Professional Documents
Culture Documents
307.20
313.9
294.0
-.-
780.09
303.00
291.81
291.0
291.0
291.2
291.1
291.x
.5
.3
291.89
291.89
291.89
291.89
291.9
292.89
292.81
292.xx
.11
.12
292.89
292.9
292.81
292.81
292.82
292.83
292.xx
292.84
292.89
292.89
292.89
292.9
292.89
292.0
292.81
292.82
292.83
292.xx
292.84
292.89
292.89
292.89
292.9
Schizophrenia (298)
The following classification of longitudinal course apply to all sub types of schizophrenia
Episodic with interepisode residual symptoms (specify if : prominent negative symptoms)
/ Episodic with no interepisode residual symptoms
Continuous (specify if : prominent negative symptoms)
Single episode in partial remission (specify if : prominent negative symptoms) / Single
episode in full remission
Other or unspecified pattern
.30 paranoid type (313)
.10 disorganized type (314)
.20 catatonic type (315)
.90 undifferentiated type (316)
.60 residual type (316)
295.40
295.70
297.1
298.8
297.3
293.xx
-.-
298.9
311
301.13
296.80
293.83
-.-
296.90
300.01
300.21
300.22
300.29
300.23
300.3
309.81
308.3
300.02
293.84
-.-
300.00
307.xx
80
89
300.7
Hypochondriasis (504)
specify if : with poor insight
300.7
300.82
300.xx
.16
.19
.19
300.19
625.58
608.89
607.84
625.0
608.89
625.8
608.89
-.-
Female hypoactive sexual desire disorder due to.. (indicate the general
medical condition) (558)
Male hypoactive sexual desire disorder due to.. (indicate the general
medical condition) (558)
Male erectile disorder due to.. (indicate the general medical condition)
(558)
Female dyspareunia due to.. (indicate the general medical condition)
(558)
Male dyspareunia due to.. (indicate the general medical condition) (558)
Other female sexual dysfunction due to.. (indicate the general medical
condition) (558)
Other male sexual dysfunction due to.. (indicate the general medical
condition) (558)
Substance induced Sexual dysfunction (refer to substance related disorder
for substances specific codes) (562)
Specify if : with impaired desire / with impaired arousal / with impaired orgasm / with
sexual pain
specify if : with onset during intoxication
302.70
PARAPHILAS (566)
302.4
Exhibisionism (569)
302.81
Fetishism (569)
302.89
Frotteurism (570)
302.2
Phedophilia (571)
Specify if : sexual attracted to males / sexual attracted to females / sexual attracted to
both
Specify if : limited to incest
Specify type : exclusive type / nonexclusive type
302.83
302.84
302.3
302.82
302.9
Voyeurism (575)
Paraphilia NOS (576)
302.6
302.9
307.1
307.51
307.50
307.47
Parasomnia (630)
307.47
Nightmare disorder (631)
307.46
Sleep terror disorder (634)
307.46
Sleep walking disorder (639)
307.47
Parasomnia NOS (644)
SLEEP DISORDER RELATED TO ANOTHER MENTAL DISORDER (645)
307.42
Insomnia related to.. (indicate the Axis I or Axis II disorder) (645)
307.44
Hypersomnia related to.. (indicate the Axis I or Axis II disorder) (645)
OTHER SLEEP DISORDERS (651)
780.xx
Sleep disorder due to.. (indicate the general medical condition) (651)
.52
Insomnia type
.54
Hypersomnia type
.59
Parasomnia type
.59
Mixed type
-.Substance induced sleep disorder (refer to substance related disorder for
substances specific codes) (655)
Specify type : Insomnia type / Hypersomnia type / Parasomnia type / Mixed type
specify if : with onset during intoxication / with onset during withdrawal
312.34
312.32
312.33
312.31
312.39
312.30
V61.21
V61.21
-.-
V61.12
V62.83
(if by partner)
(if by person other than partner)
(code 995.81 if focus of attention is on victim)
-.V61.12
V62.83
V62.82
V62.3
V62.2
313.82
V62.89
V62.4
V62.89
Multiaxial system
Axis I
Axis II
Axis III
Axis IV
Axis V
Clinical disorder
Other conditions that may be a focus of clinical attention
Personality disorder
Mental retardation
General medical conditions
Psychosocial and environmental problems
Global assessment of functioning
A.
B.
C.
D.
A.
B.
C.
D.
(1) other central nervous system conditions that cause progressive deficits in memory and
cognition (e.g., cerebrovascular disease, Parkinsons disease, Humingtons disease,
subdural hematoma, normal-pressure hydrocephalus, brain tumor)
(1) systemic conditions that are known to cause dementia (e.g.,hypothyroidism, vitamin B12
or folic acid deficiency, niacin deficiency, hypercalcemia, neurosyphilis, HIV infection)
(2) substance-induced conditions.
Tentukan subtype:
From American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders,
text revision, 4th ed. Washington, DC: American Psychiatric Association, Copyright 2000, with
permission
gangguan
memori
yang
bermanifestasi
sebagai
gangguan
kemampuan mempelajari informasi baru atau ketidakmampuan
mengingat informasi yang pernah dipelajari.
B. The memory disturbance causes significant impairment in social or occupational functioning
and represents a significant decline from a previous level of functioning.Gangguan
Specify if :
Transient : if memory impairment lasts for 1 month or less
Chronic : if memory impairment lasts for more than 1 month
Tentukan jika:
Transient: jika gangguan memori berlangsung selama 1
bulan atau kurang.
Kronis:
jika gangguan memori berlangsung lebih dari 1
bulan lamanya.
Coding note : include the name of the general medical condition on Axis I (e.g., amnestic disorder
due to head trauma); also code the general medical condition on Axis III.
b.
The symptoms have never met the criteria for substance dependence for the class
of substance. Gejala-gejalanya tidak memenuhi kriteria
ketergantungan zat yang digunakan.
atau gangguan dalam hal sosial,pekerjaan atau area fungsifungsi penting lainnya
C.
The symptoms are not due to a general medical conditions and are not better accounted
for by another mental disorder Gejala-gejalanya tidak karena kondisi
(e.g.,
2.
irritable.
Adanya bukti berdasarkan riwayat, pemeriksaan fisik
atau temuan2 laboratoris:
1. gejala2 pd kriteria A selama atau dlm sebulan setelah
intoksikasi atau putus zat.
2. penggunaan medikasi berhubungan etiologis dgn ggn
ini.
