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Chapter 8

Chapter 8 - PSYCH 2AP3.docx

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Department
Psychology
Course
PSYCH 2AP3
Professor
Michael Schutz
Semester
Winter

Description
1PSYCH2AP3Chapter8somatoformdisorderinvolvephysicalsymptomswithoutaphysicalcausedissociativedisordersinvolvedisruptionsinapersonsnormallyintegratedfunctionsofconsciousnessmemoryperceptioniepplforgetwhotheyarehaveseveralidentitiesdissociationabilityofthemindtoengageincomplexmentalindependentofconsciousnesssomatoformdissociativedisordersusedtobeunderneurosesbutbecameseparateinDSMIIISomatoformDisorderssomabodypplgenuinelybelievesomethingiswrongwiththeirbodysomatizationiscommoninallculturesdifferencesbwculturesreflecthowtheyexpressstresswhichininfluencedbyculturalbeliefsaswellasthehealthcaresystemHypochondriasisHDOESNOTEXISTINDSM5pplfearthattheywillcontractanillnessoralreadyhaveonehypochondriaccomplaintscanonlybeverifiedasmisinterpretationsbymedicaltestsHpatientsoftendoubtmedicalresultstheystillthinktheyhaveadiseaseHpatientsvisitmedicaldoctorssincetheylooktoconfirmtheirbeliefmedicalbillisveryhighmostcommonsomatoformdisorder27prevalenceequallycommoninmenwomenearlyadulthoodisthemostcommonageitcanbeginatanyageHtendstobechronicifuntreatedwithsymptomseverityfluctuatingovertimecomorbiddisordersmoodpanicothersomatoformdisordersMajorcharacteristicsHpatientsattributeanybodilyfunctiontoadiseaseietuberculosisAIDSexoticinfectionsandotherstheydonotmalingerintentionallyfakesymptomstoachieveagoaldoctorpatientrelationshipsareoftenfilledwithconflictasHpatientdoubtsthedoctorTheoreticalperspectivesoncausalfactorscognitivebehaviouralviewsaremostacceptedpersonspastexperiencewithillnesscanleadtoincorrectassumptionsaboutdiseaseswhichactasadiathesisforHthesemisleadingassumptionscausesppltofocusmoreattentiontoanysymptomtheyoverestimatelikelihoodofdiseaseandsymptomseveritytheylookforconfirmingevidenceieconfirmationbiasdiscountcontradictoryevidenceiebeliefbiastheyunderestimateabilitytocopewithdiseaseastheyviewthemselvesasweakabovebeliefsresultindownwardsspiralinchildhoodsecondaryreinforcementsHindividualsreportedmanysicknessesmissedschoolhadmanyillnessesintheirfamiliescreatesmemoriesofbeinginpainrecentresearchsupportsroleoflearningindevelopingHgeneticfactorisnotasimportantTreatmentofhypochondriasisCBTisveryeffectivethecognitivepartmodifiesthebeliefsthebehaviouralpartofCBThasthepatientinducebodilysymptomssotheylearnthattheirinterpretationsareirrationaliethepatientrunsandlearnsthatphysicalactivityinchearratethispartcanalsoinvolvepreventingthepatientfromcheckingsymptomsalthoughCBTisshort616sessionsitiseffectiveinalleviatingHsymptomsanxietydepsomeevidencesuggestSSRIsmaybeeffectivehoweveronestudyshowpatientpreferCBTSomatizationDisorderSDdefinebyseveralcomplaintsseveralyearspriorto304symptomcriteriathatmustbemet1Fourpainsymptomsindifferentbodyparts2TwoGIsymptomsotherthanpainienauseabloatingdiarrheavomitingwhennotpregnant3Onesexualsymptomotherthanpain4Onepseudoneurologicalsymptomotherthanpainiesymptomsthatmimicmotorimpairmentssuchasinvoluntarymusclecontractions
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