Clarke University Psychology Department PSYC 221 Abnormal Psychology Spring 2013 Assessment Two Learning Objectives Chapters 5, 6, 7, 9 Chapter 7 Dissociative and Somatoform Disorders disorder and body dysmorphic disorder. sensory function that suggest a neurological or other general medical condition. Psychological factors are judged to be associated with the symptom or deficits or other stressors. C. The symptoms or deficit is not intentionally produced or feigned (as in Facilitation Disorder or Malingering). D. The symptom or deficit cannot after appropriate investigation, be fully explained by a general medical condition, or by the direct effects of a substance, or as a culturally sanctioned behavior or experience. E. The symptom or deficit causes clinically significant distress or impairment in social, occupational, or other important areas of functioning or warrants medical evaluation. F. The symptoms or deficits is not limited to pain or sexual dysfunction: does not occur exclusively during the course of Somatization Disorder, and is not better accounted for by another mental disorder. Conversion Disorder Specify type of symptom or deficit: With Motor Symptoms or Deficit (e.g. impaired coordination or balance, paralysis or localized weakness, difficulty swallowing (e.g., loss of touch or pain sensation, double vision, blindness, deafness, and hallucinations) With Seizures or Convulsions; includes seizures or convulsions with voluntary motor or sensory components With Mixed Presentation: if symptoms of more than one category are evident Joyce-Conversion Disorder Clip Hypochondrias Preoccupation with fears of having, or the idea that one has a serious disease based on the person’s misinterpretation of bodily symptoms. The preoccupation persists despite appropriate medical evaluation and reassurance. The belief in Criterion A is not of delusional intensity (as in Delusional Disorder, Somatic Type) and is not restricted to a circumscribed concern about appearance (as in Body Dysmorphic Disorder). The preoccupation causes clinically significant distress or impairment in social, occupational, or other important areas of functioning. The duration of the disturbance is at least 6 months. The preoccupation is not better accounted for by Generalized Anxiety Disorder, Obsessive-Compulsive Disorder, Panic Disorder, a Major Depressive Episode, Separation Anxiety, or another Somatoform Disorder. Specify if: With Poor Insights: if, for most of the time during the current episode, the person does not recognize that the concern about have a serious illness is excessive or unreasonable. Hypochondrias ~AUT0038 Hypochondrias ~AUT0039 Somatization Disorder A history of many physical complaints beginning before age 30 years that occur over a period of several years and result in treatment being sought or significant impairment in social, occupational, or other important areas of functioning. Each of the following criteria must have been met, with individual symptoms occurring at any time during the course of the disturbance. Four pain symptoms: a history of pain related to at least four different sites or functions (e.g. head, abdomen, back, joints, extremities, chest, rectum, during menstruation, during sexual intercourse, or during urination). Two gastrointestinal symptoms: a history of at least two gastrointestinal symptoms other than pain (e.g. nausea, bloating, vomiting other than during pregnancy, diarrhea, or intolerance of several different foods). One sexual symptom: a history of at least one sexual or reproductive symptom other than pain (e.g. sexual indifference, erectile or ejaculatory dysfunction, irregular menses, excessive menstrual bleeding, vomiting throughout pregnancy). Somatization Disorder One pseudoneurological symptom: a history of at least one symptoms or deficit suggesting a neurological condition not limited to pain (conversion symptoms such as impaired coordination or balance, paralysis or localized weakness, difficult swallowing or lump in throat, aphonia, urinary retention, hallucinations, loss of touch or pain sensation, double vision, blindness, deafness, seizures, dissociative symptoms such as amnesia; or loss of consciousness other than fainting). C. Either (1) or (2): After appropriate investigation, each of the symptoms in Criterion B cannot be fully explained by a known general medical condition or the direct effects of a substance (e.g. a drug of abuse, a medication) When there is a related general medical condition, the physical complaints or resulting social or occupational impairment are in excess of what would be expected from the history, physical examination, or laboratory findings. D. The symptoms are not intentionally produced or feigned (as in Factitious Disorder or Malingering). Former criteria for Somatization Disorder Somatization Disorder A history of many physical complaints or a belief that one is sickly, beginning before the age of 30 and persisting for several years. At least 13 symptoms from the list below. To count a symptom as significant, the following criteria must be met: No organic pathology or pathophysiologic mechanism (e.g. a physical disorder or the effects of injury, medication, drugs or alcohol) to account for the symptom or, when there is related organic pathology, the complain or resulting social or occupational impairment is grossly in excess of what would be expected from the physical findings Has not occurred only during a panic attack Has caused the person to take medicine (other than over-the-counter pain medication), see a doctor, or alter life-style Symptom list: Gastrointestinal symptoms: Vomiting (other than during pregnancy) Abdominal pain (other than when menstruating) Nausea (other then motion sickness) Bloating (gassy) Diarrhea Intolerance of (gets sick from) several different foods Pain symptoms: 7. Pain in extremities 8. Back pain 9. Joint pain 10. Pain during urination 11. Other pain (excluding headaches) Cardiopulmonary symptoms: 12. Shortness of breath when not exerting oneself 13. Palpitations 14. Chest pain 15 Dizziness Somatization Disorder Conversion or pseudoneurologic symptoms: 16. Amnesia 17. Difficulty swallowing 18. loss of voice 19. Deafness 20. Double vision 21. Blurred vision 22. Blindness 23. Fainting or loss of consciousness 24. Seizure or convulsion 25. Trouble walking 26. Paralysis or muscle weakness 27. Urinary retention or difficulty urinating Sexual symptoms for the major part of the person’s life alter opportunities for sexual activity: 28. Burning sensation in sexual organs or rectum (other than during intercourse) 29. Sexual indifference 30. Pain during intercourse 31. Impotence Female reproductive symptoms judged by the person to occur more frequently or severely than in most women: 32. Painful menstruation 33. Irregular menstrual periods 34. Excessive menstrual bleeding 35. Vomiting throughout pregnancy. Body Dysmorphic Disorder A. Preoccupation with an imagined defect in appearance. If a slight physical anomaly is present, the person's concern is markedly excessive.  B. The preoccupation causes clinically significant distress or impairment in social, occupational, or other important areas of functioning.  C. The preoccupation is not better accounted for by another mental disorder (e.g., dissatisfaction with body shape and size in Anorexia Nervosa). http://cosmetic-makeovers.com/2006/05/25/jenny-lees-plastic-sur gery-addiction Jenny Lee Davis http://www.myspace.com/thejennylee "Nothing tastes as good as being thin feels!" http://www.facebook.com/pages/Jenny-Lee/133266237836 Jenny Lee Davis http://marinalog.web-log.nl/marinalog/2005/11/ik_ben_een_mons.h tml pe03513_