躯体形式障碍及分离转换性障碍英文
躯体形式障碍及分离障碍ppt课件
新增躯体症状障碍
DSM-5更好地认识到精神病学与医学之间的复杂性。 拥有躯体症状的个体，加上异常的思维，情感和行 为可以有或者没有一个既已诊断的躯体疾病。
躯体症状与精神病理之间存在一个连续谱，而 DSM-4 人为地限定躯体化障碍诊断需要高数量的躯 体症状并不适合这个谱系。躯体化障碍的诊断基本 上依赖于长期的而且复杂的对于医学难以解释的躯 体症状的计数。
最常见的是：
胃肠道不适（如疼痛、打嗝、返酸、呕吐、恶心等） 异常的皮肤感觉（如瘙痒、烧灼感、刺痛、麻木感、 酸痛等） 泌尿生殖症状 呼吸循环系症状 常存在明显的抑郁和焦虑 （2组6项）
未发现任何恰当的躯体疾病来解释上述症状 慢性波动性病程，并伴有社会、人际及家庭行
为方面长期存在的严重障碍，很少能够完全缓 解。 女性远多于男性，多在成年早期发病 病程≥2年
病因与发病机制
（一）心理社会因素 幼时受到父母过度的照顾，儿童期患病经
历、创伤、长期与慢性疾病患者共同生活、 生活中存在的现实冲突等因素，可能是易 患因素。继发性获益可能是另一个重要因 素。 社会文化环境 “神经质”的个性
生物学因素 可有家族聚集性 患者可能存在脑干网状结构滤过功能失调
躯体症状及其他相关障碍
DSM-4躯体症状相关问题（两章内容） 躯体形式障碍 躯体化障碍
DSM-5躯体症状及其他相关障碍 躯体症状障碍
人为障碍
未分化型躯体障碍
躯体症状及相关障碍
转换障碍
转换障碍（功能神经性症状障碍）
疼痛障碍
疑病障碍
疾病焦虑障碍
躯体变形障碍
其他未注明的躯体障碍
主要为心理病症及症状
心理因素影响的其他医学状况
临床表现（教科书）
（一）临床特点 1．症状复杂、多样、未能找到明确的器 质性依据 2．反复检查和治疗、疗效不好、影响医 患关系
神经病学精神病学—临床医学
《神经病学》《精神病学》理论课程教学大纲一、课程基本信息课程名称：神经病学和精神病学英文名称：Neurology and Psychiatry课程编码: YXZB4150课程类别：专业必修总学时: 54总学分: 2适用专业：临床医学专业先修课程：基础医学内科学开课院系:医学院二、课程的性质和任务神经病学是一门临床二级学科，也是神经科学中的一门临床分支，内容比较繁多，理论比较深奥，需要反复实践。
神经病学是研究神经系统及骨骼肌疾病的病因及发病机制、病理、临床表现、诊断和鉴别诊断、治疗及预防的临床学科。
在神经病学领域中，就神经系统疾病和肌肉疾病而言，前者占据主要内容。
神经系统疾病常见症状包括：意识障碍、精神障碍、认知障碍、言语障碍、运动障碍、感觉障碍、平衡障碍、反射和植物神经功能障碍等多种表现。
神经系统疾病的种类包括：血管性疾病、感染性疾病、变性疾病、外伤、肿瘤、脱髓鞘性疾病、自身免疫性疾病、代谢和营养障碍性疾病、中毒、遗传性和先天发育异常、发作性疾病等。
随着相关学科如神经生物学、分子生物学和神经影像学的发展，神经病学的广义和狭义内容已经今非昔比，神经病学在不断取得新进展的同时，展示出从未有过的发展前景，已经成为医学科学中令人关注的热点学科。
《神经病学》是临床医学的专业必修课程。
本学科的教学应用现代医学科学的最新成就，结合神经解剖学、神经生理病理学基础知识，系统地阐述本学科的基础理论、基本知识和基本技能，以及神经系统常见病与多发病的诊断与防治知识。
学习神经病学的目的是掌握采集病史和神经系统检查法；学习神经病的诊断原则和方法；掌握神经系统的常见病、多发病、急重病的防治原则和措施。
学习方法上应充分利用现代科学手段，结合神经系统主要解剖生理和病理，联系症状学和临床实际，采取综合分析和整体观点，逐步提高临床技能。
神经病学的实践中要重点掌握病史采集、神经系统检查、神经科基本操作，掌握常见疾病的诊治要点，掌握危重病的抢救，了解辅助检查的方法和意义，熟悉定位和定性诊断，打下良好的临床实践基础。
躯体形式障碍及分离转换性障碍
精神病学
云南省第一人民医院 陈壮飞
• 一种以持久地担心或相信各种躯体症状的优 势观念为特征的精神障碍
• 病人因这些症状反复就医，各种医学检查未 发现异常，医生的反复解释仍不能打消其疑 虑
• 即使有躯体疾病，也不能解释所诉症状的性 质、程度，或其痛苦与优势观念
• 经常伴有焦虑或抑郁情绪，病人常否认心理 因素的存在
– 未发现恰当的躯体疾病来解释上述症状 – 慢性波动性病程，并伴有社会、人际及
家庭行为方面长期存在的严重障碍，很 少能够完全缓解
– 女性远多于男性，多在成年早期发病 – 病程≥2年
Clinical Features
消化道症状
恶心 腹胀 腹泻
呼吸循环症状
胸闷 呼吸困难 胸痛 心慌
泌尿生殖系统症状
尿频 月经紊乱 性功能障碍
异常的皮肤感觉
痒、烧灼感 刺痛 酸痛 麻木感
• 未分化躯体形式障碍（undifferentiated
somatoform disorder）
– 病程在半年以上，但不足2年
– 临床表现符合躯体化障碍或者不典 型，均应诊断本型
• 疑病障碍（hypochondriasis）
• 病程多为慢性波动性病程
• 躯体化(somatization)障碍 • 未分化的躯体形式障碍 • 疑病障碍 • 躯体形式的植物神经功能紊乱 • 持续的躯体形式的疼痛障碍 • 其它躯体形式障碍
躯体化障碍
躯体形式的 疼痛障碍
疑病障碍
躯体形式的植物 神经功能紊乱
未分化躯体 形式障碍
流行病学情况
• 躯体化障碍
– 可采用暗示性技术、催眠疗法、支 持性心理疗法、行为治疗、家庭治 疗、电刺激等
精神病学PPT课件：躯体症状障碍及分离障碍
假装身边的人患病（通常是儿童），85% 为受害者母亲，多受过良好的教育，并往往 有医疗从业史或自身有很丰富的疾病体验史等，虚构者的目的仅仅是为了引起他人对 自己的关注。甚至通过各种手段制造症状，包括投毒、窒息、饥饿及引发感染，甚至 对儿童施加伤害，且儿童预后不佳，病死率达 6%～10%，预后不佳及死亡多由于过 度检查及治疗所致。
躯体症状障碍及分离障碍
Somatic Symptoms Disorder or Dissociative Disorder
Somatic Symptom Disorder
1
躯体症状障碍
躯体形式障碍
Somatoform Disorder
一类持久地担心或相信各种躯体症状 的优势观念为特征的神经症性障碍。 ●符合神经症的共同特征 ●以躯体症状为主要表现，并对其过
做 作代 性理 障人 碍
①缺乏合理解释的持续或反复的疾病状态，且疾病的所有描述均来自监护人； ②受害者被迫长期奔波于各级医院就诊； ③虚构者无法提供受害者的病因，对受害者的疾病并不担心，反而很注重医师的感受； ④隔离虚构者与受害者后，后者的症状和体征迅速缓解或消失。
做作性障碍的鉴别诊断
诈病：不是为了获取经济或权利利益 躯体症状障碍：明知道自己或他人没病， 故意装病或制造疾病
皮肤感觉
瘙痒、刺痛 烧灼、麻木 酸痛、异物
疾 病 焦 虑 障 碍
Illness Anxiety disorder
一类以持久地担心或相信自己患有某种严重疾病的优势观念为特 征的精神障碍。患者无相应的躯体症状或仅有轻微症状，对疾病 和健康的关注程度不适当的、过分的。患者可四处求医，但是对 阴性的医学检查和解释均怀疑，反复在各大医院就诊，被称为 “医生杀手”、“高医疗资源消费者”。部分患者回避求医，认 为医学检查不出自己的疾病。
精神病学英语词汇
精神病学英语词汇器质性精神障碍Organic mental disorders阿尔茨海默（Alzheimer）病Mental disorders due to Alzheimer is disease阿尔茨海默病，老年前期型Mental disorders due to Alzheimer is disease with early onset阿尔茨海默病，老年型Mental disorders due to Alzheimer is disease with alte onset阿尔茨海默病，非典型或混合型Mental disorders due to Alzheimer is disease, atypical ro mixed type其他或待分类的阿尔茨海默病Mental disorders due to other type of Alzheimer is disease, or unspecified脑血管病所致精神障碍Mental disorders due to vascular disease急性脑血管病所致精神障碍Mental disorders due to vascular disease of acute onset皮层性血管病所致精神障碍Mental disorders due to cortical vascular disease皮层下血管病所致精神障碍Mental disorders