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8/15/2019 Mastering Psychiatry 2013 (Final)
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oavcocet he` lhjkhi cxprcsskaes al tbc arkgkehi) hs kl dckeg h rclicjtkae ke h okrrar%
• Pbc `audic typkjhiiy hppchrs hs scoktrhesphrcet) he` hssajkhtc` hu`ktary) mkehcstbctkj) he`coatkaehi pcrjcptkaes hrc lrcqucet%
• Pbc bhiiujkehtary cxpcrkcejc rhrciy ihsts iaegcr tbhe h lcw scjae`s%• Pbc oast jaooae coatkaehi rchjtkaes hrc sh`ecss he` dcwki`crocet%• Kt hisa ajjurs ke arghekj `ksar`crs sujb hs phrkctaajjkpkthi icskaes) tcoparaphrkcthi iadcs)
cpkicpsy) sjbkzapbrcekh he` sudsthejc oksusc% Ecuraiagkjhi he` psyjbkhtrkj `ksar`cr jhe
ajjur ke # al jhscs
• O6 L ? 468= Oche hgc ? 0> ychrs%Cxtrhjhopkec
bhiiujkehtkae
Cxtrhjhopkec bhiiujkehtkae ks cxpcrkcejc` autsk`c tbc ikokts al scesary lkci` kejiu`keg
vksuhi lkci` he` rhegc al hu`kdkikty% Kt ks `kllcrcet lrao hutasjapy hs tbc pcrsae altce sccs
atbcrs autsk`c tbc scesary lkci` dut eat aec‛s scil%
Mkecstbctkj
bhiiujkehtkae
Mkecstbctkj bhiiujkehtkae kevaivcs tbc scesc al da`kiy oavcocet "c%g% h pcrsae dcikcvcs
tbht bks cidaw faket ks rathtkeg kevaiuethrkiy dut tbcrc ks ea sujb skge ae pbyskjhi
cxhokehtkae+%
Jcecstbctkj
bhiiujkehtkae
H sceshtkae al he hitcrc` sthtc ke h da`y arghe wktbaut jarrcspae`keg rcjcptars wbkjb jhe
cxpihke tbc sceshtkae ke earohi buohe pbyskaiagy%
^syjbaphtbaiagy ke tbaugbt prajcss
Jkrjuosthetkhikty Pbc spccjb thmcs h iaeg tkoc ta rchjb tbc paket dcjhusc kt kejiu`cs h grcht `chi al ueecjcsshry
`cthkis% Pbks ajjurs ke sjbkzapbrcekh) `cocetkh) tcoparhi iadc cpkicpsy he` earohi pcapic%
Phegcetkhikty Pbc strcho al tbaugbt `kvcrgcs lrao tbc tapkj he` tbc spccjb hppchrc` ta dc uercihtc` he`krrcicvhet ht tbc ce`% Kt ks `uc ta iaascekeg he` `klluscecss al spccjb% Kt ajjurs ke pcapic wktb
sjbkzapbrcekh he` ohekh%
Likgbt al k`chs H jaetkeuaus spccjb wbcrc tapkjs fuop rhpk`iy lrao aec ta heatbcr he` tbcrc ks h iagkjhi ikem
dctwcce tapkjs% Kt ajjurs ke ohekh he` hjjaophekc` dy prcssurc al spccjb%
Iaascekeg al
hssajkhtkaes
H spccjb wbcrc tapkjs scco ta dc `ksjaeecjtc` he` kt ks bhr` lar tbc atbcrs ta csthdiksb h iagkjhi
ikem dctwcce tapkjs% Pbc spccjb dcjaocs `kllusc he` uelajusc`%
Mekgbt‛s oavc tbkemkeg Zjbkzapbrcekh phtkcet jbhegcs lrao aec tapkj ta heatbcr dctwcce hdruptiy he` tbcrc ks ea
iagkjhi ikem dctwcce tbaugbts% Pbc trhke al tbaugbts ks skokihr ta tbc mekgbt‛s oavcocet ke
jbcss%
Pbaugbt kescrtkae Cxtcrehi tbaugbts hrc kescrtc` keta tbc phtkcet‛s oke` wbkjb `a eat dciaeg ta tbc phtkcet%
Pbaugbt wktb`rhwhi ^htkcet‛s tbaugbts hrc dckeg thmce hwhy dy tbc atbcrs%
Pbaugbt drah`jhstkeg ^htkcet‛s awe tbaugbts hrc meawe ta tbc atbcrs tbraugb drah`jhstkeg ikmc h rh`ka ar P\ sthtkae%
^syjbaphtbaiagy ke spccjb
Iagajiaekh Pbks rclcrs ta sphstkj rcpctktkae al syiihdics% Iagajiaekh ajjurs ke pcapic wktb hutkso)
sjbkzapbrcekh) Hizbckocr‛s `kschsc he` ^hrmkesae `kschsc%
Iagarrbach Iagarrbach rclcrs ta cxjcsskvc vcrdhi pra`ujtkae%Ecaiagkso Ecaiagkso rclcrs ta tbc kevcetkae al pcrsaes‛ awe war`s wbkjb jheeat dc laue` ke tbc Cegiksb
iheguhgc he` ohmkeg jae`ceshtkaes al scvcrhi atbcr war`s% "c%g% h phtkcet rclcrs ‒ihodrhke‛ hs
jiau`s ke tbc smy dcjhusc tbcy iaam ikmc ihods he` pra`ujc rhkelhiis+ Pbc war` bhs h spcjkhi
ochekeg lar tbc pcrsae% Ecaiagkso ajjurs ke pcapic wktb sjbkzapbrcekh%
Octaeyo Octaeyo rclcrs ta he hppraxkohtc dut rcihtc` tcro wbkjb ks usc` ke he k`kaohtkj why% "c%g% h
pcrsae rclcrs ‒smy sbccp‛ hs tbc jiau`s ke tbc smy dcjhusc tbc jiau`s iaam ikmc sbccp+% Pbcwar` ks laue` ke tbc Cegiksb iheguhgc% Octaeyo ajjurs ke pcapic wktb sjbkzapbrcekh he`
hssajkhtc` wktb iaascekeg al hssajkhtkaes%
War` shih` War` shih` rclcrs ta h fuodic al war`s he` pbrhscs) tassc` hraue` hs ke h shih` dawi) wktb ikttic
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Ohstcrkeg ^syjbkhtry ‚ H Jarc Pcxtdaam lar Se`crgrh̀ uhtcs Jbhptcr 8 | 0"j+ Ocivye WD Vbheg) Jyrus ZB Ba) Tagcr JO Ba) 4>8:
advkaus jaeecjtkae dctwcce tbco% Kt ajjurs ke pcapic wktb sjbkzapbrcekh he` hssajkhtc` wktb
iaascekeg al hssajkhtkaes%
Outkso Outkso rclcrs ta tbc sthtc tbht tbc pcrsae ks skicet he` vakjcicss% Arghekj jhuscs al outkso
kejiu`c jhthtaekh) bcrpcs skopicx vkrus cejcpbhiktks) iajmc`/ke sye`raoc) oyhstbcekh grhvks he`
paika kelcjtkae% ^syjbaiagkjhi jhuscs kejiu`c jaevcrskae `ksar`cr he` ohikegcrkeg%
Ztupar "Hmkectkj
outkso+
Pbc pcrsae ks outc dut bc ar sbc `acs eat sullcr lrao hpbhskh% Pbc pcrsae ks uercspaeskvc he`
kooadkic hitbaugb bc ar sbc ks luiiy jaesjkaus% Bks!bcr cycs hrc hdic ta laiiaw he adfcjt% Pbc
apcekeg he` jiaskeg al cycs hrc ue`cr vaiuethry jaetrai% Pbc pcrsae usuhiiy ohkethkes h rcstkeg
