somatoform and dissociative disorders. somatoform disorders physical ailment has no apparent medical...
TRANSCRIPT
Somatoform and Dissociative Disorders
Somatoform Disorders
• Physical ailment has no apparent medical cause…
• Do people purposely produce their symptoms?
• Hysterical and Preoccupation Somatoform Disorders
Hysterical Somatoform Disorders
• Suffer actual changes in their physical functioning
• Hard to distinguish• 3 disorders• Conversion,
somatization, & pain disorder associated with psychological factors
Conversion Disorder
• Psychological conflict or need is converted into…
• Symptoms seem…• Examples• DSM Checklist• Begin between late
childhood and young adulthood
• Suddenly, women• 5 of every 1,000 people
Somatization Disorder
• May have long-lasting physical ailments that have little or no organic basis
• Briquet’s Syndrome• Range of ailments…• Doctor to doctor• Runs in families• Begins between... And lasts…
Pain Disorder Associated with Psychological Factors
• Patients with a conversion of somatization disorder may also experience pain, but…
• Fairly common• More women than men• Often develops after an accident or during an
illness
Factitious Disorder
• People go to extremes to create appearance of illness
• Give themselves meds secretly
• Munchausen Syndrome• Munchausen Syndrome
by proxy
Preoccupation Somatoform Disorders• Misinterpret and overreact
to bodily symptoms• Hypochondriasis—• Begins at any age• DSM Checklist• Dysmorphophobia—• Focus on wrinkles,…• Bad odors…• Great lengths to hide
“defects”• Begin during adolescence
Causes of Somatoform Disorders
• May have been acquired earlier in life through conditioning or modeling
• So sensitive to and threatened by bodily cues that they come to over interpret them
• Brings rewards• Forms of communication
Somatoform Disorder Treatment
• Go to physician first• Typically receive kinds of treatments applied
to anxiety disorders
Dissociative Disorders
• Dissociative Disorders—
• Dissociative Amnesia—• Specific upsetting
events• 4 kinds-localized,
selective, generalized, continuous
• Localized is most common
• All deal with personal material
• Memory for abstract info remains
• Triggers?
Dissociative Fugue• Definition—• Can be brief• Extreme cases new
identity!• Follows a severely
stressful event• Affects personal memory• Tend to end
suddenly-”awaken”• Most regain all of
memories when over
Dissociative Identity Disorder (Multiple Personality)
• Definition—• Subpersonalities—• The host• Switching• Early adulthood diagnosis• Starts in childhood• 97% physically/sexually
abused• 100 observed in a case• Most have 2-3 at a time
How to explain it
• Repression of painful memories, thoughts or impulses
• Lifetime of repression• Bad thoughts, try to disown and assign them
to other personalities• Conditioning-bad event, get relief when minds
drift
Treatment
• Psychodynamic therapy• Hypnotic therapy• Drugs
• Multiple treatment difficult• Recognizing the disorder, recovering
memories, and integrating the subpersonalities