Chapter 9: Dissociative and Somatic Symptom Disorders

function neurological symptom disorder

conversion disorder, involves an individual experiencing a change in a bodily function not due to an underlying medical condition

conditions related to somatic symptom disorders

malingering and factitious disorders, the symptoms are fabricated and the person knows that the symptoms are not real

factitious disorder imposed on self

people fake symptoms or disorders not for the purpose of any external gain but because of an inner need to maintain a sick role and gain attention

factitious disorder imposed on other

the individual feigns the illness of someone else

why do client with factitious disorder deliberately exaggerate or feign symptoms

for secondary gain

Malingering

the fabrication of physical or psychological symptoms for some ulterior motive

clients engage in malingering in order to get a direct benefit or primary gain: time off, insurance payments, tangible rewards

what was functional neurological symptom disorder previously known as

hysteria or the wandering uterus, many believed that only women could suffer from the disorder because of symptoms due to unconscious and unacceptable conflicts

treatments of somatic symptom and related disorders

psychoanalytic therapy: bring unconscious conflict into awareness and express emotions directly instead of physically, CBT: focus on the client's health anxiety, hypnotherapy

psychological factors affecting other medical conditions

disorder in which clients have a medical disease or symptom that appears to be exacerbated by psychological or behavioral factors

dissociative identity disorder

an individual develops more than one self or identity, often associated with trauma

dissociative amnesia

inability to remember important personal details and experiences that is associated with traumatic or very stressful events

what is the specifier for dissociative amnesia

fugue state, inability to recall some or all of one's past and the loss of identity

depersonalization/derealization disorder

a dissociative disorder in which a person experiences recurrent and persistent episodes of depersonalization, derealization or both

depersonalization

the condition in which people feel they are detached from their own body

derealization

condition in which people feel a sense of unreality or detachment from their surroundings

treatments of dissociative disorders

hypnotherapy, CBT

what other disorders are associated with dissociative disorders

mood disorders, anxiety, ptsd

somatic symptoms

symptoms involving physical problems and/or concerns about medical symptoms

somatic symptom disorder

condition marked by excessive anxiety about physical symptoms that may or may not be accountable by a medical condition

illness anxiety disorder

A somatic symptom disorder characterized by the misinterpretation of normal bodily functions as signs as a serious condition, known as a hypochondriac

examples of functional physiological symptom disorder

paralysis, weakness, disturbances in speech, blindness