分离性遗忘的诊断和治疗

发布时间：2018-03-04 02:32

  本文选题：分离性遗忘　切入点：潜意识　出处：《医学与哲学(B)》2017年04期 　论文类型：期刊论文

【摘要】：在童年创伤的基础上,心理创伤使患者发生传记性遗忘,忘了自己是谁,由于自我暗示,患者又有了新的身份,由于患者无顺行性遗忘,所以照样能学习新知识,这与真性痴呆不一样。急性期治疗主要是减轻情感障碍,抑郁症状用抗抑郁药治疗,焦虑、恐惧、失眠用苯二氮卓类药物治疗,睡眠不规律用褪黑激素治疗,自杀企图用碳酸锂治疗,住精神科封闭病房,但不用电休克治疗,因为有病例报告,电休克可恶化分离性遗忘。到恢复期应减少应激,帮助回忆。
[Abstract]:On the basis of childhood trauma, psychological trauma causes the patient to have amnesia, forget who he is, because of self-suggestion, the patient has a new identity, and because the patient has no forward forgetting, he can still learn new knowledge. This is not the same as true dementia. Treatment in the acute phase is mainly to alleviate affective disorders, depressive symptoms are treated with antidepressants, anxiety, fear, insomnia with benzodiazepines, sleep irregular with melatonin, Suicide attempts were treated with lithium carbonate, closed in psychiatric ward, but not treated with electric shock, because there were cases reported that electroshock could worsen dissociative amnesia. Stress should be reduced and recall should be helped by convalescence.
【作者单位】： 南京医科大学附属脑科医院;
【分类号】：R749
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本文编号：1563783