Doaa Elgana مشرف Supervisor
الابراج :
عدد المساهمات : 1159 تاريخ الميلاد : 30/04/1986 العمر : 38 نقاط : 1824 تاريخ التسجيل : 19/06/2009
بطاقة الشخصية تربوي:
| موضوع: الفرق بين المرض النفسى والعرض النفسى الثلاثاء أبريل 13, 2010 10:45 am | |
| [ندعوك للتسجيل في المنتدى أو التعريف بنفسك لمعاينة هذه الصورة] الفرق بين المرض النفسي والعرض النفسي يخلط الكثير من الاشخاص بين المرض النفسي والعرض النفسي وعندما يشاهدون شخصا مريضا نفسيا لديه اعرض واضحة لمرضه فيقومون بمقارنة بما لدى هذا المريض ما يشعرون به وربما هناك بعض الحالات تكون لديهم مشابه للحالات التي اصيب بها المريض النفسي او انهم يقومون بالقراءة في بعض الكتب النفسية والتي تهتم بتصنيف الامراض النفسية (والذي من المفترض عدم قراءتها لغير المتخصصين )وعندما يقرأ فيه عن مرض معين يشعر بانه مصاب بهذا المرض لقرب الاعراض منه ويسبب له ذلك احباط واحيانا يركز على الاعراض حتى يصبح مريضا بهذا المرض رغم انه كان صحيحا معافا كما انني ارى البعض يقوم بطرح مواضيع عن تصنيف الامراض النفسية في كثير من المنتديات وكأن الموضوع موضوع ثقافي ولا يعلم انه قد يؤدي الى تدهور حياة بعض الاخرين بدون قصد ولخطورة الامر احببت ان اوضح الفرق بين المرض النفسي والعرض النفسي لوقاية الكثير من الاشخاص من الوقوع في شراك المرض النفسي . المرض النفسي : بمعنى بسيط وبعيد عن المصطلحات العلمية هي حالة يصاب بها الشخص وتستمر معه فترات طويلة اذا لم يقم بعلاجها كما انها تنغص عليه حياته ولا يستطيع معها العيش بسعادة مثل حالة الاكتئاب فهي حالة حزن متفاوتة ومستمر ة تنغص علي الشخص حياته وطبعا يختلف هذا الشعور باختلاف المرض ودرجته فمثلا مرض الهوس هو بمعنى بسيط هو نوبات من الضحك او الفرح او البكاء بدون سبب ومتناقض مع الموقف فالشخص الذي يضحك في عزاء او حادث أليم قد يكون مصاب بهذا المرض العرض النفسي: هي حالة عابرة يمر بها الشخص ولا تستمر معه وتكون وقتية ويعود السبب فيه اما لاختلال بسيط في احد مكونات الجهاز العصبي ويستقر بعد ذلك مثال: مررنا في بعض الاحيان بلحظات من الفرح لا ندري ما هو السبب لكنها فترة بسيطة وذهبت وكذلك مررنا بحالات من الحزن او الرغبة في البكاء بدون ما نعرف السبب فهذا لا يدل على اننا مصابين بمرض الهوس او الاكتئاب فالمسألة هنا مسألة وقتية وبعدها نمارس حياتنا بكل سعادة واتزان ونتفاعل مع المواقف بكل توافق واستقرار ولا يمكن لاي شخص ان يشخص نفسه تبعا لما يقرأه او يشاهده وانما يحتاج الى متخصص لذلك حتى الاخصائي النفسي والطبيب النفسي الصادق والمخلص في عمله لا يستطيع تشخيص كثير من الحالات المرضية في اول جلسة يجلسها مع المريض ولكن قد تستمر عدة جلسات للتشخيص فقط قبل العلاج ويستخدم فيها عدة طرق مثل المقاييس النفسية والفحوصات وغيرها مما يساعده في التشخيص الدقيق . لذلك اتمنى من الجميع الشعور بالرضا عن حياتهم ولا يقارنون انفسهم بغيرهم من اخواننا المرضى او يطبقوا شيئا مما ذكرنا على انفسهم ليعشوا الصحة النفسية السليمة ان شاء الله اتمنى ان يكون الموضوع واضح للجميع
عدل سابقا من قبل Doaa Elgana في الثلاثاء أبريل 13, 2010 10:04 pm عدل 1 مرات | |
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د.داليا الغوري عضو فعال
الابراج :
عدد المساهمات : 92 تاريخ الميلاد : 23/12/1978 العمر : 45 نقاط : 59 تاريخ التسجيل : 12/07/2008
| موضوع: رد: الفرق بين المرض النفسى والعرض النفسى الثلاثاء أبريل 13, 2010 11:27 am | |
| [ندعوك للتسجيل في المنتدى أو التعريف بنفسك لمعاينة هذه الصورة] أعجبني تحليلك المقارن أستاذة دعاء ونوضح ما تفضلتم به بلغة مختلفة ولكنها بسيطة وسهلة ولتحميل بصيغة الووورد متاح Psychological Disorders
- Psychological behaviors
run a continuum from very mild to extreme. Everyone has these behaviors to one degree or another. It is not until a behavior or feeling interferes with your quality of life that they become a disorder.
