神经症癔症教学纲要双语版.ppt

Neuroses A group of mental disorders with certain factors： 1.? Without any demonstrable organic basis 2.? Usually onset after psychosocial factors 3.? Symptoms are disproportional to the patient’s actual situation 4.??The patient has insight of the illness but feels affliction and no significance 5.?? Last for a long time Anxiety 1. Panic disorder： a.No obvious predisposing cause, unpredictable, not restricted to particular situations or objects. b.Severe phobia and experience of depersonalization,derealization,fear of dying,loss of control. c.Obvious autonomic symptoms. d.At least 3 panic attack within 1 month. Anxiety 2.Generalized anxiety disorder： a.Frequent and continuous phobia and anxiety without clear objects and stable content, b.Autonomic symptoms or motor intranquility, c.At lease 6 months. Obsessive-compultive disorder 1.Coexistence of conscious self-obsession and antiobsession, 2.Sharp conflicts give patients anxiety and affliction, 3.The experience of ideas or impulses stemming from ego,but against own will, 4.Try to resist but unable to control, 5.Ceremony acts and mental affliction decrease. 1.?Obsessive thoughts：obsessiveideas,recall or images,obsessive opposite thoughts,obsessive rumination, obsessive fear of loss of self-control 2.?Compulsive behaviou or acts： repeatedly washing,checking,examining,asking Phobia 1.Strong phobia of some objects or situations,but the degree of phobia is disproportional to actual danger, 2.With autonomic symptoms, 3.Aware of that phobia is excessive,unreasonable,unnecessary,but unable to control. 4.Repeated and continuous avoidance. ----Agoraphobia ----Social phobia ----Simple phobia Somatoform disorder 1.Predominated by physical symptoms, 2.Excessive worries about physical symptoms whlie the severity is markedly disproportional to actual situation,but not delusion, 3.Excessive care for he