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PSYCH401: Abnormal Behavior

Unit 5: Somatoform Disorders   From Plato to Aristotle to Descartes, philosophers have long debated the nature of the mind-body connection. This question has intrigued many for centuries and continues to be a topic of debate and discussion in the field of psychology. Somatoform disorders exemplify a situation in which psychological distress manifests itself in physical ways and highlights the mind-body connection. In this unit, we will explore the nature of somatization and learn about how the major paradigms in abnormal psychology explain the origins of these disorders. We will also learn more about the controversy over whether or not society’s tendency to medicalize psychological or physical distress contributes to the prevalence of this disorder. Lastly, we will learn more about the specific types of somatoform disorders, the diagnostic criteria which define them, and the treatments which seek to cure them.

Unit 5 Time Advisory
Completing this unit will take you approximately 6.5 hours.

    Subunit 5.1: 0.5 hour

    Subunit 5.2: 5.5 hours

☐    Introduction: 1.5 hours

☐    Subunit 5.2.2: 0.75 hour

☐    Subunit 5.2.3: 3.25 hours

☐    Subunit 5.3: 0.5 hour

Unit5 Learning Outcomes
Upon successful completion of this unit, you will be able to: - define somatization, and explain its connection to alexithymia; - describe the various theories associated with somatoform disorders and the debate surrounding medicalization;  - identify the diagnostic criteria for the different types of somatoform disorders; and - describe the goals, interventions, and processes associated with treating these disorders.

5.1 Introduction to Somatization   - Reading: Introduction to Somatization The Saylor Foundation does not yet have materials for this portion of the course. If you are interested in contributing your content to fill this gap or aware of a resource that could be used here, please submit it here.

[Submit Materials](/contribute/)

5.1.1 Somatization Defined   - Reading: Somatization Defined The Saylor Foundation does not yet have materials for this portion of the course. If you are interested in contributing your content to fill this gap or aware of a resource that could be used here, please submit it here.

[Submit Materials](/contribute/)

5.1.2 Related Disorders   - Reading: University of Tasmania: Dr. Saxby Pridmore’s Download of Psychiatry: “Chapter 23: Factitious Disorders and Malingering” Link: University of Tasmania: Dr. Saxby Pridmore’s Download of Psychiatry: “Chapter 23: Factitious Disorders and Malingering”(PDF)
 
Instructions: Download “Chapter 23: Factitious Disorders and Malingering,” and read this chapter (12 pages) to learn about disorders related to somatoform disorders. 

 Studying this reading should take approximately 30 minutes.  

 Terms of Use: This resource is licensed under a [Creative Commons
Attribution 2.5 Generic
license](http://creativecommons.org/licenses/by/2.5/).
  • Reading: University of Tasmania: Dr. Saxby Pridmore’s Download of Psychiatry: “Chapter 23: Factitious Disorders and Malingering” Link: University of Tasmania: Dr. Saxby Pridmore’s Download of Psychiatry: “Chapter 23: Factitious Disorders and Malingering” (PDF)
     
    Instructions: Download “Chapter 23: Factitious Disorders and Malingering,” and read this chapter (12 pages) to learn about disorders related to somatoform disorders. 

    Studying this reading should take approximately 30 minutes.
     
    Terms of Use: This resource is licensed under a Creative Commons Attribution 2.5 Generic license.

5.2 Somatoform Disorders   - Lecture: Podbay: Portland Community College: Dana C. Leighton’s Abnormal Psychology: “Episode 8 – PTSD, Dissociative, & Somatoform Disorders” Link: Podbay: Portland Community College: Dana C. Leighton’s Abnormal Psychology: “Episode 8 – PTSD, Dissociative, & Somatoform Disorders” (iTunes)
 
Instructions: Listen to this lecture from minute 54:13 to the end. This lecture also covers the topics outlined in subunits 5.2.3.1 through 5.2.3.5. Note: It may take a moment for the audio to begin although the page will appear to have loaded fully. Don't fret: it will start momentarily.

 Listening to this portion of the lecture and pausing to take notes
should take approximately 1 hour.  

 Terms of Use: Please respect the copyright and terms of use
displayed on the webpage above.
  • Lecture: The Practical Psychosomaticist: Dr. Jim Amos’s “The Geezer’s Dirty Dozen on Somatoform Disorders” Link: The Practical Psychosomaticist: Dr. Jim Amos’s “The Geezer’s Dirty Dozen on Somatoform Disorders” (YouTube)

    Instructions: Watch the video for information on somatoform disorders. Notice that there are slides on the webpage that accompany the lecture. Click on the individual slides on the bottom of the screen to enlarge them. This lecture also covers the topics outlined in subunits 5.2.3.1 through 5.2.3.5.

    Viewing this lecture, pausing to take notes, and following along with the lecture slides should take approximately 30 minutes.

    Terms of Use: Please respect the copyright and terms of use displayed on the webpage above.

5.2.1 Paradigms in Abnormal Psychology: Perspectives on Somatization   - Reading: Paradigms in Abnormal Psychology: Perspectives on Somatization The Saylor Foundation does not yet have materials for this portion of the course. If you are interested in contributing your content to fill this gap or aware of a resource that could be used here, please submit it here.

