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Kamis, 15 Desember 2011

gangguan jiwa (update)



Pedoman Penggolongan Diagnosis Gangguan Jiwa (PPDGJ) menyusun klasifikasi gangguan kejiwaan  sebagai berikut:

Gangguan psikomatik (contoh: schizophrenia)
-Skizofrenia merupakan penyakit otak yang timbul akibat ketidakseimbangan pada dopamin, yaitu salah satu sel kimia dalam otak. Ia adalah gangguan jiwa psikotik paling lazim dengan ciri hilangnya perasaan afektif atau respons emosional dan menarik diri dari hubungan antarpribadi normal. Sering kali diikuti dengan delusi (keyakinan yang salah) dan halusinasi (persepsi tanpa ada rangsang pancaindra).
skizofrenia adalah gangguan mental yang ditandai oleh proses disintegrasi pemikiran dan respon emosional. Ia paling umum memanifestasikan dirinya sebagai halusinasi pendengaran, paranoid atau delusi yg aneh, atau suara tidak teratur dan berpikir, dan itu disertai dengan disfungsi sosial atau pekerjaan yang signifikan

Gangguan cemas (contoh:panic attack, phobia)
-Panic attacks are periods of intense fear or apprehension that are of sudden onset and of relatively brief duration. Panic attacks usually begin abruptly, reach a peak within 10 minutes, and subside over the next several hours. Often those afflicted will experience significant anticipatory anxiety and limited symptom attacks in between attacks, in situations where attacks have previously occurred. The effects of a panic attack vary.

-phobia
Fobia adalah rasa ketakutan yang berlebihan pada sesuatu hal atau fenomena. Fobia bisa dikatakan dapat menghambat kehidupan orang yang mengidapnya. Bagi sebagian orang, perasaan takut seorang pengidap Fobia sulit dimengerti.
phobia is a type of anxiety disorder, usually defined as a persistent fear of an object or situation in which the sufferer commits to great lengths in avoiding, typically disproportional to the actual danger posed, often being recognized as irrational. In the event the phobia cannot be avoided entirely the sufferer will endure the situation or object with marked distress and significant interference in social or occupational activities.

Gangguan mood (contoh:bipolar mood, depression)
-Bipolar disorder or bipolar affective disorder, historically known as manic–depressive disorder, is a psychiatric diagnosis that describes a category of mood disorders defined by the presence of one or more episodes of abnormally elevated energy levels, cognition, and mood with or without one or more depressive episodes. The elevated moods are clinically referred to as mania or, if milder, hypomania. Individuals who experience manic episodes also commonly experience depressive episodes, or symptoms, or a mixed state in which features of both mania and depression are present at the same time.
 These events are usually separated by periods of "normal" mood; but, in some individuals, depression and mania may rapidly alternate, which is known as rapid cycling. Severe manic episodes can sometimes lead to such psychotic symptoms as delusions and hallucinations. The disorder has been subdivided into bipolar I, bipolar II, cyclothymia, and other types, based on the nature and severity of mood episodes experienced; the range is often described as the bipolar spectrum.

-Depression is a state of low mood and aversion to activity that can affect a person's thoughts, behaviour, feelings and physical well-being. Depressed people may feel sad, anxious, empty, hopeless, helpless, worthless, guilty, irritable, or restless. They may lose interest in activities that once were pleasurable, experience loss of appetite or overeating, or problems concentrating, remembering details or making decisions; and may contemplate or attempt suicide. Insomnia, excessive sleeping, fatigue, loss of energy, or aches, pains or digestive problems that are resistant to treatment may be present.
  
Gangguan amnestic (contoh: amnesia)
-amnesia adalah kondisi terganggunya daya ingat. Penyebab amnesia dapat berupa organik atau fungsional. Penyebab organik dapat berupa kerusakan otak, akibat trauma atau penyakit, atau penggunaan obat-obatan (biasanya yang bersifat sedatif). Penyebab fungsional adalah faktor psikologis, seperti halnya mekanisme pertahanan ego. Amnesia dapat pula terjadi secara spontan, seperti terjadi pada transient global amnesia. Jenis amnesia global ini umum terjadi mulai usia pertengahan sampai usia tua, terutama pada pria, dan biasanya berlangsung kurang dari 24 jam.
-amnesia is a condition in which one's memory is lost. The causes of amnesia have traditionally been divided into categories. Functional causes are psychological factors, such as mental disorder, post-traumatic stress or, in psychoanalytic terms, defense mechanisms. Amnesia may also appear as spontaneous episodes, in the case of transient global amnesia.
Anterograde amnesia, is the loss of short-term memory, the loss or impairment of the ability to form new memories through memorization. People may find themselves constantly forgetting a piece of information, people or events after a few seconds or minutes, because the data does not transfer successfully from their conscious short-term memory into permanent long-term memory.
Retrograde amnesia, the loss of pre-existing memories to conscious recollection, beyond an ordinary degree of forgetfulness. The person may be able to memorize new things that occur after the onset of amnesia (unlike in anterograde amnesia), but is unable to recall some or all of their life or identity prior to the onset.

