6 Fsiqiatria-1524041346
6 Fsiqiatria-1524041346
6 Fsiqiatria-1524041346
fsiqiatria
______________________________________________________________________
/xangrZlivoba – 3 w. - 33 Tve/
I. zogadi debulebebi.
1. programis mizani da amocanebi
programis amocanebia:
1. rezidentma fsiqiatriaSi miiRos eqim-specialiსtisTvis aucilebeli sabaziso codna.
rezidentma fsiqiatriaSi aiTvisos eqim-specialitisaTvis aucilebeli პრაქტიკული unar-
Cvevebi.
2. rezidentma gaiRrmavos codna fsiqiatriis specifikur sakiTxebSi da aiTvisos
praqtikuli unarCvevebi im specialobebsa da subspecialobebSi, romelTanac
fsiqiatrias aqvs saziaro kompetenciebi.
2. specialobis aRweriloba
2.1 definicia:
fsiqiatria – klinikuri medicinis dargi, romlic moicavs fsiqikuri aSlilobebis
diagnostikas, mkurnalobas, prevencias da fsiqiatriuli daxmarebis organizacias,
fsiqikuri aSlilobis mqone pirTa fsiqo-socialuri reabilitaciis sakiTxebs da
dargTan dakavSirebul samarTebრiv aspeqtebs.
2
”
3
”
4
”
klinikuri neirofiziologia;
sasamarTlo medicina;
fsiqosomaturi medicina;
Zilis darRvevebis medicina;
sicocxlis dasasruli da paliatiuri mzrunveloba.
5
”
6
”
7
”
rezidentis ufleba/movaleobebi:
rezidenti SeiZleba garicxuli iqnas rezidenturidan erTi Tvis ganmavlobaSi
gamoucxadeblobis an programis ver daZlevis SemTxvevaSi. gadawyvetilebas
rezidentis garicxvis Sesaxeb iRebs programis direqtori;
rezidents ufleba aqvs, programis kurikulumis darRvevis an Seferxebis Sesaxeb
werilobiT acnobos administracias;
rezidents ufleba aqvs programis daubrkolebeli daZlevisaTvis moiTxovos
Sesabamisi samuSao pirobebiT uzrunvelyofa (kvalificiuri xelmZRvaneli,
Tanamedrove tipis klinikuri da sainformacio/sakomunikacio teqnologiebi,
samuSao oTaxi);
rezidenti valdebulia, Seasrulos rezidenturis programiT gansazRvruli
kurikulumi;
rezidenti valdebulia, programiT gansazRvruli da Sesrulebuli saqmianoba
daafiqsiros personalur dRiurSi;
rezidenti valdebulia yoveli wlis bolos warudginos programis direqtors
gaweuli muSaobis angariSi da gaiaros etapobrivi da damasrulebeli atestacia
dadgenili wesiT;
rezidenti valdebulia, daicvas samedicino dawesebulebis Sinaganawesi da
Seasrulos dawesebulebis ganrigiT gansazRvruli saqmianoba.
7. programis xangrZlivoba
9
”
moduli 1. 1
ZiriTadi:
1. Oxford Textbook of Psychiatry - Oxford Textbook of Psychiatry – Ed. M. Gelder, N. Andreasen,
J. Lopez-Ibor, J. Geddes (ქართული თარგმანი, 2012წ)
2. Kaplan & Sadock's - Synopsis of Psychiatry: Behavioral Sciences/Clinical Psychiatry, 10th
Edition
damatebiTi:
1. . g. naneiSvili, fsiqiatriis mokle kursi, Tbilisi, 1998
2. М. В. Коркина, И. Д. Лакосина, А. Е. Личко, И. И. Сергеев, Психиатриа, Москва, 2006
3. Г. В. Морозов, Н. Г. Шумский, Введение в клиническую психиатрию, 1998
4. К. Ясперс, Общая психопатология, Москва, 1997
10
”
11
”
akviatebuli mdgomareobani
obsesiuri sindromi
fobikuri sindromi
isteriuli sindromebi
2. fsiqopaTiuri sindromebi
3. afeqturi sindromebi
4. depersonalizaciur-
derealizaciuri sindromi
5. halucinozi
6. bodviTi sindromebi
halucinaciur-paranoiduli
sindromi
hipoqondriul-bodviTi
(kotaris) sindromi
parafreniuli sindromi
7. cnobierebis aSlis
sindromebi
(deliriumi,oneiroidi,
cnobierebis bindismagva-ri
Secvla, amencia)8.
katatoniuri (diskineziuri)
sindromi
9. amneziuri sindromi
korsakovis sindromi
10. gulyriTi sindromebi
(didi da mcire
epilefsiuri gulyra;
jeqsonis tipis gulyra)
11. gonebrivi CamorCeniloba
12. fsiqoorganuli
sindromi
moduli 1. 2
12
”
2. kiTxvarebi
3. neirofsiqologiuri gamokvlevebi
4. neiroimijingi
d. efeqturi klinikuri gadawyvetilebis miRebis sakiTxebSi gawafulobis (daostatebis)
demonstrireba, rac gulisxmobs pacientis Sesaxeb miRebuli klinikuri da
laboratoriuli monacemebis interpretacias da informaciis integracias
diferencialuri diagnoscirebis processa da SemTxvevis marTvis dagegmvaSi.
