Week 6
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Questions and Answers

Which term was historically used to describe what is now known as somatic symptom and dissociative disorders?

  • Hysteria (correct)
  • Conversion disorder
  • Neurasthenia
  • Factitious disorder
  • Hypochondriasis

Which of the following is NOT a characteristic of somatic symptom disorder?

  • Delusions of grandeur (correct)
  • Excessive time and energy devoted to health concerns
  • Distressing somatic symptoms
  • High levels of health anxiety
  • Significant impairment in daily functioning

Which theorist is associated with the concept of 'conversion' of psychological conflict into physical symptoms?

  • Aaron Beck
  • Emil Kraepelin
  • Sigmund Freud (correct)
  • Pierre Janet
  • Jean-Martin Charcot

What is the main feature of illness anxiety disorder?

<p>Preoccupation with having or acquiring a serious illness (D)</p> Signup and view all the answers

Which disorder involves the deliberate induction of injury or illness in oneself without external rewards?

<p>Factitious disorder (C)</p> Signup and view all the answers

It is not uncommon for individuals with somatic symptom disorder to not experience anxiety about their health.

<p>False (B)</p> Signup and view all the answers

In dissociative identity disorder, what is a common symptom?

<p>Recurrent gaps in memory (C)</p> Signup and view all the answers

What term refers to the experience of feeling detached from oneself or the world?

<p>Depersonalization (A)</p> Signup and view all the answers

Which disorder is characterized by a disturbance in voluntary motor or sensory function that cannot be explained by medical conditions?

<p>Conversion disorder (D)</p> Signup and view all the answers

Which neurotransmitter system is implicated in the neurobiological model of somatic symptom disorders?

<p>Cortisol (HPA axis) (E)</p> Signup and view all the answers

What is a characteristic feature of la belle indifférence often seen in conversion disorder?

<p>Lack of concern about significant symptoms (A)</p> Signup and view all the answers

It is not unusual for people with dissociative disorders to not have memory gaps.

<p>False (B)</p> Signup and view all the answers

What is the primary treatment approach for somatic symptom and related disorders?

<p>Cognitive-behavioral therapy (CBT) (D)</p> Signup and view all the answers

Which of the following is NOT a symptom of dissociative amnesia?

<p>Recurrent somatic complaints (E)</p> Signup and view all the answers

Which disorder includes preoccupation with somatic symptoms and excessive health-related behaviors?

<p>Somatic symptom disorder (C)</p> Signup and view all the answers

Which theoretical model explains the occurrence of somatic symptoms without a medical cause through the interaction of cognitive and behavioral factors?

<p>Cognitive-behavioral model (B)</p> Signup and view all the answers

Which historical figure used hypnosis as a treatment for hysteria?

<p>Jean-Martin Charcot (A)</p> Signup and view all the answers

It is not impossible for individuals with conversion disorder to not show physical symptoms without a medical basis.

<p>True (A)</p> Signup and view all the answers

Which disorder involves the presence of two or more distinct personality states?

<p>Dissociative identity disorder (D)</p> Signup and view all the answers

What is the primary focus of treatment for dissociative identity disorder?

<p>Integrating separate identities (B)</p> Signup and view all the answers

Which of the following best describes illness anxiety disorder according to the DSM-5?

<p>Preoccupation with having a serious illness despite minimal or no somatic symptoms (D)</p> Signup and view all the answers

Which factor is NOT typically considered in the cognitive-behavioral model of somatization?

<p>Medication adherence (E)</p> Signup and view all the answers

It is not uncommon for factitious disorder to not involve deliberate symptom falsification.

<p>False (B)</p> Signup and view all the answers

What is the estimated prevalence of somatic symptom disorder in the general adult population?

<p>1-2% (D)</p> Signup and view all the answers

Which of the following disorders was formerly known as hypochondriasis?

<p>Illness anxiety disorder (C)</p> Signup and view all the answers

Which symptom is NOT typically associated with depersonalization/derealization disorder?

<p>Persistent somatic pain (E)</p> Signup and view all the answers

It is not unlikely for individuals with dissociative amnesia to not recall traumatic events.

<p>False (B)</p> Signup and view all the answers

Which diagnostic category includes the disorder where a person feigns illness for attention?

<p>Factitious disorder (A)</p> Signup and view all the answers

What is a common treatment approach for conversion disorder?

<p>Cognitive-behavioral therapy (CBT) (B)</p> Signup and view all the answers

Which of the following is NOT a dissociative disorder according to the DSM-5?

<p>Conversion disorder (D)</p> Signup and view all the answers

Study Notes

Somatic Symptom and Dissociative Disorders Overview

  • Historical term for somatic symptoms: Hysteria
  • Somatic symptom disorder characterized by distressing somatic symptoms, high health anxiety, significant daily impairment, and excessive health concerns
  • Illness anxiety disorder is primarily about the preoccupation with having a serious illness despite minimal symptoms

Disorders and Their Characteristics

  • Factitious disorder involves deliberately inducing injury or illness for attention, without external rewards
  • Dissociative identity disorder features recurrent gaps in memory and involves two or more distinct identities
  • Conversion disorder presents motor or sensory function disturbances that are not explained by medical conditions

Theoretical Perspectives

  • Sigmund Freud is linked to the concept of conversion, where psychological conflicts manifest as physical symptoms
  • Cognitive-behavioral model is a leading theoretical approach explaining somatic symptoms through cognitive and behavioral interactions
  • La belle indifférence describes a lack of concern about significant symptoms, often associated with conversion disorder

Common Treatments

  • Cognitive-behavioral therapy (CBT) is the primary treatment approach for somatic symptom and related disorders
  • Common treatment for conversion disorder includes CBT and hypnosis

Key Symptoms

  • Depersonalization refers to feeling detached from oneself, while derealization involves feeling that the world is unreal
  • Dissociative amnesia is marked by an inability to recall personal information and memory gaps for traumatic events
  • Symptoms to not associate with depersonalization/derealization disorder include persistent somatic pain

Prevalence and Diagnosis

  • Prevalence of somatic symptom disorder in the general adult population is estimated at 1-2%
  • Illness anxiety disorder was formerly known as hypochondriasis
  • Various disorders (e.g., somatic symptom disorder, factitious disorder) are linked to specific diagnostic criteria within the DSM-5

Special Considerations

  • Cognitive-behavioral model includes factors like symptom perception, attribution, illness-worry, and adherence
  • Double negatives in language can complicate understanding of symptoms and disorders, e.g., "not uncommon" or "not unlikely" may imply the opposite

Neurobiological Aspects

  • Cortisol (HPA axis) is implicated in the neurobiological models of somatic symptom disorders

Distinction Among Disorders

  • Differentiate clearly between disorders: factitious disorder involves feigning illness for attention, while dissociative identity disorder involves identity fragmentation.
  • Conversion disorder is characterized by specific voluntary motor or sensory function disturbances absent of medical explanation.

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Test your knowledge on the historical terms and characteristics of somatic symptom and dissociative disorders. This quiz covers essential concepts that are crucial for understanding these psychological conditions. Prepare to challenge your understanding of the symptoms and their implications in mental health.

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