C.
Ggn ini tdk dpt digolongkan sbg ggn mood yg tdk
diinduksi zat dgn pembuktian sbb: geja2 mendahului
sebelum onset penggunaan zat (atau medikasi); gejala2
menetap utk wkt yg jelas (mis. 1 bulan) sesudah
berhentinya putus zat akut atau intoksikasi berat atau
berlebihan dari yg diduga dgn jumlah atau lamanya
pemakaian zat; atau adanya bukti keberadaan ggn mood
yg bukan diinduksi zat (mis. Ada riwayat episode Depresi
Mayor rekuren).
D.
Ggn ini tdk hanya terjadi dlm perjalanan suatu
Delirium.
E.
Gejala2 diatas menyebabkan penderitaan atau
hambatan yg bermakna klinis dlm bidang2 sosial,
okupasional, atau fungsional penting lainnya.
B.
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B.
An episode of the disorder (including prodormal, active, and residual phases) lasts
at least 1 month but less rhan 6 months. (Whenthe diagnosis must be made
without waiting for recovery. It should be qualified as provisional).Episode
gangguan (termasuk fase prodormal,aktif dan residual)
berlangsung sedikitnya 1 bulan tapi kurang dari 6 bulan (ketika
diagnosis harus dibuat tanpa menunggu pemulihan maka
seharusnya dikwalifikasikan sebagai sementara).
Specify if:
Without good prognostic features
With good progostic features: as evidenced by two (or more) of the following:
1. onset of prominent psychotic symptoms within 4 weeks of teh first
noticeable change in usual behavior or functioning
2. confusion or perplexity at the heidht of teh psychotic episode
3. good premorbid social and occupational functioning
4. absence of blunted or flat affectmenonjol adanya
Tentukan jika:
Dengan
gambaran
prognosis
yang
baik
yang
dibuktikandengan samaatau lebihdari 2 hal berikut:
1. onset gejala-gejala psikotik yang menonjol dalam 4 minggu
sejak diperhatikan kali pertama adanya perubahan dari
perilaku atau fungsi biasanya.
2. kebingungan atau kekacauan dalam episode psikotik.
3. fungsi sosial dan pekerjaan premorbid berlangsung bagus.
B.
During the same period of illness, there have been delusions or hallucinations for
at least 2 weeks in the absence of prominent mood symptoms.Selama periode
yang sama dari penyakit tanpa adanya gejala2 mood yang
menonjol terdapat waham-waham atau halusinasi2 sedikitnya
selama 2 minggu.
C.
Symptoms that meet criteria for a mood episode are present sor a
substantialportion of the total duration of the active and residual periods of the
illness.Adanya gejala-gejala yang memenuhi kriteria episode
gangguan mood dalam porsi yang bermakan dari total durasi
fase aktif dan residual penyakit.
D.
The disturbance is not due to the direct physiologic effects of a substance (e.g., a
drug abuse, a medication) or a general medical condition.Gangguan ini
bukan disebabkan oleh efek fisiologis langsung dari suatu zat
(seperti obat-obatan medikasi atau yang disalah gunakan) atau
oleh suatu kondisi medis umum.
Specify type:
Bipolar type: If the disturbance includes a manic or a mixed episode (or a manic or
mixed episode and major depressive episodes)
Depressive type: If the disturbance only includes major depressive episodes
Tentukan tipenya:
Tipe bipolar: jika gangguan ini termasuk episode mania dan depresi mayor atau
campuran.
Tpe depresif: juka hanya terdapat episode depresif mayor.
Mixed type: delusions characteristic of more then one of the above types, but no
one theme predominates
Unspecified type
Tentukan tipe (berdasarkan tema yng menonjol dari wahamnya):
Tipe Erotomania: waham tentang dirinya dicintai oleh seseorang
dgn status sosial lebih tinggi.
Tipe
kebesaran:
waham
tentang
harga
diri
yg
meningkat,kekusasaan,berpengetahuan
Tipe cemburu
Tpe persekutorik
Tipe somatik
Tipe campuran
Tipe tidak ditentukan
B.
Duration of an episode of the disturbance is at least 1 day but less than 1 month,
with eventual full return to premorbid level of functioning. Durasi episode
gangguan sedikitnya 1 hari sampai kurangdari 1 bulan dan dapat
kembali penuh berfungsi seperti keadaan premorbid.
C.
The disturbance is not better accounted for by a mood disorder with psychotic
features, schizoaffective disorder, or schizophrenia and is not due to the direct
physiologic effects of a substance (e.g., a drug abuse, a medication) or a general
medical condition. Gangguan ini tidak memenuhi kriteria gangguan
mood dgn gambaran psikotik,skizoafektif,atau skizofrenia dan
tidak
disebabkan
ole
efek
fisiologis
darizat
(medikasi,penyalahgunaan obat) atau kondisi medis umum.
Specify if:
With marked stressor(s) (brief reactive psychosis): If symptoms occur shortly
after and apparently in response to events that, singly or together, would be
markedly stressful to almost anyone in similar circumstances in the persons
culture
Without marked stressor(s): If psychotic symptoms do not occur shortly after and
apparently in response to events that, singly or together, would be markedly
stressful to almost anyone in similar circumstances in the persons culture
With postpartum onset: If onset within 4 weeks postpartum
Tentukan jika:
Dgn stresor(-stresor) nyata brief reactive psychosis: jika gejala2
terjadi tampaknya segera setelah atau respons thd kejadian
tunggal atau berganda yang akan menyebabkan stres berat pd
hampir kebanyakan orang disitu dan kebiasaan yang sama.
Tanpa stresor(-stresor) nyata: jika gejala2 psikotik tidat terjadi
segera atau sbg respons thd kejadian tunggal atau berganda
yang akan menyebabkan stres berat pd hampir kebanyakan
orang disitu dan kebiasaan yang sama.
Onset postpartum: jika onsetnya dalam 4 minggu pospartum.
