Kaplan & Sadock’s Synopsis of Psychiatry: Behavioral Sciences/Clinical Psychiatry

1499 Pages·2014·101.783 MB·English

by  Benjamin James Sadock

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KAPLA&N S ADOCK'S
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ELEVENTH EDITION
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ProfeosfPs soyrc h,Ni eawtrY yorUkn iveSrcshiotooyfMl e dicine;
DirteoTcrr,e atRmeesnitsD tearpnets sPiroong arnaCdmo -director,
Continuingi nPE sdyuccha,Dit aeiptoarnry tmeonfPt s ychiatry;
AttenPdsiyncgh iTaitsrHciohss tp,iN teawYl o,rN ke,wY ork
KAPLA&N S ADOCK'S
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BehaviSocriaeln cesP/ysCclhiinaitcrayl
ELEVENTH EDITION
BenjaJmaimSnea sd ock,
M.D.
MenasS .G regoPrryo fesosfoP rs ychi,a try
Departmento fP sychi,aN treywY orUkn iversSicthyo oolfM edicine;
AttendPisnygc hiatristH,o sTpiistcahl ;
AttendPisnygc hiatrBiesltl,e vHuoes piCteanlt er;
NewY orkN,e wY ork
VirgAilnciSoaat dto ck,
M.D.
ProfesosfoP rs ychi,aD terpyartmento fP sychi,a try
NewY orUkn iversSicthyo oolfM edicine;
AttendPisnygc hiatTriiscsHhto ,s pital;
AttendPisnygc hiatrBiesltl,e vHuoes pitCeanlt er,
NewY orkN,e wY ork
PedRruoi z,
M.D.
ProfesosfoP rs ychi,aE trxyecutViivcee -Chaanidr DireocfCt loirn iPcraolg rams,
DepartmoefnP ts ychiaantdr Bye havioSrcaile nces,
UniversoifMt iyam iM illSecrh ooolfM ediciMnieam,i ,F lorida
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ProduDcetv pemleoEndti tAonrdr:Ve osab urgh
ProducPtroijoenMca nta gBerri:d gDeotutg herty
MarketiMnagn agSetre:p hanie Manzo
ManfuacutriMnanga gBeert:Wh e lsh
Designi nCoaortSo:tr edphDernu ding
ProducSteirovniA pctearsIa:n, c .
11the dition
Copyri©g 2h0t1W 5o ltKelrusw er
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"Kaplan Sadockw iPtsthyh pceyh riaadmtrl iyo"gi osa tr ademaorfLk i ppinWciloltitam sW ilkins.
Alrli ghrtess erTvheibdso. o iksp rotebcytc eodp yriNgoph atr.ot ft hibso omka yb er eprodourc ed
transmiinat ntyfe odr omrb ya nym eanisn,c luadsip nhgo tocooprsi ceasn neodro- tihnee lre ctronic
copioers ,u tiblyai nziyen df ormsattoiroaanng dree triseyvsatwlei mt hworuitt ten pefrrommi ssion
thceo pyroiwgnheter x,c efpotbr r iqeufo tateimobnosd iinec dr itairctailac nldre esv ieMwast.e rials
appeairnit nhgib so opkr eparbeyid n diviadspu aaroltfst heoiffirc idault iaesUs . Sg.o vernment
employaereneso c to vebryet dh aeb ove-menctoipoynreiTdgo rh etq.u peesrtm ispslieoancs,oe n tact
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PreivoEudsi tions
FirEsdti t1i9o7n2
SecoEnddi t1i9o7n6
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Fourth Edit1i9o8n5
FifthE dit1i9o8n8
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LibraorfyC o ngreCsast aloging-in-PDuabtlai cation
SadocBke,n jaJ.m,ian u thor.
&
KaplaSna docsky'nso posfpi ssy chi:ba ethrayv isocriaeln ces/pcslyicnhiicaatlr y.-Eleventh
editIiB oenn jaJmamiens S adoVcikr,g iAnlicaoS tatd ocPke,d rRou iz.
p.;c m.
