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Somatoform and Dissociative
Chapter 8
23
Psychology
Undergraduate 2
10/09/2008

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Term
somatoform disorders
Definition
group of disorders in which people experience significant physical symptoms for which there is no apparent organic cause; often strong reason to believe psychological factors are involved
Term
psychosomatic disorders
Definition
medical disorders in which people have an actual physical illness or defect that is being worsened by psychological factors
Term
malingering
Definition
deliberate faking of physical symptoms to avoid an unpleasant situation (ex. military duty) or in order to gain something (ex. medical insurance)
Term
factitious disorders
Definition
"Munchhausen's syndrome"; a person deliberately fakes an illness to gain medical attention
Term
factitious disorder by proxy
Definition
parents have faked or even created illnesses in their children in order to gain attention for themselves
Term
conversion disorder
Definition
a somatoform disorder; loss of functioning in a part of the body for psychological rather than physical reasons, often occurs after trauma or stress (perhaps person cannot face memories) treatment focuses on the expression of emotions or memories associated with the symptoms
Term
la belle indifference
Definition
"the beautiful indifference"; in conversion disorder the patients appear completely unconcerned about the loss of functioning they are experiencing
Term
glove anesthesia
Definition
people lose all feeling in one hand, as if wearing a glove that wiped out physical sensation; not physiologically possible bc nerves are sent down the arm, not just hand
Term
somatization disorder
Definition
have a long history of numerous physical complaints for which no medical causes can be found; must have pain at some point in at least four areas of the body, at least two gastrointestinal symptoms (nausea, diarrhea), at least one sexual symptom, and at least one apparently neurological symptom
Term
pain disorder
Definition
syndrome marked by the chronic experience of acute pain that appears to have no physical cause, closely linked with somatization disorder
Term
hypochondriasis
Definition
syndrome marked by chronic worry that one has a physical symptom or disease that one clearly does not have; primary difference w somatization disorder is ppl with somatization actually experience physical symptoms
Term
body dysmorphic disorder
Definition
a person is excessively preoccupied with a part of their bodies that they believe is defective and make elaborate attempts to change these body parts; treatments include psychodynamic therapies to reveal underlying concerns, systematic desensitization therapy, and use of SSRIs
Term
dissociative disorders
Definition
represent extreme experiences in which aspects of people's identities split apart
Term
dissociative identity disorder (DID)
Definition
there are separate, multiple personalities in the same individual; the personalities may be aware of each other or may have amnesia for each other
Term
dissociative fugue
Definition
person moves away and assumes a new identity, with amnesia for the previous identity; there is no switching among personalities as in DID
Term
dissociative amnesia
Definition
person loses memory for important personal facts, including personal identity, with no apparent organic cause
Term
depersonalization disorder
Definition
frequent episodes in which the individual feels detached from his or her mental state of body; person does not develop new identities or have amnesia for these episodes
Term
organic amnesia
Definition
caused by a brain injury resulting from disease, drugs, accidents, or surgery; often involves anterograde amnesia
Term
anterograde amnesia
Definition
inability to remember new information
Term
psychogenic amnesia
Definition
arises in the absence of brain injury or disease and is thought to have psychological cause
Term
retrograde amnesia
Definition
inability to remember past information or events from the past
Term
pseudocyesis
Definition
fake pregnancy
Term
malingering
Definition
people faking symptoms or disorders in order to avoid an unwanted situation
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