[Submit Materials](/contribute/)

5.2.2 Potential Influence of Medicalization   - Reading: University of Tasmania: Dr. Saxby Pridmore’s Download of Psychiatry: “Chapter 32: Medicalization/Psychiatricization of Distress” Link: University of Tasmania: Dr. Saxby Pridmore’s Download of Psychiatry: “Chapter 32: Medicalization/Psychiatricization of Distress” (PDF)
 
Instructions: Download “Chapter 32: Medicalization/Psychiatricization of Distress,” and read this chapter (13 pages). Please note that the content of this chapter addresses a different aspect of medicalization. While reading this chapter, please think about and reflect on the broader concept/theme of the mind-body connection.

 Studying this reading should take approximately 45 minutes.  

 Terms of Use: This resource is licensed under a [Creative Commons
Attribution 2.5 Generic
license](http://creativecommons.org/licenses/by/2.5/).

5.2.3 Major Types of Somatoform Disorders: From Diagnosis to Epidemiology   - Reading: University of Central Oklahoma: Dr. Caleb W. Lack’s Abnormal Psychology: “Somatoform Disorders” Link: University of Central Oklahoma: Dr. Caleb W. Lack’s Abnormal Psychology“Somatoform Disorders” (HTML)
 
Instructions: Read this chapter for an overview of somatoform disorders including body dysmorphic disorder, conversion disorder, Hypochondriasis, complex somatic symptom disorder, pain disorder, and others. This reading covers the topics outlined in subunits 5.1.2 as well as 5.2.3–5.3.2. 

 Studying this reading should take approximately 1 hour.  
    
 Terms of Use: This resource is licensed under a [Creative Commons
Attribution-NonCommercial-NoDervis 3.0 Unported
License](http://creativecommons.org/licenses/by-nc-nd/3.0/).  
  
  • Reading: University of Tasmania: Dr. Saxby Pridmore’s Download of Psychiatry: “Chapter 22: Somatization” Link: University of Tasmania: Dr. Saxby Pridmore’s Download of Psychiatry: “Chapter 22: Somatization” (PDF)
     
    Instructions: Download “Chapter 22: Somatization,” and read this chapter (16 pages) for a description of somatization, somatoform disorders classified by DSM-IV, as well as management suggestions. This reading will cover subunits 5.2.3.1–5.2.3.3. 
     
    Studying this reading should take approximately 1 hour.
     
    Terms of Use: This resource is licensed under a Creative Commons Attribution 2.5 Generic license.

5.2.3.1 Somatoform Pain Disorder   Note: Dr. Dana Leighton’s lecture and Dr. Jim Amos’s lecture assigned below subunit 5.2 as well as the readings assigned below subunit 5.2.3 cover this topic. For Dr. Lack’s reading, focus on Section 9 titled “Pain Disorder.” For Dr. Pridmore’s reading, focus on the section titled “Pain Disorder” on pages 6 and 7. Take approximately 15 minutes to review these resources.

5.2.3.2 Body Dysmorphic Disorder   Note: Dr. Dana Leighton’s lecture and Dr. Jim Amos’s lecture assigned below subunit 5.2 as well as the readings assigned below subunit 5.2.3 cover this topic. For Dr. Lack’s reading, review Section 2, titled “Body Dysmorphic Disorder.” For Dr. Pridmore’s reading, review the brief text on page 7. Take approximately 15 minutes to review these resources. 

5.2.3.3 Conversion Disorder   Note: Dr. Dana Leighton’s lecture and Dr. Jim Amos’s lecture assigned below subunit 5.2 as well as the readings assigned below subunit 5.2.3 cover this topic. For Dr. Lack’s reading, review Section 3, titled “Conversion Disorder.” For Dr. Pridmore’s reading, review the brief text on conversion disorder on page 13. Take approximately 15 minutes to review these resources.

5.2.3.4 Hypochondriasis   Note: Dr. Dana Leighton’s lecture and Dr. Jim Amos’s lecture assigned below subunit 5.2 as well as the readings assigned below subunit 5.2.3 cover this topic. For Dr. Lack’s reading, focus on Section 4, titled “Hypochondriasis.” For Dr. Pridmore’s reading, focus on the section titled “Hypochondriasis” on pages 5 and 6. Take approximately 15 minutes to review these resources.

5.2.3.5 Somatization Disorder   Note: Dr. Dana Leighton’s lecture and Dr. Jim Amos’s lecture assigned below subunit 5.2 as well as the readings assigned below subunit 5.2.3 cover this topic. For Dr. Lack’s reading, focus on Section 5, titled “Somatization Disorder.” For Dr. Pridmore’s reading, focus on the text below the heading, “Somatization Disorder,” on page 3. Take approximately 15 minutes to review these resources.

5.3 Treatment of Somatoform Disorder   - Reading: BioMed Central: Dr. Lyonne Zonneveld et al.’s (2009) “The Effectiveness of a Training for Patients with Unexplained Physical Symptoms: Protocol of a Cognitive Behavioral Group Training and Randomized Controlled Trial” Link: BioMed Central: Dr. Lyonne Zonneveld et al.’s (2009) “The Effectiveness of a Training for Patients with Unexplained Physical Symptoms: Protocol of a Cognitive Behavioral Group Training and Randomized Controlled Trial” (HTML or PDF)
                                   
Instructions: Read this article, which will illuminate the effort placed on developing and testing new interventions to use when treating psychological issues. Please note that for the purposes of this course you may bypass reading the results. You can access a PDF version of this article from the right hand side of the webpage linked above.

 Studying this reading should take approximately 30 minutes.  

 Terms of Use: This resource is licensed under a [Creative Commons
Attribution 2.5 Generic
license](http://creativecommons.org/licenses/by/2.5/).