[b]Psychological Order[
- Self-acceptance: understanding
yourself and accepting the good and bad parts of yourself.
- Positive relationships
with others: ability to form good trusting interpersonal relationships.
- Autonomy: self-controlled
and able to resist peer pressure.
[b][b]Psychological Order[/b]
- Environmental masters:
internal locus of control; master of your domain.
- Purpose in life: goals
and sense of direction; not diffused.
- Personal Growth: see yourself
growing and expanding; self knowledge; self actualization.
[b]Psychological Disorders are:[/b]
- Atypical, disturbing, maladaptive,
and unjustifiable behavior.
[b]Psychological Disorders: Causes[/b]
- Are not usually caused
by a single factor. The medical model is probably not correct where you can take a pill to rid yourself of a disorder.
- The bio-psycho-social
school most disorders are caused by a biological predisposition, physiological state, psychological dynamics, and social circumstances.
Defining Disorders
- DSM IV-Diagnostic and
statistical manual vol. 4.: attempts to describe psychological disorders, without explaining the causes, predicts the future course, and suggests treatments.
- Categorizes 230 disorders,
in 17 categories.
Dangers of labeling
- Labeling someone with
a disorder can create self-fulfilling prophesies, where the label creates the behavior. Also, if a professional hears a persons “has” a disorder, they may look back at that person’s history and see things that “caused” those behaviors, which might not be accurate.
Anxiety Disorders
- General anxiety disorder:
Persistent symptoms of an excited sympathetic, nervous system: sweating, heart racing, dizziness, shaky accompanied by persistent negative feelings and fear…not triggered by specific events.
Anxiety Disorders
- Panic disorder: unpredictable,
minutes long intense anxiety attack, as if you're going to be killed any second, but no specific, real threat is apparent.
- Phobias: persistent,
irrational fear of a specific object of situation. Very common. Spiders, snakes, heights, water, enclosed spaces are all very common phobias.
Anxiety Disorders
- Obsessive-Compulsive disorder:
- Obsessions: intrusive
thoughts or fears.
- Compulsions: repetitive
behaviors that sooth the fears
Different perspectives would ascribe different causes:
- Psychoanalytic: repressed
feelings during childhood symbolized by trigger.
- Behavioral: learned
fear, which has been reinforced, or social learning, imitating others who has fear like parents. May be generalized from other learned experiences: one dog to all dogs.
- Biological: predisposed
genetically to be afraid of things that can cause death: snakes, spiders, height, enclosed places, disease.
Post Traumatic Stress disorder
- Caused by prolonged or
intensely stressful situations, like war or rape. Symptoms: difficulty sleeping, nightmares; anxiety attacks or GAD; intrusive memories; Guilt associated with event;
- Some psychologists dismiss
this disorder pointing to those who do not get it after experiencing similar trauma. That probably has more to do with biological predisposition than to lack of evidence that PTSD existence.
Mood Disorders
- Major, clinical depression;
dysthimic depression; bipolar disorder. Mood disorders are the most common psychological disorders: called the common cold of disorders. Depression among the young is on the rise: more diagnosis or more cases?
Major depressive disorder
- Major depressive disorder:
two or more weeks of depressed mood, intense feelings of worthlessness and hopelessness; and diminished interest in things that were once considered pleasurable. People feel like they are in a deep black hole with no way to get out. The hopeless feeling often prevents them from seeing any reason to try to get out. Very dangerous illness.
Symptoms
- Symptoms include: discouraging
feelings about the future; life dissatisfaction; isolation from others; difficulty sleeping or sleeping a lot; inability to concentrate; lethargy; feelings of worthlessness; loss of interest in friends or family activities.
Dysthmic depression
- Dysthmic depression: down
in the dumps mood that lasts from months to years; the feelings aren't as intense, but they last longer. Difficult to detect because of the lack of intensity but takes a large toll on body and psychology systems.
Treatments for depression
- Cognitive therapy is effective,
with antidepressants: trying to change internal sentences. Because depressed people see the world through dark glasses, their thoughts intensify the feelings leading to a downward spiral.
- Medical: now treated with
classes of serotonin reuptake inhibitors. SSRIs. They keep serotonin in the synapse longer, elevating mood.
Treatment for Dythmic depression
- College students with
dysthmic or moderate depression responded far better to aerobics than other treatments.
Bipolar disorder (manic-depression):
- Bipolar disorder (manic-depression):
alternates between hopelessness and lethargy of depression and over-excited manic state.
Bipolar disorder (manic-depression):
- Manic state: typically
over-talkative; overactive; little or no sleep; highly impulsive, loud, flighty, hard to interrupt sexually less-inhibited. Grandiose optimism and self-esteem. May be very irritable.
- People then fall back
to either a normal state, or into a major depressed state
Treatment for Bipolar
- Treatment: In manic state:
high levels of neurotransmitter norepinephrine.
- Treatment: usually with
lithium for the manic state and antidepressants for the depression.
- Treatment is very effective
if patients continue using medication.