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DSM-IV-TR Diagnostic Criteria for Major Depressive Episode
DSM-IV-TR Diagnostic Criteria for Major Depressive Episode
A. Five (or more) of the following symptoms have been present during the same 2 week
period and represent a change from previous functioning: at least one of the
symptoms is either (1) depressed mood or (2) loss of interest or pleasure
Note: Do not include symptomsthat are clearly due to a general medical condition, or
mood-incongruent delusions or hallucinations. Adanya 5 ataulebih gejala2
berikut yg telah berlangsung dalam 2 minggu yg sama dan
menunjukan perubahan dari fungsi2 sebelumnya dimana salah
satunya adalah mood depresif atau kehilangan minat atau rasa
senang.Cat. jangan memasukan gejala2 yg jelas ok kondisi medis
umum atau waham dan atau halusinasi tidak serasi mood
1) Depressed mood most of the day, nearly every day, as indicated by either
subjective report (e.g., feels sad or empty) or observation made by others (e.g.,
appears fearful). Note : in children and adolescents, can be irritable mood.Mood
depresi berlangsung sepanjang hari pada hampir setiap hari
sebagaimana dikeluhkan secara subjektif (merasa sedih atau
hampa) atau diamati orang lain (terlihat berlinangan
airmata).Cat pada anak dan remaja tampil sebagai mood
irritable.
D. The symptoms are not due to the direct physiologic effects of a substance (e.g., a drug
of abuse, a medication) or a general medical condition (e.g., hypothyroidism)
Gejala2 tidak disebabkan oleh efek fisiologis langsung dari zat
(medikasi,penyalahgunaan obat) atau kondisi medis umum (mis,
hipotiroid).
E. The symptoms are not better accounted for by bereavement (i.e., after the loss of a
loved one), or the symptoms persist for longer than 2 months or are characterized by
marked functional impairment, morbid preoccupation with worthlessness, sucidal
ideation, psychotic symptoms, or psychomotor retardatioin. Gejala2 tidak
termasuk: keadaan dukacita (mis. kematian seseorang yg dicintai),
atau menetap lebihdari 2 bulan, atau dikarakterisir oleh gangguan
fungsional yan nyata,preokupasi ttg pikiran tdk berharga,ide bunuh
diri,gejala2 psikotik aatau retardasi psikomotor.
From American Psychiatric Association. Diagnostic and Statistical Manual of Mental
Disorders, text revision, 4th ed. Washington, DC: American Psychiatric Association,
Copyright 2000, with permission
GGN DEPRESI MAYOR, EPISODE TUNGGAL
A. Adanya Episode Depresi Mayor tunggal.
B. Episode Depresi Mayor yg ada tdk dpt digolongkan sbg ggn
Skizoafektif dan tdk bertumpang tindih dgn Skizofrenia,
Skizofreniform, ggn Waham atau Psikotik YTT.
C. Tidak pernah ada episode Mania,Hipomania atau Campuran.Cat.:
penyingkiran ggn2 ini tdk bisa diterapkan apabila merupakan
induksi dari zat atau medikasi atau ok efek fisiologis lsg suatu
kondisi medis umum.
Jika criteria episode Depresi Mayor terpenuhi maka
tentukangambaran klinisnya saat ini:
Kronis.
Kronis.
Kronis
2) Hipersomnia
3) Leaden paralysis (i.e., heavy, leaden feeling in arms or legs)
4) Long-standing pattern of interpersonal rejection sensitivity (not
limited to episode of mood disturbance) that results in significant
social or occupational impairment
2 atau lebih gambaran berikut:
1. bertambahnya bb yg nyata atau meningkatnya
nafsu makan
2. hipersomnia
3. paralisa timah (yaitu tangan dan kaki terasa berat
seprti timah)
4. pola berkepanjangan kepekaan penolakan
antarpersonal
C. Criteria are not met for with melancholic features or with catatonic features during the
same episode.Tidak memenuhi criteria gambaran melankolis atau
katatonik selama episode yg sama.
DSM-IV-TR Diagnostic criteria for catatonic features specified
Kriteria penentu gambaran Katatonik
Dapat dipakai utk episode2 Depresi Mayor,Mania atau
Campuran, ggn Bipolar I, ggn Bipolar II yg
berlangsung.Gambaran klinis didominasi setidaknya oleh 2 hal
berikut:
1.
imobilitas motorik spt catalepsy ( termasuk flexibilitas
cerea) atau stupor.
2.
aktifitas motorik berlebihan (yg tidak bertujuan dan tdk
dipengaruhi stimulus eksternal).
3.
negativisme berat (resistensi tak bermotif pd semua
perintah atau mempertahankan postur kaku pd tiap usaha utk
menggerakannya) atau mutisme.
4.
keanehan gerakn voluter dgn membuat postur ttt (asumsi
spontan dari postur2 tdk sesuai atau janggal), gerakn2
stereotipik, manerisma atau menyeringai yg nyata.
5.
adanya echolalia atau echopraxia
A.
B.
During the period of mood disturbance, three (or more) of the following symptoms
have persisted (four if the mood is only irritable) and have been present to a
significant degree: Selama periode kekacauan mood diatas terdapat
3 gejala menetap ( ataulebih atau 4 jika moodnya hanya irritable)
dan pada derajat yg bermakna dari:
1) Infiated self-esteem or grandiosity rasa harga diri meningkat atau
kebesaran.
2) Decreased need for sleep (e.g., feels rested after only 3 hours sleep)
kebutuhan tidur berkurang (mis. merasa telah berisitirahat
walaupun hanya tidur 3 jam).
3) More talkative than usual or pressure to keep talking lebih aktif bicara
dari biasanya atau dorongan kuat bicara terus-menerus.
4) Flight of ideas or subjective experience that thoughts are racing lompat
gagasan atau pikiran dirasakan seperti berpacu.
5) Distractibility (i.e., attention too easily drawn to unimportant or irrelevant
external stimuli)
disatraktibilitas ( perhatian terlalu mudah
berpindah ke stimuli external yg tidak penting atau
berkaitan).
6) Increase in goal-directed activity (either socially, at work or school, or
sexually) or psychomotor agitation peningkatan intensitas aktifitas
yg bertujuan (apakah disekolah, tempat kerja, lingkungan
sosial, atau aktifitas sexual) atau agitasi psikomotor
7) Excessive involvement in pleasureable activities that have a high potential
for painful consequences (e.g., engaging in unrestrained buying sprees ,
sexual indiscretions, or foolish business investments) keterlibatan
berlebihab dlm aktifitas2 yg menyenangkan dimana
berpotensi menimbulkan konsekuensi yg menyakitkan (mis.
kesenangan tak tertahankan utk berbelanja, perilaku sexual
yg takabur, atau penanaman modal tanpa perhitungan)
C.
The symptoms do not meet criteria for a mixed episode. Gejala2 diatas tidak
memenuhi kriteri episode campuran.
D.
E.
i.
