症状学教案 Subject Psychiatry Teacher L Zhe-aing TargetClinical Medicine Teaching place The second classroom Chapters:Chapter 2 Content Signs and syuptons ate:2004 【Purpose and requireent】 2.To m aster the names,the concepts and the clinical meanings of menta 3.To mster the distinetions between the confusing symptons. 4.Tounderstand the conceptsand the elin in ofclinical syndr 【Key points of teaching】 1.The es the concepts and the meanings of mental 2.The distinctions between the confusing symptons 3.The elin meanings of clinical sydro 【Diffic ints of teaching】 The distinctions between the symptons. 【Type of teaching】 New knowledge teaching 【Teaching nethod】 【Teaching aid】 Multinedia ix lantern slide and audio-visual aids 【Content and step of teaching】
症状学教案 Subject ： Psychiatry Teacher ： LIU Zhe-ning Target ：Clinical Medicine Teaching place ：The second classroom Chapters: Chapter 2 Teaching hour ：200 minutes Content ： Signs and symptoms Date ：2004 【Purpose and requirement】 1. To understand the differences of normal and abnormal mental states. 2. To m aster the names, the concepts and the clinical meanings of mental symptoms. 3. To master the distinctions between the confusing symptoms. 4. To understand the concepts and the clinic meanings of clinical syndromes. 【Key points of teaching】 1. The names, the concepts and the meanings of mental symptoms. 2. The distinctions between the confusing symptoms. 3. The clinic meanings of clinical syndromes. 【Difficult points of teaching】 The distinctions between the confusing symptoms. 【Type of teaching】 New knowledge teaching. 【Teaching method】 Bilinguistic teaching, l ecture and heuristic method. 【Teaching aid】 Multimedia mix, lantern slide and audio-visual aids. 【Content and step of teaching】 1. Normal and abnormal mental phenomena. (10min)
2.Disorders of sensation and pereeption.(3nin) 3.Disorders of thoughts.(min) 4.Disorders of attention.pemory.and intelligence.(30min) 6.Dyshulia and disorders of actions and behaviors.(30min) 8.Comon clinical syndromes.(10min) 9.Sumnry.(nin) CHAPTER 2 1.Normal and abnornal mental phenomena 1.1 Normal nental states. 1.2 Names of psychopathology of mental disorders. 1.3 Chara eristic of mental syuptos 1.4 The differences of pormal and abporual mental states 2.isorders perceptio 2.1 Sensation and disorders of sensation. Hypoesthesia Senestopathias Illusion lallacinatio Auditory hallucinations Olfactory hallucinations Tactile hallucinations
2. Disorders of sensation and perception. (30min) 3. Disorders of thoughts. (30min) 4. Disorders of attention, memory, and intelligence. (30min) 5. Affective disorders. (30min) 6. Dysbulia and disorders of actions and behaviors. (30min) 7. Conscious disturbances and Disorder of insight. (25min) 8. Common clinical syndromes. (10min) 9. Summary. (5min) CHAPTER 2 SIGNS AND SYMPTOMS 1. Normal and abnormal mental phenomena. 1.1 Normal mental states. 1.2 Names of psychopathology of mental disorders. 1.3 Characteristic of mental symptoms. 1.4 The differences of normal and abnormal mental states. 2. Disorders of sensations and perceptions 2.1 Sensation and disorders of sensation. Hyperesthesias Hypoesthesia Anesthesia Senestopathias 2.2 Perception and disorders of perception. Illusion Hallucination Auditory hallucinations Visual hallucinations Olfactory hallucinations Gustatory hallucinations Tactile hallucinations Somatic hallucinations
2.3 According to the perception source: Genuine hallucinations Pseudohallucinations 2.4 According to the occurring conditions: Functional hallucinations Reflex hallucinations Hypnagogic hallucinations Psychogenic hallucinations 2.5 Psychosensory disturbance Metanorphopsia Macropsia Micropsia Disorders of space perceptions Disorders of time synthesis perception Derealization 3.Disorders of thought 3.1 Traits of thought. 3.2 Disorders of the form of thought. Flight of thought (or flight of ideas) Clang association Punning Retardation of thought Poverty of thought Looseness of thought Splitting of thought (word salad) Incoherence of thought Circumstantiality Blocking of thought thought deprivation) Thought insertion Forced thoughts
2.3 According to the perception source: Genuine hallucinations Pseudohallucinations 2.4 According to the occurring conditions: Functional hallucinations Reflex hallucinations Hypnagogic hallucinations Psychogenic hallucinations 2.5 Psychosensory disturbance Metamorphopsia Macropsia Micropsia Disorders of space perceptions Disorders of time synthesis perception Derealization 3. Disorders of thought 3.1 Traits of thought. 3.2 Disorders of the form of thought. Flight of thought (or flight of ideas) Clang association Punning Retardation of thought Poverty of thought Looseness of thought Splitting of thought (word salad) Incoherence of thought Circumstantiality Blocking of thought ( thought deprivation) Thought insertion Forced thoughts
