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PSYC 3390 (102)
Chapter 8

Abnormal Psychology Chapter 8

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PSYC 3390
Mary Manson

Chapter 8 12/3/2012 1:35:00 PM Somatoform Disorders - Soma means body and somatoform disorders involve patterns where individuals complain of bidoly symptoms or defects that suggest the presence of medical problems but for which no organic basis can be found - People with hypochondriasis are preoccupied either with fears of contracting a serious disease or with the idea that they actually have such a disease even though they do not - 2 to 7 percent suffer and it occurs equally in men and women and can start at almost any age—it tends to be chronic if left untreated but the severity wanes overtime - individuals who suffer often also have mood disorders, panic disorder, and/or other somatization disorders - anxious and preoccupied with bodily functions or minor physical abnormailities or vague and ambiguous physical sensations - somatization disorder is characterized by many different complaints of physical ailments over atleast several years beginning before age 30, that are not adequately explained by independent findings of physical illness or injury and that lead to medical treatment or to significant life impairment - criteria that must be met for diagnosis are: four pain symptoms, two gastrointestinal symptoms, one sexual symptom and one pseudoneurological symptom - occurs more in women and in lower socioeconomic classes—lifetime prevalence is .2 to 2 percent in women and less than .2 percent in men - there is linkage between antisocial personality disorder in men and somatization disorder in women in families - pain disorder is characterized by the experience of persistent and severe pain in one or more areas of the body - DSM-IV-TR identifies pain disorder associated with psychological factors and pain disorder also associated with a general medication as well as psychological factors - Relaxation training, support and validation that the pain is real, scheduling of daily activities, cognitive restructuring, and reinforcement of no-pain behaviours are techniques used for treatment - Conversion disorder involves a pattern where symptoms affecting sensory or voluntary motor functions lead one to think a patient has a medical or neurological condition - Partial paralysis, blindness, deafness, and pseudoseizures are some examples and psychological factors must be judged to play an important role in the symptoms or deficits because the symptoms usually start or are exacerbated by preceding emotional or interpersonal conflicts or stressors - La belle indifference occurs in 30 to 50% of patients - Freud used the term conversion hysteria for these disorders because he believed that the symptoms were an expression of repressed sexual energy - The primary gain for conversion symptoms is continued escape or avoidance of a stressful situation and the secondary gain which originally referred to advantages that the
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