Gangguan dissosiatif (contoh: multiple personality)
-kepribadian ganda, atau juga lebih terkenal dengan nama alter ego. Merupakan suatu keadaan di mana kepribadian individu terpecah sehingga muncul kepribadian yang lain. Kepribadian itu biasanya merupakan ekspresi dari kepribadian utama yang muncul karena pribadi utama tidak dapat mewujudkan hal yang ingin dilakukannya. Dalam bahasa yang lebih sederhana dapat dikatakan bahwa ada satu orang yang memiliki pribadi lebih dari satu atau memiliki dua pribadi sekaligus. Kadang si penderita tidak tau bahwa ia memiliki kepribadian ganda, dua pribadi yang ada dalam satu tubuh ini juga tidak saling mengenal dan lebih parah lagi kadang-kadang dua pribadi ini saling bertolak belakang sifatnya.

-Dissociative identity disorder is a psychiatric diagnosis and describes a condition in which a person displays multiple distinct identities (known as alters or parts), each with its own pattern of perceiving and interacting with the environment.
In the International Statistical Classification of Diseases and Related Health Problems the name for this diagnosis is multiple personality disorder. In both systems of terminology, the diagnosis requires that at least two personalities (one may be the host) routinely take control of the individual's behavior with an associated memory loss that goes beyond normal forgetfulness; in addition, symptoms cannot be the temporary effects of drug use or a general medical condition. DID is less common than other dissociative disorders, occurring in approximately 1% of dissociative cases, and is often comorbid with other disorders.
Individuals diagnosed with DID demonstrate a variety of symptoms with wide fluctuations across time; functioning can vary from severe impairment in daily functioning to normal or high abilities. Symptoms can include:
Signs and symptoms:
    * Multiple mannerisms, attitudes and beliefs which are not similar to each other
    * Unexplainable headaches and other body pains
    * Distortion or loss of subjective time ( a long time)
    * Depersonalization
    * Derealization
    * Severe memory loss
    * Depression
    * Flashbacks of abuse/trauma
    * Sudden anger without a justified cause
    * Frequent panic/anxiety attacks
    * Unexplainable phobias

Types and causes of amnesia (ga da translate)



-Post-traumatic amnesia is generally due to a head injury (e.g., a fall, a knock on the head). Traumatic amnesia is often transient, but may be permanent of either anterograde, retrograde, or mixed type. The extent of the period covered by the amnesia is related to the degree of injury and may give an indication of the prognosis for recovery of other functions. Mild trauma, such as a car accident that results in no more than mild whiplash, might cause the occupant of a car to have no memory of the moments just before the accident due to a brief interruption in the short/long-term memory transfer mechanism. The sufferer may also lose knowledge of who people are.

-Dissociative amnesia results from a psychological cause as opposed to direct damage to the brain caused by head injury, physical trauma or disease, which is known as organic amnesia. Dissociative amnesia can include: 

a.Repressed memory refers to the inability to recall information, usually about stressful or traumatic events in persons' lives, such as a violent attack or rape. The memory is stored in long term memory, but access to it is impaired because of psychological defense mechanisms. Persons retain the capacity to learn new information and there may be some later partial or complete recovery of memory. This contrasts with e.g. anterograde amnesia caused by amnestics such as benzodiazepines or alcohol, where an experience was prevented from being transferred from temporary to permanent memory storage: it will never be recovered, because it was never stored in the first place. Formerly known as "Psychogenic Amnesia". 
b.Dissociative Fugue (formerly Psychogenic Fugue) is also known as fugue state. It is caused by psychological trauma and is usually temporary, unresolved and therefore may return. The Merck Manual defines it as "one or more episodes of amnesia in which the inability to recall some or all of one's past and either the loss of one's identity or the formation of a new identity occur with sudden, unexpected, purposeful travel away from home." While popular in fiction, it is extremely rare. 
c.Posthypnotic amnesia is where events during hypnosis are forgotten, or where past memories are unable to be recalled.

-Lacunar amnesia is the loss of memory about one specific event.

-Childhood amnesia (also known as infantile amnesia) is the common inability to remember events from one's own childhood. Sigmund Freud notoriously attributed this to sexual repression, while modern scientific approaches generally attribute it to aspects of brain development or developmental psychology, including language development

-Transient global amnesia is a well-described medical and clinical phenomenon. This form of amnesia is distinct in that abnormalities in the hippocampus can sometimes be visualized using a special form of magnetic resonance imaging of the brain known as diffusion-weighted imaging (DWI). Symptoms typically last for less than a day and there is often no clear precipitating factor nor any other neurological deficits. The cause of this syndrome is not clear, hypotheses include transient reduced blood flow, possible seizure or an atypical type of migraine. Patients are typically amnestic of events more than a few minutes in the past, though immediate recall is usually preserved.

