DSM-5-TR臨床個案實戰手冊
商品資訊
ISBN13：9789863685876
替代書名：DSM-5-TR® clinical cases
出版社：合記
作者：John W.Barnhill; M.D.
譯者：林繼宇
出版日：2025/01/01
裝訂／頁數：平裝／416頁
規格：26cm*19cm*2cm (高/寬/厚)
版次：2
商品簡介
序
《DSM-5-TR 臨床個案實戰手冊》旨在讓讀者與《DSM-5-TR》同步使用。本書的104 個案例中，每個案例皆以臨床簡介開始，再接著進行案例討論。本書的案例與《DSM-5-TR》的19 個核心章節相對應。換句話說，關於邊緣人格障礙的案例將出現在有關人格障礙的章節中，對於同時存在多個障礙的案例，
將根據主要的精神障礙將案例歸入相對應的章節（然而，通常每個共同存在
的障礙也應成為臨床關注的對象）。
每一位參與本書撰寫的133 名討論者皆被要求像「肩上的專家(an expert
on the shoulder)」一樣，清楚描述對患者診斷理解所需的思考過程。每個案例加上其討論的篇幅限制在1,000 字左右，不會過於詳盡冗長，這種簡潔性同時也使本書能夠突顯經驗豐富的臨床醫師如何將複雜的臨床數據有效率的轉化為鑑別診斷，讓讀者能在一次的閱讀中獲得重點式的學習。讀者在全書閱讀過程中皆被鼓勵積極思考每個案例的暫時診斷：你是否同意？你是否需要更多資訊？患者可能會有哪些共病？患者在接下來數月和數年中可能會出現哪些情況？
《DSM-5-TR 臨床個案實戰手冊》是《DSM-5》附帶的臨床案例書的更新版。作者、案例和討論基本保持不變，但本書已進行修訂，以加入《DSM-5-TR》
的變更，同時對種族、人種和其他人口統計因素有更完善的考慮。《DSM-5 臨床個案實戰手冊》已被翻譯成十幾種語言，並且各心理健康臨床醫師、實習生、學生以及非專業人士皆在閱讀使用，我們希望讀者們能夠感受到這個更新的版本更加的有趣且實用。
目次
導言 .............................................................................................. xv
1 神經發展疾患 ................................................................................. 1
導言 ......................................................................................................... 1
CASE 1.1：關於自閉症的第二意見........................................................ 3
CASE 1.2：情緒不穩 .............................................................................. 7
CASE 1.3：學業困難 ............................................................................ 10
CASE 1.4：學校問題 ............................................................................ 14
CASE 1.5：坐立不安且分心 ................................................................. 18
2 思覺失調類群及其他精神病症 .................................................... 21
導言 ....................................................................................................... 21
CASE 2.1：情緒不穩定 ........................................................................ 24
CASE 2.2：越來越奇怪 ........................................................................ 27
CASE 2.3：靈性的幻覺 ........................................................................ 29
CASE 2.4：心靈控制 ............................................................................ 33
CASE 2.5：悲傷與精神病 ..................................................................... 36
CASE 2.6：精神病與大麻 ..................................................................... 39
CASE 2.7：跳蚤寄生 ............................................................................ 42
3 雙相情緒及其相關障礙症 ............................................................ 45
導言 ....................................................................................................... 45
CASE 3.1：情緒出現異常 ..................................................................... 48
CASE 3.2：憂鬱的循環) ...................................................................... 51
CASE 3.3：被自殺想法佔據 ................................................................. 54
CASE 3.4：偶發的憂鬱 ........................................................................ 57
CASE 3.5：易怒與悲傷 ........................................................................ 60
CASE 3.6：神已治癒我！ ..................................................................... 63
CASE 3.7：奇怪的沉默 ........................................................................ 66
CASE 3.8：產後的改變 ........................................................................ 69
CASE 3.9：憂鬱與焦慮 ........................................................................ 72
4 憂鬱症 .......................................................................................... 75
導言 ....................................................................................................... 75
CASE 4.1：心情多變與易怒 ................................................................. 78
CASE 4.2：產後低落 ............................................................................ 81
CASE 4.3：悲傷與憂鬱 ........................................................................ 83
CASE 4.4：生活失去興趣 ..................................................................... 87
CASE 4.5：絕望 .................................................................................... 89
CASE 4.6：感到失落多年 ..................................................................... 92
CASE 4.7：情緒波動 ............................................................................ 94
CASE 4.8：壓力、藥物與不開心 ......................................................... 97
CASE 4.9：喜樂不能與不安寧的睡眠 .................................................. 99
CASE 4.10：非雙相情緒障礙，但有混合特徵 .................................. 103
CASE 4.11：不知所措 ........................................................................ 106
CASE 4.12：失眠與身體抱怨 ............................................................. 109
5 焦慮症 ........................................................................................ 113
導言 ..................................................................................................... 113
CASE 5.1：恐懼與擔憂 ...................................................................... 115
CASE 5.2：恐慌 .................................................................................. 118
CASE 5.3：青少年害羞 ...................................................................... 121
CASE 5.4：害怕飛行 .......................................................................... 124
CASE 5.5：總是緊張不安 ................................................................... 126
CASE 5.6：焦慮與肝硬化 ................................................................... 128
6 強迫症及相關障礙症.................................................................. 133
導言 ..................................................................................................... 133
CASE 6.1：憂鬱 .................................................................................. 135
CASE 6.2：細菌 .................................................................................. 138
CASE 6.3：過於關注外貌 ................................................................... 141
CASE 6.4：憂鬱與焦慮 ...................................................................... 144
CASE 6.5：拔頭髮 .............................................................................. 146
7 創傷及壓力相關障礙症 .............................................................. 149
導言 ..................................................................................................... 149
CASE 7.1：危險行為 .......................................................................... 151
CASE 7.2：兩種創傷反應 ................................................................... 154
CASE 7.3：車禍) ................................................................................ 156
CASE 7.4：容易被觸發 ...................................................................... 158
CASE 7.5：壓力山大 .......................................................................... 161
CASE 7.6：肺癌 .................................................................................. 164
CASE 7.7：藥物過量 .......................................................................... 166
CASE 7.8：工作倦怠 .......................................................................... 169
8 解離症 ........................................................................................ 175
