{"id":315,"date":"2016-05-17T00:00:00","date_gmt":"2016-05-17T00:00:00","guid":{"rendered":"http:\/\/blog.engoo.com\/tw\/%e3%80%90%e6%99%82%e4%ba%8b%e8%8b%b1%e6%96%87%e3%80%91%e4%bb%96%e6%98%af%e7%a5%9e%e7%b6%93%e7%97%85%ef%bc%81%e5%88%a5%e5%86%8d%e6%b1%99%e5%90%8d%e5%8c%96%e7%b2%be%e7%a5%9e%e9%9a%9c%e7%a4%99%e8%80%85\/"},"modified":"2020-08-07T10:09:30","modified_gmt":"2020-08-07T10:09:30","slug":"%e3%80%90%e6%99%82%e4%ba%8b%e8%8b%b1%e6%96%87%e3%80%91%e4%bb%96%e6%98%af%e7%a5%9e%e7%b6%93%e7%97%85%ef%bc%81%e5%88%a5%e5%86%8d%e6%b1%99%e5%90%8d%e5%8c%96%e7%b2%be%e7%a5%9e%e9%9a%9c%e7%a4%99%e8%80%85","status":"publish","type":"post","link":"https:\/\/engoo.com.tw\/blog\/%e4%b8%bb%e9%a1%8c%e9%a1%9e\/%e3%80%90%e6%99%82%e4%ba%8b%e8%8b%b1%e6%96%87%e3%80%91%e4%bb%96%e6%98%af%e7%a5%9e%e7%b6%93%e7%97%85%ef%bc%81%e5%88%a5%e5%86%8d%e6%b1%99%e5%90%8d%e5%8c%96%e7%b2%be%e7%a5%9e%e9%9a%9c%e7%a4%99%e8%80%85\/","title":{"rendered":"\u3010\u6642\u4e8b\u82f1\u6587\u3011\u4ed6\u662f\u795e\u7d93\u75c5\uff01\u5225\u518d\u6c59\u540d\u5316\u7cbe\u795e\u969c\u7919\u8005\u4e86\uff0c\u6559\u4f60\u5982\u4f55\u7528\u82f1\u6587\u8aaa(\u4e0a)"},"content":{"rendered":"

\u524d\u9663\u5b50\u5c0f\u71c8\u6ce1\u7684\u65b0\u805e\u9707\u9a5a\u4e86\u793e\u6703\u5927\u773e<\/span><\/span>\u4e5f\u641e\u5f97\u4eba\u5fc3\u60f6\u60f6\uff0c<\/span><\/p>\n

\u5927\u5bb6\u958b\u59cb\u5c0d\u65bc\u6709\u7cbe\u795e\u75be\u75c5\u7684\u4eba(people with\u00a0mental illness)<\/span>\u8b70\u8ad6\u7d1b\u7d1b\u3002<\/span><\/span><\/p>\n

\u8a3b\uff1a\u7d93\u904e\u6b63\u540d\u4e4b\u5f8c\u6211\u5011\u61c9\u8a72\u8981\u7a31\u4ed6\u5011\u70ba\u6709\u7cbe\u795e\u75be\u75c5\u7684\u4eba(people with\u00a0mental illness)<\/span><\/span><\/span><\/p>\n

\u800c\u975e\u7cbe\u795e\u75be\u75c5\u60a3\u8005(metally ill people)\u5594<\/span><\/span><\/span><\/p>\n

\u00a0<\/p>\n

\u662f\u4ee5\u4ed6\u5011\u70ba\u4eba\u7684\u51fa\u767c\u9ede\u89c0\u770b\uff0c\u800c\u4e0d\u662f\u51a0\u4e0a\u5f62\u5bb9\u8a5e\u3002<\/span><\/span><\/p>\n

\u4f8b\u5982\uff1apeople with depression<\/span><\/span><\/p>\n

\u00a0<\/p>\n

\u4f46<\/span>\u4f60\u5011\u5c0d\u4ed6\u5011\u7684\u4e86\u89e3\u6709\u591a\u5c11\u5462\uff1f<\/span><\/span><\/p>\n

