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Canada (162,165)
Psychology (9,697)
PSYB32H3 (1,174)
Chapter 07

CHAPTER 07 - SOMATOFORM

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Department
Psychology
Course
PSYB32H3
Professor
Konstantine Zakzanis
Semester
Fall

Description
Somatoform DisordersDissociative DisordersSomatoform disorders the individual complains of bodily symptoms that suggest a physical defect or dysfunction but for which there is no physiological basisDissociative disorder the individual experiences disruptions of consciousness memory and identity as illustrated in the opening case studyThe onset of both classes of disorders is typically related to some stressful experience and the two classes sometimes cooccurSomatoform DisordersPsychological problems take a physical formNot under voluntary controlThought to be linked to anxiety and all psychologically caused2 main somatoform disorders conversion disordersomatisation disorderOverall DSMIV categories of somatoform disorderoPain disorder Psychological factors play a significant role in the onset and maintenance of painoBody dysmorphic disorder preoccupation with imagined or exaggerated defects in physical appearanceoHypochondriasis preoccupation with fears of having a serious illnessoConversion disorder sensory or motor symptoms without any physiological causeoSomatization disorder recurrent multiple physical complaints that have not biological basisPain disorderoPerson experiences pain that causes significant distressimpairmentoPsychological factors are viewed as playing an important role in the onset maintenance and severity of the painoUnable to work and may become dependent on pain killers or tranquilizersoConflict or stress or avoid some unpleasant activity and to secure attention and sympathy not otherwise availableoHard to find where the pain is coming fromoPeople with true physiological pains describe their pain as more localized and with magnitude while pain disorder patients cantBody dysmorphic disorderoPerson is preoccupied with an imagedexaggerated defect in appearance frequently in the face facial wrinkles excess facial hair shape of noseoSpend hours each day checking on their defect in the mirroroLeads to frequent consultations with the plastic surgeonoMostly among womenoTypically beings in late adolescence oFrequently comorbid with depressionsocial phobiaoPreoccupation with imaged defects in physical appearance may therefore not be a disorder itself but a symptom that can occur in several disorders OCD delusional disorderHypochondriasisoIndividuals are preoccupied with persistent fears of having a serious disease despite medical reassurance to the contraryoTypically beings in early adulthood and tends to have a chronic courseoThey make catastrophic interpretations of symptoms oPrevalence of 5oNot well differentiated from somatisation disorder long history of complaintsoOften cooccurs with anxiety and mood disordersChapter 7 Somatoform and Dissociative DisordersPage 6
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