due to subcortical vascular disease皮层和皮层下血管病所致精神障碍Mental disorders due to mixedcortical subcortical vascular disease其他或待分类血管病所致精神障碍Mental disorders due to other vascular disease, or unspecified其他脑部疾病所致精神障碍Mental disorders due to other braindiseases 脑变性病所致精神障碍Mental disorders due to brain degeneration 匹克（Pick）病所致精神障碍Mental disorders due to Pick is diseasf享廷顿（Huntington）病所致精神障碍Mental disorders due to Huntington is disease帕金森（Parkinson）病所致精神障碍[Mental disorders due to Parkinson is disease肝豆状核变性（Wilson病）所致精神障碍Mental disorders due to hepatolenticular degeneration（Wilson is disease）颅内感染所致精神障碍Mental disorders due to intracranial infection急性病毒性脑炎所致精神障碍Mental disorders due to acute virus encephalitis克—雅病所致精神障碍Mental disorders due to Creutzfeldt-Jacob disease脑炎后综合征Postencephalitic syndrome急性播散性脑脊髓炎和急性出血性白质脑炎所致精神障碍Mentaldisorders due to acute disseminateclencephalomyelitis and acute hemorrhagic leucoencephalitis多发性硬化所致精神障碍Mental disorders due to multiple sclerosis脑外伤所致精神障碍Mental disorders due to brain damage脑震荡后综合征Mental disorders due to brain concussion脑挫裂伤后综合征Mental disorders due to brain contusion脑瘤所致精神障碍Mental disorders due to brain tumor癫痫所致精神障碍Mental disorders due to epilepsy以上未分类的其他脑部疾病所致精神障碍Mental disorders due to other specifide diseases classifide dlsewhere躯体疾病所致精神障碍Mental disorders due to physical diseases躯体感染所致精神障碍Mental disorders due to physical infection人类免疫缺陷病毒所致精神障碍Mental disorders due to human immunodeficiency virus（HIV）内脏器官疾病所致精神障碍Mental disorders due to visceral organdisease内分泌疾病所致精神障碍Mental disorders due to endocrine disease营养代谢疾病所致精神障碍Mental disorders due to nutritional and metabolic disease结缔组织疾病所致精神障碍Mental disorders due to disease of connective tissue系统性红斑狼疮所致精神障碍Mental disorders due to systemic lupus erythematosus（SLE）染色体异常所致精神障碍Mental disorders due to chromosomal abnormality物理因素所致精神障碍Mental disorders due to physical factors以上未分类的其他躯体疾病所致精神障碍Mental disorders due to other diseases,or unspecifide围生期精神障碍Puerperal mental disorder其他或待分类器质性精神Organic mental disorders due to other diseases,or unspecified器质性智能损害（痴呆）Organic intellectual deficiency（dementia）器质性遗忘Organic amnesic syndrime器质性人格改变、习惯与冲动改变、性心理改变Organic personality change, habit and impulse change, psychosexual change器质性意识障碍（如谵妄）Organic consciousness disorders （e.g, delirium）器质性精神病性症状Organic psychotic symptoms器质性情感障碍Organic mood disorders器质性癔症样综合征Organic hysteria-like syndrome器质性神经症样综合征Organic neurosis-like syndrome精神活性物质所致精神障碍或非成瘾物质所致精神障碍Mental disorders due psychoactive substances or non-addictive substances精神活性物质所致精神障碍Mental disorders due to use of psychoactive substances酒精所致精神障碍Mental disorders due to use of alcohol阿片类物质所致精神障碍Mental disorders due to use of opioids大麻类物质所致精神障碍Mental disorders due to use of cannabinoids镇静催眠药或抗焦虑药所致精神障碍Mental disorders due to use of sedatives or hypnotics兴奋剂所致精神障碍Mental disorders due to use of stimulants致幻剂所致精神障碍Mental disorders due to use of hallucinogens 烟草所致精神障碍Mental disorders due to use of tobacco挥发性溶剂所致精神障碍Mental disorders due to use of volative solvents其他或待分类的精神活性物质所致精神障碍Mental disorders due to other psychoactive substances,or unspecifide急性中毒Acute intoxication有害使用Harmful use依赖综合征医.学教.育网搜.集整理（成瘾综合征）Dependencd （addictive）syndrome戒断综合征Withdrawal syndrome精神病性障碍Psychotc disorders智能损害（痴呆）Intellectual deficiency （dementia）遗忘综合征Amnesic syndrome残留性或迟发性精神障碍Residual and late-onset mental disorder意识障碍（如谵妄、昏迷）Predominant disturbance of vonsciousness （e.g. delirium, coma）幻觉症Hallucinosis妄想症Delusionosis抑郁综合征Depressive syndrome躁狂综合征Manic syndrome病理性中毒Pathological intoxication病理性重现（闪回）Flashbacks非成瘾物质所致精神障碍Mental disorders due to non-addictive substances非成瘾药物所致精神障碍Mental disorders due to non-addictive drugs一氧化碳所致精神障碍Mental disorders due to carbon monoxide有机化合物所致精神障碍Mental disorders due to organic