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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
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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
7/23/2019 Introduction Tema Blok 25 Mei 2011
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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
7/23/2019 Introduction Tema Blok 25 Mei 2011
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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
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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
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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
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HISTORY in INDONESIA
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
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HISTORY in INDONESIA
-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
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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
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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)
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THE CAUSE OF PSYCHIC
DISTURBANCE
-. $2>28*/ F+/8=
5. />S8*8!8*> F+/8=
. D22CP2>8 F+/8=
@. PSG/&S/*+C F+/8=
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PERSONALITY
DeHnition1 auniIue characteristic ofsomeone to react a'ainst stresser(either come from the inner of himsurrondin's) to reach %alancin'
ature1 a%le to or, ha"e friends, taean"anta'e of spare time %ein' happy,'eneral "ie
Personality is formed %y phases of childde"elopment. When ha"in' passedthrou'h satisfactorily %ecome mature
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STRESS
DeHnition1 a condition that need a neadaptation. Stressor is its ind
Stress alays happens (5@ hours), and
'ood for li"in' (eustres). Distress1 thestresser o"er dura%ility
Stress creates orry (normal hen
reachin' pro'ress, patolo'is %ecomeslen'thy sic). Worry indication1 physicfaal increases and psycholo'ical
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PSYCHOTI
C
NON
PSYCHOTIC
F22C*>$S*/K
> F22C*>$ S2
S22K
8=2+82>
> G2S
S/*+CF!>/8*>
+FF2/82D $D#*>*+C
8&!$&8P=/2SS
+FF2/82D =2+C*S8*/
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PSYCHIATRY PSYCHOLOGY
2>8+C >=+C P+8&C$*/+C
>=+C
8&2=+PG B*PS*KS/*+C
PSG/&S/*+C
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CONNECTION with other
SCIENCE BRANCES
Psycholo'ySosiolo'y
+ntropolo'y
$enetic
>euroanatomy
Psychofarmaolo'y
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SUBSPECIALIZATION
/hild PsychiatryPsychoterapy
Psychiatrysocial
Psychofarmaolo'y
Psycho'eriatry
Psychiatryforensic
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> o n :
p s y c h o s i s
SchiLophrenia
PersonalityDisorder
Stressor
Bi'#&ea"y
+cute
Psychosis
P s y c h o s i s
ature
Small#Ci'ht
*mmature
P2=S>+C*8G
&ealth
2>> D*+$=+
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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*>*>$)
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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