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Ch6som

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Chapter 6 somatization only

Chapter 6 somatization only

Published in: Education, Health & Medicine

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  • 1. Part 1:
    Somatoform Disorders
    Somatoform Features and Epidemiology
    Somatoform Disorders: Causes and Prevention
    Somatoform Disorders: Assessment and Treatment
    Dissociative Disorders: Features and Epidemiology
    Dissociative Disorders: Causes and Prevention
    Dissociative Disorders: Assessment and Treatment
  • 2. Normal
    Optimism regarding health.
    No concerns about health.
    Attending regular, preventive checkups with a physician.
    Emotions
    Cognitions
    Behaviors
    SomatoformDisorders:Causes and Prevention
    Somatoform Disorders: Assessment and Treatment
    Dissociative Disorders: Features and Epidemiology
    Dissociative Disorders: Causes and Prevention
    Dissociative Disorders: Assessment and Treatment
    Somatoform Features and Epidemiology
  • 3. Normal
    Mild
    Mild physical arousal and feeling of uncertainty about certain physical symptoms.
    Some worry about health, perhaps after reading a certain magazine article.
    Checking physical body a bit more or scheduling one unnecessary physician visit.
    Emotions
    Cognitions
    Behaviors
    SomatoformDisorders:Causes and Prevention
    Somatoform Disorders: Assessment and Treatment
    Dissociative Disorders: Features and Epidemiology
    Dissociative Disorders: Causes and Prevention
    Dissociative Disorders: Assessment and Treatment
    Somatoform Features and Epidemiology
  • 4. Normal
    Mild
    Moderate
    Moderate physical arousal and greateruncertainty about one’s health.
    Strong worry about aches, pains, possibledisease, or appearance. Fleeting thoughts about death or dying.
    Scheduling more doctor visits but generally feeling relieved after each one.
    Emotions
    Cognitions
    Behaviors
    SomatoformDisorders:Causes and Prevention
    Somatoform Disorders: Assessment and Treatment
    Dissociative Disorders: Features and Epidemiology
    Dissociative Disorders: Causes and Prevention
    Dissociative Disorders: Assessment and Treatment
    Somatoform Features and Epidemiology
  • 5. Normal
    Mild
    Moderate
    Somatoform Disorder – Less Severe
    Intense physical arousal misinterpreted as a signor symptom of some terrible physical disorder.
    Intense worry about physical state or appearance. Intense fear that one has a serious disease. Common thoughts about death or dying.
    Regular doctor-shopping and requests for extensive and repetitive medical tests with little or no relief. Checking body constantly for symptoms.
    Emotions
    Cognitions
    Behaviors
    SomatoformDisorders:Causes and Prevention
    Somatoform Disorders: Assessment and Treatment
    Dissociative Disorders: Features and Epidemiology
    Dissociative Disorders: Causes and Prevention
    Dissociative Disorders: Assessment and Treatment
    Somatoform Features and Epidemiology
  • 6. Normal
    Mild
    Moderate
    Somatoform Disorder – Less Severe
    Somatoform Disorder – More Severe
    Extreme physical arousal with great trouble concentrating on anything other than physical state or appearance.
    Extreme worry about physical state or appearance.
    Extreme fear of having a serious potential disease.
    Frequent thoughts about death and dying.
    Avoidance of many social and work activities.Scheduling regular surgeries, attending specializedclinics, or searching for exotic diseases.
    Emotions
    Cognitions
    Behaviors
    SomatoformDisorders:Causes and Prevention
    Somatoform Disorders: Assessment and Treatment
    Dissociative Disorders: Features and Epidemiology
    Dissociative Disorders: Causes and Prevention
    Dissociative Disorders: Assessment and Treatment
    Somatoform Features and Epidemiology
  • 7. Essential Features
    Disorder
    Somatization disorder
    Pattern of recurring, multiple, clinically significant somatic complaints.
    SomatoformDisorders:Causes and Prevention
    Somatoform Disorders: Assessment and Treatment
    Dissociative Disorders: Features and Epidemiology
    Dissociative Disorders: Causes and Prevention
    Dissociative Disorders: Assessment and Treatment
    Somatoform Features and Epidemiology
  • 8. Essential Features
    Disorder
    Conversion disorder
    Presence of symptoms or deficits affecting voluntary motor or sensory function that suggest a neurological or other general medical condition.
    SomatoformDisorders:Causes and Prevention
    Somatoform Disorders: Assessment and Treatment
    Dissociative Disorders: Features and Epidemiology
    Dissociative Disorders: Causes and Prevention
    Dissociative Disorders: Assessment and Treatment
    Somatoform Features and Epidemiology
  • 9. Essential Features
    Disorder
    Pain disorder
    Pain is the predominant focus of clinical presentation and is of sufficient severity to warrant clinical attention.
    SomatoformDisorders:Causes and Prevention
    Somatoform Disorders: Assessment and Treatment
    Dissociative Disorders: Features and Epidemiology
