PSY 240 Chapter Notes - Chapter 6: Medically Unexplained Physical Symptoms, Factitious Disorder, Chronic Condition

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India- dhat: male concern about losing their semen. Treatment: education and support, frequently and sensitively give detailed info about the disorder, beneficial for mild cases, cognitive-behavioral, identify and challenge misinterpretations, symptom creation , perhaps gatekeeper physician. Reduce visits to numerous specialists o o. Statistics: prevalence: ~ 1. 2 5, similar in females and males, rare in children, prevalence unknown in other cultures, onset most likely in early to middle adulthood. Cause: major life stressor, previous serious health threat, especially in childhood. Clinical description: physical malfunctioning (paralysis, blindness, difficulty speaking) without any physical or organic pathology to account for the malfunction. Incompatible with known neurological or other medical condition: must be clear evidence of this incompatibility, apparently lacks awareness, sometimes but far from always or exclusively, la belle indifference , complaint non sensical physiologically. Treatment: attending to trauma, remove secondary gain, often involves family therapy, reduce supportive consequences, reward positive health behaviors.

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