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2011 PSYB32 Midterm 2 Study Guide

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Konstantine Zakzanis

Midterm 2 Lecture 5: Chapter 7: Somatoform and dissociative disorders Inter-rater reliability is poor, culture plays a moderating roles Only pain disorder with both psychological factors and a general medical condition will be diagnosis because pain is a subjective experience and have no test thus we can never know whether it is a psychological or physical. Pain disorders are often co-morbid with substance abuse e.g. pain killers, anxiety, and depression These patients are reinforced and develop into iatrogenic disability; reinforcement of being disabled Typically women suffer from body dysmorphic disorders than men, and will be more specific It is important to know that patients, who suffer from body dysmorphic disorders (BDD), often have obsessive compulsive personality disorder characteristics. They are obsessed with looking at their defective reflection in mirror. Usually begins in late adolescence or adulthood Depression, social phobia co-morbit because imagine defect and not want to be in public, or sad about defects They usually meet the criteria of a delusional 5% of the population might have hypochondriacs, and is chronic. Depression and anxiety is highly co-morbit Hypochondriacs have shifting complaints, believe they have a specific disorder Somatization disorder patients have symptom complaints, more often in women and runs in families (20%) Depression and anxiety is highly co-morbit along with substance abuse and histrionic personality disorder, and conversion disorder Conversion disorder, may have Phonia(lost of voice), Anosmia (lost of smell), symptoms appear suddenly as a result of a stressor Malingering is when the person is consciously fainingfaking impairment in the context of external incentive such as insurance check or getting out of military Factitious disorder is when the patient intentionally fainingfaking impairment without external incentive Conversion disorder is when the impairment is unconscious Munchausen Biproxy: When a person causes a family member illness in order to care for; conscious complaints Dissociative disorders are rare and do not know the cause Dissociative amnesia is usually time locked which means it lasts for a period of time and goes away suddenly like the onset usually after a stressful event Sodium amatol: truth serum, relaxes unconscious guard Dissociative fugue, even more uncommon, 0.2% prevalence in population Fugue is brief in duration, occurs after severe stressor, rare that it will recur again after recovery Dissociative disorders usually have acute onsets 1.3% prevalence of D.I.D. but commonly misdiagnosis of being borderline or schizophrenia (vice versa). Begins in childhood or adulthood There are gaps in between memories of separate egos DID is chronic and severe causing disability Chapter 6: Anxiety Disorder Anxiety disorders are the most common, 31% lifetime prevalence Co-morbidity amongst the different anxiety disorders are high because symptoms are not disorder specific e.g. elevated heart rate may be a symptom for OCD and GAD, causesetiology may be applicable to more than one disorder Claustrophobia: fear of enclosed spaces Agoraphobia: fear of open spaces with a lot of people Xenophobia: fear of strangers Phobia: comes from Greek work of being afraid Specific phobia is more prevalent in women Categories of specific phobia: objects, situation, animals, natural environment Social phobia is more disabling than specific phobia
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