Introduction Tema Blok 25 Mei 2011

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By : dr. Wayan Westa, SpKJ(K)

Psychiatry Departement Faculty ofedicine of !dayana !ni"ersity #$eneral Pu%lic &ospital San'lah

Denpasar

PSYCHIATRY



PSYCHIATRY

ne of su%di"ision of medicalscience hich learn e"erythin'that related to psycholo'icaldistur%ance. *n the case ofintroduction, treatment,reha%ilitation and pre"ention asell as %uildin' and increasin'psycholo'ical health



HISTORY

+ncient times had non and curedpsychic distur%ance (sull punched)

Psychic distur%ance caused %y e"il

spirit hich 'o into human %ody,does not handled %y doctor

&andlin' patient %y %ein' hurt

-th /entury, in France, care forpsycholo'ical distur%ance morehumanly



HISTORY

+t the end of -0th /entury,in"esti'atin' the causes ofpsychiatric distur%ance

artin /harcot1 a%out histeria iscured in hypnotherapy

2mil Kraepelin (-33 4 -056) as the

father of psychiatric ritin' a %ooKretschmer and Sheldon, the %ody

shape connected ith disease



MODERN PSYCHIATRY

Pioneer: Si'mund Freud

/arl $usta" Jun'

+lfred +dler

2u'en Bleuler

Psychotropic medicine %e'un in -037

8ypical +nti Psychosis+typical +nti Psychosis -07

%y +r"ild /arlson



HISTORY in INDONESIA

Since the old days had already non thereas psycholo'ical distur%ance (Sriandiedan, $atot Kaca 'andrun')

Su9erer as placed in stocsloc le's

%eteen to pieces of ood (;ust snappyone)

Su9erer %ecomes "a'rant, on the contrarycalled <=+>$ S+K8*?

8he Dutch /olonial Period, %efore there asinsane asylum, ere housed in a ilitary&ospital




Japan colonial period a 'reat num%er ofasylums ere %roen, unde"eloped

Freddom period

-0@A1 8he departement of psychiatricpro%lem %ecause physical re"olutionunde"eloped

-0371 refreshment

-031 psychiatric pro%lem-0301 psychiatric section

-0661 directorate psychiatric health




-651 Population cencus of psycholo'icaldistur%ance, 677 people in Ja"a adura,and 577 in other re'ions

=SJ Bo'or : July -st, -5

=SJ Caan' : June 5rd, -075

=SJ a'elan': -05

=SJ Sa%an' : -05A

=SJ as %uilt aay from city # pu%lic,isolated and strict 'uarded

=SJ Ban'li Bali



PSYCHIATRY

DEPARTEMENTProf. D= Dr. Cuh Ketut Suryani, SpKJ(K)Dr. >yoman &anati, SpKJ(K)Dr. >yoman =atep, SpKJ(K)Dr. Wayan Westa, SpKJ(K)

Dr. *.$.+. 2ndah +rd;ana, SpKJ(K)Dr. Cely Setyaati, SpKJ(K)Dr. +.+. Sri Wahyuni, SpKJDr. /o Ba'us Jaya Cesmana, SpKJDr. *.+. Kusuma Wardani, SpKJDr. *.$.+. *ndah +rdani, SpKJDr. >i Ketut Putri +riani, SpKJDr. >i Ketut Sri Diniari, SpKJ



THE LAW

>o. 0#-0671 the la of the main health>o. #-0661 the la of psychic health

+ condition that ena%le pshysic,

intellectual and emotional from someoneand the de"elopment run in harmonyith someone else condition

2stimated 5 4 E the population of the =*

su9erin' seriously psychic distur%ance(-57.777 4 -7.777 people)



THE CAUSE OF PSYCHIC

DISTURBANCE

-. $2>28*/ F+/8=

5. />S8*8!8*> F+/8=

. D22CP2>8 F+/8=

@. PSG/&S/*+C F+/8=



PERSONALITY

DeHnition1 auniIue characteristic ofsomeone to react a'ainst stresser(either come from the inner of himsurrondin's) to reach %alancin'

ature1 a%le to or, ha"e friends, taean"anta'e of spare time %ein' happy,'eneral "ie

Personality is formed %y phases of childde"elopment. When ha"in' passedthrou'h satisfactorily %ecome mature



STRESS

DeHnition1 a condition that need a neadaptation. Stressor is its ind

Stress alays happens (5@ hours), and

'ood for li"in' (eustres). Distress1 thestresser o"er dura%ility

Stress creates orry (normal hen

reachin' pro'ress, patolo'is %ecomeslen'thy sic). Worry indication1 physicfaal increases and psycholo'ical



PSYCHOTI

C

NON

PSYCHOTIC

F22C*>$S*/K

> F22C*>$ S2

S22K

8=2+82>

> G2S

S/*+CF!>/8*>

+FF2/82D $D#*>*+C

8&!$&8P=/2SS

+FF2/82D =2+C*S8*/



PSYCHIATRY PSYCHOLOGY

2>8+C >=+C P+8&C$*/+C

>=+C

8&2=+PG B*PS*KS/*+C

PSG/&S/*+C



CONNECTION with other

SCIENCE BRANCES

Psycholo'ySosiolo'y

+ntropolo'y

$enetic

>euroanatomy

Psychofarmaolo'y



SUBSPECIALIZATION

/hild PsychiatryPsychoterapy

Psychiatrysocial

Psychofarmaolo'y

Psycho'eriatry

Psychiatryforensic



> o n :

p s y c h o s i s

SchiLophrenia

PersonalityDisorder

Stressor

Bi'#&ea"y

+cute

Psychosis

P s y c h o s i s

ature

Small#Ci'ht

*mmature

P2=S>+C*8G

&ealth

2>> D*+$=+



MULTIAXIAL EALUATION

*. /C*>*/+C D*+$>S8*/

**. P2=S>+C*8G P2=S>+C*8GD*S=D2=S = 2>8+C

=28+=D+8*>***. 2D*/+C P=BC2

*. PSG/&S/*+C S8=2SS

. $+F Scale ($CB+C +SS2SS2>8F F!>/8*>*>$)



CONCLUSION

Psychiatric is a part of 'eneralmedical, can %e handled and cured

&andlin' from P!SK2S+S#=S!#=SJ

and in"ol"e community#family 8here is still ne'ati"e sti'ma,

considered mysterious, possessed %y

%adPsychiatry is at the same le"el ith

other sciences

Introduction Tema Blok 25 Mei 2011

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