導言 ..................................................................................................... 175
CASE 8.1：悲傷且孤獨 ...................................................................... 177
CASE 8.2：感覺不真實 ...................................................................... 180
CASE 8.3：解離 .................................................................................. 183
9 身體症狀及相關障礙症 .............................................................. 187
導言 ..................................................................................................... 187
CASE 9.1：疼痛與憂鬱 ...................................................................... 190
CASE 9.2：身體抱怨 .......................................................................... 192
CASE 9.3：慢性的萊姆病 ................................................................... 195
CASE 9.4：癲癇發作 .......................................................................... 199
CASE 9.5：肚子痛 .............................................................................. 201
CASE 9.6：呼吸困難 .......................................................................... 204
10 餵食及飲食障礙症 ..................................................................... 209
導言 ..................................................................................................... 209
CASE 10.1：肚子痛 ............................................................................ 211
CASE 10.2：掉落至生長曲線下 ......................................................... 214
CASE 10.3：頭痛和疲累 .................................................................... 216
CASE 10.4：失去控制 ........................................................................ 220
CASE 10.5：體重增加 ........................................................................ 222
11 排泄障礙症 ................................................................................. 225
導言 ..................................................................................................... 225
CASE 11.1：情緒崩潰和身體症狀抱怨 .............................................. 226
12 睡醒障礙症 ................................................................................. 229
導言 ..................................................................................................... 229
CASE 12.1：無法維持睡眠 ................................................................. 231
CASE 12.2：焦慮和想睡 .................................................................... 234
CASE 12.3：想睡覺 ............................................................................ 237
CASE 12.4：感到癢、毛骨悚然和有蠕動感 ...................................... 240
13 性功能障礙 ................................................................................. 243
導言 ..................................................................................................... 243
CASE 13.1：性功能障礙 .................................................................... 245
CASE 13.2：性功能問題 .................................................................... 248
14 性別不安 .................................................................................... 251
導言 ..................................................................................................... 251
CASE 14.1：性別重置 ........................................................................ 253
15 侵擾行為、衝動控制及行為規範障礙症 ................................... 257
導言 ..................................................................................................... 257
CASE 15.1：不懂規則 ........................................................................ 259
CASE 15.2：無法住一起 .................................................................... 262
16 物質相關及成癮障礙症 .............................................................. 265
導言 ..................................................................................................... 265
CASE 16.1：酒精 ................................................................................ 266
CASE 16.2：酒精戒斷 ........................................................................ 269
CASE 16.3：成癮 ................................................................................ 271
CASE 16.4：膝蓋疼痛 ........................................................................ 274
CASE 16.5：向下沉淪的漩渦 ............................................................. 276
CASE 16.6：壓力與物質濫用 ............................................................. 280
CASE 16.7：賭博 ................................................................................ 283
17 認知類障礙症 ............................................................................. 287
導言 ..................................................................................................... 287
CASE 17.1：不悅 ................................................................................ 289
CASE 17.2：躁動與混亂 .................................................................... 292
CASE 17.3：憂鬱與戒斷 .................................................................... 294
CASE 17.4：邋遢且精力耗盡 ............................................................. 297
CASE 17.5：僵硬和健忘 .................................................................... 300
CASE 17.6：偏執與幻覺 .................................................................... 304
CASE 17.7：突然叛逆 ........................................................................ 308
18 人格障礙症 ................................................................................. 313
導言 ..................................................................................................... 313
CASE 18.1：人格衝突 ........................................................................ 316
CASE 18.2：怪異地獨處 .................................................................... 319
CASE 18.3：擔心且怪異地佔據式思考 .............................................. 322
CASE 18.4：不公平 ............................................................................ 324
CASE 18.5：脆弱和生氣 .................................................................... 327
CASE 18.6：痛苦的自殺傾向 ............................................................. 330
CASE 18.7：不滿足 ............................................................................ 333
CASE 18.8：害羞 ................................................................................ 336
CASE 18.9：缺少自信 ........................................................................ 338
CASE 18.10：關係控制 ...................................................................... 341
19 性偏好症 .................................................................................... 313
導言 ..................................................................................................... 345
CASE 19.1：施虐與被虐 .................................................................... 348
CASE 19.2：關係問題 ........................................................................ 352
CASE 19.3：性冒犯 ............................................................................ 354
CASE 19.4：一些特殊性癖好 ............................................................. 358
主題索引 .................................................................................... 363
臨床個案索引 ............................................................................. 387
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