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1
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2
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• ?. ????? ???? ?? ??????
• ?. ????? ?????? ???????????/??????????
• ?. ?????? ??????????? ??????
• ?????? ??????????? ??????????

3
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• ???? ?????? ?????, ??????????, ??????????-?????
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4
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• ????? ??????????? ????????????

5
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  ?????? ????? ??????? ???? ??? ??????.

6
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• ????????? ?????? ?????? "?????" ????? ?????
  ????? ????? ?????? ????? ???? ????? ????? ?? ????
  ?????? ???? ???.
• ???????? ??? ???? ???? ???? (???????), ????????
  ?? ?????? ???? ??????

7
????? ??????- ???? ????

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  ????. ??? ???? ????? ???? ???? ?' ??? ?? ??? ?'.
  
• ????? ????? ???????? ?????????? ?? ???? ??? ?'
  ????? ?????? ?????? ?? ????

8
????? ???????????

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• ???? ??????????? ???? ?????? ???????????,
  ????????????????, ??????? ????????????
• ????? ???????????? ????? ??????? ??????? ????
  ?????????? ??????, ??????, ?????? ?????

9
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• ?????? ???????????/?????????? ???? ????? ??????
  ?? ????? ????? ???? ?? ?????? ??????? ???? ??????
  ?????? ????. ?? ?? ???? ????? ???? ???? ??????
  ????? ????? ????.
• ?????? ????????????? ????? ?? ??

10
???? ???? 1

• ?????? ??? ?'- ??? ??????????
• MS / Conversion

11
????? ???? ??????

• ???? ?? 23, ????? ??? ?????? ?? ?????, ?????
  ??"?, ????? ?????? ????? ???? ???? ???? ?? ???
  ???? ??????.
• ??? ????? ??????? ?? ????? ?????? ???? ??? ?????.
  ????? ???????? ?????? ???? ???.