compound重金属所致精神障碍Mental disorders due to heavy metals食物所致精神障碍Mental disorders due to foods其他或待分类的非成瘾物质所致精神障碍Mental disorders due to other non-addictive substances, or unspecified精神分裂症（分裂症）和其他精神病性障碍Schizophrenia and other psychotic disorders精神分裂症（分裂症）Schizophrenia偏执型分裂症Paranoid schizophrenia青春型（瓦解型）分裂症Hebephrenic schizophrenia紧张型分裂症Catatonic schizophrenia单纯型分裂症Simple schizophrenia未定型分裂症Undifferentiated schizophrenia其他型或待分类的精神分裂症Other type or unspecified schizophrenia精神分裂症后抑郁Post-schizophrenic depression精神分裂症缓解期Remitted schizophrenia精神分裂症残留期Residual schizophrenia慢性精神分裂症Chronic schizophrenia精神分裂症衰退期Deteriorated schizophrenia偏执性精神障碍Paranoid mental disorders急性短暂性精神病Acute and transient psychosis分裂样精神病Schizophrenia-like psychosis旅途性精神病Travelling psychosis妄想阵发（急性妄想发作）Delusional episodes其他或待分类的急性短暂精神病Other or unspecified acute and transient psychosis感应性精神病Induced psychosis分裂情感性精神病Schizoaffective psychosis分裂情感性精神病，躁狂型Schiaoaffective psychosis , manic type分裂情感性精神病，抑郁型Schizoaffective psychosis, depressive type分裂情感性精神病，混合型Schizoaffective psychosis, mixed type其他或待分类的精神病性障碍Other or unspecified psychotic disorders周期性精神病Periodic psychosis心境障碍（情感性精神障碍）Mood disorders（Affective disorders）躁狂发作Manic episode轻性躁狂症医学教.育网搜集（轻躁狂）Hypomania无精神病性症状的躁狂症Mania without psychotic symptoms有精神病性症状的躁狂症Mania with psychotic symptoms复发性躁狂Recurrent mania复发性躁狂症，目前为轻躁狂Recurent mania, current episode hypomanic复发性躁狂症，目前为无精神病性症状的躁狂Recurrent mania, current episode manic without psychotic symptoms复发性躁狂症，目前为有精神病性症状的躁狂Recurrent mania, current episode manic with psychotic symptoms其他或待分类的躁狂Other or unspecifided manic episode双相障碍Bipolar disorder双相障碍，目前为轻躁狂Bipolar disorder, current episode hypomanic双相障碍，目前为无精神病性症状的躁狂Bipolar disorder, current episode manic without psychotic symptoms双相障碍，目前为有精神病性症状的躁狂Bipolar disorder, current episode manic with psychotic symptoms双相障碍，目前为轻抑郁Bipolar disorder, currdnt episode mild depression双相障碍，目前为无精神病性症状的抑郁Bipolar disorder, currdnt episode depression without psychotic symptoms双相障碍，目前为有精神病性症状的抑郁Bipolar disorder, currdnt episode depression with psychotic symptoms双相障碍，目前为混合性发作Bipolar disorder, currdnt episode mixed其他或待分类的双相障碍Other or unspecified bipolar disorders双相障碍，目前为快速循环发作Bipolar disorder, currdnt episode fast cycling抑郁发作Depressive episode轻性抑郁症（轻抑郁）Mild depression无精神病性症状的抑郁症Depression without psychotic symptoms有精神病性症状的抑郁症Depression with psychotic symptoms复发性抑郁症Recurrent depression复发性抑郁症，目前为轻抑郁Recurrent depression,current episode mild depressive复发性抑郁症，目前为无精神病性症状的抑郁Recurrent disorder,current episode depressive without psychotic symptoms有精神病性症状的抑郁Recurrent depressive disorder,current episode depressive with psychotic symptoms复发性抑郁症，目前为其他或待分类的抑郁症Other or unspecifide depression持续性心境障碍Persistent mood disorder环性心境障碍Cyclothymia恶劣心境Dysthymia其他或待分类的持续性心境障碍Other or unspecifide persistent mood disorders其他或待分类的心境障碍Other or unspecified mood disorders意识障碍（如谵妄）Disturbance of consciousness （e.g.delirium）伴躯体症状With somatic symptoms慢性Chronic缓解期In remission癔症、应激相关障碍、神经症Hysteria ,Stress-relateddisorders,Neurosis癔症Hysteria癔症性精神障碍Hysterical psychological disorders癔症性遗忘Hysterical amnesia癔症性漫游Hysterical fugue癔症性身份识别障碍Hysterical identity disorder癔症性精神病Hysterical psychosis癔症性附体障碍Hysterical possession disorders癔症性木僵Hysterical stupor癔症性躯体障碍Hysterical somatic disorders癔症性运动障碍Hysterical motor disorders癔症性抽搐发作Hysterical convulsions癔症性感觉障碍Hysterical sensory disorders混合性癔症躯体—精神障碍Mixed hysterical somatic-psychological disorders其他或待分类癔症Other or unspecified hysteriaGanser综合征Ganser is syndrome见于童年和青少年的短暂的癔症性障碍Transient hysterical disorders occurring in childhood and adolescence应激相关障碍Stress-related disorders急性应激障碍Acute stress disorders急性应激性精神病（急性反应性精神病）Acute stress psychosis（acute reactive psychosis）创伤后应激障碍Post-traumatic stress disorders适应障碍Adjustment