季建林《精神医学精品教学》1-psychiatry-introduction-2012-9-7.pdfVIP

精神医学 （Psychiatry ） 绪 论 （Introduction ） 季建林 复旦⼤学附属中⼭医院⼼理医学科 复旦⼤学上海医学院精神卫⽣学系 Basic conceptions on Psychiatry •  Psychiatry:means mind therapy •  First came into China in the early 20th centery，in which consisted of schizophrenia, manic-depressive disorder and neurosis. –  major psychosis –  minor psychosis •  It’s difficult to idendify normal and abnormal mental statuse in psychiatry Abnormal Normal •  mental disorder •  mental illness •  psychosis Mental disorder •  A mental disorder is a syndrome characterized by clinically significant disturbance in an individual’s cognition, emotional regulation, or behavior that reflects a dysfunction in the psychological, biological, or developmental processes underlying mental functioning. •  Mental disorders are usually associated with significant distress or disability in social, occupational, or other important activities. •  An expectable or culturally approved response to a common stressor or loss, such as the death of a loved one, is not a mental disorder. •  Socially deviant behavior (e.g. political, religions, or sexual) and conflicts that are primarily between the individual and society are not mental disorders unless the deviance or conflicts from a dysfunction in the individual, as described above. APA: DSM-5, 2013 Attention •  Psychotic/psychiatric disorder –  Quality changes –  Split/division •  Individual-environment •  All mental activity （cognition-affect-behavior) •  One mental activity （thought or affec