Somatoform and Factitious Disorders - PowerPoint PPT Presentation

Loading...

PPT – Somatoform and Factitious Disorders PowerPoint presentation | free to download - id: 4309b-ZDc1Z



Loading


The Adobe Flash plugin is needed to view this content

Get the plugin now

View by Category
About This Presentation
Title:

Somatoform and Factitious Disorders

Description:

Infers that the physical symptoms are associated with psychological factors. ... Production of medical/psychological symptoms is targeted toward a third party ... – PowerPoint PPT presentation

Number of Views:141
Avg rating:3.0/5.0
Slides: 15
Provided by: rme8
Learn more at: http://www.csub.edu
Category:

less

Write a Comment
User Comments (0)
Transcript and Presenter's Notes

Title: Somatoform and Factitious Disorders


1
Somatoform and Factitious Disorders
  • Assessment Diagnosis
  • SW 593

2
Introduction
  • Somatoform disorders comprise disorders in which
    physical concerns are presented for which no
    medical basis can be found.
  • Infers that the physical symptoms are associated
    with psychological factors.
  • The production of symptoms is not under voluntary
    control.
  • Specific diagnoses depend on the number and kinds
    of physical symptoms, as well on the cognitive
    process that may occur.

3
Disorders
  • Somatization disorder
  • Chronic disorder
  • Begins before the age of 30
  • Symptoms varied over time
  • Four pain symptoms
  • Two stomach or intestinal symptoms
  • A sexual symptom
  • A pseudoneurological symptom

4
Disorders
  • Somatization disorder (cont.)
  • No physical basis has been discovered
  • Complaints/impairment exceed what would be
    expected based on the general medical condition
  • If diagnosed in the first 6 months
    Undifferentiated Somatoform disorder would be
    appropriate.

5
Disorders
  • Conversion Disorders
  • Symptoms/deficits are focused on voluntary motor
    or sensory functions
  • Impaired coordination
  • Paralysis
  • Blindness
  • Deafness
  • Seizures
  • Psychosocial stressor/conflict can be identified.
  • Again, not under voluntary control.
  • Impairment/distress.

6
Disorders
  • Pain Disorder
  • Distinction is made between pain disorders in
    which general medical conditions are not present
    or play a minimal role and those in which both
    psychological factors and a general medical
    condition seem to be involved.
  • Pain is judged to be excessive for the specific
    situation.

7
Disorders
  • Hypochondriasis
  • Less focused on physical symptoms and more
    focused on fears regarding having a serious
    disease.
  • Misinterpretation of normal bodily signs
  • Chronic and leads to preoccupation with bodily
    functions
  • Extreme worries is associated

8
Disorders
  • Body Dysmorphic Disorder
  • Preoccupation or fear is based on an imagined or
    slight physical anomaly.

9
Disorders
  • Factitious Disorders
  • Are under voluntary control
  • Client engages in conscious fabrication,
    falsification, exaggeration, and self-infliction
    of physical or psychological symptoms.
  • Assumes the client is seeking the sick role
  • If for external gains (economic, avoiding legal
    trouble) then rules out these diagnoses
  • Not to be confused with Malingering

10
Disorders
  • Factitious disorder by Proxy (Munchausen by
    Proxy)
  • Production of medical/psychological symptoms is
    targeted toward a third party
  • Is currently under the clients care.

11
Assessment
  • In depth medical screening is the primary form of
    assessment.
  • Exception Factitious disorder with Predominantly
    Psychological signs and symptoms.
  • Some clients may be sophisticated enough to feign
    the psychological symptoms.

12
Assessment
  • Most commonly used self-report instruments
  • MMPI-2
  • MMPI-A
  • SCL-90-R
  • Childrens Somatization Inventory
  • Multidimensional Pain Inventory (MPI)
  • Illness Attitude Scale (IAS)
  • For hypochodriasis

13
Cultural Considerations
  • Type and frequency will be influenced by cultural
    factors.
  • Majority of persons diagnosed are women.
  • Greek and Puerto Rican men also rate high.
  • With hypochondriasis and Body Dysmorphic disorder
    the rate of prevalence seems to be equal by
    gender.

14
Cultural Considerations
  • Somatoform disorders tend to be presented by
    individuals who are considered unsophisticated.
  • Rural
  • Uneducated
  • Lower socioeconomic class
  • Women have higher rates of Factitious Disorders
    but men present severe and more chronic
    conditions.
About PowerShow.com