Textbook Notes (368,799)
United States (206,115)
Psychology (112)
PSY 240 (9)
all (9)
Chapter 6

Abnormal Psychology CHAPTER 6 NOTES - I got a 4.0 in the course

7 Pages
Unlock Document

PSY 240
All Professors

Chapter 6: Somatic Symptom and Dissociative Disorders (do not follow the book as much because it is not up to date with the DSM 5) • Preoccupation with their health or appearance becomes so great that it dominates their lives • There is usually no identifiable medical condition causing the physical complaints • Labeled “medically unexplained physical symptoms” Somatic Symptom Disorder: Clinical Description: • Some type of very disruptive apparent medical problems causes a huge amount of attention to those symptoms but as far as the medical personnel are concerned, they are very excessive and very unnecessary • Excessive attention to somatic (soma=body) symptoms o Cognitively exaggerates the seriousness of the symptoms o Stubborn, intense anxiety about the symptoms o Inordinate energy and time spent on symptoms or health concerns • Person is not symptom-free for about 6 months; called persistent if severe and lasts > 6 months Causes: • Chronic illness among family members • Rough upbringing • Neuroticism (negative affect) • Norms of stigmatizing psychological suffering, physical attributions for stressors, etc Cultural: • China- koro: concerned that genitals are retracting into our bodies and will kill us • India- dhat: male concern about losing their semen. Dizziness and fatigue • Culturally Specific Tactile Hallucinations:Africa and Pakistan Treatment: • Education and Support: o Frequently and sensitively give detailed info about the disorder o Beneficial for mild cases • Cognitive-Behavioral o Identify and challenge misinterpretations o “symptom creation” o Perhaps “gatekeeper” physician  Reduce visits to numerous specialists o Stress reduction o Efficacy unknown IllnessAnxiety Disorder: Clinical Description: o Excessive concern with acquiring or having a serious illness o Physical symptoms are absent or minimal o Extremely anxious about or easily becomes distressed about personal health o Repeatedly checks self for signs of disease or, contra wise, actively avoids doctors apts o Above has lasted more than 6 months o Repeated medical visits may lead to anxiety or to iatrogenic (thinking that if even a doctor can’t figure out what is wrong, it must be really bad) complications Statistics: • Prevalence: ~ 1.2 – 5% • Similar in females and males • Rare in children • Prevalence unknown in other cultures • Onset most likely in early to middle adulthood Cause: • Major life stressor • Previous serious health threat, especially in childhood Functional Neurological Symptom Disorder/Conversion Disorder: Clinical Description: • Physical malfunctioning (paralysis, blindness, difficulty speaking) without any physical or organic pathology to account for the malfunction • Incompatible with known neurological or other medical condition o Must be clear evidence of this incompatibility • Apparently lacks awareness • Sometimes but far from always or exclusively o “la belle indifference” o Complaint non sensical physiologically Statistics: • Rare 2-5 per 100,000 • Female > Male • Onset=most likely in 20s and 30s • Chronic, intermittent course • More prevalent in Soldiers and children • Common if: o Low social economic status o Childhood neglect or abuse o Limited disease knowledge o Family history of neurological illness Culture: • Religious experiences • Rituals Causes: • Freudian psychodynamic view o Trauma, conflict experience + repression o ‘conversion’to physical symptoms= primary gain o Attention and support= secondary gain • Behavioral view o Traumatic event must be escaped o Avoidance is not an option o Social acceptability of illness o Negative reinforcement Treatment: • Attending to trauma • Remove secondary gain o Often involves family therapy • Reduce supportive consequences • Reward positive health behaviors Intentional faking (these are NOT conversion disorders but are closely related)  Malingering  Deliberate faking of a physical or psychological disorder motivated by gain  Intentionally produced symptoms  Clear benefit  No precipitating stressful event  Impaired function • Factitious Disorder/Munchausen’s  Nonexistent physical or psychological disorder deliberately faked for no apparent gain except possibly sympathy and attention  Intentionally produced symptoms  No obvious benefit  ¿Sick role?  Also called “Factitious Disorder imposed on another” or “Munchausen’s by proxy” Psychological FactorsAffecting Other Medical Conditions  Psychological/behavioral factors that will negatively influence an existing medical condition  Influence course of the medical condition  Interfere with treatment  Create known risk for the patient  Affect the underlying pathophysiology  FormerlyAxis III DISSOCIATIVE DISORDERS:  Dissociation = Loss of important personal information, usually of a stressful nature; may include changes in consciousness, identity and/or perception.  Dissociative Disorders are such dissociations that result in significant distress or significant impairments in  Identity  Memory  Consciousness  Dissociative Disorders seem to function to avoid the stress of unacceptable events or to deny responsibility for unacceptable behavior or desires.  Aut
More Less

Related notes for PSY 240

Log In


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.