Download Somatic Symptom Disorder

DISSOCIATIVE
AND SOMATIC
SYMPTOM DISORDERS
CHAPTER 9
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written consent of McGraw-Hill Education.
DISSOCIATIVE DISORDERS
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written consent of McGraw-Hill Education.
FORMS OF DISSOCIATIVE DISORDERS
• Dissociative identity disorder:
• Formerly called multiple personality disorder
• An individual develops more than one self or personality
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written consent of McGraw-Hill Education.
DISSOCIATIVE AMNESIA
• An inability to remember important personal details
and experiences that is associated with traumatic
or very stressful events.
• This amnesia can be diagnosed with a specifier of
dissociative fugue:
• During which they travel or wander without knowing their
identity.
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written consent of McGraw-Hill Education.
DEPERSONALIZATION/
DEREALIZATION DISORDER
• A dissociative disorder in which the individual
experiences recurrent and persistent episodes of
depersonalization, derealization, or both:
• Depersonalization is the condition in which people
feel they are detached from their own body.
• Derealization is a condition in which people feel a
sense of unreality or detachment from their
surroundings
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written consent of McGraw-Hill Education.
TREATMENT OF
DISSOCIATIVE DISORDERS
• Goal
• Integrate alters
• Methods
• Hypnotherapy
• Cognitive behavioral techniques
• Treatment of dissociative disorders oft en involves
not only these disorders themselves, but also
associated disorders of mood, anxiety, and posttraumatic stress.
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written consent of McGraw-Hill Education.
ITEMS FROM THE SCID-D-R
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written consent of McGraw-Hill Education.
THE BIOPSYCHOSOCIAL
PERSPECTIVE
• Distinctions between real and fake psychological
symptoms
• Cognitive-behavioral explanations
• How stress affects physical functioning
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written consent of McGraw-Hill Education.
SOMATIC SYMPTOM AND
RELATED DISORDERS
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written consent of McGraw-Hill Education.
SOMATOFORM DISORDERS
• Somatic symptoms involving physical problems
and/or concerns about medical symptoms.
• The term “somatic” comes from the Greek word “soma,”
meaning body.
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written consent of McGraw-Hill Education.
SOMATIC SYMPTOM DISORDER
• Somatic Symptom Disorder involves physical symptoms
that may or may not be accountable by a medical
condition.
• They also have maladaptive thoughts, feelings, and behaviors.
• People with this disorder think to a disproportionate degree
about the seriousness of their symptoms.
• They feel extremely anxious about them, and spend a great deal of
time and energy to the symptoms or their concerns about their
health.
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written consent of McGraw-Hill Education.
ILLNESS ANXIETY DISORDER
• Illness Anxiety Disorder is a somatic symptom
disorder characterized by the misinterpretation of
normal bodily functions as signs of serious illness.
• People with this disorder fear or mistakenly believe
that normal bodily reactions represent the
symptoms of a serious illness.
• Formerly called Hypocondriasis.
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written consent of McGraw-Hill Education.
CONVERSION DISORDER
(FUNCTIONAL NEUROLOGICAL
SYMPTOM DISORDER)
• A somatic symptom disorder involving the translation of
unacceptable drives or troubling conflicts into physical
symptoms.
• Clients with conversion disorder show a wide range of
physical ailments:
•
•
•
•
•
•
•
Pseudoseizures
Disorders of movement
Paralysis
Weakness
Disturbances of speech
Blindness and other sensory disorders
Cognitive impairment
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CONDITIONS RELATED TO SOMATIC
SYMPTOM DISORDERS
• Factitious disorder imposed on self, people fake symptoms or
disorders, not for the purpose of any particular external gain but
because of an inner need to maintain a sick role.
• The individual may also feign the illness of someone else in cases of
factitious disorder imposed on another (or Munchausen’s syndrome
by proxy)
• Malingering is the fabrication of physical or psychological symptoms
for some ulterior motive.
• No longer a diagnosis in the DSM
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written consent of McGraw-Hill Education.
THEORIES AND TREATMENT OF
SOMATIC SYMPTOM
AND RELATED DISORDERS
•
•
•
•
Cognitive behavioral therapy
Hypnotherapy
Medication
Interpersonal therapy
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written consent of McGraw-Hill Education.
PSYCHOLOGICAL FACTORS AFFECTING
OTHER MEDICAL CONDITIONS
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written consent of McGraw-Hill Education.
PSYCHOLOGICAL FACTORS AFFECTING
MEDICAL CONDITIONS
• Disorder in which clients have a medical disease or
symptom that appears to be exacerbated by
psychological or behavioral factors.
• Depression, stress, denial of a diagnosis, or engaging in poor
or even dangerous health related behaviors
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written consent of McGraw-Hill Education.
PSYCHOLOGICAL FACTORS AFFECTING OTHER
MEDICAL CONDITIONS
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written consent of McGraw-Hill Education.
STRESS AND COPING
• Stress
• Coping strategies for stress
• Problem-focused
• Emotion-focused
• Emotional expression
• Personality style
• Type A behavior pattern
• Type D personality
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written consent of McGraw-Hill Education.
APPLICATIONS TO BEHAVIORAL
MEDICINE
• Behavioral medicine: An interdisciplinary approach
to medical conditions affected by psychological
factors that is rooted in learning theory
• Psychoeducation
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written consent of McGraw-Hill Education.
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chapter, visit our Web site:
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