PSY 3171 Lecture Notes - Lecture 14: Functional Neurological Symptom Disorder, Asthma, Conversion Disorder
6 Dec 2016
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Derealization/depersonalization disorder: the presence of persistent or recurrent experiences of depersonalization, derealization, or both, depersonalization. Things looking foggy or dreamlike remains intact: during the depersonalization or derealization experiences, reality testing. Often trauma has occurred in patient"s history. Significant distress/functional impairment need to be present. An inability to recall important autobiographical information, usually of a traumatic or stressful nature, that is inconsistent with ordinary forgetting. Note: most often localized or selective; or generalized for identity and life bewildered wandering that is associated with amnesia for identity or for other important autobiographical information. Specify if (cid:498)with dissociative fugue(cid:499): apparently purposeful travel or: one state: don"t know who they are, where they are going etc, disintegration with identity patient takes on a different name, act. Intentional production of false or grossly exaggerated physical or psychological symptoms. Motivated by external incentives such as avoiding military duty, avoiding work, financial compensation, evading criminal prosecution, obtaining drugs: do not count attention and care seeking behaviour.
