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Abnormal Psychology Fourth Edition Oltmanns and Emery Copyright Prentice Hall 2004 PowerPoint Presentation Prepared By Fred W. Whitford Montana State University Copyright Prentice Hall 2004 Chapter 7 Acute and Posttraumatic Stress Disorders, Dissociative Disorders, and Somatoform Disorders This multimedia product and its contents are protected under copyright law. The following are prohibited by law: •any public performance or display, including transmission of any image over a network; •preparation of any derivative work, including the extraction, in whole or in part, of any images; •any rental, lease, or lending of the program. Copyright Prentice Hall 2004 * Overview • Dissociation Copyright Prentice Hall 2004 * Overview • Case Study: – Sexual Assault and Stephanie’s PTSD Copyright Prentice Hall 2004 Acute and Posttraumatic Stress * Disorders • Traumatic Stress • Acute Stress Disorder (ASD) • Posttraumatic Stress Disorder (PTSD) Copyright Prentice Hall 2004 Acute and Posttraumatic Stress * Disorders • Typical Symptoms and Associated Features of ASD and PTSD – Reexperiencing • Flashbacks – Avoidance – Arousal or Anxiety – Dissociative Symptoms Copyright Prentice Hall 2004 Acute and Posttraumatic Stress * Disorders • Classification of Acute and Posttraumatic Stress Disorder – Brief Historical Perspective – Contemporary Classification • Acute Stress Disorder • What Defines Trauma? Copyright Prentice Hall 2004 Acute and Posttraumatic Stress * Disorders • Classification of Acute and Posttraumatic Stress Disorder – Victimization, Disaster, and Emergency Workers • Comorbidity and Adjustment Disorders Copyright Prentice Hall 2004 * DSM-IV-TR Criteria for Posttraumatic Stress Disorder Copyright Prentice Hall 2004 * DSM-IV-TR Criteria for Posttraumatic Stress Disorder Copyright Prentice Hall 2004 * DSM-IV-TR Criteria for Posttraumatic Stress Disorder Copyright Prentice Hall 2004 DSM-IV-TR Criteria for Acute * Stress Disorder Copyright Prentice Hall 2004 DSM-IV-TR Criteria for Acute * Stress Disorder Copyright Prentice Hall 2004 Acute and Posttraumatic Stress * Disorders • Further Thoughts: – PTSD and Sexual Assault in Women Copyright Prentice Hall 2004 Acute and Posttraumatic Stress * Disorders • Epidemiology of Trauma, PTSD and ASD – Trauma and PTSD Are Not Random – Course and Outcome Copyright Prentice Hall 2004 Acute and Posttraumatic Stress * Disorders • Etiological Considerations and Research on PTSD and ASD – Social Factors in ASD and PTSD • Social Support – Biological Factors in ASD and PTSD • Biological Effects of Exposure to Trauma Copyright Prentice Hall 2004 Acute and Posttraumatic Stress * Disorders • Etiological Considerations and Research on PTSD and ASD – Psychological Factors in ASD and PTSD • Two-Factor Theory • Emotional Processing – Integration and Alternative Pathways Copyright Prentice Hall 2004 Acute and Posttraumatic Stress * Disorders • Prevention and Treatment of ASD and PTSD – Emergency Treatment of Trauma Victims • Critical Incident Stress (CIS) • Critical Incident Stress Debriefing – Treatment of ASD Copyright Prentice Hall 2004 Acute and Posttraumatic Stress * Disorders • Prevention and Treatment of ASD and PTSD – Antidepressants and PTSD – Cognitive Behavioral Therapy and PTSD – Imagery Rehearsal Therapy – EMDR Copyright Prentice Hall 2004 Dissociative Disorders • Case Study: – Dissociative Fugue: Dallae’s Journey Copyright Prentice Hall 2004 * Dissociative Disorders • Hysteria and Unconscious Mental Processes – Charcot, Freud, Janet, and the Unconscious Mind – Unconscious Mental Processes in Cognitive Science • Implicit Memory – Hypnosis: Altered State or Social Role? Copyright Prentice Hall 2004 * Dissociative Disorders • Typical Symptoms of Dissociative Disorder – Dissociative Identity Disorder (DID) – Depersonalization – Amnesia Copyright Prentice Hall 2004 * Dissociative Disorders • Typical Symptoms of Dissociative Disorder – Trauma and the Onset of Dissociative Symptoms • Recovered Memories Copyright Prentice Hall 2004 * Dissociative Disorders • Further Thoughts: – Recovered Memories? Copyright Prentice Hall 2004 * Dissociative Disorders • Classification of Dissociative Disorders – Brief Historical Perspective – Contemporary Classification • Dissociative Fugue • Dissociative Amnesia – Selective Amnesia Copyright Prentice Hall 2004 * Dissociative Disorders • Classification of Dissociative Disorders – Depersonalization Disorder – Dissociative Identity Disorder (DID) • Multiple Personality Disorder Copyright Prentice Hall 2004 * Dissociative Disorders • Brief Case Study: – A New York City Firefighter’s Amnesia for September 11 Copyright Prentice Hall 2004 * Dissociative Disorders • Brief Case Study: – The Three Faces of Eve Copyright Prentice Hall 2004 * Dissociative Disorders • Epidemiology of Dissociative Disorders – Disorder or Role Enactment? Copyright Prentice Hall 2004 * Dissociative Disorders • Research Close-Up: – Implicit Memory in Dissociative Identity Disorder Copyright Prentice Hall 2004 * Dissociative Disorders * • Etiological Considerations and Research on Dissociative Disorders – Psychological Factors in Dissociative Disorders • State Dependent Learning – Biological Factors in Dissociative Disorders Copyright Prentice Hall 2004 Dissociative Disorders * • Etiological Considerations and Research on Dissociative Disorders – Social Factors in Dissociative Disorders • Iatrogenesis Copyright Prentice Hall 2004 Dissociative Disorders • Treatment of Dissociative Disorders Copyright Prentice Hall 2004 * Somatoform Disorders • Typical Symptoms and Associated Features of Somatoform Disorders – Unnecessary Medical Treatment Copyright Prentice Hall 2004 * Somatoform Disorders • Classification of Somatoform Disorders – Conversion Disorder – Somatization Disorder – Hypochondriasis – Pain Disorder – Body Dysmorphic Disorder Copyright Prentice Hall 2004 * DSM-IV-TR Criteria for Somatization Disorder Copyright Prentice Hall 2004 * Somatoform Disorders • Classification of Somatoform Disorders – Malingering and Factitious Disorders • Munchausen Syndrome Copyright Prentice Hall 2004 * Somatoform Disorders • Brief Case Study: – Pierre Janet’s Patient with Monthly Convulsions Copyright Prentice Hall 2004 * Somatoform Disorders • Brief Case Study: – Body Dysmorphic Disorder Copyright Prentice Hall 2004 * Somatoform Disorders • Epidemiology of Somatoform Disorders – Gender, SES, and Culture – Comorbidity Copyright Prentice Hall 2004 * Somatoform Disorders * • Etiological Considerations and Research on Somatoform Disorders – Biological Factors—The Perils of Diagnosis by Exclusion – Psychological Factors—Imagined or Real Trauma • Secondary Gain – Social Factors in Somatoform Disorders Copyright Prentice Hall 2004 Somatoform Disorders • Research Methods: – Retrospective Reports Copyright Prentice Hall 2004 * Somatoform Disorders • Treatment of Somatoform Disorders Copyright Prentice Hall 2004 * Somatoform Disorders • Getting Help Copyright Prentice Hall 2004 *