KaplaanndS adocsky'nso posfpi ssy chiatry
Synoposfpi ssy chiatry
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Sadoc1k0.te hd 2.0 07.
Inclubdiebsl iogrraepfheirceaannlcdi e nsd ex.
Summ ary":T hgeo aolft hibso oikst of osptreorf esscioomnpaelt aenndec nes uthreeh ighqeusatl ity
carteot howsieth m entialll nAense sc.l ecmtuilct,i discaippplrionhaaacbrshey e inth sa llmtahruks;,
biologpiscyaclh,o loagnisdco acli,o lfogaicctaraoelre sq uitparbelsye anstth eedya ffethcetp ersionn
healatnhdd ise-aPsreo"v ibdype udb lisher.
ISBN9 78-1-6091(3a-l9pk7a.1p -e1r )
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examinaotfei aocpnha tiaenndct o nsideorfaa,tm ioonongt htehri naggsew,,e igghetn,d ceurr,r oern t
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incluadlimlne gd icjauld gmeanntfdso a rn yr esuldtiianggn aonsdti rse atments.
Givecno ntinruaopuaisdd,v anicnme esd icsacli eanncdhe e alithn formaitnidoenp,e ndent
professvieorniaflio cfma etdiiocdnai la gnoisnedsi,c aatpipornosp,pr hiaartmea cesuetlieccaatlni do ns
dosagaensdtr, e atmeonptt isohnosu blemd a daned h ealthpcraorfee sssihoonuacllodsn sauv latr iety
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assumbeytd h peu blifsoharen ryi njuanrdy/o rd amagteo p ersoornp sr opteyar,sa m attoefpr r oducts
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To
OurG randchildren
Preface
KaplaSna doScyk'sn opsis 2,000
Thiiss t hee levenetdhi tioofn debtto t hmeo ret han contribtuotth oerc su rreanntdp re­
&
ofP sychiatry, 40 ComprehTeenxstiobvPfoes o ykc hiatry,
whicwha sfi rsptu blismhoerde t han yearsv iouesd itioofnth se all
agoD.u rinthga tt imei,th asg ainetdh er eputatoifbo eni ngo fw homh avael lowuesdt os ynopsthieziewr o rkA.t th es ame
an independceonnts,i staecnctu,r aotbej,e ctainvder ,e liabtliem ew,e m usta ccerpets ponsifboirthl ei tym odificaantdi ons
compendioufnm e we venitnst hefi elodf p sychi.aS tirnyciet s changeisnt hnee ww ork.
beginnitnhgeg, o aolf t hibso okh asb eetno f ostperro fessional
competeanndc ee nsurteh eh igheqsuta lictayrt eo t hoswei th COMPHRENESIVTEE CAHINSGYS TEM
mentialll nAense sc.l ecmtuilct,i disciapplpirnoaahrcayhsb een
its halltmhaursbk,i; o logipcsaylc,h ologaincdsa olc,i ologiTchaitlse xtbofookr mosn ep arto fa c omprehenssyisvteed me vel­
factaorreesq uitapbrleys enttheedy a affse cthte p ersionnh ealtho pebdy u st of acilithteta etaec hoifnp gs ychiaantrdyt hbee hav­
Comprehensive
and disease. iorsacli encAetths e.h eaodf t hes ysteimst he
Synopsis TextobPfos oykc hiatry,
servthees needosf d iverpsreo fessigornoaulp s: whicihsg lobianld eptahn ds copieti; s
psychiatriasntdns o npsychipahtryisci cimaendsi,c al studdeesnitgnse,fd oa rn d ubsyep ds ychiatrbieshtasv,i socriaeln tainsdt s,
