Een uitgebreide samenvatting van psychiatrie voor de sociaal werker (2e herziene druk). hoofdstukk
June 2, 2018
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2017/2018
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2e herziende druk
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psychiatrie voor de sociaal werker
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Hogeschool Arnhem en Nijmegen (HAN)
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Psychopathalogie, psychiatrie voor de sociaal werker.
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Psychopatholog
ie
24-11-2017
Robin Riensema
,Inhoud
Hoofdstuk 1: Het biopsychosociale model.............................................................................................6
1.1 Historisch perspectef...................................................................................................................6
1.1.1 Op weg naar een biologische psychiatrie...............................................................................6
1.1.2 Opkomst van de psychologische benadering.........................................................................7
1.1.3 opkomst van de sociale psychiatrie.......................................................................................9
1.1.4 Na de Tweede wereldoorlog: Drie invalshoeken...................................................................9
1.2 Bio psychosociaal model: herkomst en betekenis......................................................................11
1.2.1 Typering van het biopsychosociale model...........................................................................11
1.2.2 Het biopsychosociale model als vorm van systeemtheorie.................................................11
1.2.3 Praktsche betekenis van het model van Engel....................................................................12
1.3 Het bio psychosociale model in de praktik: diagnostek............................................................12
1.3.1 Informateverrameling.........................................................................................................12
1.3.2 Classifcate..........................................................................................................................13
1.3.3 structuurdiagnose................................................................................................................15
1.3.4 Stress-kwetsbaarheidsmodel in de praktik.........................................................................16
1.4 Het bio psychosociale model in de praktik: behandelingen en begeleiding..............................18
Hoofdstuk 2 Autsmespectrumstoornis................................................................................................18
2.1 Autsmespectrumstoornis AASS).................................................................................................18
2.2 Historische achtergrond.............................................................................................................18
2.3 Diagnostek.................................................................................................................................19
2.3.1 Classifcate van autsmespectrumstoornissen....................................................................19
2.3.2 Criteria van een autsmespectrumstoornis: van DSM-IV naar DSM5...................................19
2.4 Subtypen volgens de DSM-IV......................................................................................................21
2.4.1 Autstsche stoornis Aklassiek autsme)................................................................................21
2.4.2 Syndroom van Asperger.......................................................................................................22
2.4.3 PDD-NOS..............................................................................................................................22
2.5 Subtypen volgens Lorna Wing....................................................................................................22
2.5.1 De afriidige groep A‘aloof’)...................................................................................................22
2.5.2 De passieve groep A‘pasive’)................................................................................................23
2.5.3 De acteve maar birarre groep A ‘actve but odd’)................................................................23
2.6 Het diagnostsch proces..............................................................................................................23
2.7 Oorraken en verklaringsmodellen..............................................................................................24
2.7.1 Theory of Mind....................................................................................................................24
2.7.2 Centrale coherente.............................................................................................................25
1
, 2.7.3 Executeve functes..............................................................................................................25
2.8 Prevalente..................................................................................................................................25
2.9 Autsme in de context van de levensloop...................................................................................26
2.9.1 Levensloopbegeleiding........................................................................................................26
2.9.2 Autsme en scholing en onderwiis.......................................................................................26
2.9.3 Autsme en werk en dagbesteding.......................................................................................26
2.9.4 Autsme en wonen...............................................................................................................27
2.9.5 Vriendschap, relates en seksualiteit....................................................................................27
2.10 Mogeliikheden voor begeleiding, behandeling en training.......................................................28
2.10.1 Begeleiding........................................................................................................................28
2.10.2 Training..............................................................................................................................29
2.10.3 Behandeling.......................................................................................................................29
2.10.4 Huidige ontwikkelingen.....................................................................................................30
2.11 Begeleidings- en behandelingsvaardigheden van de hulpverlener...........................................31
2.11.1 een autsmebril opreten...................................................................................................31
2.11.2 Competentes van de hulpverlener die werkt met personen met ASS..............................32
Hoofdstuk 4 Angststoornissen en obsessieve-compulsieve stoornissen..............................................32
4.1 Angst en angststoornissen..........................................................................................................32
4.2 DSM-5-classifcates van angststoornissen en obsessieve-compulsieve stoornissen..................33
4.3 Angststoornissen........................................................................................................................34
4.3.1 Paniekstoornis en agorafobie..............................................................................................34
4.3.2. Sociale-angststoornis Asociale fobie)...................................................................................36
4.3.3 Generaliseerde angststoornis..............................................................................................37
4.3.4 Specifeke fobie....................................................................................................................37
4.4 Epidemiologie van de angststoornissen..................................................................................38
4.5 Verklaringsmodellen voor angststoornissen...........................................................................38
4.5.1 Erfeliike factoren.................................................................................................................39
......................................................................................................................................................39
4.5.2 Temperament......................................................................................................................39
4.5.3 Psychologische factoren, opvoeden....................................................................................39
4.5.4 Levensgebeurtenissen.........................................................................................................39
4.5.5 Neurobiologische factoren..................................................................................................39
4.6 Vragenliist...............................................................................................................................40
4.7 Behandeling van angststoornissen.........................................................................................41
4.7.1 Medicate.............................................................................................................................41
4.7.2 psychologische behandeling................................................................................................42
2
, 4.7.3 Behandelingssetng.............................................................................................................42
4.10 De rol van de sociaal werker in de behandeling...................................................................43
4.11 Cogniteve gedragstherapie..................................................................................................43
4.12 De gedragstherapeutsche relate.........................................................................................43
4.13 Begeleiding en gedragstherapeutsche behandeling bii cliënten met een angststoornis.....43
4.13.4 Gedragsexperiment...........................................................................................................44
4.13.5 Taakconcentrate...............................................................................................................44
4.13.6 Sociale vaardigheidstraining..............................................................................................44
4.13.7 Ontspanningsoefeningen...................................................................................................44
4.13.8 Cogniteve therapie............................................................................................................45
4.13.9 Terugvalpreventeplan.......................................................................................................45
Hoofdstuk 6: Stemmingsstoornissen....................................................................................................45
6.2 Disrupteve stemmingsdisregulatestoornis............................................................................47
6.3 Depressieve stoornis...............................................................................................................48
6.3.2 Verklaringsmodellen............................................................................................................50
Biologische verklaringen...............................................................................................................50
Psychosociale verklaringen...........................................................................................................51
Geïntegreerd verklaringsmodel....................................................................................................52
6.3.3 Diagnostek..........................................................................................................................53
6.3.4 Behandeling.........................................................................................................................53
6.3.5 Beiegening van/omgang met cliënten met een depressieve -stemmingsstoornis...............56
Beiegeningsstil.............................................................................................................................57
6.3.6 Begeleiden van cliënten met depressieve-stemmingsstoornis............................................57
6.3.7 Suïcidaliteit bii de cliënt met een depressieve-stemmingsstoornis.....................................60
6.4 Persisterende depressieve stoornis Adysthymie)....................................................................62
6.4.1 Epidemiologie......................................................................................................................64
......................................................................................................................................................64
6.4.2 Verklaringsmodellen............................................................................................................64
6.4.3 De diagnostek.....................................................................................................................65
6.4.4 Behandeling.........................................................................................................................65
6.5 Premenstruele stemmingsstoornis.........................................................................................65
6.5.1 Oorraken..............................................................................................................................66
6.5.2 Behandeling.........................................................................................................................66
6.6 Bipolaire stoornis....................................................................................................................66
6.6.1 Manie...................................................................................................................................66
6.6.2 Hypomanie...........................................................................................................................67
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