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Transcript
Somatoform Disorders Outline Somatoform Somatization Pain Disorders Disorder Disorder Hypochondriasis Conversion Disorder Body Dysmorphic Disorder Somatoform Disorders Bodily symptoms that suggest a physical defect or dysfunction BUT no physiological basis can be found Emotions Physical Symptoms Different from Malingering Factitious Disorder Somatization Disorder Causes & Treatment Contributors Behavior rewarded Excessive illness growing up Association with Antisocial Personality Disorder Runs in families Treatment Focus on stress Reduce help-seeking behavior Eliminate reinforcers Pain Disorder Predominant complain is pain and psychological factors have an important role in the onset, severity, exacerbation, or maintenance of the pain Types Acute Chronic Causes Psychodynamic Behavioral Hypochondriasis Causes & Treatment Conversion Disorder Freud Motor or sensory symptoms suggesting a neurological impairment when there is none Conversion refers to unconscious conflicts being converted into physical symptoms Discharging anxiety without experiencing it Causes & Treatment Contributors Triggered by a stressful / traumatic event Primary Gain Treatment Need to address initial stressful event Remove reinforcers Glove Anesthesia & Secondary Body Dysmorphic Disorder 70 60 50 % 40 30 20 10 Penis Breasts Stomach Eyes Skin Nose Hair 0 Dysfunctional preoccupation about imagined physical defects Ideas of reference Successive changes & surgeries With insight Without insight Delusional Disorder Causes & Treatment Contributors Societal beauty images High comorbidity with OCD Treatment Drugs Same ones for OCD Behavioral Therapy Exposure and Response Prevention Same therapy as for OCD General Considerations Psychodynamic Neurosis Primary gain Secondary gain Cognitive Sick role Modeling Stress & Trauma High incidences of child abuse History of illness Faulty interpretations Biological Behavioural History of illness Sensitivity to bodily sensations Cultural Factors More prevalent in cultures that stigmatize mental disorders Summary of Somatoform and Dissociative Disorders (cont.) Figure 6.x1 (cont.) Exploring somatoform disorders
