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Samenvatting - geestelijke gezondheidszorg - Psychopathologie - Peter W.

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Alle informatie uit de cursus, Powerpoints en lessen zijn in deze samenvatting verwerkt. Om te slagen voor dit onderdeel volstaat het om deze samenvatting te leren!

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  • June 8, 2024
  • 101
  • 2023/2024
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PSYCHOPATHOLOGIE
Inhoud
1.1 Psychiatrie en maatschappij......................................................................................4
3 voorwaarden.............................................................................................................. 4
Medisch model.............................................................................................................. 4
Netwerk aan voorzieningen voor GGZ..........................................................................5
Verplichte literatuur:..................................................................................................... 5
Specialisaties................................................................................................................ 5
1.2 Diagnose.................................................................................................................... 6
DSM.............................................................................................................................. 6
1.3 Verklaring (etiologie)................................................................................................. 8
1.3.1 Biologische verklaringen......................................................................................8
1.3.2 Psychologische verklaringen................................................................................9
1.3.3 Sociale verklaringen.......................................................................................... 10
1.4 Behandeling............................................................................................................. 10
1.4.1 Biologische behandeling....................................................................................10
1.4.2 Psychotherapie.................................................................................................. 11
1.4.3 Sociale psychiatrie............................................................................................. 14
1.5 Verloop en preventie.............................................................................................. 14
Hoofdstuk 2: Zenuwstelsel................................................................................................ 14
Geen leerstof, wel eens lezen........................................................................................14
Hoofdstuk 3a: Schizofrenie(pectrumstoornis)...................................................................14
0. Inleiding Schizofrenie................................................................................................. 14
1. Wanen en Halluciaties............................................................................................... 15
Illusie.......................................................................................................................... 15
Hallucinatie................................................................................................................. 15
Waan.......................................................................................................................... 16
Comorbiditeit.............................................................................................................. 16
2. Schizofrenie(spectrumstoornis)....................................................................................17
2.1 Belangrijke symptomen  Film bekijken thuis!..........................................................17
Stoornissen................................................................................................................. 17
Typen Schizofrenie..................................................................................................... 19
Aandoeningen die lijken op Schizofrenie....................................................................20
2.2 Verklaring................................................................................................................ 21
1. Diathese-stress-model............................................................................................ 21
2. Erfelijkheid............................................................................................................. 21

, 3. Hersenafwijkingen................................................................................................. 22
4. Neurobiochemische processen...............................................................................22
5. Gezinsfactoren........................................................................................................ 22
6. Emotionele gezinsklimaat.......................................................................................22
7. Ingrijpende, stressvolle gebeurtenissen.................................................................22
8. Risicofactoren......................................................................................................... 22
9. maatschappelijke factoren.....................................................................................22
2.3 Behandeling............................................................................................................. 23
Antipsychotica of neuroleptica...................................................................................23
Psychologische behandeling.......................................................................................23
Psycho-educatie......................................................................................................... 23
2.4 Prognose.................................................................................................................. 24
3B. Niet-schizofrene psychotische stoornissen.................................................................25
3.0 Inleiding................................................................................................................... 25
3.1 Kenmerken.............................................................................................................. 25
3.1.1 Waanstoornis..................................................................................................... 25
3.1.2 Kortdurende psychotische stoornis....................................................................26
3.1.3 Schizofreniforme stoornis..................................................................................26
3.1.4 Gedeelde psychotische stoornis........................................................................27
3.2 Verklaring................................................................................................................ 27
3.3 Behandeling............................................................................................................. 27
3.4 Dubbeldiagnose: psychose + toxicomanie..............................................................28
4A. Angststoornissen........................................................................................................ 28
0. Inleiding..................................................................................................................... 28
1. Angst...................................................................................................................... 28
2. Fobieën en sociale angsten....................................................................................33
3. Paniekstoornissen en agorafobie............................................................................37
4. Gegeneraliseerde angststoornis (GAS)...................................................................39
4B. Dwangstoornissen...................................................................................................... 42
1. DwanG....................................................................................................................... 42
Egodystoon................................................................................................................. 42
Obsessieve-compulsieve stoornis (OCS).....................................................................42
2. Obsessieve-compulsieve stoornis (OCS)....................................................................43
2.1 Kenmerken........................................................................................................... 43
2.2 Verklaring............................................................................................................. 45
2.3 Behandeling.......................................................................................................... 45
2. Andere dwangstoornissen.......................................................................................... 46
3.1 Kenmerken........................................................................................................... 46

