懇請精神科醫師幫忙, 謝謝 , 呼叫歐老師幫幫忙
發表於 : 週四 11月 10, 2011 8:36 pm
孩子的作業
懇請論壇上的大大幫忙
謝謝
Consider the following case history:
Dr. Robin was a 45 year-old thoracic surgeon, the outstanding investigator at the major teaching hospital of a famous medical school. Not only was he an innovative research surgeon, but he was also active on national advisory committees, a prolific author, an accomplished and dedicated sailor and the father of three teenagers. The Psychiatry Department knew him through his enthusiastic adoption of a transiently popular psychobiological theory of human
nature, which emphasized the biological determinism of such human features as aggression, territoriality, etc.
His contact at the Department of Psychiatry acknowledged the articulate logic of Dr Robin’s several thousandpage essay on the topic of man's nature, but discouraged him from anticipating that the field of Psychiatry would make the radical transformation in theory and practice which he demanded. Dr. Robin realized that this attitude reflected not just the stupidity and arrogance of psychiatry, but was evidence of the widespread plot amongst the senior faculty to demean him. Further evidence was found in the fact that 2 or 3 really novel surgical interventions that he had planned had been forbidden by the Chief of Service. He became increasingly agitated about this plot, and had a few episodes of loud, accusatory yelling in the office of the hospital director, as well as the office of the Chief of Surgery. He turned out, on investigation, to also be persuaded that his wife was cheating on him, and though he had moved out of the family home, was picked up by the police on two occasions hiding in the garden and watching the house at night.
The hospital administration felt it necessary to cancel his hospital privileges and reported to the state medical secretary, raising the question as to whether his license to practice medicine should also be suspended. He promptly retained a prominent attorney and mounted a vigorous, clever and articulate counter-attack.
Within the next few weeks, both the family and the hospital staff became anxious enough about his unpredictable outbursts of rage that they asked his friend in psychiatry to attempt hospitalization. Dr. Robin was admitted to a private psychiatric hospital to the closed and locked ward, where for several days he was in emotional turmoil. He paced the floor, shouted, was sleepless, and in particular, gave vent to attacks on all the various persons and groups plotting against him--his wife, his children, his colleagues. By the fifth day, this turmoil abated. He returned to his basic, articulate,
rather charming self, and he set about organizing, with his attorney, a habeas corpus appeal that was ultimately successful (i.e., the hospital was forced to release him). The court organized a peace bond to prevent him approaching his wife, and the state medical board suspended his license to practice. He subsequently moved to another state, got another license, remarried and has become a prominent leader in a different medical specially. He continues to have idiosyncratic and strong beliefs about the nature of man.
Based on this information alone, provide two (2) diagnoses for Dr Robin. In other words, what are the two mental illnesses this individual is most likely suffering from? Of the two diagnoses you
provide, which diagnosis do you believe is the most accurate? Why is it important to diagnose
accurately? Justify your responses.
懇請論壇上的大大幫忙
謝謝
Consider the following case history:
Dr. Robin was a 45 year-old thoracic surgeon, the outstanding investigator at the major teaching hospital of a famous medical school. Not only was he an innovative research surgeon, but he was also active on national advisory committees, a prolific author, an accomplished and dedicated sailor and the father of three teenagers. The Psychiatry Department knew him through his enthusiastic adoption of a transiently popular psychobiological theory of human
nature, which emphasized the biological determinism of such human features as aggression, territoriality, etc.
His contact at the Department of Psychiatry acknowledged the articulate logic of Dr Robin’s several thousandpage essay on the topic of man's nature, but discouraged him from anticipating that the field of Psychiatry would make the radical transformation in theory and practice which he demanded. Dr. Robin realized that this attitude reflected not just the stupidity and arrogance of psychiatry, but was evidence of the widespread plot amongst the senior faculty to demean him. Further evidence was found in the fact that 2 or 3 really novel surgical interventions that he had planned had been forbidden by the Chief of Service. He became increasingly agitated about this plot, and had a few episodes of loud, accusatory yelling in the office of the hospital director, as well as the office of the Chief of Surgery. He turned out, on investigation, to also be persuaded that his wife was cheating on him, and though he had moved out of the family home, was picked up by the police on two occasions hiding in the garden and watching the house at night.
The hospital administration felt it necessary to cancel his hospital privileges and reported to the state medical secretary, raising the question as to whether his license to practice medicine should also be suspended. He promptly retained a prominent attorney and mounted a vigorous, clever and articulate counter-attack.
Within the next few weeks, both the family and the hospital staff became anxious enough about his unpredictable outbursts of rage that they asked his friend in psychiatry to attempt hospitalization. Dr. Robin was admitted to a private psychiatric hospital to the closed and locked ward, where for several days he was in emotional turmoil. He paced the floor, shouted, was sleepless, and in particular, gave vent to attacks on all the various persons and groups plotting against him--his wife, his children, his colleagues. By the fifth day, this turmoil abated. He returned to his basic, articulate,
rather charming self, and he set about organizing, with his attorney, a habeas corpus appeal that was ultimately successful (i.e., the hospital was forced to release him). The court organized a peace bond to prevent him approaching his wife, and the state medical board suspended his license to practice. He subsequently moved to another state, got another license, remarried and has become a prominent leader in a different medical specially. He continues to have idiosyncratic and strong beliefs about the nature of man.
Based on this information alone, provide two (2) diagnoses for Dr Robin. In other words, what are the two mental illnesses this individual is most likely suffering from? Of the two diagnoses you
provide, which diagnosis do you believe is the most accurate? Why is it important to diagnose
accurately? Justify your responses.
罰偶去（生日快樂版）思過
真窩心的一番話，歡迎您全家一起回來陪我們蹲，預祝在這未來l0年光陰，能讓您全家留下美好的記憶。 