Your SlideShare is downloading. ×
0
Somatoform And Factitious Disorders
Somatoform And Factitious Disorders
Somatoform And Factitious Disorders
Somatoform And Factitious Disorders
Somatoform And Factitious Disorders
Somatoform And Factitious Disorders
Somatoform And Factitious Disorders
Somatoform And Factitious Disorders
Somatoform And Factitious Disorders
Somatoform And Factitious Disorders
Somatoform And Factitious Disorders
Somatoform And Factitious Disorders
Somatoform And Factitious Disorders
Somatoform And Factitious Disorders
Somatoform And Factitious Disorders
Somatoform And Factitious Disorders
Upcoming SlideShare
Loading in...5
×

Thanks for flagging this SlideShare!

Oops! An error has occurred.

×
Saving this for later? Get the SlideShare app to save on your phone or tablet. Read anywhere, anytime – even offline.
Text the download link to your phone
Standard text messaging rates apply

Somatoform And Factitious Disorders

2,012

Published on

Published in: Health & Medicine
0 Comments
1 Like
Statistics
Notes
  • Be the first to comment

No Downloads
Views
Total Views
2,012
On Slideshare
0
From Embeds
0
Number of Embeds
2
Actions
Shares
0
Downloads
133
Comments
0
Likes
1
Embeds 0
No embeds

Report content
Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel
No notes for slide

Transcript

  1. Somatoform disorders Somatization and Conversion Pain and Hypochondriasis Body Dysmorphic Disorder
  2. Somatoform symptoms <ul><li>Symptoms suggest a physical disorder </li></ul><ul><li>Symptoms cannot adequately be explained physiologically </li></ul><ul><li>Symptoms are often (but not always) described in dramatic ways </li></ul><ul><li>Other disorders, such as anxiety disorders, mood disorders, and personality disorders, often co-exist </li></ul>
  3. Somatization Disorder (Briquet’s syndrome) <ul><li>Many physical complaints </li></ul><ul><li>Beginning before age 30 </li></ul><ul><li>Must include </li></ul><ul><ul><li>Four different pains </li></ul></ul><ul><ul><li>Two gastrointestinal symptoms </li></ul></ul><ul><ul><li>One sexual symptom </li></ul></ul><ul><ul><li>One pseudoneurological symptom </li></ul></ul><ul><li>Symptoms are unfounded or exaggerated </li></ul>
  4. Conversion Disorder <ul><li>Physical symptoms suggesting neurological problems </li></ul><ul><ul><li>Sensory impairment: Any modality </li></ul></ul><ul><ul><li>Paresthesias and paralysis (demonstrate) </li></ul></ul><ul><li>Sudden onset, sudden termination, sudden reappearance </li></ul><ul><li>Mostly women; men in combat </li></ul><ul><li>Often misdiagnosed: Overpathologized </li></ul><ul><li>La belle indifference: 1/3 of cases </li></ul>
  5. Pain Disorder <ul><li>Main symptom is pain </li></ul><ul><li>May be exacerbated by psychosocial factors </li></ul><ul><li>May be maintained by gain: </li></ul><ul><ul><li>Primary gain </li></ul></ul><ul><ul><li>Secondary gain </li></ul></ul>
  6. Hypochondriasis <ul><li>No physical symptoms are necessary </li></ul><ul><li>Preoccupied with the possibility that normal sensations are symptoms of serious disease </li></ul><ul><li>Frequent visits to physicians </li></ul><ul><li>Persists despite medical reassurance </li></ul><ul><li>Over-report bodily sensations </li></ul>
  7. Body Dysmorphic Disorder <ul><li>Excessive concern with real or imagined defects in appearance, especially facial marks or features. </li></ul><ul><li>Frequent visits to plastic surgeons </li></ul><ul><li>Culturally-influenced, but not culture-bound </li></ul><ul><li>May be a symptom of more pervasive disorders: Obsessive-compulsive or delusional disorder, for example. </li></ul>
  8. Do advertisements affect BDD? “ Your nose is central to the way you feel about your appearance and the way other people first perceive you. “ If you are in the slightest way unhappy about it, and feel it detracts from your looks, you will probably always be unhappy about it.”
  9. More somatoform-like disorders <ul><li>Malingering </li></ul><ul><li>Factitious disorder </li></ul><ul><ul><li>Personal </li></ul></ul><ul><ul><li>By proxy </li></ul></ul><ul><li>Undifferentiated Somatoform Disorder </li></ul><ul><li>Somatoform Disorder NOS </li></ul><ul><ul><li>Pseudocyesis (no everted umbilicus) </li></ul></ul><ul><ul><li>Hypochondriacal symptoms < 6 months </li></ul></ul>
  10. Etiology of somatoform disorders <ul><li>Psychoanalytic theory </li></ul><ul><ul><li>Controlling repressed sexual urges </li></ul></ul><ul><ul><ul><li>Displaced anxiety or secondary gain </li></ul></ul></ul><ul><ul><li>Sackheim: Deny knowledge but use information </li></ul></ul><ul><li>Behavior theory </li></ul><ul><ul><li>Malingering </li></ul></ul><ul><ul><li>Social learning and reinforcement </li></ul></ul><ul><ul><li>Secondary gain </li></ul></ul>
  11. DISSOCIATIVE DISORDERS
  12. Dissociative Disorders <ul><li>Disruption in sense of coherent and stable personality identity </li></ul>
  13. Dissociative Amnesia and Fugue <ul><li>Loss of memory for important personal information </li></ul><ul><li>Fugue = amnesia + flight </li></ul>
  14. Dissociative Identity Disorder (Multiple Personality) <ul><li>Two or more distinct identities that control behavior </li></ul><ul><li>Typical alter personalities = child, protector, persecutor </li></ul><ul><li>90% female </li></ul><ul><li>>80% severely abused in childhood </li></ul>
  15. Critics of Dissociative Identity Disorder <ul><li>Do clinicians elicit disorder? </li></ul><ul><li>Use in insanity defense cases </li></ul><ul><li>Can induce in normal person with hypnosis </li></ul>
  16. Treatment of Dissociative Identity Disorder <ul><li>Confront trauma </li></ul><ul><li>Develop coping skills </li></ul><ul><li>Integrate personalities </li></ul>

×