问题 多项选择题

[案例九]


患者,男性,20岁。自幼性格内向,多疑,很少有好的朋友,但学习成绩较好。大学第二年,因学习成绩不理想,不能很好地处理与老师、同学的关系,认为自己处处受到了排挤和压制,认为同学与老师对他不公平,常与同学、老师发生冲突,常因为一些小事状告到校长和家长那里。大家都耐心细致地劝他,他总是不等人家把话说完,就急于申辩,始终把大家对他的好言相劝理解为是恶意、敌意。近一年多来与同学、老师的关系日益恶化,他也不能从中吸取经验教训加以改正。

以下关于该患者的治疗正确的是

A.抗精神病药系统、足量、足疗程的治疗

B.给予心境稳定剂

C.认知行为治疗

D.一般不主张长期服用抗精神病药,但在应激和情绪反应时可少量用药

E.针对个体化的心理治疗,改善不良的社会适应行为

答案

参考答案:C,D,E

解析: 人格障碍治疗的目的之一就是帮助患者建立良好的行为模式,矫正不良习惯。医生与患者通过深入接触,与他们建立良好的关系,帮助其认识个性缺陷之所在,鼓励他们改变自己的行为模式并对其出现的积极变化予以鼓励和强化。一般而言药物治疗难以改变人格结构,但在出现异常应激和情绪反应时少量用药仍有帮助。如情绪不稳定者少量应用抗精神病药物;具有攻击行为者给予少量碳酸锂,亦可酌情试用其他心境稳定剂。

阅读理解

Once there was an island where all the feelings lived: Happiness, Sadness, Knowledge, and all of the others, including Love. One day it was said that the island would go down, so all made boats and left except Love.

Love was the only one who stayed. Love wanted to offer her help until the last possible moment. When the island had almost gone down, Love decided to ask for help.

Richness was passing by Love in a great boat. Love said, “Richness, can you take me with you?” Richness answered, “No, I can’t. There is a lot of gold and silver in my boat. There is no place here for you.”

Sadness was close by, so Love asked, “Sadness, let me go with you .” “Oh, Love, I am so sad that I need to be by myself!”

Happiness passed by Love, too, but she was so happy that she did not even notice when Love called her.

Suddenly, there was a voice, “Come, Love, I will take you.” It was an elder. Love was so excited that she even forgot to ask who the elder was. So Love asked Knowledge, another elder, “Who helped me?” “It was Time,” Knowledge answered. “Time?” asked Love. “But why did Time help me?”

Knowledge smiled with deep wisdom and answered, “Because only Time understands how valuable Love is.”

小题1:What would happen to the island?

A.It would grow bigger.

B.It would sink.

C.It drove feelings away.

D.All the feelings lived.小题2:Sadness didn’t see Love when he passed by Love, did he?

A.Yes, he did.

B.Yes, he didn’t.

C.No, he didn’t.

D.No, he did.小题3:Why didn’t Happiness help Love?

A.Because Happiness didn’t like Love.

B.Because Happiness didn’t hear Love calling her.

C.Because her boat was so small that she couldn’t take Love with her.

D.Because she needed to be by herself.小题4:Who helped Love out of danger?

A.Sadness.

B.Knowledge.

C.Happiness.

D.Time.小题5:What does the underlined word “valuable” mean in Chinese?

A.令人喜爱的

B.珍贵的

C.吸引人的

D.有爱心的

问答题 简答题