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Abnormal psych lec 5.docx

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University of Toronto Scarborough
Konstantine Zakzanis

Abnormal psych lec 5  Somatoform and Dissociative Disorders o Hard to have any kind of evidence to support a diagnosis o Great deal of heterogeneity and variability in types of symptoms o Some argue that these should be completely dismissed from the new DSM o These tend to be not acceptable to patients  If you tell someone they are making up their symptoms they tend to not respond too well o Less reliability amongst separate clinicians o No physical basis for these disorders o Somatoform disorders  Bodily symptoms that suggest a physical defect or dysfunction, not no physiological basis can be found  Pain disorder  Psychological factors play a significant role in the onset and maintenance of pain  Dsm includes three subtypes: o Pain disorder associated psychological factors o Pain disorder associated with both psychological factors and a general medical condition o Pain disorder associated with a general medical condition  Comorbitiy is great in these patients because they may begin to use drugs or alcohol to alleviate pain  Iotrogenic disability o Perception of pain allowing patients to avoid some unpleasant activity and to secure attention and sympathy not otherwise available.  Body dysmorphic disorder  Preoccupation with imagined or exaggerated defects in physical appearance o Elephant man o The man whose arms exploded  Hypochondriasis  Preoccupation with fears of having a serious illness o Recall email from former student o Overreacting to ordinary physical symptoms o Have catastrophic interpretations when they experience minor abnormalities.  Somatisation disorder  4 pain symptoms in different locations  2 gastointestinal symptoms  1 sexual symptom  1 pseudoneurological disorder  Conversion disorder  Sensory or motor symptoms without any physiological cause  Less generalized symptoms than somatisation disorder  Malingering
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