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1、SomatoformandDissociativeDisordersChapter71SomatoformandDissociativeDisordersInadditiontodisorderscoveredearlier,twootherkindsofdisordersarecommonlyassociatedwithstressandanxiety:SomatoformdisordersDissociativedisorders2Comer,AbnormalPsychology,7eSomatoformandDis
2、sociativeDisordersSomatoformdisordersareproblemsthatappeartobemedicalbutareduetopsychosocialfactorsUnlikepsychophysiologicaldisorders,inwhichpsychosocialfactorsinteractwithphysicalailments,somatoformdisordersarepsychologicaldisordersmasqueradingasphysicalproblems
3、3Comer,AbnormalPsychology,7eSomatoformandDissociativeDisordersDissociativedisordersarepatternsofmemorylossandidentitychangethatarecausedalmostentirelybypsychosocialfactorsratherthanphysicalones4Comer,AbnormalPsychology,7eSomatoformandDissociativeDisordersThesomat
4、oformanddissociativedisordershavemuchincommon:BothmayoccurinresponsetoseverestressBothhavetraditionallybeenviewedasformsofescapefromstressAnumberofindividualssufferfrombothasomatoformandadissociativedisorderTheoristsandcliniciansoftenexplainandtreatthetwogroupsof
5、disordersinsimilarways5Comer,AbnormalPsychology,7eSomatoformDisordersWhenaphysicalailmenthasnoapparentmedicalcause,physiciansmaysuspectasomatoformdisorderPeoplewithasomatoformdisorderdonotconsciouslywant,orpurposelyproduce,theirsymptomsTheybelievetheirproblemsare
6、genuinelymedicalTherearetwomaintypesofsomatoformdisorders:HystericalsomatoformdisordersPreoccupationsomatoformdisorders6Comer,AbnormalPsychology,7eWhatAreHystericalSomatoformDisorders?Peoplewithhystericalsomatoformdisorderssufferactualchangesintheirphysicalfuncti
7、oningThesedisordersareoftenhardtodistinguishfromgenuinemedicalproblemsItisalwayspossiblethatadiagnosisofhystericaldisorderisamistakeandthatthepatient’sproblemhasanundetectedorganiccause7Comer,AbnormalPsychology,7eWhatAreHystericalSomatoformDisorders?DSM-IV-TRlist
8、sthreehystericalsomatoformdisorders:ConversiondisorderSomatizationdisorderPaindisorderassociatedwithpsychologicalfactors8Comer,AbnormalPsychology,7e9Comer,Abno
