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CSU - PSY 320 - Class Notes - Week 7

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CSU - PSY 320 - Class Notes - Week 7

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background image 9/26/16 
Chapter 6 
Somatic Symptoms Disorders 
- Soma - Body  ● Preoccupation with health and/or body appearance and functioning 
● No identifiable medical condition 
- Types of DSM-V Somatoform Disorders  ● Illness anxiety disorder 
● Somatic symptoms disorder 
● Conversion disorder 
● Fictitious disorder 
- Illness Anxiety Disorder  ● Worry that they have or will develop a serious illness  ○ No serious physical symptoms 
○ Physical complaints 
■ Very alarmed and concerned 
■ Usually seek medical care, or sometimes avoid the doctor 
because they don’t want to be told it’s all in their head  ○ Not faking it, they believe it so much that they really do feel the pain  ● Theories of Somatic Symptom Disorder and Illness Anxiety disorder  ○ Cognitive factors  ■ Dysfunctions beliefs about illness - might think of being sick as a  beneficial thing (like getting special attention when you’re sick)  ■ Increased attention to physical change (my hand fell asleep) 
■ Catastrophize symptoms (my hand is tingling, maybe I have a 
tumor)  ● Treatment of Somatic Symptoms Disorder and Illness Anxiety disorder  ○ Psychodynamic therapies  ■ Provide insight into emotions that link to physical symptoms  ○ Behavioral therapies  ■ Learn and eliminate reinforcements  ○ Cognitive therapies  ■ Challenge physical symptoms to avoid catastrophizing them   ○ Belief systems  ■ Engage in therapy to work on the physical symptoms  - Conversion disorder  ● Lose neurologic functioning in a certain body part  ○ Ex: Glove anesthesia - lose feeling to part of your hand, like wearing a  glove that wiped out physical sensation  ● Theories of Conversion Disorder  ○ Freudian  ■ Transfer of psychic energy attached to repressed emotions 
background image ■ Primary gain - reduced anxiety because attention is shifted from  sexual frustration to physical ailment   ■ Secondary gain - attention  ○ Behavioral   ■ Alleviates stress by removing individual from the environment (If  you have a lot of stress about medical school and then you wake 
up and can’t feel your hand then you can’t do school and have to 
focus on something else for a little while) 
■ La belle indifference - unconcerned by loss  ● Therapy for Conversion Disorder  ○ Psychoanalytic  ■ Express painful emotions or memories linked to symptoms  ○ Behavioral  ■ Relieve anxiety centered on the initial trauma (stressor) 
■ Reducing benefits (reinforcing sickness) 
- Fictitious Disorder  ● Munchausen's syndrome  ○ Deliberately faking symptoms of an illness to gain medical attention  ■ Don’t just fake it, but do things to actually make themselves sick  ○ Munchausen’s syndrome by proxy  ■ Falsifying illness in another person (primary caregiver making their  child or elderly people sick on purpose)  ○ Malingering - faking a symptom or a disorder in order to avoid an  unwanted situation or to gain something other than attention ( this is not a  disorder)  ■ Ex: faking a problem in order to get out of military service   
Dissociative Disorders 
- Derealization - loss of sense of the reality of the external world  - Depersonalization - loss of sense of own reality  - 4 types  ● Depersonalization disorder 
● Dissociative amnesia 
● Dissociative fugue 
● Dissociative Identity disorder 
- Dissociative Identity Disorder (multiple personality)  ● Many personalities (alters) coexist in one body  ○ Personalities or fragments are dissociated - alters can be different ages,  races, genders, etc.   ● Switch personalities - alters created because they are lacking other coping  strategies  ● Auditory hallucinations (from inside heads) 
● 97% severe child abuse 

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School: Colorado State University
Department: Psychology
Course: Abnormal Psychology
Professor: Martha Amberg
Term: Fall 2016
Tags: PSY320, abnormal psych, Abnormal psychology, and Amberg
Name: PSY 320 Week 6 Notes
Description: Lecture notes for week 6 Prof Amberg Somatic Symptom Disorder, Dissociative Disorders, and Mood Disorders
Uploaded: 09/30/2016
6 Pages 28 Views 22 Unlocks
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