PSYCH 2AP3 Lecture Notes - Lecture 5: Hypochondriasis, Malingering, Neurology
18 Nov 2014
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Epidemiology: population prevalence is unknown, ford (1983) estimates 20-25% of medical patients, dsm-5 estimates 5% Somatic symptom disorders: disagreement on sex bias, dsm-5 estimates 1/3 to are female, prototype for disorder is under 45 female from rural or unsophisticated background, usually occurs in early/mid adulthood. Comorbidity: other somatic disorder, depressive disorder, dissociative disorder: 47, ocd, anxiety disorder, borderline personality disorder. Involve symptom that appear to be neurological: motor difficulties, sensory difficulties. Blindness: headaches, chronic fatigue, fainting, this disorder demonstrates how closely intertwined mind & body are, modern psychoanalysis, symptoms defense against anxiety re conflict (primary gain) Primary gain of a symptom is the underlying issue that symptom is helping deal with. It"s about tricking you, not others; otherwise defeats the purpose. Secondary gain of a symptom is the attention that others give you cuz you have symptoms: symptoms cant serve many functions. Punishment for unacceptable impulse: superego makes us feel guilt/shame. Removal from anxiety-producing situation: test-paralysis situation.
