Zaporizhia State Medical University
Department of Psychiatry, psychotherapy, general and medical psychology,
narcology and sexology
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Psycho discipline: genealogy, scope, style of discourse презентация
Содержание
- 1. Psycho discipline: genealogy, scope, style of discourse
- 2. PSYCHO DISCIPLINE PSYCHIATRY PSYCHOTHERAPY PSYCHOLOGY NARCOLOGY SEXOLOGY
- 3. PSYCHIATRY
- 4. PSYCHIATRY гр.
- 5. MENTAL HEALTH Mental illness (disorder) - a
- 6. STAGES OF DEVELOPMENT Psychiatry Pre scientific PERIOD
- 7. STAGES OF DEVELOPMENT Psychiatry Antiquity MEDICINE The
- 8. STAGES OF DEVELOPMENT Psychiatry Antiquity MEDICINE Hippocrates
- 9. STAGES OF DEVELOPMENT Psychiatry PERIODS OF FORMATION
- 10. Courtyard Hospital Hotel-Dieu now
- 11. Vienna Narrenturm (1784) - one of the
- 12. William Hogarth "Bethlehem Hospital" (Aka - "Bedlam")
- 13. Hospital of St. Mary of Bethlehem now
- 14. Francisco Goya "lunatic asylum"
- 15. Camera Autenrita
- 16. Forced standing on legs
- 17. Strait bed
- 18. Forced position
- 19. Strait-jacket
- 20. STAGES OF DEVELOPMENT Psychiatry PERIODS OF FORMATION
- 21. Tony Robert-Fleury "Removing the chains at the
- 22. STAGES OF DEVELOPMENT Psychiatry PERIODS OF FORMATION
- 23. STAGES OF DEVELOPMENT Psychiatry PERIODS OF FORMATION
- 24. STAGES OF DEVELOPMENT Psychiatry PERIODS OF FORMATION
- 25. МЕТОДЫ АКТИВНОЙ ТЕРАПИИ В ПСИХИАТРИИ
- 26. STAGES OF DEVELOPMENT Psychiatry PERIODS OF FORMATION AND DEVELOPMENT Psychiatry electroconvulsive therapy
- 27. STAGES OF DEVELOPMENT Psychiatry PERIODS OF FORMATION
- 28. STAGES OF DEVELOPMENT Psychiatry PERIODS OF FORMATION
- 29. HISTORY antipsychotics Chlorpromazine Risperidone Haloperidol Clozapine Olanzapine
- 30. STAGES OF DEVELOPMENT Psychiatry PERIODS OF FORMATION
- 31. STAGES OF DEVELOPMENT Psychiatry PERIODS OF FORMATION
- 32. PSYCHOLOGY
- 33. Gr. TERMINOLOGY "Psychology" - the science
- 34. STAGES OF DEVELOPMENT OF HEALTH PSYCHOLOGY I
- 35. STAGES OF DEVELOPMENT OF HEALTH PSYCHOLOGY II
- 36. STAGES OF DEVELOPMENT OF HEALTH PSYCHOLOGY III
- 37. STAGES OF DEVELOPMENT OF HEALTH PSYCHOLOGY IV
- 38. STAGES OF DEVELOPMENT OF HEALTH PSYCHOLOGY V
- 39. STAGES OF DEVELOPMENT OF HEALTH PSYCHOLOGY VI
- 40. STAGES OF DEVELOPMENT OF HEALTH PSYCHOLOGY VII
- 41. STAGES OF DEVELOPMENT OF HEALTH PSYCHOLOGY VIII
- 42. PATHOLOGICAL PSYCHOLOGICAL REGISTER syndromes schizophrenic (in
- 43. PSYCHOTHERAPY
- 44. греч. TERMINOLOGY Psychotherapy - health-oriented discipline
- 45. STAGES OF DEVELOPMENT OF PSYCHOTHERAPY I era
- 46. STAGES OF DEVELOPMENT OF PSYCHOTHERAPY IІ era
- 47. STAGES OF DEVELOPMENT OF PSYCHOTHERAPY IІI era
- 48. Therapy pouring cold or hot water
- 49. Mechanical treatment
- 50. Mechanical treatment
- 51. Strait chair "tranquilizer"
- 52. STAGES OF DEVELOPMENT OF PSYCHOTHERAPY The new
- 53. STAGES OF DEVELOPMENT OF PSYCHOTHERAPY 2 period
- 54. STAGES OF DEVELOPMENT OF PSYCHOTHERAPY 3 period
- 55. STAGES OF DEVELOPMENT OF PSYCHOTHERAPY 4 period
- 56. STAGES OF DEVELOPMENT OF PSYCHOTHERAPY 5 period
- 57. STAGES OF DEVELOPMENT OF PSYCHOTHERAPY 6 period
- 58. BASIC RESEARCH METHODS Clinical and psychopathological CLINICAL
- 59. Prevalence of mental illness Prevalence mental illness
- 60. Prevalence of mental illness
