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Mental Health/Psych

Somatic Symptom Illnesses

TermDefinition
Psychosomatic Connection between the mind (psyche) and the body (soma) in the states of health and illness.
Hysteria Multiple physical complaints with no organic basis; the complaints are usually described dramatically
Freud Proposed that people can convert unexpressed emotions into physical symptoms, a process referred to as somatization
Somatization Transference of mental experiences and states into bodily symptoms
Somatic symptom illnesses Presence of physical symptoms that suggest a medical condition without a demonstrable organic basis to account fully for them.
Three central features of somatic symptom illnesses Physical complaints suggest major medical illness, have no demonstrable organic basis; Psychological factors & conflicts seem important in initiating, exacerbating & maintaining the sx; Symptoms or magnified health concerns are not under client's control
Somatic symptom disorder One or more physical symptoms that have no organic basis. Time and energy is focused a lot on health concerns
Conversion disorder (conversion reaction) Involves unexplained, usually hidden deficits in sensory or motor function. Usually suggests a neurologic disorder but associated with psychological factors
Pain disorder Primary physical symptom of pain is generally unrelieved by analgesics and greatly affected by psychological factors in terms of onset, severity, exacerbation, and maintenance
Hypochondriasis (Illness anxiety disorder) Preoccupation with the fear that one has a serious disease (disease conviction) or will get a serious disease (disease phobia)
Somatic symptom illnesses are more common in Women than men. Reports of pain are the most common complaints
Conversion Disorder usually Occurs between 10 and 35. Pain disorder and hypochondriasis can occur at any age
Fabricated and induced illness People feign or intentionally produce symptoms for some purpose or gain
Malingering and factitious disorders Willful control of symptoms
Somatic symptoms illnesses No voluntary control over symptoms
Malingering Intentional production of false or grossly exaggerated physical or psychological symptoms; it is motivated by external incentives such as avoiding work, evading criminal prosecution, obtaining financial compensation, or obtaining drugs.
People who malinger Can stop the physical symptoms as soon as they have gained what they wanted
Factitious disorder, imposed on self Person intentionally produces or feigns physical or psychological symptoms solely to gain attention. People with factitious disorder my even inflict injury on themselves to receive attention
Munchausen's syndrome Factitious disorder imposed on self
Factitious disorder, imposed on others (Munchausen's syndrome by proxy) Occurs when a person inflicts illness or injury on someone else to gain the attention of emergency medical personnel or to be a "hero" for saving the victim
Internalization People with somatic symptom illnesses keep stress, anxiety, or frustration inside rather than expressing them outwardly. Clients express internalized feelings and stress through physical symptoms
Primary gains Direct external benefits that being sick provides, such as relief of anxiety, conflict, or stress
Secondary gains Internal or personal benefits received from others because one is sick, such as attention from family members and comfort measures.
Biologic Theories Differences in the way that clients with somatoform disorders regulate and interpret stimuli. The cannot sort relevant from irrelevant stimuli and respond equally to both types.
Treatment for somatic symptoms illnesses Focus on managing symptoms and improving quality of life.
With Somatic symptom illnesses Depression may accompany or result from it. Antidepressants help in some cases. SSRIs such as fluoxetine, sertraline, and paroxetine are used most commonly
Created by: JennG2017