SynoopPfss iysc hiatry
psycholosgoicsitwasol,r keprssy,c hiantruircs easn,do themre n­ alwlo rkeirnths e m ental hfeiaelltdh. isa
tahle alptrho fessisouncaahls so ,c cupatianodn aratlth erapistrse,l atibvreilehyfi ,g hmloyd ifieadn,dc urrevnetr siuosne fuflo r
Synopsis
amongo thers. isa lsuos ebdy n onprofessaisoan n almse dicsatlu denptssy,c hiartreisci depnrtasc,t ipcsiyncgh iatrists,
authoritgautiivdete oh elthpe mc ollaboirntha etc ear eo fa f amilyan d mentahle alptrho fessiTownoas lpse.c ieadli tidoenrsi ved
SynopCsoinsc,Ti esxet boofCo lki nPiscyaclh iatry
membeorr fr ienwdi thm entialll nAessa su.th oransd editowres ,fr om and
of ConcTiesxet obfoC ohkia lndAd d olePsscyecnhti atry,
havbee eenx tremeglrya tibfiyeth de widaec ceptanancde u se contain
Synopsis,
botihn th eU niteSdt ataensdar oundt hweo rld. descripotfia olpnlss y chiadtriisco rdienrcsl,u dtihnegdi ira gno­
We arees pecipallelays tehdaP te drRou izM,. D.w,h oj oineds iansd treatmenitna dulantds c hildrreens,p eecltyTi.hv eyw ill
Comprehen­
usa st hierddi tfoortr h lea s(tT etnhe)d itioofthn e beu sefuflo crl inicclaelra knsdp sychiartreisci dewnhtons e ed
siTveex tobfoP osky chiatry,
isc ontinuhiinasgs sociawtiitohn a succionvcetr vioeftw hem anagemeonfct l inipcraolb lems.
Synopsis. StuGduyi adneSd e lf-Examination
usa sc o-autohfo r Dr.R uiizs n oto nlayc losfrei end Anothepra rotf th es ystem,
RevioefPw s ychiatry,
buti sa distinguaicsahdeedm ic psycrheinaotwrnaiessdb t o,th consiosftm su ltiple-cqhuoeisctei ons
an educaatnodrc linicHieai nsp. a sptr esidoeftn htAe m erican and answeristi; sd esignefdo rs tudeonftp ss ychiaatrnydf or
Psychiatric Assaoncdsi eartviaeosstn h ec urrenptr esidoefn tc linipcsaylc hiatrwihsotr se quiar ree vieowfth e behavioral
thWeo rlPds ychiatric AssoRcuiiaizts Pi roonf.e soDsfro .rP sys­cienancde sg enerpasly chiaitrnpy r eparaftoiaro vna rieotfy
chiatrayn dE xecutViivcee -Chanadi Dri rectoCrl ionfiP craol­ examinations. The questaiftoenarsn dca ornes imsotdeenlte d
gramastt hUen iversoifMt iya mMii llSecrh ooolfM edicine.w itthh fe ormuaste bdy t he AmerBiocaarnod f P sychiaatnrdy
Neurolog(yA BPN,)t he National BoarEdx aomfi nMeerdsi cal
HSITORY (NBME)an,d thUen iteSdt atMeesd ical LicEexnasmiinnga tion
(USMLE)O.th erp arotfst hsey steamr eth e varioeudsi tioofn s
Com­ PockeHta ndboofCo lki nPiscyaclh iatry,
Thitse xtboeovko lvfreodm oure xperieendciet ithneg thpeo ckheatn dbooks:
preheTnesxitvobeofP o sky chiatry. 4,00P0oc keHta ndbooPfos ky chDirautTgrr ieca ttP,moc eknHeatn d­
Thabto oki sn early
450 boookEf m ergPesnyccyh MieadtirciicPn oceke,Ht a ndbook
double-coplaumgnel so ngw,i tmho reth an contribubtyi ons and
ofP rimCaaryr Pes ychiatry.