- 61. Mental health services Organizational forms of mental
- 62. Mental health services TYPES dispensary observation ADVISORY WATCH Forsed outpatient HELP Outpatient dynamic observation
- 63. TYPES psychoprophylaxis Tertiary psychoprophylaxis aimed at preventing
- 64. THANK YOU FOR ATTENTION
PSYCHO DISCIPLINE PSYCHIATRY PSYCHOTHERAPY PSYCHOLOGY NARCOLOGY SEXOLOGY
Слайд 1PSYCHO DISCIPLINE: genealogy, scope, style of discourse. Psychiatry, psychotherapy, clinical psychologist:
evolution, definition, subject, tasks and methods of psychiatric, psychological, medical and psychological assistance Mental disorders and their prevalence.
The general principles of prevention
Слайд 4
PSYCHIATRY
гр.
Psychiatry - discipline that studies variations in neuro-psychic
sphere and to develop methods of treatment and prevention.
AV Giljarovsky (1954)
ψυχή
– soul
+
ιατρός
–doctor
=
The science
doctoring of the soul
Psychiatry - treatment of mental illness.
IK Reilly (1808)
(Coined the term "psychiatry")
Слайд 5MENTAL HEALTH
Mental illness (disorder) - a violation of mental functions, which
leads to human maladjustment
Mental health - the mental and emotional well-being in which the individual can make full use of their cognitive and emotional capabilities, function fully in society and fulfill their needs
Слайд 6STAGES OF DEVELOPMENT Psychiatry
Pre scientific PERIOD
Pre-scientific period - primitive theological understanding
of mental disorders
STAGE І
Слайд 7STAGES OF DEVELOPMENT Psychiatry
Antiquity MEDICINE
The era of ancient medicine - the
first steps in the study of mental disorders, and the organization of care to patients
STAGE ІІ
Слайд 8STAGES OF DEVELOPMENT Psychiatry
Antiquity MEDICINE
Hippocrates (460 - 370 BC) - gave
some mythological images properties characteristic of mental disorders described mania, melancholy, epilepsy, identified four basic temperament
Plato (427 - 347 BC) singled out two types of madness - one associated with the impact of the gods, the other - connected with the violation of the rational soul
Aristotle (384 - 322 BC) described the basic emotions, including fear, anxiety, highlighted the concept of super strong emotions - passion
St. Augustine. (354 - 430 BC) first introduced the method of internal psychological observation experiences in his letters from North Africa (introspection)
Plato (427 - 347 BC) singled out two types of madness - one associated with the impact of the gods, the other - connected with the violation of the rational soul
Aristotle (384 - 322 BC) described the basic emotions, including fear, anxiety, highlighted the concept of super strong emotions - passion
St. Augustine. (354 - 430 BC) first introduced the method of internal psychological observation experiences in his letters from North Africa (introspection)
STAGE ІІ
Слайд 9STAGES OF DEVELOPMENT Psychiatry
PERIODS OF FORMATION AND DEVELOPMENT Psychiatry
I period (XVI
- XVII century) - medicalization of madness (preprotodistsiplinarny)
- Conversion of madness in the medical problem
- The first classification (typology F. Platter'a)
- From 15-16 centuries. in Europe are places where forcibly placed mentally ill (Bedlam in London Salpêtrière - Paris, etc.). The main methods of "treatment" - the chain and whip.