, 3.2 Verklaring............................................................................................................. 47
3.3 Behandeling.......................................................................................................... 47
4c: trauma- en stressor gerelateerde stoornissen.............................................................47
2. Stress en aanpassing................................................................................................. 47
Kenmerken................................................................................................................. 48
3. Aanpassingsstoornis.................................................................................................. 50
2.1 Kenmerken........................................................................................................... 50
2.2 Verklaring............................................................................................................. 52
2.3 Behandeling.......................................................................................................... 52
3. Posttraumatische-stressstoornis (PTSS) 21..................................................................53
3.1 Kenmerken........................................................................................................... 53
3.2 Verklaring............................................................................................................... 1
3.3 Behandeling............................................................................................................ 1
Hoofdstuk 5: Depressieve- & bipolaire-stemmingsstoornissen...........................................2
5.1 Stemming en emotie................................................................................................. 2
Kenmerken................................................................................................................... 2
5.2 Depressieve-stemmingsstoornissen..........................................................................5
5.2.1 Kenmerken.......................................................................................................... 5
5.2.2 Verklaring............................................................................................................ 8
5.2.3 Behandeling....................................................................................................... 10
5.3 Bipolaire-stemmingsstoornissen..............................................................................11
5.3.1 Kenmerken........................................................................................................ 11
5.3.2 Verklaring.......................................................................................................... 13
5.3.3 Behandeling....................................................................................................... 14
6. Stoornissen door gebruik van alcohol en drugs............................................................15
6.1 Druks en afhankelijkheid......................................................................................... 15
Kenmerken................................................................................................................. 15
6.2 Stoornissen door gebruik van alcohol...................................................................19
6.2.1 Kenmerken........................................................................................................... 19
6.2.2 Verklaring.......................................................................................................... 22
6.2.3 Behandeling....................................................................................................... 23
6.3 Stoornissen door gebruik van drugs........................................................................26
6.3.1 Kenmerken........................................................................................................ 26
6.5 Legale stimulerende middelen: cafeïne en nicotine.................................................31
Cafeïne....................................................................................................................... 31
Nicotine...................................................................................................................... 31
Ter afronding.............................................................................................................. 32
6.3.2 verklaring.......................................................................................................... 32

, Behandeling............................................................................................................... 34
Algemeen...................................................................................................................... 35
7.1 Normale en gestoorde persoonlijkheid....................................................................35
7.2 Persoonlijkheidsstoornissen.....................................................................................36
Algemene kenmerken van de PSH..............................................................................36
2.1 Cluster A: vreemd en excentriek gedrag..............................................................38
2.2 Cluster B: dramatische, emotionele of onvoorspelbare gedragingen...................39
2.3 Cluster C: angst en onzekerheid...........................................................................42
7.3 Verklaring................................................................................................................ 44
Biologische factoren:.................................................................................................. 44
Psychodynamische opvattingen.................................................................................45

1. INTRODUCTIE TOT DE PSYCHOPATHOLOGIE



1.1 PSYCHIATRIE EN MAATSCHAPPIJ

Psychopathologie:

 Gaat over mensen en psychische problematieken. Studie of leer van psychische ziektebeelden.
 Psychiatrie houdt zich bezig met behandeling van deze ziektebeelden.
 Tak van de geneeskunde => medisch model handteren
 Opvattingen van gedrag zijn steeds tijd- en cultuurgebonden.
 2 groepen psychosen: schizofrene en niet-schizofrene stoornissen


3 VOORWAARDEN
 Om te spreken van een psychiatrische stoornis

1. Lijden of ongemak bij de betrokkene en/of omgeving

2. Gedrag wijkt af van de sociale norm en wat in betreffende cultuur als normaal geldt.

3. Ziektebeeld ook bij andere personen vastgesteld en kan binnen gangbare begrippenkader van

psychiatrie worden beschreven.



MEDISCH MODEL
 Tak van de geneeskunde dus hanteert het medisch model
1. Diagnose
 Ahv kenmerken en symptomen
2. Etiologie
 Wat veroorzaakt de symptomen? Oorzaken
3. Therapie
 Behandeling: psychotherapie en/of medicatie
4. Prognose
 Voorspelling hoe ziektebeeld zal evolueren met en zonder behandeling

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