Nolen-Hoeksema Chapter 6 & 9
a person with ________________________ has one or more distressing physical
symptoms and spends a great deal of time and energy thinking about these symptoms
and seeking medical care for them. - ANS-somatic symptom disorder
What are some of the physical symptoms that a person with somatic symptom disorder
can have? - ANS-Gastrointestinal symptoms (i.e. nausea and diarrhea), pain symptoms,
neurological symptoms (i.e. dizziness and tremors), or symptoms affecting any part of
your body.
What is the difference between somatic symptom disorder and illness anxiety disorder?
- ANS-People with somatic symptom disorder experience physical symptoms and seek
help for them, while with illness anxiety disorder worry that they will either develop or
have a serious illness but do not always experience severe physical symptoms.
A person with ____________ worries that they either have or will develop a serious
illness. They also do not always experience sever physical symptoms but when they do
become very alarmed and are more likely to seek immediate medical care. -
ANS-Illness anxiety disorder
Similarities in people with somatic symptom disorder and illness anxiety disorder -
ANS-1. May be prone to periods of anxiety or depression.
2. May express their distress as a physical symptoms or mask the distress with alcohol,
abuse or antisocial behavior.
3. Symptoms and health concerns become their identity.
4. Changes in their symptoms mirror their emotional well-being; when they are anxious
or depressed, they report more physical complaints and worries than when they are not
anxious or depressed.
True or False. Multiple symptom complaints and concerns are more common in older
adults than in middle-aged adults, even after taking into account the increased
incidence of medical illness with age. - ANS-True.
True of False. Young children express their distress in somatic complaints - ANS-True.
, Behavioral Therapies of somatic symptom disorder: - ANS-attempt to determine the
reinforcements individuals receive for their symptoms and health complaints and to
eliminate these reinforcements while increasing positive rewards for healthy behavior.
Cognitive Therapies of somatic symptom disorder: - ANS-help people learn to interpret
their physical symptoms appropriately and to avoid catastrophizing them, similar to the
cognitive treatment of panic symptoms.
Cognitive-behaviorial Therapies of somatic symptom disorder: - ANS-focus on
identifying and challenging illness beliefs and misinterpretations of physical sensations
Aside from therapy, what can reduce somatic symptoms? - ANS-Anti-depressants
Psychodynamic Therapies of somatic symptom disorder: - ANS-focus on connecting
emotions with psychical symptoms and help people recall events/memories that may
have triggered their symptoms.
a dramatic type of somatic symptom disorder - ANS-conversion disorder
What is conversion disorder? - ANS-a dramatic form of somatic symptom disorder
where psychological distress over a traumatic event leads to a severe symptom like:
paralysis, blindness, mutism, seizures, loss of hearing, etc.
True or False. Freud and his contemporaries believed conversion symptoms as the
result of the transfer of the psychic energy attached to repressed emotions or memories
to physical symptoms. - ANS-True.
The reduction in anxiety for conversion disorder was referred to as the:
a. primary gain
b. secondary gain
c. tertiary gain
d. functional neurological symptom disorder - ANS-a. primary gain
When patients receive attention and concern from others and may be relieved of
obligations and expectations, reinforcing the conversion symptoms, it is called: -
ANS-the secondary gain
Psychoanalytic treatment for conversion disorder: - ANS-focuses on the expression of
painful memories and on insight into the relationship between these and the conversion
symptoms.