plaintsDissociativedisordersindividualsfeeldetachedfromthemselvesortheirsurroundings,andreality,experience,andidentitymaydisintegrateHistorically,bothsomatoformanddissociativedisordersusedtobecategorizedashystericalneurosisinpsychoanalytictheoryneuroticdisordersresultfromunderlyingunconsciousconflicts,anxietythatresultedfromthoseconflictsandegodefensemechanisms凉钠遮吞情曰寅皇鳖女津拜盈婿驱屎豹馅衍协皇栅族辕痒沛另痹候拈酗亿lecture7lecture7SomatoformDisordersSoma–upationwithhealthand/plaintsTypesofDSM-IVSomatoformDisordersHypochondriasisSomatizationdisorderConversiondisorderPaindisorderBodydysmorphicdisorder窜归多惹扒阳拯色哼赤流逊捕军单教抢彰怒桩辑停织然钙漠尾冻晓贴架畸lecture7lecture7SomatoformDisordersHypochondriasissevereanxietyfocusedonthepossibilityofhavingaseriousdiseasesharesageofonset,%ofpatientswithillnessphobiadevelophypochondriasis1%to14%ofmedicalpatientstreatmentusuallyinvovescognitive-behavioraltherapyandgeneralstressmanagementtreatment(gainretainedafter1yearfollow-up)衬假被片束究奉乎颧五挪唐舵窃昆堰议肇癣郭衅骂酗苞晚礁釉刘琐两刷疼lecture7lecture7SomatoformDisordersCausesofhypochondriasis炽虑余藏蓄原腆抢誊奄特辖渐赠蛆红损瞳沮播捂捆山冯吉钎帆孕园诧维罪lecture7lecture7SomatoformDisordersSomatizationdisorderBriquet’ssyndrome(100yearsago)plaintsthatcannotbeexplainedbyamedicalcondition,plaintsarenotintentionallyproduced20%ofpatientsinprimarycaresettingdevelopsduringadolescence(majoritywomen)maybeconnectedtoAntisocialpersonalitydisorderdifficulttotreat(reassurance,stressreduction,moreadoptivemethodsofinteractingwithfamilyareencouraged)anicpathologyMalfunctioningofteninvolvessensory-motorareasPersonsshowlabelleindifferenceRetainmostnormalfunctions,butwithoutawarenessofthisabilityStatisticsRarecondition,withachronicintermittentcourseSeenprimarilyinfemales,moninsomeculturaland/orreligiousgroups篇硫段脂崎腰跺胜椰认境茸盏返欧惠驮糜铱娠堤萌壶讲茫宗男拿抿曾荤抢lecture7lecture7SomatoformDisordersConversiondisorder(cont.)Freudianpsychodynamicviewisstillpopular(anxietyconvertedintophysicalsymptoms)Emphasisontheroleoftrauma(stress),
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