- Conversion of madness in the medical problem
- The first classification (typology F. Platter'a)
- From 15-16 centuries. in Europe are places where forcibly placed mentally ill (Bedlam in London Salpêtrière - Paris, etc.). The main methods of "treatment" - the chain and whip.
STAGE ІІІ
"Hotel-Dieu in Paris." Triptych, circa 1500
Слайд 11Vienna Narrenturm (1784) - one of the first buildings designed specifically
for the content of the mentally ill
Слайд 20STAGES OF DEVELOPMENT Psychiatry
PERIODS OF FORMATION AND DEVELOPMENT Psychiatry
II period (XVIII
century)
- Settling certain hospital order
- Develops a detailed taxonomy-classification
- There are a new type of shelter
- Settling certain hospital order
- Develops a detailed taxonomy-classification
- There are a new type of shelter
Refuge of a new type
Слайд 21Tony Robert-Fleury "Removing the chains at the Salpêtrière"
Philippe Pinel removes the
chain with the mentally ill
STAGES OF DEVELOPMENT Psychiatry
PERIODS OF FORMATION AND DEVELOPMENT Psychiatry
III period (XVIII - XIX century)
- A dramatic change of attitude towards the distress of isolation of mental patients - from removing circuits Ph. Pinel'em
(1755 - 1826) to cancel the straitjackets
J. Connoly (1794 - 1866)
Слайд 22STAGES OF DEVELOPMENT Psychiatry
PERIODS OF FORMATION AND DEVELOPMENT Psychiatry
IV period (XIX
century) - animation madness (the first clinically-attributive)
- Obsession "gets" a lot of different forms, subspecies, later formalized in disease entities
- Psychiatry receives textual design appears Periodicals
- Psychiatry begins to "reflecton"
- Obsession "gets" a lot of different forms, subspecies, later formalized in disease entities
- Psychiatry receives textual design appears Periodicals
- Psychiatry begins to "reflecton"
Слайд 23STAGES OF DEVELOPMENT Psychiatry
PERIODS OF FORMATION AND DEVELOPMENT Psychiatry
V period (the
second half of the XIX century, especially since the turn of XIX - XX centuries) - nomothetic (second clinically-attributive)
- Registered and marked almost all modern forms of mental pathology
- Registered and marked almost all modern forms of mental pathology
Слайд 24STAGES OF DEVELOPMENT Psychiatry
PERIODS OF FORMATION AND DEVELOPMENT Psychiatry
VI period (20
- 30-ies of XX century) - an active therapy (the first therapeutically-attributive)
- The use of active psychiatric methods: malyarioterapiya, narcosis sleep, drug seizure, insulin koma, electroconvulsive therapy
- The use of active psychiatric methods: malyarioterapiya, narcosis sleep, drug seizure, insulin koma, electroconvulsive therapy
Malyarioterapiya
Слайд 26STAGES OF DEVELOPMENT Psychiatry
PERIODS OF FORMATION AND DEVELOPMENT Psychiatry
electroconvulsive therapy
Слайд 27STAGES OF DEVELOPMENT Psychiatry
PERIODS OF FORMATION AND DEVELOPMENT Psychiatry
VII period (second-third
of the XX century) - stagnation (second organizational and attributive)
- Displacement of the professional interests towards mental health issues
- Displacement of the professional interests towards mental health issues
Слайд 28STAGES OF DEVELOPMENT Psychiatry
PERIODS OF FORMATION AND DEVELOPMENT Psychiatry
VIII period (the
middle of XX century) - neuroleptic (second therapeutically-attributive)
- Synthesize pharmacological series of psychotropic drugs, mass development of psychopharmacological therapeutic technologies
- Synthesize pharmacological series of psychotropic drugs, mass development of psychopharmacological therapeutic technologies
Слайд 29HISTORY antipsychotics
Chlorpromazine
Risperidone
Haloperidol
Clozapine
Olanzapine
Quetiapine
1960
1970
1980
1990
2000
1950
Fluphenazine
Thioridazine
Jibson MD, Tandon R. J Psychiatr Res 1998;32:215–228;
Lehmann HE, Ban
TA. Can J Psychiatry 1997;42:152–162.