Depression Facts
- Facts: Major Depression
usually lasts less than three months; may or may not return; often triggered by stressful events, although not necessarily caused by it (biological predisposition);
- Dysthimic depression lasts
two years or longer.
- Women are twice as likely
to have it than men;
- Depression is a whole
body disorder with biochemical and psychological roots, therefore generally requires both therapy and antidepressant treatment.
Depression facts.
- Those who depressed often
become socially isolated as they withdraw from friends and friends withdraw from them as their “old self” changes. The depressed person is likely to blame themselves with negative “self speak” which exacerbates
Schizophrenia
- A group of severe psychotic
disorders characterized by disorganized thought and delusional thinking disturbed perceptions and inappropriate emotions and actions. Onset often occurs in late adolescence's.
- Delusion-irrational, unjustifiable,
usually paranoid, belief of persecution by an unseen entity.
- Hallucinations: the perception
of non-existent, external stimuli, usually auditory.
Types:
- Paranoid: preoccupations
with delusions and hallucinations.
- Catatonic: immobility
or excessive purposeless movements.
- Disorganized: disorganized
speech or behavior, inappropriate emotions. Word Salads: scrambled or nonsensical speech.
- Undifferentiated;
symptoms, but doesn't fit above models.
Types continued
- Chronic: slowly develops
over time, prognosis bad.
- Acute: reaction to life
stresses, quick onset, good prognosis.
- Schizophrenia thinking
may be seen as an uncontrolled rapid change of selective attention, where the mind rapidly shifts from one thought to another.
Causes
- Psychology: triggering
experiences, genes predispose but some react to traumatic triggers by developing schizophrenia. They vary.
- Biochemical: 6 times the
normal amount of dopamine receptors that increase brain activity to manic levels. Thus dopamine blockers reduce symptoms.
Causes
- It is also thought to
perhaps be triggered or caused by the introduction of a prenatal virus that affects brain development, possibly in the thalamus. People conceived in Winter months are more apt to develop schizophrenia in Northern hemisphere, while the reverse is true in the Southern.
Rule of Thirds
- About 1/3 of people who
develop schizophrenia only have one episode, 1/3 have reoccurring episodes, and 1/3 are chronic with unremitting symptoms.
Causes
- Amphetamines and cocaine
sometimes intensify symptoms. Dopamine is also associated with physical movement, disruption of is associated with schizophrenia.
- Brain anatomy: they have
abnormal brain tissue, low frontal lobe activity.
- Thalamus react smaller
than normal and is reactive that may cause brain over stimulization.
- People exposed to certain
flu viruses during prenatal development have higher incidences.
Genetic factors
- Definite genetic link:
the closer you are genetically to someone with Schizophrenia, the more likely you are to get it.
- 1 in 2 identical twins,
even if raised apart
Dissociate Disorders
- Dissociation is the feeling
that you are outside of yourself, looking at yourself. That you’re mind is separate from body. Person have separated parts of their personality or memory for consciousness.
Dissociative Identity disorder: Multiple Personality Disorder
- This is a disorder wherein
your mind partitions itself into two or more distinct personalities that may or may not know about each other. One “personality” emerges to handle stressful situations that the whole psyche or other parts cannot handle.
- Caused by traumatic event
or events where the mind represses parts of itself that can’t handle the pain. Repressed from a psychoanalytical point of view.
Dissociative Personality Disorder
- Skeptics believe that
people or either lying, are fantasy-prone, or have had this disorder suggested to them by therapists.
- It only seems to occur
in places, like here, where people know about it through books like the Sybil and the Three Faces of Eve.
Dissociative Amnesia
- Selective memory loss
of a specific traumatic event. The amnesia vanishes are abruptly as it begins and rarely reoccurs.
Dissociative Fugue
- This type of dissociation
the person just leaves their home and starts on new life, with no memory of their past life. The memory my reoccur and the person may return home, only to leave again.
Personality Disorders
- Personality consists of
enduring traits or characteristics…so personality disorders are persistent traits or characteristics that are atypical, disturbing, maladaptive and unjustified.
- Prognosis for treatment
for many is not very good.
Personality Disorders
- Antisocial: most common,
person has no conscience. Lacks a sense of wrongdoing, even toward friends or family members.
- Usually emerges before
15
- Person may be aggressive
and/or ruthless. Deceiving or conning others or be aggressive sexually with no remorse. Psycopaths, serial killers, sociopaths.
Personality Disorders
- Histrionic: displays shallow,
attention-getting behaviors, feeling uncomfortable when not the center of attention.
- Acting in an aggressive,
sexual way that makes others uncomfortable.
- Rapid shifting of emotions.
Dressing provocatively to gain attention, speaks in dramatic tones.
Personality Disorders
- Narcissistic: Preoccupied
with themselves and an exaggerated sense of their own importance.
Personality Disorders
- Borderline: unstable sense
of self; rapidly changing affect; will be clingy one minute and then hostile the next; try to pull people close and then do things to drive them away; very manipulative to gain attention; unstable relationships; Very poor prognosis for recovery, so therapists won’t even treat them.
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