Somatoform and Dissociative Disorders
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soma | show 🗑
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show | Hypochondriasis, Somatization disorder, Conversion disorder, Pain disorder, Body dysmorphic disorder
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What are some features of hypocondriasis? | show 🗑
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show | People with hypochondriasis fear the possibility of already having a disease. People with an illness phobia are fearful of developing a disease.
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Gender ratio for hypocondriasis is ___________. | show 🗑
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The onset of hypocondriasis can occur at any age but usually peaks when? | show 🗑
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show | Cognitive perceptual distortions, Familial history of illness, Genetics vulnerabilities, overreaction to stress, tendency to view negative life events as unpredictable and uncontrollable, Modeling of adults with hypochondriasis.
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People with hypocondriasis may develop the disorder in the context of: | show 🗑
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show | challenge illness-related misinterpretation
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Somatization disorder | show 🗑
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show | symptoms become a major part of their identity, extended history of physical complaints before age 30, substantial social and occupational impairment
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True or false: Somatization disorder is rare. | show 🗑
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show | adolescence
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Who is mostly affected by somatization disorder? | show 🗑
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What is the main cause behind somatization disorder? | show 🗑
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True or false: no effective treatment has been found for people with somatization disorder. | show 🗑
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show | physical malfunctioning without any physical or organic pathology (i.e., paralysis, blindness)
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show | usually precipitated by some stressful event. People with conversion symptoms of blindness can avoid objects but they will tell you they cannot see. People with symptoms of paralysis of the legs might suddenly get up and run in an emergency.
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Freud popularized the term “conversion,” believing that anxiety from unconscious conflicts somehow converted into physical symptoms to find expression | show 🗑
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show | malingering, factitious disorder, factitious disorder by proxy
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show | They are deliberately faking symptoms. They are trying to get out of something (i.e. work), or gain something. They are fully aware of what they are doing.
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factitious disorder | show 🗑
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factitious disorder by proxy | show 🗑
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show | Rare condition, with a chronic intermittent course, Seen primarily in females, Onset usually in adolescence
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show | Freud's theory is still popular, Anxiety continues to increase/threatens to emerge into consciousness.person converts conflict into physical symptoms, thereby relieves the pressure of dealing directly w/the conflict, individual receives attention/sympathy
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What are the treatments for conversion disorder? | show 🗑
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show | reduction in anxiety that maintains the conversion symptoms
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show | attention and sympathy from loved ones
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Body Dysmorphic Disorder (BDD) | show 🗑
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show | Many become fixated on mirrors/frequently check appearance.Other show phobic fear/avoidance of mirrors.Suicidal ideation/attempts/suicide frequent,Display ideas of reference (think events in the world relate to them),severe disruption in daily functioning
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Facts and stats about Body Dysmorphic Disorder | show 🗑
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show | Little is known about the causes, Obsessive-compulsive disorder tends to co-occur with BDD, both disorders share similar features (e.g., intrusive thoughts, checking).
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Treatments for BDD | show 🗑
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As many as ____% of people requesting plastic surgery meet criteria for BDD. | show 🗑
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show | true. Preoccupation with imagined ugliness may actually increase following plastic surgery
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show | are characterized by alterations or detachments in consciousness or identity involving either dissociation or depersonalization
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4 Types of DSM-IV Dissociative Disorders | show 🗑
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show | distortion in perception - a sense of reality is lost, a psychological mechanism whereby one dissociates from reality
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True or False: depersonalization is found in other disorders. | show 🗑
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show | anxiety and mood disorders
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show | 16 years
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What are some causes and treatments for depersonalization disorder? | show 🗑
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dissociative amnesia | show 🗑
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show | generalized type (inability to remember anything, including one's identity) and localized or selective type (failure to recall specific, usually trumatic, events)
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show | Take off to a new place, Unable to remember the past, Unable to remember how they arrived at a new location, Often assume a new identity
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show | childhood
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True or false: Dissociative Amnesia and Fugue show rapid onset and dissipation. | show 🗑
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Dissociative amnesia and fugue are mostly seen in ___________. | show 🗑
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Causes for dissociative amnesia and fugue | show 🗑
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Treatments for dissociative amnesia and fugue | show 🗑
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show | Formerly known as multiple personality disorder, Defining feature – Dissociation of personality, Adopt several new identities (as many as 100), Identities show unique behaviors, voice, and posture
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DID: Alters | show 🗑
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show | typically the identity that seeks treatment
identity that tries to keep fragments of identity together, the host identity often develops later than the other identities, may get overwhelmed taking care of the other identities
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show | The transition from one personality to another, often a switch is instantaneous and may include physical transformation (i.e. facial expression, posture)
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Average number of identities for dissociative identity disorder | show 🗑
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Ratio of females to males with dissociative identity disorder is __________. | show 🗑
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Onset of DID can occur in __________, as young as _______ years of age. | show 🗑
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show | 3 to 6%
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True or false: DID tend to run a chronic lifetime course if left untreated. | show 🗑
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Main causes for DID | show 🗑
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It is believed that DID is a natural tendency to __________ or dissociate from the severe abuse. | show 🗑
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____% of patients with DID report significant trauma | show 🗑
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show | PTSD; both feature strong emotional reactions to severe trauma
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DID: Treatment | show 🗑
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