Ziprasidone
Traditional antipsychotics
Atypical
antipsychotics
Слайд 30STAGES OF DEVELOPMENT Psychiatry
PERIODS OF FORMATION AND DEVELOPMENT Psychiatry
IX period (from
the last third of XX) - rehabilitation and re- adaptation (third organizational and attributive)
- Raises questions of rehabilitation, re- adaptation , re-socialization of the mentally ill, the problem of quality of life
- Raises questions of rehabilitation, re- adaptation , re-socialization of the mentally ill, the problem of quality of life
Слайд 31STAGES OF DEVELOPMENT Psychiatry
PERIODS OF FORMATION AND DEVELOPMENT Psychiatry
X period (XX
- XXI century) - dissociative
- Antipsychiatry processes start to have a corrosive effect on psychiatry, which results in rapid degradation of the classical clinical psychiatry, with the installation in its theoretical and diagnostic apparatus elements neopsihoanaliza and psychoanalytically inspired psychiatry-psychology
- Dissociation emerges nomothetic
- Manifest tendencies schematic hyperbole and ideographic approaches and animation descriptive diagnostic features
- Antipsychiatry processes start to have a corrosive effect on psychiatry, which results in rapid degradation of the classical clinical psychiatry, with the installation in its theoretical and diagnostic apparatus elements neopsihoanaliza and psychoanalytically inspired psychiatry-psychology
- Dissociation emerges nomothetic
- Manifest tendencies schematic hyperbole and ideographic approaches and animation descriptive diagnostic features
Слайд 33 Gr.
TERMINOLOGY
"Psychology" - the science of behavior and mental processes.
"Clinical (medical)
psychology" - a section of psychology that studies mental phenomena in terms of their relationship to disease.
"Clinical psychology" - the study of individuals through observation or experiment with the intention to make a change.
"Clinical psychology" - the study of individuals through observation or experiment with the intention to make a change.
ψυχή
– soul
+
λόγος
– knowledge
=
The doctrine of the soul
L. Whitmer (1867 - 1956)
Слайд 34STAGES OF DEVELOPMENT OF HEALTH PSYCHOLOGY
I period - an initial -
some ideas of psychology are brought to the clinic by the research psychiatrist
Слайд 35STAGES OF DEVELOPMENT OF HEALTH PSYCHOLOGY
II period - clinical and hospital
expansion - in clinic widely penetrate the ideas and methods of differential psychology; Experiment separate a and takes the form of standardized tests
Слайд 36STAGES OF DEVELOPMENT OF HEALTH PSYCHOLOGY
III period - clinical adaptation -
psychology is being developed in the clinic space and tends to the conceptual level of assimilation (the ancient idea of becoming almost a psychological view)
Слайд 37STAGES OF DEVELOPMENT OF HEALTH PSYCHOLOGY
IV period – intra clinic segregation
- an expanding tool device, mathematical and as a result, the complexity of processing and interpretation of results require the allocation of a qualified professional; doctor and a psychologist - is no longer the same person
Слайд 38STAGES OF DEVELOPMENT OF HEALTH PSYCHOLOGY
V period - [psycho] Diagnostic -
a clinical examination, the inquiry appears prerogative of medical psychology, acquires the features of the examination, with all its consequences: obligate, peremptory, almost inaccessibility "uninitiated" [psychiatrists]
Слайд 39STAGES OF DEVELOPMENT OF HEALTH PSYCHOLOGY
VI period - psychological counseling -
psychology equalize rights with psychotherapy, begins an invisible war for troops and spheres of influence: a substitute for clinical counseling psychotherapy, and exactly where needed last; psychologist and psychotherapist in the perception of society become indistinguishable