1. literaturis nusxa –
a. Kaplan & Sadock's Synopsis of Psychiatry: Behavioral Sciences/Clinical Psychiatry, 10th Edition –
Tavi 5 - Clinical Neuropsychological Testing of Intelligence and Personality, Clinical
Neuropsychological Assessment of Adults
Tavi 7 - Psychiatric History and Mental Status Examination, Interviewing Techniques with Special
Patient Populations, Physical Examination of the Psychiatric Patient
Tavi 37 - Child Psychiatry: Assessment, Examination, and Psychological Testing
moduli 1. 3
2. modulis mizani -
rezidents gaacnos fsiqikuri aSlilobebis klasifikaciis da diagnostikis
standartizirebuli sistemebi, misces Teoriuli codna fsiqikuri aSlilobebis
13
”
3. literaturis nusxa –
1. daavadebaTa saerTaSoriso klasifikacia (dsk-10)
2. Diagnostic and Statistical Manual of Mental Disorders (DSM-IVTR)
3. New Oxford Textbook of Psychiatry – The Guilford Press (qarTuli Targmani, 2012)
4. Kaplan & Sadock's Synopsis of Psychiatry: Behavioral Sciences/Clinical Psychiatry, 10th Edition
9. 1 Classification in Psychiatry;
9. 2 Psychiatric Rating Scales
moduli 1.4.
3. literaturis nusxa
ZiriTadi:
1. Stephen M. Stahl - Essential Psychopharmacology, II edition, 2008
2. Oxford Textbook of Psychiatry - Oxford Textbook of Psychiatry – Ed. M. Gelder, N. Andreasen,
J. Lopez-Ibor, J. Geddes (ქართული თარგმანი, 2012წ)
3. Kaplan & Sadock's - Synopsis of Psychiatry: Behavioral Sciences/Clinical Psychiatry, 10th
Edition (rusuli Targmani, 1994)
damatebiTi:
1. Джекобсон Дж. Джекобсон Ал. /Секреты психиатрии/ МЕДпресс-информ, 2007, 576
2. Carlsson A. /Progress in Dopamine Research in Schizophrenia/Tailor&Francis, 2004, 128
3. Arana G, Rosenbaum J. /Handbook of Psychiatric Drug Therapy/ 4th ed. , 2001, 221
14
”
4. Яничак Ф. Дж. , Дэвис Дж. М. , Прескорн Ш. Х. , Айд Дж. мл. Принципы и практика
психофармакотерапии / Киев: Ника- Центр, 1999. — 728 с.
laboratoriuli
kvlevebis monacemebis
mniSvneloba
fsiqofarmakoTerapiis dros
fsiqotropuli preparatebiT
mkurnalobis efeqturobis
Sefaseba
fsiqofarmakoTerapiis
ZiriTadi principi.
G
fsiqotropuli preparatebis
Tanamedrove klasifikacia. gamma-
tomografiis da
antifsiqozuri preparatebis pozitronul-
Terapiuli gamoyeneba. emissiuri
gverdiTi efeqtebi maTi tomografiis
mkurnaloba da profilaqtika maCveneblebis,
Sefaseba-
antidepresantebi, Terapiuli gamoyeneba
gamoyeneba. axali Taobis fsiqikurad
antidepresantebi. daavadebulTa
mkurnalobaSi.
trankvilizatorebi, saZile
saSualebebi maTi daniSvnis
15
”
wesebi. Terapiuli da
gverdiTi efeqtebi.
normoTimiuri preparatebis
(guneb-ganwyobis
stabilizatorebi) da
antikonvulsantebis
Terapiuli gamoyeneba.
mosalodneli gverdiTi
gamovlinebebis
profilaqtika.
fsiqo-motoruli aRgzneba,
TviTmkvlelobis urgentuli
mcdeloba, SemTxvevebis
cnobierebis Secvlili marTvis unar-
mdgomareoba, Cvevebi. U
sakvebis miRebis aRkveTa.
fsiqotropuli preparatebis
gamoyeneba bavSvTa da
moxucebulTa asakSi, aseve
orsulobis da laqtaciis
dros.
fsiqikuri aSlilobebis
mkurnalobis zogadi sqemebi:
Sizofreniis, Sizotipuri
da bodviTi aSlilobebis
mkurnaloba
afeqturi aSlilobebis
mkurnaloba. N
nevrozuli, stresTan
16
”
dakavSirebuli da
somatoformuli
aSlilobebis mkurnaloba.
organuli da simptomaturi
aSlilobebis mkurnaloba.
pirovnuli da qceviTi
aSlilobebis mkurnaloba.
bavSvTa asakis
aSlilobebis mkurnaloba.
moduli 1. 5
3. literaturis nusxa –
- klinikuri nevrologia (2009) marine janeliZe
- Harrison’s Principles of Internal Medicine 18th ed, 2011;
- Adams and Victor’s Principles of Neurology 9th ed 2009;
- Harrison’s Neurology in clinical Medicine, 2007;
- Adams and Victor’s Principles of Neurology 2005;
17
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daavadebebis dros
ganviTarebuli
fsiqikuri darRvevebi;
ZiriTadi preparatebi
(mag. nootropebi,
antikonvulsantebi,
antiparkinsonuli
saSualebebi) maTi
ukuCvenebebi,
arasasurveli
Tanamovlenebi da
garTulebebi;
fsiqofarmakoTerapiis
nevrologiuri
garTulebebi (mag.
eqstrapiramiduli da
moZraobis
darRvevebi);
moduli 1. 6
18
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misi acilebis
pirveladi
RonisZiebebi
moduli 1. 7.
