questions with verified answers
2025/2026
Somatic Symptom and related disorders - ANS ✔✔A group of disorders in which people
experience significant physical symptoms for which there is no apparent organic cause, usually
encountered in medical settings
-Conversion disorder
-Factitious disorder
-Illness anxiety disorder
-Somatic symptom disorder
Malingering - ANS ✔✔Exaggerate illness in order to escape duty or work
somatizers - ANS ✔✔a patient with frequent physical complaints for which no organic basis is
found.
History of Somatic symptom disorders - ANS ✔✔Formerly called hysteria; caused by the
wandering uterus
Charcot and Freud - ANS ✔✔Developed early theories of somatic symptom disorders:
-Hysterical conversions
-Hysterical neuroses
Charcot- induce pain or other physical pain in people just by suggesting it
Freud- used hypnosis to remove those types of connections in people
Recognizing it was a conflict and not medically related
,Hysterical conversions - ANS ✔✔induce pain or other physical pain in people just by suggesting
it
Hysterical neuroses: used hypnoses to remove those types of connections in people, recognizing
it was a conflict and not medically related
Somatic symptom disorder DSM - ANS ✔✔-One or more somatic symptoms that disrupt daily
life
-Excessive and disproportionate thoughts, feelings, behaviors related to the somatic symptoms
-State of being symptomatic is greater than 6 months
Somatization pattern - ANS ✔✔pain plus other types of symptoms; wide spread
Pain Pattern - ANS ✔✔anatomical pain
Illness anxiety disorder DSM - ANS ✔✔-Preoccupation with having or acquiring a serious illness
-Somatic symptoms are not present or only mild in intensity
-High level of anxiety about health and the individual is easily alarmed about personal health
status
-Perform excessive health-related behaviors or maladaptive avoidance
· Two types:
o Care-seeking: will seek multiple doctors
o Care-avoidant: won't see doctor but still ruminate
where have we seen this type of thinking before? (Illness anxiety disorder)
-personality? - ANS ✔✔philosophizing- Mechanism is seen in panic attacks, and you see similar
co-morbidity
-belief now is that this disorder may be a personality issue
, Conversion Disorder DSM - ANS ✔✔-One or more symptoms of altered voluntary motor or
sensory function
-Incompatibility between the symptom and recognized neurological or medical conditions
Glove anesthesia - ANS ✔✔Numbness beginning sharply at the wrists and extending evenly
right to the fingertips; unlikely neurological due to uniformity across two separate nerves
La belle indifference - ANS ✔✔A condition in which the person is unconcerned with symptoms
caused by a conversion disorder
- Neurologists and doctors called it Functional Neurological Symptom Disorder (or Psychogenic
Non-epileptic Seizures)
Factitious disorder DSM - ANS ✔✔Falsification of physical or psychological signs, symptoms, of
injury or disease, associated with identified deception
-Individual presents themselves to others as ill, impaired, or injured
-Deceptive behavior is evident even in the absence of obvious external rewards
Muchausens syndrome by proxy - ANS ✔✔
Somatic symptom psychodynamic etiology - ANS ✔✔Propose that these disorders represented
a conversion of underlying emotional conflicts into physical symptoms due to an Electra
complex
-Primary gain
-Secondary gain
Primary gain - ANS ✔✔Bodily symptoms keep internal conflicts out of conscious awareness