Слайд 40STAGES OF DEVELOPMENT OF HEALTH PSYCHOLOGY
VII period - institutsionalizatsionny - medical
psychology is issued as a separate discipline, it gets a number of disciplinary and identification attributes
Слайд 41STAGES OF DEVELOPMENT OF HEALTH PSYCHOLOGY
VIII period - Extra hospital expansion
- medical psychology competes with mental discipline as a whole; in clinical practice are introduced path psychological Register syndrome to help in the differential diagnosis of diseases
Слайд 42PATHOLOGICAL PSYCHOLOGICAL
REGISTER syndromes
schizophrenic (in the clinic - schizophrenia and schizophreniform
conditions)
affective and endogenous (in the hospital he meets a manic-depressive psychosis and functional affective psychoses of late life)
oligophrenic (corresponding clinic congenital and acquired options for mental defect)
exogenously-organic (at the clinic - exogenously-organic versions of brain damage - cerebral atherosclerosis, the effects of traumatic brain injury, substance abuse, etc.)
endogenously-organic (in the clinic - a true epilepsy, primary degenerative processes in the brain)
personal-abnormal (in the clinic - accented and psychopathic personality and due largely anomalous psychogenic reactions)
psychogenic-psychotic (in the clinic - reactive psychosis)
psychogenic, neurotic (in the clinic - neurosis and neurotic reactions).
affective and endogenous (in the hospital he meets a manic-depressive psychosis and functional affective psychoses of late life)
oligophrenic (corresponding clinic congenital and acquired options for mental defect)
exogenously-organic (at the clinic - exogenously-organic versions of brain damage - cerebral atherosclerosis, the effects of traumatic brain injury, substance abuse, etc.)
endogenously-organic (in the clinic - a true epilepsy, primary degenerative processes in the brain)
personal-abnormal (in the clinic - accented and psychopathic personality and due largely anomalous psychogenic reactions)
psychogenic-psychotic (in the clinic - reactive psychosis)
psychogenic, neurotic (in the clinic - neurosis and neurotic reactions).
Слайд 44 греч.
TERMINOLOGY
Psychotherapy - health-oriented discipline within the competence of which includes
the development and administration of the theory and practice of native clinic, psychotechnical arsenal of the theory of normal) / pathological psyche, personality theory and autodistsiplinarno-identity theory, as well as its own method
ψυχή
– soul
+
θεραπεία
– therapy
=
soul Therapy
Слайд 45STAGES OF DEVELOPMENT OF PSYCHOTHERAPY
I era - the Greco-Roman era -
the subject of psychotherapy - mental treatment; most positions in tune with the modern approaches in psychotherapy clinic - from the enforcement regimes and [differential] mediation to individual and personal approach
Слайд 46STAGES OF DEVELOPMENT OF PSYCHOTHERAPY
IІ era - the era of scholasticism
- welfare of the soul; repentance practice of confession
Слайд 47STAGES OF DEVELOPMENT OF PSYCHOTHERAPY
IІI era - the era of hospital
therapy
1 period - the XVI - first half XVIII centuries - penal-disciplinary therapy (elements of modern behavioral therapy)
2 period - the second half of XVIII - first half XIX centuries - mechano-therapy (elements of modern behavioral therapy)
Слайд 52STAGES OF DEVELOPMENT OF PSYCHOTHERAPY
The new (and most recent) time -
XVIII,
XIX, XX century
1 period - protodistsiplinarnaya psychotherapy - the second half of XVIII - first half XIX centuries - the appearance of the first, more amorphous forms of psychotherapy
Psychotherapy - as a hobby - it's theatrical
Subject psychotherapy - a few conventionally delimited artificially homogenized versions pathology recognized as a single disease entity.
