PSYCH 2AP3 Lecture Notes - Lecture 8: Conversion Disorder, Etiology, Panic Disorder
29 Apr 2016
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Other speci ed 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 signi cant distress or impairment, or warrants medical evaluation. Ford estimates 20-25% of general medical patients meet criteria. Dsm-5 estimates 5% of neurology referrals meet criteria. Dsm-5 estimates 2:1 or 3:1 female/male ratio. Prototype = female under 45 from rural or culturally unsophisticated background. Energy from con ict > symbolic somatic loss. Reinforcement for somatic complaints (attention, nurturance, love) Increased use of somatic complaints to meet needs. Punishment of verbal expression of emotion leaves no options. Initial innate physical expression of emotion triggers response by mom. Child learns verbal label to communicate emotions, needs. Some do not learn well, continue to use somatic expression of emotion. Symptoms chosen from person"s conception of illness.