The symptoms are not due to the direct physiologic effects of a substance (e.g., a
drug of abuse, a medication, or other treatment) or a general medical condition
(e.g., hyperthyroidism). Gejala2 tidak disebabkan oleh efek fisiologis
langsung dari zat (medikasi,penyalahgunaan obat, atau terapi
lainnya) atau kondisi medis umum (mis, hipertiroid).
Note : Maniclike episodes that are clearly caused by somatic antidepressant treatment
(e.g., medication, electroconvulsive therapy, light therapy) should not count to ward a
diagnosis of bipolar I disorder.
Cat.: Episode mirip mania yg jelas2 disebabkan terapi somatis
antidepresan (obat,ECT, terapi cahaya) tidak dimasukaan sbg
Gangguan Bipolar I.
C.
From American Psychiatric Association. Diagnostic and Statistical Manual of Mental
Disorders, text revision, 4th ed. Washington, DC: American Psychiatric Association,
Copyright 2000, with permission.
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(6) chest pain or discomfort nyeri atau atau tidak nyamannya dada
(7) nausea or abdominal distress nausea atau gangguan perut
(8) feeling dizzy, unsteady, lightheaded, or faint pusing, bergoyang,
pening atau berkunang-kunang
(9) derealization (feelings of unreality) or depersonalization (being detached
from oneself) derealisasi atu depersonalisasi
(10) fear of losing control or going crazy ketakutan lepas kendali atai
menjadi sinting
(11) fear of dying ketakutan menghadapi maut
(12) paresthesias (numbness or tingling sensations) paresthesia
(13) chills or hot flushes menggigil atau wajah memanas
B. The situations are avoided (e.g travel is restricted) or else are endured with marked
distress or with anxiety having Panic Attack or panic like symptoms or require the
presence of acompanion.
Situasi2 diatas dihindari ( membatasi
perjalanan) atau terpaksa dijalani dgn berbeban atu dgn kecemasan
akan mengalami serangan panik (atau mirip) atau membutuhkan
teman pendamping.
C. The anxiety or phobic avoidance is not better accounted for by another mental
disoerder such as Social Phobia, specific phobia, Obssesive-Compulsive disorder,
Posttraumatic Stress disorder, Separation Anxiety disorder. Penghindaran
kecemasan dan situasi fobik tidak dapat digolongkan sbg ggn
mental lainnya spt Phobia Sosial, phobia spesifik, OCD, PTSD, atau
ggn Kecemasan Perpisahan.
6.
D. The focus of the anxiety and worry is not confined to features of on Axis I disorder,
for example, the anxiety or worry is not about having a panic attack (as in panic
disorder), being embarassed in public (as in social phobia), being contaminated (as
in obssesive-compulsive disorder), being away from home or close relatives (as in
separations anxiety disorder), gaining weight (as in anorexia nervosa), having
multiple physical complaints (as in somatization disorder), or having a serious
illness (as in hypochondriasis), and the anxiety and worry do not occur exclusively
during posttraumatic stress disorder.) Inti kecemasan dan kekhawatiran
berlebihan ini mengambang, tidak jelas spt gambaran gangguan axis
I.Contohnya kecemasan dan kekhawatiran bukan tentang akan mengalami
serangan panik (ggn panik), akan dipermalukan dimuka umum ( phobia
sosial), tercemar (OCD), jauh dari rumah atau saudara dekat (ggn cemas
perpisahan), menjadi gemuk (anorexia nervosa), mengalami berbagai ggn
somatis (ggn somatisasi), memiiliki suatu penyakit serius (hipokondriasis) dan
tidak terjadi hanya selama ggn cemas pasca trauma.
E. The anxiety, worry, or physical symptoms cause clinically significant distress or
impairment in social, occupational, or other important areas or
functioning.Kecemasan, kekhawatiran atau gejala2 fisik diatas menyebabkan
penderitaan dan hambatan bermakna klinis dlm fungsi sosial,pekerjaan atau
area fungsional penting lainnya.
F. The disturbance is not due to the direct physiologic effects of a substance (e.g., a
drug of abuse, a medication ) or a general medical condition(e.g.,hyperthyroidism)
and does not occur excusively during a mood disorder, a psychotic disorder, or a
pervasive development
disorder.Gangguan ini tidak disebabkan oleh efek
fisiologis langsung dari zat (medikasi,penyalahgunaan obat, atau terapi
lainnya) atau kondisi medis umum (mis, hipertiroid) dan tidak terjadi hanya
selama ggn mood, psikotik atu suatu ggn perkembangan pervasif.
C.
D.
E.
F.
G.
Specity type:
Animal type
Natural environment type (e.g., heights, storms, water)
Blood-injection-injury type
Situational type (e.g., airplanes, elevators,enclosed places)
Other type (e.g., phobic avoidance of situations that may lead to choking,
vomiting, or contracting an illness; in children,avoidance of loud sound or
costumed characters )
Tentukan tipe:
1. hewan ttt
2.
3.
4.
5.
From American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorder, text
revision, 4th ed. Washington, DC; American Psychiatric Association, Copyright 2000, with permissi
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DSM-IV-TR Diagnostic criterio for Somatization Disorder
A. A history of many physical complaints beginning before age 30 years that occur
over a period of several years and result in treatment being sought or significant
impairment in social, occupational, or other important areas of functioning.
F.The symptom or deficit is not limited to pain or sexual dysfunction, does not occur
exclusively during the course of somatization disorder, and is not better accounted for by
another mental disorder. Gejala dan defisit tidak terbatas pada nyeri atau
disfungsi sexual, tidak terjadi dalam perjalanan gangguan somatisasi
dan bukanjenis gangguan mental lainnya.
C. Psychological factors are judged to have an important role in the onset , severity,
exacerbation, or maintenance of the pain. Faktor psikologis ditenggarai
berperan penting dalam onset, keparahan, eksaserbasi atau
menetapnya nyeri.
D. The symptom or deficit is not intentionally produced or feigned ( as in factitious
disorder or malingering). Gejala-gejala atau defisit tidakdimaksudkan
demikian atau berpura-pura (seperti pada gangguan buatan
atau malingering).
E. The pain is not better accounted for by a mood , anxiety, or psychotic disorder and
does not meet criteria for dyspareunia. Nyeri tidak dapat dikategorikan
sebagai gangguan mood, anxietas atau psikotik dan tidak
memenuhi kriteria dispareuni.
