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PSYC Test 2
Somatoform & Dissociative Disorders
| Question | Answer |
|---|---|
| Symptoms are not under individuals voluntary control, difficulty communicating emotional needs, physical symptoms for no reason, cause severe impainrment in social & occupational functioning | Somatoform disorders |
| Intentionally producing symptoms to achieve environmental goal (conscious) different from somatoform disorder | malingering |
| Fabrication of symptoms or self-inflicted injury to assume the sick role, different from somatoform disorder | factitious disorder |
| caregiver injures victim to get attention/sympathy for self (severe factitious disorder) | Munchausen syndrome by proxy |
| Evidence of general medical condition that may be affected by stress or psychological factors | Psychosomatic Illness |
| 5 Somatoform disorders | somatization, conversion, hypochondriasis, pain, body dysmorphic disorder |
| Belief that 1 has serious disease inspite of negative medical findings, hx of dr. shopping, duration of disturbance is @ least 6mths | Hypochondriasis |
| Expression of psychological stress through physical symptoms, pain in multiple areas, physical symptoms cant be explained medically, onset before age 30, common w/anxiety, depression & sucide | somatization |
| severe prolonged pain that impairs social/occupational functioning, serious risk of suicide due to chronic pain, diagnostic testing rulse out organic cause, usual sites of pain: head, face, lower back, pelvis | Pain disorder |
| preoccupation with an imagined defective body part | body dysmporphic disorder |
| usually concerned with face, skin ,genitalia, thigh, hips, hair, exaggerated belief that body is deformed or defective, usually have normal appearance w/minor defects | Body dysmorphic disorder |
| loss or change in body function as result of psychological, symptoms may resolve in few wks, most common somatoform disorder | Conversion disorder |
| Symptoms affect voluntary motor or sensory function such as, involuntary movement, abnormal gait, anesthesia, blindness, deafness, paralysis, seizures | conversion disorder |
| lack of emotional concern about symptoms (conversion disorder) | La bell indifference |
| Treatment of Somatoform Disorders: | Non-addictive pain meds, anticonvulsants (neuropathic pain) & antidepressants |
| Promotion of self-care activitites, health teaching, case mgmt, psychobiological interventions are basic level interventions for ? | somatoform disorders |
| True/False: With somatoform disorders goals are usually only partially met, which should be a postive finding because they are often reluctant to change | TRUE |
| disturbances in consciousness, memory, identity & perception, actual cause is unknown | dissociative disorders |
| commonly associated with mood disorders & substance abuse | dissociative disorders |
| Dissociative disorders include: (4) | Dissociative amnesia, dissociative fugue, dissociative identity disorder, depersonalization disorder |
| unconscious defense mechanism to protect against overwhelming anxiety | dissociation |
| inability to recall important personal info, begins ABRUPTLY, related to traumatic event, client is aware of memory loss & is alert before & after incident | dissociative amnesia |
| 3 types of dissociative amnesia | localized, selective, generalized |
| (dissociative amnesia) unable to recall info about their entire life | generalized dissociative amnesia |
| (dissociative amnesia) unable to recall events from a certain period | localized dissociative amnesia |
| (dissociative amnesia) unable to recall portions of events from a certain period | selective dissocitive amnesia |
| Localized, Generalized, Selective are 3 types of : | dissociative amnesia |
| Sudden expected travel away from home, inability to recall personal identity, often related to trauma, increases in times of stress, may co-occur with PTSD | Dissociative Fugue |
| 2 or more distinct personalities are present, unable to consistently recall personal info, may or may not be aware of alters, each personality has its own memories, behavior patterns | Dissociative Identity Disorder (DID) |
| True/False: Excessive switching between alters is result of something similiar to past trauma triggering it | TRUE |
| Temporary sense of unreality, parts of body feel unreal, sense of detachment from environment, AWARE of perceptual distortions, response to acute stress | Depersonalization disorder |
| Brain tumors, epilepsy, drugs, conflicts with ego, stress are causes of | depersonalization disorder |
| 4 common treatments for dissociative disorder | truth serum, pyschotherapy, hypnosis, no specific meds |
Created by:
dbrust
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