1 / 20

differences

differences. (a psychological conflict converted into a physical problem). SOMATIZATION DISORDERS. Hysterical. Preoccupation. conversion disorder. hypochondriasis. somatization disorder. BDD. pain disorder. suffer changes in physical functioning.

telyn
Télécharger la présentation

differences

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. differences (a psychological conflict converted into a physical problem) SOMATIZATION DISORDERS Hysterical Preoccupation conversion disorder hypochondriasis somatization disorder BDD pain disorder suffer changes in physical functioning misinterpret/overreact to body symptom or features

  2. purposely faking these are NOT somatization disorders Why do it? malingering factitious disorder to play the sick role; attn to gain profit or avoid work/jail time

  3. conversion disorder DIAGNOSTIC CRITERIA • 1+ sensory or voluntary motor deficit • an associated stressor e.g. blindness, numbness, paralysis, gait, seizures, deafness, mutism STATS • .005% prevalence • onset: at time of extreme stress • sex ratio: 2-10:1 • course: resolves w/in 2 weeks after stressor

  4. conversion disorder CAUSE a trauma where escape was needed but running away was not possible or acceptable (major mood disorder + severe stress event) • TREATMENT • therapy for original trauma • exposure to stimuli that “produce” symptoms • do not reinforce with attention • positive reinforcement when deficits go away • SSRIs

  5. somatization disorder DIAGNOSTIC CRITERIA • before 30 yrs old, years of many long-lasting physical complaints (in excess or not explainable by GMC): • 4 pain • 2 gastro-intestinal • 1 sexual • 1 neurological/sensory/motor (just symptoms, not worried about a specific disease)

  6. somatization disorder STATS • prevalence 4% • sex ratio: 2:1 • onset: adolescence • course: chronic • low SES, low edu, unmarried • runs in families (10-20% close female relatives are concordant)

  7. somatization disorder CAUSE (genes for ASPD) impulsiveness – short term gain (attn) – long term probs (social isolation) pleasure-seeking – provocative sexual behavior TREATMENT teach how to interact & relate to others w/o relying on conversations about symptoms

  8. pain disorder DIAGNOSTIC CRITERIA • pain in 1+ sites • not faked • associated w/ a stressor STATS • 5-12% prevalence • onset: any • can start from condition w/ real pain but persists TREATMENT • cognitive therapy & relaxation

  9. hypochondriasis DIAGNOSTIC CRITERIA • 6+ months • preoccupied that has serious disease despite medical reassurance otherwise STATS • prevalence 1-5% • sex ratio: 1:1 • onset: early adulthood; trimodal (14,45,60+) • course: chronic but waxes & wanes

  10. hypochondriasis CAUSE • modeling reinforcement by escaping circumstances, classical conditioning, cognitive misinterpretation of interoceptive sensation TREATMENT • SSRIs • cognitive therapy

  11. body dysmorphic disorder DIAGNOSTIC CRITERIA • preoccupied w/ imagined defect or excessive concern over a defect STATS • 1-5% prevalence • sex ratio: 1:1 • onset: adolescence to 20’s • 30% are housebound, 17% attempt suicide • 50% comorbid w/ depression

  12. body dysmorphic disorder TREATMENT • SSRIs • exposure & response prevention helps 80% • cognitive therapy ADDITIONAL DIAGNOSIS If firmly held, get “Delusional Disorder, Somatic Type”

  13. purposely faking MALINGERING (external incentive) • avoid military duty • avoid incarceration • avoid work • gain insurance or lawsuit money

  14. purposely faking FACTITIOUS DISORDER Wants attention & sympathy • associated features: • childhood exposure to extensive med treatment • childhood abuse or disruption • grudge against medical profession • worked in medical profession • dependent personality • no social supports

  15. dissociative disorders (disruption in conscious awareness, perception, memory, or identity ) Dissociative Amnesia conscious awareness & memory Depersonalization Disorder DID conscious awareness, memory, & identity conscious awareness & perception

  16. depersonalization disorder DIAGNOSTIC CRITERIA recurrent sense of detachment from thoughts or body (causes distress or impairment) MISC • depersonalization and/or derealization • mostly case study research • decreased emotional responsiveness • no treatments effective STATS • 1% prevalence • onset: 23 yrs average • course: chronic

  17. dissociative amnesia DIAGNOSTIC CRITERIA 1+ episodes of memory loss (usually of trauma) (causes distress or impairment) “generalized” – no memory for ANYTHING including own identity “localized” – a.k.a. “selective”, can’t recall specific events or time period TREATMENT • remove from threatening situation, hypnosis, tranquilizers with therapy

  18. dissociative fugue DIAGNOSTIC CRITERIA • sudden, unexpected travel from home/work w/ dissociative amnesia • confusion about identity (maybe new identity) TREATMENT • same

  19. dissociative identity disorder DIAGNOSTIC CRITERIA • 2+ identities that recurrently take control • memory lapses MISC • identity, conscious awareness, & memory is fragmented • “alters”, “host”, & “switching” • alters are not full personalities • sex ratio: 3-9:1

  20. dissociative identity disorder CAUSE • Post Traumatic Theory: • repeated traumatic abuse as child & autohypnotic dissociation as defense • develops by 9 yrs old (after PTSD likely) • Socio Cognitive Theory: • highly suggestible person learns to adopt & enact roles of identities due to clinician suggesting & reinforcing them TREATMENT reintegrate identities, hypnosis, show client videotape of alters

More Related