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lessen Geestelijke gezondheidszorg 2

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  • January 7, 2022
  • 79
  • 2021/2022
  • Class notes
  • Alex lambrichts
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GGZ 2



SAMENVATTING GGZ 2
EXAMEN

1. Symptomatologie: pathologie staat geschreven!! Dus je wet ook al direct de outcome
symptomen herkennen,  hulpvraag , of waar wil je meer info over
stemming: verschil kunnen maken
eetstoornissen: verschil kunnen maken tussen de soorten
2. Therapeutisch systeem/kader: waar dat onze behandeling is, belangrijk elke pathologie weten wat hoofdbenadering
zijn vb schematherapie of dialectische hoort bij
bij elke pathologie hebben we 2 invalshoeken gedaan behavle schirzoferenie/ korsakov
3. Doelstellingen: 3 korte termijn, je begint met outcome (en je begrijpt waarom de outcome)
vb omdat het de hoogste trap is van appolooon
4. Activiteit bij elke KTD
5. Therapeutische relatie


Inhoud
HERSTELVISIE........................................................................................................................................................................... 7

PERSOONLIJKE BETEKENIS GEVEN............................................................................................................................................ 8

DOEL....................................................................................................................................................................................... 8

TAAL:....................................................................................................................................................................................... 8

ZELFDODING............................................................................................................................................................................ 9

EUTHANASIE -> ZELFDODING IS GEEN EXAMENLEERSTOF!!...................................................................................................... 9

MOEILIJKHEDEN IDENTITEIT:.................................................................................................................................................. 10

IDENTITEITSCIRKEL................................................................................................................................................................. 10

HANDELINGSIDENTITEIT ONTWIKKELEN................................................................................................................................. 11

MOMENTARY........................................................................................................................................................................ 12

ASSESSMENT......................................................................................................................................................................... 12

TIJDSCONTINGENTE............................................................................................................................................................... 12

GEBEURTENISCONTINGENTE.................................................................................................................................................. 12

TIPS............................................................................................................................................................................................... 12

VOORDELEN EMA’S............................................................................................................................................................... 12

NADELEN EMA’S.................................................................................................................................................................... 13

HERSTELVERSIE...................................................................................................................................................................... 13

PERSOONLIJK HERSTEL........................................................................................................................................................................14

VERGELIJKING MET EEN AUTO............................................................................................................................................... 15

TRANSLATIEPSYCHIATRIE: AANBEVELINGEN (VRAAG VOOR EXAMEN!!).................................................................................15

OUTCOME: (VOOR KORSAKOV EN SCHIZOFRENIE................................................................................................................... 16

WAT...................................................................................................................................................................................... 16

GEHEUGENPROBLEMEN......................................................................................................................................................... 16

NAUWELIJKS GESTOORD GEHEUGEN:.................................................................................................................................................... 16

AMNESIE: 2 BELANGRIJKE BEGRIPPEN................................................................................................................................... 17
1

,GGZ 2


DESORIËNTATIE..................................................................................................................................................................... 17

INTACTE GEHEUGENFUNCTIES............................................................................................................................................... 17

PROCEDUREEL GEHEUGEN...................................................................................................................................................................17

THERAPEUTISCHE RELATIE..................................................................................................................................................... 17

Richtlijn 1:...................................................................................................................................................................................18
Richtlijn 2:...................................................................................................................................................................................18
Richtlijn 3:...................................................................................................................................................................................18
Richtlijn 4:...................................................................................................................................................................................18
Richtlijn 5:...................................................................................................................................................................................18

ACTIVITEITEN DAT JE KAN DOEN: (DIT WAS EEN VRAAG VAN EEN LEERLING)..........................................................................19

WAT...................................................................................................................................................................................... 19

VERSTORING.......................................................................................................................................................................... 19

MISVERSTANDEN.................................................................................................................................................................. 20

KLINISCH EN PERSOONLIJK HERSTEL....................................................................................................................................... 20

SYMPTOMEN......................................................................................................................................................................... 20