3. literaturis nusxa –
19
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8. Components of a modern mental health service: a pragmatic balance of community and hospital
care: overview of systematic evidence. Thornicroft G, Tansella M.Br J Psychiatry. 2004.
20
”
ganxilva, eTikuri
safuZvlebi,
stambolis
protokoli,
cixeTa
fsiqiatriis
Taviseburebani,
saerTaSoriso da
erovnuli
standartebi.
saerTaSoriso
standartebi –
savaldebulo da
arasavaldebulo
erovnuli
kanonmdebloba
klinika, sxvadasxva 1. samedicino baraTebis 2 pacientis
klinikuri (istoriebis) Seswavla – istoriis
gamovlinebani analizi damuSaveba
2. klinikuri kriteriumebis
Seswavla
3. samedicino istoriis
wayvana (dawera – gaformeba)
xelmZRvanelis
(licenzirebuli eqimi-
fsiqiatris
meTvaluyreobiT;
4. multi – disciplinuri
muSaobis unar - Cvevebi
diagnostika, diagnostikisaTvis saWiro 1 pacientis
diferenciuli klinikuri da para – istoria –
diagnostika, klinikuri gamokvlevebis Seswavla
Seswavla: fsiqikuri xelmZRvanelTan
statusis analizi erTad –
dinamikaSi, ZiriTadi xelmZRvanelis
klinikur fsiqologiuri asistireba
kiTxvarebis gamoyeneba,
aSlilobis profilis 1 pacientis
mixedviT diagnostikisaTvis istoriis dawera
da diferenciuli – gaformeba,
diagnostikisaTvis saWiro diagnostikis
klinikuri da para – gegmis
klinikuri gamokvlevebis gansazRvra,
gansazRvra, saWiroebis diagnostireba.
SemTxvevaSi - referireba, Ddiagnozis
referalis formis Sevsebis gaformeba,
unarCvevebiT, diagnozis referalebis
dasabuTebisa da gaformebis gaformeba
unarCveva;
multidisciplinuri
muSaobis unar - Cvevebi
mkurnaloba – individualuri mkurnaloba 1 pacientis
reabilitacia, – reabilitaciis gegmis istoria –
mimdinareoba, gansazRvra Seswavla
prognozi, SemTxvevis mmarTva, xelmZRvanelTan
farmakologiuri da erTad –
fsiqoTerapiuli mkurnaloba xelmZRvanelis
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22
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sruli
Seracxadobis
sakiTxebi.
araqmedunarianobis
sakiTxebi.
nebayoflobiTi da
aranebayoflobiTi
mkurnalobis
sakitxebi.
diagnostika, diagnostikisaTvis saWiro 1 pacientis
diferenciuli klinikuri da para – istoria –
diagnostika, klinikuri gamokvlevebis Seswavla
sasamarTlo Seswavla: fsiqikuri xelmZRvanelTan
eqspertizis statusis analizi erTad –
daskvnis dinamikaSi, ZiriTadi xelmZRvanelis
momzadebis klinikur fsiqologiuri asistireba
standartebi kiTxvarebis gamoyeneba,
aSlilobis profilis 1 pacientis
mixedviT diagnostikisaTvis istoriis dawera
da diferenciuli – gaformeba,
diagnostikisaTvis saWiro diagnostikis
klinikuri da para – gegmis
klinikuri gamokvlevebis gansazRvra,
gansazRvra, saWiroebis diagnostireba.
SemTxvevaSi - referireba, Ddiagnozis
referalis formis Sevsebis gaformeba,
unar – CvevebiT, diagnozis referalebis
dasabuTebisa da gaformebis gaformeba
unar – Cveva; multi –
disciplinuri muSaobis
unar - Cvevebi
SromiTi 2 pacientis
fsiqiatriuli/fsiq samedicino baraTebis istoriis
ologiuri (istoriebis) Seswavla – damuSaveba
ambulatoruli da analizi
stacionaruli
eqspertizis klinikuri kriteriumebis
sakiTxebis Seswavla
Seswavla,
sxavdasxva samedicino istoriis wayvana
klinikuri (dawera – gaformeba)
aSlilobebis xelmZRvanelis
dros zogadi (licenzirebuli eqimi-
midgomis fsiqiatris meTvaluyreobiT;
principebi.
nawilobrivi da multi – disciplinuri
sruli muSaobis unar - Cvevebi
Seracxadobis
sakiTxebi.
araqmedunarianobis
sakiTxebi.
nebayoflobiTi da
aranebayoflobiTi
mkurnalobis
sakiTxebi.
diagnostika, diagnostikisaTvis saWiro 1 pacientis
diferenciuli klinikuri da para – istoria –
23
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moduli 1.8.