pasturc he` ecuraiagkjhi cxhokehtkae altce rcvchis earohi rclicxcs%
Avcrvhiuc` k`chs) adscsskaes he` `ciuskaes
Avcrvhiuc` k`ch ^asskdic k`ch tbht ks pursuc` dcyae` earohi daue`hrkcs he` jhuscs `kstrcss he` luejtkaehi
kophkrocet ta tbc phtkcet% Pbc k`ch jhe dc jbhiicegc` "c%g% h phtkcet dcikcvcs tbht atbcr pcapic
ke tbc trhke hrc iaamkeg bcr he` sbc lccis vcry upsct% Kt ks passkdic tbht tbc pcapic hrc sthrkeg ht
bcr dcjhusc al hdearohi jiatbkeg ar dcbhvkaurs+%
Adscsskae Tcpctktkvc he` krrhtkaehi tbaugbts tbht tbc phtkcet rcjagekscs tbasc tbaugbts hrc ke`cc`arkgkehtc` lrao bks ar bcr awe oke` he` jhe dc jbhiicegc`% Adscsskaes altce ich` ta hexkcty
he` jaopuiskaes%
@ciuskae Lkroiy ohkethkec` lhisc dcikcl wbkjb ks jaetrh`kjtc` dy rchikty% Kt ks k`kasyejrhtkj) kejarrkgkdic
he` prcajjupykeg% ^hrtkhi `ciuskaes hrc laue` wbce tbc pcrsae ks ke tbc prajcss al rcjavcry%
Pypc al `ciuskae kejiu`c pcrscjutary "bhro dy atbcrs+) ekbkikstkj "tbc phtkcet jchscs ta cxkst+)rclcrcejc "oc`kh rclcrs ta phtkcet dut ea suppartkeg cvk`cejc+) grhe`kasc "cxhggcrhtc` pawcr
he` koparthejc+) fchiausy "dcikcvkeg tbc phrtecr ks uelhktblui tbraugb phtbaiagkjhi rchsaekeg+%
^rkohry `ciuskae H `ciuskae tbht hrkscs aut al tbc diuc wktb ea cxpihehtkae% Lar cxhopic) h sjbkzapbrcekh ohe
su``ceiy dcikcvcs tbht bc ks lrao Ohrs%
Zcjae`hry `ciuskae H `ciuskae wbkjb ks scjae`hry ta atbcr psyjbaphtbaiagy sujb hs hu`ktary bhiiujkehtkae ke
sjbkzapbrcekh ar grhe`kaskty ke ohekh% Lar cxhopic) h ohekj phtkcet dcikcvcs tbht bc ks tbc
prcsk`cet al h jauetry%
@ciuskaehi oaa` Kt jaesksts al h jbhegc ke oaa` tbht prcjc`cs tbc cocrgcejc al tbc `ciuskae% Pbc pcrsae lccis
tbht saoctbkeg skekstcr ks gakeg ta bhppce%
@ciuskaehi pcrjcptkae H rchi pcrjcptkae wktb `ciuskaehi ketcrprcthtkae6 ’Wbce tbc trhllkj ikgbt tures grcce) Ga` hsms
oc ta ga ta bchvce%‟
@ciuskaehi ocoary H rchi ocoary wktb `ciuskaehi ue`crsthe`keg6 ’K bh` he hppce`cjtaoy 8> ychrs hga he` hikces
put he kopihet ke oy da`y ta jaetrai tbc wari`%
^syjbaphtbaiagy ke oavcocet
Hodktce`cejy Tcpctktkvc dcbhvkaur al jaapcrhtkae he` appasktkae% Kt ajjurs ke sjbkzapbrcekh% Kt ks h laro al
hodkvhicejc% Pbc pcrsae sthrts ta ohmc h oavcocet dut dclarc jaopictkeg kt) bc!sbc sthrts tbc
appasktc oavcocet%
Oktgcbce Cxjcsskvc jaapcrhtkae he` ikod oavcocet ke rcspaesc ta sikgbt prcssurc al he hppikc` larjc
cvce tbc pcrsae ks tai` ta rcskst oavcocet% Kt ajjurs ke jhthtaekh%
Oktohjbce Ikod oavcocet ke rcspaesc ta he hppikc` larjc ta hey `krcjtkae wktbaut rcsksthejc% Kt ajjurs ke
sjbkzapbrcekh%
Whxy licxkdkikty Hdearohi ohketcehejc al pasturc ke pcapic sullcrkeg lrao jhthtaekh% Lar cxhopic) tbc pcrsae
ohkethkes bks iclt hro ke tbc hkr hltcr tbc cxhokecr rhkscs bks iclt hro%
Hutaohtkj adc`kcejc Pbc pcrsae usuhiiy sullcrkeg lrao jhthtaekj sjbkzapbrcekh laiiaws tbc cxhokecr‛s kestrujtkaes dike`iy wktbaut fu`gcocet he` rcsksthejc%
Ecghtkvkso Pbc pcrsae usuhiiy sullcrs lrao jhthtaekh he` hjtkvciy pcrlaros tbc appasktc hjtkae ta tbc
kestrujtkae lrao tbc cxhokecr%
Ztcrcatypy Eae gahi ‚ `krcjtc` rcpctktkvc oavcocets% "c%g% rajmkeg larwhr` he` dhjmwhr`+% Kt ajjurs ke
pcapic wktb sjbkzapbrcekh%
Oheecrkso Gahi ‚ `krcjtc` rcpctktkvc oavcocets% "c%g% h spchmcr trkcs ta oavc bks bhe`s rcpctktkvciy ta
jaevcy bks ocsshgcs+%
Cjbaihikh Tcpctktkae al war`s ar pbrhscs spamce dy heatbcr pcrsae% Pbks ks scce ke hutkso) sjbkzapbrcekh
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Ohstcrkeg ^syjbkhtry ‚ H Jarc Pcxtdaam lar Se`crgrh̀ uhtcs Jbhptcr 8 | 3"j+ Ocivye WD Vbheg) Jyrus ZB Ba) Tagcr JO Ba) 4>8:
he` `cocetkh
Cjbaprhxkh Tcpctktkae al oavcocet `coaestrhtc` dy heatbcr pcrsae% Pbks ks hisa scce ke jhthtaekh he`
sjbkzapbrcekh%
Jhthicpsy Hdearohi ohketcehejc al pasturcs ke jhthtaekh%
Jhthpicxy Pcoparhry iass al ousjic taec ke ehrjaicpsy%
Jaopuiskae Tcpctktkvciy he` purpasclui oavcocets wbkjb hrc rcskstc` dy tbc pcrsae hs tbcy hrc scescicss%
Jaopuiskaes hko ta ecutrhiksc hexkcty gcecrhtc` dy adscsskaes%
Jaooae psyjbkhtrkj sye`raocs
Jbhrics `c Daeect
sye`raoc
^capic sullcrkeg lrao tbks sye`raoc cxbkdkt jaopicx vksuhi bhiiujhtkaes% Pbks sye`raoc ks
hssajkhtc` wktb jcetrhi ar pcrkpbcrhi rc`ujtkae ke vkskae% Kt hisa ajjurs ke pcapic wba hrc dike`
ar wktb phrtkhi vkskae% Pbc jaetcet al bhiiujkehtkae kevaivcs vkvk`iy jaiaurc` pcapic ar hekohis%
Pbcrc hrc ea `ciuskaes he` ea bhiiujkehtkaes ke atbcr oa`hiktkcs% Pbc jaopicx vksuhi
bhiiujkehtkaes ohy ihst lrao `hys ta ychrs%
Laikc î `cux H `ciuskaehi `ksar`cr wbcrc h `ciuskae ks trheslcrrc` lrao h pcrsae wktb h psyjbatkj `ksar`cr ta
heatbcr wktb wbao bc ar sbc ks ke jiasc hssajkhtkae) sa tbht tbcy sbhrc tbc shoc `ciuskae
Jhpgrhs sye`raoc @ciuskaehi oksk`cetklkjhtkae al h lhokikhr pcrsae he` tbc phtkcet dcikcvcs tbht tbc lhokikhr
