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Samenvatting Leerboek psychiatrie, ISBN: 9789058982780 Klinische Psychiatrie $6.44
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Samenvatting Leerboek psychiatrie, ISBN: 9789058982780 Klinische Psychiatrie

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Hiermee heb ik een 12/20 gehaald. Dit is een samenvatting van het vak Klinische Psychiatrie bachelor II. Het wordt gedoceerd door Dirk Van West. Het bevat 11 hoofdstukken van het handboek Leerboek Psychiatrie geschreven door Hengeveld M.W., van Balkom A.J.L.M.

Preview 4 out of 93  pages

  • No
  • Hoofdstuk 7, 8, 9, 10, 11, 16, 17, 18, 21, 22 en 23
  • January 12, 2022
  • 93
  • 2021/2022
  • Summary
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Klinische psychiatrie
1. INLEIDING: GEBRUIK VAN DE DSM-5 .................................................................................... 4

1.1 Inleiding: psychopathologie/psychiatrische stoornis ......................................................................... 4

1.2 Classificatie ....................................................................................................................................... 5

1.3 Diagnostiek ....................................................................................................................................... 6

1.4 Globale veranderingen DSM-5 ........................................................................................................... 7

1.5 Opzet DSM-5 ..................................................................................................................................... 8

1.6 Stellingen .......................................................................................................................................... 8

1.7 Conclusie ........................................................................................................................................... 9


2. INLEIDING: NORMALITEIT EN PSYCHOPATHOLOGIE ............................................................ 9

2.1 Normaliteit en psychopathologie ...................................................................................................... 9

2.2 Epidemiologie ................................................................................................................................. 10

2.3 Algemene prevalentie ..................................................................................................................... 11

2.4 Geschiedenis van de psychiatrie ...................................................................................................... 12

2.5 Etiopathogenese ............................................................................................................................. 13

2.6 Fysiopathogenese ........................................................................................................................... 14

2.7 Psychopathogenese......................................................................................................................... 16


3. NEUROCOGNITIEVE STOORNISSEN..................................................................................... 20

3.1 Vergrijzing van de bevolking in België.............................................................................................. 21

3.2 Het geheugen .................................................................................................................................. 21

3.3 Ouderdom ....................................................................................................................................... 22

3.4 MMSE ............................................................................................................................................. 22

3.5 Dementie ........................................................................................................................................ 23

3.6 Delirium .......................................................................................................................................... 29

3.7 Amnestische stoornissen ................................................................................................................. 31


4. MIDDELENGERELATEERDE EN VERSLAVINGSSTOORNISSEN .............................................. 31

4.1 Verschillen bij het gebruik ............................................................................................................... 31


Bron: lessen en powerpoints gegeven door prof. Dirk van West 1

,4.2 Psychoactieve stoffen...................................................................................................................... 32

4.3 Diagnostiek ..................................................................................................................................... 35

4.4 Etiopathogenese ............................................................................................................................. 35

4.5 Prognose ......................................................................................................................................... 36

4.6 Behandeling .................................................................................................................................... 36


5. SCHIZOFRENIE EN ANDERE PSYCHOTISCHE STOORNISSEN ............................................... 37

5.1 Pscyhotische stoornissen ................................................................................................................. 37

5.2 Schizofrenie .................................................................................................................................... 38

5.3 Schizofreniforme stoornis................................................................................................................ 44

5.4 Schizoaffectieve stoornis ................................................................................................................. 44

5.5 Waanstoornis .................................................................................................................................. 44

5.6 Kortdurende psychotische stoornis ................................................................................................. 45

5.7 Gedeelde psychotische stoornis ...................................................................................................... 45


6. STEMMINGSSTOORNISSEN ................................................................................................. 45

6.1 Definities episodes .......................................................................................................................... 45

6.2 Kenmerken van stemmingsstoornissen ........................................................................................... 47

6.3 Diagnostiek, differentiële diagnosen en comorbiditeit .................................................................... 48