disorders短期抑郁反应Brief depressive reaction中期抑郁反应Subprolonged depressive reaction长期抑郁反应Prolonged depressive reaction其他恶劣情绪为主的适应障碍Adjustment disorders with disturbance of other emotions混合性焦虑抑郁反应Mixed anxiety and depressive reaction品行障碍为主的适应障碍Adjustment disorders with predominant disturbance of conduct心境和品行混合性障碍为主的适应障碍Adjustment disorders with mixed disturbance of emotionsand conduct其他或待分类的应激相关障碍Other or unspecified stress-related disorders与文化相关的精神障碍Mental disorders related to culture气功所致精神障碍Mental disorders due to qigong巫术所致精神障碍Mental disorders due to qitchcraft恐缩症Koro其他或待分类的与文化相关的精神障碍Other or unspecified mental disorders related to culture神经症Neurosis恐惧症（恐怖症）Phobia场所恐惧症Agoraphobia社交恐惧症（社交焦虑症）Social phobia特定的恐惧症Specific phobias焦虑症Anxiety disorder惊恐障碍Panic disorder广泛性焦虑Generalized anxiety disorder强迫症Obsession躯体形式障碍Somatoform disorders躯体化障碍Somatization disorder未分化躯体形式障碍Undifferentiated somatoform disorders疑病症Hypochondriasis躯体形式植物神经紊乱Somatoform autonomic dysfunction心血管系统功能紊乱Heart and cardiovascular system dysfunction高位胃肠道功能紊乱Upper gastrointestinal tract dysfunction低位胃肠道功能紊乱Lower gastrointestinal tract dysfunction呼吸系统功能紊乱Respiratory sstem dysfunction泌尿生殖系统功能紊乱Genitourinary system dysfunction持续性躯体形式疼痛障碍Persistent somatoform pain disorder其他或待分类躯体形式障碍Other or unspecified somatoform disorders神经衰弱Neurasthenia [F48.0]其他或待分类的神经症Other or unspecified neruosis心理因素相关生理障碍Physiological disorders related to psychological factords进食障碍Eating disorders神经性厌食Anorexia nervosa神经性贪食Bulimia nervosa神经性呕吐Psychogenia nervosa其他或待分类非器质性进食障碍Other or unspecified nonorganic eating disorder非器质性睡眠障碍Nonorganic sleep disorders失眠症Insomnia嗜睡症Hypersomnia睡眠—觉醒节律障碍Disorder of the sleep-wake schedule睡行症Sleepwalking/somnambulism夜惊Night terrors梦魇Nightmares其他或待分类非器质性睡眠障碍Other or unspecified nonorganic sleep disorders非器质性性功能障碍Nonorganic sexual dysfunction性欲减退Lack or loss of sexual desire阳痿Impotence冷阴Failure of femalegenital response性乐高潮障碍Orgasmic dysfunction早泄Premature ejaculation阴道痉挛Vaginismus性交疼痛Dyspareunia其他或待分类性功能障碍Other or unspecified sexual dysfunction人格障碍、习惯和冲动控制障碍、性心理障碍Personality disorders, Habit and impulse disorders, Psychosexual disorders人格障碍Personality disorders偏执性人格障碍Paranoid personality disorder分裂样人格障碍Cchizoid personality disorder反社会性人格障碍Dissocial personality disorder冲动性人格障碍（攻击性人格障碍）Impulsive personality disorder表演性（癔症性）人格障碍Histrionic （hysterical ）personality disorder强迫性人格障碍Anankastic personality disorder焦虑性人格障碍Anxious personality disorder依赖性人格障碍Dependent personality disorder其他或待分类的人格障碍Other or unspecified personality disorder 习惯与冲动控制障碍Habit and impulse disorders病理性赌博Pathological gambling病理性纵火Pathological fire-setting病理性偷窃Pathological stealing拔毛症（病理性拔毛发）Trichotillomania其他或未特定的习惯和冲动障碍Other or unspecified habit snd impulse disorders性心理障碍（性变态）Psychosexual disorders性身份障碍Gerder identity disorders易性症Transsexualism其他或待分类的性身份障碍Other or unspecified gender identity disorders性偏好障碍Disorders of sexual preference恋物症Fetishism异装症Fetishistic transvestism露阴症Exhibitionism窥阴症Voyeurism磨擦症Frotteurism性施虐与性受虐症Sadomasochism混合型性偏好障碍Mixed disorders of sexual perference其他或待分类的性偏好障碍Other or unspecified disorders of sexual preference性指向障碍Sexual orientation disorders同性恋Homosexuality双性恋Bisexuality其他或待分类的性指向障碍Other or unspecified sexual indirection disorders精神发育迟滞与童年和少年期心理发育障碍Mental retardation, and disorders ofpsychological development with onset usually occurring in childhood andadolescence精神发育迟滞Mental retardation轻度精神发育迟滞Mild mental retardation中度精神发育迟滞Moderate mental retardation重度精神发育迟滞Severe mental retardation极重度精神发育迟滞Profound mental retardation其他或待分类的精神发育迟滞Other or unspecified mental retardation无或轻微的行为障碍No or minimal impairment of behaviour显著的行为障碍，需要加以关注或治疗Significant impairment of behaviour requiring attention or treatment其他或待分类的行为障碍Other or unspecifide behavioural