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FIN_PSYCHIA_SOMATIC
Somatic Symptom and Dissociative Disorders
| Term | Definition |
|---|---|
| A disconnection between a person’s thoughts, memories, feelings, actions or sense of who he or she is. | DISSOCIATION |
| Removal from the conscious awareness of painful feelings, memories, thoughts, or aspects of identity | DISSOCIATION |
| Unconscious DM that protects an individual | DISSOCIATION |
| DISSOCIATION Occurs in | extreme stress or trauma |
| Lose of touch in the immediate surrounding | DISSOCIATION |
| DISSOCIATION is AKA | “Splitting-off” |
| DISSOCIATION occurs during | childhood years |
| DISSOCIATION is common among which age | 3 years old |
| effect to children when exposed to traumatic events that can lead to dissociation | limited coping mechanisms envi. instability can interfere with dev. of sense of self |
| dissociation happens due to children having | limited understanding or limited DM |
| TYPES OF DISSOCIATION | ● Amnesia ● Depersonalisation ● Derealization ● Identity confusion ● Identity alteration |
| Dissociative Disorders is frequently associated with | previous experience of trauma. |
| Dissociative Disorder where Person can’t remember significant personal information or particular periods of time | Dissociative Amnesia |
| A polysymptomatic disorder that usually begins in adolescence (rarely after the 20s), chiefly affects women, and is characterized by recurrent multiple somatic complaints that are unexplained by organic pathology | Hysteria |
| Hysteria is thought to be associated with | repressed anxiety. |
| Historically, somatic symptom disorders were identified as | hysterical neuroses |
| The prevalence of somatic symptom disorder is more common in which gender | women |
| type of dissociative amnesia | Localized Selective Generalized |
| A specific subtype of dissociative amnesia | Dissociative fugue |
| is characterized by a sudden, unexpected travel away from customary place of daily activities, or by bewildered wandering, with the inability to recall some or all of one’s past. | Dissociative fugue |
| Dissociative fugue | change in location / environment |
| type of dissociative amnesia which unable to recall memories or events or periods of time | Localized |
| type of dissociative amnesia which is able to remember some but not all events | Selective |
| most common type of dissociative amnesia | Localized |
| type of dissociative amnesia which is complete loss identity and life history | Generalized |
| type of dissociative amnesia where unable to recall all incidents associated with a stressful event. | Localized |
| type of dissociative amnesia where individual can recall only certain incidents associated with a stressful event for a specific period after the event. | Selective |
| Clients suffering from amnesia are often brought to general hospital emergency departments by police who have found them | wandering confusedly around the streets. |
| therapy for dissociative amnesia to provide entry to memory | CBT |
| facilitate controlled recall of dissociated memories in dissociative amnesia | hypnosis |
| medical mgt or somatic therapies for dissociative amnesia | IV amobarbital |
| treatment modalities of dissociative amnesia | hypnosis, IV amobarbital, CBT |
| disorder characterized by a temporary change in the quality of selfawareness | Depersonalization-Derealization Disorder |
| disorder characterized by Sense of one’s reality is changed but person remains oriented to PPT | Depersonalization/Derealization D/O |
| disorder characterized by Persons feel detached from parts of their body or mental processes | Depersonalization/Derealization D/O |
| Does Depersonalization/Derealization D/O occurs with other disorder | No, Occurs in absence of other disorders |
| Depersonalization/Derealization D/O Symptoms may occur during | childhood |
| a disturbance in the perception of oneself | Depersonalization |
| describes an alteration in the perception of the external environment | derealization |
| There may be a mechanical or dreamlike feeling or a belief that the body’s physical characteristics have changed. | Depersonalization/Derealization D/O |
| transient experience of Depersonalization/Derealization D/O is common among which of the ff | - seizure pts - mild-mod. head injury - use of psychedelic drugs |
| Depersonalization/Derealization D/O is common among which gender | women |
| Distinct components in diagnosis and clinical feature of Depersonalization/Derealization D/O | - sense of bodily change - duality of self as observer and actor - being cut off from others - being cut of from one's emotion |
| Dissociative identity disorder (DID) was formerly called | multiple personality disorder |
| This disorder is characterized by the existence of two or more personalities in a single individua | Dissociative identity disorder (DID) |