3. literaturis nusxa –
1. daavadebaTa saerTaSoriso klasifikacia (dsk-10)
2. Oxford Textbook of Psychiatry - Oxford Textbook of Psychiatry – Ed. M. Gelder, N.
Andreasen, J. Lopez-Ibor, J. Geddes (ქართული თარგმანი, 2012წ)
3. Kaplan & Sadock's - Synopsis of Psychiatry: Behavioral Sciences/Clinical Psychiatry, 10th
Edition g. leJava - narkologia
24
”
moduli 2.1
3. literaturis nusxa
ZiriTadi:
3. Oxford Textbook of Psychiatry - Oxford Textbook of Psychiatry – Ed. M. Gelder, N. Andreasen,
J. Lopez-Ibor, J. Geddes (ქართული თარგმანი, 2012წ)
4. Kaplan & Sadock's - Synopsis of Psychiatry: Behavioral Sciences/Clinical Psychiatry, 10th
Edition
5. klinikuri praqtikis erovnuli rekomendacia, gaidlaini. Tbilisi, 2009.
6. dsk – 10
damatebiTi literatura:
25
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26
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aSliloba, Sizofreniismagvari
organuli bodviTi aSliloba,
organuli bunebis afeqturi
aSlilobani, organuli
darRveva SfoTviT,
disociaciur-organuli
aSliloba, emociurad
labiluri organuli darRveva
da msubuqi kognitiuri
aSliloba.
tvinis dazianebiT da
disfunqciiT, agreTve
fizikuri daavadebebiT
gamowveul pirovnul da
qceviT aSlilobebSi Sedis
organuli pirovnuli
aSlilobani,
postencefalituri sindromi
da postkomociuri (tvinis
Seryevis Semdgomi) sindromi.
moduli 2.2
3. literaturis nusxa –
ZiriTadi:
1. Oxford Textbook of Psychiatry - Oxford Textbook of Psychiatry – Ed. M. Gelder, N. Andreasen,
J. Lopez-Ibor, J. Geddes (ქართული თარგმანი, 2012წ)
2. Kaplan & Sadock's - Synopsis of Psychiatry: Behavioral Sciences/Clinical Psychiatry, 10th
Edition
3. saqarTvelos Sromis janmrTelobisa da socialuri dacvis saministros mier
damtkicebuli klinikuri praqtikis erovnuli gaidlainebi da protokolebi
4. dsk – 10
damxmare:
1) g. naneiSvili, “fsiqiatriis mokle kursi”, Tbilis 2001
2) jandacvis msoflio organizaciis leqsikonebi – „fsiqiatriuli da fsiqikur
janmrTelobasTan dakavSirebuli terminebis leqsikoni“, „alkoholTan da sxva
fsiqoaqtiur saSualebebTan dakavSirebuli terminebis leqsikoni“, „fsiqikur
janmrTelobasTan dakavSirebuli kroskulturuli terminebis leqsikoni“.
Tbilisi, 2005.
27
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cxrili # 2.2.
Teoriuli kursi profesiuli unar-Cvevebi Sesasrule Sefasebis meTodebi
beli
manipulac
iis
raodenoba
1. Sizofrenia. D pacientis kurireba. 3 testireba,
daavadebis simptomebi da anamnezis Sekreba, avadmyo koloqviumi,
niSnebi. fsiqikuri statusis fis rezidentma
Snaideris klasifikacia. Camyalibeba da kurireb sasurvelia
negatiuri da pozituri dawera. Ppacientis a gaakeTos
simptomebi. paTofsiqologiuri prezentacia an
diagnostikuri kategoriebi ICD- kvlevis monacemebis moxseneba
10 da DSM-IV mixedviT. analizi. MTerapiis rezidentTa
sxvadasxva etapze konferenciisaTvi
epidemiologia.
mkurnalobis s. modulis
etio-paTogenezis sakiTxebi. taqtikis dagegmva Sefaseba xdeba
Terapiiis sakiTxebi. da warmarTva. xelmZRvanelis
farmakoTerapia, fsiqologiuri socialuri mier Tvis bolos
da socialuri intervencia da reablitaciis zepiri
sxva meTodebi. RonisZiebebis gasaubrebis gziT
mimdinareobis tipebi. P dagegmva. da modulis
prognozis indikatorebi. bolos testuri
CaTvlis da unar-
Cvevebis aTvisebis
donis Semowmebis
gziT.
2. Sizotipuri aSliloba. „ - “ „ - “
simptomebi da klinikuri
niSnebi. D
დiferenciaciis problemebi
SizofreniasTan. F
farmakoTerapia, reabilitacia
da socializaciis sxva
meTodebi.
E3. bodviTi aSlilobani. „ - “ „ - “
klinikuri saxeebi: xangrZlivi
bodviTi aSlilobani, mwvave da
gardamavali (tranzitoruli)
fsiqozuri aSlilobani.
inducirebuli bodviTi
aSlilobani. Kklinika,
diagnostika. F
farmakoTerapia, reabilitacia
da socializaciis sxva
meTodebi.
4. Sizoafeqturi aSlilobani. „ - “ „ - “
D
daavadebis simptomebi da niSnebi.
diagnostikuri kategoriebi ICD-10
da DSM-IV mixedviT.
დiferenciaciis problemebi
SizofreniasTan. FfarmakoTerapia,
fsiqologiuri da socialuri
intervencia da sxva meTodebi.
5. gunebganwyobis afeqturi „ - “ „ - “
aSlilobani. Ddaavadebis
28
”
simptomebi da niSnebi.