Code as follows :
Pain disorder associated with psychological factors : psychological factors
are judge to have the major role in the onset , severity, exacerbation, or
maintenance of the pain. ( If a general medical condition is present , it does
not have a major role in the onset , severity, exacerbation, or maintenance of
the pain). This type of pain disorder is not diagnosed if criteria are also met for
somatization disorder.Pengkodean: Gangguan nyeri terkait faktor
psikologis: faktor-faktor psikologis ditenggarai berperan
penting dalam onset, keparahan, eksaserbasi atau
menetapnya nyeri (jika terdapat suatu kondisi medis umum
maka hal itu bukan utama). Tipe gangguan nyeri ini tidak
didiagnosa jika memenuhi kriteria gangguan somatisasi.
Specify if :
Acute : duration of less than 6 months
Chronic :duration of 6 months or longer
Pain disorder associatedwith both psychological factors and a general
medical condition : both psychological factors and a general medical
condition are judged to have important roles in the onset, severity,
exacerbation, or maintenance of the pain. The associated general medical
condition or anatomic site of the pain. The associated general medical
condition or anatomic site of the pain is coded on axis III.
Tentukan jika:
- Akut: durasinya kurang dari 6 bulan
- Kronik: durasinya > 6 bulan
Gangguan nyeri terkait faktor-faktor psikologis dan kondisi
medis umum: keduanya ditenggarai berperan penting pada
onset, keparahan, eksaserbasi atau kambuhannya
nyeri..Kondisi medis umumdam lokasi anatomisnya
Specify if : With poor insight : if, for most of the time during the current episode, the
person does not recognized that the concern about having a serious illness is
excessive or unreasoneable.
Tentukan jika: dengan tilikan buruk maka pada sepanjang waktu,
terutama kini, yang bersangkutan tidak menyadari bhw
keprihatinan mampunyai suatu penyakit serius adalah berlebihan
atau tidak beralasan.
(2) When there is arelated general medical condition, the physical complaints
or resulting social or occupational impairment is in excess of what would
be expected from the history, physical examination, or laboratory findings.
Adanya (1) atau (2):
C.
D.
E.
F.
This category includes disorders with somatoform symptoms that do not meet the
criteria for any spesific somatoform disorder. Examples include:
Kategori ini termasuk gangguan2 dgn gejala2 somatoform yg tidak
sesuai dgn kriteria ggn somatoform spesifik,contohnya:
1. Pseudocyesis: a false belief of being pregnant that is associated with
objective signs of pregnancy, which may include abdominal enlargement
although the umbilicus does not become everted, reduced menstrual flow,
amenorrhea, subjective sensation of fetal movement, nausea, breast
enlargement and secretions, and labor pains at the expected date of
delivery. Endocrine changes may be present, but the syndrome cannot be
explained by a general medical condition that causes endocrine changes
(e.g., a hormone-secreting tumor).Pseudocyesis: suatu keyakinan
palsu menjadi hamil dikaitkan dgn tanda2 kehamilan
diantaranya pembesaran perut meskipun umbilicus tidak
eversi, tidak terlambatnya haid, ammenorrhea, merasa
ada gerakan janin, nausea, pembesaran ammae dan
adanya sekresi serta nyeri partus pada waktunya.
2. A disoreder involving nonpsychotic hypochondriacal symptoms of less
than
6
months
duration.Gangguan
tentang
gejala
hipokondriasis nonpsikotik yg berlangsung sedikitnya 6
bulan
3. A disorder involving unexplained physical complaints (e.g., fatigue or
body weakness) of less than 6 months duration that are not due to another
mental disorder.Gangguan dgn keluhan2 fisik yg tdk dpt
dijelaskan (spt keletihan atau kelemahan tubuh) yg
berlangsung sedikitnya 6 bulandan bukan dikarenakan
ggn mental lainnya .
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B.
C.
Acquired type
Generalized type
Situasional type
Due to psychological factors
Due to combined factors
Tentukan Tipe:
Seumur hidup
Didapat
General
Situsional
Disebabkan faktor2 psikologis
Kombinasi faktor2
From American Psychiatric Association, Diagnostic and Statistical Manual of
Mental Disorders, text revision, 4th ed.Washington, DC: American Psychiatric
Association, Copyright 2000, with permission.
Repeatedly stated desire to be, or insistence that she or she is, the
other
sex
mengungkapkan
hasrat
berulang2
atau
memaksakan dirinya adalah jenis kelaminyg berbeda.dari
kelamin lainnya.
2.
In boys, preferences for cross-dressing or stimulating female attire;
in girls, insistence on wearing only stereotypical masculine clothing pd
anak laki-laki, adanya kesukaan memakai atau seakan2
memakai baju perempuan; pd anak perempuan, dia
bersikeras memakai hanya pakaian stereotipik maskulin.
3.
Strong and persistent preferences for cross-sex roles and makebelieve play or persistent fantasizes of being the other sex kesukaan yg
kuat dan menetap berperan sbg kelamin lainnya dan
permainan rekaannya atau fantasi menetap menjadi
kelamin lainnya.
4.
Intense desire to participate in the stereotypical games and
pastimes of the other sex hasrat yg kuat utk ikutserta dlm
permainan2 stereotipik atau pengisia waktu luang dari
kelamin berbeda.
5.
Strong preference for playmates of the other sex hasrat yg kuat
menjadi teman bermain kelamin lainnya.
In adolescent and adults, the disturbance is manifested by symptoms such as a
states desires to be the other sex, frequent passing as the other sex, desire to
live or be treated as the other sex, of the conviction that he or she has the
typical feelings and reactions of the other sex. Pada kelompok remaja
dan dewasa, ggn berwujud sbg gejala2 hasrat pasti menjadi
kelamin lain, sering menyamar sbg kelamin lainnya,
berkehendak hidup atau diperlakukan sbg kelamin lainnya,
atau adanya keyakinan bahwa ybs mempunyai perasaan
tipikal dan reaksi2 kelamin lainnya.
B. Persistent discomfort with his other sex or sense inappropriateness in gender role
of that sex. Ketidaknyamanan menetap dgn kelaminnya atau rasa
tdk cocok dgn peran gender kelaminnya.
