptive coping with adaptive strategies Verbalize relationship of increased anxiety to increased symptoms Increased role function Acceptance of self

Answer 23

Conscious fabrication of physical or psychological disorder symptoms Need to be seen as ill, impaired Often co-morbid with personality disorders Does not preclude true disorder Diagnosis *always* implies psychopathology

Answer 24

Predominant physical symptoms Signs and symptoms of an apparent medical condition Life revolves around obtaining care Disorder limited only by patient’s ability to maintain the symptoms Chronic disorder- lifelong pattern

Answer 25

Intentional production of symptoms in another (usually a child or a dependent individual) Goal is indirect assumption of sick role Usual co-morbidity personality disorder

Answer 26

No...treatment is unsuccessful

Answer 27

Prognosis is poor if child remains with offending adult | Prognosis is good if child is separated from offending adult

Answer 28

Thorough, written team approach | Documentation of communications, behaviors

Answer 29

Communicate among the team Care provided by team members Teaching

Answer 30

Team communication with family