| This disorder is characterized where Only one of the personalities is evident at any given moment, and one of them is dominant most of the time over the course of the disorder. | Dissociative Identity Disorder |
| Dissociative Identity Disorder major feature (2) | - Existence of 2 or more identified or personalities - The other personalities may be aware of each other in varying degrees |
| Goal of tx in Dissociative Identity Disorder | let all alters meet and combined into one |
| Cause of Dissociative Identity Disorder | Traumatic event |
| Dissociative Identity Disorder is common among which gender | women |
| Dissociative Identity Disorder has poor prognosis due to | comorbidities such as presence of other disorders |
| Dissociative Identity Disorder clinical manifestation | ● Transition is sudden, often dramatic ● Usu. precipitated by stress ● Episodes of amnesia or blackout |
| Therapy for DID that can aid the patient to express buried memories | Hypnotherapy |
| Psychopharmacology for DID | - Amobarbital Na (Amytal) - CNSdepressant - Fluoxetine (Prozac) - some success |
| Nsg. mgt for DID | Provision of safe & trusting envi. |
| is a syndrome of multiple somatic symptoms that cannot be explained medically and are associated with psychosocial distress and longterm seeking of assistance from health-care professionals | Somatic symptom disorder |
| individuals with somatic symptom disorder are so totally convinced that | their symptoms are related to organic pathology |
| somatic symptom disorder Begins at what age | before 30 |
| somatic symptom disorder is commonly associated with | personality traits or personality d/o |
| pts. with somatic symptom disorder Express conflicts thru | bodily symptoms & complaints |
| pts. with somatic symptom disorder Express conflicts thru bodily symptoms & complaints, what are the 2 types | Primary gain Secondary gain |
| DEFENSE MECHANISM (DM) used in somatic symptom disorder | - Repression - Denial - Displacement - Internalization - Somatization |
| DEFENSE MECHANISM (DM) used in somatic symptom disorder where anxiety is converted | Displacement |
| DEFENSE MECHANISM (DM) used in somatic symptom disorder where anxiety is kept inside | Internalization |
| Poor ability to express emotions | Alexithymia |
| FACTORS in somatic symptom disorder | Traumatic exp Alexithymia |
| may be defined as an unrealistic or inaccurate interpretation of physical symptoms or sensations, leading to preoccupation and fear of having a serious disease. | Illness Anxiety Disorder |
| Illness Anxiety Disorder is previously known as | hypochondriasis |
| Preoccupation with having an illness or getting an illness | ILLNESS ANXIETY DISORDER |
| ILLNESS ANXIETY DISORDER should be present at least | 6 months |
| ILLNESS ANXIETY DISORDER Symptoms reflect a | misinterpretation of bodily symptoms |
| ILLNESS ANXIETY DISORDER is viewed as due to | escape responsibilities |
| 2 types of ILLNESS ANXIETY DISORDER | care-seeking type care-avoidant type |
| Theory in etiology of ILLNESS ANXIETY DISORDER where it is viewed as a request for admission to the sick role | Social learning model |
| difference between somatic symptom disorder and illness anxiety d/o | somatic symptom disorder - preoccupation w/ perceived medical symptom illness anxiety d/o - primarily fear of illness in general |
| is a loss of or change in body function that cannot be explained by any known medical disorder or pathophysiological mechanism | Conversion disorder |
| Conversion symptoms affect voluntary motor or sensory functioning suggestive of neurological disease. Examples include | paralysis, aphonia, anosmia |
| inability to produce voice | aphonia |
| Conversion disorder is AKA | Functional Neurological Symptom Disorder |
| disorder where Symptoms affect a person’s perception, sensation or movement with no evidence of a physical cause. | CONVERSION DISORDER |
| CONVERSION DISORDER symptom is | involuntary in those movements that should be voluntary |
| disorder where symptom is often determined by the situation that produced it | CONVERSION DISORDER |
| A term in CONVERSION DISORDER where it shows little concern | La Belle indifference |
| CONVERSION DISORDER DM | Repression, conversion & displacement |
| disorder where Person intentionally produces or feigns physical or psychological symptom | FACTITIOUS DISORDER |
| FACTITIOUS DISORDER motive is to | GAIN ATTENTION |
| Common term FACTITIOUS DISORDER | Munchausen syndrome |
| Defense Mechanism FACTITIOUS DISORDER | repression, identification, identification with the aggressor, regression & symbolization |
| Intentional production of false or grossly exaggerated physical or psychological symptoms Motivated by external incentives | MALINGERING |
| difference between malingering & FACTITIOUS DISORDER | FACTITIOUS DISORDER assumes sick role to gain attention while malingering is the concious production of false symptoms |
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ah_jusyyy