12
???? ?????????
13
????? ?????? ??????
??? ????? ?????? ????? ????? ????? 10
????? ?????????? ????? ????????? Factitious disorder Malingering Somatic delusions. . . ?? ???? ?? ?????? (????? ??????, ?????? ????) ????? ???? ??????? ??? ????????? ?????????
14
????? ????????
???? ????? ??? ????? ?"? ????? ????? 10
???? ????? ???????? ???? ?????? ?? ??? ???? ?? ??????? ???????
???? ????? ???????? ???? ?????? ?? ??? ???? ?? ??????? ???????
???? ????? ???????? ???? ?????? ?? ??? ???? ?? ??????? ???? ?????
???? ????? ???????? ???? ?????? ?? ??? ???? ?? ??????? ???? BZ
???? ????? ???????? ???? ?????? ?? ??? ???? ?? ??????? ???? ?????? ?????? ????? ???? ?????? ???? ??????? ??????????? ??? ???? ????, ?????? ??? ????? ??????????? ?????? ????? ??? ?????? ????. ??? ???? ?????? ????????????
???? ????? ???????? ???? ?????? ?? ??? ???? ?? ??????? ???? ?????? ?????? ????? ???? ?????? ???? ??????? ??????????? ??? ???? ????, ?????? ??? ????? ??????????? ?????? ????? ??? ?????? ????. ??? ???? ?????? ????????????
???? ????? ???????? ???? ?????? ?? ??? ???? ?? ??????? ???? ?????? ?????? ????? ???? ?????? ???? ??????? ??????????? ??? ???? ????, ?????? ??? ????? ??????????? ?????? ????? ??? ?????? ????. ??? ???? ?????? ????????????
???? ????? ???????? ???? ?????? ?? ??? ???? ?? ??????? ???? ?????? ?????? ????? ???? ?????? ???? ??????? ??????????? ??? ???? ????, ?????? ??? ????? ??????????? ?????? ????? ??? ?????? ????. ??? ???? ?????? ????????????
???? ????? ???????? ???? ?????? ?? ??? ???? ?? ??????? ???? ?????? ?????? ????? ???? ?????? ???? ??????? ??????????? ??? ???? ????, ?????? ??? ????? ??????????? ?????? ????? ??? ?????? ????. ??? ???? ?????? ????????????
15
???? ????????
???? ????? ??? ????? ?"? ????? ????? 10
?? ??????? ??????? ?????? ???????????? ?????? ????????????? ?? ????? ????? ????? ?? ??? ?????? ????? ????? ?? ????? ???? ???????. ???? ???????? ??? ?? ???, ???? ????? ?? ??????????
?? ??????? ??????? ?????? ???????????? ???????? ????? ?? ????? ????? ????? ?? ??? ?????? ????? ????? ?? ????? ???? ???????. ???? ???????? ??? ?? ???, ???? ????? ?? ??????????
?? ??????? ??????? ?????? ???????????? ?????? ????????? ?? ????? ????? ????? ?? ??? ?????? ????? ????? ?? ????? ???? ???????. ???? ???????? ??? ?? ???, ???? ????? ?? ??????????
16
???? ?????
???? ????? ??? ????? ?"? ????? ????? 10
?? ???????? ??????? ??????? ???????????? ????? ????? ???? ?????? ?????? (??????, ??????, seizures) ?? ??????
17
???? ?????????
???? ????? ??? ????? ?"? ????? ????? 10
?? ???? ????? ?????? ??????? ???? ?????????, ?????? ?? 90-100 ????????? ??????? ???????? ??? ??? ??? ???
?? ?????? ??????? ???????? ???? ?????? ??????????? ????? ????? ???? ???? ????? ????? ??? ????? (???????? ??????? ??????? ?????) ??? ???? ????
18
???? ??????
???? ????? ??? ????? ?"? ????? ????? 20
?? ???? ???? ?? ????? ?????? ??????? ???????? ????? ????? ?? ????? ??????? ??????? ????????? ??????? ?? ??? ?????????. ?? ???? ??? ?? ??????? ?? ???? ??????? ????? ?????? ?????? ?????? ???????????.
?? ?????? ?????? ????????? ????? ??, ??? ??????? ??? ????
??? ???? ????? ?? ???????? ???? ????? ????? ??? ????? ???? ????? ??????? (??????? ?? ?????????)
19
???? ?????????
20
1. ????? ???????
??? ????? ?????? ????? ????? ????? ????? ?"? ?????
?? ?????? ?????? ???????? ????? ?????, ????? ?-MS
???? ?????? ??????, ???? ?????? ??????? ?????? ????? ???? ????? ??????? ??????, ????? MS?
????? ?????? ?????? ?????? ?-MS- ???? ?????? ???? ???? ????????
??? ??? ???? ?????? ??????? ????, ???? ????? ???? ???? ?? ??? ?? ?? ?? ???? ?? ??????? ??????? ??????? (??????? ???, ????? ??????)
??? ??? ???? ?????? ????????? ??
??? ??? ???? ?????? ?????? ???? ?????? ?????? ?? ?????? ????? ??? ?-MS
????? ?????, ??????? ???'?
21
2. ????? ??????????
??? ????? ?????? ????? ????? ????? ?????? ?"? ????? ????? 15
?? ???? ???? ????? ????? MS?
????? ?????????? ??????? ?????? ??????? ????? ????-??????? ???'
????? ?????????? ???????
????? ????????????????? ?????? ???? ????? ?????-??? ?? ???? ?????? ?????? ??? ????? ?????-??? ???? ?????? ?????? ?????? ?????????????????? ????? ?-MS
????? ?????? ????? ??? ????? ?????? ?????? ?????? ??????? (????? ?????- ??????) ?? ????? ???? ???? ?????? ??, ???? ????? ?????? ?? ???? ????? ?????? ?? MS ?????? ??????
22
3. ?????? ?????
???? ????? ????? ????? ????? 15
???? ????? ??????? ??????? ??????? ????????????, ?? ?????? ?????? ???????? ????? ????? ???? CT (?????? ???? ???? ???? ????? ?? ????????)
??? ?????? ??? ???????? ?????? MRI EMG LP ???? ?????? ?????? ?? ??????? ????????? ?-MS ??? ??? ????????
23
4. ???? ????????? (?????-??????????)
???? ????? ????? ????? ????? 10
????? ?? ??????? ??????????? ?-MS. ?? ????? ???? ??? ???? ??? ???? ?? ????? (?????????/?????), ???? ???? ???? ???? ????????, ?????????, ????? ???'.
24
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1
1
1
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2
2
2
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3
3
3
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4
4
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4
5
MRI
???? ??????
????? ??????
????? ??????
4
???? ??????
????? ??????
6
EMG
????? ?????
25
???? ???? ?????? ????? ????

• ?????? ????? ???? ?? ?????????? ?? ?????? ???
  ????? ?? ?????? ???????????, ????? ???? ?????? ??
  face validity
• ??? ??????? ?????? ???? ?? ????????? ???????
  ?????? ??? ????
• ?????? ????? ????? ???? ??????? ?????
• ?????? ????? ????? ???? ????? ????? ??????
  ?????? ?????? ??? ??????? ???????? ???? ???????
  ??????

26
????? ???????