outstandpisnygc hiatanrd ibsethsa visocriaeln tIitss etrsv.te hse Thosbeo okcso vethre diagnosis
needosft hosweh or equiarnee x haustdievtea,i anlde de,n cycloan­d treatmeonftp sychiadtriisco rdpesrysc,h opharmacology,
pediscu rvoefyt heen tifireel dI.nan efforttob ea sc omprehenp­sychiaetmreircg encanide psr,i macrayr pes ychi,ar treyspec­
sivaes p ossibtlheet, e xtbosopka ntsw ov olumteosc ovethre tivealnyd,a red esigneadn dw rittteobn e c arribeydc linical
matericalle,a rrleyn deriitun ngw ielfdoysr o meg roupess,p e­cleraknsd p ractipchiynsgi ciwahnast,e vtehre isrp ectiyat,l o
ComprehGelnossisvaery
cialmleyd icsatlu denwthson, e eadb riaenfd m orec ondensepdr oviad qeu icrke fereFnicnea.y,l l
ofP sychainaPdtrs yy chology
statemoeftn htfe i eolfdp sychiaTtroa yc.c omplthiisssh,e ctions providseism plwyr ietntd efini­
ComprehensiovfPe s yTcehxitabtoryo k
oft he wered eletoerd tions for psayncdho itahtrepirhs ytssi cipasnysc,h ologsitsut­s,
condensneedws, u bjewcetrsie n troduacnedad l,sl e ctiwoenrse dentost,h emre nthaela lptrho fessiaonndath legs e,n erpaulb lic.
brouguhptt od atees,p ecicaelrltya ina rkeeasysu ,c ahs p sycho­Togethtehre,sb eo okcsr eaat meu ltiapplper oatcothh e teach­
ph colo.gW ye wistho a cknowledogure g reaantd obviouisn gs,t u,da yndl earninogf p sychiatry.
arma
•
VI
••
Perface
VII
CLASSIFATIICOONF D IOSRDSE R Asi na lKla planS adobcoko kcso,lp olra otfpe rso prietary
&
foromfcs o mmounsleypd s ychidarturgisc itnhceldiuords i­ng
DSM-5
agfeo ramrspe i ctuArlneled wd. r udgesv elsoipnetcdhel e a st
editwiaospn u ibslhaerdie n cluIdnae ddd.i tnieowin l,l ustra­
A fiftehd itoifot nh eA mericPasync hriiaActs soicoina t
tioannscd o lpolra htaevsbe e eand dteomd a nsye ctions.
DiganostaincdS t atiMsatniucaoalfMl e natlD isdoerrwsa s
pulbisihn2e 0d1 c3a lDlSeMd- 5I.ct o nttahioenffi sc inaolm en­
CASEH SITROEIS
clatuusrebedy p sychiaantrdoi tshtmeser n thaela lptrho fes­
sioniantl hUsen itSetda ttehpses; y chdiiastroircdd iesrcsu ssed
Cashei stoarraiene i sn tepgarroatflS y nposiTsh.ea yr ues ed
int htee xtbaorcoeok n siwsitteahnn tfd o lltohwan to so.l ogy
extenstihvreoluygt hhoteue txt toa ddc laraintdby r ilnigf e
Evesreyc tdieoanlw iintcghl indiicsaolrh daebsre seu np dated
tot hcel indiicsaolr ddeesrcsr Ciabsecedos.m freo mv arious
thoroaungcdho lmyp lettoie nlcylt uhrdeee v iscioonntsai inn ed
souricnecsl utdhiceno gn tritbotu htceour rrsea nntpd r evious
DSM-5T.h ree aadlesrwo i filnlDd SM-5t abfloemrso smta jor
editoifot nhCseom prehenTsexitvbeoo ofPk sy chryi aantodu r
mentdails orrdeeprrsii nntt hteiedsx tbaosiho tak bs e einne ach
hospciotlalle aagloulfe sw,h woetm h afnoktr h eciorn tribu­
ofo uerd itions.
tioSnosm.ae l scoo mfreo mt haeu thcolrisn'ei xcpaelr aite nce
ThDe SM ist h"el aowft hlea nadn"da ,sm entiporneevdi ­
BelleHvousep iitnNa elwY ork. Casients i nattpyeppdtee oa r
oulsyi,st hneo mencluastetudhr reo ugthhtoieusxt t bhooowk­;
heltphr ee afidnetdrh eema s.i ly
evesro,m cel iniacnirdae nsse arhcahvreeer sse rvaabtoiuotn s
variaosupseo cftt hsDe SM ,w hirceha dweirfilsnl md e ntioned
N EW AND U PDATEDS ETCIONS
inSy nposiAssfu. t uerdei toifto hnDesSM appetahrti,es x tbook,
asa lwawyisla,ll lroowo fmo dri ssenta nbdee sfpoercei ally
Thien troduocfDt SiMo-n5i n2 01r3e frampesdy chnioastroilc­
afteerv enreywv ersaipopne Iatwr isl.cl o ntitnopu reo vai de
ogya,nt dh ree awdiefilrnl ed v esreyc toifSoy nnpo sriesv iansde d
forufmod ri scusesviaolnu,ac triiotnia,cn iddsi ms,a greement,
updattore edfl tehcotcs hea nTghecesh .a potnCe lra ifiscsatiino n
whildeu layc knowletdhgoeiffi ncgin aolm enclature.
