advertisement

Somatoform And Factitious Disorders

100 %
0 %
advertisement
Information about Somatoform And Factitious Disorders
Health & Medicine

Published on December 25, 2008

Author: guestd889da58

Source: slideshare.net

advertisement

Somatoform disorders Somatization and Conversion Pain and Hypochondriasis Body Dysmorphic Disorder

Somatoform symptoms Symptoms suggest a physical disorder Symptoms cannot adequately be explained physiologically Symptoms are often (but not always) described in dramatic ways Other disorders, such as anxiety disorders, mood disorders, and personality disorders, often co-exist

Symptoms suggest a physical disorder

Symptoms cannot adequately be explained physiologically

Symptoms are often (but not always) described in dramatic ways

Other disorders, such as anxiety disorders, mood disorders, and personality disorders, often co-exist

Somatization Disorder (Briquet’s syndrome) Many physical complaints Beginning before age 30 Must include Four different pains Two gastrointestinal symptoms One sexual symptom One pseudoneurological symptom Symptoms are unfounded or exaggerated

Many physical complaints

Beginning before age 30

Must include

Four different pains

Two gastrointestinal symptoms

One sexual symptom

One pseudoneurological symptom

Symptoms are unfounded or exaggerated

Conversion Disorder Physical symptoms suggesting neurological problems Sensory impairment: Any modality Paresthesias and paralysis (demonstrate) Sudden onset, sudden termination, sudden reappearance Mostly women; men in combat Often misdiagnosed: Overpathologized La belle indifference: 1/3 of cases

Physical symptoms suggesting neurological problems

Sensory impairment: Any modality

Paresthesias and paralysis (demonstrate)

Sudden onset, sudden termination, sudden reappearance

Mostly women; men in combat

Often misdiagnosed: Overpathologized

La belle indifference: 1/3 of cases

Pain Disorder Main symptom is pain May be exacerbated by psychosocial factors May be maintained by gain: Primary gain Secondary gain

Main symptom is pain

May be exacerbated by psychosocial factors

May be maintained by gain:

Primary gain

Secondary gain

Hypochondriasis No physical symptoms are necessary Preoccupied with the possibility that normal sensations are symptoms of serious disease Frequent visits to physicians Persists despite medical reassurance Over-report bodily sensations

No physical symptoms are necessary

Preoccupied with the possibility that normal sensations are symptoms of serious disease

Frequent visits to physicians

Persists despite medical reassurance

Over-report bodily sensations

Body Dysmorphic Disorder Excessive concern with real or imagined defects in appearance, especially facial marks or features. Frequent visits to plastic surgeons Culturally-influenced, but not culture-bound May be a symptom of more pervasive disorders: Obsessive-compulsive or delusional disorder, for example.

Excessive concern with real or imagined defects in appearance, especially facial marks or features.

Frequent visits to plastic surgeons

Culturally-influenced, but not culture-bound

May be a symptom of more pervasive disorders: Obsessive-compulsive or delusional disorder, for example.

Do advertisements affect BDD? “ Your nose is central to the way you feel about your appearance and the way other people first perceive you. “ If you are in the slightest way unhappy about it, and feel it detracts from your looks, you will probably always be unhappy about it.”

More somatoform-like disorders Malingering Factitious disorder Personal By proxy Undifferentiated Somatoform Disorder Somatoform Disorder NOS Pseudocyesis (no everted umbilicus) Hypochondriacal symptoms < 6 months

Malingering

Factitious disorder

Personal

By proxy

Undifferentiated Somatoform Disorder

Somatoform Disorder NOS

Pseudocyesis (no everted umbilicus)

Hypochondriacal symptoms < 6 months

Etiology of somatoform disorders Psychoanalytic theory Controlling repressed sexual urges Displaced anxiety or secondary gain Sackheim: Deny knowledge but use information Behavior theory Malingering Social learning and reinforcement Secondary gain

Psychoanalytic theory

Controlling repressed sexual urges

Displaced anxiety or secondary gain

Sackheim: Deny knowledge but use information

Behavior theory

Malingering

Social learning and reinforcement

Secondary gain

DISSOCIATIVE DISORDERS

Dissociative Disorders Disruption in sense of coherent and stable personality identity

Disruption in sense of coherent and stable personality identity

Dissociative Amnesia and Fugue Loss of memory for important personal information Fugue = amnesia + flight

Loss of memory for important personal information

Fugue = amnesia + flight

Dissociative Identity Disorder (Multiple Personality) Two or more distinct identities that control behavior Typical alter personalities = child, protector, persecutor 90% female >80% severely abused in childhood

Two or more distinct identities that control behavior

Typical alter personalities = child, protector, persecutor

90% female

>80% severely abused in childhood

Critics of Dissociative Identity Disorder Do clinicians elicit disorder? Use in insanity defense cases Can induce in normal person with hypnosis

Do clinicians elicit disorder?

Use in insanity defense cases

Can induce in normal person with hypnosis

Treatment of Dissociative Identity Disorder Confront trauma Develop coping skills Integrate personalities

Confront trauma

Develop coping skills

Integrate personalities

Add a comment

Related presentations

Related pages

Mental Health: Factitious Disorders - WebMD - Better ...

Factitious disorder by proxy is when a person ... Factitious disorders are similar to another group of mental disorders called somatoform disorders, ...
Read more

Somatoform and Factitious Disorders eBook by ...

Lesen Sie Somatoform and Factitious Disorders von mit Kobo. Beset by contradictions, somatoform and factitious disorders have an unusually long, rich, and ...
Read more

Somatic symptom disorder - Wikipedia, the free encyclopedia

A somatic symptom disorder, formerly known as a somatoform disorder, is a category of mental disorder included in a number of diagnostic schemes of mental ...
Read more

Somatoform, Dissociative, and Factitious Disorders | in ...

Somatoform, Dissociative, and Factitious Disorders. Axis 1 of DSM-IV includes a category called somatoform disorder s. A somatoform disorder is a ...
Read more

Somatoform Disorder: Overview, Somatization Disorder ...

The somatoform disorders are a group of ... Undifferentiated somatoform disorder and somatoform ... These are factitious disorders and ...
Read more

Somatoform and Factitious Disorders (Review of Psychiatry ...

Beset by contradictions, somatoform and factitious disorders have an unusually long, rich, and colorful historical and clinical tradition. Yet, some of ...
Read more

Factitious disorder - Wikipedia, the free encyclopedia

A factitious disorder is a condition in which a person acts as if ... DSM-IV Somatoform Disorders. ... Inside the Strange World of Factitious Disorders.
Read more

Somatoform, Factitious, and Sexual Disorders

Somatoform and Factitious Disorders. Somatoform and factitious disorders both occur in cases where psychological disorders are related to the experience or ...
Read more

Somatoform and Factitious Disorders - YouTube

Somatoform and Factitious Disorders jtjcollier. ... The Life Of a Factitious Disorder person - Duration: 16:58. callMEDADDY330 6,030 views.
Read more