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Abstract

第113巻第12号

Importance of Multi-dimensional Approach in the Diagnosis of Acute Psychosis
Hidemichi SUGA
Ryukoku Uuiversity, Health Service
Psychiatria et Neurologia Japonica 113: 1241-1247, 2011

 Treatment of acute psychosis should involve a multi-dimensional approach that includes factors such as administration of justice and education, societal factors, and other similar aspects, apart from the actual medical treatment. Medical treatment in turn has various aspects such as diagnosis, treatment, prevention, and clinical research. In a multi-dimen-sional setting, each specialist recognizes the specialty of their peers and the importance of evaluation in each field,following which the integrated concept is pursued. The contemporary society demands a multi-dimensional approach towards acute psychosis. There are three different aspects in the diagnosis of this disorder. The first is a social-behavioral aspect, which includes the elements of justice and administration. This is useful for interventions such as involuntary hospitalization and protection hospitalization, along with medical treatment. The second is the actual treatment aspect for improving the psychotic episodes. Evidence obtained on using DSM or ICD for diagnostic purposes is useful for effective treatment and prevention of side effects of drug therapy. The third is the patients’quality of life aspect,which leads to relapse prevention and psychoeducation,and facilitates patients’acceptance of their condition by using longitudinal assessments such as those used in atypical psychosis. In this article,I aim to investigate the various recent topics of discussion regarding psychiatric illnesses, including their categories and dimensions. I described the flexibility of the psychiatric diagnosis from the standpoint of the multi-dimensional directivity requested in “acute psychosis”.

Keywords:acute psychosis, multi-dimensional directivity, atypical psychosis, diagnostic criteria>
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