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Exam #2
Somatoform Disorders
25
Psychology
Undergraduate 4
11/08/2011

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Term
Kielser's Interpersonal Theory
Definition
Behavior = function of (P x E)
Term
Sullivan
Definition
"cannot know yourself w/o the other knowing you"
Term
Kielser's Interpersonal Circle
Definition
model for conceptualizing, organizing, and assessing interpersonal behavior, traits, and motives; defined by vertical axis (dominant to submissive) & horizontal axis (hostile to friendly); divide into octants; left hemisphere=hostile, right=friendly
Term
Kielser's Interpersonal Circle Octant Complementary Pulls
Definition
interpersonal theory asserts that everyone continually exudes a "force field" which pushes others to complementary respond to us to affirm & validate our chosen style of living
Term
[image]
Definition
Kielser's Interpersonal Circle Complementary Pulls: Dominant <-> Submissive; Hostile <-> Friendly; Hostile-Dominant <-> Hostile-Submissive; Friendly-Dominant <-> Friendly-Submissive
Term
Kielser's Interpersonal Circle Issues
Definition
interpersonal stability: stimulus value for others remains same; normal interpersonal flexibility: ability to move around circle octants as the interpersonal situation dictates; psychopathology: rigidity or being stuck in 1 or 2 octants as main mode of behavior
Term
Kielser's Interpersonal Circle Treatment Change Strategies
Definition
acomplementarity reaction: give individual 1 complementarity component but not 2, respond in way different from what person usually espects; anti-complementarity reaction: give response w/ neither complementarity component present, not going to go along w/ so have to deal w/
Term
Somatoform Disorders
Definition
disengaged from environment - focused on self & body issues; poor coping skills to manage stress in living & daily problems; interpersonal avoidance
Term
Dissociative Disorders
Definition
severely disengaged from environment; poor coping skills to manage stress in living & daily problems; interpersonal avoidance
Term
Hypochondriasis Diagnostic Criteria
Definition
hostile-submissive: detached, people have no influence on behavior or disease conviction; preoccupation w/ fears of having serious disease, for at least 6 months, based in misinterpretation of bodily symptoms despite appropriate medical evaluation & reassurance
Term
Somatization Disorder Characteristics
Definition
submissive & friendly - compliant & withdrawn; patient is not afraid of having disease; being sick or enacting the sick role is their identity/main social role in life
Term
Conversion Disorder Characteristics
Definition
detached, withdrawn, submissive, indifferent, friendly-dominant; "out of awareness" conflicts converted into physical symptoms; symptoms not intentionally produced & cannot be fully explained by general medical condition, behavior or experience
Term
Pain Disorder Diagnostic Criteria
Definition
pain in 1 or more anatomical sites is the predominant focus of clinical presentation & is of sufficient severity to warrant clinical attention; pain causes clinically significant distress in important areas of functioning; psychological factors have important role in onset, severity & maintenance of pain
Term
Body Dysmorphic Disorder Diagnostic Criteria
Definition
preoccupation w/ imagined defect in appearance - if slight physical anomaly is present, person's concern is excessive; friendly-dominant & hostile-submissive
Term
Hypochondriasis Onset & Prevalence
Definition
adolescence, mid 40s-50s, after 60 years old; 14% in year
Term
Hypochondriasis Treatment
Definition
identify prominent symptoms & give patient sense of control (tell to imagine turning on & off anxiety)
Term
Somatization Disorder Diagnostic Criteria
Definition
history of many physical complaints over a period of several years & result in treatment being sought or significant impairment in important functioning: four pain symptoms from different sites; 2 gastrointestinal symptoms: nausea, bloating, vomiting, diarrhea; 1 sexual symptom: indifference, erectile dysfunction, irregular menstrual bleeding; 1 pseudoneurological symptom
Term
Somatization Disorder Onset & Prevalence
Definition
> 30 years old, physical complaints over period of several years; 17% in year, prognosis not very good
Term
Somatization Disorder Treatment
Definition
reassurance, reduce stress, prescription of pills
Term
Conversion Disorder Diagnostic Criteria
Definition
1 or more symptoms affecting voluntary motor or sensory function that suggests a neurological or other general medical condition; psychological factors are judged to be associated w/ symptom because irritation or exacerbation of symptom is preceded by conflicts
Term
Depersonalization Disorder
Definition
persistent & recurrent experiences of feeling detached from own mental processes or body as if were outside observer
Term
Depersonalization Disorder Characteristics
Definition
extremely submissive-hostile; interpersonal fears; environment no longer real; onset: 16 years old, tends to be chronic
Term
Dissociative Fugue
Definition
predominant disturbance is sudden, unexpected travel away from home or customary work place, w/ inability to recall own past; confusion about personal identity or assumption of new identity
Term
Dissociative Identity Disorder
Definition
hostile-submissive; presence of 2 or more distinct identities or personality states (each w/ own relatively enduring pattern of perceiving & thinking about environment & self); at least 2 of these identities recurrently take control of person's behavior; inability to recall important personal info that is too extensive to be explained by ordinary forgetfulness
Term
Dissociative Amnesia
Definition
predominant disturbance is 1 or more episodes of inability to recall important personal info, usually of traumatic or stressful nature, that is too extensive to be explained by ordinary forgetfulness
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