Psycihatryp roviacd oensc oivesrev iaenwdd e finiotfei voenr y
psychdiiastroilrcid seitrnDe SMd- 5In. t hree osftt h beo oeka,c h
ICD0- 1 ofth esdei soriddsei rssc uisngs reeddae tt iansi elp arcahtaep ters
ansde ctiIno andsd.i tailomnoe,sv tem rayj moern tdails oirsd er
Readaelrsssoh oublead w raeo fap araclllaesls isfiycsatteimo n
accompbanyii etcdso rrespDoSMn-d5di inagg nostic table.
develboytp heWedo rHleda lOtrhg ani(zWaHtOi)co anl tlheed
Thet abolfec ontewnatsrs e orgasntiazrewtdii tnthgh e
IntenraitonSattlait sicCallaifi scsatoifDo ins eaasnRedes al ted
chapctaelrlN eeudar lS ciensc,ie nw hicthh rneeews ections
HealtPhrb olem(sI CD-T1h0e)r.ae r et extduiaffle rences
weraed deNdeu:rl Da evpemleoanntNd eu orgneesriesfl etchtes
beteweDnS M anIdC Db,u atc cortdoti rnega bteitewste heen
imporrtoaloneftt h dee velonpeirnvsgoy usst ientm h cea usa­
UnitSetda atnetdsh WeH O,t hdei agncoosdtneiu cm bemruss t
tioonfm entialll nAeppslsi;Ee ldte rchoypisoglydo escrtihbee s
bei denttoie cnasluu rnei froerpmo rotfni antgi aonnidan lt erna­
effeocfte sl ectirmipcualilsnt e hbser aainnid t rse lattoci loinn i­
tiopnsaylc hiatriIcC Dds itaagtnaionssndteu ismc esr.ci ocdaels
capls ychainaIdtmm ruyn;S eys teamnC de tnrlNa ervoSuysst em
araec cepbtyMe edd icMaerdei,c aanidpd r,i viantseu rance
Intearctidoenssc rtihbceeo sm pleeffxe cotfts h iem musnyes ­
compafnoirree si mrbsuempeunrtp oisnte hUsen itSetda tes.
teomn t hber aiinn heaandldit she ase.
A news ecteinotni Ntorlmead laintyMd e natlH eatlhp ro­
vidtehsre e adweirta hfr amewowrikt hin towu hnidcehr stand
COVEARRT A ND ILLUSATTRIONS
thbeo undaorfmi eensti alll nSeismsil.lya a,nr otnheewsr e ction,
Synposiwsa so noef t hfier smto depms ychitaetxrtibtcoo o Pkossi tPisyvcheoo glyd,e screimbeersgt ihnego arnitdeh se rapeu­
usaer atn dp hotogtroai plhlsu sptsryactheis autbrjieicnc ttsia cp proatchchaoetns tr itbomu etneth aela lth.
ordteoer n rtihclehe arneixnpge riaennwdce h ea,vc eo ntinueAd c hapctaelrCl oendt ribouftt ehiS oocnisot cuaurlSlc iences
thtarta dtihtriooeunag cehhd ition. contatihrnensee ws ecteinotnisSt oclielodo gayn Edht oolgy,
Thec ovaretri sa d etoafia lp ainetnitnigAt rlteSidus rt­ TranslctauulPr sychtiryaa,n dC ultuoruenS-dynB dormetsh at,
ruoneddb yM asksb yt hBee lgianar-tbioJsrnamt e Esn s(o1r8 60t-akteong etrheeflret,ch trtee mendiomupsat chtac tu lthuarse
1949w)h,ow afsa scibnyma atsekdws hi,c fho hri rme preseonnbt oetdth hm ea nifesatnapdtr ieovnasol fem necnetd ails orders
thhey pocorfhi usmyanki ndM.a skhsa vpel ayare odtl her ougahr­outnhwdeo r ld.
