PSYCH 2AP3 Lecture Notes - Lecture 28: Mental Disorder, Factitious Disorder, Dsm-5
21 Sep 2020
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Other specified somatic symptom and related disorder. 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. Symptom causes clinically significant distress or impairment, or warrants medical evaluation lomoarc psd| 2151316. Specification of symptom type: o weakness or paralysis: abnormal movement, swallowing symptoms, speech symptoms, attacks or seizures, anesthesia or sensory loss o special sensory symptoms o mixed symptoms. Population prevalence unknown: ford (1983) estimates 20-25% of general medical patients meet criteria. Dsm-5 estimates 5% of neurology referrals meet the criteria. Disagreement on sex bias: dsm-5 estimates 2:1 to 3:1 female/male ratio, prototype female under 45 from rural or culturally unsophisticated background. Focus on secondary gain: reinforcement for somatic complaints (attention, nurturance, love, increased use of somatic complaints. Punishment of verbal expression of emotion leaves no options.