Mmonopolaruli da bipolaruli
mimdinareoba. diagnostikuri
kategoriebi ICD-10 da DSM-IV
mixedviT. epidemiologia. Eetio-
paTogenezis sakiTxebi. Terapiiis
sakiTxebi. FfarmakoTerapia da sxva
meTodebi. prognozis sakiTxebi.
Pprognozis indikatorebi.
cikloTimia. Ddaavadebis
simptomebi da niSnebi.
moduli 2. 3.
3. literaturis nusxa –
ZiriTadi:
1. Oxford Textbook of Psychiatry - Oxford Textbook of Psychiatry – Ed. M. Gelder, N. Andreasen, J. Lopez-
Ibor, J. Geddes (ქართული თარგმანი, 2012წ)
2. Kaplan & Sadock's - Synopsis of Psychiatry: Behavioral Sciences/Clinical Psychiatry, 10th Edition
3. saqarTvelos Sromis janmrTelobisa da socialuri dacvis saministros mier
damtkicebuli klinikuri praqtikis erovnuli gaidlainebi da protokolebi
4. dsk – 10
damxmare:
3) g. naneiSvili, “fsiqiatriis mokle kursi”, Tbilis 2001
4) jandacvis msoflio organizaciis leqsikonebi – „fsiqiatriuli da fsiqikur
janmrTelobasTan dakavSirebuli terminebis leqsikoni“, „alkoholTan da sxva
fsiqoaqtiur saSualebebTan dakavSirebuli terminebis leqsikoni“, „fsiqikur
janmrTelobasTan dakavSirebuli kroskulturuli terminebis leqsikoni“. Tbilisi, 2005.
29
”
30
”
Seswavla
3. samedicino
istoriis wayvana
(dawera – gaformeba)
xelmZRvanelis
(licenzirebuli
eqimi- fsiqiatris
meTvaluyreobiT;
4. multi –
disciplinuri
muSaobis unar -
Cvevebi
moduli 2.4.
3. literaturis nusxa –
ZiriTadi:
1. Oxford Textbook of Psychiatry - Oxford Textbook of Psychiatry – Ed. M. Gelder, N. Andreasen, J. Lopez-
Ibor, J. Geddes (ქართული თარგმანი, 2012წ)
2. Kaplan & Sadock's - Synopsis of Psychiatry: Behavioral Sciences/Clinical Psychiatry, 10th Edition
3. saqarTvelos Sromis janmrTelobisa da socialuri dacvis saministros mier
damtkicebuli klinikuri praqtikis erovnuli gaidlainebi da protokolebi
4. dsk – 10
damxmare:
1. g. naneiSvili, “fsiqiatriis mokle kursi”, Tbilis 2001
31
”
gamokvlevebis
gansazRvra, saWiroebis
SemTxvevaSi -
referireba, referalis
formis Sevsebis unar –
CvevebiT, diagnozis
dasabuTebisa da
gaformebis unar – Cveva;
multi – disciplinuri
muSaobis unar - Cvevebi
mkurnaloba – individualuri 1 pacientis
reabilitacia, mkurnaloba – istoria –
mimdinareoba, reabilitaciis gegmis Seswavla
prognozi gansazRvra xelmZRvanelT
SemTxvevis mmarTva, an erTad –
farmakologiuri da xelmZRvaneli
fsiqoTerapiuli s asistireba
mkurnaloba –
reabilitaciis sqemebis
codna, dinamikis
analizi, etapuri
evaluacia – re –
evaluaciis Sedegebis
analizi, prognozis
gansazRvra, etapuri da
saboloo epikrizis
gaformeba, forma #IV
100/a dawera
multi – disciplinuri
muSaobis unar - Cvevebi
sasamarTlo da aRniSnul darRvevaTa 1 SemTxvevis
SromiTi SemTxvevaSi sasamarTlo analizi
eqspertizis fsiqiatriul/fsiqolog
safuZvlebi iuri eqspertizis
sakiTxebis, midgomebis
codna. SromiTi
eqspertizis sakiTxebis
codna, kompleqsur –
komisiuri midgomebis
unar – Cvevebis
gamomuSaveba
saboloo
evaluacia
moduli 2.5.
33
”
3. literaturis nusxa –
1. Residency Training in Emergency Psychiatry: A Model Curriculum Developed by the Education Committee
of the American Association for Emergency Psychiatry - Jennifer Brasch, Rachel Lipson Glick, Thomas G.
Cobb, Janet Richmond - Academic Psychiatry 2004; 28: 95–103)
2. Kaplan & Sadock's Synopsis of Psychiatry: Behavioral Sciences/Clinical Psychiatry, 10th Edition
3. New Oxford Textbook of Psychiatry – The Guilford Press
34
”
moduli 2. 6
1. Oxford Textbook of Psychiatry - Oxford Textbook of Psychiatry – Ed. M. Gelder, N. Andreasen, J. Lopez-
Ibor, J. Geddes (ქართული თარგმანი, 2012წ)
2. Beck, A. T. , Rush, A. J. , Shaw, B. F. and Emery G. Cognitive Therapy of Depression. New York: Guilford
1979
3. Cognitive Therapy 100 y points and techniques; Michael Neenan and Windy Dryden
4. Ellis, A. Overcoming Resistance: A Rational Emotive Behavior, Therapy Integrated Approach, . New
York: Springer 2002.
