PSYCH257 Lecture Notes - Lecture 13: Derealization, Depersonalization, Posttraumatic Stress Disorder

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Somatic symptom and dissociative disorders: histori(cid:272)all(cid:455) (cid:272)alled (cid:862)h(cid:455)steri(cid:272)al (cid:374)eurosis(cid:863) (cid:862)h(cid:455)steri(cid:272)al(cid:863) freud"s ter(cid:373) for ph(cid:455)si(cid:272)al s(cid:455)(cid:373)pto(cid:373)s (cid:449)ith (cid:374)o ph(cid:455)si(cid:272)al (cid:272)ause. (cid:862)neurosis(cid:863) freud"s ter(cid:373) for a disorder (cid:272)aused (cid:271)(cid:455) u(cid:374)derl(cid:455)i(cid:374)g u(cid:374)(cid:272)o(cid:374)s(cid:272)ious conflicts that led to anxiety. Intriguing disorders that share common features but we have poor understanding of their causes and treatments. Freud"s (cid:272)o(cid:374)(cid:272)eptualizatio(cid:374)s of these disorders still influential. Possi(cid:271)le (cid:271)e(cid:374)efits of (cid:862)pla(cid:455)i(cid:374)g the si(cid:272)k role(cid:863) (cid:373)ust (cid:271)e (cid:272)o(cid:374)sidered. Very challenging diagnostically for both dr. and patient. Illness anxiety disorder: somatic symptom disorder, conversion disorder (aka functional neurological symptom disorder, factitious disorder. Illness anxiety disorder (iad) formerly called hypochondriasis. (cid:862)better safe tha(cid:374) sorr(cid:455)(cid:863) or (cid:862)best (cid:374)ot to fa(cid:272)e the truth i alread(cid:455) k(cid:374)o(cid:449)(cid:863: distress/impairment; specific feared illness may evolve over time. Health anxiety is multidimensional, with interacting components: emotional anxiety/distress, attentional/perceptual attention bias toward bodily sensations and enhanced perceptual sensitivity to illness cues (ex.

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