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Developed by Joseph A. Davis, Ph.D.

Abnormal Psychology Ninth Edition 9/e

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A PowerPoint™ Slide Presentation for

Lauren B. Alloy, Ph.D.John H. Riskind, Ph.D.Margaret B. Manos

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Chapter 8

Dissociative and Somatoform Disorders

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Chapter Main Points

Dissociative Disorders Dissociative Disorders: Theory and

Therapy Somatoform Disorders Somatoform Disorders: Theory and

Therapy

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Dissociative Disorders Dissociative Amnesia:

Anterograde amnesia Selective amnesia Indifference Ability to recover memories

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Dissociative Disorders Patterns of Memory Loss:

Localized amnesia Selective amnesia Generalized amnesia Continuous amnesia Systematic amnesia

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Dissociative Disorders Dissociative Fugue:

Person forgets all or most of his/her past Sudden, unexpected trip away from home

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Dissociative Disorders Dissociative identity disorder (DID)

Personality breaks up into 2 or more distinct identities or personality states which take turns controlling the person’s behavior

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Dissociative Disorders Dissociative Identity Disorder (DID):

Host: the personality corresponding to who the person

was before the onset of the disorder Alters:

the later-developing personalities

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Dissociative Disorders Depersonalization Disorder:

Involves a disruption of personal identity Depersonalization

a sense of strangeness or unreality in oneself Derealization

a feeling of strangeness about the world

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Dissociative Disorders: Theory and Therapy

The Psychodynamic Perspective: Dissociation as defense Treating dissociation

The Behavioral and Sociocultural Perspectives: Learning to dissociate Nonreinforcement

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Dissociative Disorders: Theory and Therapy

The Cognitive Perspective: Memory dysfunction Retrieval failure

The Biological Perspective: Brain dysfunction Drug treatment

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Somatoform Disorders Somatoform Disorders:

Psychological conflicts that take on a somatic, or physical form

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Somatoform Disorders Body Dysmorphic Disorder:

Preoccupation with an imagined or a grossly exaggerated defect in appearance

Hypochondriasis: A fear of disease that is maintained by

constant misinterpretation of physical signs and sensations as abnormal

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Somatoform Disorders Somatization Disorder:

Numerous and recurrent physical complaints that begin by age 30

That persist for several years That cause the person to seek medical

treatment by cannot be explained medically

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Somatoform Disorders Pain Disorder:

Pain that is more severe or persistent than can be explained by medical causes

Psychological factors are assumed to play a role

Psychiatric symptoms

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Somatoform Disorders Conversion Disorder:

Actual disability without organic pathology that would explain the disability

Primary gain Secondary gain

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Somatoform Disorders Signs of Conversion Disorder:

Rapid appearance of symptoms, especially after psychological trauma

“La belle Indifference” Selective symptoms, often differing from

organic symptoms of physical illness

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Somatoform Disorders:actual nerve pathways vs. glove anaesthesia

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Somatoform Disorders: Theory and Therapy

The Psychodynamic Perspective: Somatizing as conflict resolution Uncovering conflict

The Behavioral and Sociocultural Perspectives The sick role Treatment by nonreinforcement

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Somatoform Disorders: Theory and Therapy

The Cognitive Perspective: Overattention to the body Treatment: challenging faulty beliefs

The Biological Perspective: Genetic studies Brain dysfunction Drug treatment

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Recapping the Main Points

Dissociative Disorders Dissociative Disorders: Theory and

Therapy Somatoform Disorders Somatoform Disorders: Theory and

Therapy

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End of Chapter 8

Dissociative and Somatoform Disorders