SOMATOFORM DISORDERS,

PSYCHOLOGICAL FACTORS
AFFECTING MEDICAL
CONDITIONS, AND
DISSOCIATIVE DISORDERS

CHAPTER 6

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 SOMATOFORM DISORDERS

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 SOMATOFORM DISORDERS

• soma = “body” in Greek

• Conditions in which psychological conflicts are translated into
physical problems or complaints
• Psychological in nature

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 CONVERSION DISORDER

• Involves the translation of unacceptable drives or troubling

conflicts into physical symptoms

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 SOMATIZATION DISORDER

• Multiple and recurrent bodily symptoms

• Lack a physiological basis
• Expression of psychological issues

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 PAIN DISORDER

• The only symptom is pain that has no physiological basis

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 HYPOCHONDRIASIS

• Misinterpretation of normal bodily functions as signs of

serious illness

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 CONDITIONS RELATED TO
SOMATOFORM DISORDERS
• Malingering
• Factitious Disorder
• Munchausen’s Syndrome
• Factitious (or Munchausen’s) by proxy

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 BODY DYSMORPHIC DISORDER

• Individuals are preoccupied with the idea:

• That a part of their body is ugly or defective

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 BODY DYSMORPHIC DISORDER

• Gender based concerns

• Common areas of concern
• Skin
• Hair
• Nose
• Men - Body build and with thinning hair
• Women - Weight and hips

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 THEORIES AND TREATMENT
OF SOMATOFORM DISORDERS
• Cognitive behavioral therapy
• Hypnotherapy
• Medication
• Interpersonal therapy

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may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part. 
 PSYCHOLOGICAL FACTORS
AFFECTING MEDICAL CONDITIONS

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 PSYCHOLOGICAL FACTORS AFFECTING
MEDICAL CONDITIONS
• Conditions in which a client’s physical illness is adversely
affected by one or more psychological states
• Depression, stress, denial of a diagnosis, or engaging in poor or even
dangerous health related behaviors

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 TABLE 6.2 - PSYCHOLOGICAL FACTORS
AFFECTING GENERAL MEDICAL CONDITION

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 THEORIES OF MIND-BODY INTERACTION

• Stress
• Coping strategies for stress
• Problem-focused
• Emotion-focused
• Emotional expression
• Personality style
• Type A behavior pattern
• Type D personality

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 APPLICATIONS TO BEHAVIORAL
MEDICINE
• Behavioral medicine: An interdisciplinary approach to
medical conditions affected by psychological factors that is
rooted in learning theory
• Psychoeducation

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 DISSOCIATIVE DISORDERS

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 FORMS OF DISSOCIATIVE DISORDERS

• Dissociative identity disorder:

• Formerly called multiple personality disorder
• An individual develops more than one self or personality

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 DISSOCIATIVE AMNESIA

• An inability to remember important personal details and

experiences

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 DISSOCIATIVE FUGUE

• A person, confused about personal identity, suddenly and

unexpectedly travels to another place and is unable to recall
past history or identity

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 DEPERSONALIZATION DISORDER

• A dissociative disorder in which the individual experiences

recurrent and persistent episodes of depersonalization

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 THEORIES AND TREATMENT OF
DISSOCIATIVE IDENTITY DISORDER
• Goal
• Integrate alters
• Methods
• Hypnotherapy
• Cognitive behavioral techniques

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 THE BIOPSYCHOSOCIAL
PERSPECTIVE
• Distinctions between real and fake psychological symptoms
• Cognitive-behavioral explanations
• How stress affects physical functioning

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