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Abnormal Psych Chapter 7 Stress, Dissociative, and Somatic Symptom Disorders
Terms in this set (25)
The disruption of the normally integrated mental processes involved in memory, consciousness, identity, or perception
Defined in the DSM-5 as an event that involves actual or threatened death, or serious injury, or sexual violence to self, or witnessing others experience trauma, learning that loved ones have been traumatized, or repeatedly being exposed to details of trauma.
Acute Stress Disorder (ASD)
Occurs within a month after exposure to traumatic stress
Posttraumatic Stress Disorder (PTSD)
Lasts longer than one month sometimes has a delayed onset
Symptoms of ASD and PTSD
1) Intrusive Reexperiencing
3) Increased Arousal or Reactivity
4) Negative Mood or Thoughts
5) Dissociative Symptoms
-Dazed and act "spaced out"
-Depersonalization (feeling of sleepwalking)
-Derealization (feeling like you are in a nightmare)
-Dissociative amnesia (inability to recall certain events or facts they would normally be capable of recalling)
Specific to a certain event
Disaster and Emergency Workers
-Not immune to trauma's aftereffects
-Emergency workers are less than half as likely to develop PTSD as victims.
-Training, preparation, and sense of purpose appear to be protective.
-Hardiness (Sense of commitment, Control, Challenge in facing stress)
Prevalence of PTSD
-6.8% of people living in the United States
-90% of people living in Detroit have experienced a trauma, with 9% developing PTSD.
-Unexpected death of loved one is most common cause.
-20%-40% of children develop PTSD.
Dissociative Identity Disorder
Two or more personalities coexist within a single individual
People feel detached from themselves
Symptom involves feelings of unreality/detachment from the environment
Partial or complete loss of recall for particular events or for a particular period of time
Psychological Factors of Dissociative Disorders
Little controversy that dissociative amnesia and fugues can be precipitated by trauma, specifically child abuse.
-The manufacture of a disorder by its treatments
-Were "cases" created by the expectations of therapists?
Treatment of Dissociative Disorders
Ultimate goal in treating DID is integration of the personalities
Somatic Symptom Disorder
Problems where physical symptoms are prominent and are accompanied by impairing psychological stress
-At least one and usually several somatic complaints
-Symptoms mimic neurological disorders
-Make no anatomical sense
-Implies that psychological conflicts are being converted into physical symptoms
Illness Anxiety Disorder
-Fear or belief that one is suffering from a physical illness, but physical symptoms missing/minor
-Disorder is preoccupying, enduring; leads to substantial impairment in life functioning
Body Dysmorphic Disorder
-Involves preoccupation with some imagined defect in appearance
-Typically focuses on some facial feature
-Preoccupation exceeds normal worries about imperfections.
Pretending to have an illness in order to achieve some external gain
A feigned condition that, unlike malingering, is motivated primarily by a role to assume the sick role rather than by a desire for external gain
-Motivated by attention
Lacy Spears Case
Factitious Disorder by Proxy
Comorbidity of Somatic Symptom Disorder
Somatic symptom disorders occur with depression, anxiety, and antisocial personality disorder.
Treatment for SSDs
-Operant approaches to chronic pain
--Reward successful coping and adaptation
-Cognitive behavioral therapy
-Patients are likely to refuse a referral to a mental health professional
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