PSYC 2011.11 Day 8 Notes - 10/13/15
PSYC 2011.11 Day 8 Notes - 10/13/15 PSYC 2011
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This 4 page Class Notes was uploaded by Oona Intemann on Thursday October 29, 2015. The Class Notes belongs to PSYC 2011 at George Washington University taught by Woodruff, P in Fall 2015. Since its upload, it has received 81 views. For similar materials see Abnormal Psychology in Psychlogy at George Washington University.
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Date Created: 10/29/15
NOTES TUESDAY 101315 Reading for this week Chapter 8 9 Mood Disorders and Treatment Information about the paper Due at the beginning of class the day it s due You must check your name off on the list Must have a title page Must be at least 12 pages of text not including title page Topics and additional information located in syllabus Chapter 7 Disorders with somatic and dissociative symptoms Many physical ailments that have psychological causes These disorders like hypochondria need to be distinguished from a disorder where you know you re pretending to have an illness This is called malingering when you re aware you re fabricating your illness 0 It is an entirely conscious process 0 So far this is not considered a disorder 0 Example of this is Munchausen syndrome I This is a factitious disorder when you are consciously and deliberately acting as if you have an illness imposed on self Some will deliberately injure themselves burn their skin etc These people will demand attention talk doctors into performing unnecessary procedures I Munchausen by proxy is when you impose an false illness on someone else can b e a parent Sometimes parents can do things to child to produce illness for instance in babies they may bend back arms and legs to break them Disorders that follow an anxiety pattern 0 Hard to nd an organic basis 0 Symptoms are not under their voluntary control 0 Physical dysfunction that comes from psychological problems is very common Conversion disorderhysteria involves a pattern where symptoms of malfunction appear but there is not underlying pathology 0 Essentially a mental disorder where physical illness occurs without physical cause instead probably from a mental or psychological need 0 Freud believed the symptoms were an expression of repressed sexual energy and that the con ict was morphed into this kind of disturbance 0 Now we see them as a defensive function 0 Conversion disorder in Victorian times was common among civilians and people in the military I Typically caused from stressful combat situation I Individual in combat would have paralyzed leg etc I It is a fairly rare disorder today Other symptoms 0 Hysterical blindness deafness can become blind or deaf from this 0 Esthesia sensitivity to pain 0 Motor symptoms paralysis might be con ned to a single limb like an arm or a leg 0 Loss of function is also selective individual might not be able to write but could shuf e a deck of cards 0 Speech aphasia voice is muted brain can understand words but more difficult to speak Lack of concern people may have a blase attitude about the symptoms 0 La belle indi erence lack of concern or emotion about disability etc 0 Patient might describe what s wrong in a matteroffact way If you have a paralyzed limb the muscle can atrophy die Somatic symptom disorder heavily focused on physical symptoms so much so that it causes emotional harm o Somatization pattern I Symptoms are headaches fatigue allergies back pain excessive gas I Numerous doctor visits frequent medication and hospitalizations even surgery I Patient presents symptoms in histrionic exaggerated fashion I Repeat a very long and involved medical history vivid images to describe them I These are people who might also have a lot of difficulty in their social relationships I Tend to be selfish and manipulative have a puzzling array of symptoms that t no pattern I Usually begins in adolescence and continues into adulthood I Seems to run in families 0 Predominant pain pattern I These people could have horrendous pain from simple stitches that last for months I Sometimes the person actually becomes disabled I Could be through addiction to pain medication OR they may also talk a doctor into performing various types of surgery I Those with conversion and somatization disorder could be in pain but with this pain is the prominent thing 0 Hypochondriasis now called illness anxiety disorder I Misinterpret bodily symptoms as the sign of a serious disorder I They upset themselves with what might seem innocuous I They re obsessed with the notion of an illness I It affects all areas of their lives I Characterized by an individual having multiple complaints about a single illness I Can look similar to somatization disorder I Both can seek numerous doctor visits but with this they are actually worried I There is an anxiety and they express it but it s about something minor I They are alert for new symptoms to assign to themselves keep track of their bodily functions and signs I Normally these people are in ne condition 0 Body dysmorphic disorder dysmorphophobia I Exaggerated body details they re obsessed with it I They re convinced others can see this aw I They try to hide it etc I Often they become housebound could tie in with agoraphobia I They frequently consult plastic surgeons I Fish Odor Syndrome T rimethylaminuria some people have a problem with the way they metabolize proteins Produce a very foul odor They tend to isolate themselves from other people because the odor is so strong I Shift the focus to try to get them to limit talking about their symptoms I Going to things like relaxation training guided visualization etc I Important to make it worthwhile for the patient to give up the symptoms 0 Paxil antidepressant things like this have helped with hypochondriasis the fearful aspect of what they think they have Dissociative disorders 0 Individuals get confused troubles at the heart of who they are etc o Dissociative amnesia pretty rare I Four types Localized circumscribed amnesia Selective amnesia Generalized amnesia Continuous amnesia Fugere to ee Latin complex variation of dissociative amnesia Treatment sometimes memory will come back spontaneously 0 Free association has helped some people 0 Hypnosis sometimes helps Multiple personality disorder dissociative disorders 0 Occurrence of two or more personalities Relatively stable life for each one Each can recurrently take full control of the person s behavior We used to think this was pretty rare There is an excessive use of selfhypnosis Usually there are more subpersonalities Sometimes called alters OOOOOO 0 00000 Individual may change from a few minutes to a few years Subpersonalities can be any age gender race have completely different abilities and talents Different patterns of people knowing each other the personalities etc The Three Faces of Eve very welldocumented case I Book turned into a lm based on a real person a women who was suggested to have suffered from dissociative identity disorder Handwriting way they respond to others can also change Helpful in an accurate diagnosis do they have gaps in what they remember In treatment the therapist must form a relationship with each personality Under hypnosis therapist would introduce subpersonalities to each other and they would be videoed Helpful in understanding group therapy etc Goal to recover memories Done through hypnosis free association and also sodium pentothal Try to help patient merge different personalities Then you need more therapy to maintain this unification