躯体形式障碍及分离转换性障碍(英文).ppt
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躯体形式障碍及分离转换性障碍(英文).ppt
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精神病学,神经症,张亚林ZhangYa-linM.D&Ph.D,NEUROSES,History历史沿革,W.Cullen,1769H.Bernheim,1884S.Freud,TheModernViewforNeuroses五个共同特征,1.Thestressisrelatedtotheonsetofneuroses发病与心理因素相关;2.Thepersonalityisanimportancealthoughitisnotgrosslyabnormal个性特征突出;,TheModernViewforNeuroses五个共同特征,3.Neurosesarenotcausedbyanykindoforganicbraindisorders无相应的器质病变;4.Thesocialfunctionisnormalonthewhole社会功能相对完好;5.Theneuroticpatientsdonotloseinsight自知力充分.,TheClassificationofNeuroses分类,Phobia恐惧症Anxietydisorder焦虑症Obsessive-compulsivedisorder强迫症Hypochondriasis疑病症Neurasthenia神经衰弱Hysteria癔症Other其他,Theepidemiology患病率,22.21%0,Etiology?
/Theories!
相关学说,Psychoanalytictheories精神分析学说unconsciousness潜意识dreamwrongneuroticsymptoms梦错误神经症症状personalitystructure人格构成idegosuperego原我自我超我,Etiology?
/Theories!
相关学说,Behaviortheories行为科学理论stress-response刺激-反应认知学说,S,R,C认知,Cognitivetheories,Phobia恐惧症,Clinicalpicture临床表现1.agoraphobia广场恐惧2.simplephobia单一恐惧3.socialphobia社交恐惧Treatment治疗1.behaviortherapy行为疗法2.drugs药物,Anxietyneurosis焦虑症,Clinicalpicture1.feelingofanxiety焦虑的体验2.physicalsymptoms运动/植物神经症状Panicattack惊恐发作Generalizedanxietydisorder广泛性焦虑症Treatment1.drugs药物2.relaxationtraining放松训练,Obsessive-compulsiveneurosis强迫症,Clinicalpicture1.obsessivethoughts强迫观念2.obsessivemood强迫情绪3.obsessiveimpulses&behavior强迫冲动/行为Personalityfeatures人格特征scrupulousness小心多虑,rigidity严谨规矩僵化,perfectionism追求完美,insecurity不安全感Treatment1.drugs;2.behaviortherapy,Hypochondriasis疑病症,Clinicalpicturepain-head,lowerlumbarregionworriesabout“medicalstudentsillness”“医学生病”Treatment?
Neurasthenia神经衰弱,Clinicalpicture1.mentalandphysicalfatigue心身疲劳2.irritability易激惹/烦恼/紧张3.psychophysiologicalsymptoms心理生理症状:
失眠/疼痛/食欲/性欲Treatment1.drugs:
valium2.psychotherapy,Hysteria癔症,Clinicalpicture1.somaticdisorder:
躯体障碍motordisorder,sensorydisorder2.psychologicaldisorder:
精神障碍amnesia,fugue,identitydisorder遗忘神游多重人格Personalityfeaturessuggestion,self-centred,dramatization,fantasy暗示性自我中心戏剧性幻想Treatmentinducedtherapy诱导疗法,Menlearnwhiletheyteach,教学相长礼记学记,
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- 关 键 词:
- 躯体 形式 障碍 分离 转换 英文