The PsychoDynamics of PAIN!!!

OBJECTIVES
BioPsychoSocial Model = Wadell
Indexed Definitions
Neurosis
Psychosis
Emotional Overlay
Conflict Resolution
Special Topics = Addiction, Eating disorders,
Body Dysmorphia


BIOPSYCHOSOCIAL MODEL

BPS MODEL continued...


NEUROSIS
Class of functional disorders involving distress
w/o delusions or hallucinations....

Invisible injury...

DMS Classification = Anxiety Disorders..
NEUROSIS
S&S
OCD
HYSTERIA
PHOBIAS
PYROMANIA
PERFECTIONISM
DEVIANCE
PSYCHOSIS
Abnormal condition of the mind...
Hallucinations
Delusions
Gross excitement
Impaired insight
Psychosis
schizophrenia and schizophreniform disorder
affective (mood) disorders, including severe depression, and severe
depression or mania in bipolar disorder (manic depression). People
experiencing a psychotic episode in the context of depression may
experience persecutory or self-blaming delusions or hallucinations,
while people experiencing a psychotic episode in the context of
mania may form grandiose delusions.
schizoaffective disorder, involving symptoms of both schizophrenia
and mood disorders
brief psychotic disorder, or acute/transient psychotic disorder
delusional disorder (persistent delusional disorder)
chronic hallucinatory psychosis
PSYCHOSIS
S&S
schizotypal disorder
certain personality disorders at times of stress (including
paranoid personality disorder, schizoid personality disorder,
and borderline personality disorder)
major depressive disorder in its severe form although it is
possible and more likely to have severe depression without
psychosis
bipolar disorder in severe mania and/or severe depression
although it is possible to have severe mania and/or severe
depression without psychosis as well, in fact that is more
commonly the case
post-traumatic stress disorder
induced delusional disorder

Variations.....
Normal states
Brief hallucinations are not uncommon in those without
any psychiatric disease. Causes or triggers include
[16]

falling asleep and waking: hypnagogic and hypnopompic
hallucinations, which are entirely normal
[18]

bereavement, in which hallucinations of a deceased loved
one are common
[16]

severe sleep deprivation
[19][20][21]

sensory deprivation and sensory impairment
caffeine intoxication
extremely stressful event
COMORBIDITIES
A very large number of medical conditions can cause psychosis,
sometimes called secondary psychosis.
[16]
Examples include:
disorders causing delirium (toxic psychosis), in which consciousness
is disturbed
neurodevelopmental disorders and chromosomal abnormalities,
including velocardiofacial syndrome
neurodegenerative disorders, such as Alzheimer's disease,
[22]

dementia with Lewy bodies,
[23]
and Parkinson's disease
[24]

focal neurological disease, such as stroke, brain tumors,
[25]
multiple
sclerosis,
[26]
and some forms of epilepsy
malignancy (typically via masses in the brain, paraneoplastic
syndromes, or drugs used to treat cancer)
infectious and postinfectious syndromes, including infections
causing delirium, viral encephalitis, HIV,
[27]
malaria,
[28]
Lyme
disease,
[29][30][31]
syphilis
[32][33]


Subcatagories....
Subtypes
Subtypes of psychosis include:
Menstrual psychosis, including circa-mensual (approximately
monthly) periodicity, in rhythm with the menstrual cycle.
Postpartum psychosis, occurring recently after childbirth
Monothematic delusions
Myxedematous psychosis
Occupational psychosis
Stimulant psychosis
Tardive psychosis
Shared psychosis
Cycloid psychosis

NEUROPSYCHOLOGY
Theories...
NEUROPSYCHOLOGY THEORY
NEUROPSYCHOLOGY THEORY
CONFLICT RESOLUTION
CONFLICT RESOLUTION
CONFLICT RESOLUTION
CONFLICT RESOLUTION
So... How do we resolve conflict?
CEASE AND DESIST!!!!

YIELD INORDER TO PROCEED....

DIFFUSE THE SITUATION...

MOTIVATE WITH POSITIVE RE-ENFORCEMENT!
RESOLUTION
SPECIAL TOPICS
ADDICTION


EATING DISORDERS


BODY DYSMORPHIA

ADDICTION...
PAPEZ CKT....
WTF??!!!
PAPEZ CKT
BRAIN REWARD
EATING DISORDERS
EATING DISORDERS
BODY DYSMORPHIA
Body dysmorphic disorder is a type of chronic
mental illness in which you can't stop thinking
about a flaw with your appearance a flaw
that is either minor or imagined. But to you,
your appearance seems so shameful that you
don't want to be seen by anyone. Body
dysmorphic disorder has sometimes been
called "imagined ugliness."