ego boundary

1
???????????????????????????

• ??. ????? ?????????

2
??????????

• ?????
• ?????????????????????????????????????
  ?????????????????????????????????????????????????
• ??????????????????????????????????????????????????
  ??????????????????????????????

3
??????????(???)

• ?????(???)
• ????????????????????????????????????
• ??????????????????????????????????????????????????
  
• ??????? ego boundary ?????????????????????????????
  ??????????????????????

4
??????????????

• ????????????????????????
• ??????????????????????????????
• ???????????????????????????????

5
Psychotic disorders

• ??? DSM-IV
• Schizophrenia and other psychotic disorders
• ??? ICD-10
• Schizophrenia,schizotypal and delusional disorders

6
Schizophrenia and other psychotic disorders

• Schizophrenia
• Schizophreniform
• Schizoaffective
• Delusional disorder
• Brief psychotic disorder
• Shared psychotic disorder
• Psychotic disorder due to ..
• Psychotic disorder NOS

7
Schizophrenia,schizotypal and delusional disorders

• Schizophrenia
• Schizotypal disorders
• Persistent delusional disorders
• Acute and transient psychotic disorders
• Induced delusional disorders
• Schizoaffective disorders
• Other nonpsychotic disorders
• Unspecified nonorganic psychosis

8
Schizophrenia(DSM-IV)

• ?????????????? 2 ?????????????? 1 ?????
• ???????????
• ???????????????(???????? ???????????
  ?????????????????????)
• Disorganized speech
• Grossly disorganized ???? catatonic behavior
• ???????????
• ?????????????1 ???? 2 ????????????????????????????
  ???

9
Schizophrenia(DSM-IV)(???)

• 2. ??????????????????????????? social/occupational
  function ????????
• 3. ??????????????????? 6 ???????????
  ????????????????? active ???????? 1?????????
  1?????

10
????????

• Catatonic type
• Disorganized type
• Paranoid type
• Undifferentiated type
• Residual type

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

• ??????????? ?????????????????????????
  ??????????????????? ??????????????????????????????
  ???? ?????????????????????????????????????????????
  ????????? ???????????????
• ??????????????? ??????????????? ??????
  ????????????????????? ???????????? ?????
• Disorganized speech ??????????????????
  ??????????????????????????

12
???????????????(???)

• Disorganized behavior ????????????????? ?????
  ???????????????????? ???????????????????????????
• ?????????? ???????????????????????????????????????
  ? ??????
• Alogia ??????? ?????????????
• Flat affect ???????????????????????
  ??????????????
• Avolition ??????????????????? ????????
• Asociality ???????????????????

13
?????????????

• ?????????????? 1.0- 1.5
• ??????????????????????? ??????????????????????????
  ????????????
• ??????????? 15-54 ?? ?????????????????????????????
  ??????????????????

14
??????????????????????

• ????????? ????????????????????????????????????????
  ???????????
• ????????????? 1.0
• ????????????????? 8.0
• ???????????????????? 12.0
• ???????????? 12.0
• ????????????? 40.0
• ????????? 47.0

15
??????????????????????(???)

• ???????????????????
• Dopamine hypothesis
• Serotonin dopamine hypothesis
• ??????????????? ??????? ventricle
  ???????????????????
• ???????????????? ????? cerebral blood flow ???
  glucose metabolism ?? frontal lobe ????

16
???????????????????????

• ??????????????? high E-E ( highly emotional
  expression)
• ???????????????????
• Stress-diathesis model

17
????????????

• ??????????????
• ?????????????????????????? ???????????????????????
  ????????????????? ????????????? ???????????????
• ???????????????
• ???????????????????????? 1.
• ?????????????????
• ??????????????????????????? ??????????????????????
  ??

18
????????

• ????????????????
• ??????????????
• ?????????????????
• ????????????????????
• ????????
• ???????????????????????????????
• ??????????
• ????????????

19
Delusional disorder

• ????????????????????
• ????????????????????????(systematized delusion)
  ?????????????????????????????????????????
  ??????????????????????????????????????
  ?????????????????????????????????(bizarre
  delusion)

20
????????????????????????

• ??????????????????????????????(???????????????????
  ?????) ???????????????? 1 ?????
  ?????????????????????????????????????
• ????????????????????

21
????????

• Erotomanic type
• Grandiose type
• Jealous type
• Persecutory type
• Somatic type
• Mixed type

22
????????????

• ?????????????? 50
• ??????????????????????? 20
• ????????????????????

23
????????

• ????????????????????
• ????????
• ????????

24
Brief psychotic disorder

• ???????????????
• ??????????????????? ??????? ???????????? ??????
• ????????????????
• ????????????????????????????????

25
?????????????

• ????????????????????????????? 1???????????
• ???????????
• ???????????????
• Disorganized speech
• ??????????????????? catatonic
• ????????????? 1 ??? ?????????? 1?????

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

• ??????????????????????? 1-2 ???
  ???????????????????????????????????????????? 1
  ?????????? ???????????????????

27
????????

• ????????????????????
• ????????
• ????????

28
Schizophreniform disorder

• ???????????????
• ?????????????????
• ???????????
• ???????????????????????????????
  ????????????????? 1 ???????????????? 6 ?????

29
Schizophreniform disorder

• ????????????
• ?????????????? 6 ????? ???????????????????????
  ???????????????????? ????????????????????
• ????????
• ???????????????????????
• ??????????????
• ????????

30
Schizoaffective disorder

• ???????????????
• ??????????????????????????????????????????????????
  ??????? ??????????????????????????????????????????
  ??????????????????????????

31
?????????????

• ???????????????????????????????????? major
  depressive episode,manic episode ???? mixed
  episode ?????????????????????????
• ?????????????????????????????????????????????2
  ?????????????????????????????????
• ?????????? mood disorder ?????????????????????????
  ?????????????

32
Schizoaffective disorder

• ????????????
• ?????????????????????????????????
  ???????????????????????
• ????????
• ???????????????????????
• ??????????????
• ????????