Definitions
Symptoms
Treatment
Dissociative Disorders
Cases
100
Somatic symptom disorders are a broad grouping of psychological disorders that involve physical symptoms or anxiety over illness. The four somatic symptom disorders discussed in this chapter are...
What is Somatic symptom disorder Illness anxiety disorder Conversion disorder Factitious disorder
100
What are somatic symptoms?
What is distressing physical or bodily symptoms (e.g., pain)
100
Interoceptive exposure is sometimes used in cognitive behavioral therapy to help treat somatic symptom disorders. This involves...
What is • Exposure to bodily sensations • Therapists ask clients to perform activities that typically trigger anxiety (e.g., breathing through a straw, hyperventilating, spinning, or climbing stairs) until feared reactions such as light-headedness, chest discomfort, or increased heart rate occur • The activities are performed over and over again until the bodily sensations no longer elicit anxiety or fear
100
Dissociative disorder is also known as...
What is multiple personality disorder
100
10. “A boy, age 10, was first believed to have a case of juvenile myasthenia gravis (weakening of the voluntary muscles). For 5 weeks he had been unable to open his eyes, and the consequent “blindness” had stopped him from attending school. On detailed physical examination, no other abnormalities were found. In the hospital ward it was noted that he did not walk into furniture. He was the village football star and had been blamed for his team’s defeat, and from that day he had been unable to open his eyes.” This boy has ________ disorder.
What is Conversion disorder (functional neurological symptom disorder)
200
The primary characteristic of ______________________ is a chronic pattern of significantly distressing and disruptive anxiety about one’s health when minimal or no somatic symptoms are present
What is illness anxiety disorder
200
This disorder involves motor, sensory, or seizure-like symptoms that are incongruent with any recognized neurological or medical disorder...
What is Conversion disorder (functional neurological symptom disorder)
200
Specific medicines for treatment of Dissociative Disorders include...
What is there are none
200
Dissociative disorder is more frequent in _____ by ___ times
What is women and 9
200
An 18yr old woman who survived a dramatic fire claimed not to remember it or the death of her child and husband in the fire She claimed her relatives were lying about the fire. She became extremely agitated and emotional severeal hour late, when her memory abruptly returned. This woman as __________.
What is localized amnesia.
300
The difference between factitious disorder and factitious disorder imposed on another is
What is • Factitious disorder o Characterized by the presentation of oneself to others as ill or impaired through the recurrent falsification of physical or psychological symptoms—this is done without any obvious external rewards o Signs of this disorder → Lingering unexplained illnesses with multiple surgical or complex treatments; “remarkable willingness” to undergo painful or dangerous treatments; a tendency to anger if the illness is questioned; and the involvement of multiple doctors • Factitious disorder imposed on another o A pattern of falsification or production of physical or psychological symptoms in another individual o Example from textbook → a hidden camera at a children’s hospital captured the image of a mother suffocating the baby she had brought in for treatment of breathing problems o Warning signs involve physical symptoms that occur only when the mother or caretaker is around and insistence on medical tests that are unnecessary or invasive
300
This disorder involves a pattern of reporting distressing physical symptoms combined with extreme concern about health or fears of undiagnosed medical conditions
What is somatic symptom disorder (SSD)
300
The ___________ is a good model for assessing the cause and the areas of treatment of dissociative disorders.
What is multipath model
300
Dissociative amnesia is _________________
What is sudden partial or total loss of important personal info or recall of events due to psychological factors
300
An 18 year old woman was found outside a youth center. she claimed to have no memory of her identity, family or home. When found, she was lying in the fetal position and said she wanted to know who she was. She was missing for quite a while and her father indicated that she had pervious episodes of lost identity. This woman has ________.
What is dissociative fugue.
400
This term means feigning illness for an external purpose such as getting out of work duties.
What is malingering
400
People with this disorder tend to do the following: • Catastrophize and view ambiguous or mild somatic symptoms as indications of a severe or catastrophic illness • Overgeneralize by believing that serious illness and fatal conditions are prevalent • Display all-or-none thinking by believing they must be symptom free to be healthy • Show selective attention to medical information and focus primarily on threatening information
What is Illness anxiety disorder
400
The use of ________ has been successful for the treatment of dissociative disorders.
What is hypnosis
400
Name a possible cause of a dissociative disorder from each multipath model aspect. Biological Psychological Sociocultural Social
Biological Sociocultural Social -Brain activation pattern differenced between different personalities -Hippocampus and amygdala volume reduction -Temporal lobe involvement Psychological -Hypnotizablity or suggestibility -Ability to dissociate Exposure to stress or trauma -Inability to deal with stress Sociocultural -Media portrayals od dissociative disorders -Role enactment -Gender factors Social -Child abuse or trauma -Lack of social support -Mislabeling dissociative experiences -Latrogenic therapist effects
400
Ms. A, 23 years old, presents to our clinic complaining of feeling detached for the past 4 years. She feels "fuzzy all the time, like i lost touch of reality." She complains of confused thinking and "doesn't really feel any emotion"/ these symptoms began immediately after a college which cops busted. This woman has _________.
What is Depersonalization/Derealization disorder.
500
The difference between localized, selective and systemized memory is...
What is Localized- lack of memory for a specific event(s) Selective- an inability to remember certain details of an event Systemized- loss of memory for certain categories of information
500
Symptoms of Dissociative Disorders include...
What are dissociation, or separation, of a part of the persons consciousness, memory or identity
500
________ is devoted to alive anxiety and depression of dissociative disorders.
What is therapy
500
The difference between dissociative amnesia and dissociative amnesia fugue type is....
What is Dissociative amnesia- Sudden inability to recall info of specific events or ones identity Onset- any age group Dissociative amnesia, fugue subtype- inability to recall identity and past, confused wandering Onset-usually adulthood
500
"Little Judy" is a young child who laughs and giggles. "Gravely Voice" is a man who speaks with a raspy voice. This one "who walk in darkness" is a blind and trips over furniture. "Big Judy" is articulate, competent and funny. These are 4 of the 44 personalities that exist within Judy Castelli. She is a singer, musician, inventor, and an artist who has also become a lay expert on mental health issues. She has ________.
What is dissociative identity disorder.
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