\u4ec0\u9ebc\u6a23\u7684\u72c0\u6cc1\u6703\u5c0e\u81f4\u4ed6\u5011\u505a\u51fa\u9055\u53cd\u5e38\u7406\u7684\u884c\u70ba\u5462\uff1f<\/span><\/span><\/p>\n

\u9700\u8981\u8ca0\u5211\u4e8b\u8cac\u4efb(A verdict of culpable homicide \u69cb\u6210\u7f6a\u884c\u7684\u6bba\u4eba\u7684\u88c1\u6c7a)<\/span>\u55ce\uff1f<\/span><\/span><\/p>\n

\u6709\u4ec0\u9ebc\u6a23\u7684\u8a3a\u65b7(diagonosis)<\/span>\u6e96\u5247\u55ce\uff1f<\/span><\/span><\/p>\n

\u73fe\u5728\u5c0f\u7de8\u5c31\u4f86\u5e36\u5927\u5bb6\u4e00\u4e00\u4e86\u89e3\u4e0d\u540c\u7684\u7cbe\u795e\u75be\u75c5\u60a3\u8005\u5427\uff01<\/span><\/span><\/p>\n

\u00a0<\/p>\n

\"shutterstock_183088169.jpg\"<\/span><\/span><\/p>\n

\u96d9\u5411\u60c5\u7dd2\u969c\u7919\u75c7(Bipolar)<\/span><\/strong><\/span><\/span><\/p>\n

\u9019\u662f\u500b\u5f88\u96e3\u88ab\u8a3a\u65b7\u51fa\u4f86\u6216\u662f\u8aa4\u8a3a\u7684\u75be\u75c5\uff0c<\/span><\/span>\u56e0\u70ba\u6b63\u5e38\u4eba\u4e5f\u53ef\u80fd\u6709\u9019\u7a2e\u6975\u7aef\u7684\u60c5\u7dd2\u3002<\/span><\/p>\n

\u5c31\u662f\u6211\u5011\u5e38\u5e38\u8aaa\u7684\u8e81\u9b31\u75c7\uff0c<\/span><\/span>\u6703\u6709\u9ad8\u9ad8\u4f4e\u4f4e\u7684\u60c5\u7dd2\u8207\u6d3b\u529b\u8d77\u4f0f\uff0c<\/span>\u6642\u800c\u6182\u9b31\u6642\u800c\u4ea2\u596e<\/span><\/p>\n

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(drastic shifts in mood, energy, and activity levels \/ the extreme swings in mood and energy levels)<\/span><\/span><\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

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\u7576\u8e81\u75c7(mania)<\/span>\u767c\u4f5c\u6642\uff0c<\/span><\/span><\/p>\n

\u5bb9\u6613\u611f\u5230\u4ea2\u596e\u3001\u60c5\u7dd2\u9ad8\u6602(elevated)<\/span>\u3001\u6613\u6012(irratable mood)<\/span>\u3001\u81ea\u8a87(grandiosity)<\/span>\u3001<\/span><\/span><\/p>\n

\u7761\u7720\u9700\u6c42\u964d\u4f4e\u3001\u6ed4\u6ed4\u4e0d\u7d55\u5730\u8aaa\u8a71\u3001\u601d\u60f3\u98db\u8e8d(flight of idea)<\/span><\/span><\/span><\/p>\n

\u6240\u4ee5\u5f88\u5bb9\u6613\u7522\u751f\u85e5\u766e\u6216\u9152\u766e(Abusing drugs or alcohol)<\/span><\/span><\/span>\u8b93\u81ea\u5df1\u5448\u73fe\u904ehigh\u72c0\u6cc1\u3002<\/span><\/p>\n

\u00a0<\/p>\n

\"shutterstock_151137668.jpg\"<\/span><\/span><\/p>\n

\u7576\u9b31\u75c7(depression)<\/span>\u767c\u4f5c\u6642\u00a0(William C,2015)<\/span><\/span><\/p>\n

\u5bb9\u6613\u611f\u5230\u60b2\u50b7\u3001\u7121\u671b\u3001\u5931\u7720\u6216\u55dc\u7720(hypersomnia)<\/span>\u3001\u7cbe\u795e\u52d5\u4f5c\u6fc0\u52d5\u6216\u9072\u7de9(psychomotor agitation or retardation)<\/span><\/span><\/span><\/p>\n

