躯体形式障碍及分离转换性障碍(英文).pptVIP

精神病学 神经症 张亚林 Zhang Ya-lin M.D Ph.D History 历史沿革 W.Cullen , 1769 H.Bernheim, 1884 S.Freud The Modern View for Neuroses  五个共同特征 1. The stress is related to the onset of neuroses 发病与心理因素相关； 2. The personality is an importance although it is not grossly abnormal 个性特征突出； The Modern View for Neuroses 五个共同特征 3. Neuroses are not caused by any kind of organic brain disorders 无相应的器质病变; 4. The social function is normal on the whole 社会功能相对完好; 5. The neurotic patients do not lose insight 自知力充分. The Classification of Neuroses 分类 Phobia 恐惧症 Anxiety disorder 焦虑症 Obsessive-compulsive disorder 强迫症 Hypochondriasis 疑病症 Neurasthenia 神经衰弱 Hysteria 癔症 Other 其他 The epidemiology 患病率 22.21%0 Etiology?/Theories! 相关学说 Psychoanalytic theories 精神分析学说 unconsciousness 潜意识 dream wrong neurotic symptoms 梦 错误 神经症症状 personality structure 人格构成 id ego superego 原我 自我 超我 Etiology?/Theories! 相关学说 Behavior theories 行为科学理论 stress-response 刺激-反应 认知学说 S R C 认知 Cognitive theories Phobia 恐惧症 Clinical picture 临床表现 1. agoraphobia 广场恐惧 2. simple phobia 单一恐惧 3. social phobia 社交恐惧 Treatment 治疗 1. behavior therapy 行为疗法 2. drugs 药物 Anxiety neurosis 焦虑症 Clinical picture 1. feeling of anxiety 焦虑的体验 2. physical symptoms 运动/植物神经症状 Panic attack 惊恐发作 Generalized anxiety disorder 广泛性焦虑症 Treatment 1.