pcrsae ks rcpihjc` dy he kopastcr ar h `audic% Kt ajjurs ke sjbkzapbrcekh) hllcjtkvc `ksar`cr ar
`cocetkh% Pbks sye`raoc ks oarc jaooae ke waoce%
Crataohekh ar
@cJicrhodhuit's
sye`raoc
Pbks sye`raoc rclcrs ta lcohic phtkcet wba iavcs h ohe al bkgbcr sajkhi sthtus dut tbcrc ks eacvk`cejc ta suppart tbckr rcihtkaesbkp ar tbc phtkcet ks meawe ta tbc ohe al bkgbcr sajkhi sthtus%
Lrcgaik sye`raoc @ciuskaehi oksk`cetklkjhtkae al he uelhokikhr pcrsae hs h lhokikhr pcrsae% Kt ajjurs ke
sjbkzapbrcekh ar `cocetkh%
Ghescr‛s sye`raoc Ke tbks sye`raoc) hppraxkohtc heswcr ketcrspcrsc` wktb jarrcjt rcspaescs) hpphrcet
`ksarkcethtkae) jiau`keg al jaesjkausecss) vardckrc`ce "thimkeg phst paket+) pscu`abhiiujkehtkae
he` liujtuhtkae al saohtkj syoptaos% Pbc pcrsae ohy bhvc hoecskh lar tbc `urhtkae al kiiecss
hltcr rcjavcry%
Atbciia sye`raoc ar
oardk` fchiausy
Ke tbks `ciuskaehi `ksar`cr) tbc phtkcet lkroiy dcikcvcs tbht bks ar bcr spausc ar phrtecr ks
uelhktblui% Wbkic kt ks passkdic ta bhvc he hllhkr) tbc why tbc pcrsae rchjbcs tbc jaejiuskae ks
phtbaiagkjhi% Kt altce hssajkhtcs wktb jaelraethtkae he` vkaicejc% Prchtocet kevaivcs
gcagrhpbkjhi scphrhtkae he` hetkpsyjbatkj trchtocet%
Ouejbhusce sye`raoc Hmh baspkthi h``kjtkae sye`raoc he` phtkcet whets ta dc h`okttc` dy cxhggcrhtkeg bks ar bcr
syoptaos% Ouejbhusce sye`raoc dy praxy rclcrs ta tbc lhjt tbht tbc oatbcr kopascs bcr jbki`
ta dc h`okttc` he` kt ks h laro al jbki` hdusc
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Ohstcrkeg ^syjbkhtry ‚ H Jarc Pcxtdaam lar Se`crgrh̀ uhtcs Jbhptcr 8 | <"j+ Ocivye WD Vbheg) Jyrus ZB Ba) Tagcr JO Ba) 4>8:
AZJC grk`
AZJC sthtkae
H 4>/ychr/ai` uekvcrskty stu`cet whs draugbt ke dy tbc jauesciiar ta tbc cocrgcejy `cphrtocet% Bc whs laue` skttkeg ke tbc iklt al
tbc rcsk`cetkhi bhii tbc wbaic `hy he` rclusc` ta httce` jihsscs% Bc jihkos tbht bc bchrs vakjcs thimkeg ta bko%
Phsm6 hsscss bks bhiiujkehtkaes%
AZJC grk`6 hpprahjb ta bhiiujkehtkaes6
Jhe`k`htcs hrc h`vksc` ta hsm hdaut bhiiujkehtkaes ke atbcr oa`hiktkcs hs yau wkii `ksjavcr oarc kelarohtkae% Pbks pcrsae ohy bhvc usc`
rcjrchtkaehi `rugs jhuskeg vksuhi ar thjtkic bhiiujkehtkaes% Pbc pcrsae jhe dc phrheak` he` suspkjkaus al `ajtars% Jhe`k`htcs bhvc ta
spce` tkoc csthdiksbkeg rhppart ht tbc dcgkeekeg%
H+ Hu`ktary
"scjae` pcrsae
hu`ktary
bhiiujkehtkae
ke ̀ cprcsskae
he` ohekh+
H8+ Ketra`ujtkae
Wbce pcapic hrc
ue`cr strcss) tbcy
ohy bhvc ueusuhi
cxpcrkcejcs% K
ue`crsthe` lrao
yaur jauesciar tbht
yau bhvc dcce
bchrkeg vakjcs%
H4+ Apce qucstkaes
hdaut bhiiujkehtkaes
Jhe yau tcii oc oarc
hdaut tbc vakjcs1
Jhe yau gkvc oc he
cxhopic1
H:+ Ehturc al tbc
vakjcs
Baw `a tbcy
h``rcss yau1
@a tbcy spchm
`krcjtiy ta yau1
H0+ Jaoohe`
bhiiujkehtkaes
@a tbcy gkvc
yau ar`crs1
@a yau adcy
tbco1
H3+ Jaegrucejc
wktb oaa`
@acs yaur oaa`
keliucejc tbc
jaetcet al tbc
vakjcs1 Lar
cxhopic) wbce yau
hrc sh`) yau bchr tbc
vakjcs shy sh`tbkegs%
D+ Hu`ktary
"tbkr` pcrsae
hu`ktary
bhiiujkehtkae
ke
sjbkzapbrcekh+
D8+ Euodcr al
vakjcs
D8+ @a yau bchr
oarc tbhe aec vakjc
thimkeg hdaut yau1
D4+ Jaetcet al tbc
bhiiujkehtkae
Wbht `a tbcy shy1
D:+ Tueekeg
jaoocethry
@a tbcy jaoocet
ae wbht yau hrc
`akeg ar tbkemkeg1
D0+ Hu`kdic
tbaugbts
Hrc tbc vakjcs
shykeg aut yaur
tbaugbts
hiau`1
D3+ Cjba `c ih
pcesc
@a tbasc vakjcs
cjba yaur tbaugbts
hltcr h lcw scjae`s1
J+
Jaelkrohtkae
al tbc ehturc
al
bhiiujkehtkae
"ruic aut
pscu`abhiiujkehtkae+
J8+ Wbcrc `a tbcsc
vakjcs jaoc lrao1
@a yau jaoc lrao
cxtcrehi sphjc1
J4+ @a tbc vakjcs
jaoc lrao kesk`c ar
autsk`c yaur bch`1
J:+ @a yau lcci tbht
tbc vakjcs hrc rchi1
Hrc tbc vakjcs hs
jichr hs oy vakjc1
J0+ Jhe yau
stap tbco1
Jhe yau
`kstrhjt
yaurscil lrao
tbc vakjcs1
J3+ Wbce `a tbcsc
vakjcs ajjur1 Wcrc
yau lhiikeg hsiccp ar
whmkeg up1 "ta ruic
aut bypehgagkj he`
bypeapaopkj
bhiiujkehtkaes+
@+
Bhiiujkehtkaes
ke atbcr
oa`hiktkcs he`
hsscss keskgbt
@8+ \ksuhi
bhiiujkehtkaes
Bhvc yau scce
tbkegs tbht atbcr
pcapic jhe‛t scc1
Wbht `a yau scc1
Jhe yau gkvc oc he
cxhopic1
@4+ Ailhjtary
bhiiujkehtkaes
Ks tbcrc heytbkeg
wraeg hdaut tbc why
wc socii1
Jhe yau tcii oc oarc
hdaut kt1
Kl ycs) wba scet tbc
ghs ta yau1
@:+ Gusthtary
bhiiujkehtkaes
Bhvc yau eatkjc`
tbht laa` ar `rkem
sccos ta bhvc h
`kllcrcet thstc
rcjcetiy1
@0+ Phjtkic !
bhptkj
bhiiujkehtkaes
Bhvc yau bh`
hey strhegc
lccikegs ke yaur
da`y1
Baw hdaut
pcapic
taujbkeg yau1
Baw hdautkescjts
jrhwikeg1
@3+ Hsscss keskgbt
@a yau bhvc hey
cxpihehtkae al
hdavc cxpcrkcejc1
@a yau ecc` bcip
"c%g% thmkeg
oc`kjhtkae ta
rc`ujc tbc vakjcs1+
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Ohstcrkeg ^syjbkhtry ‚ H Jarc Pcxtdaam lar Se`crgrh̀ uhtcs Jbhptcr 8 | 7"j+ Ocivye WD Vbheg) Jyrus ZB Ba) Tagcr JO Ba) 4>8:
C+ Jaursc!
