1. Somatoform and Dissociative Disorders

2. Somatoform Disorders Physical ailment has no apparent medical cause…
Do people purposely produce their symptoms?
Hysterical and Preoccupation Somatoform Disorders

3. Hysterical Somatoform Disorders
Suffer actual changes in their physical functioning
Hard to distinguish
3 disorders
Conversion, somatization, & pain disorder associated with psychological factors

4. Conversion Disorder Psychological conflict or need is converted into…
Symptoms seem…
Examples
DSM Checklist
Begin between late childhood and young adulthood
Suddenly, women
5 of every 1,000 people

5. Somatization Disorder
May have long-lasting physical ailments that have little or no organic basis
Briquet’s Syndrome
Range of ailments…
Doctor to doctor
Runs in families
Begins between... And lasts…

6. Pain Disorder Associated with Psychological Factors
Patients with a conversion of somatization disorder may also experience pain, but…
Fairly common
More women than men
Often develops after an accident or during an illness

7. Factitious Disorder
People go to extremes to create appearance of illness
Give themselves meds secretly
Munchausen Syndrome
Munchausen Syndrome by proxy

8. Preoccupation Somatoform Disorders
Misinterpret and overreact to bodily symptoms
Hypochondriasis—
Begins at any age
DSM Checklist
Dysmorphophobia—
Focus on wrinkles,…
Bad odors…
Great lengths to hide “defects”
Begin during adolescence

9. Causes of Somatoform Disorders
May have been acquired earlier in life through conditioning or modeling
So sensitive to and threatened by bodily cues that they come to over interpret them
Brings rewards
Forms of communication

10. Somatoform Disorder Treatment
Go to physician first
Typically receive kinds of treatments applied to anxiety disorders

11. Dissociative Disorders
Dissociative Amnesia—
Specific upsetting events
4 kinds-localized, selective, generalized, continuous
Localized is most common
All deal with personal material
Memory for abstract info remains
Triggers?
Dissociative Disorders

12. Dissociative Fugue Definition— Can be brief
Extreme cases new identity!
Follows a severely stressful event
Affects personal memory
Tend to end suddenly-”awaken”
Most regain all of memories when over

13. Dissociative Identity Disorder (Multiple Personality)
Definition—
Subpersonalities—
The host
Switching
Early adulthood diagnosis
Starts in childhood
97% physically/sexually abused
100 observed in a case
Most have 2-3 at a time

14. How to explain it Repression of painful memories, thoughts or impulses
Lifetime of repression
Bad thoughts, try to disown and assign them to other personalities
Conditioning-bad event, get relief when minds drift

15. Treatment Psychodynamic therapy Hypnotic therapy Drugs
Multiple treatment difficult
Recognizing the disorder, recovering memories, and integrating the subpersonalities