Flashcards in Chapter 12 - Unit 3 Deck (31)
Somatic Symptom Disorders - def
group of disorders characterized by the presence of physical symptoms and signs accompanied by abnormal thoughts, feelings, and behaviors.
People with a somatic disorder - what do they want? Do they know they're doing it?
They want tests, a big ordeal, etc - they won't stop until they "find" the cure.
Also, it's subconscious - they don't really know they're being this way.
Factitious Disorder - def
deliberate fabrication of symptoms or self-injury without obvious signs. They want to assume the sick role, etc.
Munchausen Syndrome - def
Worst form of a factitious disorder. They harm themselves so bad that they will probably need hospitalization.
Munchausen Syndrome imposed on another - def
Caregiver injuring whomever they are caring for in order to get attention.
Malingering - def
a conscious process of intentionally producing symptoms for an obvious benefit - like claiming you have non-existent back-pain to get disability.
Somatic Symptom Disorder - how do they describe things?
They are VERY exaggerated.
Illness Anxiety Disorder - what do their concerns involve?
Nothing specific - it reflects their belief that they have an underlying and undetected medical diagnosis.
Conversion disorder - def
essentially, these are functional neurological disorders. They affect voluntary motor or sensory functions and suggest a medical condition. However, it doesn't!
La Belle Indifférence - what does it mean?
People with a conversion disorder just don't seem to give a fuck! They are like "ehhh, I'm not worried that I can't move my foot!"
What is Body Dysmorphic Disorder?
It's a highly distressing and impairing disorder where people, who appear normal, think they are super ugly and have something physically wrong with them (on the outside).Even if they have cosmetic surgery, it doesn't fix it.
What is pseudocyesis?
It's the false belief that one is pregnant, while at the same time the woman's body may mimic the signs and symptoms of pregnancy.
When assessing someone with a somatic symptom disorder, should we be specific?
YES, very - we need to get as many details about the problem as we can.
with a somatic symptom disorder, we need to assess if the patient can meet their own needs. T/F?
Can someone with a somatic symptom disorder move their affected area?
Besides someone with a factitious disorder, they can't move it.
Secondary gains - def
benefits derived from the symptoms of these conditions.
How do these patients interpret stimuli and reality?
It's skewed - when we might just have a headache, they view it as a big ass brain tumor!
Do patients with a somatoform disorder have trouble communicating their needs?
YES, they have a very difficult time doing so.
Do these patients become dependent on medications?
What are some outcomes for someone with a somatoform disorder?
Articulate feelings, resume performance in work, life, etc., realistic appraisal of strengths/weakness, etc.
Should we first establish a helping role with a patient?
When somatization is present, the patient's ability to perform self-care activities may be impaired and nursing or caregiving intervention is necessary. T/F?
Dissociative Disorders - def
disturbances in the normally well-integrated continuum of consciousness, memory, identify, and perception.
Dissociative disorders are characterized by altered mind-body connections and possibly brain alterations related to traumatic stress or anxiety. T/F?
Depersonalization - def
persistent or recurrent alteration in the perception of self while reality testing remains intact. It's like they are seeing themselves from a distance.
Derealization - def
persistent or recurrent experience of unreality of surrounding while reality testing remains intact. It's dreamlike!
Dissociative Amnesia - def
psychologically induced memory loss.
Fugue - what is it?
It's dissociative amnesia where there's travel involved!
What is DID?
Dissociative Identity Disorder - it's also known as multiple personality disorder.