New User Special Price Expires in

Let's log you in.

Sign in with Facebook


Don't have a StudySoup account? Create one here!


Create a StudySoup account

Be part of our community, it's free to join!

Sign up with Facebook


Create your account
By creating an account you agree to StudySoup's terms and conditions and privacy policy

Already have a StudySoup account? Login here

Somatic and Dissociative Disorders

by: Amy Turk

Somatic and Dissociative Disorders PSYC 40111-002

Marketplace > Kent State University > Psychlogy > PSYC 40111-002 > Somatic and Dissociative Disorders
Amy Turk

Preview These Notes for FREE

Get a free preview of these Notes, just enter your email below.

Unlock Preview
Unlock Preview

Preview these materials now for free

Why put in your email? Get access to more of this material and other relevant free materials for your school

View Preview

About this Document

Abnormal Psychology lecture notes
Abnormal Psychology
Dr. Fresco
Class Notes
abnormal, Psychology, disorders
25 ?




Popular in Abnormal Psychology

Popular in Psychlogy

This 5 page Class Notes was uploaded by Amy Turk on Sunday April 17, 2016. The Class Notes belongs to PSYC 40111-002 at Kent State University taught by Dr. Fresco in Spring 2016. Since its upload, it has received 12 views. For similar materials see Abnormal Psychology in Psychlogy at Kent State University.


Reviews for Somatic and Dissociative Disorders


Report this Material


What is Karma?


Karma is the currency of StudySoup.

You can buy or earn more Karma at anytime and redeem it for class notes, study guides, flashcards, and more!

Date Created: 04/17/16
SOMATIC & DISSOCIATIVE DISORDERS Somatic Disorders ● Soma = meaning body ○ Overly preoccupied with their health or body appearance ● No identifiable medical condition causing the physical complaints ● Types ○ Conversion disorder = a change in sensory motor function ○ Somatic symptom disorder = recurrent, multiple somatic complaints ○ Body dysmorphic disorder = a preoccupation with an imagined physical defect ○ Illness anxiety disorder = (hypochondriasis) a preoccupation with disease Conversion Disorder ● Involves sensory or motor symptoms ● Not related to known physiology of the body ○ Ex. glove anesthesia ● Conversion symptoms appear suddenly ● Related to stress ● Person shows la belle indifference ● Retain most normal functions, but without awareness of this ability ● Glove anesthesia = numbness in hand ○ Actual damage to ulnar nerve ● Rare condition ● Primarily in females ○ Onset usually in teens ● More common in less educated groups ● Causes ○ Detachment from trauma and negative reinforcement ○ Behavioral view focuses on similarity to malingering ○ Freudian psychodynamic view is still popular ○ The incidence has declined, suggesting a role for social factors ● Treatment ○ Core strategy is attending to the trauma ○ Removal of sources of secondary gain ○ Reduce supportive consequences of talk about physical symptoms Somatic Symptom Disorder ● Recurrent, multiple somatic complaints with no known physical bases ● Extended history before age 30 ● Substantial impairment in social or occupational functioning ● Concerned over the symptoms themselves, not what they might mean ● Symptoms become the person’s identity ● Rare ● Onset usually in teens ● Mostly affects unmarried, low SES women ● Runs a chronic course ● Causes ○ Familial history of illness ○ Relation with antisocial personality disorder ○ Weak behavioral inhibition system ● Treatment ○ No treatment exists with demonstrated effectiveness ○ Reduce the tendency to visit numerous medical specialists ○ Assign “gatekeeper” physician ○ Reduce supportive consequences of talk about physical symptoms Illness Anxiety Disorder ● Preoccupation with having or acquiring a serious illness ● Somatic symptoms are absent or only mild in intensity ● Anxiety and easily triggered alarm about one’s health ● Performance of excessive health-related behaviors (ex. Checking one’s body for signs of illness) ● Once called hypochondriasis ● Strong disease conviction ● Medical reassurance does not seem to help ● Onset at any age and runs a chronic course ● Causes ○ Cognitive perceptual distortions ○ Familial history of illness ● Treatment ○ Challenge illness-related misinterpretations ○ Provide more substantial and sensitive reassurance ○ Stress management and coping strategies Body Dysmorphic Disorder ● Previously known as dysmorphophobia ● Preoccupation with imagined defect in appearance ● Either fixation or avoidance with mirrors ● Suicidal behavior is common ● Often display ideas of reference for imagined defect ● Usually runs a lifelong chronic course ● Seen equally in men and women ○ Onset in early 20s ● Most remain single and seek out plastic surgeons ● Causes ○ Little is known ○ Tends to run in families ○ Similarities with OCD ○ Detachment from trauma and negative reinforcement ● Treatment ○ Same as for OCD ■ Medications provide for some relief ○ Exposure and response prevention ○ Plastic surgery is often unhelpful Theory & Therapy ● The psychodynamic perspective ○ Somatizing as conflict resolution ○ Uncovering conflict ● The behavioral and sociocultural perspectives ○ The sick role ○ Treatment by nonreinforcement ● The cognitive perspective ○ Over Attention to the body ○ Treatment = challenging faulty beliefs ● The biological perspective ○ Genetic studies ○ Brain dysfunction ○ Drug treatment Dissociative Disorders ● Involves severe alterations of detachments in identity, memory, or consciousness ● Variations of normal depersonalization and derealization experiences ● Depersonalization = distortion is perception of reality ● Derealization = losing a sense of the external world ● Types ○ Amnesia = the inability to recall important personal info ○ Fugue = how seen as a severe form of dissociative amnesia ○ Identity disorder = (DID) involves the presence of two different identities (alters) Dissociative Amnesia ● Usually of a traumatic or stressful nature ● Beyond ordinary forgetting ● Symptoms not attributable to a substance or medical condition ● Usually begin in adulthood (and fugure) ● Both are mostly seen in females ● Causes ○ Trauma and stress ● Treatment ○ Usually get better without treatment ○ Most remember what they have forgotten Dissociative Identity Disorder ● Involves adoption of several new identities (as many as 100) ○ Identities have unique sets of behaviors, voice, and posture ● Unique aspects ○ Alters = the different identities or personalities ○ Host = the identity that seeks treatment ○ Switch = often instantaneous transition from one personality to another ● Average # of identities = 15 ● Ratio of women to men = 9 to 1 ● Onset almost always in childhood ● High comorbidity rates ○ A lifelong chronic course ● Causes ○ Consciousness is normally a unified experience, consisting of cognition, emotion, and motivation ○ Stress may alter the way in which memories are sorted ■ Resulting in amnesia or fugue ○ Almost all patients have histories of horrible child abuse ■ Most are also highly suggestible ○ Believed to be a mechanism to escape from impact of trauma ○ Closely related to PTSD ● Treatment ○ Psychoanalytic therapy seeks to lift repressed memories ○ Hypnosis ○ Goal of therapy ■ Integrate the several personalities ■ Help each alter understand that he’s a part of one person ■ Identify and neutralize cues/triggers that provoke memories of trauma/dissociation ■ Treat the alters with fairness and empathy Diagnostic Considerations ● Separating real problems from faking ○ The problem of malingering = deliberately faking symptoms ● Related conditions = factitious disorders ○ Factitious disorders by proxy ● False memories and recovered memory syndrome ● Well established treatments are generally lacking


