情緒障礙及行為問題之處理兒童、青少年專科醫(yī)師蔡明輝醫(yī)師健康傳統(tǒng)醫(yī)療模式：沒有罹病的狀態(tài)WHO：沒有生病身體、心理、社會(huì)與靈性的安寧狀態(tài)健康絕對(duì)性轉(zhuǎn)成動(dòng)態(tài)式改變非互斥性關(guān)係病識(shí)感、環(huán)境(人、物與文化)多層面BioPsychoSocial個(gè)人、家庭與社會(huì)(角色與適應(yīng))情緒、行為、思想、感官兒童病理學(xué)對(duì)小孩、對(duì)社會(huì)是終身負(fù)擔(dān)成人疾患根植於小孩經(jīng)驗(yàn)提供較有效的預(yù)防及介入DefiningChildPsychopathologyAdaptationalfailureincognitive,affective,physiologicalandbehaviorcomponents

Intensity

frequency

duration

patterning

situationalappropriatenessAdaptationalFailuredeviationfromage-appropriatenormsexaggerationordiminishmentofnormaldevelopmentalexpressionsinterferenceinnormaldevelopmentalfailuretomasterage-salientdevelopmentaltasksfailuretodevelopaspecificfunctionorregulatorymechanismMentalRetardationSubnormalintellectualfunctioning：lowIQ

低智能Deficitsinadaptivebehavior

適應(yīng)不良Beginsearlyinlife

早期發(fā)生過動(dòng)癥ADHD活動(dòng)力(Hyperactivity)

注意力(Attention)

衝動(dòng)力(

Impulsivity)

*DigitSpanPerformanceTest

*WechslerIntelligenceScale forChildren-Revise弱智Mentalretardation智商IQ

適應(yīng)度Adaptation弱智Mentalretardation智商IQmild：50-55~70moderate：35-40~50-55severe：20-25~35-40profound：<20-25弱智Mentalretardation智商CCDI常模粗動(dòng)作 精細(xì)動(dòng)作溝通表達(dá) 概念理解環(huán)境理解 身邊處理人際社會(huì) 一般發(fā)展特殊發(fā)展障礙

SpecificDevelopmentalDisordersAcademicskillsdisorder學(xué)科技能障礙Languageandspeechdisorder

語言溝通障礙Motorskillsdisorder動(dòng)作技能障礙情緒障礙易怒破壞東西、攻擊不遵守規(guī)則反復(fù)無常尿床退化行為咬指甲逃學(xué)廣泛性發(fā)展障礙

PervasiveDevelopmentalDisordersAutisticdisorder自閉癥PervasivedevelopmentdisorderNOS其他網(wǎng)路成癮癥候群憂鬱癥焦慮癥身體化癥狀精神分裂癥行為處理行為方式自傷攻擊性干擾吃藥睡眠困擾行為處理同