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PublisertMarianne Nilssen Endret for 8 år siden
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Moderne forståelse av psykisk lidelse= Dimensjonell forståelse av psykiske lidelser - Kristiansand 030615 Professor Jan Olav Johannessen, Stavanger Universitetssjukehus Norway
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“An air of desolation more calculated to fix than to remove”
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Psyk osis, jfr osteopor osis På norsk: alvorlig forvirringstilstand Følelser overbelaster psykologisk mestringsapparat (forsvar):fortrengning, rasjonalisering, dissosiering etc Ikke hokus-pokus….. Hva er psykose?
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Høre stemmer= hører sine tanker som stemmer Stemmer og andre symptomer har mening Psykisk lidelse er følelser ute av kontroll…
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PF ca 80% Psykose 30-50 % Anorexi høyt Dose-respons Kronisitet høyere load? Uheldige livshendeleser vs Traumebegrepet
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The Trauma of Late Intervention Early intervention group Late intervention group
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Viking-Start 3-2
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Lars Thorgaard (LTH 3-R) Schizofreni er: A separation/attachment disorder Distrust/loss of trust disorder A relation disorder An identity disorder A paroxysmal and relapse disorder A control and loss of control disorder A selfcare-failing disorder
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Mental illness and substance use disorders account for 60% of the non-fatal burden of disease amongst young people aged 15-34 (Public Health Group 2005) 75% of mental health problems occur before the age of 25 (Kessler et al 2005) 14% of young people aged 12-17, and 27% of young people aged 18-24 experience a mental health problem in any 12 month period (Sawyer et al 2000, Andrews et al 1999, ABS 2008)
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11 Young persons with disabledness pension i Norway ?
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12 Harry Stack Sullivan
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Cowntinuity of care…
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Progression through the prodromal period psychosis mania depression psychosis depressionmania Psychosis depressionmania Stage 1a Stage 2+ Stage 1b schizophrenia
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Psychosis Risk Syndrome Bipolar Risk Syndrome Tenacious Depression Syndrome THE GRAND DSM V RAILROAD
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19 …schizophrenic psychosis is one stage in a process of psychological and biological breakdown that has a specific structure and a characteristic unfolding. This structure consists of the sequential appearance of hierarchically ordered, distinguishable, and recognisable psychological states Docherty Am J Psych 1978 Stages of onset of schizophrenia
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20 Stages of decompensation: 0Equilibrium IOverextension IIRestricted consciousness IIIDisinhibition IVPsychotic disorganisation 1. destructuring of the external world 2. destructuring of the self 3. total fragmentation VPsychotic resolution Dockerty, Am J Psych 1978 Stages of onset of schizophrenia
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21 sleeping problems anxiety problems with concentration isolation suspiciousness hearing voices delusions bizarre delusions the ”Domino-effect”
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