טיפול בבעיות התנהגות בקרב אנשים עם אבחנה כפולה במסגרת אשפוזית א' אייר תשע"ד 1/5/2014

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' " 1/5/2014. " ' () " , 050-626-5640 ; dmblass6@gmail.com. . Dr. Leo Kanner 1894-1981 - PowerPoint PPT Presentation

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" " 13/1/2010

' "1/5/2014

" ' () " , 050-626-5640; dmblass6@gmail.com

Dr. Leo Kanner1894-1981Founder of Child Psychiatry1943 paper Autistic Disturbances of Affective Contact"

Kanner L. Autistic Disturbances of Affective Contact. Nerv Child 1943;2:217-250. Dr. Leo Kanner1894-1981Founder of Child Psychiatry1943 paper Autistic Disturbances of Affective Contact"

Kanner L. Autistic Disturbances of Affective Contact. Nerv Child 1943;2:217-250.

Hans Asperger1906-19801944 paper Autistic psychopathy in childhoodMuch of work unknownGerman languageHospital destroyed in WWIINot translated into English until 1991

Asperger H. Die Autistischen Psychopathen im Kindesalter. Arch Psychiatr Nervenkrank 1944;117:76-136 , / PDD , ,

Change in Autism Symptoms and Maladaptive Behaviors in Adolescents and Adults with an ASD. Shattuck PT et al. J Autism Dev Disord (2007) 37:17351747. Skokauskas N, Gallagher L. Psychosis, Affective Disorders and Anxiety in ASD: Prevalence and Nosological Considerations. Psychopathology 2010;43:8-16. Kanner, -: ( ) Volkmar FR, Cohen DJ. Comorbid association of autism and schizophrenia. Am J Psychiatry 1991; 148:1705-1707. " -2012 9 , 137 -PDD/ PDD 12 PDD -, / Specialized inpatient psychiatry units for children with autism and developmental disorders: a US survey.Siegel M,et al. J Autism Dev Disord. 2012 Sep;42(9):1863-9.

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McCarthy J, et al. Challenging behavior and co-morbid psychopathology in adults with intellectual Disability And ASDs. Research in Developmental Disabilities 2009; Epub ahead of print. ' ' -ASD-100% 70% 15% , 15% 10 ( 120-130%) , (50/50) ' 13-21 PDD '' - ' ' 75% , 25%

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: - - antecedents - consequences , , / , , (/), , , / / 15 / 16 Socially Learned BehaviorsSocially Learned BehaviorsAntecedents Behaviors Consequences(Predisposing/(Choice)(Reinforcing/precipitating factors)sustaining factors)

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Learnings PathMcHugh PR & Slavney PR. The Perspectives of Psychiatry, 2nd Edition. 1998. The Johns Hopkins University Press, Baltimore, USA. 19 (Temper tantrums) 2 - " " - , , , , ................................. ! ?20 Antecedents Behaviors Consequences(Predisposing/(Choice)(Reinforcing/precipitating factors)sustaining factors)

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Learnings PathMcHugh PR & Slavney PR. The Perspectives of Psychiatry, 2nd Edition. 1998. The Johns Hopkins University Press, Baltimore, USA. 21 Antecedents Behaviors Consequences(Predisposing/(Choice)(Reinforcing/precipitating factors)sustaining factors)

------>------------------>------------------>------------------>------------------>

Learnings PathMcHugh PR & Slavney PR. The Perspectives of Psychiatry, 2nd Edition. 1998. The Johns Hopkins University Press, Baltimore, USA. 22 Antecedents Behaviors Consequences(Predisposing/(Choice)(Reinforcing/precipitating factors)sustaining factors)

------>------------------>------------------>------------------>------------------>

Learnings PathMcHugh PR & Slavney PR. The Perspectives of Psychiatry, 2nd Edition. 1998. The Johns Hopkins University Press, Baltimore, USA. 23 Antecedents Behaviors Consequences(Predisposing/(Choice)(Reinforcing/precipitating factors)sustaining factors)

------>------------------>------------------>------------------>------------------>

Learnings PathMcHugh PR & Slavney PR. The Perspectives of Psychiatry, 2nd Edition. 1998. The Johns Hopkins University Press, Baltimore, USA. 24 The Motivated BehaviorsThe Motivated BehaviorsChoice

Drive/ConditionedInstinctLearning

McHugh PR & Slavney PR. The Perspectives of Psychiatry, 2nd Edition. 1998. The Johns Hopkins University Press, Baltimore, USA.

26The Motivated BehaviorsChoice

Drive/ConditionedInstinctLearning

McHugh PR & Slavney PR. The Perspectives of Psychiatry, 2nd Edition. 1998. The Johns Hopkins University Press, Baltimore, USA.

27 () AkathisiaDelirium

OCD/

28 - Akathisia , /, - Akathisia quetiapineSSRI - BenzodiazepinesPhenergan , B-Blockers, Benzodiazepines, anti-cholinergics () (, ) The Motivated BehaviorsChoice

Drive/ConditionedInstinctLearning

McHugh PR & Slavney PR. The Perspectives of Psychiatry, 2nd Edition. 1998. The Johns Hopkins University Press, Baltimore, USA.

32The Motivated BehaviorsChoice

Drive/ConditionedInstinctLearning

McHugh PR & Slavney PR. The Perspectives of Psychiatry, 2nd Edition. 1998. The Johns Hopkins University Press, Baltimore, USA.

33

IQ

The Motivated BehaviorsChoice

Drive/ConditionedInstinctLearning

McHugh PR & Slavney PR. The Perspectives of Psychiatry, 2nd Edition. 1998. The Johns Hopkins University Press, Baltimore, USA.

35The Motivated BehaviorsChoice

Drive/ConditionedInstinctLearning

McHugh PR & Slavney PR. The Perspectives of Psychiatry, 2nd Edition. 1998. The Johns Hopkins University Press, Baltimore, USA.

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ABA ()

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' ' , , , / -Akathisia Alpha or Beta blockers / SSRI Benzodiazepines BuspironeN-Acetylcysteine

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