Buy Material

Are you sure you want to buy this material for

25 Karma

Buy Material

BOOM! Enjoy Your Free Notes!

We've added these Notes to your profile, click here to view them now.


You're already Subscribed!

Looks like you've already subscribed to StudySoup, you won't need to purchase another subscription to get this material. To access this material simply click 'View Full Document'

Why people love StudySoup

Bentley McCaw University of Florida

"I was shooting for a perfect 4.0 GPA this semester. Having StudySoup as a study aid was critical to helping me achieve my goal...and I nailed it!"

Amaris Trozzo George Washington University

"I made $350 in just two days after posting my first study guide."

Jim McGreen Ohio University

"Knowing I can count on the Elite Notetaker in my class allows me to focus on what the professor is saying instead of just scribbling notes the whole time and falling behind."


"Their 'Elite Notetakers' are making over $1,200/month in sales by creating high quality content that helps their classmates in a time of need."

Become an Elite Notetaker and start selling your notes online!

Refund Policy


All subscriptions to StudySoup are paid in full at the time of subscribing. To change your credit card information or to cancel your subscription, go to "Edit Settings". All credit card information will be available there. If you should decide to cancel your subscription, it will continue to be valid until the next payment period, as all payments for the current period were made in advance. For special circumstances, please email


StudySoup has more than 1 million course-specific study resources to help students study smarter. If you’re having trouble finding what you’re looking for, our customer support team can help you find what you need! Feel free to contact them here:

Recurring Subscriptions: If you have canceled your recurring subscription on the day of renewal and have not downloaded any documents, you may request a refund by submitting an email to

Satisfaction Guarantee: If you’re not satisfied with your subscription, you can contact us for further help. Contact must be made within 3 business days of your subscription purchase and your refund request will be subject for review.

Please Note: Refunds can never be provided more than 30 days after the initial purchase date regardless of your activity on the site.