\u56e0\u6b64\u5bb9\u6613\u7522\u751f\u81ea\u6bba\u7684\u5ff5\u982d(have suicidal thoughts)<\/span><\/span><\/span><\/p>\n

\u9019\u6642\u5019\u53ef\u80fd\u5c31\u9700\u8981\u8207\u5fc3\u7406\u5e2b(Psychologists)<\/span>\u3001\u793e\u5de5(social workers)<\/span>\u3001\u8aee\u5546\u5e2b(counselors)<\/span>\u804a\u804a\uff0c<\/span><\/span><\/p>\n

\u9019\u5169\u7a2e\u75c7\u72c0\u901a\u5e38\u90fd\u662f\u900f\u904e\u85e5\u7269\u63a7\u5236\uff0c<\/span><\/span><\/p>\n

\u4f46\u53ef\u80fd\u6703\u9020\u6210\u4e00\u4e9b\u526f\u4f5c\u7528(side effects)<\/span><\/span><\/span>\u6240\u4ee5\u8981\u907f\u514d\u9019\u4e9b\u75c7\u72c0<\/span>\u5fa9\u767c(relapse)<\/span><\/p>\n

\u5f88\u9700\u8981\u670b\u53cb\u8207\u5bb6\u4eba\u7684\u652f\u6301\u3002<\/span><\/p>\n<\/div>\n<\/div>\n

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\u00a0<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n

\u601d\u89ba\u5931\u8abf\u75c7(Schizophrenia)<\/strong><\/span><\/span><\/span><\/p>\n

\u70ba\u5927\u5bb6\u53e3\u8a9e\u4e2d\u7684\u7cbe\u795e\u5206\u88c2\u75c7\u3002<\/span><\/span><\/p>\n

\u4f46\u662f\u5df2\u7d93\u7d93\u904e\u6b63\u540d\uff0c<\/span><\/span>\u8acb\u5927\u5bb6\u4e0d\u8981\u518d\u7528\u9019\u500b\u6c59\u540d\u5316\u7684\u540d\u7a31\u4e86\uff01\uff01\uff01<\/span><\/p>\n

\u4e00\u822c\u5728\u7cbe\u795e\u75c5\u7406\u5b78\u7576\u4e2d\u5e38\u88ab\u6b78\u985e\u70ba\u7cbe\u795e\u6027\u75be\u60a3(psychotic disorder\/psychosis)<\/span><\/span><\/span><\/p>\n

\u7cbe\u795e\u6027\u4e26\u975e\u4e00\u822c\u4eba\u53e3\u8a9e\u6240\u8aa4\u89e3\u7684\u760b\u4e86(crazy\/insane)<\/span><\/span><\/span><\/p>\n

\u800c\u662f\u6307\u9019\u985e\u75be\u60a3\u7684\u76f8\u95dc\u75c7\u72c0(symptoms)<\/span><\/span><\/span><\/p>\n

\u662f\u4e00\u7a2e\u6162\u6027\u7684\u5927\u8166\u75be\u75c5(chronic brain disorder)<\/span><\/span><\/span><\/p>\n

\u6703\u5c0d\u60a3\u8005\u7684\u77e5\u89ba(perception)<\/span>\u3001\u601d\u8003\u751a\u81f3\u662f\u60c5\u7dd2\u9020\u6210\u56b4\u91cd\u5f71\u97ff\uff0c<\/span><\/span><\/p>\n

\u800c\u640d\u50b7\u4ed6\u5c0d\u5916\u5728\u73fe\u5be6\u7684\u8a8d\u77e5\u8207\u793e\u6703\u529f\u80fd\u3002<\/span><\/span><\/p>\n

\u00a0<\/p>\n

\u53ef\u4ee5\u5206\u70ba\u4ee5\u4e0b\u4e09\u7a2e\u985e\u578b (DSM-5,2014)<\/span><\/span><\/p>\n

\"shutterstock_352755008.jpg\"<\/span><\/span><\/p>\n

1. \u6b63\u6027\u75c7\u72c0(positive\u00a0symptoms)<\/strong><\/span><\/span><\/p>\n