ouhtu manh is.tT ohrebyyo thh idanedr evetahleh;yi dweh awte Thceh apEtne-dro f-eLI sifsuecosv deerasdt yhi,bn egr,e ave­
don owti sthos hotwoo thoerrt soo urseolrwv heaswte w ishm enatn,pd a llicaatrtieorv eefl etchitem porrtoalpnest y chia­
tok eespe craenttd,h erye vwehaalwt e w isohth etross eeI.n trihsatvisent hcel insipceaclio afpl atlyl iativTeh imse dicine.
three habiolfip tsaytcihopinaa ttriimecakn itnsmg,a shkasbs e enc hapatlescroo veprasic no ntwrhoilic,sah r elatnievwbe ulty
usebdya rthte raptiohs etlpspa tieexnptlsto hrefeie re lanidn gism poratraeinantw hicphs ychipaltarayis sitgnsi rfioclaen.t
toe xpertiheencicrree a.tT ihvepi styychiHaetrrivCseltye cklIenty h ceh apter GeennetdrDi ystplheoadr- ian ewd iagnostic
cointehtdee r"mm asokfs anittory e"ft eotr h pes ychowphaoth c ategionrcyl uidnDe SdM -5-speactitaelni tsgi iovnte on
manipuloatthebesur wtsh oi sb,e netahtfeha �aodfne o rma,l iistsyutehsaa tff egcat,yl esbbiiasne,x aunatdlr ,a nsgpeenrd­er
profoudnidsltyuC rarblJe udn.wg r ootfet hpee rs(odnear isvoends .c hTahpPetsy ecrih aryt anRdep roducMteidivcei wnaes
fromt hLea twiornd f omra saks)t hiem awgeew isthop resernetv iesxetde nstiokv eeelppya cwei tahd vanicnwe osme n's
tot hweor lbde hind wohtihciehmr a lgoaeftys h see lWfeh. o peh eailstshu Tehsce.h apEtteihrci snP sychryi waatusp dattoe d
ththaetc ovaerertn ritchhleee sa rnienxgp erfioeornu rcree a deirnsc.l auned xet endsiisvceu osfsp ihoyns icians-uaiscsiidset.e d
viii Perfcae
Thitso piisac l sgoi vsepne caitatle nitni ostneh cet einotnid ­ormewe raed daesdn ewd iagneonsttiiTtchi eeassne.od t her
tleEduh tanaasnidPah yisciAasinss-tSeudii dceI.nt hlea scth anagrerese flecitnte hdee x pancdoevde roafdg ies orders
edittihosene ,c toinPo osnt aturmiacSt tersDsi sdoercro vertehdau ts uablelgyii nnc hildahnoadod do lesTcheesn eccet.i on
thter agico feS veepnttes1m 1b2,e0 r0 i1n,v oltvhiWeno gr ldde alwiinttghh i em paocftt e rrohrabises emun p dattore edfl ect
Trade CienNn etwYe orr akn tdh Pee ntaignWo ans hingnteowin n.f ormaabtoiuotn posttraumatiincc h isltr­ess disorders
Regrbel,toy ttahdeirs asstuecarhsHs u rriScaanndaeyn t dh ed reinn,c lutdhilena gtd eastotan t hpes ycholeoffgeicoctnas l
Newtokwinl linogcsc uhrsarivenetdc h eeT nh.pe s ycholocghiicladlr ent one axtpuoarsnaemdlda n-mdaidsea sTtheesr esc.­
effecotfts h oesvee anrtceso vearsea drt,eh eeff ecotfts hw ea rst iAonnx ieDtyi sdoerrwsar se orgaanniudzp eddat theodr oyu,g hl
inI raaqnA df ghanoints htmeae nn thaela olftt hhv ee teorfa nasn Odb sesCsoipmvuseli-Dvies doerirsn owas epacrhaatepert .
