问题 多项选择题

吴某,女性,54岁,工人,小学文化,已婚。
自我陈述:睡眠差。全身不适伴发冷两个多月。
在两个月前,我也不知道怎么回事就出现头痛、头晕、睡眠差,没力气、手酸、胃口不好,去医院看,做了很多检查,也没有发现什么问题。以后这些不舒服更加厉害,吃过中药也没有明显的变化。在家中不想做家务,烧饭洗衣等事情也很少做。一个月前大儿子感冒输液时出现了过敏反应,经过医生处理没有什么不良后果。但我还是常常担心儿子的身体健康,心里很紧张,提心吊胆、坐立不安,家里人带我去医院看,吃了一些药。开始几天,我自己感觉情况好些,精神也比以前好,睡觉和胃口也有好转,但在一个礼拜后感觉肚子里不舒服,具体哪里讲不清楚。经常恶心,打嗝,嘴巴干,脸色发红,手心出汗,肌肉紧张,发冷、手抖,晚上睡不着,早上又醒得很早,每天只能睡2到3小时,有时躺在床上觉得胸口发闷,气喘不过来,胃口不好,一顿只能吃半碗饭,手脚感到没力气,走路都要靠家人扶着。不舒服的位置经常变,有时候主要是肚子里不舒服,有时候又是胸闷心慌,怕自己的病厉害了,担心病好不起来,心情也不好。所以家里人劝我来做心理咨询。
了解资料:家人反映求助者两个月来关心自己的病情,很难专心地做完一件事情,无厌世言语,没有打人、毁物等行为,无外跑行为。自己到很多地方看过病,这次是家人劝求助者来看的。每次出现不正常的表现时是清楚的,没有神志不清。
咨询过程:明确了求助者问题后经过2个月的认知治疗、放松训练等方法的处理,求助者的问题消失,没有紧张不安、担心及心慌手抖的表现,能很好适应工作生活。

与该案例符合的是( )。

A.无明确对象和固定内容的恐惧或提心吊胆

B.有自主神经症状

C.无幻觉妄想

D.症状妨碍社会功能

答案

参考答案:A,B,C,D

解析:本案例基本符合焦虑性神经症的诊断标准。

阅读理解与欣赏
阅读理解

阅读理解。

     It's beyond your imagination that a stranger will read your e-mails without your permission or scan the website you've visited or perhaps someone will casually glance through your credit card purchases or cell

phone bills. All of the things may happen to you one day.

     To our horror, some of these things have already happened to us. It was reported that recently huge

amounts of personal information of the clients (客户) on a certain website was let out. Who would watch

you without your permission? It might be a spouse, a girlfriend, a marketing company, a boss, a cop or a

criminal. Whoever it is, they will see you in a way you never intended to be seen or even do something

that may bring a disaster to you.

     Psychologists tell us boundaries are healthy, but few boundaries remain nowadays. The digital bread

crumbs (碎屑) you leave everywhere make it easy for strangers to know who you are, where you are

and what you like. In some cases, a simple Google search can leak the deepest thought in your mind.

Like it or not, increasingly we live in a world where you simply cannot keep a secret.

     The key question is: Does that matter? For many Americans, the answer apparently is ''no''.

     When asked about privacy, most Americans say they are really concerned about losing it. And 60

percent of the respondents say they feel their privacy is "slipping away, and that bothers me".

     But people say one thing and do another. Only a small number of Americans change any behaviors

in an effort to preserve their privacy. A series of tests about privacy have revealed that people will give

up personal information just to get their hands on a pitiful 50-cents-off coupon (优惠券). But privacy

does matter-at least sometimes. It's like health; when you have it, you don't notice it. Only when it's gone

do you wish you'd done more to protect it.

1.   Why does the author say ''we live in a world where you simply cannot keep a secret"?

A. Modern society has finally developed into an open society.

B. People leave traces around when using modern technology.

C. There are always people who are curious about others' affairs.

D. Many search engines profit by revealing people's identities.

2.   What do most Americans do about privacy protection?

A. Most people are willing to change behavior that might disclose their identity.

B. People can refuse the temptation from merchants in daily life.

C. People rely more and more on advanced technology and can do little about it.

D. People know a lot about the importance of privacy but hardly do anything about it.

3. According to the author, privacy is in common with health in that _______. 

A. people will make every effort to keep it  

B. its importance is hardly understood

C. it is something that can easily be lost    

D. people don't value it until they lose it

4. What would be the best title for the passage?

A. No privacy, no health

B. Treasure your privacy

C. Boundaries are important between friends

D. The information age has its own shortcomings