impaiment言语和语言发育障碍Developmental disorders of speech and language特定言语构音障碍Specific speech articulation disorder表达性语言障碍Expressive language disorder感受性语言障碍Receptive language disorder伴发癫痫的获得性失语（Landau-Kleffner综合征）Acquired aphasia with epilepsy（Landau-Kleffner syndrome）其他或待分类的言语和语言发育障碍Other or unspecified developmental disorders of speech and language特定学校技能发育障碍Specific developmental disorders of scholastic skills特定阅读障碍Specific reading disorder特定拼写障碍Specific spelling disorder特定计算技能障碍Specific disorder of arithmetical skills混合性学习技能障碍Mixed disorder of scholastic skills其他或待分类的特定学习技能发育障碍Other or unspecified developmental disorders of scholastic skills特定运动技能发育障碍Specific developmental disorder of motor skills混合性特定发育障碍Mixed specified developmental disorders广泛性发育障碍Pervasive developmental disorders儿童孤独症Childhood autism不典型孤独症Atypical autismRett综合征Rett is syndrome童年瓦解性精神障碍（Heller综合征）Childhood disintegrative disorder （Heller is syndrome ）Asperger综合征Asperger is syndrome其他或待分类的广泛性发育障碍Ogher or unspecified pervasive developmental disorders童年和少年期的多动障碍、品行障碍和情绪障碍Hyperkinetic, Conduct, and Emotional disorders with onset usually occurring in childhood and adolescence多动障碍Hyperkinetic disorders注意缺陷与多动障碍（儿童多动症）Attention dificit and hyperactivity disorder多动症合并品行障碍Hyperkinetic conduct disorder其他或待分类的多动障碍Other or unspecified hyperkinetic disorders品行障碍Conduct disorders [F91]反社会性品行障碍dissocial conduct disorder对立违抗性障碍Oppositional defiant disorder其他或待分类的品行障碍Other or unspecified conduct disorders品行与情绪混合障碍Mixed disorders of conduct and emotions特发于童年的情绪障碍Emotional disorders with onset specifie to childhood儿童分离性焦虑症Separation anxiety disorder of childhood儿童恐惧症（儿童恐怖症）Phobic anxiety disorder of childhood儿童社交恐惧症Social anxiety disorder of childhood其他或侍分类的童年情绪障碍Other or unspecified childhood emotional disorders儿童广泛焦虑症General anxiety with onset specific to childhood儿童社会功能障碍Disorders of social functioing wigh onset specific to childhood and adolescence选择性缄默症Elective autism儿童反应性依恋障碍Reactive attachment disorde of childhood其他或待分类的儿童社会功能障碍Other or unspecified cildhood disorders of social functioning抽动障碍Tic disorders短暂性抽动障碍（抽动症）Transient tic disorder慢性运动或发声抽动障碍Chronic motor or vocal tic disorderTourette综合征（发声与多种运动联合抽动障碍）Toruette is syndrome其他或待分类的抽动障碍Other or unspecified tic disorders其他童年和少年期行为障碍Other behavioral disorders with onset usually occurring in childhood and adolescence非器质性遗尿症Nonorganic enuresis非器质性遗粪症Nonorganic encopresis婴幼儿和童年喂食障碍Feeding disorder of infancy and childhood婴幼儿和童年异食障碍Pica of infancy and childhood刻板性运动障碍Stereotyped movement disorders口吃Stuttering其他或待分类的童年和少年期精神障碍Other or unspecifide mental disorders with onset usually occurring in childhood and adolescence其他精神障碍和心理卫生情况Other mental disorders and psychological health conditions待分类的精神病性障碍Unspecifide nonpsychotic disorder待分类的非精神病性精神障碍Unspecifide nonpsychotic disorder其他心理卫生情况Other psychological nonpsychotic disorder无精神病Without psychosis诈病Malingering自杀Suicie自杀死亡Complete suicide自杀未遂Incomplete suicide准自杀Parasuicide自伤Deliberate sdle-harm病理性激情Pathological emotional outbursts病理性半醒状态Pathological semi-awakening state其他或待分类的心理卫生情况Other or unspecified mental health conditions待分类的其他精神障碍Other mental disorders, unspecified。
躯体形式障碍及分离转换性障碍(英文)
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
广泛性焦虑症
Treatment
1. drugs 药物 2. relaxation training 放松训练
Obsessive-compulsive neurosis
强迫症
Clinical picture
1. obsessive thoughts 强迫观念 2. obsessive mood 强迫情绪 3. obsessive impulses & behavior
3. psychophysiological symptoms
心理生理症状: 失眠/疼痛/食欲/性欲
Treatment
1. drugs: valium 2. psychotherapyl picture 1. somatic disorder: 躯体障碍 motor disorder , sensory disorder 2. psychological disorder: 精神障碍 amnesia, fugue, identity disorder
教学相长《礼记﹒学记》
疑病症
Clinical picture pain---head, lower lumbar region worries about “medical students’ illness”
