Common Features Common Features Lots of Physical Complaints Lots of Physical Complaints Appear to...
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Transcript of Common Features Common Features Lots of Physical Complaints Lots of Physical Complaints Appear to...
Common Features Lots of Physical Complaints Appear to be Medical Conditions No Identifiable Medical Cause Pathological Concern About
– Physical Appearance– Functioning of Their Bodies
Common Features Lots of Physical Complaints Appear to be Medical Conditions No Identifiable Medical Cause Pathological Concern About
– Physical Appearance– Functioning of Their Bodies
Five Somatoform Disorders Hypochondriasis Somatization Disorder Conversion Disorder Pain Disorder Body Dysmorphic Disorder
Five Somatoform Disorders Hypochondriasis Somatization Disorder Conversion Disorder Pain Disorder Body Dysmorphic Disorder
Clinical Description Ancient Roots Physical Complaints No Known Medical Cause Severe Anxiety / Fear About
Possibly Having a Serious Disease Reassurance Doesn’t Help
Clinical Description Ancient Roots Physical Complaints No Known Medical Cause Severe Anxiety / Fear About
Possibly Having a Serious Disease Reassurance Doesn’t Help
Clinical Description Essential Problem is Anxiety Preoccupied With Bodily Symptoms Misinterpretation of Symptoms Strong Disease Conviction Many Medical Visits and Tests
Clinical Description Essential Problem is Anxiety Preoccupied With Bodily Symptoms Misinterpretation of Symptoms Strong Disease Conviction Many Medical Visits and Tests
Why not Classify Such Persons With an Illness Phobia?
Why not Classify Such Persons With an Illness Phobia?
Facts and Statistics 1% to 14% Medical Patients Equal Rates (Males vs. Females) May Occur Any Time Strong Disease Conviction Many Medical Visits and Tests
Facts and Statistics 1% to 14% Medical Patients Equal Rates (Males vs. Females) May Occur Any Time Strong Disease Conviction Many Medical Visits and Tests
Causes Disorder of Cognition / Perception More Disease in Family More Illness Concern in Family More Attention for Sick Behavior
Causes Disorder of Cognition / Perception More Disease in Family More Illness Concern in Family More Attention for Sick Behavior
Psychological Treatment Modify Illness Perceptions Evoke Bodily Sensations Provide “Appropriate” Reassurance More Research is Needed!
Psychological Treatment Modify Illness Perceptions Evoke Bodily Sensations Provide “Appropriate” Reassurance More Research is Needed!
Five Somatoform Disorders Hypochondriasis
Somatization Disorder Conversion Disorder Pain Disorder Body Dysmorphic Disorder
Five Somatoform Disorders Hypochondriasis
Somatization Disorder Conversion Disorder Pain Disorder Body Dysmorphic Disorder
Clinical Description Briquet’s Syndrome Many Physical Complaints No Known Medical Cause Little Concern About Symptoms
La Belle Indifference Life Revolves Around Symptoms
Clinical Description Briquet’s Syndrome Many Physical Complaints No Known Medical Cause Little Concern About Symptoms
La Belle Indifference Life Revolves Around Symptoms
Facts and Statistics Extremely Rare About 4.4% of Population Onset in Adolescence Females > Males Often a Chronic Condition
Facts and Statistics Extremely Rare About 4.4% of Population Onset in Adolescence Females > Males Often a Chronic Condition
Causes Family Link Link to Antisocial Personality
– Weak Behavioral Inhibition– Strong Behavioral Activation– Short Term Gain
Causes Family Link Link to Antisocial Personality
– Weak Behavioral Inhibition– Strong Behavioral Activation– Short Term Gain
Treatment Difficult to Treat No Proven Treatments Extensive Medical Visits Treatment Focuses on
– Reduction of Medical Visits– Reducing Secondary Gain
Treatment Difficult to Treat No Proven Treatments Extensive Medical Visits Treatment Focuses on
– Reduction of Medical Visits– Reducing Secondary Gain
Five Somatoform Disorders Hypochondriasis Somatization Disorder
Conversion Disorder Pain Disorder Body Dysmorphic Disorder
Five Somatoform Disorders Hypochondriasis Somatization Disorder
Conversion Disorder Pain Disorder Body Dysmorphic Disorder
Clinical Description Physical Malfunctioning
– Paralysis, Blindness, Aphonia– Mutism, Lost Sense of Touch
No Organic Pathology Looks Like Neurological Disease Popularized by Freud
Clinical Description Physical Malfunctioning
– Paralysis, Blindness, Aphonia– Mutism, Lost Sense of Touch
No Organic Pathology Looks Like Neurological Disease Popularized by Freud
Related Conditions Malingering or Something Else?
– La Belle Indifference– Precipitated by Marked Stress– Can Function Normally
Factitious Disorders– Munchausen’s Syndrome by Proxy
Related Conditions Malingering or Something Else?
– La Belle Indifference– Precipitated by Marked Stress– Can Function Normally
Factitious Disorders– Munchausen’s Syndrome by Proxy
Facts and Statistics Relatively Rare Females > Males Onset Around Adolescence
Facts and Statistics Relatively Rare Females > Males Onset Around Adolescence
Causes Experience of Trauma Getting Sick is Acceptable Symptoms to Escape From the
Effects of Trauma What Influences Choice of
Symptoms?
Causes Experience of Trauma Getting Sick is Acceptable Symptoms to Escape From the
Effects of Trauma What Influences Choice of
Symptoms?
Treatment Address the Traumatic Event Remove Sources of Secondary Gain No Well Established Treatments
Treatment Address the Traumatic Event Remove Sources of Secondary Gain No Well Established Treatments
Five Somatoform Disorders Hypochondriasis Somatization Disorder Conversion Disorder
Pain Disorder Body Dysmorphic Disorder
Five Somatoform Disorders Hypochondriasis Somatization Disorder Conversion Disorder
Pain Disorder Body Dysmorphic Disorder
Clinical Description Pain is Real Pain May Have Organic Cause Psychological Factors Maintain Pain Can be Debilitating
Clinical Description Pain is Real Pain May Have Organic Cause Psychological Factors Maintain Pain Can be Debilitating
Five Somatoform Disorders Hypochondriasis Somatization Disorder Conversion Disorder Pain Disorder Body Dysmorphic Disorder
Five Somatoform Disorders Hypochondriasis Somatization Disorder Conversion Disorder Pain Disorder Body Dysmorphic Disorder
Clinical Description Preoccupation With Appearance
– Imagined Defect “Imagined” Ugliness Mirrors (Fixation or Avoidance) Ideas of Reference Suicidal Ideation and Tendencies
Clinical Description Preoccupation With Appearance
– Imagined Defect “Imagined” Ugliness Mirrors (Fixation or Avoidance) Ideas of Reference Suicidal Ideation and Tendencies
Common Locations of Defects Hair Nose Skin Eyes Head / Face Lips
Common Locations of Defects Hair Nose Skin Eyes Head / Face Lips
Facts and Statistics College Students
– 70% Report Some Disatisfaction– 28% Meet Diagnostic Criteria
Many Consult Plastic Surgeons Males = Females Onset Late Adolescence
Facts and Statistics College Students
– 70% Report Some Disatisfaction– 28% Meet Diagnostic Criteria
Many Consult Plastic Surgeons Males = Females Onset Late Adolescence
The Plastic Surgery Solution? Quite Popular but Expensive Most are Disappointed With Results
The Plastic Surgery Solution? Quite Popular but Expensive Most are Disappointed With Results
BEFOREBEFORE AFTERAFTER