Psychopathology - Somatic & Dissociative Disorder

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Psychology - Abnormal Psychology

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andrsonztdc Created by 10 mon ago

Cards in this deck(84)
prominent physical or bodily symptoms associated with significant impairment or distress; actual physical illnesses may or may not be present
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primarily caused by psychological factors - symptoms trigger excessive anxiety or concern - factitious disorder - conversion disorder - somatic symptom disorder - illness anxiety disorder - psychological factors affecting other medical conditions
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person experiences at least one upsetting or repeatedly disrupt physical symptom - person experiences an unreasonable number of thoughts, feelings, and behaviors regarding the nature or implications of the physical symptoms, including one of the following: repeated, excessive thoughts about their seriousness; continual high anxiety about their nature or health implications; disproportionate amounts of time and energy spent on the symptoms or their health implications - physical symptoms usually continue to some degree for more than 6 months
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Preoccupation with health and excessive worry about serious illness - No somatic symptoms or very mild symptoms - Excessive health anxiety- Repeatedly checks for signs of illness or avoids medical contract for fear that illness will be confirmed
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Motor or sensory disturbances - Symptoms incompatible with medical findings
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Somatic disorders have. much in common with what other group of disorders?
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Both somatic disorders and stressor and related disorders may occur in response to _________________
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false creation of physical or psychological symptoms, or deceptive production of injury or disease, even without external rewards for such ailments - presentation of oneself as ill, damaged, or hurt
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Both somatic disorders and stressor and related disorders have traditionally been viewed as forms of ______________
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false creation of physical psychological symptoms, or deceptive production of injury or disease, even without external rewards - presentation of oneself as ill, damaged, or hurt - Munchausen syndrome
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false creation of physical or psychological symptoms, or deceptive production of injury or disease, in another person, even without external rewards - presentation of another person (victim) as ill, damaged, or hurt - munchausen syndrome by proxy
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a disorder in which an individual feigns or induces physical symptoms, typically for the purpose of assuming the role of a sick person
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false creation of physcial or psychological symptoms, or deceptive production of injury or disease, in another person, even without external rewards for such ailments - presentation of another person (victim) as ill, damaged, or hurt
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poor social support or relationships and little family life - extensive medical treatment in childhood - grudge against medical profession - employment as nurse, lab technician, or aide - psychotherapists and medical practitioners often become annoyed or angry at such
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What are the causes of factitious disorder?
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What are the treatments for factitious disorder?
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pattern of reporting and reacting to pain or other distressing symptoms for at least 6 months and involves persistent thoughts or high anxiety - person remains convinced they have a serious disease even when tests rule out illness
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What did illness anxiety disorder used to be called?
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chronic pattern of preoccupation with having or contracting a serious illness for at least 6 months - involves minimal or no somatic symptoms - high anxiety level - strongly associated with a person's cognitions
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motor, sensory, or seizure-like symptoms inconsistent with any recognized medical disorder- motor weakness and abnormal movements
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Who are conversion disorder symptoms most common in?
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Individuals who have conversion disorder are not doing what?
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conversion in which the entire hand, extending from the fingertips to the wrist, becomes numb
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What were conversion and somatic symptom disorders previously called?
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MULTIPATH: - innate sensitivity to body sensations - lower threshold for pain- history of illness or injury- impaired neural connectivity
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MULTIPATH: - bodily sensation preoccupation - anxiety or stressful event producing physical reactions - catastrophic thoughts regarding bodily sensations - social isolation
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MULTIPATH: - parental models for injury or illness - reinforcement from others for physical symptoms - attention and escape from responsibilities
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MULTIPATH: - economic stressors - degree of knowledge about medical concepts - cultural acceptance of physical symptoms
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What are biological vulnerabilities of somatic symptom and related disorders?
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___________________________ has been found in brain regions associated with symptoms of somatic symptom and related disorders
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symptoms seen as defense against awareness of unconsciousness emotional issues - primary and secondary gain
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cause: reinforcement, modeling, cognitions, or combination of these - idea that somatic disorders may develop in predisposed individuals
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What are some social dimension factors of somatic symptom and related disorders?
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What are some sociocultural risk factors for somatic symptom and related disorders?
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What are some biological treatments for somatic symptom disorders?
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What are some psychological treatments for somatic symptom disorders?
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person cannot recall important life-related information, typically traumatic or stressful information. The memory problem is more than simple forgetting - significant distress or impairment - the symptoms are not caused by a substance or medical condition