Jaoardk`kty!
rksm
hsscssocet
C8+ Jaursc al
bhiiujkehtkaes
Baw iaeg bhvc yau
cxpcrkcejc` tbasc
vakjcs1
C4+ Hsscss kophjt
Baw `acs kt hllcjt
yaur iklc
Baw ks yaur oaa`1
Bhs yaur oaa` dcce
hllcjtc` dy tbasc
vakjcs1
C:+ Hsscss atbcr
lkrst rhem syoptaos
@a yau warry tbht
tbasc vakjcs hrc phrt
al h piat1 "c%g%
bhrokeg yau ar
jaetraiikeg yau+
@a yau lcci tbht
yaur tbaugbts hrc
dckeg ketcrlcrc`1
"c%g% tbaugbts hrc
dckeg kescrtc`)
wktb`rhwe ar
drah`jhstc`+
C0+ Hsscss
sudsthejc
oksusc
@a yau usc
rcjrchtkaehi
`rugs ar
hijabai1
C3+ Tksm hsscssocet
K jhe kohgkec tbht
yau hrc strcssc` dy
tbc vakjcs% Zaoc
pcapic ohy whet ta
gkvc up% @a yau
bhvc tbaugbt al
ce`keg yaur iklc1
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Ohstcrkeg ^syjbkhtry ‚ H Jarc Pcxtdaam lar Se`crgrh̀ uhtcs Jbhptcr 8 | 2"j+ Ocivye WD Vbheg) Jyrus ZB Ba) Tagcr JO Ba) 4>8:
Zhopic OJXs he` OCXs
8% H :>/ychr/ai` ohe whs draugbt ta tbc Hjjk`cet he`
Cocrgcejy @cphrtocet% Bc su``ceiy lcii `awe hltcr
bchrkeg h iau` saue` ht h phrty% Pbcrc whs ea iass al
jaesjkausecss% Pbc psyjbaphtbaiagy dckeg `csjrkdc` ks6
H% Jhthicpsy
D% Jhthpicxy
J% Jhthtaekh@% ^asturkeg
C% Whxy licxkdkikty
Heswcr6 D Jhthpicxy rclcrs ta tbc tcoparhry phrhiysks
he` iass al hetkgrhvkty ousjic taec wktbaut iass al
jaesjkausecss% Jhthpicxy ks altce prcjkpkthtc` dy
coatkaehi cxjktcocet he` hssajkhtc` wktb ehrjaicpsy%
4% He ci`criy Jbkecsc ohe jaopihkec` tbht ‒Oy guts hrc
rattce he` diaa` bhs stappc` liawkeg ta oy bchrt% K ho
`ch`%‛ Pbc psyjbaphtbaiagy dckeg `csjrkdc` ks6
H% Hjutc ketcstkehi adstrujtkae
D% @cikrkuoJ% @ciuskae al jaetrai
@% Ekbkikstkj `ciuskae
C% Bypajbae`rkhsks
Heswcr6 @% Ekbkikstkj `ciuskae ar Jathr` sye`raoc ks tbc
dcikcl tbht aec ks `ch` ar tbc cxtcrehi wari` `acs eat
cxkst% Kt jhe hisa thmc tbc laro al dcikcvkeg tbht phrts al
tbc da`y `a eat cxkst% Ekbkikstkj `ciuskaes jhe dc
scjae`hry ta scvcrc `cprcsskae) sjbkzapbrcekh ar ta he
arghekj `ksar`cr%
:% H 3>/ychr/ai` ohe ks rclcrrc` lrao vhsjuihr surgcae
lar pusbkeg sceshtkae ke tbc hd`aokehi harth% Bcjaopihkes tbht bc lccis saocaec ks pusbkeg bks
hd`aokehi harth he` bc ks vcry `ksturdc` dy tbks
sceshtkae% Pbc psyjbaphtbaiagy dckeg `csjrkdc` ks6
H% Jcecstbctkj bhiiujkehtkae
D% @ciuskaehi pcrjcptkae
J% Bhptkj bhiiujkehtkae
@% Mkecstbctkj bhiiujkehtkae
C% Zaohtkj phsskvkty
Heswcr6 H% Jcecstbctkj bhiiujkehtkae kevaivcs h lhisc
pcrjcptkae al he hitcrc` sthtc` ke da`y arghes wktbaut
jarrcspae`keg scesary rcjcptar ta cxpihke tbc sceshtkae%
Mkecstbctkj bhiiujkehtkaes kevaivc tbc scesc al ousjics
ar fakets% Lar cxhopic) tbc phtkcet okgbt lcci ikmc tbckr
ikods hrc dckeg twkstc`% Jaooae jhuscs kejiu`c
sjbkzapbrcekh he` wktb`rhwhi sthtc lrao
dceza`khzcpkecs ar hijabai ketaxkjhtkae%
0% H ohe sccs h diuc jhr `rkvkeg phst bko he` bc rchikzcs
tbht tbc tcrrarksts hrc gakeg ta mkii bko% Pbks ks oast ikmciyta dc wbkjb al tbc laiiawkeg6
H% @ciuskae al bypajbae`rkhsks
D% @ciuskae al phsskvkty
J% @ciuskaehi pcrjcptkae
@% @ciuskae al pcrscjutkae
C% \ksuhi bhiiujkehtkae
Heswcr6 J% H `ciuskaehi pcrjcptkae ks h earohi
pcrjcptkae lhisciy ketcrprctc` dy tbc phtkcet he` bci` hs
dckeg skgeklkjhet ta bko% Kt ks aec al Zjbeck`cr‛s lkrst/
rhem syoptaos%
3% Oardk` fchiausy ks eat6
H% h oksk`cetklkjhtkae pbceaoceae
D% hssajkhtc` wktb crcjtkic `ysluejtkae
J% hssajkhtc` wktb vkaicejc@% cejhpsuihtc`
C% oarc jaooae ke oce tbhe waoce
Heswcr6 H% Oksk`cetklkjhtkae sye`raoc rclcrs ta Jhpgrhs
he` Lrcgaik sye`raoc% Oardk` fchiausy ks h `ciuskaehi
`ksar`cr tbht tbc ohrkthi ar scxuhi phrtecr ks uelhktblui)typkjhiiy hjjaophekc` dy ketcesc schrjbkeg lar cvk`cejc
al kelk`cikty he` rcpchtc` ketcrraghtkaes he` `krcjt
hjjushtkaes al tbc phrtecr tbht ohy ich` ta vkaicet
quhrrcis% Oardk` fchiausy ks oarc jaooae ke oce tbhe
ke waoce% Oardk` fchiausy ks hssajkhtc` wktb crcjtkic`ysluejtkae he` hijabai oksusc%
OCX
H 4>/ychr/ai` waohe prcscets wktb psyjbatkj syoptaos
sujb hs scckeg kohgcs he` bchrkeg vakjcs wbkjb hsm ta
jut bcr wrkst lar < oaetbs% Zbc hisa jaopihkes al oaa`
swkegs% Bcr phrcets `kvarjc` he` sbc whs hdusc` dy bcr
stcp/lhtbcr%
X8% Wbht hrc tbc `kllcrcetkhi `khgeascs1
8% Dkpaihr `ksar`cr wktb psyjbatkj lchturcs%
4% Dar`crikec pcrsaehikty `ksar`cr :% Ohfar `cprcsskae wktb psyjbatkj lchturcs
0% Zjbkzapbrcekh
3% Zudsthejc oksusc "c%g% bhiiujkeagces) hopbcthokec+
X4% Bcr oatbcr whets ta meaw baw yau waui`
`kllcrcetkhtc sjbkzapbrcekh lrao atbcr `kllcrcetkhi
`khgeascs% [aur heswcr ks6
8% Zjbkzapbrcekh phtkcets usuhiiy bchr tbkr`/pcrsae
hu`ktary bhiiujkehtkaes%
4% Hu`kdic tbaugbts) tbaugbt cjba) he` rueekeg
jaoocethry usuhiiy ajjur ke sjbkzapbrcekh%:% Zjbkzapbrcekh phtkcets bhvc atbcr lkrst rhem syoptaos
sujb hs tbaugbt ketcrlcrcejc) phsskvkty he` prkohry
`ciuskaes%
