dsmivclassificationofmentaldisorders：精神障碍dsm-iv分类

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1、Psychiatricsymptomsanddiagnosis主講者:傅綢妹副教授疾病分類的目的有共同的診斷分類，臨床上才能溝通病人的症狀、預後、治療。在研究工作上才能找到各種群組病人相互比較分析。DiagnosisandClassificationDSM-IV:Diagnosticandstatisticalmanualofmentaldisorder,4thedition.(1994)DSM-IVTR(TextRevision2000)ICD-10:Internationalclassificationofdisea

2、ses10thversion.(1992)ClassificationofMentalIllness精神疾病分類Organicmentaldisorders(Organicbrainsyndrome)器質性腦症候由腦組織功能受損所引起或與之有關的一種疾患。可能表現為定向力障礙、記憶力喪失及學習、理解、計算與實行判斷諸能力的缺損。可到達精神病之地步，亦可不達於此地步，可為輕微、中度或嚴重。單純的醉酒可做為非精神病性器質性腦症候群之一例，而老年期癡呆則已達精神病的地步。Functionaldisorder功能性障礙沒有器官組

3、織構造上的變化或很明顯的原因所導致的障礙.如multiplepersonalitydisorderPsychosis精神病一種嚴重的器質性或功能性的精神疾患，病人的思考、感情反應、記憶、溝通、了解現實及產生適當行為的能力已受到足夠的損害，以致無法面對生活的正常要求，其特徵常為退化的行為、不相稱的情緒、薄弱的衝動抑制力及種種異常的精神內涵如妄想和幻覺。此名詞適用的範圍很廣，可以有不同程度的嚴重性及發病期。DSMIVMultiaxialEvaluationAxisI:ClinicalDisordersandOtherCond

4、itionsThatMaybeaFocusofClinicalAttentionAxisII:PersonalityDisordersandMentalRetardationAxisIII:ICD-9-CMGeneralMedialConditionsAxisIV:PsychosocialandEnvironmentalProblemsAxisV:GlobalAssessmentofFunctioning(GAF)ScaleDSMIVMultiaxialEvaluationAxisI:ClinicalDisordersa

5、ndOtherConditionsThatMaybeaFocusofClinicalAttentionAxisII:PersonalityDisordersandMentalRetardationAxisIandAxisIImakeuptheentireclassificationofmentaldisordersAxisIII:ICD-9-CMGeneralMedialConditionsAxisIIIlistanygeneralmedicalconditioninadditiontothe(relatedorunre

6、lated)mentaldisorderAxisIV:PsychosocialandEnvironmentalProblemsAxisIVisusedtocodetheproblemsthatsignificantlycontributetothecurrentdisorderAxisV:GlobalAssessmentofFunctioning(GAF)ScaleAxisVistojudgepatients’overalllevelsoffunctioningduringapaticulartime(social,oc

7、cupationalandpsychologicalfunctioning)DSM-IVAxisII:PersonalityDisordersandMentalRetardationParanoidpersonalitydisorderSchizoidpersonalitydisorderSchizotypalpersonalitydisorderAntisocialpersonalitydisorderBorderlinepersonalitydisorderHistrionicpersonalitydisorderN

8、arcissisticpersonalitydisorderAvoidantpersonalitydisorderDependentpersonalitydisorderObsessive-compulsivepersonalitydisorderPersonalitydisordernototherwisespec