\u60a3\u8005\u611f\u5b98\u6703\u4ee5\u904e\u5ea6(excess)<\/span>\u6216\u626d\u66f2(distortion)<\/span>\u7684\u65b9\u5f0f<\/span><\/span>\u7d93\u6b77\u4e00\u822c\u4eba\u4e0d\u6703\u6709\u7684\u9ad4\u9a57\uff0c<\/span><\/p>\n

\u50cf\u662f\u8996\/\u807d\u5e7b\u89ba(visual\/auditory hallution)<\/span>\uff1a\u770b\u5230\u4e00\u822c\u4eba\u770b\u4e0d\u5230\u7684\u4e8b\u7269\u3001\u807d\u5230\u6709\u4eba\u6279\u8a55\u81ea\u5df1\uff0c<\/span><\/span><\/p>\n

\u6216\u662f\u5984\u60f3(delusion)<\/span>\uff1a\u89ba\u5f97\u6240\u6709\u4eba\u90fd\u60f3\u5bb3\u6211\u3002<\/span><\/span><\/p>\n

\u00a0<\/p>\n

2. \u8ca0\u6027\u75c7\u72c0(negative\u00a0symptoms)<\/strong><\/span><\/span><\/p>\n

\u6307\u6c92\u4ec0\u9ebc\u60c5\u7dd2\u53cd\u61c9\u3001\u920d\u5316\u6216\u5e73\u677f\u60c5\u611f\u3001\u7121\u6cd5\u611f\u89ba\u5230\u6109\u6085\u3001\u4ec0\u9ebc\u4e8b\u90fd\u4e0d\u60f3\u505a(\u7121\u52d5\u6a5f no motivation<\/span>)\u3002<\/span><\/span><\/p>\n

\u00a0<\/p>\n

3.\u89e3\u69cb\u75c7\u72c0(disorganized\u00a0symptoms)<\/strong><\/span><\/span><\/p>\n

\u89e3\u69cb\u7684\u6df7\u4e82\u8a9e\u8a00\u6216\u884c\u70ba\uff0c<\/span><\/span><\/p>\n

\u50cf\u662f\u8ac7\u8a71\u5167\u5bb9\u6c92\u6709\u908f\u8f2f\u4ee4\u4eba\u7121\u6cd5\u7406\u89e3\u3001\u601d\u8003\u4e0d\u9023\u8cab (incoherence)<\/span><\/span><\/span>\u6216\u662f\u5947\u88dd\u7570\u670d<\/span><\/p>\n

\u00a0<\/p>\n

\u800c\u6700\u5bb9\u6613\u8207\u66b4\u529b\u72af\u7f6a\u6709\u6240\u95dc\u806f\u7684\u901a\u5e38\u662f\u6b63\u6027\u75c7\u72c0\uff1a\u7f3a\u4e4f\u75c5\u8b58\u611f(a lack of insight into their illness)<\/span><\/span><\/span><\/p>\n

\u56e0\u70ba\u4ed6\u5011\u770b\u5230\u6216\u807d\u5230\u90a3\u4e9b\u5e7b\u89ba\u6216\u5984\u60f3\u800c\u5c0e\u81f4\u5c0d\u73fe\u5be6\u7684\u5224\u65b7\u932f\u4e82\uff0c<\/span><\/span>\u4e26\u628a\u4ed6\u5011\u7576\u4f5c\u5a01\u8105\u800c\u6709\u7126\u616e<\/span>\u9032\u800c\u7522\u751f\u66b4\u529b\u884c\u70ba\u3002<\/span><\/p>\n

\u00a0<\/p>\n

\u5982\u679c\u5927\u5bb6\u60f3\u77e5\u9053\u601d\u89ba\u5931\u8abf\u75c7\u7684\u60a3\u8005\u6703\u6709\u4ec0\u9ebc\u6a23\u7684\u72c0\u6cc1\uff0c<\/span><\/span><\/p>\n

\u5f88\u63a8\u85a6\u5927\u5bb6\u770b\u4e00\u90e8\u771f\u4eba\u771f\u4e8b\u6539\u7de8\u7684\u96fb\u5f71\u300a\u7f8e\u9e97\u5883\u754c A Beautiful Mind\u300b<\/span><\/span><\/p>\n