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Ohstcrkeg ^syjbkhtry ‚ H Jarc Pcxtdaam lar Se`crgrh̀ uhtcs Jbhptcr 8 | ;"j+ Ocivye WD Vbheg) Jyrus ZB Ba) Tagcr JO Ba) 4>8:
COKZ6
^syjbaphtbaiagy
H ‚ Jaopictkae kiiuskae
D ‚ @ysocgiapskh
J/ Cxtrh/jhopkec bhiiujkehtkaes
@ ‚ Bhptkj bhiiujkehtkaeC ‚ Bypeagagkj bhiiujkehtkae
L ‚ Bypeapaopkj bhiiujkehtkae
G ‚ Mkehcstbctkj bhiiujkehtkae
B ‚ Ikikputkhe bhiiujkehtkae
K ‚ ^hrck`aikh
F ‚ Zyecstbcskh
Xucstkae8 6 Pbc cxpcrkcejc al aec‛s ehoc dcce jhiic`
aut wbce aec ks hdaut ta lhii hsiccp ‚ Hes6 Bypeagagkj
bhiiujkehtkae
Xucstkae 46 H yaueg waoce bhs dcce `khgeasc` wktb
lkrst cpksa`c psyjbasks% Zbc jihkoc` tbht sbc ks uehdic tajaejcetrhtc hs sbc bchrs bcr lhtbcr sbautkeg ht bcr
jaetkeuausiy lrao bks liht 4 okics hwhy ‚ Hes6 Cxtrh/
jhopkec bhiiujkehtkae
Xucstkae :6 H jbki` whtjbcs tbc jiau`s he` rcparts dckeg
hdic ta scc kohgcs al h jaoputcr ghoc ke tbc jiau`s ‚
Hes6 ^hrck`aikh
Tclcrcejcs6Jhopdcii TF% ^syjbkhtrkj @kjtkaehry% Axlar`6 Axlar` Sekvcrskty ^rcss)
8;;>4%Zkos H% Zyoptaos al tbc Oke`6 He Ketra`ujtkae ta @csjrkptkvc
^syjbaphtbaiagy% Iae`ae6 Zhue`crs) 4>>:
Eatcs6
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Ohstcrkeg ^syjbkhtry ‚ H Jarc Pcxtdaam lar Se`crgrh̀ uhtcs Jbhptcr 4 |"j+ Ocivye WD Vbheg) Jyrus ZB Ba) Tagcr JO Ba) 4>8:
8
Jbhptcr 4 Jikekjhi ketcrvkcw) larouihtkae he` ohehgcocet
Ketcrvkcwkeg tcjbekqucs @kllcrcetkhis `khgeasks he` bkcrhrjby al `khgeasks
^syjbkhtrkj bkstary Larouihtkae
Ocethi sthtc cxhokehtkae
^byskjhi cxhokehtkae
Tcicvhet kevcstkghtkaes
Ohehgcocet he` ouitk/`ksjkpikehry hpprahjb
Ketcrvkcwkeg tcjbekqucs
8+ Apce/ce`c` qucstkaes6 ‒Jhe yau tcii oc wby yau wcrc h`okttc`1‛ Apce/ce`c` qucstkaes hrc altce usc` ke tbc
kektkhi pbhsc al tbc ketcrvkcw ta pra`ujc spaethecaus rcspaescs lrao tbc phtkcet) wbkjb hrc patcetkhiiy wbht lcci
oast koparthet ta tbc phtkcet% Pbcy jaevcy h scesc al gceukec ketcrcst ta tbc phtkcet%
4+ Jiasc`/ce`c` Xucstkaes6 ‛@k` yau httcopt ta ce` yaur iklc prkar ta h`oksskae1‛ Jiasc`/ce`c` qucstkaes altce
laiiaw apce/ce`c` qucstkaes ta cllkjkcetiy cikjkt spcjklkj `cthkis%
:+ Zuoohtkae rclcrs ta tbc drkcl suoohry al wbht tbc pcrsae bhs shk` sa lhr he` ks `aec pcrka`kjhiiy ta cesurc tbcketcrvkcwcr ue`crsthe`s tbc pcrsae jarrcjtiy% C%g% ‒K waui` ikmc ta ohmc surc tbht K ue`crsthe` yau jarrcjtiy sa lhr%[au hrc shykeg tbht yau `a eat tbkem yaur cxpcrkcejc ks phrt al sjbkzapbrcekh dhsc` ae yaur awe rch`kegs "ke h
ohe wba `acs eat dcikcvc tbht bc sullcrs lrao sjbkzapbrcekh he` whets ta sccm h scjae` apkekae+‛
0+ Prhesktkae ks h usclui tcjbekquc ta gcetiy kelaro tbc pcrsae tbht tbc ketcrvkcw ks gakeg aeta heatbcr tapkj%
3+ Cophtbkj sthtcocets jaevcy tbc ocsshgc tbht tbc psyjbkhtrkst lke`s tbc phtkcet‛s jaejcre ks koparthet he`hjmeawic`gc tbc phtkcet‛s sullcrkegs% C%g% ‒ K jhe kohgkec tbht yau wcrc tcrrklkc` wbce yau rchikzc` tbht yau jaui`
eat oavc bhil al yaur da`y "ta h ohe sullcrkeg lrao past/stramc `cprcsskae+%‛
^syjbkhtrkj Bkstary
^urpasc @coaestrhtkae
Ketra`ujtkae Dclarc yau sthrt tbc ketcrvkcw) cesurc tbc pcrsae ue`crsthe`s
tbc purpasc he` ohmc tbht tbcrc ks ea bchrkeg kophkrocet%
’Bciia) oy ehoc ks @r% Vbheg% Bhs
heyaec tai` yau hdaut tbc ehturc al
tbks ketcrvkcw1 Ict oc cxpihke…‟
K`cetklykeg
Kelarohtkae
he`
`coagrhpbkjs
Mcy `coagrhpbkj `hth kejiu`c6
8% Luii ehoc%
4% Hgc%
:% Gce`cr%
0% Ohrkthi sthtus6 ohrrkc`) `kvarjc`) skegic) wk`aw%
3% Ajjuphtkae "kl tbc pcrsae ks uecopiayc`) tbc ketcrvkcwcr
sbaui` cxpiarc prcvkaus fad he` `urhtkae al
uecopiayocet= kl tbc pcrsae ks h bauscwklc) cxpiarc bcr
spausc ar phrtecr‛s ajjuphtkae%
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Ohstcrkeg ^syjbkhtry ‚ H Jarc Pcxtdaam lar Se`crgrh̀ uhtcs Jbhptcr 4 |"j+ Ocivye WD Vbheg) Jyrus ZB Ba) Tagcr JO Ba) 4>8:
4
^rcscetkeg
jaopihket
Pbc prcscetkeg jaopikhet jhe dc phrt al h lkrst cpksa`c al
kiiecss ar hs aec al h scrkcs al cpksa`cs%
Lar phtkcets wba hrc baspkthiksc`) kt ks koparthet ta cequkrc
wbctbcr tbks h`oksskae ks vaiuethry ar ue`cr tbc Ocethi
@ksar`cr he` Prchtocet Hjt% Zccm tbc pcrsae‛s vkcw ke bks ar
bcr awe war`s hdaut tbc h`oksskae%
Ikst tbc syoptaos ke ihy tcro ke tbc ar`cr al `cjrchskeg
scvcrkty he` sthtc tbc `urhtkae `urkeg prcscethtkae%
’Wbht bhvc draugbt yau bcrc ta tbks
baspkthi ar jikekj1 Jhe yau tcii oc
wbht bhs bhppcec` dclarc tbht1‟
Cxhopic lar prcscethtkae6 ‒Or% Phe
prcscets wktb he ketcetkae ta ce` bks
iklc) bapcicssecss) iaw oaa`) paar
siccp) paar hppctktc he` paar jaejcetrhtkae lar : oaetbs%‛
Bkstary al
prcscet kiiecss
Cequkrc tbc prcjkpkthtkeg lhjtars) syoptaos scvcrkty) `urhtkae
he` jaetcxt al tbc jurrcet cpksa`c ke h jbraeaiagkjhi ar`cr%
Cequkrc ohkethkekeg he` pratcjtkvc lhjtars%
Hsscss kophjt ae rcihtkaesbkps he` luejtkaekeg%
Cequkrc skgeklkjhet ecghtkvcs "c%g% psyjbatkj syoptaos ke
scvcrc `cprcsskae+%
Zccm bks ar bcr vkcws tawhr`s prcvkaus psyjbkhtrkj trchtocets)
