Somatoform & Dissociative Disorders

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    22-Dec-2015

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Somatoform & Dissociative Disorders

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<ul><li><p> Common Features Lots of Physical Complaints Appear to be Medical Conditions No Identifiable Medical Cause Pathological Concern AboutPhysical AppearanceFunctioning of Their Bodies</p></li><li><p> Five Somatoform Disorders Hypochondriasis Somatization Disorder Conversion Disorder Pain Disorder Body Dysmorphic Disorder</p></li><li><p> Clinical Description Ancient Roots Physical Complaints No Known Medical Cause Severe Anxiety / Fear About Possibly Having a Serious Disease Reassurance Doesnt Help</p></li><li><p> Clinical Description Essential Problem is Anxiety Preoccupied With Bodily Symptoms Misinterpretation of Symptoms Strong Disease Conviction Many Medical Visits and Tests</p></li><li><p> Why not Classify Such Persons With an Illness Phobia?</p></li><li><p> Facts and Statistics 1% to 14% Medical Patients Equal Rates (Males vs. Females) May Occur Any Time Strong Disease Conviction Many Medical Visits and Tests</p></li><li><p> Causes Disorder of Cognition / Perception More Disease in Family More Illness Concern in Family More Attention for Sick Behavior</p></li><li><p> Psychological Treatment Modify Illness Perceptions Evoke Bodily Sensations Provide Appropriate Reassurance More Research is Needed!</p></li><li><p> Five Somatoform Disorders Hypochondriasis Somatization Disorder Conversion Disorder Pain Disorder Body Dysmorphic Disorder</p></li><li><p> Clinical Description Briquets Syndrome Many Physical Complaints No Known Medical Cause Little Concern About Symptoms La Belle Indifference Life Revolves Around Symptoms</p></li><li><p> Facts and Statistics Extremely Rare About 4.4% of Population Onset in Adolescence Females &gt; Males Often a Chronic Condition</p></li><li><p> Causes Family Link Link to Antisocial Personality Weak Behavioral Inhibition Strong Behavioral Activation Short Term Gain</p></li><li><p> Treatment Difficult to Treat No Proven Treatments Extensive Medical Visits Treatment Focuses on Reduction of Medical Visits Reducing Secondary Gain</p></li><li><p> Five Somatoform Disorders Hypochondriasis Somatization Disorder Conversion Disorder Pain Disorder Body Dysmorphic Disorder</p></li><li><p> Clinical Description Physical MalfunctioningParalysis, Blindness, AphoniaMutism, Lost Sense of Touch No Organic Pathology Looks Like Neurological Disease Popularized by Freud</p></li><li><p> Related Conditions Malingering or Something Else? La Belle Indifference Precipitated by Marked Stress Can Function Normally Factitious Disorders Munchausens Syndrome by Proxy</p></li><li><p> Facts and Statistics Relatively Rare Females &gt; Males Onset Around Adolescence</p></li><li><p> Causes Experience of Trauma Getting Sick is Acceptable Symptoms to Escape From the Effects of Trauma What Influences Choice of Symptoms? </p></li><li><p> Treatment Address the Traumatic Event Remove Sources of Secondary Gain No Well Established Treatments</p></li><li><p> Five Somatoform Disorders Hypochondriasis Somatization Disorder Conversion Disorder Pain Disorder Body Dysmorphic Disorder</p></li><li><p> Clinical Description Pain is Real Pain May Have Organic Cause Psychological Factors Maintain Pain Can be Debilitating</p></li><li><p> Five Somatoform Disorders Hypochondriasis Somatization Disorder Conversion Disorder Pain Disorder Body Dysmorphic Disorder</p></li><li><p> Clinical Description Preoccupation With AppearanceImagined Defect Imagined Ugliness Mirrors (Fixation or Avoidance) Ideas of Reference Suicidal Ideation and Tendencies</p></li><li><p> Common Locations of Defects Hair Nose Skin Eyes Head / Face Lips</p></li><li><p> Facts and Statistics College Students70% Report Some Disatisfaction 28% Meet Diagnostic Criteria Many Consult Plastic Surgeons Males = Females Onset Late Adolescence</p></li><li><p>The Plastic Surgery Solution? Quite Popular but Expensive Most are Disappointed With Results</p><p>BEFOREAFTER</p></li><li><p> Causes and Treatment Little is Known Co-Occurs With OCDIntrusive Thoughts and Checking Compulsions About Appearance Exposure + Response Prevention</p></li><li><p> Depersonalization Altered Perception of Self Derealization Altered Perception of World Dissociative Phenomena Common Experience</p></li><li><p>Some people have the experience of driving a car and suddenly realizing that they dont remember what happened during all or part of the trip.0% 100%</p></li><li><p>0% 100%Some people find that sometimes they are listening to someone talk and they suddenly realize that they did not hear part or all of what was just said. </p></li><li><p>0% 100%Some people find that they have no memory for some important events in their lives (e.g. a wedding or graduation).</p></li><li><p>0% 100%Some people have the experience of finding themselves dressed in clothes that they dont remember putting on.</p></li><li><p>0% 100%Some people sometimes have the experience of feeling that other people, objects, and the world around them are not real.