PSY 366 ABNORMAL PSYCHOLOGY - MEIER - ASU -
EXAM 2
Clinical description of somatic symptom disorder - Answers -*Presence of one or more
medically unexplained symptoms
*Must cause substantial impairment in social or occupational functioning.
*Person must have concern about the symptoms
*In severe cases, symptoms become the person's identity
DSM-5 Criteria: Somatic Symptom Disorder - Answers -*One or more somatic
symptom that is distressing or disrupting
*Excessive thoughts, feelings, and behaviors related to the somatic symptoms
*Persist for 6 or more months
Causes of Somatic Symptom Disorder - Answers -*Genes
*Operant conditioning (positive attention)
*Stress and trauma
*Sick family members
*Parents who worry about health (modeling)
(GOSSIP)
Diagnosis of Somatic Symptom Disorders - Answers -Distinguishing between real
physical disorders, somatic symptom disorders, and faking is difficult.
Malingering Disorder - Answers -Fabricating of symptoms of mental or physical
disorders for a variety of "secondary gain" motives
DSM-5 Criteria: Factitious Disorder - Answers -*Purposely faking physical symptoms
*May actually induce physical symptoms or just pretend to have them
*No obvious external gains
Treatment of Somatic Symptom Disorder - Answers -*CBT is the best treatment
*Limit doctor visits and assign "gatekeeper" physician
*Reduce supportive consequences of talk about physical symptoms
, ***difficult to treat***
DSM-5 Criteria: Illness Anxiety Disorder - Answers -*Fear of having serious illness
*Somatic symptoms are not present or are very mild
*High level anxiety about health
*Perform excessive health-related behaviors or maladaptive avoidance
*Persist for at least 6 months
DSM-5 Criteria: Conversion Disorder - Answers -*Altered voluntary motor of sensory
function (blind, paralyzed, etc)
*Lack physical or organic pathology
*Retain most normal functions, but lack awareness
*Causes significant distress or impairment
DSM-5 Criteria: Depersonalization/derealization disorder - Answers -*Recurrent
episodes in which a person has sensations of unreality of one's own body or
surroundings
*Feelings dominate and interfere with life functioning
*Only diagnosed if primary problem involves depersonalization and derealization
DSM-5 Criteria: Dissociative amnesia - Answers -*Includes several forms of
psychogenic memory loss
*Generalized (Inability to recall anything, including their identity) vs. localized (Failure to
recall specific (usually traumatic) events) or selective type
*May involve dissociative fugue
DSM-5 Criteria: Dissociative trance disorder - Answers -*Dissociative symptoms and
sudden changes in personality
*Altered state of consciousness attributed to possession by a spirit
*Only considered a disorder when it causes significant distress and dysfunction
EXAM 2
Clinical description of somatic symptom disorder - Answers -*Presence of one or more
medically unexplained symptoms
*Must cause substantial impairment in social or occupational functioning.
*Person must have concern about the symptoms
*In severe cases, symptoms become the person's identity
DSM-5 Criteria: Somatic Symptom Disorder - Answers -*One or more somatic
symptom that is distressing or disrupting
*Excessive thoughts, feelings, and behaviors related to the somatic symptoms
*Persist for 6 or more months
Causes of Somatic Symptom Disorder - Answers -*Genes
*Operant conditioning (positive attention)
*Stress and trauma
*Sick family members
*Parents who worry about health (modeling)
(GOSSIP)
Diagnosis of Somatic Symptom Disorders - Answers -Distinguishing between real
physical disorders, somatic symptom disorders, and faking is difficult.
Malingering Disorder - Answers -Fabricating of symptoms of mental or physical
disorders for a variety of "secondary gain" motives
DSM-5 Criteria: Factitious Disorder - Answers -*Purposely faking physical symptoms
*May actually induce physical symptoms or just pretend to have them
*No obvious external gains
Treatment of Somatic Symptom Disorder - Answers -*CBT is the best treatment
*Limit doctor visits and assign "gatekeeper" physician
*Reduce supportive consequences of talk about physical symptoms
, ***difficult to treat***
DSM-5 Criteria: Illness Anxiety Disorder - Answers -*Fear of having serious illness
*Somatic symptoms are not present or are very mild
*High level anxiety about health
*Perform excessive health-related behaviors or maladaptive avoidance
*Persist for at least 6 months
DSM-5 Criteria: Conversion Disorder - Answers -*Altered voluntary motor of sensory
function (blind, paralyzed, etc)
*Lack physical or organic pathology
*Retain most normal functions, but lack awareness
*Causes significant distress or impairment
DSM-5 Criteria: Depersonalization/derealization disorder - Answers -*Recurrent
episodes in which a person has sensations of unreality of one's own body or
surroundings
*Feelings dominate and interfere with life functioning
*Only diagnosed if primary problem involves depersonalization and derealization
DSM-5 Criteria: Dissociative amnesia - Answers -*Includes several forms of
psychogenic memory loss
*Generalized (Inability to recall anything, including their identity) vs. localized (Failure to
recall specific (usually traumatic) events) or selective type
*May involve dissociative fugue
DSM-5 Criteria: Dissociative trance disorder - Answers -*Dissociative symptoms and
sudden changes in personality
*Altered state of consciousness attributed to possession by a spirit
*Only considered a disorder when it causes significant distress and dysfunction
