PSYB32H3 Study Guide - Somatic Symptom Disorder, Malingering
Chapter 7: Somatoform and Dissociative Disorders
4.A – somatization disorder has 4 pains, 2 gastrointestinal, one sexual and one neuro.
6.B – behavioural view of conversion is like malingering, they are faking it. So ppl
would do poorly on visual tests
13.A – DSM classification of Dissociative Identiy Disorder shows that diag. may be
based on function.
1.Arguments for removing somatoform disorders:
Terminology unacceptable to patientsExcluding criteria is vague
Symptoms are not “real”subcategories unreliable
Diff btw disorders in cat. are large no thresholds for symptoms
Don’t work w/ cultures
2.Hypochondriasis – fear of disease despite medical opinion (fear of having illness)
3.Conversion disorder loss of functioning (of motor and sensory) whereas somatization
disorder is complaints of loss of function
4.The study of conversions led Freud to develop concepts of the unconscious and
conflicts within it. If we have physical symptoms w/o medical reason and w/o
knowing why, something must be happening unconsciously.
5.Studies that showed people doing much worse in visual tests than attributable by
chance suggested people were aware of the stimulus and consciously/unconsciously
wanted to “preserve” their blindness
6.According to behevioural theory, conversion disorders are like malingering.
Symptoms only occur to get something (attention). We act how someone with
sensory/motor deficiency would act (learn through modeling). This behaviour could
also be reinforced by attention and getting out of things.
7.Genetic and physiological factors in conversion disorders show they are not very
important. Twin studies haven’t produce evidence in favour, however L/R brain
studies are promising.
8.Little research has been done on psychological treatment of somatoform disorders b/c
patients believe they have something physically wrong with them and don’t want to
go to psychologists.
9.The cause of dissociateive symptoms of a young Inuit discussed by Seltzer was in
part due to cultural beliefs that spirits possessed him
10.Existence of dissociative identity disorder is disputed because diagnosis rates have
varied widely, depends on popularity, people are capable of second personalities
11.Colin Ross found that dissociative experiences are common, but experiences enough
to qualify for DID are rare. It is suggested DID is exaggerated or inc. freq. of
12.Dissociative disorders are commonly treated by psychoanalytic methods b/c it’s more
in line with their ideas of repression and the unconscious.
13.Spanos didn’t believe DID was a real disorder. His cognitive behavioral model of
hypnosis led him to believe DID is more like role playing. He believed therapists
made patients adopt the role of multiple personalities.
14.Prout and Dopson’s conclusions about repressed memory of childhood sexual abuse
vs. the possibility of false memories was to use middle ground approach and treat
CSA as real, but possibility of false reports from clinicians. Cases should be judged
individually w/o pre bias.
Memories aren’t reliable, popular writings can encourage us to remember things as
CSA, therapists can influence us under hypnosis.