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ichen 發問時間: 健康心理健康 · 1 0 年前

心理學的 final essay (english)

Part I: For all 8 cases, give the diagnosis

Part II: Select one of the 8 cases for 5-10 page paper.

1. Diagnosis

2. etiology/cause

3. treatment

4. prognosis/outcome curable? treatment? terminal

State your references, sources

下面只是其中一個 case.. 還有七個 case.. 有辦法幫我的人請在跟我連絡..

Case 1: F.S. presents with extraordinary concern about the safety of his wife and young daughter. He rarely leaves them alone; when away (e.g. at work), he telephones home every hour. He has lost one job because of this, and his wife has threatened to leave him if he does not seek psychiatric help. Six months ago, the symptoms, which have been present for years, became worse after his wife had a serious automobile accident

F.S. describes recurrent, unbidden thoughts in which dangerous events befall his family and he is not there to save them. He knows the thoughts are silly and that they come from his own mind rather than any real danger, but he cannot resist contacting his wife or daughter in some way to be certain that they are safe. His wife arranged to lift the telephone receiver briefly than hang up, which is usually sufficient to allay his fears for an hour or so.

There is no history of significant medical illness or Substance Abuse. The patient completed two years of college and has a responsible job. He performs well, and is not particularly perfectionistic, overly conscientious (except with regard to his familys safety), rigid, or preoccupied with details.

已更新項目:

請問一下你可以在幫我看看另外的六個case 嗎?

1 個解答

評分
  • 1 0 年前
    最佳解答

    1. Diagnosis

    看起來比較像是OCD中的Obessive thought

    2. etiology/cause

    強迫症的成因主要是體質因素,也就是腦部頭狀核、眼前額葉的

    部位有病灶,以致對很多訊息的過濾過分仔細,導致訊息塞車無

    法通行。所以很多強迫症患者,會不斷地重複檢查,無法快速完

    成工作。

    另外在心理學上跟人格特質與焦慮特質有關係

    3. treatment

    4. prognosis/outcome curable? treatment? terminal

    如果持續治療有70-80%的強迫症病人,對藥物有反應,症狀獲

    得輕至中度的改善。 對於強迫症有效的抗憂鬱藥物有五種:

    clomipramine 100-240 mg/day, fluoxetine 40-80 mg/day, sertraline

    100-200 mg/day, fluvoxamine 100-300 mg/day, 與 paroxetine 40-60

    mg/day。慢慢加藥到足量,持續用8-12週,再決定是否繼續使

    用。得到療效的病人常急切地想停藥,但是 Bushong醫師認為持

    續治療6個月至一年是必須的。證據顯示太早停藥會更快復發。

    心理治療通常對治療有幫助,強迫症病人假如症狀改善在心理治

    療當中表現會更好。 其實最有用的方式還是抗憂鬱藥物加上認知

    行為治療療效最好,

    大約可以改善八成左右的症狀。新一代抗憂鬱劑的藥理作用在於

    血清素再吸收的阻斷,以致讓神經細胞間隙的血清素濃度增加

    。利用高濃度的血清素,來調和頭狀核與眼前額葉的病灶,讓強

    迫症狀減輕。

    認知行為治療應該也是目前對OCD有幫助的治療方式

    參考網路資料與DSM-IV

    我覺得去查一下DSM-IV跟paper應該會更好

    希望對你有幫助

    2007-01-24 15:25:30 補充:

    =.=''

    要不要先查一下書勒??有沒有大本的DSM-IV啊??

    網路問人是很好啦, 不過我是覺得學習還是要自己來比較好

    不然以後個案在你眼前了,告訴你困擾症狀了, 你卻無法對他的問題做formulation.....

    2007-01-24 15:26:40 補充:

    不然你先自己試看看,mail給我,我再給你我的意見??

    用中文或英文都ok

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