5. Fennell, M. J. V. ‘Depression’, in K. Hawton, P. M. Salkovskis,
6. Cognitive Behaviour Therapy for Psychiatric Problems: A Practical Guide. Oxford: Oxford University
Press, 1989
7. Dugas, M J, Robichaud M, Cognitive-Behavioral Treatment for Generalized Anxiety Disorder From
Science to Practice. New York 2007
8. Frank , W. Bond Handbook of Brief Cognitive Behaviour Therapy. Edited by Goldsmiths College,
University of London, UK, 2004
9. Kingdon, D. G and Turkington, D. , COGNITIVE THERAPY OF SCHIZOPHRENIA. THE GUILFORD PRESS;
New York; London, 2008
10. Wright, H. J. , Turkington, D. G. , Basco M. R. . Cognitive-Bihevior Therapy for Severe Mental Illness.
Washington DC, 2009
35
”
cxrili # 2.6.
Teoriuli kursi profesiuli unar- Sesasrulebeli Sefasebis meTodebi
Cvevebi manipulaciis raodenoba
kognitur-bihevioruli literaturasTan 4 saaTi Teoariuli unar Cvevebis
Terapiis (kbT) zogadi muSaobis unar- da praqtikuli Sefaseba modulze
Sesavali Cveva; meocadineoba pasuxismgebeli
piris mier.
zepiri gamokiTxva.
Sefaseba Sesabamisi
test-kiTxvaris
meSveobiT.
prezentacis
(moxsenebis)
gakeTeba
kbT-s Teoriul 1. ABC modelis 1. 10 savarjiSo, ABC
mimoxilva - ABC mixedviT faqtis, modelis mixedviT
modeli da misi azris, emociis, faqtis, azris,
principebi, kognituri qcevis da emociis, qcevis da
Secdomebis meqanizmi fiziologiuri fiziologiuri
SegrZnebebis SegrZnebebis
diferencirebis diferencireba.
unari, 2. 10 praqtikuli
2. kognituri savarjiSo
Secdomebis kognituri
dafiqsireba da Secdomebis
pacientisTvis dafiqsrebasa da
axsnis unari. maTi pacientisTvis
axsna (roluri
TamaSi).
kbT-s struqtura, pacientTan 2 roluri TamaSi
sesiebis struqtura. muSaobis
Terapiuli wayvanis kolaboraciuli
stili empirizmze
damyarebuli unar-
Cveva
SemTxvevis formulireba - 1. informaciis 1. 2 konkretuli
simptomis ganviTarebis mopoveba SemTxvevis
istoria, adreuli cxovrebiseuli SemTxvevis safuZvelze
gamocdileba, formulirebis formulir- informaciis
procesi, SemTxvevis ebisaTvis; mopoveba SemTxvevis
konceptualizacia – 2. SemTxvevis formulir-
SemTxvevis bio-fsiqo- drois xazis ebisaTvis;
socialuri formulireba; mini- SemuSaveba; 2. 2 konkrtuli
formulireba; drois xazis 3. SemTxvevis SemTxvevebis
SemuSaveba miniformulireb safuZvelze
a; SemTxvevis drois
4. SemTxvevis xazis SemuSaveba;
formulireba da 3. 2 konkrtuli
konceptualizac SemTxvevebis
ia; safuZvelze
SemTxvevis
36
”
formulireba da
konceptualizacia;
avtomaturi azrebis 1. avtomaturi 1. 2 konkretuli
identifikaciis meTodebi – azrebis SemTxvevis
guneba-ganwyobis identifikacia: safuZvelze
cvalebadobis gamovlena, • guneb- avtomaturi azrebis
fsiqoganaTleba, ganwyobis identifikacia:
mizanmimarTuli kvlevis cvalilebis 2. 2 konkretuli
teqnika gamovleniT; SemTxvevis
avtomaturi azrebis • mizanmimarTu safuZvelze
modifikaciis li kvvleviT; avtomaturi azrebis
meTodebi - • sokrateseuli modifikacia:
sokratiseuli dialogiT. 3. 2 konkretuli
dialogi, azrebis 2. avtomaturi SemTxvevis
Secvlis Canaweris azrebis safuZvelze
gamoyeneba, modifikacia: sqemebis da
racionaluri • sokrateseuli birTvuli rwmenis
alternativebis dialogis identifikacia:
SemuSaveba saSulebT; 4. 2 konkretuli
sqemebis da birTvuli SemTxvevis
• racionaluri
rwmenis identifikacia safuZvelze
alternativeb
– Zirsnasroli isris sqemebis da
is
teqnika, birTvuli rwmenis
SemuSavebis
sqemebze ganaTlebis modifikacia:
teqnikis
miwodeba, avtomaturi
floba
azrebis paternebis
3. sqemebis da
gamovlena,
birTvuli
cxovrebiseuli
rwmenis
istoriis momoxilva,
identifikacia:
sqemebis kiTxvaris
• Zirsnasroli
gamoyeneba;
isaris
sqemebis da birTvuli
teqnikis
rwmenis modifikacia –
floba;
sokratiseuli
• sqemebis
gamokixva, faqtebis
gamokvleva, gamovlenis
upiratesobebi da unari
naklebis CamoTvla, kiTxvarebis
kognituri meSveobiT
kontinuumi, 4. sqemebis da
alternativebis birTvuli
generireba, kognituri rwmenis
da bihevioruli modifikacia:
• sokratiseuli
gavarjiSeba (rehearsal)
dialogis
meSveobiT;
• kognituri
kontinuumis
teqnikis
floba;
• racionaluri
alternativeb
is teqnikis
floba;
• qceviTi
eqsperimentebi
bihevioruli (qceviTi) 1. bihevioruli • qceviTi aqtivaciis
meTodebi I: Terapiis meTodis Catareba 1
37
”
38
”
ZiriTadi:
7. შემთხვევის მართვა ფსიქიატრიაში. სტივ ონიეტი თბილისი 2003;
8. integrirebuli fsiqoTerapiuli programa. folker roderi Tbilisi 2003
9. Психиатрическая реабилитация: Вильям Энтони; Микал Коен; Мариан Фаркас. Тбилиси 2004;
10. fsiqo-socialuri reabilitacia. robert pol libermanis readaqciiT. Tbilisi
2002
11. Oxford Textbook of Psychiatry - Oxford Textbook of Psychiatry – Ed. M. Gelder, N. Andreasen,
J. Lopez-Ibor, J. Geddes (ქართული თარგმანი, 2012წ)
damxmare:
2. WHO, WAPSR, Psychosocial Rehabilitation, Agreement Document, 1996.
3. Community Care and Psychiatric Rehabilitation for Persons with Serios Mental Illnes. Ed. Jaap
van Weeghel. Киев 2002
4. Recovering from mental ilness: The guiding vission of mental health servises. Antony W. A.
Baltimore: University park press 1990;
39
”
gაnmarteba;
reabilitaciis arsi da
mniSvneloba
kerZo nawili:
fsiqo – socialuri 1. multidisciplinar 1. pacientis
reabilitaciis meTodebi da ul gundSi (mdg) saWiroebebis
fsiqo-socialuri muSaobis unar- gansazRvris 1
intervenciis zogadi Cveva; SemTxveva;
principebi: 2. SemTxvevis marTvis misi klinikuri,
multidisciplinaruli principebis codna; fsiqologiuri,
midgoma; 3. pacientis ojaxis sociluri
saWiroebaze dafuZnebuli wevrebTan monacemebidan
momsaxureoba; urTierobis unar- gamomdinare.
SemTxvevis marTva; Cvevebi;
4. stigmis
momxmareblis
sawinaaRmdego
Tanamonawileoba;
kampaniebSi
xelmisawvdomoba da monawileobis
uwyvetoba; unar- Cveva.
ojaxis wevrebTan
TanamSromloba;
stigmaze muSaoba;
fsiqo - socialuri
reabilitacia 1. pacientis 2. Terapiuli
(rogorc servisi) saWiroebebis jgufebis
gansazRvra; wayvana:
reablitaciis centris 2. pacientis • Ria fsiqo-
muSaobis cikli klinikuri, Terapiuli
(SeTanxmeba, Sefaseba, fsiqologiuri, jgufis 3 sesiaze
dagemva, intervencia); socialuri daswreba. jgufis
reabilitaciis saWiroebebis wayvana 1- sesia;
momxmarebeli; Sefaseba; • damoukideblad
reabilitaciuri diagnozi 3. SemTxvevis cxovrebis unar –
(msgavseba da gansxvaveba konceptualizaci Cvevebis jgufis 3
klinikur diagnozTan) a; sesiaze daswreba,
4. SemTxvevis jgufis wayvana -
reabilitaciis etapebi:
dagemva; 1 sesia;
Sefaseba (Sefasebis 5. intervenciis
meTodebi): • socialuri
saxeebi; kompetenturobis
o klinikuri;
• Ria fsiqo- treningis jgufis
o fsiqologiuri;
Terapiuli jgufis 3 sesiaze
o socialuri;
wayvana; daswreba, jgufis
1. konceptualizacia;
• damoukideblad wayvana - 1 sesia;
2. intervenciis dagegmva:
cxovrebis unar – • integrirebuli
3. intervenciis saxebi:
Cvevebis daswavlis fsiqoTerapiuli
fsiqo – socialuri
jgufis wayvana; programis
reabilitaciis meTodebi
(kerZo) • socialuri jgufis 3 sesiaze
kompetenturobis daswreba, jgufis
• verbaluri Terapiebi;
treningis wayvana - 1 sesia;
• Ria fsiqoTerapiuli
Catarebis unar- • dasaqmebiTi
jgufi;
Cveva; Terapiis jgufis
• damoukideblad
• integrirebuli 3 sesiaze
cxovrebis unar –
fsiqoTerapiuli daswreba, jgufis
Cvevebis daswavla;
programis wayvana; wayvana - 1 sesia;
• socialuri
• dasaqmebiTi 8. pacientis da
kompetenturobis
Terapiis jgufis ojaxis wevrebis:
40
”
moduli 3. 2
41
”
moduli 3. 3
1. modulis dasaxeleba, xangrZlivoba – ambulatoriuli fsiqiatriuli daxmareba
- 2 Tve
2. modulis mizani - modulis mizania rezidentis daxelovneba ambulatoriul
fsiqiatriul klinikaSi, pacientTa uSualo kuraciis fonze, gaiRrmavos codna
fsiqikuri aSlilobebis diagnostikasa, mkurnalobasa da pacientis marTvaSi
ambulatoriuli mkurnalobisa da dinamiuri meTvalyureobis specifikur
pirobebSi.