</p></li><li><p>NormalDissociationAmnesiaFuguePartialDIDComplexDIDPoly-FragmentedDID</p></li><li><p> Depersonalization Disorder Dissociative Amnesia Dissociative Fugue Dissociative Trance Disorder Dissociative Identity Disorder</p></li><li><p> Primary Features Depersonalization Derealization Impairs Functioning Causes Significant Distress Runs a Chronic Course Clinical Description</p></li><li><p> Depersonalization Disorder Dissociative Amnesia Dissociative Fugue Dissociative Trace Disorder Dissociative Identity Disorder</p></li><li><p> Clinical Description Localized or Selective Failure to Recall Specific Events Several Patterns Generalized Unable to Remember Anything</p></li><li><p> Depersonalization Disorder Dissociative Amnesia Dissociative Fugue Dissociative Trace Disorder Dissociative Identity Disorder</p></li><li><p> Clinical Description Go to Another Location Unaware How They Arrived Memory Loss Specific Incident May Assume New Identity Fugue Usually Ends Abruptly</p></li><li><p> Depersonalization Disorder Dissociative Amnesia Dissociative Fugue Dissociative Trace Disorder Dissociative Identity Disorder</p></li><li><p> Clinical Description Differ Across Cultures Sudden Changes in Personality Possession by Spirits Females &gt; Males Often Related to Trauma</p></li><li><p> Depersonalization Disorder Dissociative Amnesia Dissociative Fugue Dissociative Trace Disorder Dissociative Identity Disorder</p></li><li><p> Clinical Description Formally Multiple Personality Disorder Persons Identity is Dissociated May Adopt 100 Identities Alters The Nature of Alters</p></li><li><p> Central Features Host Identity One Who Asks for Treatment Attempt to Hold Alters Together A Switch Abrupt Change in Personalities Usually Instantaneous</p></li><li><p> Facts and Statistics Average Number of Alters? 15 Females &gt; Males (9:1) Onset in Childhood Linked to Extreme Abuse Runs a Chronic Course </p></li><li><p> Causes Unspeakable Childhood Abuse 97% of Cases Escape Into Fantasy World Become Someone Else Do What It Takes to Survive DID as a Means of Coping?</p></li><li><p> Other Related Features Suggestibility Hypnotizability Similar to Dissociation Are These Related to DID?</p></li><li><p> Abuse: Controversial Issues False vs. Real Memories Do Therapists Plant Memories? Can False Memories be Created? Elizabeth Loftus Other Related Research Consequences of the Debate?</p></li><li><p> Treatment Dissociative Amnesia &amp; Fugue Usually Improve on Their Own Stress Reduction and Coping Dissociative Identity Disoder No Controlled Research Treatments are Similar to PTSD </p><p>Several Images Contained in this Lecture Presentation Were Produced and Made Available From W. L. Carr at http://www.birdhouse.org/images/wcarr/wcgraph.htmSeveral Images Contained in this Lecture Presentation Were Produced and Made Available From W. L. Carr at http://www.birdhouse.org/images/wcarr/wcgraph.htmSeveral Images Contained in this Lecture Presentation Were Produced and Made Available From W. L. Carr at http://www.birdhouse.org/images/wcarr/wcgraph.htmSeveral Images Contained in this Lecture Presentation Were Produced and Made Available From W. L. Carr at http://www.birdhouse.org/images/wcarr/wcgraph.htmSeveral Images Contained in this Lecture Presentation Were Produced and Made Available From W. L. Carr at http://www.birdhouse.org/images/wcarr/wcgraph.htmSeveral Images Contained in this Lecture Presentation Were Produced and Made Available From W. L. Carr at http://www.birdhouse.org/images/wcarr/wcgraph.htmSeveral Images Contained in this Lecture Presentation Were Produced and Made Available From W. L. Carr at http://www.birdhouse.org/images/wcarr/wcgraph.htmSeveral Images Contained in this Lecture Presentation Were Produced and Made Available From W. L. Carr at http://www.birdhouse.org/images/wcarr/wcgraph.htmSeveral Images Contained in this Lecture Presentation Were Produced and Made Available From W. L. Carr at http://www.birdhouse.org/images/wcarr/wcgraph.htmSeveral Images Contained in this Lecture Presentation Were Produced and Made Available From W. L. Carr at http://www.birdhouse.org/images/wcarr/wcgraph.htmSeveral Images Contained in this Lecture Presentation Were Produced and Made Available From W. L. Carr at http://www.birdhouse.org/images/wcarr/wcgraph.htmSeveral Images Contained in this Lecture Presentation Were Produced and Made Available From W. L. Carr at http://www.birdhouse.org/images/wcarr/wcgraph.htmSeveral Images Contained in this Lecture Presentation Were Produced and Made Available From W. L. Carr at http://www.birdhouse.org/images/wcarr/wcgraph.htmSeveral Images Contained in this Lecture Presentation Were Produced and Made Available From W. L. Carr at http://www.birdhouse.org/images/wcarr/wcgraph.htmSeveral Images Contained in this Lecture Presentation Were Produced and Made Available From W. L. Carr at http://www.birdhouse.org/images/wcarr/wcgraph.htmSeveral Images Contained in this Lecture Presentation Were Produced and Made Available From W. L. Carr at http://www.birdhouse.org/images/wcarr/wcgraph.htmSeveral Images Contained in this Lecture Presentation Were Produced and Made Available From W. L. Carr at http://www.birdhouse.org/images/wcarr/wcgraph.htmSeveral Images Contained in this Lecture Presentation Were Produced and Made Available From W. L. Carr at http://www.birdhouse.org/images/wcarr/wcgraph.htm</p></li></ul>

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