THERAPEUTISCHE RELATIE..................................................................................................................................................... 20

WAT...................................................................................................................................................................................... 21

SYSTEMEN............................................................................................................................................................................. 21

EXECUTIEF SYSTEEM.......................................................................................................................................................................... 21
ADAPTIEF SYSTEEM........................................................................................................................................................................... 21
DEFENSIEF SYSTEEM / VERDEDIGEND SYSTEEM........................................................................................................................................22

AFSPRAKEN........................................................................................................................................................................... 22

SYNDROOM V KORSAKOV...................................................................................................................................................................22
SCHIZOFRENE STOORNIS.....................................................................................................................................................................23

6 TRAPPEN (KENNEN!)........................................................................................................................................................... 23

CONTACT........................................................................................................................................................................................ 23

PSYCHOSPECTRUMSTOORNIS (PSS)........................................................................................................................................ 24

WATIS EEN PSYCHOSE........................................................................................................................................................................ 24
VOORKOMEN................................................................................................................................................................................... 24
SIGNALEN........................................................................................................................................................................................ 24

SYPMTOMEN......................................................................................................................................................................... 24

positieve symptomen..................................................................................................................................................................25
negatieve symptomen................................................................................................................................................................25
VERSTOORDE WAARNEMING............................................................................................................................................................... 25
VERSTOORD DENKEN......................................................................................................................................................................... 25

PSYCHOSE ALS EVOLUTIONAIR ADAPTIEF MECHANISME........................................................................................................ 25

BESLUITEN VAN DE AUTEURS................................................................................................................................................. 25

HOOP.................................................................................................................................................................................... 26

SOCIALE INFORMATIEVERWERKING....................................................................................................................................... 26

4 BELANGRIJKE POSITIES DIE JE MOET KENNEN...................................................................................................................... 26

ZELFREFLECTIE.................................................................................................................................................................................. 26

2

,GGZ 2


BEGRIJPEN WAT IN DE ANDER OMGAAT.................................................................................................................................................27
DECENTRATIE................................................................................................................................................................................... 27
METACOGNITIEVE COPING.................................................................................................................................................................. 27

ZINNNIG VOLGENS MENEER:.................................................................................................................................................. 27

10 MODULES (NIET KENNEN MAAR SOMS HANDIG)............................................................................................................... 27

SYMPTOMEN VZN PSYCHOSE IN DE CASUS............................................................................................................................. 28

METHODIEK........................................................................................................................................................................... 28

THERAPEUTISCH MILIEU........................................................................................................................................................ 28

ACT (= ACCEPTANCE)........................................................................................................................................................................29
MCT............................................................................................................................................................................................. 29
OUTCOME: ROLFUNCTIONEREN............................................................................................................................................................29

VAARDIGHEDEN.................................................................................................................................................................... 30

ACTIVITEITEN......................................................................................................................................................................... 30

THERAPEUTISCHE RELATIE..................................................................................................................................................... 30

EXAMEN................................................................................................................................................................................ 30

WAT GEBEURT ER.................................................................................................................................................................. 30

TRAPPEN VAN APPELO (KENNEN & BEGRIJPEN)..................................................................................................................... 31

VOORBEELDEN VAN DOELSTELLINGEN................................................................................................................................... 31

TRAPPEN............................................................................................................................................................................... 32

TRAP 1: CONTACTREFLECTIES PROUTY..................................................................................................................................................32
TRAP 2:PSYCHO EDUCATIE.................................................................................................................................................................. 32
TRAP 3: COGNITIEVE ZELFCONTROLEN...................................................................................................................................................32
TRAP 4: VAARDIGHEDEN.....................................................................................................................................................................32
TRAP 5: ROLFUNCTINEREN.................................................................................................................................................................. 33

ACT = ACCEPTANCE & COMMITMENT THERAPY..................................................................................................................... 33

KERNPROCCESSEN ACT...................................................................................................................................................................... 33

METACOGNITIE...................................................................................................................................................................... 33

