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題名：精神病性患者的攻擊性--精神病理理論與臨床處置
書刊名：臺灣精神醫學
作者：陳杏佳／胡海國
作者(外文)：Chen, Shing-chia／Hwu, Hai-gwo
出版日期：2002
卷期：16:4
頁次：頁261-275
主題關鍵詞：精神病性患者；攻擊性；攻擊行為；精神病理；臨床處置；Psychotic patients；Aggressiveness；Aggressive behavior；Psychopathology；Clinical management
原始連結：連回原系統網址new window
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  • 被引用次數被引用次數:期刊(2) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:2
  • 共同引用共同引用:9
  • 點閱點閱:121
　　　　　精神病性患者的攻擊性問題是精神醫療照護的重要課題。本文針對精神病性患者的攻擊行為之精神病理理論與臨床處置做綜合性探討。精神病理探討的範圍涵蓋攻擊行為的界定與其解釋性之理論，並澄清攻擊行為相關議題，包括自殺行為、敵意、生氣、衝動等概念。臨床處置探討精神病性患者攻擊行為之臨床評估、急性處置、與長期治療之重點，包括提供物理性處置、精神藥物治療與心理社會層面處置之臨床經驗與治療原則，並評析處置過程中著重心理分析論卻輕忽行為論的迷思。本綜說亦討論與建議精神病性患者攻擊行為的方法論議題與研究可行取向。此對精神病性患者的攻擊行為深一層之瞭解，有利臨床上發展有效的防治方案。
　　　　　Aggressiveness in psychotic patients is an important issue in psychiatric care. This paper reviews the theoretical basis of the psychopathology and the clinical management of aggressive behavior in psychotic patients. The areas of psychopathology covered include definitions and explanatory theories of aggressive behavior and related topics of suicidal behavior, hostility, anger and impulsivity. The areas of clinical-practice covered include the key points of initial assessment, acute, and long-term management of psychotic patients with aggressive behavior. Clinical guidelines for management of aggressive behavior in psychotic patients that are based on physical, psycho-pharmacological or a psychosocial approach are described. Several myths regarding management of aggressive behaviors including overstatement of psychoanalytic theory and neglect of behaviorism are explained. Plausible study approaches and methodological issues of research about aggressive behavior in psychotic patients are also discussed and suggested. These understandings of psychotic patients' aggressive behavior are important for developing effective prevention and treatment programs.
期刊論文
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