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sudden confusion, e.g., wandering to a new area with inability to recall one's past and confusion about personal identity
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persistent changes in perception and detachment from one's own thoughts and body - may feel things are unreal or a sense of being in a dreamlike state - intact reality testing
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person experiences a disruption to his or her identity, as reflected by at least two separate personality states or experiences of possession - person repeatedly experiences memory gaps regarding daily events, key personal information, or traumatic events, beyond ordinary forgetting - significant distress or impairment - the symptoms are not caused by a substance or medical condition
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the key to our identity - the sense of who we are and where we fit in our environment is _____________
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People with dissociative amnesia are unable to __________________ usually of an ______________ about their lives
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often an episode of amnesia is directly triggered by a _______________________
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What is the most common type of dissociative amnesia?
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loss of memory for some
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loss of memory beginning with an event, but extending back in time
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forgetting continues into the future
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extreme version of dissociative amnesia - people not only forget their personal identities and details of their past, but also flee to an entirely different location - may be brief or more severe
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alter personality
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two or more distinct personalities - each has a unique set of memories, behaviors, thoughts, and emotions - sudden movement from one subpersonality to another (switching) is usually triggered by stress - at any given time, one of the subpersonalities dominates the person's functioning - most cases are first diagnoses in late adolescence or early adulthood
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women are diagnosed with dissociative identity disorder __________ times more than men
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subpersonalities have no awareness of one another
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each subpersonality is well aware of the rest
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most common pattern of subpersonalities
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some personalities are aware of others, but the awareness is not mutual
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Those who are aware ("co-conscious subpersonalities") are called what?
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a growing number of clinicians believe that the disorder does exist and are willing to diagnose it - diagnostic procedures have become more accurate
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Psychodynamic theorists believe that dissociative disorders are caused by _______________
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What is the most basic ego defense mechanism?
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In the psychodynamic view, dissociative amnesia and fugue are single episodes of _____________
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DID is thought to result from what?
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Behaviorists believe that dissociative grows from ____________________ and is a response learned through ________________
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Like psychodynamic theorists, behaviorists see dissociation as __________________
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Also like psychodynamic theorists, behaviorists rely largely on ______________________ to support their view of dissociative disorders
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learning becomes associated with the conditions under which it occurred, so that it is best remembered under the same conditions - people who are prone to develop dissociative disorders have these links that are unusually rigid and narrow
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Although hypnosis can help people remember events that occurred and were forgotten years ago, it can also help people __________ facts, events, and their personal identity
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The parallels between hypnotic amnesia and dissociative disorders are striking and have led researchers to conclude that what?
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Unlike victims of dissociative amnesia or fugue, people with DID __________ typically recover without treatment
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Therapists usually try to help clients with DID do what?
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DSM-5 categorizes depersonalization-derealization disorder as a _________________________ disorder, even though it is not characterized by the memory difficulties found in the other disorders in this category
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the sense that one's own mental functioning or body are unreal or detached
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the sense that one's surroundings are unreal or detached
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feeling of detachment from own mental processes or body- observing self from outside - feeling people or objects are unreal or detached
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disrupts in memory encoding due to acute stress- permanent structural changes in brain due to trauma may play a role
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repression protects the individual from painful memories or conflicts
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post-traumatic model of DID - dissociative symptoms develop because of the traumatic experience and inability to cope
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brain activation pattern between different personalities - hippocampus and amygdala volume reduction - temporal lobe involvement - neural memory inhibition
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hypnotizability or suggestibility - ability to dissociate - exposure to stress or trauma - inability to deal with stress
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child abuse or trauma - lack of social support - mislabeling dissociative experiences - latrogenic therapist effects
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medial portrayals of dissociative disorders - role enactment - gender factors (DID much more prevalent in women)
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individuals learn about DID through mass media and begin to act out its roles
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condition unintentionally produced by a therapist through mechanisms placed on the client
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What is the main treatment for DID?
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help individual develop healthier ways of dealing with stressors - major goal is integration of personalities
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