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Transcript 
SOMATOFORM DISORDERS,
PSYCHOLOGICAL FACTORS
AFFECTING MEDICAL
CONDITIONS, AND
DISSOCIATIVE DISORDERS
CHAPTER 6
© 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in any manner. This document
may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
SOMATOFORM DISORDERS
© 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in any manner. This document
may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
SOMATOFORM DISORDERS
• soma = “body” in Greek
• Conditions in which psychological conflicts are
translated into physical problems or complaints
• Psychological in nature
© 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in any manner. This document
may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
CONVERSION DISORDER
• Involves the translation of unacceptable drives or
troubling conflicts into physical symptoms
© 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in any manner. This document
may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
SOMATIZATION DISORDER
• Multiple and recurrent bodily symptoms
• Lack a physiological basis
• Expression of psychological issues
© 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in any manner. This document
may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
PAIN DISORDER
• The only symptom is pain that has no physiological
basis
© 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in any manner. This document
may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
HYPOCHONDRIASIS
• Misinterpretation of normal bodily functions as signs
of serious illness
© 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in any manner. This document
may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
CONDITIONS RELATED TO
SOMATOFORM DISORDERS
•
•
•
•
Malingering
Factitious Disorder
Munchausen’s Syndrome
Factitious (or Munchausen’s) by proxy
© 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in any manner. This document
may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
BODY DYSMORPHIC DISORDER
• Individuals are preoccupied with the idea:
• That a part of their body is ugly or defective
© 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in any manner. This document
may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
BODY DYSMORPHIC DISORDER
• Gender based concerns
• Common areas of concern
• Skin
• Hair
• Nose
• Men - Body build and with thinning hair
• Women - Weight and hips
© 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in any manner. This document
may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
THEORIES AND TREATMENT
OF SOMATOFORM DISORDERS
•
•
•
•
Cognitive behavioral therapy
Hypnotherapy
Medication
Interpersonal therapy
© 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in any manner. This document
may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
PSYCHOLOGICAL FACTORS
AFFECTING MEDICAL CONDITIONS
© 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in any manner. This document
may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
PSYCHOLOGICAL FACTORS AFFECTING
MEDICAL CONDITIONS
• Conditions in which a client’s physical illness is
adversely affected by one or more psychological
states
• Depression, stress, denial of a diagnosis, or engaging in poor
or even dangerous health related behaviors
© 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in any manner. This document
may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
TABLE 6.2 - PSYCHOLOGICAL FACTORS
AFFECTING GENERAL MEDICAL CONDITION
© 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in any manner. This document
may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
THEORIES OF MIND-BODY INTERACTION
• Stress
• Coping strategies for stress
• Problem-focused
• Emotion-focused
• Emotional expression
• Personality style
• Type A behavior pattern
• Type D personality
© 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in any manner. This document
may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
APPLICATIONS TO BEHAVIORAL
MEDICINE
• Behavioral medicine: An interdisciplinary approach
to medical conditions affected by psychological
factors that is rooted in learning theory
• Psychoeducation
© 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in any manner. This document
may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
DISSOCIATIVE DISORDERS
© 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in any manner. This document
may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
FORMS OF DISSOCIATIVE DISORDERS
• Dissociative identity disorder:
• Formerly called multiple personality disorder
• An individual develops more than one self or personality
© 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in any manner. This document
may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
DISSOCIATIVE AMNESIA
• An inability to remember important personal details
and experiences
© 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in any manner. This document
may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
DISSOCIATIVE FUGUE
• A person, confused about personal identity,
suddenly and unexpectedly travels to another
place and is unable to recall past history or identity
© 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in any manner. This document
may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
DEPERSONALIZATION DISORDER
• A dissociative disorder in which the individual
experiences recurrent and persistent episodes of
depersonalization
© 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in any manner. This document
may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
THEORIES AND TREATMENT OF
DISSOCIATIVE IDENTITY DISORDER
• Goal
• Integrate alters
• Methods
• Hypnotherapy
• Cognitive behavioral techniques
© 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in any manner. This document
may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
THE BIOPSYCHOSOCIAL
PERSPECTIVE
• Distinctions between real and fake psychological
symptoms
• Cognitive-behavioral explanations
• How stress affects physical functioning
© 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in any manner. This document
may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
• For more information on material covered in this
chapter, visit our Web site:
• http://www.mhhe.com/whitbourne7e
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