Psychopathology- Ch.6 Somatic Symptom+Dissociative Disorders

Which of the following statements is true of psychogenic amnesia?

It typically involves memory loss that is limited to personal information

illness anxiety disorder

a form of anxiety characterized by a preoccupation with fears of having a serious medical illness based on misinterpretations of bodily sensations (formerly called hypochondriasis)

Organic amnesia often involves the inability to remember new information, known as ________ amnesia.

anterograde

Which of the following is a reason that an individual may develop dissociative identity disorder?

as a strategy to cope with trauma

Juan often misinterprets his bodily symptoms, which results in increased heart rate, rapid breathing, and dizziness. He regularly states, "If the pain doesn't stop soon, it will probably cause damage to the other parts of my body." Juan is most likely ________ the symptoms of his somatic symptom disorder.

catastrophizing

what is the biggest risk factor for dissociative identity disorder

childhood abuse (especially physical or sexual ) and neglect

Which of the following is the most common contributor to dissociative identity disorder?

chronic physical or sexual abuse during childhood

factitious disorder imposed on self

disorder marked by deliberately faking physical or mental illness to gain medical attention

dissociative disorders

disruption of and/or discontinuity in the normal integration of consciousness, memory, identity, emotion, perception, body representation, motor control, and behavior

dissociative identity disorder (formerly multiple personality disorder)

disruption of identity into two or more distinct personality states commonly referred to as alters

Diagnosis of Depersonalization/Derealization Disorder

episodes frequent and distressing and interfere w/the ability to function

depersonalization/derealization disorder

episodic feelings of detachment from one's own mental processes or body; like an outside observer of oneself

Jan has been diagnosed with dissociative fugue. If the case is typical, they are likely to

experience autobiographical memory loss.

Depersonalization/derealization disorder is characterized by

experiences in which the person feels detached from their mental processes, body, or surroundings.

derealization

experiences of unreality or detachment w/respect to surroundings (unreal, dreamlike, foggy)

depersonalization

experiences of unreality, detachment, or being an outside observer of one's thoughts, feelings, sensations, body or actions

two types of therapy often used to treat FND

exposure therapy and systematic desensitization

what do people w factitious disorder do

fabricate, stimulate, or exaggerate the symptoms of a physical or mental illness through a variety of deceptive methods

Mary created an illness in her younger daughter to draw attention to herself. This is known as a

factitious disorder imposed on another.

Dissociative amnesia is characterized by

functional impairment that results from an inability to recall autobiographical information

Vickianna's doctor is trying to determine whether her condition is an illness anxiety disorder or a somatic symptom disorder. According to the DSM-5-TR, to make the distinction, the doctor should ascertain if Vickianna

has physical symptoms

treatment goal for dissociative identity disorder?

helping the client work through the trauma to integrate all the alternative personalities into one coherent personality

dissociative amnesia

inability to recall important autobiographical information, typically of a traumatic nature

depersonalization/derealization disorder functions to...

keep your brain safer from dangerous situations

diagnostic criteria of somatic symptom disorder

one or more distressing physical symptoms and spends a great deal of time and energy thinking/worrying about these symptoms -seek medical attention

course of somatic symptom disorder

onset in childhood/teens -chronic and rarely remits completely

most common symptoms of FND

paralysis, tremors, blindness, mutism, nonepileptic seizures, loss of hearing, severe loss of coordination

malingering

people fake a symptom/disorder in order to avoid unwanted situation, such as military service

dissociative fugue

person suddenly moves away from home and assumes an entirely new identity

primary distinction between somatic symp. and illness anxiety disorder

ppl w somatic sym. disorder actually experience physical symptoms and seek help for them, whereas ppl w illness anxiety worry they have/will develop a serious illness but not always experience severe symptoms

ppl w illness anxiety disorder have no physical illness but they are...

preoccupied w/ the belief that a serious illness is present which adversely affects their daily life

Dissociation

process whereby different facets of an individual's sense of self, memories or consciousness become disconnected from one another

Which treatment focuses on helping clients recall events and memories that may have triggered their somatization symptoms?

psychodynamic

Amnesia is categorized as either ________ or ________

psychogenic; organic

Ananya has dementia. It is becoming increasingly difficult for her to remember her past. Sometimes she forgets her children's names. Ananya's amnesia would be categorized as

retrograde

The sociocognitive model of dissociative identity disorder argues that what appear to be different personalities in patients are actually ________that help deal with stresses in their lives.

roles

Functional neurological symptom disorder (conversion disorder) is usually characterized by

sensory and motor deficits

people with somatic symptom disorders may experience....

significant physical symptoms for which there is no apparent organic cause, but rather the result of psychological factors

Causes of Depersonalization/Derealization Disorder

significant stressor, sleep deprivation or the influence of drugs

Bethany is experiencing dizziness, head pain, and numbness in her lower limbs, all with no apparent medical reason. Bethany is most likely experiencing a________disorder.

somatic symptom

Seema believes that she has a serious illness. She has had severe headaches and tremors for several days with no relief from traditional over-the-counter medicines. Her visit to the doctor revealed no organic reason for the headaches. Unsatisfied with the results, she goes to several other medical professionals for treatment. Seema is most likely suffering from a(n) ________ disorder.

somatic symptom

somatic symptom disorder

syndrome marked by health concerns that are excessive given actual physical health, that persist despite contrary evidence, and that interfere with daily functioning

Functional Neurological Symptom Disorder

syndrome marked by sudden loss of functioning in a part of the body, usually following an extreme psychological stressor that cannot be explained by a neuro disease/medical condition

conversion symptoms (FND) are quite common among soldiers bc

the impact of traumatic experience has been significantly associated w this disorder

difference between malingering and factitious disorder

the motivation for faking symptoms

what leads to clinically significant distress or impairment in functioning in DID

the presence of alters create a pronounced discontinuity in the sense of self, behavior, affect, consciousness and memory in the individual

ppl w illness anxiety disorder misinterpret...

typical body sensations

Based on recent studies, it is more likely that DID is ________Blank and is consequently ________Blank among the general population.

underdiagnosed; undertreated

Key Feature of Illness Anxiety Disorder

worry

in somatic symptom disorder does the patient have physical symptoms?

yes, symptoms and suffering is authentic whether it is medically explained