-Source amnesia is a memory disorder in which someone can recall certain information, but they do not know where or how they obtained the information.

-Memory distrust syndrome is a term invented by the psychologist Gisli Gudjonsson to describe a situation where someone is unable to trust their own memory.

-Blackout phenomenon can be caused by excessive short-term alcohol consumption, with the amnesia being of the anterograde type.

-Korsakoff's syndrome can result from long-term alcoholism or malnutrition. It is caused by brain damage due to a vitamin B1 deficiency and will be progressive if alcohol intake and nutrition pattern are not modified. Other neurological problems are likely to be present in combination with this type of Amnesia. Korsakoff's syndrome is also known to be connected with confabulation.

-Drug-induced amnesia is intentionally caused by injection of an amnesiac drug to help a patient forget surgery or medical procedures, particularly those not performed under full anesthesia, or likely to be particularly traumatic. Such drugs are also referred to as "premedicants." Most commonly a 2'-halogenated benzodiazepine such as midazolam or flunitrazepam is the drug of choice, although other strongly amnestic drugs such as propofol or scopolamine may also be used for this application. Memories of the short time frame in which the procedure was performed are permanently lost or at least substantially reduced, but once the drug wears off, memory is no longer affected.

-Electroconvulsive therapy in which seizures are electrically induced in patients for therapeutic effect can have acute effects including both retrograde and anterograde amnesia.

-Prosopamnesia is the inability to remember faces, even in the presence of intact facial recognition capabilities. Both acquired and inborn cases have been documented.

-Situation-Specific amnesia can arise in a variety of circumstances (e.g., committing an offence, child sexual abuse) resulting in PTSD. It has been claimed that it involves a narrowing of consciousness with attention focused on central perceptual details and/or that the emotional or traumatic events are processed differently from ordinary memories.

penyimpangan orientasi seks A-F (update)

A

ablutophilia
perasaan terangsang klo memikirkan mandi dgn air hangat
acrotomophilia
bergairah klo melihat bagian tubuh manusia yg sudah di amputasi
amaurophilia
kegemaran berhubungan sex dgn org yg d tutup matanya,termasuk dgn org buta
anaclitism
berhubungan sex dmn salah satunya berpura' menjadi bayi
autagonistophilia
orang yg suka menciptakan suasana yg memudahkan orang lain untuk melihatnya telanjang
autoerotic asphyxiation
onani/masturbasi sambil mencekik diri sendiri
autopederasty
obsesi untuk memasukan penis ke lubang anus sendiri

B

backswinging
anal sex yg dilakukan dgn posisi tidur tengkurap (org yg di anal)
bastinado
memperoleh kepuasan dgn memukuli telapak kaki berulang-ulang
belonephilia
bergairah melihat jarum dan merasa terangsang ketika di tindik
b.d.s.m (bondage and discipline,sadism and masochism)
sadomasokisme/masokisme
mendapat kepuasan setelah menyakiti/menyiksa pasangan
bukkake
(wanita) di kubur sampai batas leher,
kemudian beberapa org masturbasi
dan mengeluarkan sperma di kepala/mukanya
bestiality
seka berhubungan sex dgn binatang

C

clothes fetish
terangsang terhadap pakaian tertentu (stocking,rok mini,bikini,dsb)
c&b torture
penyiksaan terhadap penis dan buah zakar (di cubit,di tarik,di gigit,di sundut,dsb)
candling
melelehkan lilin cair yg masih panas ke bagian tubuh ketika berhubungan sex
catagelophilia
terangsang ketika merasa di permalukan di depan orang
crhemastitophilia
terangsang ketika dalam situasi perampokan
clot
terangsang kalo melihat (wanita) melepas/memasang pembalut
coprophilia
merasakan kenikmatan seksual dgn cara bermain tinja
coprophagia
merasakan kenikmatan seksual saat memakan tinja
cutting
merasakan kepuasan seksual saat ia menyayat diri sendiri/pasangan

D

dacryphilia
kepuasan seksual kalo melihat pasangannya berlinang air mata
daisy chaining
sekumpulan (pria) membentuk lingkarang dan saling onani satu sama lain
dogging/park and ride
bercinta di dalam mobil di tempat parkir yg terpencil/sepi
douching/douche
kenikmatan setelah menyemprotkan air ke dalam vagina

E

electrophilia
terangsang ketika mendapat kejutan listrik/di setrum
ekshibisionisme/ekshibionis/exhibitionism
orang yg senang memperlihatkan alat kelaminnya pada orang lain
dan merasa terangsang jika orang lain merasa takjub,terkejut,jijik,dsb

F
fisting
memasukan seluruh bagian tangan ke lubang pasangan
flashing
serupa dengan ekshibionis,
tapi orang tersebut hanya menunjukan (alat kelaminnya) secara sekilas
fetishisme/fetishi
onani dengan objek benda mati