METACOGNITIEVE COPING.................................................................................................................................................................. 33

TAAL DEVIANTIE.................................................................................................................................................................... 34

KORTE GESCHIEDENIS:........................................................................................................................................................... 35

GENETISCH............................................................................................................................................................................ 35

VERSLAVING EN GEDRAG.................................................................................................................................................................... 35
VERSLAVING EN MOTIVATIECIRKEL........................................................................................................................................................ 35
VERSLAVING IS EEN HERSSENZIEKTE......................................................................................................................................................35
VERSLAVING IS COMPLEX.................................................................................................................................................................... 36

OUTCOME: IDENTITEIT EN VOLDOENING................................................................................................................................ 36

LANGE TERMIJN DOELEN MCA............................................................................................................................................... 36

DUAAL PROCESMODEL.......................................................................................................................................................... 37

BEHANDELING:................................................................................................................................................................................. 37
LANGE TERMIJN DOELEN “DUALE VISIE”................................................................................................................................................37
ADAPTIEVE SYSTEEM.......................................................................................................................................................................... 38


3

, GGZ 2


VANDERMEEREN................................................................................................................................................................... 38

ARTIKEL................................................................................................................................................................................. 38

VALKUILEN:........................................................................................................................................................................... 39

1E VALKUIL...................................................................................................................................................................................... 39
2E VALKUIL...................................................................................................................................................................................... 39

DUAAL PROCENMODEL.......................................................................................................................................................... 39

CONTROLERENDE PROCESSEN.............................................................................................................................................................. 39
conroleverlies..............................................................................................................................................................................40
Behandeling................................................................................................................................................................................40
AUTOMATISCHE PROCESSEN................................................................................................................................................................ 40

HEEL KORTE SAMENVATTING VAN HOE OMGAAN MET VERSLAVING......................................................................................41

ZINGEVING IN VERSLAVINGSZORG......................................................................................................................................... 41

LANGETERMIJNDOELEN MCA................................................................................................................................................. 41

STUDEREN ( WAT HIJ ZEI OP HET EINDE VAN DE LES).............................................................................................................. 41

SYMPTOMEN:........................................................................................................................................................................ 42

HULPVRAAG = EERSTE DEEL VAN ANTWOORD OP EXAMEN.................................................................................................... 42

THERAPEUTISCH MILIEU........................................................................................................................................................ 42

BEHANDELING....................................................................................................................................................................... 42

CONTROLEVERLIES............................................................................................................................................................................. 43

DOELSTELLINGEN................................................................................................................................................................... 43

ACTIVITEITEN......................................................................................................................................................................... 43

THERAPEUTISCHE RELATIE..................................................................................................................................................... 44

VALKUILEN:........................................................................................................................................................................... 44

EXAMEN VOORBEELD VRAAGJE............................................................................................................................................. 44

ZELFPSYCHOLOGIE VAN KOHUT:............................................................................................................................................ 44

THERAPEUTISCHE RELATIE:.................................................................................................................................................... 45

GEESTELIJK GEZOND VLAANDEREN........................................................................................................................................ 46

EETSTOORNISSEN EN CORONA............................................................................................................................................... 46

DIAGNOSE............................................................................................................................................................................. 47

PERSOONLIJKHEID EN EETSTOORNIS (CULLBERG)................................................................................................................... 47

SYMPTOMEN......................................................................................................................................................................... 47

EETSTOORNISSEN EN PERFECTIONISME................................................................................................................................. 48

OUTCOME: ZELFWAARDERING EN GENIETEN......................................................................................................................... 48

PERFECTIONISME EN FAALANGST.......................................................................................................................................... 49

BEHANDELING....................................................................................................................................................................... 49

LANGE TERMIJN DOELEN.....................................................................................................................................................................49
ACTIVITEITEN....................................................................................................................................................................................49

ZELFDETERMINATIE THEORIE................................................................................................................................................. 50

BASISVERONDERSTELLING................................................................................................................................................................... 50

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