1. Somatic symptom and related disorders
a. NOT FAKING
b. In somatic and dissociate disorder, people believe they have some type of
physical disorder or some problem, they are not faking the disorder. Soma=body.
They think its with their health, body or appearance.
c. The related disorders are malingering and factious disorder opposed on another
person, the people are intentionally faking.
2. Illness anxiety disorder
a. Used to be called hypochondriasis
b. People who think they have serious physical disorder, either no symptoms or
mild symptoms
c. Heart will race and they assume it’s a heart attack, headache think its brain
tumor, cough think is lung disease
d. They have disease conviction, convinced they have some kind of a physical
disorder so they go to a physician and they may be reassured for a short period
of time, but then think they doctor missed something or made a mistake so they
still continue to worry
e. Take a “better safe then sorry” approach, Think being healthy means having no
physical symptoms at all
f. Causes resemble the triple vulnerability model of anxiety, overact neurologically
and biologically to stress, have a general psychological vulnerability and believe
the world is dangerous and out of control and they can’t cope
g. From early childhood experience may have been taught to worry about their
health
h. Diagnostic criteria, what distinguishes this from somatic symptom is either NO or
MILD/MODERATE symptoms and they are very concerned about what it means
and they keep going to doctor
3. Somatic symptom disorder
a. People who focus on the symptoms, they don’t rush off to see a doctor like
illness anxiety does
b. Feel weak and ill and don’t exercise because they are scared it will harm them
c. Relate to people through their physical symptoms, “oh my stomach hurts” “I
have such a sharp pain in my head”
d. Focused on symptoms
e. Have severe symptoms
f. Theory that this disorder is related to anti-social personality disorder (people
against society, violate the rights of others and society’s laws, they lie, cheat,
, steal and harm friends and relatives). thought that gender role, people who grow
up in the same family that have same genetic vulnerability, women tend to
develop this disorder and men with same genetic vulnerability growing up in the
same or similar environment get this.
g. Both this disorder and anti personality disorder have in common are impulsive
and pleasure seeking. ASPD might decide to break into someone’s house and
people with SSD also are impulsive because forgetting momentary pleasure they
cost themselves in the long run because they don’t have long term relationships.
Also very pleasure seeking, (Linda has sex with therapist and other people that
are not good). Tend to relate to people through physical symptoms, talk about
them to people.
4. Conversion disorder
a. Comes from psychodynamic theory (Fraud)
b. Unconscious conflict is converted into physical symptoms (primary gain)
c. (secondary gain) person gets out of chores they don’t want and get attention and
sympathy
d. usually involves the motor parts or sensory parts of body (as a result, somebody
may be unable to see or hear)
e. symbolic relationship between physical relationship and cause (women’s
husband had an affair and she could not see, she was angry because she loves
him, if she could not see she wouldn’t see the affair he was having) or (solider
and bomb goes off, solider is terrified and doesn’t want to patrol again because
he is afraid he will die but doesn’t want to be a coward, unconscious conflict
makes him convert to a physical symptom so he is paralyzed therefore he cannot
patrol)
f. NOT faking it, nothing wrong physically but they are not faking. If they were
faking it, it would be malingering
5. Malingering, factitious disorder, and factitious disorder imposed on another
a. Closing related to somatic symptom and dissociative disorders
b. Distinguished because people ARE intentionally faking it
c. MALINGERING: people fake grossly execrated a physical or psychological disorder
that they do have but it must always be for external gain (attempting to avoid
criminal reasonability) (someone pretending to have PTSD and sue the driver
who hit them)