In children, the disturbance is manifested by any of the following; in boys,
assertion that his penis or testes are disgusting or will disappear, assertion that
it would be better not to have a penis, or aversion toward a rough and tumble
play and rejection of male stereotypical toys, games and activities; in girls,
rejection of urinating in a sitting position, assertion that she does no want to
grow breast or menstruate, or marked aversion toward normative feminine
clothing. Pada anak2, ggn ini tampil sbg: salah satu dari berikut
ini; anak laki-laki: menyatakan bhw penisnya menjijikan atau
akan menghilang atau lebih baik tidak memilikinya,
membenci permainan kasar, adu jotos dan menolak mainan2,
permainan dan aktifitas stereotipik laki-laki; anak perempuan:
menolak kencing posisi jongkok,menyatakan bhw dia memiliki
atau akan bertumbuh penis bukan payudara, tdk akan
mengalami haid atau kebencian nyata thd pakaian2 wanita.
In adolescents and adults, the disturbance is manifested by symptoms such
as preoccupation with getting rid of primary and secondary sex characteristic
(e.g., request for hormones, surgery, or other procedures to physically alter
sexual characteristic to stimulate the other sex) or believe that she or he was
born the wrong sex. Pada kelompok remaja dan dewasa,
ditunjukan dgn gejala2 spt preokupasi dgn tdk mempunyai
tanda sekunder kelaminnya (spt permintaan terapi hormon,
bedah atau prosedur lain yg merubah ciri seks dan atau
stimulasi ciri2 kelamin lainnya) atau percaya bhw dia
dilahirkan dgn jenis kelamin yg salah.
C. The disturbance is not concurrent with a physical intersex condition Ggn ini tdk
bersamaan dgn suatu kondis fisik interseks.
D. The disturbance causes clinically significant distress or impairment in social,
occupational, or other important areas of functioning Gangguan diatas
menyebabkan penderitaan atau hambatan yg bermakna klinis
dlm bidang2 sosial, okupasional, atau fungsional penting lainnya.
Parafilia
Gangguan
Definisi
Kondisi Umum
Eksibisionis
Menunjukkan
alat kelaminnya
kepada umum,
jarang
pada
wanita
Ingin mengejutkan
wanita,
reaksinya
mengatakan
bahwa
penis
intak
Fetisime
Rangsangan
seksual dengan
benda
yang
tidak
sesuai
(sepatu,
rambut,
pakaian)
Meremas jenis
kelamin
perempuan
untuk
mendapatkan
Lebih
banyak
pada
pria,
sering
diikuti
dengan
perasaan
bersalah
Penatalaksana
an
Psikoterapi,
kondisi aversif,
wanita
harus
menolak
pria
yang demikian,
atau
telepon
polisi
Psikoterapi
internal, kondisi
aversif, implasi
(masturbasi
dengan benda
tersebut)
Terjadi
pada
keramaian,
jarang,
bukan
pria
yang
agresif
Psikoterapi
internal, kondisi
aversif,
terapi
kelompok,
medikasi
Froterisme
kenikmatan
Pedofilia
Suka melakukan
aktivitas
seksual
pada
anak
dibawah
umur 13 tahun
lebih ke parafilia
Masosisme
Seksual
Keinginan
seksual dengan
cara
dipaksa,
diperkosa
Sadisme
seksual
Fetisistem
transfetik
Voyeurisme
95%
heteroseksual,
5%
homoseksual.
Beresiko
akan
terjadi
gejala
ber-ulang
1012% anak telah
terganggu
jiwanya
pada
usia 18 tahun
atlantandrogeni
k
Memindahkan
pasien
pada
ruang
perawatan
terapi
kelompok,
psikoterapi
internal
dan
medikasi
atlantaondragen
ik
Psikoterapi
internal, terapi
kelompok
Berusaha
melawan
perasaan
bersalah, ingin
dihukum
Keinginan sek- Lebih
banyak Psikoterapi,
sual
dengan pada laki-laki
kondisi aversif
memberi tekanan mental dan
fisik
Perubahan
Lebih
banyak Psikoterapi
pakaian
digunakan
internal
dalam stimulasi
heterosekual.
Lebih
sering
pada
laki-laki
yang
menggunakan
pakaian
perempuan.
Tidak
pusing
pada keinginan
untuk merubah
jenis kelamin
Kenikmatan
Masturbasi
Psikoterapi
seksual dengan biasanya
internal, kondisi
cara
melihat dilakukan pada aversif
aktivitas
keadaan
ini.
seksual
orang Biasanya
lain (contohnya ditahan karena
koitus
atau mengintip dan
orang
yang mengendaptelanjang) bisa endap
Parafilia
(parafilia
ekskretori)
Zoofilia
saja
terjadi
pada
wanita
tapi
paling
banyak terjadi
pada
pria.
Variasi lainnya
melalui
pembicaraan
erotik
lain Buang
air
(kaprolalia),
atau
urin
(urofilia)
pada
pasangannya
atau
suara
mendesah
Berhubungan
badan dengan
binatang
Targanggunya
Psikoterapi
fase anal pada internal
perkembangann
ya
dan
klismafilia
(enema)
Lebih
sering Modifikasi
pada
daerah prilaku,
pedesaan
psikoterapi
internal.
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DSM-IV-TR Diagnostic Criteria for Anorexia Nervosa
A. Refusal to maintain body weight at or above a minimally normal weight for age and
height (e.g., weight loss leading to maintance of body weight less than 85% of that
expected; or failure to make expected weight gain during perlod of growth, leading to
body weight less than 85% of that expected).Penolakan mempertahankan BB
normal atau diatas BB minimal sesuai dgn umur dan tinggi badan
(kehilangan BB dipertahankan <85% berat yg diharapkan atau
gagal mencapai BB yg sesuai selama masa pertumbuhan sehingga
hanya <85% dari BB yg diharapkan)
B. Intense fear of gaining weight or becoming fat, even though
underweight.Ketakuatan yg kuat bertambahnya BB atau menjadi
gemuk meskipun BB <standar.
C. Disturbance in the way in which ones body weight or shape is experienced, undue
influence of body weight or shape on self-evaluation, or denial of the seriousness of
the current low body weight.Terjadi gangguan dlm cara pandang ybs ttg
berat badannya atau bentuk tubuh, pengaruh tidak wajar dari BB
atau bentuk badan berdasarkan penilaian sendiri atau menyangkal
keseriusan kurangnya BB sekarang ini.
D. In postmenarcheal females, amenorrhea (i.e., the absence of at least three consecutive
menstrual cycles). A woman is considered to have amenorrhea if her periods occur
only following hormone (e.g., estrogen) administration.Pd wanita2
postmenarche terdapat amenorrhea (tidak adan sedikitnya 3 kali
berturut siklus menstruasi).Seorang wanita dianggap mengalami
amenorrhea jika setelah pemberian hormone (mis.estrogen)
(MAKAN GAYA
MABUK ??????)
