2024년 작업치료 개념서 05-정신과 CHAPTER 1 정신의학적 증상 _9 1.1 정신병리학 ·············································································· 11 1.2 증상론 ····················································································· 11 Summary ······················································································ 24 CHAPTER 2 신경인지장애(치매 ㆍ 섬망 등) _25 2.1 개념 ························································································ 27 2.2 섬망 ························································································ 27 2.3 치매 ························································································ 29 2.4 알츠하이머병 치매 ·································································· 34 2.5 기타 치매 ··············································································· 36 Summary ······················································································ 48 CHAPTER 3 조현병 _51 3.1 개념 및 원인·········································································· 53 3.2 임상양상 ················································································· 53 3.3 감별진단 ················································································· 61 3.4 경과 및 예후·········································································· 62 3.5 치료 ························································································ 62 Summary ······················································································ 63 CHAPTER 4 양극성 및 관련 장애, 우울장애 _65 4.1 개념 ························································································ 67 4.2 Ⅰ형 양극성 장애 ··································································· 68 4.3 Ⅱ형 양극성 장애 ··································································· 74 4.4 순환성 장애 ············································································ 75 4.5 우울장애 ················································································· 76 Summary ······················································································ 79 CHAPTER 5 망상장애 _81 5.1 개념 및 원인·········································································· 83 5.2 임상양상 ················································································· 84 5.3 경과 및 예후·········································································· 84 5.4 치료 ························································································ 85 Summary ······················································································ 86 CHAPTER 6 불안장애 _87 6.1 개념 ························································································ 89 6.2 공황장애 ················································································· 89 6.3 광장공포증 ·············································································· 92 6.4 특정공포증 ·············································································· 93 6.5 사회불안장애 ·········································································· 93 6.6 범불안장애 ·············································································· 94 6.7 이별불안장애 ·········································································· 95 6.8 선택적 함구증 ········································································· 95 Summary ······················································································ 96 CHAPTER 7 강박 및 관련 장애 _99 7.1 개념 ······················································································ 101 7.2 강박장애 ··············································································· 101 7.3 신체변형장애 ········································································· 103 7.4 저장장애 ··············································································· 104 7.5 발모광 ··················································································· 105 7.6 피부파기장애 ········································································· 105 Summary ···················································································· 106 CHAPTER 8 외상 및 스트레스 관련 장애 _109 8.1 개념 ······················································································ 111 8.2 외상 후 스트레스장애 ·························································· 111 8.3 급성 스트레스 장애 ······························································ 112 8.4 적응장애 ··············································································· 113 8.5 반응성 애착장애 ··································································· 113 8.6 탈억제성 사회관여장애 ························································· 114 Summary ···················································································· 115 CHAPTER 9 지능장애 _117 9.1 지능장애 ··············································································· 119 9.2 경계형 지능기능 ··································································· 125 Summary ···················································································· 126 CHAPTER 10 소아 ㆍ 청소년 정신의학 _129 10.1 의사소통장애 ······································································· 131 10.2 자폐증 스펙트럼 장애 ························································· 134 10.3 주의력결핍과다활동장애 ······················································ 140 10.4 특정 학습장애 ····································································· 142 10.5 운동장애 ·············································································· 143 Summary ···················································································· 147 CHAPTER 11 물질 관련 및 중독성 장애 _149 11.1 용어 ···················································································· 151 11.2 알코올 관련 장애 ······························································· 153 11.3 아편유사제 관련 장애 ························································· 158 11.4 진정제, 수면제 및 항불안제 관련 장애 ····························· 162 11.5 자극제 관련 장애 ······························································· 162 11.6 대마 관련 장애 ··································································· 163 11.7 흡입제 관련 장애 ······························································· 164 11.8 카페인 관련 장애 ······························································· 165 11.9 담배 관련 장애 ··································································· 166 11.10 기타 ·················································································· 167 11.11 비물질 관련 장애 ······························································ 168 Summary ···················································································· 170 CHAPTER 12 방어기제 _173 12.1 방어기제 ·············································································· 175 12.2 방어기제의 종류 ································································· 176 Summary ···················································································· 181 CHAPTER 13 정신과 작업치료의 접근법 _183 13.1 치료의 내용 ········································································ 185 13.2 변화하는 작업치료 분야의 본질 ········································· 187 13.3 작업치료 과정 ····································································· 187 13.4 이론의 틀 ············································································ 187 Summary ···················································································· 191 CHAPTER 14 정신과 작업치료의 평가 _193 14.1 초기 평가 ············································································ 195 14.2 평가 내용 ············································································ 195 14.3 평가 방법 ············································································ 196 14.4 유효한 결과 ········································································ 198 Summary ···················································································· 199 CHAPTER 15 정신과 작업치료의 치료 계획 및 실행 _201 15.1 치료계획 ·············································································· 203 15.2 치료실행 ·············································································· 205 Summary ···················································································· 209 CHAPTER 16 정신건강 증진을 위한 운동 적성 _211 16.1 개요 ···················································································· 213 16.2 운동이 정신건강에 미치는 긍정적 효과 ····························· 213 16.3 정신건강과 신체적 장애 ····················································· 214 16.4 치료적 운동 ········································································ 215 Summary ···················································································· 219 CHAPTER 17 인지 접근법 _221 17.1 개요 ···················································································· 223 17.2 인지장애 ·············································································· 223 17.3 인지장애를 위한 작업치료 ·················································· 224 17.4 인지장애 이론 ····································································· 226 17.5 인지치료 ·············································································· 228 17.6 작업치료의 인지치료 접근법 ·············································· 230 Summary ···················································································· 232 CHAPTER 18 그룹 활동 _233 18.1 작업치료에서의 그룹 ·························································· 235 18.2 그룹 계획하기 ····································································· 241 18.3 그룹 관리 ············································································ 243 Summary ···················································································· 245 CHAPTER 19 창조적 활동 _247 19.1 창조성 ················································································· 249 19.2 치료로서 창조적 활동 ························································· 250 Summary ···················································································· 252 CHAPTER 20 놀이 치료 _253 20.1 놀이 ···················································································· 255 20.2 놀이치료 소개 ····································································· 256 20.3 놀이치료의 이론적 틀 ························································· 257 20.4 놀이 환경 ············································································ 259 Summary ···················································································· 262