Слайд 53STAGES OF DEVELOPMENT OF PSYCHOTHERAPY
2 period - Methodist purism - the
second half of the XIX century - the emergence of different, the now "classic" methods - hypnosis, suggestion, psychoanalysis and others.
Psychotherapy - already occupied.
The subject of psychotherapy - all the same "disease", but each method receives its definitive interpretation, though fixed at the same conversion contingent symptoms
Слайд 54STAGES OF DEVELOPMENT OF PSYCHOTHERAPY
3 period - the institutionalization of practices
- the first third of the XX century - societal clearance therapy techniques that have become practitioners
Psychotherapy - activities;
its use is ordered
depending on the evidence
Psychotherapy subject receives secondary mediation through concepts of the method (eg, psychoanalysis - complex therapy ")
Слайд 55STAGES OF DEVELOPMENT OF PSYCHOTHERAPY
4 period - doctrinal - the second
third of the XX century - drawing ideologically loaded, confronts psychotherapeutic doctrines
Psychotherapy - ex cathedra - subject teaching profession; its use is ordered
depending on the evidence
Subject psychotherapy - all sanogennykh effects that are mediated through the mind
Слайд 56STAGES OF DEVELOPMENT OF PSYCHOTHERAPY
5 period - dissolyutivny - the last
third of the XX century - the emergence of numerous methods of psychotherapy «new wave»
Psychotherapy - is a specialty
The subject of psychotherapy - omnia et nihil, - treatment mediated through the mental sphere
Слайд 57STAGES OF DEVELOPMENT OF PSYCHOTHERAPY
6 period - autodistsiplinarno-identification - currently -building
intradistsiplinarnoy model (concept) psychotherapy; the appearance of "neo-classical" methods (simultaneous mnesticheskimi psychotherapy or psihometodologiya
Psychotherapy - is a discipline
Psychotherapy Item - patho-nosological forms
Слайд 58BASIC RESEARCH METHODS
Clinical and psychopathological
CLINICAL AND PATHOPSYCHOLOGICAL
CLINICAL AND PSYCHO PHENOMENOLOGICAL
LABORATORY
INSTRUMENTAL
(CT, MRI,
EEG, Echo-EG, REG, PET)
Слайд 59Prevalence of mental illness
Prevalence
mental illness is about 3% of patients with
psychotic disorders and forms 10% -15% of patients with borderline disorders.
During the XX century significantly increased lifetime incidence of mental disorders significantly decreased age of onset of mental and behavioral disorders
During the XX century the average annual average prevalence of mental and behavioral disorders in the world increased by 10 times, including:
Psychosis - an increase of 3.8 times.
Borderline disorder - growth 21.4 times (including neuroses and other neurotic disorders - growth 61.7 times).
Alcoholism - an increase in 58.2 times.
Oligophrenia - growth 30 times.
Слайд 61Mental health services
Organizational forms of mental health care
hospitals
mental hospital
day hospital
asylum
psycho-neurological boarding
Departments
and offices at the outpatient clinic
Rehabilitation Department
POLYCLINICS
Слайд 62Mental health services
TYPES dispensary observation
ADVISORY WATCH
Forsed outpatient HELP
Outpatient dynamic observation
Слайд 63TYPES psychoprophylaxis
Tertiary psychoprophylaxis aimed at preventing disability. In this work, the
physician uses clinical examination of all possibilities, the connection of social workers to carry out the entire range of possible rehabilitation. Its effectiveness is determined by the measure of disability due to mental illness.
Secondary psychoprophylaxis - early detection and treatment of disease, clinical examination of patients for the prevention of recurrence or exacerbation of mental disorders. Its effectiveness is determined by the index of morbidity of the population.
Primary psychoprophylaxis (mental hygiene) aimed at the prevention of mental illness in healthy individuals contingent on the etiology of the disease. The effectiveness of primary psychoprophylaxis estimated incidence rate.
