《儿童期疾患》课件.pptVIP

Copyright 2005 John Wiley Sons, NY PowerPoint ? Lecture Notes Presentation Disorders of Childhood兒童期疾患 Abnormal Psychology, Tenth Editionby  Ann M. Kring, Gerald C. Davison, John M. Neale,  Sheri L. Johnson  Classification and Diagnosis of Childhood Disorders兒童期疾患的分類和診斷 Developmental psychopathology 發展的心理病理學 Studies disorders of childhood within the context of normal child development 在正常兒童發展的背景脈絡下研究兒童期的疾患 Externalizing disorders 外化性疾患 Characterized by outward behaviors 以外化性的行為為其特性 Noncompliance, aggressiveness, overactivity, impulsiveness 不服從,攻擊,過動,衝動 More common in boys 在男孩較普遍 Internalizing disorders 內化性疾患 Characterized by inward behaviors 以向化的行為為其特性 Depression, anxiety, social withdrawal 憂鬱,焦慮,社會退縮 More common in girls 在女孩較普遍 Table 14.1 Chapters Where Disorders are Discussed That Occur in Both Children and Adults 在兒童和成人身上皆會發生的疾患章節 Attention Deficit/Hyperactivity Disorder注意力不足/過動疾患 Excessive levels of activity 過多的活動 Fidgeting, squirming, running around when inappropriate, incessant talking 不安,扭動,不恰當的走動,不停的說話 Distractability and difficulty concentrating 分心和有困難集中 Makes careless mistakes, can’t follow instructions, forgetful 粗心犯錯,不能聽從指令,健忘 Must be severe and persistent 必須嚴重且持續 Present for at least 6 months and cause impairments in functioning 持續至少六個月並產生功能的受損 Attention Deficit/Hyperactivity Disorder注意力不足/過動疾患 Three subcategories in DSM-IV-TR 在DSM-IV-TR中可分為三個亞型： Predominantly inattentive type 主要為不注意型 Predominantly hyperactive-impulsive type 主要為過動-易衝動型 Combined type 複合型 Differential diagnosis 鑑別診斷 ADHD or Conduct Disorder? 注意力不足過動疾患或品性疾患？ ADHD注意力不足過動疾患 More off-task behavior, cognitive achievement deficits 較多無法達成工作的行為,認知和成就上缺陷 Conduct Disorder 品行疾患 More aggressive, act out in most settings, antisocial parents, family hostility 較多攻擊性, 常出現動作外化行為,反社會性父母,家人敵意 Attention Deficit/Hyperactivity Disorder注意力不足/過動