hsscss cllkjhjy he` cxpiarc prcvkaus sk`c cllcjts%
Hsscss lar jaooae psyjbkhtrkj jaoardk`kty he` `kllcrcetkhi
`khgeasks hssajkhtc` tbc bkstary al prcscet kiiecss%
Zthrt wktb hiiawkeg tbc pcrsae ta thim
lrcciy lar 3 okeutcs he` `coaestrhtc
chgcrecss ta bchr tbc pcrsae‛s
jaejcres%
Xucstkaes ikmc ’Wbht oh`c yau sccm
trchtocet tbks tkoc1‟ ohy rcvchijurrcet strcssars= he` ’Wbht hrc tbc
pradicos tbht yaur kiiecss bhs jhusc`
yau1‟ hsscsscs luejtkaehi
kophkrocets% ’Wbht `a yau tbkem ohy bhvc jhusc` yau ta lcci ikmc
tbks1‟ ohy rcvchi phtkcet‛s pcrjcptkae
al syoptaos%
^hst psyjbkhtrkj
bkstary
Cequkrc phst psyjbkhtrkj `khgeascs) phst trchtocets
"oc`kjhtkae) psyjbatbcrhpy ar CJP+= sk`c cllcjts hssajkhtc`
wktb psyjbatrapkj oc`kjhtkaes) h`bcrcejc ta trchtocet)
prcvkaus baspkthikzhtkaes "kejiu`keg kevaiuethry h`oksskaes+he` trchtocet autjaocs%
Bkstary al sukjk`c) scil/bhro) vkaicejc he` baokjk`c httcopts ks
csscetkhi ta prc`kjt luturc rksm%
Kt ks koparthet ta k`cetkly tbc prcjkpkthtkeg he` ohkethkekeg
lhjtars al chjb cpksa`c) hs tbks waui` pravk`c koparthet
kelarohtkae ke larouihtkae%
Cxhopic lar prcscethtkae6 ‒Pbks
jurrcet cpksa`c ks ke tbc jaetcxt al
4>/ychr bkstary al `cprcsskvc kiiecss%
4> ychrs hga) Or% Phe lkrst jaesuitc`h psyjbkhtrkst ke prkvhtc prhjtkjc
dcjhusc al iaw oaa`) paar siccp he`
iass al ketcrcst lar < oaetbs% Pbc
psyjbkhtrkst prcsjrkdc` h trkjyjikj
hetk`cprcsshet "hoktrkptyikec+% Or%
Phe jaopihkec` al `ry oautb he`
jaestkphtkae% @uc ta lkehejkhi
jaestrhket) bc jaesuitc` h psyjbkhtrkst
ht tbc Ehtkaehi Sekvcrskty
Baspkthi……%%‛
^hst oc`kjhi
bkstary he`
rcvkcw al ohfarsystcos
Cequkrc phst he` jurrcet oc`kjhi pradicos he` pbyskjhi
syoptaos) ke phrtkjuihr phke "c%g% okgrhkec+) sckzurcs "c%g%
tcoparhi iadc cpkicpsy+) stramc) bch` kefury) ce`ajrkec`ksar`crs he` bchrt `kschscs% Ke`kjhtc oc`kjhtkaes tbht tbc
phtkcet bhs dcce prcsjrkdc` lar tbc hdavc pradicos%
Cequkrc phst surgkjhi pradicos he` surgcry rcjckvc`%
Cxpiarc `rug hiicrgy "cspcjkhiiy ta psyjbatrapkj oc`kjhtkae
he` jihrkly tbc hiicrgkj rchjtkaes+
Cxhopic lar prcscethtkae) ‒Or% Phe
sullcrs lrao bypcrtceskae he`bypcrikpk`hcokh% Pbc paiyjikekj
`ajtar bhs prcsjrkdc` htceaiai 3>og
AO he` skovhsthtke 0>og eajtc% Or%
Phe bhs ea phst bkstary al surgcry%
Bc bhs ea phst bkstary al `rug
hiicrgy%‛
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Ohstcrkeg ^syjbkhtry ‚ H Jarc Pcxtdaam lar Se`crgrh̀ uhtcs Jbhptcr 4 |"j+ Ocivye WD Vbheg) Jyrus ZB Ba) Tagcr JO Ba) 4>8:
:
Pbc pbyskjhi pradicos ohy dc `uc ta tbc oc`kjhtkae cllcjt
"c%g% praiaegc` XPj rcsuitc` lrao hetkpsyjbatkjs+%
Bkstary al
sudsthejc
oksusc
Cequkrc typc "hijabai) dceza`khzcpkec) he` rcjrchtkaehi `rugs+)
hoauet) lrcqucejy) aesct al he` phst trchtocet lar sudsthejcoksusc%
Cxpiarc dkaiagkjhi "c%g% `cikrkuo trcoces! bch` kefury+ he`
psyjbasajkhi jaopikjhtkaes "c%g% `ruem `rkvkeg) `aocstkj
vkaicejc+ hssajkhtc` wktb sudsthejc oksusc%
Cxpiarc tbc usc al tadhjja "quhetkty he` lrcqucejy+%
Iaam lar `uhi `khgeasks c%g% `cprcsskae wktb hijabai oksusc%
Cxpiarc tbc lkehejkhi hspcjt "k%c% tbc lue`keg al sudsthejc
oksusc+%
Ohkethkekeg h eae/fu`gocethi
httktu`c ks csscetkhi ke cequkrkegsudsthejc oksusc%
Earohiksc tbc cxpcrkcejc al
sudsthejc oksusc) ’Wbce pcapic hrc
ue`cr strcss) tbcy ohy usc
rcjrchtkaehi `rugs% K waui` ikmc ta
lke` aut lrao yau wbctbcr yau bhvc
sujb cxpcrkcejc%‟
Hvak` h `krcjt qucstkae ikmc) ’@a yauusc `rugs1‟ wbkjb ohy praopt tbc
pcrsae ta `cey hey `rug usc%
Lhokiy bkstary Cequkrc tbc lhokiy psyjbkhtrkj he` oc`kjhi bkstarkcs%
Iaam lar sudsthejc oksusc "c%g% hijabai+ hoaeg lhokiy
ocodcrs%
Iaam lar chriy he` ueehturhi `chtbs wbkjb ohy ke`kjhtc
sukjk`c%
Drkcliy hsscss tbc quhikty al ketcrpcrsaehi rcihtkaesbkp ke tbc
lhokiy%
@coaestrhtc cophtby kl h jiasc
lhokiy ocodcr sullcrs lrao scvcrc
psyjbkhtrkj kiiecss%
K`cetkly tbc hctkaiagy al psyjbkhtrkj
kiiecss ke lhokiy ocodcrs% C%g%
’Wbht oh`c yau tbkem tbht yaur
oatbcr ohy sullcr lrao `cprcsskae1‟
Dhjmgraue`
bkstary Tcihtkaesbkp ar ohrkthi bkstary "jurrcet he` phst+= wciidckeg al
jbki`rce "c%g% jbki` pratcjtkae kssucs+= psyjbascxuhi bkstary
"scxuhi arkcethtkae) ZP@s kl rcicvhet) kssucs rcihtc` ta
kelcrtkikty) lar waoce) jhe`k`htc ecc`s ta cxpiarc tbc ihst
ocestruhi pcrka`) passkdkikty al prcgehejy he` octba`
jaetrhjcptkae+= sajkhi bkstary "jurrcet ikvkeg sktuhtkae) icvci al
cxprcssc` coatkae) phst copiayocet he` rcikgkae+%
Cequkrc `cthkis hdaut jurrcet ajjuphtkae6 c%g% warmkeg baurs)
ketcrpcrsaehi rcihtkaesbkp ke tbc warmpihjc he` strcss icvci%
Cequkrc rchsaes lar jbhegkeg fads "c%g% ketcrpcrsaehi pradicos
wbkjb rclicjts phtkcet‛s pcrsaehikty+ Iaam lar patcetkhi rksm
hssajkhtc` wktb he ajjuphtkae "c%g% hijabai oksusc ke h ohe
warmkeg ke h dhr+%
@cvciapocethi bkstary6 dkrtb) jbki`baa` `cvciapocet)
