Psychology 2310A/B Chapter Notes - Chapter 6: Convulsion, Somatization Disorder, Fugue State

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Primary gain: avoidance of conflict, primary reinforcement maintaining the somatoform symptoms. Secondary gains: hysterical symptoms could help a patient avoid responsibility and gain attention and sympathy: dissociative disorder: characterized by severe maladaptive disruptions/alterations of identity, memory, and consciousness that are experienced as being beyond one"s control. In many cases the amnesia remits spontaneously within a few days of being in a safe environment, in some it can be more chronic and recurrent. Frequently the person has left behind and intolerable situation. Usually lasts a few days to a few weeks, but rare cases of disappearance for a prolonged period of time. May end either abruptly of gradually with persistent confusion/amnesia about identity. Often also accompanied by derealisation: experience of detachment and altered relationship to the surrounding world in which the person perceives people and objects in the environment as unreal, dreamlike, distant, or distorted. Typically begins in adolescence and tends to be chronic in nature.

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