\u5728\u4ecb\u7d39\u4e00\u540d\u6709\u540d\u7684\u6578\u5b78\u5bb6Nash\u60a3\u75c5\u7684\u4eba\u751f\u6b77\u7a0b\uff0c<\/span><\/span>\u771f\u7684\u8d85\u611f\u4eba\uff01<\/span><\/p>\n

\u00a0<\/p>\n

\"shutterstock_391490341.jpg\"<\/span><\/span><\/p>\n

\u300c<\/span>\u00a0When you break a leg, you get a cast and people sign it and put smiley faces on it.<\/span><\/span><\/em><\/strong><\/p>\n

When you're given a mental illness diagnosis, you're cast out.\u00a0\u300d<\/span><\/span><\/span><\/em><\/strong><\/p>\n

\u300c<\/span>\u00a0\u7576\u4f60\u6454\u65b7\u4e86\u4e00\u689d\u817f\uff0c\u6703\u5f97\u5230\u4eba\u5011\u7684\u7b11\u81c9<\/span><\/span><\/em><\/strong><\/p>\n

\u4f46\u7576\u4f60\u5f97\u5230\u7cbe\u795e\u75be\u75c5\u6642\uff0c\u4f60\u6703\u88ab\u8d95\u8d70\u300d<\/span><\/span><\/span><\/em><\/strong><\/p>\n

------<\/span>\u00a0Amanda Lipp<\/span><\/span><\/span><\/em><\/strong><\/p>\n

\u00a0<\/p>\n

\u5f97\u764c\u75c7\u60a3\u8005\u3001\u622a\u80a2\u60a3\u8005\uff0c\u90a3\u6a23\u7684\u75c5\u60a3\u6216\u662f\u6b98\u75be\u4eba\u58eb<\/span><\/span>\u90fd\u80fd\u5f97\u5230\u540c\u60c5\u548c\u5b89\u6170\uff0c<\/span><\/p>\n

\u53ef\u662f\u4eba\u5011\u537b\u7528\u7570\u6a23\u7684\u773c\u5149\u770b\u5f85\u7cbe\u795e\u75c5\u60a3\u8005\uff0c<\/span><\/span>\u5c31\u597d\u50cf\u770b\u5230\u87f2\u5b50\u4e00\u6a23\uff0c<\/span><\/p>\n

\u5982\u679c\u9023\u7e8c\u53d7\u5230\u5de8\u5927\u6253\u64ca\u7684\u8a71\uff0c<\/span><\/span>\u662f\u8ab0\u90fd\u6709\u53ef\u80fd\u63db\u4e0a\u7cbe\u795e\u75be\u75c5\u7684\u3002<\/span><\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u9084\u60f3\u77e5\u9053\u66f4\u591a\u95dc\u65bc\u7cbe\u795e\u969c\u7919\u55ce<\/span><\/span><\/p>\n

\u90a3\u5c31\u6301\u7e8c\u95dc\u6ce8Engoo\u90e8\u843d\u683c<\/span><\/span>\u5427\"wink\"<\/span><\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u53c3\u8003\u8cc7\u6599\uff1a<\/span><\/span><\/p>\n

William C. Lloyd III, MD, FACS ,\u00a0May 1.\u00a02015,\u00a09 Ways to Keep Bipolar Disorder Under Control, CNN,\u00a0Available from:<\/span><\/span><\/p>\n

https:\/\/inhealth.cnn.com\/finding-the-right-bipolar-treatment\/9-ways-to-keep-bipolar-disorder-under-control<\/a><\/span><\/span><\/p>\n

American Psychiatric Association \u53f0\u7063\u7cbe\u795e\u91ab\u5b78\u6703,\u00a02014,DSM-5 \u7cbe\u795e\u75be\u75c5\u8a3a\u65b7\u6e96\u5247\u624b\u518a,\u00a0\u65b0\u5317\u5e02:\u5408\u8a18\u5716\u66f8\u51fa\u7248\u793e<\/span><\/span><\/p>\n

\u00a0<\/p>\n

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