Chapter 7: SOMATOFORM AND DISSOCIATIVE DISORDERS:
- pain disorder: psychological factors on the onset and maintenance of pain.
- body dysmorphic d: preoccupation with imagined/exaggerated defects in personal app
- Hypochondriasis: preoccupied with fears of having a serious illness.
- conversion disorder: sensory/motor symps w/o any physiological cause.
- somatization: multiple physical complaints with no bio. basis.
"soma" means body.
In Dissociative disorders, person experiences disruptions in memory/identity.
Both Can occur through stressful experiences. Much controversy around causes and
Somato can come in two forms 1) distress in the form of anxiety and depression. 2)
thoughts/intentions not consciously recognized.
Hypochondriacs usually overreact to simple sensations in the body. Frequent visitors of
clinics, likely have mood/anxiety disorders.
Conversion Disorder -
- sudden loss of visual or paralysis [anesthesias].
- appear in sudden situations. Stress/Hysteria. Co-morbid with axis I diagnosis'. Notably
borderline and histrionic.
- Conversion is hard to distinguish from malingering. fakes to escape a responsibility.
La belle indifference is when you hide your openness about your disease to avoid the
risk of ruining your lie.
- Facticious disorder is when the individual wants to assume to role of a patient for no
good reason and fakes a disease/disorder.
[Briquet syndrome now referred to as] Somatization disorder:
- multiple complaints of recurrent pains without physical cause.
- to meet criteria 1) four pain symptoms in diff locations. 2) two gastrointestinal symps
(diarrhea, nausea). 3) one sexual symp. 4) one pseudoneurological sympt. (convesion).
- begins early adulthood and is on and off.
Etiology of Soma Disorders:
- high levels of cortical = sane with high levels of stress.
CBT is effective in getting rid of Hypochondriacs.