thowsaer Rse.l attote hda itsn ewc overoaftg heee ff ecotfs T hsee cttihodanet a wlistt hhu es ep hoafr macoalgoegniintc sa l
terroarnitds omr ture, trwaor ceolavyre eiranest de xtbocohkisl wdarusep nd aetxetde nstiorv eefllteyhcm eta ncyh anigne s
ofp sych,ib uaottf re xytriemmpeo rttaopn scyec hiwahtor itshutes soe fm edicattoti roednaists orodfce hrisl dthhohaoatdv e
treiatvtsi ctims. occursrientdch ele a esdti ttihobinos o wka psu ibslhed.
Twon ewc haptPeurbslP,siy cc hiaantdWryo r lAds pcetosf
Psychryi,ha atvbee eand dteotd h eidsi tbiootonhfw, h ircehfl ect
G LOSSYA R
thnea tiaonngdal lo sbcaolo pfpe s ychainatdth rneye efdoc rl i­
nicitaoun nsd ersdtiasnodrt dheaartps p eaarro utnhdwe or ldU.n iqtuote h eidsi tiiasno enaw n udp dactoemdp rehensive glos­
A news ectciaolnlB eradi Snt uilmatMietoohnsd d escrisbaerosyfp sychsiiagtraninscsd y mptPosmysc.h iiasa tdreys crip­
sucnhe wa dvanacste rsa nsmaagnnddee tebiprc a sitni mutliasv­cei eannctdeh k en owlaendadgc ec uursaatogefte h mea ny
tidoenv eltoorp eesdt hoeraetl ott hh opsaet iwehnoht asv neo tt eramvsa iltaotb hclele i niicscr iuacnti osa ulc cedsisafugln osis
respotnodc eodn ventthieornaaaplni dwe hsoa raem ontgh ea ntdr eatmWeenh to.p ree adfienrdts h niesw a ddittoit ohne
mosste vemreenltyai lllly. textboofuo ske .
Thceh apotnpe sry chothhaebsre aeepnxy p antdoie ndc lude
newtreera tmseunctahssM enatlizaantMdii odnnfu lnebsost,h
REFEERNCES
ofw hiacrhce o veirnaen de wly wsreicttAtineodnan, s.i np re­
vioeudsi titohcnehs a,p Pthearr mlagociocTarela tmceonvte rEsa cshe ctiinSo ynnpo siesn dwsi tahn umboefcr i tattihoants
evedrryu ugs ebdyp sychitaott rreimasettn sti alll nIeths ass.i nclruedvei oefwt shl ei teraantudup r-et or-edfaetreie nn ces
beecno mpleutpedlatyto ei dn clauldnlee wd ruignstr oducaeddd ittori eolne cvhaanptit noe urlrsa rtgeexrt bCooopmkre,h en­
sintchele a esdti toifto hnbi oso wka psu ibslhed. siTvexet booofPk sy chiaRtefrye.r eanrlceie msi itnne udm ber;
Finya,el vlecrhya pitnte hrbe e havsicoireasnlec cetshi aosni np artth wiass t oc onsesrpvaecb eum,to riem por,tw aen tly
beerne viasneudpd d attore edfl theecl ta taedsvtan cients hfi ee lda.r mei ndtfuhlma otd em-rdeaaydc eornssI unltte drnaetta bases
suchP ubaMse adn Gdo golSec ohalrt os taabyr eoafts htme o st
currleintte raantwdue er nec,o urtahgtaert e nd.
