PSYCH 2AP3 Lecture Notes - Lecture 9: Somatic Symptom Disorder, Factitious Disorder, Conversion Disorder
1 Apr 2016
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Other specified somatic symptom and related disorder. Factitious disorder (pretending that you have a disorder) One or more symptoms of altered voluntary motor or sensory function. Voluntary motor function --> example: paralysis, numbness, blindness. Symptom incompatible with recognized neurological or medical condition. Symptoms not better explained by another medical or mental condition. Symptom causes clinically significant distress or impairment, or warrants medical evaluation. Ford (1983) estimates 20-25% of general medical patients meet criteria. Dsm-5 estimates 5% of neurology referrals meet the criteria. Dsm-5 estimates 2:1 to 3:1 female/male ratio. Prototype = female under 45 from rural or culturally unsophisticated background. There are several features that are not diagnostic of conversion disorder but which are very often seen in connection with patterns of these symptoms and can help physician decide between real underlying physiological condition and conversion disorder. These people can function very well despite deficit they"re experiencing. The beautiful indifference --> seemed unconcerned about their symptoms.
