PSYCH 2AP3 Lecture Notes - Lecture 5: Sick Role, Dsm-5, Etiology
27 Jul 2018
School
Department
Course
Professor
Document Summary
One or more symptoms of altered voluntary motor or sensory function. Symptom incompatible with recognized neurological or medical condition. Symptoms not better explained by another medical or mental condition. Symptoms causes clinically significant distress or impairment or warrants medical evaluation. Greeks called this hysteria; primarily diagnosed in women. Often paralysis or loss of sensory function. Freud"s pts usually mimicked an article of clothing. Can"t be nerve damage because that"s not how nerves work. Tried massaging, electrode stimulation, and the spa. Conversion rxns have same quality of indifference (la belle indifference) that is present in some people with severe somatic symptom disorder hallmark of conversion rxns. Unconcerned attitude toward illness is also present in people with real problems. Conversion symptoms often form under marked stress. 37% reported a physical injury that caused this. Ford (1983) estimates 20-25% of general medical patients meet criteria. Dsm-5 estimates 5% of neurology referrals meet the criteria. Dsm-5 estimates 2:1 to 3:1 female/male ratio.
