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samenvatting kinderpsychiatrie
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KINDER- EN JEUGDPSYCHIATRIEGEESTELIJKE
GEZONDHEIDSZORG
,Inhoudsopgave
1. De inleiding................................................................................................ 4
2. Psychische kinderstoornis..........................................................................6
2.1 Risicofactoren voor de ontwikkeling van een psychische stoornis............................6
3. Verstehende versus erklärende...................................................................6
3.1 Organisatie van kind en jeugd psychiatrie................................................................7
Forensische kinderpsychiatrie......................................................................................9
4. Geschiedenis van het psychiatrische kind....................................................9
5. Histornisch trendonderzoek........................................................................9
1. Anamnestisch werken...............................................................................10
2. Diagnostische informatievergaring............................................................11
3. Diagnostische formulering........................................................................11
4. Classificatie.............................................................................................. 11
5. De etiologische en prognostische hypothesen............................................11
6. Diagnostische valkuilen............................................................................12
7. Diagnostische bias...................................................................................12
1. De determinanten van een behandelingsproces.........................................13
1.1 De behandeling....................................................................................................... 13
1.2 Regulatie als voorwaarde voor het kind..................................................................14
2. Wat werkt in een behandeling?.................................................................14
3. De geboden voor de ergo- kindertherapeut................................................14
1. Inleiding.................................................................................................. 15
2. De dynamische ontwikkeling.....................................................................15
3. De traumamechanieken van het kind.........................................................16
3.1 Veiligheidszoekend gedrag.....................................................................................16
Window of tolerance.................................................................................................. 16
3.2 Strategieën om behoeften te vervullen...................................................................17
3.3 De invloed van trauma op het geheugensysteem...................................................17
Expliciete herinneringen............................................................................................ 18
Impliciete herinneringen............................................................................................ 18
1
,4. Diagnostisering van een traumatische stoornis: posttraumatische-
stressstoornis.............................................................................................. 18
5.1 Types...................................................................................................................... 20
5.2 Criteria.................................................................................................................... 20
5.3 Comorbiditeit.......................................................................................................... 21
5. Behandelen van trauma............................................................................21
6.1 EMDR...................................................................................................................... 21
6.2 Psychosociale behandeling.....................................................................................21
6.3 Farmacotherapie..................................................................................................... 21
6. Psychosociale behandeling: Het ARC-kader................................................21
7.1 Hechting.................................................................................................................. 23
7.2 Zelfregulatie............................................................................................................ 23
7.3 Competentie........................................................................................................... 24
7. Het getraumatiseerde kind als jonge deelnemer in de maatschappij: ACE. . .25
1. Gehechtheid............................................................................................. 27
2. Kwaliteit van de gehechtheidsrelatie.........................................................27
3. Hechtingsstoornissen...............................................................................29
3.1 Kenmerken.............................................................................................................. 30
3.2 Etiologie.................................................................................................................. 30
4. Behandeling............................................................................................. 31
5. Basishouding ergotherapeut.....................................................................31
1. Systemisch denken...................................................................................32
1.1 Verschillende mensvisies........................................................................................32
2. Genogram................................................................................................ 33
3. Ergotherapie binnen het systemisch werken: ingewikkeld vs complex.........33
4. MPF: multi problem family........................................................................34
4.1 Factoren die werken................................................................................................ 35
5. Werken met gezinnen als ergotherapeut...................................................35
6. Eigen kracht conferenties.........................................................................35
7. Ergotherapie: concentrisch werken met kind en kindsysteem.....................35
8. 1 gezin 1 plan........................................................................................... 36
2
, 9. Werken met horizontale lijnen..................................................................36
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