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Psychopathology: DSM-IV-TR Somatoform/Dissociative Disorders
Somatoform/Dissociative Disorders Criteria
14
Psychology
Graduate
07/04/2009

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Term
Somatization Disorder A
Definition
A history of many physical complaints beginning before age 30 years that occur over a period of several years and result in treatment being sought or significant impairment in social, occupational, or other important areas of functioning.
Term
Somatization Disorder B
Definition
Each of the following criteria must have been met, with individual symptoms occuring at any time during the course of the disturbance

1) four pain symptoms (four different sites/functions...)

2) two GI symptoms other than pain...

3) one sexual symptom (other than pain...)

4) one pseudoneurological symptom (other than pain...)
Term
Somatization Disorder C, D
Definition
C) Either 1 or 2:

1) After appropriate investigation, each of the symptoms in criterion B canno tbe fully explained by a known GMC or direct effects of a substance

2) When there is a related GMC, physical complaints or resulting social/occ. impairment are in excess of what would be expected from the history, PE and lab findings.

D)Symptoms are not intentionally produced or feigned
Term
Undifferentiated Somatoform Disorder A/B
Definition
A) One or more physical complaints (e.g. fatigue, loss of appetite, GI or urinary complaints)

B) C) Either 1 or 2:

1) After appropriate investigation, each of the symptoms in criterion B canno tbe fully explained by a known GMC or direct effects of a substance

2) When there is a related GMC, physical complaints or resulting social/occ. impairment are in excess of what would be expected from the history, PE and lab findings.
Term
Undifferentiated Somatoform Disorder C-F
Definition
C) Symptoms cause clinically significant distress/impairment...

D) Duration is at least 6 months

E) Not better accounted for by another mental disorder...

F) Symptom is not intentionally produced or feigned.
Term
Conversion Disorder A, B
Definition
A) One or more symptoms or deficits affecting voluntary motor or sensory function that suggest a neurological or other GMC.

B) Psychological factors are judged to be associated with the symptoms or deficit because the initiation or exacerbation of the symptoms or deficit is preceded by conflicts or other stressors
Term
Conversion Disorder C-F
Definition
C) Symptom/deficit is not intentionally produced/feigned

D) Cannot be fully explained by GMC/substance or as a culturally sanctioned behavior or experience

E) Causes clinically significant distress...

F) Not limited to pain or sexual dysfunction, does not occur during the course of somatization disorder, not better accounted for by another mental disorder.
Term
Hypochondriasis A-C
Definition
A) Preoccupation with fears of having, or the idea that one has, a serious disease based on

B) The preoccupation persists despite appropriate medical evaluation and reassurance

C) The belief in A is not of delusional intensity and is not restricted to a circumscribed concern about appearance (as in BDD)
Term
Hypochondriasis D-F
Definition
D) Causes clinically significant distress or impairment...

E) Duration is at least 6 months

F) Not better accounted for by GAD, OCD, Panic Disorder, MDD, Separation Anxiety or another Somatoform disorder.
Term
Body Dysmorphic Disorder
Definition
A) Preoccupation with an imagined defect in appearance. If a slight physical anomaly is present, the person's concern is markedly excessive.

B) The preoccupation causes clinically significant distress or impairment...

C) The preoccupation is not better accounted for by another mental disorder.
Term
Dissociative Amnesia A, B, C
Definition
A) The predominant disturbance is one or more episodes of inability to recall important personal information, usually of a traumatic or stressful nature, that is too extensive to be explained by ordinary forgetfulness.

B) Disturbance does not occur exclusively during DID, DF, PTSD, ASD or SD. Not due to GMC/Substance.

C) Symptoms cause clinically significant distress, impairment...
Term
Dissociative Fugue A-D
Definition
A) Predominant disturbance is sudden, expected travel away from home or one's customary place of work, with inability to recall one's past.

B) Confusion about personal identity or assumption of a new identity (partial or complete)

C) Does not occur with DID, or due to a substance or GMC

D) Causes clinically significant distress/impairment...
Term
Dissociative Identity Disorder A-D
Definition
A) The presence of two or more distinct identities or personality states (each with its own relatively enduring pattern of perceiving, relating to, and thinking about the environment and self.

B) At least two of these identities or personality states recurrently take control of the person's behavior

C) Inability to recall important personal information that is two extensive to be explained by ordinary forgetfulness.

D) Not due to a substance, GMC. In children symptoms are not attributable to imaginary playmates or fantasy play.
Term
Depersonalization Disorder A-D
Definition
A) Persistent or recurrent experiences of feeling detached from and as if one is an outside observer of one's mental processes or body (e.g. feeling like one is in a dream)

B) During the depersonalization experience reality testing remains intact.

C) Depersonalization causes clinically significant distress or impairment...

D) Depersonalization does not occur exclusively during another mental disorder and is not due to a substance or GMC.
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