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40 Cards in this Set
- Front
- Back
what is the primary symptom of all somatoform disorders?
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physical complaint for which an identifiable physical cause cannot be found
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the hallmark symptom of hypochondriasis is______; in contrast, an illness phobia involves________.
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-fear of having a disease
-fear of getting/developing a disease |
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in contrast to hypochondriasis and illness phobia, the primary symptom of somatizationdisorder involves_________.
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anxiety over physical symptoms
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what does crosscultural research tell us about the role of culture on the expression of somatization disorder?
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culture has a big role in how the disorder is expressed
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somatization disorder is linked by family and genetic studies to which personality disorder?
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anti-social disorder
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what is the primary symptom of a conversion disorder?
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loss of sensory motor function
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whereas______involves intentionally faking the presense of a disorder for material gain, ________involves intentionally faking the presence of a disorder for no obvious benefit other than to take on a "sick role." The most famous of the latter is_______.
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malingering/factitious/Munchausen's
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________involves a pre-occupation with an imagined defect in physical appearance. It is associated with which of the anxiety disorder?
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body dysmorphic disorder/OCD
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this disorder involves a loss of a sense of one's own reality. It also involves a/an (increase/decrease) in emotional responding.
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depersonalization/decrease
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these two disorders may involve the inability to remember specific event, typically of a traumatic nature, that occur suring a specifc period of time.
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PTSD and dissociative amnesia
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what are the five somatoform disorders?
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(1) hypochondriasis
(2) somatization disorder (3) conversion disorder (4) pain disorder (5) body dysmorphic disorder |
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people with hypochondriasis have a strong disease conviction based on what three things?
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(1) misperceptions of symptoms
(2) checking behaviors (3) high trait anxiety |
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what are some causes of hypochondriasis?
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(1) disorder of cognition and perception of physical signs and sensations
(2) familial history of illness (3) stressful life events (4) high family disease incidence (5) "benefits" of illness |
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what are three treatments for hypochondriasis?
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(1) psychodynamic
(2) education and support (3) CBT |
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people with somatization disorder are concerned about what?
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symptoms, not meaning
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to be diagnosed with somatization disorder, you must be diagnosed with eight symptoms which are...
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4 pain symptoms
2 GI symptoms 1 sexual symptom 1 pseudo-neurological symptom |
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what are some behaviors of people with somatization disorder?
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impulsivity
novelty-seeking provatcative sexual behavior |
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what disorder uses a "gatekeeper" physician as a form of treatment, and what does this mean?
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somatization and the patient reports all physical symptoms to this physician, which reduces visits to numerous specialists
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if a medication has side effects, what disorder tends to get magnified?
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somatization
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what is the disorder with a physical dysfunction but non physical cause? (generally in sensory-motor areas)
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conversion disorder
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what is the lack of distress shown by some individuals presenting conversion, somatization, or amnestic disorders?
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la belle indifference
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what is conversion hysteria?
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obsolete, Freudian term for conversion disorder that unconscious conflicts somehow "convert" into physical symptoms
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conversion occurs in special populations, what are they and which has a better prognosis?
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-soldiers in hand to hand combat
-children (better long term outlook) |
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what is the Freudian psychodynamic view of conversion?
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-trauma, conflict experience is unacceptable
-repression of conflict -"conversion" to physical symptoms (primary gain) -attention and support from others (secondary gain) |
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what is the behavioral cause of conversion?
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-traumatic event
-avoidance is not an option -social acceptability of illness -negative reinforcement |
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what are two unusual behaviors classified by BDD?
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-ideas of reference- everything that goes on in world is related to defect
-checking/compensating rituals to see if defect has changed |
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what are treatment options for BDD?
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-SSRIs
-exposure and response prevention -plastic surgery is often unhelpful and makes symptoms worse |
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what is the generalized type of dissociative amnesia?
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person cannot remember any of their personal info, including identity
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what is the specialized type of dissociative amnesia?
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someone cannot remember a specific time period or event
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what is the disorder where a person has memory loss and then engages in travel and adopts in a new life/identity?
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dissociate fugue
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what is retrograde memory loss?
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loss of memory of everything up until the present-> "past memories"
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what is anterograde memory loss?
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inability to form new memories
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how many "alters" can be present in DID?
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2 to 100
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what is the "host" in DID?
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the personality presenting for treatment-> rarely who person really is
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what is the "switch" in DID?
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when person switches from one personalitiy to another
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do men or women tend to have more "Alters" in DID?
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women
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can DID be faked?
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yes, but often faked "too good"
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what type of disorders are seen in axis 1?
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anxiety, depression, substance abuse
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what type of disorders are seen in axis 2?
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personality
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when is the onset for DID?
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childhood, before the age of nine
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