• ?????? ?????? ?????? ?? ????? ??????? ?? ??? ??
  ????? ??????????? ??????? ?? ???????? ???????? ??
  ?????????.
• ???? ??????? ???? ???? ?????? ??? ?? ???? ???????
  ?? ??? ?????? ???? ?????????? ??? ???????

27
?? ?????? ??????? ?? ???? ???????????

• ?????? ???? ??????? ?????? ???? ?????, ?????? ??
  ???? ?????? ?? ???? ???? ???? ???????
• ?????? ???? ????-????? ????? ????? ??????
• ?????? ??? ???? ?????? ?????? ??? ?? ???????
  ????? ?? ?????

28
???? ?????? ???? ?????????? ????? ??? ????????

• "????? ?? ??????? ?? ??????"
• ?????? ????? ??????????? ??? ??? ?????? ????-???
  ?? ????? ????? ??????????? "?????", "????",
  ????????, "????? ??" ??? ???? ?? ???????
• Teaching residents to theorize, post hoc, is
  truly perverting and must be stopped (Arik Shalev)

29
????? ???????

• ??? ???????? ??????? ??????????? ?? ??? ???????
  ?? ?????? ???????????. ???? ?????? ?? ????
  ????-????? ?? ??????? ??????

30
????? ???????

• ???? ????? ?????? ?????? ???????? ??????????? ??
  ????? ??????? ?????? ??????????? ?????????.

31
????? ??????? ???? ????? ??????????II

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  ????? ???????? ???? ????? ???? ??? ??????? ??????
  ?????? ?? ????? ??????

32
????? ??????? ???? ????? ?????? ? ??????????III

• ?? ????? ????? ????? ???? ?? ????? ?? ??????????
  ????? ?????? ??????, ?????? ??????? ?? ???????
  ????????? ?? ??????. ??? ?? ?? ?????? ?? ?? ?
  verbatim ????? ?? ??"? ??????

33
????? ??????? ???? ????? ?????

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  ????? ????????? ???? ?? ????? ?? ??????? ?????
  ?????? ?? ??????? ???????? ????? ??????

34
????? ????? ?????? ??????????? II

• ???? ???? ??? ?? ????? ????? ?????? ???? ????
  (???? ????? ??????) ???? ?????? ?? ???
• ????? ?? ???? ?????? ?? ??? ?? ?? ?????????? ????
  ????? ?? ?????? ??????

35
?????? ?? ????? ?????????-????????

• ???? ????? ?????? ???????? ?????? ?????? ????
  ?????? ?????. ???? ???????? ?????? ???????
  ??????? ???

36
?????? ?? ????? ?????????-????????

• ????, ?? 28, ?????? ??????, ???? ??????
  ?????????? ???????? ???? ??? ????. ????? ????
  ??? ???? ???? ?????? ????? ?? ???? ??????? ??????

37
???? ?????????
??? ???????? ????? ??????? ???? ?????????
??? ????? ????? ??????? ??? ?? ?? ?????. ??? ???? ????? ????. ????? 7 ????? ??????, ????? ??? ?? ?????? ??????
??? ????? ???? 1400 ???? ?????? ??????? ???"? ??? ??? ??? ????? ???? ?? ???? ????, ??? ?? ???? ?? ????? ?? ?????? ?? ?????? ?? ?????
??? ????? ??? ?? ?? ?????? ?????? ??, ?????, ??? ?????, ???? ?????
38
????? ????-???? I
????? ?????
??? ?? ???? ??????? ?????? ?????? ?????? ?/?? ?????? ?????? ?????? ??????????? ?????? ???? ???? ??? ????? ??????????
???? ????? ??????? ???? ?? ???? ??????? ???? ????? ???? ????? ?? ??????? ?? ??? ?? ?? ??????? ?? ????? ?? ???. ?? ?????? ?? ??? ??????, ?????? ?? ????? ?????? ???? ??? ???? ??????

39
???? ???? ????
???? ????
??? ??????? ???????? ????? ?? ??? ??? ?? ??? ????? ?????? ??? ???? ????? ?????? ?????? ????? (??????? ?? ??????? ????? ??? ????? ??? ??? ?????????? ?? ???? ??????) ?? ?????? ??????????? (??? ????? ????????? ? GAD ?? ?????? ?????/??? ???????? ? OCD ???????? ?????? ??????? ??????? ????????? (?????? ? GAD) ???? ???????? ????? ??????? (???????? ???? ? PTSD)
40
???? ??????
????? ?????? ????? ????
??????????/?????????? (???? ?????? ???) ??????????
??????????(???? ???? ???) ????? ????
????? ?????
?????????? ??????????/?????????? (???? ?????? ???)
????? ???? ?????????? (???? ???? ???)
41
???? ?? ??????