(整理)精神科高频英语词汇
精神科高频英语词汇总论精神病学psychiatry精神障碍mental disorder精神健康mental health医学心理学medical psychology生物-心理-社会医学模式bio-psycho-social medical model 行为医学behavior medicine心身医学psychosomatic medicine心身疾病psychosomatic diseases精神病理学psychopathology感觉sensation感觉障碍disorder of sensation感觉过敏hyperesthesia感觉减退hypoesthesia内感性不适（体感异常）senestopathia知觉perception知觉障碍disturbance of perception错觉illusion幻觉hallucination幻听auditory hallucination幻视visual hallucination幻嗅olfactory hallucination幻味gustatory hallucination幻触tactile hallucination内脏幻觉visceral hallucination真性幻觉genuine hallucination假性幻觉pseudo-hallucination机能性幻觉functional hallucination反射性幻觉reflex hallucination入睡前幻觉hypnagogic hallucination心因性幻觉psychogenic hallucination感知综合障碍psycho sensory disturbance 视物变形症metamorphopsia视物显大症macropsia视物显小症micropsia思维thinking思维障碍thinking disorder思维形式障碍disorder of the thinking form 思维奔逸flight of thought思维迟缓inhibition of thought思维贫乏poverty of thought思维散漫looseness of thought思维破裂splitting of thought词的杂拌word salad思危不连贯incoherence of thought病理性赘述circumstantiality思维中断blocking of thought思维插入thought insertion强制性思维forced thinking思维化声thought hearing思维扩散diffusion of thought思维被广播thought broadcasting象征性思维symbolic thinking词语新作neologism逻辑倒错性思维paralogism thinking强迫观念obsessive idea妄想delusion原发妄想primary delusion继发妄想secondary delusion被害妄想delusion of persecution关系妄想delusion of reference物理影响妄想delusion of physical influence 夸大妄想grandiose delusion罪恶妄想delusion of guilty疑病妄想hypochondriacal delusion钟情妄想delusion of love嫉妒妄想delusion of jealousy被洞悉感（内心被揭露感）experience of being revealed 超价观念overvalued idea注意attention注意障碍disorder of attention注意增强hyperprosexia注意涣散aprosexia注意减退hypoprosexia注意转移transference of attention注意狭窄narrowing of attention记忆memory记忆障碍disorder of memory记忆增强hypermnesia记忆减退hypomnesia遗忘amnesia顺行性遗忘anterograde amnesia逆行性遗忘retrograde amnesia界限性遗忘circumscribed amnesia错构paramnesia虚构confabulation智能intelligence精神发育迟滞mental retardation痴呆dementia假性痴呆pseudodementia刚塞综合症Ganser syndrome童样痴呆puerilism抑郁性假性痴呆depressive pseudodementia 定向力orientation定向障碍disorientation情感affect情绪emotion心境mood情感高涨elation情感低落depression焦虑anxiety恐惧phobia情感淡漠apathy易激惹性irritability情感不稳labile affect情感倒错parathymia意志will意志障碍disorder of will意志增强hyperbulia意志减弱hypobulia意志缺乏abulia犹豫不决hesitant精神运动性兴奋psychomotor excitement 精神运动性抑制psychomotor inhibition 木僵stupor蜡样屈曲cerea flexibility缄默症mutism违拗症negativism主动性违拗active negativism被动性违拗passive negativism刻板动作stereotyped act模仿动作echopraxia作态mannerism意识consciousness嗜睡drowsiness意识浑浊confusion昏睡sopor昏迷coma朦胧状态twilight state谵妄状态delirium梦样状态oneiroid state自知力insight面谈检查interview各论急性脑病综合症acute brain syndrome慢性脑病综合症chronic brain syndrome遗忘综合症amnesia syndrome柯萨可夫综合症Korsakov’s syndrome阿尔茨默病Alzheimer’s disease, AD早老性痴呆presenile dementia早发性痴呆dementia praecox老年斑senile plaque, SP神经元纤维缠结neurofibrillary tangles, NFT 血管性痴呆vascular dementia, VD多发性梗塞性痴呆multi-infarct dementia, MID 外伤性精神混乱状态post-traumatic confusional state 脑外伤后遗忘post-traumatic amnesia, PTA 脑震荡综合症post-concussional syndrome自动症epileptic automatisms神游症fugue精神分裂症schizophrenia妄想性障碍delusional disorder心境障碍mood disorder情感性精神障碍affective disorder双相障碍bipolar disorder躁狂抑郁性精神病manic depressive psychosis 意念飘忽flight of idea谵妄性躁狂delirious mania抑郁性假性痴呆depressive pseudodementia 环性心境障碍cyclothymia恶劣心境障碍disthymic disorder神经症neuroses意识consciousness前意识preconsciousness潜意识unconsciousness本我id自我ego超我superego惊恐发作panic attack焦虑症anxiety disorder恐惧症phobia抑郁depression强迫症状obsession and compulsion强迫观念obsessive idea强迫意向obsessive intention强迫行为compulsive behavior疑病症状hypochondriacal symptom疑病症hypochondriasis广泛性焦虑障碍generalized anxiety symptom惊恐障碍panic disorder场所恐惧症agoraphobia社交恐惧症social phobia单一恐惧症simple phobia躯体形式障碍somatoform disorders躯体化障碍somatization disorders慢性疲劳综合症chronic fatigue syndrome, CFS癔症hysteria应激stress良性应激eustress不良应激distress应激源stressor全身适应综合症general