A. Recurrent episode of binge eating. An episode of binge eating is characterized by
both of the following Adanya episode berulang binge eating dimana
satu episodenya dikarakterisir oleh kedua hal berikut:
1. eating, in a discrete periode of time (e.g., within any 2-hour period), an
amount of food that is definitely larger than what most people would eat in a
similar period of time under similar circumstances.
makan secara periodik (mis.tiap 2 jam) sejumlah makanan yg
jumlahnya jelas melebihi kebanyakan orang melakukannya
dlm periode itu dan suasana yg serupa
2. a sense of lack of control over eating during the episod (e.g., a feeling that one
C. Fascination with, interst in, curiousity about aor attraction to fire and its
situational contexts (e.g parapehernalia,uses, consequences) Keterpikatan ,
ketertarikan, keingintahuan atau kesukaan dgn api dan situsasi
yg
ditimbulkannya
(
paraphernalia,penggunaan,
konsekuensi2nya).
D. Pleasure, gratification, or relief when settings fire or when witnessing or
participation in their aftermath Adanya perasaan senang, puas atau
lega saat melakukan pembakaran, menyaksikannya, atau
membantu sesudah kebakaran.
E. The fire setting is not done for monetary gain, as in expression of sociopolitical
ideology, to conceal criminal activity, to express anger or vengeance, to improve
ones living circumstances,in response to delusion or hallucination, or as a result
of impaired judgment (e.g dementia, mental retardation, substance intoxication)
Pembakaran tdk dilakukan utk mendapatkan uang, penyataan
ideology sosiopolitik, menyembunyikan tindakan criminal,
mengskspresikan kemarahan atau dendam, pembuktian
kehidupan seseorang, sbg respons thd waham atau halusinasi
atau sbg hasil ggn penilaian (spt dementia, retardasi mental,
intoksikasi zat).
F. The fire setting is not better accounted for by conduct disorder, a manic episode,
or antisocial personality Pembakaran ini tdk dpt digolongkan sbg ggn
perilaku (conduct), episode mania, atau ggn kepribadian
antisosial.
TRIKOTILOMANIA
A.
Recurrent pulling of ones hair resulting in noticeable hair
lossPencabutan berulang rambut sendiri sehingga tampak nyata
area kehilangan rambut.
B.
An increasing sense of tension immediately before pulling out the hair or
when attempting to resist the behaviour
Adanya peningkatan rasa
tegang sesaat sebelum mencabut rambut atau ketika mencoba
menahan perilaku ini.
C.
Pleasure, gratification, or relief when pulling out the hair Adanya
perasaan senang, puas atau lega saat mencabut rambut.
D.
The disturbance is not better accounted for by another mental disorder
and is not due to a general medical condition. Gangguan ini tidak dpt
digolonggkan sbg ggn mental lainnya atau disebabkan kondis
medis umum (spt kondisi dermatologis).
E.
The disturbance causes clinically significant distress or impairment in
social, occupational, or other important areas of functioning Gangguan ini
menyebabkan penderitaan yg bermakna klinis atau hambatan
social, pekerjaaan, atau pd area fungsi2 penting lainnya.
zzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzz
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are interpreted
as malevolent, beginning by early adulthood and present in a variety of contexts, as
indicated by four (or more) of the following Adanya ketidakpercayaan dan
5.
perceives attacks on his or her character or reputation that are not apparent
menanggapi
serangan tak berarti dr sesama
thd karakter atau
reputasinya dgn lsg marah atau membalasnya.
to others and is quick to react angrily or to counterattack
7.
B.
Does not occur exclusively during the course of schizophrenia, a mood disorder with
psychotic features, or another psychotic disorder, and is not due to the direct
physiologic effects of a general medical condition. Hal2 diatas tidak hanya
aggota keluarga.
2.
aktifitas soliter.
3.
4.
5.
6.
7.
has little, if any, interest in having sexual experiences with another person
emotional
coldness,
menunjukan kebekuan
pendatan afek.
B.
detachment,
emosi,
or
flattened
berdiri
affectivity
sendiri
atau
Does not occur exclusively during the course of schizophrenia, a mood disorder with
psychotic features, another psychotic disorder, or a pervasive developmental disorder
and is a not due to the direct physiologic effects of a general medical condition. Hal2
Table 19-3
3.
4.
5.
6.
7.
8.
9.
B.
Table 19-5
DSM-IV-TR Diagnostic Criteria for Borderline Personality Disorder
A pervasive pattern of instability of interpersonal relationships,
self-image, and affects and marked impulsivity beginning by
early adulthood and present in a variety of context, as
indicated by five (or more) of the following Suatu pola pervasif
ketidakstabilan hubungan2 antarpersonal, gambaran diri dan
afek2 serta sifat impulsif yg jelas dimulai semenjak usia
dewasa muda dan muncul dlm berbagai konteks spt yg
Table 19-6
DSM-IV-TR Diagnostic Criteria for Histrionic Personality Disorder
A pervasive pattern of excessive emotionality and attention
seeking, beginning by earlyadulthood and present in a variety
of contexts, as indicated by five (or more) of the following
Suatu pola pervasif tingkat emosional dan mencari2 perhatian
yg berlebihan yg dimulai semenjak usia dewasa muda dan
muncul dlm berbagai konteks spt yg ditunjukan oleh 5 atau
lebih hal2 berikut ini:
(1) is uncomfortable in situations in which he or she is not
the center of attention
merasa tdk nyaman dlm situasi2 dimana ybs bukan sbg
pusat perhatian
(2) interaction with others is often characterized by
inappropriate sexually seductive or provocative
behavior
interaksi dgn sesama sering dikarakterisir oleh perilaku
menggoda secara seksual atau bersifat menghasut
(3) displays rapidly shifting and shallow expression of
emotions
menampilkan ekspresi emosi yg cepat berubah dan
dangkal
(4) consistently uses physical appearance to draw
attention to self
selalu memanfaatkan penampilan fisik untuk menarik
perhatian
(5) has a style of speech that is excessively impressionistic
and lacking in detail
gaya bertutur yg terlalu mengesankan dan kehilangan
rinciannya
(6) shows self dramatization, theatricality, and
Table 19-7
DSM-IV-TR Diagnostic Criteria for Narcissistic Personality Disorder
A pervasive pattern of grandiosity (in fantasy or behavior),
need for admiration, and lack of empathy, beginning by early
adulthood and present in a variety of context, as indicated by
five (or more) of the following Suatu pola pervasif ttg
kebesaran (dlm fantasi dan perilaku), membutuhkan
penghormatan dan ketiadaan empati yg dimulai semenjak usia
dewasa muda dan muncul dlm berbagai konteks spt yg
ditunjukan oleh 5 atau lebih hal2 berikut ini:
(1) has a grandiose sense of self-importance (e.g.,
exaggerates achievements and talents, expects to be
recognized
as
superior
without
commensurate
achievements)
mempunyai perasaan kebesaran ttg pentingnya ybs (mis.
