PSYCH 2AP3 Final: 6 - Somatic Symptom Disorders
7 Jan 2016
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Psychological factors affecting other medical conditions, other specified somatic symptom and. Related disorder, unspecified somatic symptom and related disorder, factitious disorder: faking that you have a mental disorder. One or more symptoms of altered voluntary motor or sensory function (e. g. paralysis, anaesthesia) Symptom incompatible with recognized neurological or medical condition. Symptoms not better explained by another medical or mental condition. Symptom causes clinically significant distress or impairment, or warrants medical evaluation. Specification of symptom type: weakness or paralysis, abnormal movement, swallowing symptoms, speech symptoms, attacks or seizures, anaesthesia or sensory loss, special sensory symptoms, mixed symptoms. Ford (1983) estimates 20-25% of general medical patients meet this criteria o: dsm-5 estimates 5% of neurological referrals meet the criteria. Disagreement on sex bias: dsm-5 estimates 2:1 or 3:1 female to male ratio, prototype = female under 45 from rural or culturally unsophisticated background. Gratify dependency needs sick role (secondary gain) Focus on secondary gain: reinforcement for somatic complaints (attention, nurturance, love) o.