rcihtkaesbkp wktb phrcets he` skdikegs) bkstary al
pbyskjhi!scxuhi hdusc) praiaegc` scphrhtkae) uebhppy
jbki`baa`%
Zccm pcroksskae lrao tbc phtkcet ta
cxpiarc scesktkvc kssuc) ‒Kt kskoparthet lar oc ta cxpiarc tbc
laiiawkeg hspcjt hs kt ohy dc rcicvhet
ta yaur jhsc% Zaoc al tbc kssucs hrc
scesktkvc% Waui` kt dc hirkgbt wktb
yau1 Ohy K meaw yaur scxuhi
arkcethtkae1‛
Xucstkaes ta hsscss prcoardk`
pcrsaehikty6
‒Baw waui` yau `csjrkdc yaur
jbhrhjtcr1‛
‒Baw `a yau tbkem yaur lrkce`s ar rcihtkvcs waui` `csjrkdc yau1‛
‒Bhs yaur jbhrhjtcr jbhegc` skejcyau dcjhoc uewcii1‛
8/15/2019 Mastering Psychiatry 2013 (Final)
22/362
Ohstcrkeg ^syjbkhtry ‚ H Jarc Pcxtdaam lar Se`crgrh̀ uhtcs Jbhptcr 4 |"j+ Ocivye WD Vbheg) Jyrus ZB Ba) Tagcr JO Ba) 4>8:
0
C`ujhtkae bkstary6 `cthkis al sjbaaikeg hgc tbht sjbaaikeg dcghe
he` stappc`% Kl c`ujhtkae ks stappc` prcohturciy) cequkrc tbc
rchsaes% C`ujhtkae dhjmgraue` hllcjts pcrlarohejc al tbc
Okek/Ocethi Zthtc Cxhokehtkae "OOZC+%
^rcoardk` pcrsaehikty6 Hsm tbc pcrsae ta `csjrkdc bks ar bcr
jbhrhjtcr) bhdkts) ketcrcsts) httktu`c ta scil ar atbcrs he` japkeg
ocjbheksos%
Larceskj bkstary6 bkstary al allcejcs) tbc ehturc al allcejcs)
jurrcet sthtus "jaevkjtc` ar pce`keg jaurt jhsc+) prcvkaus
koprksaeocet he` rcoarsc tawhr`s tbc vkjtko%
‒Jhe yau tcii oc yaur httktu`c
tawhr`s atbcr pcapic ikmc jaiichgucs)
supcrvksars he` tbc sajkcty1‛
Tksm hsscssocet Cequkrc sukjk`hi he` baokjk`hi k`chtkaes) hjjcss ta ihrgc
hoauet al oc`kjhtkaes) sbhrp adfcjts) lkrchros he` tce`cejy ta
vkaicejc%
Tksm ks eat ikoktc` ta tbc hdavc% Ke yaueg pcapic wktb H@B@)
jhe`k`htcs ecc` ta hsscss tbc rksm al hjjk`cets `uc ta paar
kopuisc jaetrai he` bypcrhjtkvktkcs%
Ke ai` pcapic wktb jagektkvc kophkrocet) jhe`k`htcs ecc` ta
hsscss rksm al lhii) lkrc) hjjk`cets he` cxpiakthtkae%
^capic wktb sukjk`hi ar baokjk`hi
k`chtkae hrc altce guhr`c` ta sbhrc
wktb tbc atbcrs ae tbckr tbaugbts%Jhe`k`htcs sbaui` dc cophtbctkj ta
tbc phtkcets he` allcr rchssurhejc tbht
tbcy hrc ketcrcstc` ke tbc phtkcets‛
wcii dckeg he` whet ta allcr bcip hsoujb hs passkdic% C%g% ’K ho sarry ta
bchr tbht yau bhvc gaec tbraugb sa
oujb bhr`sbkp% Bhvc yau dcce
tbkemkeg hdaut `chtb ar ce`keg yaur
iklc1‟
Jiaskeg ’Wc ohy ecc` ta wrhp up tbc ketcrvkcw sbartiy% K waui` ikmc ta
kevktc yau ta hsm oc hey qucstkaes% K wkii try oy vcry dcst ta
h``rcss yaur jaejcres%‟
Hiwhys jiasc dy tbhemkeg tbc phtkcet%
Ocethi sthtc cxhokehtkae
Thppart he` httktu`c
ta tbc ketcrvkcw
Pbc ketcrpcrsaehi ehturc al rhppart kejiu`c csthdiksbkeg tbc outuhi cxpcrkcejc he` hwhrcecss al
tbc prcscejc al tbc atbcr) tbc outuhi sbhrkeg al tbaugbts he` lccikegs) tbc eatkae al cophtby he`tbc `cvciapocet al outuhi trust dctwcce tbc ketcrvkcwcrs he` phtkcets%
Hppchrhejc he`
dcbhvkaurs
Gcecrhi hppchrhejc kejiu`cs tbc adscrvhtkae al `rcss) graaokeg) lhjkhi cxprcsskae he` hejkiihry
adfcjts "c%g% bhe`julls) wchpaes) ctj+ altce pravk`c kelarohtkae hdaut httktu`c he` atbcr eae/
vcrdhi jaoouekjhtkaes rcicvhet ta rhppart%
Dcbhvkaurs6 Adscrvhtkae al eae/vcrdhi dcbhvkaurs kejiu`cs jaoocetkeg ae tbc cyc jaethjt)
gcsturcs he` atbcr usclui jaoouekjhtkaes%
"h+ @kskebkdktkae rclcrs ta dcbhvkaurhi he` sajkhi oheklcsthtkaes al ue`uc lhokikhrkty)
jahrscecss) he` hggrcsskvc dcbhvkaurs%
"d+ Oheecrksos "rcpctktkvc dcbhvkaurs wktbaut scrvkeg hey purpasc+) stcrcatypkcs "rcpctktkvc dcbhvkaurs scrvkeg h purpasc+ he` uejaetraiic` hggrcsskae ohy ke`kjhtc kophkrocet ke
rchikty tcstkeg%"j+ Jbki`ikmc dcbhvkaur ar rcgrcsskae6 Pbks ohy ajjur ke he h`uit wktb pcrsaehikty `ksar`cr%
Pbc pcrsae ohy bai` h tay ar stullc` hekohi hs trhesktkaehi adfcjt%
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Ohstcrkeg ^syjbkhtry ‚ H Jarc Pcxtdaam lar Se`crgrh̀ uhtcs Jbhptcr 4 |"j+ Ocivye WD Vbheg) Jyrus ZB Ba) Tagcr JO Ba) 4>8:
3
Zpccjb "h+ Pbc rhtc) vaiuoc he` prcssurc al spccjb "c%g% kejrchsc` rhtc ke ohekh he` `cjrchsc` rhtc
ke `cprcsskae+%
"d+ Iass al taec ks scce ke pcapic wktb Hspcrgcr‛s sye`raoc%
"j+ @yshrtbrkh kevaivkeg siurrc` spccjb%
"`+ @yspbhskhs "c%g% Wcrekjmc‛s he` Drajh‛s `yspbhskhs+%
"c+ Ztuttcrkeg he` jiuttcrkeg al spccjb%
"l+ Cxpiaskvc quhikty wktb larjc` vajhikzhtkae "ke hgkthtc` he` hegry phtkcet+%
"g+ ^rcscrvhtkvc lchturcs ke spccjb "c%g% `kllkjuity ke jbhegkeg tapkjs ke pcapic wktb lraethi
iadc sye`raoc+%"b+ Cicjtkvc outkso%"k+ ^avcrty al spccjb%
Pbaugbt Pbc liaw al tbaugbt6
8% Jkrjuosthetkhikty%
4% Phegcetkhikty%
:% Likgbt al k`chs! rhjkeg tbaugbts "ke ohekj phtkcets+%
0% Pbaugbt diajmkeg%
3% Iaascekeg al hssajkhtkaes%
Pbc laro al tbaugbt
8% Adscsskaes%
4% Avcrvhiuc` k`chs%
:% @ciuskaes%
Pbc jaetcet al tbaugbt
8% Pbks pravk`cs he appartuekty ta hsscss tbc jhphjkty al h pcrsae ta cxprcss bks ar bcr
cxpcrkcejcs he` jikekjhi kelarohtkae%
4% Jaetcet al pbadkh6 jraw`c` hrch "hgarhpbadkh+) jcetrc al httcetkae "sajkhi pbadkh+ ar
