CH 8

___ % of doctor visits are for individuals worried something is wrong even though no medical cause is found

when concerns about symptoms is severe and leads to distress/impairment; over 6 months of symptoms; 'doctor shopping' 5-7% prevalence; more females and comorbid for depression and anxiety

'being out of it' is so persistent and recurrent person has memory deficits

maggie has a lump and worries its cancer. she was unable to function. when she found out she does not have cancer, she felt better. maggie has___

somatic symptom disorder

illness anxiety disorder

• genetic/biological vulnerabilities (increased sensitivity to pain)

• early traumatic experiences

• role modeling of the physical sick role

• learning non-medical help seeking may be rejected

• high deference to medical authorities

raul has ___. he may avoid accepting a psychological explanation for his problems

relaxation training, support validation of pain, schedule daily activities, reinforce 'no-pain' behavior

high anxiety about developing a serious illness; no/mild symptoms; care seeking or care avoiding; treatment goal is to diagnosis with mdd, gad, or ptsd

presence of neurological symptoms in absence of neurological diagnosis (blind, deaf, etc.); previously hysteria as freud took anxiety and converted it to physical; common in WWI and WWIII and uneducated groups

person not concerned with symptoms in conversion disorder

intentionally producing psychological/physical symptoms to obtain a benefit on the sick role; receives no external reward

motivated by external rewards exaggerating physical symptoms

factitious disorder imposed on by another

somatic and dissociative disorders commonality

conditions involving disruptions in a person's normally integrated functions of consciousness, memory, identity, or perception/involuntary intrusions

reality of outside world is temporarily lost

sense of one's self and reality is temporarily lost

sophie's dad died and she felt like she was in a movie but could function normally___

• equal in men and women

• age of onset about 16 years old

• stressors can trigger symptoms (early trauma and low support common)

solidify personal identity, teach coping skills, anxiety management skills, increase personal awareness, and meds as needed

inability to remember for a period of time; 1.8% prevalence; sudden onset; can resolve quickly or last for years

actual flight; depart from home surroundings while being amnesic

2+ personality states and recurrent amnesia (previously multiple personality disorder); medical/physical conditions can alter depending on identity present; impairment varies; little known treatment

disruption of identity, marked discontinuity of sense of self, changes in affect, behavior, memory, etc. (self reported or observed), gaps in recall with 'self,' and not part of culture

remote memory of life events, lapes in dependable memory, evidence of actions but having no memory of actions

how many clients with did have attempted suicide

apparent to others

person's real name/most frequently encountered

fragments of a single person

___ females treated more than men (men often deny symptoms) and females with more alters

• number of alters has increased over time and more bizarre

• used by defendants to escape punishment for crimes

• real memories of abuse? (repressed memories may be false by leading questions and suggestions)

• inclusion of possession more applicable to more people

attempt to cope in childhood starting as a child

highly suggestible person learns to adopt and enact roles of multiple personalities by clinicians who reinforce them; diathesis-stress model; variant of ptsd

behave uncontrollably/disruptively

hypnosis, some medications help, focus on uncovering trauma, and integrate separate alters for did (treatment prolonged for years to be successful)

which is true for opposite sex alters in did?

when it comes to the effectiveness of treatment for dissociative disorders...

partial or total inability to recall or identify previously acquired information or past experiences

partial or total inability to retain new information