adaptation syndrome, GAS 创伤后应激障碍post-traumatic stress disorder, PTSD 适应障碍adjustment disorder心理因素相关障碍physiological disorder related topsychological factors进食障碍eating disorder神经性厌食anorexia nervosa神经性贪食bulimia nervosa失眠症insomnia嗜睡症hypersomnia睡行症sleep walking disorder夜惊sleep terror梦魇nightmare性功能障碍sexual dysfunctional性欲减退sexual hypoactivity阳萎impotence冷阴female failure of genital response 性乐高潮障碍orgasm disorder早泄premature ejaculation阴道痉挛vaginismus性交疼痛dyspareunia人格障碍personality disorder偏执性人格障碍paranoid personality disorder分裂性人格障碍schizoid personality disorder反社会性人格障碍antisocial personality disorder冲动性人格障碍impulsive personality disorder表演性人格障碍histrionic personality disorder强迫性人格障碍obsessive-compulsive personality disorder焦虑性人格障碍anxious personality disorder性心理障碍sexual deviatin易性症transsexualism恋物癖fetishism异装癖transvestism露阴癖exhibitionism窥阴癖voyeurism摩擦癖frotteurism性施虐癖sadism性受虐癖masochism同性恋homosexuality自杀suicide自杀意念suicide idea自杀未遂attempted suicide自杀死亡committed suicide类自杀parasuicide蓄意自伤deliberate self-harm自杀姿势suicide gesture危机干预crisis intervention精神发育迟滞mental retardation智商intelligence quotient, IQ儿童孤独症childhood autism注意缺陷与多动障碍attention deficit and hyperactive disorder, ADHD品行障碍conduct disorder抽动障碍tic disorder躯体治疗somatotherapy精神药物psychotropic drugs神经阻滞剂neuroleptics抗精神病药物antipsychotics抗抑郁药物antidepressants心境稳定剂mood stabilizers抗躁狂药物antimanic drugs抗焦虑药物anxiolytic drugs精神振奋药物psychostimulants脑代谢药物nootropic drugs急性肌张力障碍acute distonia静坐不能akathisia类帕金森症Parkinsonism迟发性运动障碍tardive dyskinesia, TD恶性综合症malignant syndrome电抽搐治疗electric convulsive therapy, ECT电休克治疗electrical shock therapy心理治疗psychotherapy个别治疗individual therapy夫妻治疗couple therapy家庭治疗family therapy集体治疗group therapy精神分析治疗psychoanalytic therapy心理动力学治疗psychodynamic therapy短程治疗brief therapy行为-认知治疗behavioral-cognitive therapy人本主义治疗humanistic therapy系统治疗systemic therapy依从性compliance安慰剂效应placebo effect治疗关系therapeutic relation 暗示suggestion。
心理名词中英文
心理名词中英文自控力受损(control impaired)自我排斥的性取向(F66.1)(egodystonic sexual orientation )姿态性自杀(parasuicide)姿势性模仿动作(gestural echopraxia)转换性运动障碍(F44.4)(dissociative motor disorders)转换性感觉缺失(F44.6)(dissociative anaesthesia)注意缺陷多动障碍(F90)(attention deficit hyperactivity disorder) 重度精神发育迟滞(F72)中度精神发育迟滞(F71)(moderate mental retardation)智商(intelligence quotient,IQ)致幻药(hallucinogen)致幻药(hallucinogen)职业治疗(occupational therapy)职业康复(vocational rehabilitation)镇静催眠药(sedative-hypnotic应激(stress应对能力(coping capacity)应对机制(coping mechanisms)婴儿孤独症(infantile autism)婴儿痴呆(dementia infantilis)隐匿性抑郁(masked depression)阴性症状(negative symptoms)意识混浊(clouded consciousness)意识错乱(confusion)易激惹(irritability) (易性症(F64.0)(transsexualism)抑郁性品行障碍(F92.0)(depressive conduct disorder)抑郁发作(F32)(depressive episode)抑郁(depression)疑病障碍(F45.3)(hypochondriacal disorder)睡眠呼吸暂停(sleep apnoea)双重角色易装癖(F64.1)(dual-role transvestism)双相情感障碍(F31)(bipolar affective disorder)衰弱性人格障碍(F60.7)(asthenic personality disorder)衰弱性人格(asthenic personality)适应障碍(F43.2)(adjustnent disorder)适应(adaptation)施虐受虐狂(F65.5)(sadomasochism)失语症(aphasia)失用症(apraxia)失音症(aphonia)失写症(agraphia)失认症(agnosia)失读症(alexia)神经症性人格(neurotic personality)神经症(neurosis)神经系统软体征(soft neurological signs)神经性厌食(F50.0)(anorexia nervosa)神经性贪食(F50.2)(bulimia nervosa)经衰弱(F48.0)(neurasthenia)身份障碍(F93.8)(identity disorder)反社会性(社交紊乱性)人格障碍(F60.2)(dissocial personalitydisorder)社交恐惧症(social phobia)社交焦虑障碍(F93.2)(social anxiety disorder)社会支持(social support)社会角色冲突(social role conflict)认知损害(cognitive impairment)认知(cognition) (人类免疫缺陷病(HIVD)痴呆(dementia in human immunodefic iency virus disease,DHIVD) 人类免疫缺陷病毒所致神经精神障碍(HIV-associated acute psychotic disorder)人格障碍(personality disorder)人格素质(characterological constitution)人格解体—现实解体综合征(F48.1)(depersonalization-derealization syndrome)人格解体(depersonalization)人格不成熟(immature