Somatoform and Factitious Disorders

This book offers a broad and scholarly synthesis of the current knowledge-and controversies-about somatoform and factitious disorders. Here you'll find up-to-date, clinically focused overviews of these intriguing and often difficult-to-treat disorders.

Katherine A. Phillips, M.D., is Associate Professor of Psychiatry and Human Behavior, Brown University School of Medicine in Providence, Rhode Island. She is also Associate Medical Director of Ambulatory Care and Director of Body Dysmorphic Disorder at Butler Hospital in Providence.

Contributors

ix

Introduction to the Review of Psychiatry Series

xi

John M. Oldham

Michelle B. Riba

Foreword

xv

Katharine A. Phillips

Somatization Disorder

1

(26)

Vicenzio Holder-Perkins

Thomas N. Wise

Evolution of Diagnostic Criteria

2

(5)

Epidemiology

7

(1)

Clinical Features

8

(1)

Etiologic Considerations

9

(3)

Differential Diagnosis

12

(1)

Evaluating the Patient with Somatization Disorder

13

(3)

Treatment Considerations

16

(4)

Conclusion

20

(1)

References

21

(6)

Hypochondriasis

27

(40)

Brian A. Fallon

Suzanne Feinstein

Clinical Features

28

(3)

Theoretical Models

31

(12)

Treatment of Hypochondriasis

43

(16)

Conclusion

59

(1)

References

60

(7)

Body Dysmorphic Disorder

67

(28)

Katharine A. Phillips

History

67

(1)

Prevalence

68

(1)

Clinical Features

69

(7)

Etiology and Pathophysiology

76

(1)

Relationship With Other Disorders

76

(4)

Diagnosis

80

(1)

Treatment

81

(7)

Conclusion

88

(1)

References

88

(7)

Conversion Disorder

95

(34)

Jose R. Maldonado

David Spiegel

Clinical Subtypes

97

(4)

History

101

(5)

Models of Symptom Generation

106

(3)

Functions Served by Conversion Symptoms

109

(1)

Associated Features

110

(1)

Epidemiology, Demographic Features, and Disease Course

111

(3)

Comorbidity

114

(1)

Differential Diagnosis

115

(2)

Treatment

117

(4)

Conclusion

121

(1)

References

121

(8)

Factitious Disorder

129

(38)

Marc D. Feldman

James C. Hamilton

Holly N. Deemer

Epidemiology and Etiology

130

(3)

Diagnosis

133

(1)

Clinical Description

134

(5)

Associated Features

139

(1)

Prevalence

140

(5)

Costs

145

(1)

Limitations of Current Approaches

146

(3)

Etiology

149

(3)

Management

152

(5)

Conclusion

157

(2)

References

159

(8)

Afterword

167

(2)

Katharine A. Phillips

Index

169

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Somatoform and Factitious Disorders

Summary

Author Biography

Table of Contents

Supplemental Materials