PSY 3171 Lecture Notes - Lecture 15: Factitious Disorder, Psychogenic Amnesia, Panic Disorder
17 Nov 2016
School
Department
Course
Professor
PSY3171 B - Lecture 14: Somatic and Dissociative Disorders continued
What disorder should you consider if somebody reports forgetting where they went to
high school or who their friends were from age 16 to 18 and they don’t have PTSD?
Dissociative amnesia
After a dissociative fugue, people rarely remember what happened during the fugue.
False, usually remember after
You should consider malingering when somebody is motivated by external incentives
(money, not having to go to work, not being punished criminally) to purposely/
intentionally produce symptoms
What is common about the life histories of people with dissociative disorders?
Tend to see (severe) trauma.
What two characteristics do people with anorexia nerves and people with bulimia nerves
share?
Self evaluation is extremely influenced by their body weight and intense
fear of becoming fat
Somatic Symptom and Related Disorders
Factitious Disorder
-deliberately making oneself (or someone in their care) sick
-likely to get attention/care
-no external incentive
-seeks out care
Psychological Factors Affecting a Medical Conditions
-AFFECTING
-not just anxiety/mood REACTION to medical condition
-ex: people with heart disorder at risk for panic disorder; people with cancer
getting depressed
-example:
-sever depression —> can’t get out of bed to receive chemotherapy
-anxiety making asthma symptoms worse
Illness Anxiety Disorder
-preoccupation with having or acquiring a serious illness
-somatic symptoms not present or are mild
-high anxiety about health
-excessive health-related behaviour or avoidance
Somatic Symptom Disorder
-recurrent somatic symptoms with no physical cause
-excessive thoughts, feelings, behaviours related to symptoms:
-persistent thoughts about seriousness of symptoms
-high anxiety and about health health or symptoms
-excessive time/energy devoted to symptoms
**key is whether or not symptoms are actually present
-“Hypochondriasis results from the catastrophic misinterpretation fo certain bodily
sensations” - Warwick & Salkovskis (1990)
-similar to panic attacks
-example:
-trigger: physical sensations:
sore throat, difficulty
swallowing
-thoughts: “maybe I have
throat cancer”
-feelings: worry, anxiety, fear,
increased, heart rate,
dizziness, nausea, dry mouth
-behaviour: go to doctor, seek
reassurance, swallow often,
go online, check for other
symptoms, body scan
PSY3171B - Lecture 15: Eating Disorders
Bulimia Nervosa
-a binge —> a purge (to get rid of food/eating experience)
-purge tends to lead to a binge later
-must occur once a week (at least) for 3 months
-binge: eating an excessive amount of food (to the individual person); sense of a lack
of control over what you’re eating —> just food going into your mouth, couldn’t stop
yourself
-objective binge: abnormally large amount of food and sense of loss of control, large
amount according to society
-subjective binge: normal or small amount of food perceived as binge and sense of
loss of control
-good evidence that subjective binges are as problematic as objective binges
-similar weight concerns
-similar distress/impairments to quality of life
Document Summary
Psy3171 b - lecture 14: somatic and dissociative disorders continued. After a dissociative fugue, people rarely remember what happened during the fugue. You should consider malingering when somebody is motivated by external incentives (money, not having to go to work, not being punished criminally) to purposely/ intentionally produce symptoms. Self evaluation is extremely in uenced by their body weight and intense fear of becoming fat. Deliberately making oneself (or someone in their care) sick. Not just anxiety/mood reaction to medical condition. Ex: people with heart disorder at risk for panic disorder; people with cancer getting depressed. Sever depression > can"t get out of bed to receive chemotherapy. Preoccupation with having or acquiring a serious illness. Somatic symptoms not present or are mild. Recurrent somatic symptoms with no physical cause. Excessive thoughts, feelings, behaviours related to symptoms: High anxiety and about health health or symptoms. **key is whether or not symptoms are actually present.
