CLP3144: Chapter 6
ataque de nervois
a culturally accepted reaction to stress among Latinos that involves transient periods of loss of consciousness, convulsive movements, hyperactivity, assaultive behavior, and impulse acts
illness anxiety disorder
a diosrder in which people worry that they will develop or have serious illness but do not always experience severe physical symptoms
Korsakoff's syndrome
a more global retrograde amnesia in which people cannot remember much personal or general information for a period of several years or decades
functional neurological symptom disorder
a more neutral name instead of conversion disorder that doesn't presume a psychological cause
factitious disorder
a person deliberately fakes an illness specifically to gain medical attention and play the sick role
dissociation
a psychological process in which different parts of an individual's identity, memory, or consciousness split off from one another
protector personality
alter that offers advice to other personalities or perform functions the host personality is unable to perform (sexual relations or hiding from abusive parents)
persecutor personality
alters that inflict pain or punishment on the other personalities by engaging in self-mutilative behaviors
factitious disorder imposed on another
an individual falsifies illness in another
Munchhausen's syndrome
another name for factitious disorder
psychogenic amnesia
arises in the absence of any brain injury or disease and is thought to have psychological causes
behavioral treatments for somatic symptom disorders
attempt to determine the reinforcements individuals receive for their symptoms and health complaints and to eliminate theses reinforcements while increasing positive rewards for healthy behavior
organic amnesia
caused by brain injury resulting from disease, drugs, accidents, or surgery; involves the inability to remember new information
age group most affiliated with somatic symptom disorders
elderly
behavioral theories of conversion disorder
emphasize the role conversion symptoms play in alleviating distress by removing the individual from difficult environments and allowing him or her to avoid unwanted responsibilities or situations
pseudocyesis
false pregnancy
psychodynamic treatments for somatic symptom disorders
focus on providing insight into the connections between emotions and physical symptoms by helping people recall events and memories that may have triggered their symptoms
behavioral treatments of conversion disorder
focus on relieving the person's anxiety centered on the initial trauma that caused the conversion symptoms and on reducing any benefits the person is receiving from the conversion symptoms
psychoanalytic treatments for conversion disorder
focus on the expression of painful emotions and memories and on insight into the relationship between thee and the conversion symptoms
post traumatic stress disorder
frequent comorbidity with DID
depersonalization/derealization disorder
frequent episodes during which people feel detached from their own mental processes or body, as if they are outside observers of themselves
cognitive therapies for somatic symptom disorders
help people learn to interpret their physical symptoms appropriately and to avoid catastrophizing them
retrograde amnesia
inability to remember information from the past; rarely involves anterograde amnesia; can have both organic and psychogenic causes
anterograde amnesia
inability to remember new infomation
goal of treatment for DID
integrate all the alter personalities into one coherent personality and help the patient rebuild the capacity for trusting healthy relationships
conversion disorder
lose neurological functioning in a part of their bodies, apparently not due to medical causes
malingering
people fake a symptom or a disorder in order to avoid an unwanted situation
glove anesthesia
people lose all feeling in one hand as if they were wearing a glove that wiped out physical sensation
dissociative identity disorder
people who appear to have more than one distinct identity or personality state
primary gain
reduction in anxiety in conversion disorder
dissociate amnesia
significant periods of amnesia without assuming new personalities or identities
la belle indifference
soldiers who seemed unconcerned about their paralysis or blindness
five somatic symptom disorders
somatic symptom disorder, illness anxiety disorder, conversion disorder, factitious disorder, psychological factors affecting other medical conditions
neurological models of conversion disorder
symptoms arise when sensory or motor areas of the brain are impaired by anxiety
child alters
the most common type of alter
hidden observer
there is an active mode to consciousness; in its passive receptive mode, the conscious registers and stores info in memory without being aware that the info has been processed
freud's theories on conversion disorder
viewed conversion symptoms as the result of the transfer of the psychic energy attached to repressed emotions or memories to physical symptoms
secondary gain
when patients receive attention and concern from others and may be relieved of obligations and expectations
somatic symptom disorder
when people experience significant physical symptoms for which there is no apparent organic cause but seems to be the result of psychological factors; excessively concerned about their symptoms and spend a great deal of time worrying and seeking medical treatment