2. 2 Chapter 8 Dissociative and Somatoform Disorders
3. 3 Chapter Main Points Dissociative Disorders Dissociative Disorders: Theory and Therapy Somatoform Disorders Somatoform Disorders: Theory and Therapy
6. 6 Dissociative Disorders Dissociative Fugue: Person forgets all or most of his/her past Sudden, unexpected trip away from home
7. 7 Dissociative Disorders Dissociative identity disorder (DID) Personality breaks up into 2 or more distinct identities or personality states which take turns controlling the person’s behavior
8. 8 Dissociative Disorders Dissociative Identity Disorder (DID): Host: the personality corresponding to who the person was before the onset of the disorder Alters: the later-developing personalities
9. 9 Dissociative Disorders Depersonalization Disorder: Involves a disruption of personal identity Depersonalization a sense of strangeness or unreality in oneself Derealization a feeling of strangeness about the world
10. 10 Dissociative Disorders: Theory and Therapy The Psychodynamic Perspective: Dissociation as defense Treating dissociation The Behavioral and Sociocultural Perspectives: Learning to dissociate Nonreinforcement
11. 11 Dissociative Disorders: Theory and Therapy The Cognitive Perspective: Memory dysfunction Retrieval failure The Biological Perspective: Brain dysfunction Drug treatment
12. 12 Somatoform Disorders Somatoform Disorders: Psychological conflicts that take on a somatic, or physical form
13. 13 Somatoform Disorders Body Dysmorphic Disorder: Preoccupation with an imagined or a grossly exaggerated defect in appearance Hypochondriasis: A fear of disease that is maintained by constant misinterpretation of physical signs and sensations as abnormal
14. 14 Somatoform Disorders Somatization Disorder: Numerous and recurrent physical complaints that begin by age 30 That persist for several years That cause the person to seek medical treatment by cannot be explained medically
15. 15 Somatoform Disorders Pain Disorder: Pain that is more severe or persistent than can be explained by medical causes Psychological factors are assumed to play a role Psychiatric symptoms
16. 16 Somatoform Disorders Conversion Disorder: Actual disability without organic pathology that would explain the disability Primary gain Secondary gain
17. 17 Somatoform Disorders Signs of Conversion Disorder: Rapid appearance of symptoms, especially after psychological trauma “La belle Indifference” Selective symptoms, often differing from organic symptoms of physical illness
19. 19 Somatoform Disorders: Theory and Therapy The Psychodynamic Perspective: Somatizing as conflict resolution Uncovering conflict The Behavioral and Sociocultural Perspectives The sick role Treatment by nonreinforcement
20. 20 Somatoform Disorders: Theory and Therapy The Cognitive Perspective: Overattention to the body Treatment: challenging faulty beliefs The Biological Perspective: Genetic studies Brain dysfunction Drug treatment
21. 21 Recapping the Main Points Dissociative Disorders Dissociative Disorders: Theory and Therapy Somatoform Disorders Somatoform Disorders: Theory and Therapy
22. 22 End of Chapter 8 Dissociative and Somatoform Disorders