personality) /人格(性格)(personality) (缺乏动机综合征(amotivational syndrome) (躯体形式障碍(F45)(somatoform disorder)躯体形式的自主神经功能失调(F45.3)(somatoform autonomic dysfunction)躯体化障碍(F45.0)(somatization disorder)情感性精神障碍(F30-F39)(affective disorder)情感性人格障碍(F34.0)(affective personality disorder)情感紊乱(affective disturbance)情感高涨人格(hyperthymic personality disorder)情感高涨(elation)情感不稳性人格障碍(F60.3)(emothionally unstable person ality disorder)情感不稳定(lability of affect) (情感不稳（脆弱）障碍，器质性(F06.6)(organic emotionally labile-asthenic disorder) (轻躁狂(F30.0)(hypomania)轻微脑功能失调(minimal brain dysfunction)轻度精神发育迟滞(F70)(mild mental retardation)青春型分裂症(F20.1)(hebephrenic schizophrenia)强迫性人格特点(anankastic features)强迫性人格障碍(F60.5)(anankastic personality disorder)强迫思维(F42.0)(obsessional thoughts)强迫动作(obsessive-compulsive behaviour)强迫动作(compulsive acts)牵连观念(ideas of reference)器质性遗忘(F04)(organic amnesic syndrome)复发性抑郁(F33)(recurrent depressive disorder)复发(relapse)服从自动症(command automatism)反社会性人格障碍(antisocial personality disorder) 分裂样人格障碍(schizoid personality disorder)分裂型人格障碍(F21)(schizotypal disorder) (分裂样精神病(F23.2)(schizophrenia-like psychosis) 分裂症性衰退(schizophrenic deterioration)分裂症遗传谱(genetic spectrum schizophrenia)分裂症(F20)(schizophrenia)催眠状态(hypnosis)。
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幻想
Treatment
induced第t1h4页e/r共a1p5页y 诱导疗法
Men learn while they teach
教学相长《礼记﹒学记》
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心理生理症状: 失眠/疼痛/食欲/性欲
Treatment
1. drugs: valium 2. psychotherapy
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Hysteria 癔症
Clinical picture
1. somatic disorder: 躯体障碍
motor disorder , sensory disorder
Treatment 治疗 1. behavior therapy 行为疗法 2. drugs 药物
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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
“医学生病”
Treatment
?
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Neurasthenia
神经衰弱
Clinical picture
1. mental and physical fatigue 心身疲劳 2. irritability 易激惹/烦恼/紧张 3. psychophysiological symptoms
2. psychological disorder: 精神障碍
amnesia, fugue, identity disorder
遗忘 神游 多重人格
Personality features
suggestion, self-centred, dramatization, fantasy
暗示性
自我中心
戏剧性
患病率
22.21%0
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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
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Etiology?/Theories!
相关学说
Behavior theories 行为科学理论
stress-response 刺激-反应
Cognitive theories 认知学说
S
R
C 认知
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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
1. obsessive thoughts 强迫观念 2. obsessive mood 强迫情绪 3. obsessive impulses & behavior 强迫冲动/行为
Personality features 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
神经症
张亚林
Zhang Ya-lin M.D & Ph.D
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History 历史沿革
W.Cullen , 1769 H.Bernheim, 1884 S.Freud
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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；
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The Modern View for Neuroses
五个共同特征
3. Neuroses are not caused by any kind of organic brain disorders
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
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The epidemiology
Treatment
1. drugs；
2. behavior therapy
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Hypochondriasis
疑病症
Clinical picture pain---head, lower lumbar region worries about
“medical students’ illness”
Panic attack 惊恐发作 Generalized anxiety disorder
广泛性焦虑症
Treatment
1. drugs 药物 2. relaxation training 放松训练
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Obsessive-compulsive neurosis
强迫症
Clinical picture
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 lose insight
自知力充分.
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The Classification of Neuroses