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贾艳滨 暨南大学附属第一医院 PowerPoint PPT Presentation


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第五章 精神检查 与心理评估. 贾艳滨 暨南大学附属第一医院. 第一节 精神检查. Psychiatric examination , PE :是精神疾病正确诊断的依据。 主要方法: interview 是与病人和知情人进行面对面的会谈。. 精神检查的内容. 一般表现:衣着、个人卫生、合作表现、态度 意识: 动作行为: 感知觉: 思维: 情感: 智能: 自知力:. 第二节 会谈的技巧. 会谈的目的: 诊断评估:了解病史资料,检查和核实有关问题。 治疗干预:针对有关问题,给予解释、说服、支持、疏泄、教育及认知行为等方面的心理治疗。. 会谈的一般原则.

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贾艳滨 暨南大学附属第一医院

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  • Psychiatric examinationPE

  • interview


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attitude


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  • 1.20

  • 2.

  • 3.


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  • SCL9024.0520.6242.8031.27P<0.01


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  • tests

  • questionnaires

  • inventories

  • rating scales

  • checklists


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  • norms510


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  • reliability

    stability

    0.8


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  • validity

    7090


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Scl 90 symptom checklist 90

SCL90 Symptom Checklist 90

  • Derogatis L.R1975Cornell Medical IndexCMIParloff,M.B.Frank,JD.Discomfort ScaleDerogatisHopkin'sHSCL 1973SCL90


Scl 90

SCL90

  • 04

  • 01234

  • SCL90

  • 10


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  • Hamilton Depression Rating Scale for Depression, HRSD

  • Hamilton196017212417


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  • Hamilton700.90

  • 140.88-0.99P0.01


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  • HRSDGASr0.840.92

  • HRSD58r0.26P0.05


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  • HRSD

  • 2-6


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  • HRSD0-45

  • (0)(1)(2)(3)(4)

  • 0-23

  • (0)(1)-(2)


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  • 1. depressed mood(1)(2)(3)(4)

  • 2. (feelings of guilt)(1)(2)(3)(4)


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  • 3. (suicide)

    (1)

    (2)

    (3)

    (4)


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4. (insomnia-early)(1)(2)

5. (insomnia-middle)(1)(2)(12)()

6. (insomnia-late)(1)1(2)


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  • 7. (work & interests)

    (1)

    (2)

    (3)

    (4)


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  • 8. (retardation)(1)(2)(3)(4)

  • 9. (agitation)(1)(2)(3)(4)


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  • 10. (psychic anxiety)(1)(2)(3)(4)

  • 11. (somatic anxiety)(1)(2)(3)(4)


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  • 12. (gastro-intestinal)(1)(2)

  • 13. (general somatic symptoms)(1)(2)2

  • 14. (genital symptoms)(1)(2)(9)()


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  • 15. (hypochondrasis)(1)(2)(3)(4)

  • 16. (loss of weight)(1)1(2)2

  • 17. (insight)(0)(1)(2)


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  • HRSD7(1)/(anxiety/somatization)(2)(weight)(3)(cognitive disturbance)6(4)diurnal variation(5)(retardation)4(6)(sleep disturbance)3(7)(hopelessness)3


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  • DavisJM3520

  • 1724177


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  • HRSDHRSD

    HRSD


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1


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23


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4

5


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6


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2


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3

4


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5

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7


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5

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7


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2

3


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1.

2.

3.

4.

5.

6.


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  • Reinforcement Therapy

  • ()()


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  • 3

  • 5


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  • ?


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  • !


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  • 2050

  • A. Ellis

  • Aaron T. Beck


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RationalEmotive Therapy RET

  • ABCEllis19622000

  • AActivating events

  • BBeliefs

  • CConsequences

  • DDisputing irrational beliefs

  • Enew emotive and behavioral Effects


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  • 1( demandingness )

    "

    ""

    "

  • 2( overgeneralization)

    4

  • 3( awfulizing


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ABC

,

A

AC

B

B


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Ellis

  • ,

  • ,

  • ,


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  • 1

    2

    3

    4


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1

2

3


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6


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14~7

23~7


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33~7

47~141~2


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  • . 1976


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  • Couple therapy marital therapy


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