3. literaturis nusxa - Oxford Textbook of Psychiatry - Oxford Textbook of Psychiatry – Ed.
M. Gelder, N. Andreasen, J. Lopez-Ibor, J. Geddes (ქართული თარგმანი, 2012წ)
4. Sesasrulebeli samuSaos moculoba, Casatarebeli manipulaciebis raodenoba da
modulis Sefasebis meTodebi.
cxrili # 3. 4.
Teoriuli kursi profesiuli unar-Cvevebi Sesasrulebe Sefasebis
li meTodebi
manipulaciis
raodenoba
fsiqiatriul pacientis dinamiuri 5 avadmyofis unar Cvevebis
ambulatoriul meTvalyureobis kuracia Sefaseba
klinikur ganxorcielebas. SesZlos modulze
praqtikasTan Sesabamisi samedicino pasuxismgebeli
dakavSirebuli dokumentaciis warmoeba piris mier;
samedicino zepiri
dokumentaciis gamokiTxva,
damoukidebeli test-kiTxvari;
warmoebis Seswavla
gaecnos gamagrebeli mkurnalobis
ambulatoriuli Catareba
fsiqiatriuli pacientis fsiqikuri
42
”
moduli 3.4.
43
”
raodenoba
gaRrmavebuli fsiqiatriul praqtikaSi 6 avadmyofia unar Cvevebis
Teoriuli codna eTikuri normebis kurireba Sefaseba modulze
fsiqikur gamoyeneba. pasuxismgebeli
daavadebaTa ganaxocielos piris mier.
simptomebisa da mikrosociumSi zepiri gamokiTxva.
sindromebis gabatonebuli kulturuli Sefaseba Sesabamisi
diagnostikisa da faqtorebis gamovlena da test-kiTxvaris
mkurnalobis gaiTvaiswinos maTi meSveobiT.
sakiTxebSi; zegavlenis fsiqikuri prezentacis
aSlilobebis (moxsenebis)
mimdinareobisas gakeTeba
ZiriTadi fsiqikuri ganaxocielos konkretul
daavadebebis klinikur SemTxvevebSi
diagnostika da fsiqofarmakologiuri
mkurnaloba preparatebis swori da
adeqvaturi SerCeva, maTi
dozirebebis gansazRvra da
Terapiuli taqtikis marTva.
pacientis fsiqikuri fsiqotropuli
mdgomareobis medikamentebis Senaxvis,
Sefaseba da saWiro gamowerisa da gacemis
gakvlevebis dagegmva wesebis dacva;
daavadebebis, fsiqiatiul stacionarSi
travmebis da arsebul samedicino
sikdilis mizezebis dokumenaciis warmoeba
saerTaSoriso
klasifikaciis ICD–
10-is gamoyeneba
fsiqikur
aSlilobaTa
diagnostikaSi.
pacientis marTva
saqarTvelos
kanonmdeblobis ZiriTadi
principebis
gaTvaliswinebiT
gadaudebel SemTxvevebSi
pirveladi daxmarebis
aRmoCenas;
somaturi paTologiis
arsebobaze eWvis mitanis
SemTxvevaSi Sesabamisi
dargis specialistis
konsultacia
epidemiis gavrcelebis an
gadamdebi infeqciuri
paTologiis arsebobaze
ewvis mitanis SemTvevaSi
pirveladi sakarntino
RonisZiebebis gatareba;
moduli 3. 5
44
”
1. literaturis nusxa - Handbook Crisis Resolution, Flip Jan van Oenen, Clemens
Bernardt and Louk van der Post , Amsterdam, 2012
2. A Community-Based Comprehensive Psychiatric Crisis Response Service. An
Informational and Instructional Monograph. Prepared by the Technical Assistance
Collaborative, Inc. 2005
3. Crisis Resolution and Home Treatment in Mental Health. Edited by Sonia Johnson,
Jonathan P. Bindman, Graham Thornicroft, 2008
4. Директивные интервенции в острой и социалъной психиатрии. Джек Йеннер. Edited
by GIP.2010
5. სახელმძღვანელო აქტიური სათემო ფსიქიატრიული მომსახურების დასაწყებად -
დებორა ოლნესი, უილიამ კნოდლერი, თბილისი 2013.
6. Oxford Textbook of Psychiatry - Oxford Textbook of Psychiatry – Ed. M. Gelder, N. Andreasen,
J. Lopez-Ibor, J. Geddes (ქართული თარგმანი, 2012წ)
7. Kaplan & Sadock's - Synopsis of Psychiatry: Behavioral Sciences/Clinical Psychiatry, 10th
Edition
moduli 3.6
46
”
47
”
aRmoCenas;
somaturi paTologiis
arsebobaze eWvis mitanis
SemTxvevaSi Sesabamisi
dargis specialistis
konsultacia
epidemiis gavrcelebis an
gadamdebi infeqciuri
paTologiis arsebobaze
ewvis mitanis SemTvevaSi
pirveladi sakarntino
RonisZiebebis gatareba;
48