somatoform disorders definition? common features lots of physical complaints appear to be...
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Definition? Common Features
Lots of Physical Complaints Appear to be Medical Conditions But No Identifiable Medical Cause Pathological Concern about
Functioning of body or Physical appearance
Five Somatoform Disorders Hypochondriasis Somatization Disorder Conversion Disorder Pain Disorder Body Dysmorphic Disorder
Physical Complaints No Known Medical Cause
Preoccupied with Bodily Symptoms Misinterpretation of Symptoms Strong Disease Conviction
Differentiated from Illness Phobia Severe Anxiety About Possibly Having a
Serious Disease Many Medical Visits and Tests Reassurance Doesn’t Help Impaired Functioning/Distress
Causes? Disorder of Cognition / Perception More Disease in Family More Illness Concern in Family More Attention for Sick Behavior
Psychological Treatment Challenge illness-related misinterpretations Provide more substantial and sensitive
reassurance Stress management and coping strategies
Medical Treatment?
Previously Called Briquet’s Syndrome Many Physical Complaints
Starting before age 30 No Known Medical Cause Concern about Symptoms
but Not What They Mean Life/Identity Revolves Around Symptoms Impaired Functioning
Previously Called Briquet’s Syndrome Many Physical Complaints
Starting before age 30 No Known Medical Cause Concern about Symptoms
but Not What They Mean Life/Identity Revolves Around Symptoms Impaired Functioning
Causes? Family Link Link to Antisocial Personality
Weak Behavioral Inhibition
Causes? Family Link Link to Antisocial Personality
Weak Behavioral Inhibition
Treatment Difficult to Treat No Proven Treatments Treatment Focuses on
Reduction of Medical VisitsAssign a “Gatekeeper” Physician
Reducing Secondary Gain
Treatment Difficult to Treat No Proven Treatments Treatment Focuses on
Reduction of Medical VisitsAssign a “Gatekeeper” Physician
Reducing Secondary Gain
Popularized by Freud Physical Malfunctioning
Often involves sensory-motor areasParalysis, Blindness, Mutism, Anesthesia
No Organic Pathology La Belle Indifference Impaired Functioning
Popularized by Freud Physical Malfunctioning
Often involves sensory-motor areasParalysis, Blindness, Mutism, Anesthesia
No Organic Pathology La Belle Indifference Impaired Functioning
Causes? Psychodynamic view is still popular Emphasis on the role of trauma,
conversion, and secondary gain Detachment from the trauma and
negative reinforcement seem critical Getting physically sick is culturally
acceptable
Causes? Psychodynamic view is still popular Emphasis on the role of trauma,
conversion, and secondary gain Detachment from the trauma and
negative reinforcement seem critical Getting physically sick is culturally
acceptable
Treatment Similar to Somatization Disorder No Well Established Treatments Address the Trauma Remove Sources of Secondary Gain Reduce supportive consequences of
talk about physical symptoms
Treatment Similar to Somatization Disorder No Well Established Treatments Address the Trauma Remove Sources of Secondary Gain Reduce supportive consequences of
talk about physical symptoms
Pain is Real Pain May Initially Have Organic Cause Psychological Factors Maintain Pain Can Be Debilitating
Pain is Real Pain May Initially Have Organic Cause Psychological Factors Maintain Pain Can Be Debilitating
Previously known as dysmorphophobia
Preoccupation with Defect in Appearance“Imagined” UglinessOften seek multiple plastic surgeries
Fixation or Avoidance of Mirrors Ideas of ReferenceSuicidal Ideation and Tendencies
Previously known as dysmorphophobia
Preoccupation with Defect in Appearance“Imagined” UglinessOften seek multiple plastic surgeries
Fixation or Avoidance of Mirrors Ideas of ReferenceSuicidal Ideation and Tendencies
Causes? Little is Known Runs in Families Similarities to OCD
Intrusive Thoughts and Checking Compulsions About Appearance
Treatment Parallels OCD treatment Medications (i.e., SSRIs) that work for OCD
provide some relief Exposure and Response Prevention Plastic surgery is typically unhelpful
Causes? Little is Known Runs in Families Similarities to OCD
Intrusive Thoughts and Checking Compulsions About Appearance
Treatment Parallels OCD treatment Medications (i.e., SSRIs) that work for OCD
provide some relief Exposure and Response Prevention Plastic surgery is typically unhelpful
Malingering Factitious Disorders Munchausen’s Syndrome by Proxy
Malingering Factitious Disorders Munchausen’s Syndrome by Proxy