Somatoform Disorders

1. Somatoform Disorders Conversion Disorder Hypocondriasis Factitious Disorder Munchausen Munchausen by Proxy

2. Personality Disorders There are a number of personality disorders that may impair one’s social functioning Two examples are: Borderline personality involves unstable identity, emotions, and relationships Antisocial personality involves a lack of conscience

3. Psychotherapy Psychotherapy is education Education can mean learning new information, a new viewpoint, or practicing a new skill. 1) new information 2) insight 3) skill development 4) feedback and support

4. Psychotherapy • Two key concepts are: • Transference - patterns of relating from previous relationships are repeated and transferred to the therapist • Resistance - the client subverts the therapeutic process to avoid threatening material

5. Psychological Therapies Psychoanalytic -- Sigmund Freud Emphasizes etiology Humanistic Person-centered -- Carl Rogers Gestalt -- Fritz Perls Hakomi – Ron Kurtz Cognitive -- Albert Ellis, Aaron Beck Behavioral Systematic Desensitization --Mary Cover Jones Operant Conditioning

6. Different ways of dealing with resistance: • Meet head on (keep bringing it up) • Move to the side (drop the topic until it returns again) • Actively support the resistance (help the client to resist)

7. Hakomi Therapy • Establishes mindfulness • Evokes experience • Supports resistance

8. Eating Disorders • Bulimia • binge eating followed by either • purging • excessive exercise • Can be any weight • about 5% of high school females • about 14% of college females (seniors) • often appears with depression

9. Eating Disorders • Anorexia Nervosa • Self induced starvation • Abnormal fear of being fat • Feel fat even though they are thin (distorted body image). • About 1% of adolescent females • 80% to 90% of bulimics and anorexics are women.

10. Tactile Stimuli