Lecture 6 - Somatoform Disorders

25 views2 pages
Published on 14 Jun 2011
School
UTSC
Department
Psychology
Course
PSYB32H3
Heterogeinity – no two patients are alike; Inter rater reliability is poor ; Cultural factors play
of moderating role; Somatofor m can be offensive to patients
Somatofor m Disorders
Common disorder among groups of disorders
Pains have to cause distress or impair or disablize ADL
DSM has 3 subsets but at the middle is ever diagnosed both psychological and general
medical conditions
Because pain is a subjective experience – dont actually have a test to be objective never
know if physical or psychological phenomenon
The case of The boards - woman – car accident – sharp pains - distress – mar r iage
dysfunction – dissapointed – attack her husband – arguing in car – bec. Of pains no
sexual contact (both psychological factors and maybe medical conditions rises)
Reinforcement of being disabled
Co morbid e.g. social phobia and depression sad about your condition – delusional disorder
Diff icult to treat – aesthetic repair
Distress and disability to be diagnosed with it
Hypochondriasis
Ir regular heart beat over interpret and catastrophiz e – negative life events and thought CBT – but
disorder is quite chronic
Somatization
Difficult to differentiate from somatization and hypondhr iac
Hypochondriac - have shifting complains and have a belief of specific disorder
Somatization – characterized by consistent complaints but typically s ymptoms complaints
pervasive
Women begins in early adulthood and run in families 20 % chance
Ideological factors – modeling - complaining parents –believe that its ok to complain
Comorbid with anxitey and depression and substance abuse dependence in pain relievers
And 1 personality disorder – histrionic and with conversion disorder
Conversion, Malingering and Factitious Disorders
Paralysis, seizures, tingling blindess aphomia – loss of voice, anosmia- loss of smell, complete or
partial , symptoms appe ar suddenly as result of disorder but somatization gradually s ymptoms
appears
Malingering and Fictitious Disorders
Malingering – when person is consciously faming impairment in the context of external
incentives – e.g. disability insurance check, getting out of military or exams
Factitious D – consciously produces impairment but no external incentives why dont know but
pt. wants to adopt sick role
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Document Summary

Heterogeinity no two patients are alike; inter rater reliability is poor ; cultural factors play of moderating role; somatoform can be offensive to patients. Of pains no sexual contact (both psychological factors and maybe medical conditions rises: reinforcement of being disabled. Co morbid e. g. social phobia and depression sad about your condition delusional disorder. Distress and disability to be diagnosed with it. Irregular heart beat over interpret and catastrophize negative life events and thought cbt but disorder is quite chronic.  difficult to differentiate from somatization and hypondhriac.  hypochondriac - have shifting complains and have a belief of specific disorder. Somatization characterized by consistent complaints but typically symptoms complaints pervasive.  women begins in early adulthood and run in families 20 % chance.  ideological factors modeling - complaining parents believe that its ok to complain. Comorbid with anxitey and depression and substance abuse dependence in pain relievers. And 1 personality disorder histrionic and with conversion disorder.