Psychopathologischer Befunde Beispiel Essay

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Der psychopathologische Befund fasst die Ergebnisse einer psychiatrischen Untersuchung zusammen und bildet die Grundlage für diagnostische Entscheidungen sowie therapeutische Maßnahmen. Dabei werden u.a. Bewusstsein, Orientierung, Gedächtnis, Wahrnehmung und Denken, Ich-Grenzen und Affekt beurteilt.

Die Erhebung der zahlreichen möglichen Befunde gibt Hinweise über die Erkrankung und ist unerlässlich für eine Diagnosestellung nach ICD-10-Kriterien. Einige Symptome sind fast pathognomonisch für eine Diagnose (z.B. imperative Stimmen bei paranoider Schizophrenie), die meisten Symptome können jedoch bei verschiedenen Krankheitsbildern und im Einzelfall auch bei Gesunden vorkommen.

Zur Erhebung des psychopathologischen Befundes hat sich das AMDP-System als strukturierendes, diagnostisches Hilfssystem bewährt und soll in Deutschland standardisiert angewandt werden. Es umfasst sowohl die Anamnese als auch den psychischen und somatischen Befund eines Patienten. In dem folgenden Kapitel werden die Inhalte der psychischen Befunderhebung in Anlehnung an das AMDP-System näher dargestellt.

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