16.3 Somatoform and Dissociative Disorders

1. 16.3Somatoform and Dissociative Disorders Learning Objectives: At the end of this section, students will be able to identify the behavioral patterns that psychologists label as somatoform disorders and describe the symptoms of dissociative disorders.

2. Somatoform Disordershttp://www.youtube.com/watch?v=oLnYtCza_dk • Inability to deal with stress = Somatoform and Dissociative Disorders • S.D. • Characterized by physical complaints that appear to be medical in origin • Can’t t be explained in terms of a physical disease • Hysteria (original diagnosis term) • Considered to be a chronic disturbance and tends to persist throughout the patient's • Types of S.D. • Conversion • Hypochondriasis

3. Conversion Disorderhttps://www.youtube.com/watch?v=_jOuqAcgMrA • C.D. • Senses or ability to move impaired without a recognized medical or neurological disease or cause • Psychological factors (stress) related to onset and can worsen condition • May begin at any age • Ex. Person loses his or her voice in a situation in which he or she is afraid to speak.

4. Beautiful indifference • La Belle Indifference: inappropriate lack of concern expressed by a person regarding symptoms that brought them to seek help. • Sign of psychological problem – not physical • Unconscious invention of physical ailment • Enables people to free themselves from conflict • Hypochondriasis • Preoccupation with imagining health problems • Occurs with people repressed emotions and express they symbolically in physical symptoms

5. Dissociative Disorders • Alterations in memory, identity, or consciousness • Amnesia and multiple personalities • Triggered by trauma to avoid memories • Types: • Diss. Amnesia • Diss. Fugue • Diss. Identity disorder

6. Dissociative Amnesia • Inability to recall important persona events or info • Possible attempt to escape personal problems • Most often results from traumatic events • Distinguished from other memory loss disorders that result from physical brain damage

7. Dissociative Fugue • Fugue: Latin for “flight” • Involves an active flight/movement to a different environment/location • Person temporarily loses sense of identity • Impulsively wanders or travels away from their homes or workplace • “Traveling” amnesia • Confusion about who you are • Creation of new identity possible • Repress all knowledge of previous life

8. Dissociative Identityhttps://www.youtube.com/watch?v=0tITzDjPf4g • Two or more distinct identities, or personality states, are present • Previously known as Multiple Personality Dis. • Identities alternately take control of an individual • Memory loss and time lapses occur • See “Eve” and “Sybil”

9. ACTIVITES • All students will review two research activities and decide whether they would like to work alone or in a small group of three. • Once students have decided how they want to work, students will randomly select activity 1 or 2. • If activity one is selected, a student from the group will randomly select a 1 of 5 disorders. • All activities will be scored using the Psychology Rubric for providing feedback. • Please review the rubric for specifics

10. ALL PRESENTATIONS MUST BE SUBMITTED TO MR. CASS BY TUESDAY 14 NOVEMBER • ACTIVITY 1: Disorders of the famous or infamous • Groups of 3 or alone (Mr. Cass will ask certain students to work alone) • Each group will research and teach the class an assigned disorder(s) finding 3 examples of real people throughout history who have suffered from the disorder(s). NOTE: Your people may be well-known or not. • Types of Disorders to be researched: • Conversion • Hypochondriasis • Dissociative amnesia • Dissociative Fugue • Dissociative identify disorder • Presentations should be in the form of a PowerPoint or Video lecture that includes: • Information about the disorder (definitions of disorder, symptoms, causes, etc.) • Information about 3 people who suffered from the disorder and result of treatment • Treatment Options • APA Reference page

11. “This World Was Never Meant for One as Beautiful as You…” • ACTIVITY 2: The artist Vincent van Gogh suffered from a particular set of mood disorders. • Identify when and where van Gogh lived • Provide insight into whether or not you believe his early life, his family life, or global events occurring during his life may have affected his behavior and contributed to his disorder(s). • Research how his disorder affected his work and provide insight into why the disorder may have started. • Identify his disorder(s) • These must be defined and categorized as Somatoform or Dissociative • Provide 3 examples of paintings that were created when he was psychologically healthy and 3 examples that were created when he was suffering form his disorder(s). • An explanation of why you chose these works must accompany this section of your presentation and must provide insight into how the disorder(s) affected his work. In other words, how does this piece of art reflect his disorder(s), but others did not. • Presentation styles: PowerPoint or other multimedia format

12. 16.4Schizophrenia and Mood Disorders • http://education-portal.com/articles/Education_Portal_Academy_Sneak_Peek_Personality_Disorder_Crime_Force.html • Activity: In groups of 4-5, construct an illustrated chart/poster comparing various theories of Schizophrenia. • Column heads should be named for each of the theories • Row titles should include: Description of Theory, Supporting Evidence, Limitations of Theory plus any other pertinent areas that your group can identify. • Refer to pages 468-470 • Class discussion: Based on the information presented, what generalizations can you form about the causes of schizophrenia?

13. What is Schizo? • A problem of cognition • Involves emotion, perception, and motor functions • Effects about 1 percent worldwide • Involves confused and disordered thoughts and perceptions • Lose contact with reality • Live life as an unreal dream

14. Symptoms 1. Delusions (false impressions) 2. Hallucinations 3. Disturbances of effect • Inappropriate emotions for a circumstance 4. Deterioration in normal movement • Slowed or non-movement or agitated behavior 5. Decline in previous levels of functioning - Drop off in productivity at work 6. Diverted attention - inability to focus attention

15. Types of Schizo • Paranoid • Delusions of grandeur or persecution • Catatonic • Motionless for long time • Disorganized • Incoherent language, inappropriate emotions • Remission • Symptoms may be gone, but some “residual effects may be present • Undifferentiated • Includes many of basic symptoms described above • Does not meet the specific criteria for the paranoid, disorganized, or catatonic subtypes.