    Dissociative Disorders: Causes and Prevention
    Dissociative Disorders: Assessment and Treatment
    Somatoform Features and Epidemiology
  • 10. Essential Features
    Disorder
    Hypochondriasis
    Preoccupation with fears of having, or the idea that one has, a serious disease based on a misinterpretation of one or more bodily signs or symptoms.
    SomatoformDisorders:Causes and Prevention
    Somatoform Disorders: Assessment and Treatment
    Dissociative Disorders: Features and Epidemiology
    Dissociative Disorders: Causes and Prevention
    Dissociative Disorders: Assessment and Treatment
    Somatoform Features and Epidemiology
  • 11. Essential Features
    Disorder
    Body dysmorphic disorder
    Preoccupation with a defect in appearance.
    SomatoformDisorders:Causes and Prevention
    Somatoform Disorders: Assessment and Treatment
    Dissociative Disorders: Features and Epidemiology
    Dissociative Disorders: Causes and Prevention
    Dissociative Disorders: Assessment and Treatment
    Somatoform Features and Epidemiology
  • 12. 0.4%
    Somatization disorder
    0.3%
    Conversion disorder
    0.6%
    Pain disorder
    4.8%
    Hypochondriasis
    0.7%
    Body dysmorphic disorder
    Prevalence Rates of Major Somatoform Disorders
    SomatoformDisorders:Causes and Prevention
    Somatoform Disorders: Assessment and Treatment
    Dissociative Disorders: Features and Epidemiology
    Dissociative Disorders: Causes and Prevention
    Dissociative Disorders: Assessment and Treatment
    Somatoform Features and Epidemiology
  • 13. Prefrontal cortex
    Cingulate cortex
    Hypothalamus
    Somatosensory cortex
    Amygdala
    SomatoformDisorders:Causes and Prevention
    Somatoform Disorders: Assessment and Treatment
    Dissociative Disorders: Features and Epidemiology
    Dissociative Disorders: Causes and Prevention
    Dissociative Disorders: Assessment and Treatment
    Somatoform Features and Epidemiology
  • 14. Illness behavior and reinforcement
    Cognitive factors
    Cultural factors
    SomatoformDisorders:Causes and Prevention
    Somatoform Disorders: Assessment and Treatment
    Dissociative Disorders: Features and Epidemiology
    Dissociative Disorders: Causes and Prevention
    Dissociative Disorders: Assessment and Treatment
    Somatoform Features and Epidemiology
  • 15. Misperception of symptoms
    Feelings of uncontrollability
    Over attention to minor bodily changes
    SomatoformDisorders:Causes and Prevention
    Somatoform Disorders: Assessment and Treatment
    Dissociative Disorders: Features and Epidemiology
    Dissociative Disorders: Causes and Prevention
    Dissociative Disorders: Assessment and Treatment
    Somatoform Features and Epidemiology
  • 16. Acknowledge that the symptoms are real and distressing to the client.
    Accept the need to address somatic complaints.
    Avoid attempts to convince the client of a psychological cause for symptoms.
    Continue to gently refer to the role of tension and stress.
    Discuss various topics, not just symptoms.
    Schedule regular visits not predicated on complaints.
    Develop goals in conjunction with the client.
    Discuss how symptoms limit a client’s functioning instead of what might be physically wrong.
    Maintain empathy with a client but set limits on behavior.
    SomatoformDisorders:Causes and Prevention
    Somatoform Disorders: Assessment and Treatment
    Dissociative Disorders: Features and Epidemiology
    Dissociative Disorders: Causes and Prevention
    Dissociative Disorders: Assessment and Treatment
    Somatoform Features and Epidemiology
  • 17. Antidepressant Medication
    SomatoformDisorders:Causes and Prevention
    Somatoform Disorders: Assessment and Treatment
    Dissociative Disorders: Features and Epidemiology
    Dissociative Disorders: Causes and Prevention
    Dissociative Disorders: Assessment and Treatment
    Somatoform Features and Epidemiology
  • 18. Somatosensory Amplification Scale
    I am often aware of various things happening within my body.
    When I bruise myself, it stays noticeable for a long time.
    I can sometimes feel the blood flowing in my body.
    I can sometimes hear my pulse or my heartbeat throbbing in my ear.
    I am quick to sense the hunger contractions in my stomach.
    Even something minor, like an insect bite or a splinter, really bothers me.
    I have a low tolerance for pain.
    SomatoformDisorders:Causes and Prevention
    Somatoform Disorders: Assessment and Treatment
    Dissociative Disorders: Features and Epidemiology
    Dissociative Disorders: Causes and Prevention
    Dissociative Disorders: Assessment and Treatment
    Somatoform Features and Epidemiology
  • 19. Predictors of chronic somatoform disorders
    Female gender
    Low socioeconomic status
    Substance use
    Eating disorders and depression
    Severe cognitive distortions
    Trauma
    SomatoformDisorders:Causes and Prevention
    Somatoform Disorders: Assessment and Treatment
    Dissociative Disorders: Features and Epidemiology
    Dissociative Disorders: Causes and Prevention
    Dissociative Disorders: Assessment and Treatment
    Somatoform Features and Epidemiology