心身疾病psychosomatic-disease.ppt
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1、1Psychosomatic Disease心身疾病心身疾病2Tomato diet kills six-stone modelA YOUNG model who lived on a diet of apples and tomatoes has died of anorexia(神经性厌食症).Ana Carolina Reston,21,a Brazilian who had worked for Giorgio Armani,was 5ft 7in tall but weighed only six stone when she died on Tuesday.(174cm,40kgB
2、MI:13.4)3objectives1.To master the concept of psychosomatic diseases,etiology(病因学),pathogenesis,diagnosis,and treatment principles.2.To be familiar with a variety of common psychosomatic diseases.4introductionPsychosomatic medicine has its roots in the earliest writings of the history of medicine,aw
3、areness of body-mind linkages was recorded by ancient philosophers and physicians many centuries ago.Body and mind were always inseparably connected.Current understanding of psychosomatic takes into account the interaction between physical and psychic(精神的、心灵的)in all disorders and diseases.5The princ
4、iple features include1.2.3.p716uHistory and definition of psychosomaticuPathogenic mechanism and process of psychosomatic diseasesuClinic work in psychosomatic diseasesuTypical psychosomatic diseases.content7uHistory and definition of psychosomatic1.History of psychosomatic medicine2.Definition of p
5、sychosomatic medicine3.Concept of psychosomatic diseases.4.Morbidity rate(患病率)and population characteristic of psychosomatic diseases.8psychosomatic disease refers to physical symptoms or illnesses that result from the interplay of psychosocial and physiological processes.9Classification according s
6、ystem1.Cardiovascular system coronary heart disease(CHD)essential hypertension Cardiac arrhythmias2.Respiratory system bronchial asthma hyperventilation syndrome 10Classification according system3.Gastrointestinal system peptic ulcer ulcerative colitis4.Endocrine system diabetes mellitus hyperthyroi
7、dism 11Classification according system5.Musculoskeletal system rheumatoid arthritis low back pain6.Neurological system migraine headache tension headache12Why do some people who are under stress get sick whereas others do not?13Type A and Type B behavior patternsThe discovery of“type A”Meyer Friedma
8、n and Ray Rosenman were studying dietary differences in cholesterol(胆固醇)intake between male heat disease victims and their wives.“If you really want to know what is giving our husbands heart attacks,I will tell you.It is stress,the stress they receive in their work.”Focusing on the subjects stress a
9、nd behavioral characteristics.14Type A behavior pattern It consists of three characteristics Competitive achievement orientationTime urgencyAnger/hostility15Competitive achievement orientationType A individuals tend to be very self-critical and to strive toward goals without feeling a sense of joy i
10、n their effortsHard workers16Time urgencyType A people seem to be in a constant struggle against the clock.They quickly become impatient with delays,schedule commitments too tightly,and try to do more than one thing at a time,such as reading while eating or watching TV.17Anger/hostilityType A indivi
11、duals tend to be easily aroused to anger or hostility,which they may or may not express overtly.18Type B behavior patternlow levels of competitiveness,time urgency and hostility.Tending to be more easygoing and philosophical about life they are more like to“stop and smell the roses”.19Measuring Type
12、 A and Type BDo you want to know what patterns you belong to?20Answerthesesquestionswithyesorno1.你你说说话话时时会会刻刻意意加加重重关关键键字字的的语语气气吗吗?Do you deliberately accentuate the key words?2.你你吃吃饭饭和和走走路路时时都都很很急急促促吗吗?Do you eat and walk quickly?3.你你认认为为孩孩子子自自幼幼就就该该养养成成与与人人竞竞争争的的习习惯惯吗吗?Do you think that children sh
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