高濃度血鉛將損壞腦部功能，引發兒童發展遲緩
本所特別推出~血鉛/鋁/各重金屬及環境賀爾蒙快篩
依據醫學文獻指出
血鉛/血鋁，可能造成老人失智、老人癡呆症…
血鉛/血鋁，可能造成兒童過動、專注力、發展遲緩..等問題
為關心此議題家長，提供各式完善的療程選擇
洽詢電話02-8789-4477、02-2721-1218
簡訊預約：0930-005-396
松德精神科診所
照片：引自：爽報1041019V2版
照片：東方日報/血鉛超標23童 3個發展遲緩
失智症早期徵兆
Ø 變得健忘，特別是剛發生的事。
Ø 可能出現溝通上困難，例如要找到合適的字眼表達，會有困難。
Ø 在熟悉的地方迷路。
Ø 對時間的概念混淆，搞不清年、月、日或季節。
Ø 做決定或處理個人財務方面會有困難。
Ø 執行複雜之家務時會有困難。
Ø 情緒和行為上之徵兆：
n 變得比較被動，對各項活動及嗜好失去興趣
n 可能出現憂鬱或焦慮等情緒變化
n 偶爾出現不尋常之生氣或激動反應
就醫指南~~~
當您或家人有多個失智症徵兆出現
請至醫院神經內科或精神科門診檢查
松德身心科診所 關心您~~
診所已經經過多年的經營面對這個多元化的世界與需求
因此我們引進與調整美歐最新的整合性全人醫療:包含
評估寫意以及機器和測驗卷檢測.以及藝術紓壓音樂紓壓
催眠治療,營養諮詢
對於憂鬱症,躁鬱症都有完整的醫療規劃討論
而對於新興的議題例如暴食症.自律神經失調 ,神經性疼痛,偏頭痛都有一連串標準SOP
常見的失眠醫師也儘量以開立非安眠藥物為主
可以提供物理治療治療以及語言治療…..等等
從近期爆發之食安問題
重金屬體內殘留
短期過量可能影響睡眠/引發頭痛/情緒不穩……等現象
長期過量可能導致肝腎病變、癌症、中樞神經壞損、失智症…等等疾病
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松德身心科診所
林耿立醫生應美商北京明德醫院之邀
預計至北京開設特別門診提供中英台語服務
初期規劃
自2013年11或12月起每月將有一週於美商北京明德醫院看診
林醫生北京駐診期間
大陸華北地區台商可就近至北京看診(明德醫院設施/服務皆很完善)
同時段林醫生亦可接受遠距諮商(需事先預約)
松德身心科診所
可以點選下面連結(中文在右上角落)
松德精神科診所/黃惠琪醫師
失智症自我檢測表
1. 我記不起來最近發生的事件… □很少□有時□經常
2. 我有困難找到正確的字眼來表達…□很少□有時□經常
3. 我有困難記得今天的日期以及是星期幾…
□很少□有時□經常
4. 我會忘記東西通常放在哪裡… □很少□有時□經常
5. 我很難去適應日常例行活動的變動…
□很少□有時□經常
6. 我很難了解雜誌、報紙上的文章，或是
跟上書本、電視上的故事… □很少□有時□經常
7. 和人說話時，我有困難跟上或是參與對
話，在團體中更明顯… □很少□有時□經常
8. 我無法處理財務，像銀行的事或是算錢找零…
□很少□有時□經常
9. 我對於其他日常事務感到困難，像是記得親友
上回來訪時間或是烹煮我以前拿手的菜…
□很少□有時□經常
10.我一向喜歡的活動，現在我失去興趣…
□很少□有時□經常
11.我有困難思考解決問題…
□很少□有時□經常
12.家人或是朋友曾說我記憶不好…
□很少□有時□經常
Influence of interpersonal problems on the relationship between attachment styles and social skills in Borderline Personality disorder
Jin-Jia Pan1(潘金嘉), Geng-Li Lin2 M.D. (林耿立醫師)
Institute of Psychology, Heidelberg University, Germany1
Song De Psychiatry Clinic, Taipei2
Background:
The literature on the relationship between attachment style and patients with borderline personality disorder (BPD) has been the subject of controversy and few attempts have so far been made at exploring the role of interpersonal problems between the causality of attachment styles and social skills in patients with BPD. The objective of this research was to examine whether interpersonal problems mediated links between attachment styles and social skills in BPD. Furthermore, this research also was to explore if the bias of interpersonal problems in BPD could predict inadequate social skills.
Methods:
29 BPD outpatients (19female, 10male) and 65 control subjects completed Relationship Questionnaire, Structured Clinical Interview for DSM-IV Axis II Disorders, Symptom Checklist-90-Revised, Social Skills Inventory, and Inventory of Interpersonal Problems Circumplex Scales. Moreover, a total of 94 significant others (29 from outpatients, and 65 from healthy subjects) were also recruited in this study to assess subject’s interpersonal problems. Independent samples t-test was conducted to compare all variables in two groups and examine the difference between self-report and other-report interpersonal problems. Hierarchical multiple regression analysis was performed to test (a) the relationship between the difference of interpersonal problems and social skills, and (b) the mediation effect of interpersonal problems between attachment styles and social skills in BPD.
Results:
Three important findings were found in this study. Finding 1: The majority of control people had secure attachment styles, while many borderline patients ’attachment styles were insecure. Patients’ scores on social sensibility (SS) were significantly higher than controls and scores on emotional awareness and emotional expression (EAEE) were lower than controls. In terms of interpersonal problems, borderline people described themselves more domineering, vindictive, cold, exploitable, intrusive and nonassertive than normal people. Compared to other-report interpersonal problems in controls, significant others appraised borderline people more vindictive and more socially avoidant. Finding 2: The result of the relationship between the difference of interpersonal problems and social skills indicated that domineering, vindictive, and nonassertive as predictors could significantly negatively predict social awareness and social expression (SASE) respectively; moreover, exploitable as predictor significantly positively predicted SS. Finding3: (1)Preoccupied attachment style had significant predicting power over social sensibility in BPD. (2) Intrusive had full mediation effect between preoccupied attachment style and social sensibility in BPD.
Conclusions:
The results suggest evidence for potential interpersonal mechanism of development of BPD, which was meaningful for understanding the psychopathology of BPD and helpful for application of psychological intervention. Furthermore, several limitations have to be considered in interpreting results, for example, small sample size, borderline outpatients without considering the comorbidity of other personality disorders, the limit of cross sectional study, etc.
Key words: Borderline personality disorder, attachment styles, interpersonal problems, social skills
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