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DISSOCIATIVE AND SOMATOFORM DISORDERS TODAY IN PSYCH Review worksheet of Anxiety and Mood disorders Dissociative and Somatoform disorders notes DISSOCIATION separation of a group of mental processes or ideas from the rest of the personality NORMAL DISSOCIATION? Engrossed in reading or watching TV Driving Lose track of the world around you Missing an exit Daydreaming WHEN IS IT A PROBLEM? When it occurs as a way to avoid stressful events or feelings When dissociation is used to decrease anxiety DISSOCIATIVE AMNESIA Sudden loss of memory Triggered by stress/trauma May last hours – years Memory can suddenly return DISSOCIATIVE FUGUE Amnesia and development of new identity When fugue ends, person has no memory of “second identity” DISSOCIATIVE IDENTITY DISORDER 2+ personalities in one person Take turns controlling the individual Uniqueness of personalities Most commonly seen in victims of abuse DEPERSONALIZATION DISORDER Feelings of detachment from one’s mental processes or body Common symptom of other psychological disorders VIEWS ON DISSOCIATIVE DISORDERS Psychoanalytic theory People dissociate to repress unacceptable urges Learning theory People have learned to escape guilt/shame/pain by dissociating SOMATOFORM DISORDERS SOMATOFORM Expression of psychological distress through physical symptoms DIFFERENT FROM MALINGERING? Somatoform disorders are real They actually feel pain Malingering if faking DIFFICULT TO DIAGNOSE Physical symptoms confuse and mislead doctors Tendency of doctors to focus on the physical symptoms, but not psychological CONVERSION DISORDER Change or loss on physical functioning in a major part of the body w/o any medical explanation HYPOCHONDRIA People unrealistically preoccupied with thoughts that they have a serious disease VIEWS ON SOMATOFORM DISORDERS Psychoanalytic Conversion view Repressed emotions and urges are expressed physically Stress is converted to actual medical problems Behavioral somatoform symptoms reinforce the person because they help a person escape from anxiety