GANGGUAN PSIKIATRIK

Dr.Deddy Soestiantoro SpKJ. MKes

PSYCHIATRY IN INDONESIA
Classification of Mental Disorders
Pedoman Penggolongan Diagnosis
Gangguan Jiwa di Indonesia (PPDGJ)
1973 : PPDGJ -I -----based on ICD-8 WHO 1965
(numeric system : 290-319 )
1984 : PPDGJ -II ----based on ICD-9 1977 and
DSM III -1980 (numeric system)
1994 : PPDGJ- III ---based on ICD-10 1992 and
DSM IV-1994 (alpha-numeric
system F00-F99 )

Pedoman Penggolongan dan Diagnosis

Gangguan Jiwa di Indonesia (PPDGJ III)
I.Gangguan Psikotik
A-Gangguan Mental Organik
B-Gangguan Psikotik Lainnya
1-Gangguan Skizofrenik
2.Gangguan Afektif
3.Gangguan Paranoid
4.Psikosis Non Organik lainnya.
II.Gg.Neurotik,Gg.Kepribadian dan Gg.Mental
Non-psikotik lainnya.
Beda antara Golongan Psikotik dan Non-psikotik terletak
Dalam Penilaian Terhadap Realitas oleh ybs.Penilaian ini
dikenal sebagai Reality Testing Ability ( R T A ).

REALITY TESTING ABILITY

Ada 3 aspek dari kepribadian, apakah kondisi tsb. psikotik atau tidak
tergantung pad disfungsi/gangguan dari ketiga aspek tersebut (SDH).
Alam Perasaan /Stimmung
-Keadaan afekif:normo/euthymia,hyperthymia,
hypothymia, poikilothymia,disthymia,
tumpul/datar/afek inappriate
-hidup emosi.
Alam Pikiran /Denken
-fungsi intellek :memori,konsentrasi,
orientasi,discriminative judgement/insight,
intelligency level,dementia etc
-sensasi & persepsi: illusi,hallusinasi
- proses pikir:-psikomotilitas,kualitas
-assosiasi,isi, bentuk dll.
Dorongan instinktual & perbuatan/ Handlung
-abulia/hipobulia ,stupor,raptus,impulsivitas,
deviasi seksual , vagabondage,pyromania,mannerism,
mutisme,autisme dll.

MULTIAXIAL
SYSTEM / DIAGNOSIS / ASSESMENT
Axis I :-Clinical disorders
-Other conditions that may be a
focus of clinical attention
Axis II :-Personality disorders
-Mental retardation
Axis III :-General medical conditions
Axis IV:-Psychosocial and environmental problems
Axis V :-Global Assesment of Functioning

Global Assesment of Functioning (GAF) Scale

100-91: superior functioning, no symptoms
90-81: absent or minimal symtoms
80-71: transient symptoms,slight impairment in social,
occupational or school functioning
70-61: some mild symptoms,some difficulty in functioning
60-51: moderate symptoms/ difficulty in functioning
50-41: serious symptoms/impairment in functioning
40-31: some impairment in reality testing or communication/
major impairment in several areas.
30-21: behaviour is considerably influenced by delusions or
hallucinations/serious impairment in communication
or judgment/inability in almost areas
20-11: some danger of hurting self or others/occasionally fails to
maintain minimmal personal hygiene/gross impairment in
communication
10-01: persistent danger of severely hurting self or others/persistent
inability to maintain minimal personal hygiene/serious suicidal act