6.4 Epidemiologie en etiopathogenese.................................................................................................. 49

6.5 Behandeling .................................................................................................................................... 50

6.6 Suïcide ............................................................................................................................................ 51


7. ANGSTSTOORNISSEN .......................................................................................................... 53

7.1 Inleiding .......................................................................................................................................... 53

7.2 Behandeling .................................................................................................................................... 54

7.3 Beschrijving van angststoornissen ................................................................................................... 54


8. EETSTOORNISSEN ................................................................................................................ 61

8.1 Anorexia Nervosa ............................................................................................................................ 61

8.2 Bulimia Nervosa .............................................................................................................................. 62

8.3 Eetstoornis NAO (= niet anders omschreven)................................................................................... 63


Bron: lessen en powerpoints gegeven door prof. Dirk van West 2

,9. ONTWIKKELINGSSTOORNISSEN EN GEDRAGSSTOORNISSEN ............................................ 65

9.1 ADHD = Attention Deficit Hyperactivity Disorder ............................................................................. 65

9.2 ASS = autismespectrumstoornis ...................................................................................................... 68

9.3 Gedragsstoornissen en externaliserende stoornissen ...................................................................... 71

9.4 Gedwongen opname ....................................................................................................................... 74


10. SLAAPSTOORNISSEN EN SEKSUELE STOORNISSEN ......................................................... 75

10.1 Slaapstoornissen: het slaapproces ................................................................................................... 75

10.2 Slaapstoornissen: dyssomnia ........................................................................................................... 76

10.3 Slaapstoornissen: parasomnia ......................................................................................................... 78

10.4 Seksuele stoornissen: seksuele disfuncties ...................................................................................... 80

10.5 Seksuele stoornissen: parafilieën .................................................................................................... 83


11. PERSOONLIJKHEIDSSTOORNISSEN .................................................................................. 85




Bron: lessen en powerpoints gegeven door prof. Dirk van West 3

, 1. Inleiding: gebruik van de DSM-5
1.1 Inleiding: psychopathologie/psychiatrische stoornis

Psychopathologie = wetenschap of studie van het geestelijk of psychisch lijden
- Pathos = last

2 benaderingen:
- Syndroombenadering
o Psychologie van het pathologische (= gegroepeerde entiteiten)
o Samenhangend geheel van klachten en symptomen
o Behandeling wordt bekeken obv het gemiddelde wat voor de meeste mensen
werkte
- Symptoombenadering
o Pathologie van het psychisch (= algemene psychische processen of functies)
o Beschrijven van psychisch functioneren
§ Bv.: bewustzijn, gevoelens,…
o Cliënt een behandeling op maat geven obv hun symptomen

2 typen diagnosen:
- Syndroomdiagnose
o Synoniem: descriptieve diagnose
o Alleen beschrijvend en geeft geen info over de redenen en manier van
ontstaan
- Structuurdiagnose
o Beschrijving van de symptomatologie waardoor en op welke wijze het
syndroom ontstaan is
o Verschillende factoren
§ Predisponerende of voorbeschikkende factoren = factoren die iemand
kwetsbaar maken
§ Precipiterende of uitlokkende factoren = factoren die de stoornis
uitlokken
§ Perpetuerende of onderhoudende factoren = factoren die de stoornis
onderhouden
o Klinisch relevant

Abnormaal verschijnsel = afwijkend van de sociale norm of van wat in de cultuur als normaal
gedrag geldt
- Veroorzaakt ongemak, lijden of bezorgdheid bij de betrokkende en/of omgeving

Bio-psycho-sociaal model:
- Medisch model
o Etiologie: het ontstaan
§ Predispositie = oorzakelijke factoren
§ Precipitatie = uitlokkende factoren
§ Perpetuatie = in standhoudende factoren
o Pathogenese: ontwikkeling


Bron: lessen en powerpoints gegeven door prof. Dirk van West 4

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