melebih-lebihkan
pencapaian
dan
talenta2nya,
mengahrapkan
dipandang
superior
tanpa
adanya
pencapaian2 yg setara)
(2) is preoccupied with fantasies of unlimited success, power,
brilliance, beauty, or ideal love
terpreokupasi dgn fantasi2 ttg kesuksesan2 tak terkira,
kekuasaan, kepintaran, kecantikan atau cinta ideal
(3) believes that he or she is special and unique and can
only be understood by, or should associate with, other
special or high-status people (or institutions)
ybs percaya dia itu khusus,unik dan hanya dapat dipahami
atau berteman dgn kelompok khusus atau kalangan kelas
American Psychiatric Association, Diagnostic and Statistical Manual of Mental Disorders, text
revision, 4th ed. Washington, DC: American Psychiatric Association, Copyright 2000, with
permission
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DSM-IV-TR
Diagnostic
Criteria
for
Disorder
of
Written
Expression
B.
C.
D.
membuat kesalahan2 dalam kalimat menurut waktu terjadinyatenses, atau kesulitan mengingat kembali kata2 atau
pembuatan kalimat2 yg panjang dan rumit sesuai tahap
perkembangannya.
The difficulties with expressive language interfere with academic or
occupational achievement or with social communication.Kesulitan2
berbahasa ekkspresif mengganggu pencapaian akademik atau
okupasional atau dlm komunikasi sosial.
Criteria are not met for mixed receptive-expressive language disorder or a
pervasive developmental disorder.Kriteria2 tidak memenuhi Ggn
Berbahasa campuran resptif-ekspresif.
If mental retardation, a speech-motor or sensory deficit, or environmental
deprivation is present, the language difficulties are in excess of those usually
associated with these problems. Jika bersamaman dgn Retardasi
Mental, deficit sensorik atau motorik berbicara maka kesulitan2
berbahasa melebihi keadaan2 yg biasanya terjadi
biasanya terjadi.
were present before age 7 years. Same impairment from the symptoms is present
in two or more setting (e. g. of school (or work) and at home) Beberapa
gejala hiperaktifitas-impulsifitas atau inatensi yg menyebabkan
hambatan sudah ada sebelum usia 7 tahun
C. There must be clear evidence or clinically significant impairment in social,
academic, or occupational functioning Harus ada bukti jelas atau
hambatan bermakna klinis dlm fungsi2 sosial, akademik atau
okupasional
D. The symptoms do not occur exclusively during a course of a pervasive
developmental disorder, schizophrenia or other psychotic disorder and are not
better accounted for by another mental disorder (e. g. mood disorder, anxiety
disorder, dissociative disorder, or a personality disorder) Gejala2 tidak
hanya terjadi selama perjalanan suatu ggn perkembangan
pervasive, Skizofrenia atau ggn psikotik dan tidak dpt
digolonggkan sbg ggn mental lainnya (mis. ggn mood, ansietas,
disosiatif atau ggn kepribadian)
Code based on type Kode berdasarkan tipe:
Attention deficit/hyperactivity disorder, combined type: if both criteria A1
and A2 are met for the past six months Gangguan Defisit
Perhatian/Hiperaktifitas, tipe kombinasi: jika kedua kriteri
A(1) dan A (2) terpenuhi dalm 6 bulan terakhir
Attention deficit/hyperactivity disorder, predominantly inattentive typed: if
criterion A1 is met but criterion A2 is not met for the past six months
Gangguan Defisit Perhatian/Hiperaktifitas, tipe inatensi
menonjol: jika kriteria A(1) terpenuhi tetapi A (2) tdk
terpenuhi dalm 6 bulan terakhir
Attention deficit/hyperactivity disorder, predominantly hyperactiveimpulsive type: if criterion A1 is not met but criterion A2 is met for the
past six months Gangguan Defisit Perhatian/Hiperaktifitas, tipe
hiperaktif-impulsif menonjol: jika kriteria A(1) tidak
terpenuhi tetapi A (2) terpenuhi dalm 6 bulan terakhir
Coding note: for individuals (especially adolescents and adults) who currently
have symptoms that no longer meet full criteria in partial remission should be
specified.Catatan: pd individu2 (khususnya remaja dan dewasa) yg
sekarang mempunyai gejala2 yg tdk lagi memenuhi kriteria
penuh maka sebaiknya ditentukan sbg dlm remisi parsial
DSM-IV-TR
Diagnostic
PERILAKU ??????????)
Criteria
for
Conduct
Disorder
(KEPATUHAN
(A) Consistent failure to speak in specific social situations (in which there is an
expectation for speaking, e.g., at school) despite speaking in other
situations.Kegagalan berbicara konsisten dlm situasi2 sosisl
tertentu (dimana diharapkan berbicara mis. disekolah)
(B) The disturbance interferes with educational or occupational achievement or
with social communication
Gangguan ini mengganggu
pencapaian pendidikan atau okupasional atau dalm
komukasi social.
(C) The duration of the disturbance is at least 1 month (not limited to the first
month of school).Durasi ggn sedikitnya 1 bulan.
(D) The failure to speak is not due to a lock of knowledge of, or comfort with,
the spoken language required in the social situation.Kegagalan
berbicara tidak disebabkan oleh tiadanya pengetahuan atau
nyaman dgn bahasa ucapan yg dibutuhkan dlm situasi
sosial
(E) The disturbance is not better accounted for by a communication disorder
(e.g., stuttering) and does not occur exclusively during the course of a
pervasive developmental disorder, schizophrenia, or other psychotic
disorder
Gangguan ini tdk dpt digolongkan sbg ggn
berkomunikasi (mis. Gagap) dan tdk hanya terjadi selama
perjalanan suatu ggn perkembangan pervasive, Skizofrenia
atau ggn psikotik lainnya.
A.
B.
C.
D.
E.
F.