PSCYHOPAHRMACOLOGY
Thea uthaorrceso mmitttoce lda ssidfyriuungsgse tdot reat
ACKNWOLEDGNMTSE
mentdails oradcecrosr tdoit nhgep ihra rmacoalcotgiivc­al
itayn mde chanoifas cmt riaotnth hearun s isnugcc ha tegoWreid eese palpyp retchiweaor tkoe fo udri stincgounitrsihbeudt ing
asa ntidepraenstsiapnstysac,nh xoitoilcaysnt,mdi o cossd,t ae­ditorgsa,vg eew nheor oofuth selityri maene dx perCtairsoel.y
biliwzheircashr,o e v erblryo aanddd on orte flesccti,e ntPiafit­aMk.iDw,.a ,s respfoounrps diabtalinernd eg v itshisene gc ­
ca,lt lhycel inuiscoeafp l s ychomterdoipciacFt oierox na.m pltei,oo nnc hildahnoadod do ledsicseonrtSd hehera sss.e rvweidt h
manayn tidepdrreusagsrsuae sn ett dot reaantx ideitsyo rddeirsst;i ansCc otnitorni Ebduitotifcon hrgi plsdy chiintha etC romy­
somaen xiolayrutesi ectdsot redaetp reasnsbdii opno dliasrp­ rehenTsexitvbeof oomkra neyd itainowdne st ,h ahnekfr o hre r
orders; afrnodma lcdlar tueggsao rrueis eestd ot reoatth etrre mendhoeulispnt hairse Nao.r man SuMs.sDum.pa,dn a,t ed
clinpircoablls eumcshe, a atsdi insgo rpdaenrdisic,s oradnedrt sh,se e ctoinpo sny chophlaor,gem ynaacboluistn opg r ovide the
impulse-dciosnotrMrdaoenlrdy sr .u agrsae l suos etdotr eaat readweirtt hhc eu rrmeantte irnit aheliv se rn-gcihanangrd a p­
varioefmt eyn tdails ortdhedarotns o fitti ntaonb yr ocalda si­dleyx panadrienHage.a lssoe rvaesCd o ntribEudtiitfnoogrr
sificaItnifoonr.m aabtoiauoltpnl h armacoalgoegnuitscsea dlt hCeo pmrehenTsexitvbeoi ontk ha er eoafp sychophlaor.gm yaco
inp sych,ii nactlruypdhianrgm acodpyhnaarmmiaccso,k iWneet thiaDcnoskr, i Vceeir Aas,s ociateo ftC huFerr aetdoeLrr. i ck
dosaagdevse,er ffseeca tnsdd,ur gd-ruign terawcattsi hoonrsE­,h rmMaend iLciaablrr aytt hNee wY orUkn iveSrcshiotooyfl
oughulpyd attore edfl reecctre enste arch. Medicfionhree ,vra luaasbslies itnta hnpecr ee paration of this
anpdr eveidoiutsii nwo hniscs hh pea rticipated.
Wee specwiiaslthloe y x proeusdrse etph antkoos u trow
CHILDHOODDIO SRDSE R
projeedcitti onNr eswY orNki:t Jzoan es-Sepulvuesd a was with
Thec haptceorvse rcihnigl ddhiosoodr wdeerreesx tensifvooervl eaydr e caadnewd o rkeodnt hainsod n m anoyt hKearpl an
revitsoie ndc liumdpeo rnteawmn att erDiSMa-l5i. n troduceSdad ocbko obkesf omroev iinngtt ohp er ivsaetceta onrhd,e r
&
newc hilddhioaogdn coastteigcao nredil eism iontahteeFrdos r.v asknto wledogfee v earsyp eocfbt o opku lbishwiansig n dis­
exampdliea,g nsouscaehsPs er vasDievvepe mleoanlDti sdoerrp,e nsaSbhlewe i.lb leg reamtilsys Weeda .l swoi sthot hank
Rett Disdoerr,a nAdp segrerD isdoerarr e snuobws umHeady lWeeyi nberg, awm haoj roporlil anety hepedr oduocft ion
s s
undetrh reu borfiA cut isSpme ctrDuimsd oerar,n Ddi sprtuivteh bioso Skh.we o rkewdi tehn thusiinatseml,la ingadel nacc.er ,i ty
MoodD ysrgeulaDtiisodoner arn Adtt enuPasytcehdo Ssyni-sW ea lwsios thoa cknowalnetddh gaeGn lko Rroibal ienMs i ami,