Diffusion of thought,thought hroadcasting Symbolic thinking Neologisa Paralogisn Obsessive idea 3.3 Disorder of the content of thought. Delusion Delusion of persecution Delusion of reference Delusion of physical influence (delusions of control) Grandiose delusion Delusion of guilt Hypochondriacal delusion Delusions of negatiom Delusion of love Delusion of jealous Experience of being revealed Overvalued idea 4.Disorders of attention,memory.and intelligence 4.1 Attention and its disorders Hlyperprosexia Hypoprosexia 4.2 Disorders of nenory Hypermesia Hypomnesia Aanesia Anterozrade annesia Retrograde ammesia Circumscribed amnesia Pararnesia
Diffusion of thought, thought broadcasting Symbolic thinking Neologism Paralogism Obsessive idea 3.3 Disorder of the content of thought. Delusion Delusion of persecution Delusion of reference Delusion of physical influence (delusions of control) Grandiose delusion Delusion of guilt Hypochondriacal delusion Delusions of negation Delusion of love Delusion of jealous Experience of being revealed Overvalued idea 4. Disorders of attention, memory, and intelligence 4.1 Attention and its disorders Hyperprosexia Hypoprosexia 4.2 Disorders of memory Hypermnesia Hypomnesia Amnesia Anterograde amnesia Retrograde amnesia Circumscribed amnesia Paramnesia
Confabulation 4.3 Intelligence and related disorders Mental retardation Denentia Pseudodementia Puerilisa 4.4 Orien tation and related disorders 4.5 insight and its disorders 5.Affective disorders Elation Depression Apathy Parathymia 6.Dysbulia and disorders of actions and behaviors 6.1Dys动olia 6.2 Disorders of actions and behaviors Concordant psychomotor excitement Discordant psychomotor excitement Stupor 7.Conscious disturbances and Disorder of insight 7.1 Comscious disturbances Twilight state Delirium 7.2 Disorder of insight 8.Cornon clinical syndrones 8.1 Korsakow's syndrome 8.2 Ganser's syndroee 9.Surmary 【Reference mterial】
Confabulation 4.3 Intelligence and related disorders Mental retardation Dementia Pseudodementia Puerilism 4.4 Orien tation and related disorders 4.5 insight and its disorders 5. Affective disorders Elation Depression Apathy Parathymia 6. Dysbulia and disorders of actions and behaviors 6.1 Dysbulia 6.2 Disorders of actions and behaviors Concordant psychomotor excitement Discordant psychomotor excitement Stupor 7. Conscious disturbances and Disorder of insight 7.1 Conscious disturbances Twilight state Delirium 7.2 Disorder of insight 8. Common clinical syndromes 8.1 Korsakov's syndrome 8.2 Ganser's syndrome 9. Summary 【 Reference material 】
1.Sadock,B.J..Sadock.V.A.Kaplan Sadock's Comprebensive Textbook of Psychiatry.7th edition.Lippincott Willians Wilkins.Philadelphia.2000. 2 Gelder M.Oxford Textbook of Psychiatry (third edition).Oxford University Press.1996 3.Waldinger R.J.Psychiatry for Medical Students.(Third edition).American Psychiatrie Press.1997 【Writing design】 See the lantern slide. 【Summary after class】 1.What's the difference between mental Senestopathias and Visceral hallucinations? 2.How can you differentiate between overvalued idea and delusion? 3.What are the features of those specific symptoms of schizophrenia? 4.What's the difference between mental retardation and denentia? 5.How can you differentiate hetween dementia and pseudodementia? 6.What are the features of concordant discordant psychomotor excitenent?
1. Sadock, B. J., Sadock, V. A.: Kaplan & Sadock's Comprehensive Textbook of Psychiatry. 7th edition. Lippincott Williams & Wilkins, Philadelphia, 2000. 2. Gelder M. Oxford Textbook of Psychiatry (third edition). Oxford University Press. 1996 3. Waldinger R.J. Psychiatry for Medical Students. (Third edition). American Psychiatric Press. 1997 【Writing design】 See the lantern slide. 【Summary after class】 1. What's the difference between mental Senestopathias and Visceral hallucinations? 2. How can you differentiate between overvalued idea and delusion? 3. What are the features of those specific symptoms of schizophrenia? 4. What's the difference between mental retardation and dementia? 5. How can you differentiate between dementia and pseudodementia? 6. What are the features of concordant & discordant psychomotor excitement?