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分離性遺忘的診斷和治療

發(fā)布時間:2018-03-04 02:32

  本文選題:分離性遺忘 切入點:潛意識 出處:《醫(yī)學(xué)與哲學(xué)(B)》2017年04期  論文類型:期刊論文


【摘要】:在童年創(chuàng)傷的基礎(chǔ)上,心理創(chuàng)傷使患者發(fā)生傳記性遺忘,忘了自己是誰,由于自我暗示,患者又有了新的身份,由于患者無順行性遺忘,所以照樣能學(xué)習(xí)新知識,這與真性癡呆不一樣。急性期治療主要是減輕情感障礙,抑郁癥狀用抗抑郁藥治療,焦慮、恐懼、失眠用苯二氮卓類藥物治療,睡眠不規(guī)律用褪黑激素治療,自殺企圖用碳酸鋰治療,住精神科封閉病房,但不用電休克治療,因為有病例報告,電休克可惡化分離性遺忘。到恢復(fù)期應(yīng)減少應(yīng)激,幫助回憶。
[Abstract]:On the basis of childhood trauma, psychological trauma causes the patient to have amnesia, forget who he is, because of self-suggestion, the patient has a new identity, and because the patient has no forward forgetting, he can still learn new knowledge. This is not the same as true dementia. Treatment in the acute phase is mainly to alleviate affective disorders, depressive symptoms are treated with antidepressants, anxiety, fear, insomnia with benzodiazepines, sleep irregular with melatonin, Suicide attempts were treated with lithium carbonate, closed in psychiatric ward, but not treated with electric shock, because there were cases reported that electroshock could worsen dissociative amnesia. Stress should be reduced and recall should be helped by convalescence.
【作者單位】: 南京醫(yī)科大學(xué)附屬腦科醫(yī)院;
【分類號】:R749
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本文編號:1563783

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