精神障碍症状学(英文).ppt
- 文档编号:18767858
- 上传时间:2023-11-04
- 格式:PPT
- 页数:30
- 大小:1.26MB
精神障碍症状学(英文).ppt
《精神障碍症状学(英文).ppt》由会员分享,可在线阅读,更多相关《精神障碍症状学(英文).ppt(30页珍藏版)》请在冰点文库上搜索。
精神病学,PsychiatricClinicalSignsandSymptoms,LiuZheningMD&PhD,Generalintroduction,SignsSymptomsSyndrome,Disordersofperception(one),Perceptionistheprocessofbecomingawareofwhatispresentedthroughthesenseorgans.Imageryisanexperiencewithinthemind,usuallywithoutthesenseofrealitythatispartofperception.Illusion.,Disordersofperception(two),Abnormalities:
ChangesintheintensityofthingsperceivedChangesinthequalityofperceptionIllusions:
anillusionisamisperceptionofanexternalstimulusHallucinations:
ahallucinationisaperceptionexperiencedintheabsenceofanexternalstimulustothecorrespondingsenseorgan.,Hallucination,Ahallucinationhastwospecialqualities:
Itisexperiencedasatrueperception,notaimaginary.Itseemstocomefromtheoutsidewould.PseudohallucinationExperiencesthatpossessoneofthesequalitiesarecalledpseudohallucination.,Typesofhallucination,Auditoryhallucinationmaybeexperiencedasvoices,noises,ormusicVisualhallucinationmaybeexperiencedasflashesoflightorascompleximagessuchasthefigureofmanHallucinationofsmellortasteTactilehallucination,Disorderofthinking,Thoughtdisordersdenotefivekindsofabnormality:
Abnormalityoftheamountandspeedofthought.(thestreamofthought)Abnormalityofthewaysinwhichthoughtsarelinkedtogether.DelusionsOvervaluedideasObsessionalandcompulsivesymptoms,Disordersofthestreamofthought,PressureofthoughtPovertyofthoughtThoughtblocking,Disordersoftheformofthought,FlightofideasLooseningofassociationsPerseveration,Delusions,Adelusionisabeliefthatisfirmlyheldoninadequategrounds,isnotaffectedbyrationalargumentorevidencetothecontrary,andisnotaconventionalbeliefthatthepersonmightbeexpectedtoholdgivenhiseducationalandculturalbackground.,Delusionalthemes,PersecutorydelusionDelusionofreferenceGrandioseandexpansivedelusionsDelusionofguiltandworthlessnessNihilisticdelusionsHypochondriacaldelusionsDelusionsofjealousyDelusionofcontrol,Changesinthenatureofmood,DepressionElationAnxietyAnger,Abnormalfluctuationofmood,Blunting,flattingLabilityIncontinence(inconsistencybetweenmoodandthinking:
incongruityofaffect),Disorderofmemory,SensorystoresShort-termmemoryLong-termmemory,Amnesicsyndrome,Theamnesicsyndromeischaracterizedbyaprominentdisorderofrecentmemoryinabsenceofgeneralizedintellectualimpairment.Aetiologyandpathology:
alcoholabuseisthemostfrequentcauseandseemstoactbycausingadeficiencyofthiamine.,Clinicalfeaturesofamnesicsyndrome,RecentmemoryseverelyimpairedRemotememorysparedDisorientationintimeConfabulationOthercognitivefunctionspreserved,Disorderofconsciousness,CloudingofconsciousnessStuporConfusion,Delirium,Definition:
deliriumischaracterizedbyimpairmentofconsciousness.Prevalence5%15%ingeneralmedicalorsurgicalwards20%30%insurgicalintensivecareunitsPrognosis:
mostpatientsrecoverquicklyandonlyafewneedspecifictreatment.,SymptomsofDelirium,ImpairedconsciousnessDisorganization,poorconcentrationPerceptionIllusionhallucinationThinkingConfusedIdeasofreferenceDelusions,MoodAnxious,irritable,depressedMemoryimpairedFluctuatecourse,worseineveningandatnight.“sundowneffective”,SymptomsofDelirium,Dementia,Prevalence:
5%for65;20%forpeople80formoderateandseveredementiaInChina,4%for65yearsold,Clinicalfeaturesofdementia,Usuallydevelopsgraduallymemorylossisthesalientfeatureusuallymemorylossforrecenteventsmoreseverethanforremoteeventspresentingasforgetfulness,difficultyinlearningnewthingsconfabulationmaybepresentimpairedattentionandconcentrationdisorientationjudgmentandgeneralknowledgeimpaired,Clinicalfeaturesofdementia,LanguageproblemWordfindingdifficultiesinitiallyMaytalknonsenseorincoherent(aphasia)orbecomemuteatlatestageDelusionsandhallucinationsSomepatientsmayhave:
paranoidideasdelusionsoftheftotherdelusionsandhallucinations,Clinicalfeaturesofdementia,BehaviourchangeImpairedactivitiesofdailylivingInappropriatebehaviour,distractibilityandrestlessnessChangeinpersonalitye.g.sexualdisinhibition,reductionofinterestsMoodchangeAnxiety,irritability,depression,labilitySleepandappetitedisturbance,DeliriumAcuteonsetFluctuatecourseImpairedconsciousnessThinkingdisorganizedPerceptualdisturbancecommonAlertnessusuallyimpaired“exceptmulti-infarctdementia”,DementiaInsidiousonsetStableorprogressiveNormalconsciousnessThinkingimpoverishedPerceptualdisturbanceuncommonNormallyalert,Insight,AwarenessthattreatmentisrequiredRecognitionthatthesephenomenaareabnormal,Thankyouforyourattention,
- 配套讲稿:
如PPT文件的首页显示word图标,表示该PPT已包含配套word讲稿。双击word图标可打开word文档。
- 特殊限制:
部分文档作品中含有的国旗、国徽等图片,仅作为作品整体效果示例展示,禁止商用。设计者仅对作品中独创性部分享有著作权。
- 关 键 词:
- 精神障碍 症状 英文