Textbook Notes (363,550)
United States (204,628)
Psychology (294)
01:830:340 (46)
Chapter 5


5 Pages
Unlock Document

Rutgers University
Sara Campbell

CHAPTER 5: Somatoform & Dissociative Disorders somatoform disorders- pathological concern of individuals with the appearance or functioning of their bodies usually in the absence of any identifiable medical condition (medically unexplainable physical symptoms) dissociative disorder- individuals feel detached from themselves or their surroundings and feel reality, experience, and their identity may disintegrate SOMATOFORM DISORDERS: I. Hypochondriasis hypochondriasis- involves severe anxiety over belief in having a disease process without any evident physical cause (one specific thing) A. clinical description ■ shares similarities with anxiety and mood disorders (often comorbid) ■ characterized by fear of having a specific disease ■ individual is preoccupied with bodily symptoms and misinterpreting them ■ reassurance from numerous doctors only lasts short term ■ disease conviction- convinced they have a disease B. statistics ■ equally prevalent in men and women ■ spread evenly across all ages of adulthood (may appear to be more in older adults but that is only bc they see physicians more regularly) ■ culture specific symptoms i. koro- fear of genitals retracting in chinese males ii. dhat- fear of losing semen in indian males iii. indian- sensations of burning in the hands and feet iv. africans- hot or crawling sensations in the head ■ diagnosing i. physician must rule out physical cause and refer patient to a mental health professional ii. mental health professional must determine disorder and type of somatic disorder iii. must be aware of culture of the patient C. causes ■ increased anxiety produces additional physical symptoms ■ evidence shows that it runs in families (nonspecific) for example the tendency to over respond to stress ■ tends to develop in the context of a stressful life event ■ people tend to have a disproportional experience with disease in their family as children ■ social influence of seeing the benefits of taking on the “sick role” ○ increased attention for being ill and avoiding work D. treatment ■ explanatory therapy- therapist offer reassurance and devote significant time to all concerns patient may have, go over source/origins of their disorder in detail ○ decreases fear and health care usage and gains were maintained in follow up ■ some drugs are also effective II. somatization disorder somatization disorder- involves extreme and long lasting focus on multiple physical symptoms for which no medical cause is evident A. statistics ■ rare and diagnosis is difficult bc patient must have at least eight physical symptoms ■ undifferentiated somatoform disorder- people with less than eight symptoms that still experience distress ■ adolescence is typical age of onset ■ more common in women especially those unmarried and of low economic status ■ often associated with anxiety or mood disorders ■ medical bills are 9x as high as the avg person ■ equal prevalence across cultures B. causes ■ history of family illness or injury during childhood (similar to hypochondriasis) ■ no known genetic contributions ■ strongly linked to antisocial personality disorder which is characterized by aggressive irrational behavior C. treatment ■ CBT is the most helpful ■ very difficult to treat and success rate is lower than other disorders ■ concentrate on reducing stress, providing reassurance, and reduce help seeking behaviors ■ try and reduce relying on being sick III. pain disorder pain disorder- patient experiences true pain but for which psychological factors play an important role in onset, severity, or maintenance, fairly common IV. conversion disorder conversion disorder- physical malfunctioning such as blindness or paralysis suggesting neurological impairment but with no organic pathology to account for it A. related disorders malingering- deliberate faking of a physical or psychological disorder motivated by gain factitious disorder- nonexistent physical or psychological disorder faked for no apparent gain except sympathy and attention (munchausen syndrome proxy) B. statistics ■ rare in mental health facilities but highly prevalent in neurological settings because patients seek help from a neuro professional ■ more commonly found in women ■ onset in adolescence C. causes ■ four basic processes in development of conversion disorder(freud) i. person experiences a traumatic event ii. person represses the conflict making it unconscious iii. primary gain- as the anxiety increases and threatens to emerge into the consciousness the person “converts” it into physical symptoms iv. secondary gain- the person receives attention from others and sympathy ■ major mood disorders and environmental stre
More Less

Related notes for 01:830:340

Log In


Don't have an account?

Join OneClass

Access over 10 million pages of study
documents for 1.3 million courses.

Sign up

Join to view


By registering, I agree to the Terms and Privacy Policies
Already have an account?
Just a few more details

So we can recommend you notes for your school.

Reset Password

Please enter below the email address you registered with and we will send you a link to reset your password.

Add your courses

Get notes from the top students in your class.