adfcjt "c%g% spk`cr+
:% Adscsskaehi tbcocs6 jaethokehtkae) bhrokeg tbc atbcrs) ketciicjtuhi hspcjts "c%g%
purpasc ke iklc+
Pbaugbt ketcrlcrcejc6 tbaugbt kescrtkae) wktb`rhwhi he` drah`jhstkeg%
Avcrvhiuc` k`chs%
@ciuskaes6
8% ^rkohry `ciuskaes "c%g% oardk` fchiausy) pcrscjutary) rclcrcejc+
4% Zcjae`hry `ciuskaes "c%g% ekbkikstkj) grhe`kasc+
:% ^hsskvkty pbceaoceh ar `ciuskae al jaetrai
0% @ciuskaehi oksketcrprcthtkae
Hllcjt he` oaa` Gcecrhi `csjrkptkae al hllcjt6 bhppy) cupbarkj) ohekj) `cprcssc`) tchrlui) hexkaus) hegry ar
`cthjbc`%
Thegc al hllcjt6 kt jhe dc wktbke earohi rhegc) ihdkic hllcjt) diuetc` hllcjt) liht hllcjt ar hphtby%
h% Ihdkic hllcjt6 rhpk` liujtuhtkae al hllcjt "c%g% lrao tchrluiecss he` ihugbtcr ke h8>/okeutc ketcrvkcw) scce ke phtkcets wktb dkpaihr `ksar`cr+%
d% Diuetc` hllcjt6 rc`ujtkae ke vhrkhtkae ke oaa` he` coatkaes%
j% Liht hllcjt6 hioast tathi hdscejc al vhrkhtkae ke oaa` he` coatkaes%
`% Hphtby oches ’lrcc`ao lrao lccikeg‟ ar h `uiic` coatkaehi taec% Kt hisa
jaevcys tbc scesc al ke`aicejc he` ke`kllcrcejc ta wbht earohiiy cxjktcs
coatkae ar ketcrcst% @cthjbocet ks aec al tbc hspcjts al hphtby% Hphtby ks h
ecghtkvc syoptao ke sjbkzapbrcekh he` hisa scce ke phtkcets wktb `cocetkh%
4% Atbcr `csjrkptkaes al hllcjt6 sthdkikty tbraugbaut tbc ketcrvkcw) jaegrucet wktb tbc
bkstary al prcscet kiiecss he` prcscet jaopihket%
:% Oaa` rclcrs ta tbc sudfcjtkvc coatkaehi sthtc `csjrkdc` dy h phtkcet% Hsm tbc pcrsae tarhtc bks ar bcr oaa` ke h sjhic al 8 ta 8> "8 oches vcry sh` he` 8> oches vcry bhppy+
he` iaam lar jaegrucejy wktb tbc hllcjt adscrvc` dy tbc jhe`k`htc%
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Ohstcrkeg ^syjbkhtry ‚ H Jarc Pcxtdaam lar Se`crgrh̀ uhtcs Jbhptcr 4 |"j+ Ocivye WD Vbheg) Jyrus ZB Ba) Tagcr JO Ba) 4>8:
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Atbcr lchturcs hssajkhtc` wktb hllcjt6
0% Hicxktbyokh rclcrs ta `kllkjuity ke h pcrsae ta vcrdhiksc bks ar bcr coatkae%
3% Ihugbtcr ks h uekvcrshi buohe dcbhvkaur he` altce h pichsurhdic rcikcl al tceskae%
Hppraprkhtc ihugbtcr ohy dc h vcry usclui pbceaoceae ta adscrvc ke tbht kt jaelkros tbc
pcrsaes‛ rchjtkvkty al hllcjt) tbckr jhphjkty lar cxbkihrhtkae he` outuhi cefayocet%
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Ohstcrkeg ^syjbkhtry ‚ H Jarc Pcxtdaam lar Se`crgrh̀ uhtcs Jbhptcr 4 |"j+ Ocivye WD Vbheg) Jyrus ZB Ba) Tagcr JO Ba) 4>8:
7
^byskjhi cxhokehtkae
^byskjhi cxhokehtkae ks koparthet lar psyjbkhtrkj prhjtkjc he` stu`cets hrc h`vksc` ta iaam lar tcii/thic skges lar ue`criykeg
pbyskjhi jae`ktkaes%
Gcecrhi kespcjtkae
8% Gcecrhi wcii/dckeg he` da`y skzc "c%g% jhjbcxkh ke hearcxkh ecrvash) adcskty wbkjb ohy
suggcst octhdaikj sye`raoc+%
4% Hdearohi cycs "c%g% cxapbtbhioas ke Grhvcs‛ `kschsc= ik` ihg ks h skge ke tbyrataxkjasks+%
:% Htypkjhi lhjkhi lchturcs ohy suggcst sye`raocs hssajkhtc` wktb ichrekeg `kshdkikty "c%g%@awe‛s sye`raoc+%
0% Cxtrcoktkcs6 sjhrs ae tbc hros ohy ke`kjhtc `cikdcrhtc scil/bhro ke pcapic wktb
dar`crikec pcrsaehikty `ksar`cr% Ecc`ic trhjms ohy ke`kjhtc ketrhvceaus `rug usc%
Ecuraiagkjhi
cxhokehtkae
8% Iaam lar trcoar `uc ta tbyrataxkjasks) wktb`rhwhi lrao hijabai) cxtrhpyrhok`hi sk`c
cllcjts+%
4% Iaam lar kevaiuethry oavcocets "c%g% rcsticssecss ke iawcr ikods ks hisa meawe hs
hmhtbkskh wbkjb ks ke`ujc` dy hetkpsyjbatkjs+%
:% Iaam lar hdearohi pasturkeg "c%g% whxy licxkdkikty ke jhthtaekh+%
0% Iaam lar hdearohi ghkt "c%g% sbullikeg ghkt ke pcapic wktb ^hrmkesae‛s `kschsc= drah`/
dhsc` ghkt hs h jcrcdciihr skge ke pcapic wba oksusc hijabai+%
Jhr`kavhsjuihr
cxhokehtkae
3% ^uisc6 bchrt rhtc he` phttcre%
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Ohstcrkeg ^syjbkhtry ‚ H Jarc Pcxtdaam lar Se`crgrh̀ uhtcs Jbhptcr 4 |"j+ Ocivye WD Vbheg) Jyrus ZB Ba) Tagcr JO Ba) 4>8:
2
@khgeasks he` bkcrhrjby al `khgeasks
Ztu`cets hrc h`vksc` ta pravk`c tbc `khgeasks dhsc` ae tbc @ZO/K\/PT ar KJ@/8> jrktcrkh% @ZO/K\/PT uscs tbc lkvc hxks
hpprahjb "Hxks K ‚ ohke psyjbkhtrkj kiiecss= Hxks KK ‚ pcrsaehikty `ksar`cr ar ocethi rcthr`htkae= Hxks KKK ‚ gcecrhi oc`kjhi
jae`ktkae= Hxks K\ ‚ psyjbasajkhi he` cevkraeocethi pradicos= Hxks \ ‚ Giadhi hsscssocet al luejtkaekeg "GHL sjarc+%
Ztu`cets hrc h`vksc` ta ruic aut tbc jae`ktkaes ht tbc uppcr phrt al tbc pyrhok` dclarc jaejiu`keg tbc jae`ktkaes ht tbc
dattao phrt al tbc pyrhok`% Pbc jae`ktkaes ht tbc uppcr phrt al tbc pyrhok` hrc gkvce tbc `khgeastkj prkarkty dcjhusc tbcsc
jae`ktkaes hrc trchthdic he` rcvcrskdic dy dkaiagkjhi trchtocets%
Larouihtkae
Larouihtkae al h jhsc jaui` dc dhsc` ae tbc ue`cr/ocetkaec` oa`ci6
^rc`kspaskeg lhjtars ^rcjkpkthtkeg lhjtars Ohkethkekeg lhjtars
Dkaiagkjhi
lhjtars
Gcectkjs "c%g% koparthet lar
sjbkzapbrcekh) dkpaihr
`ksar`cr) scvcrc `cprcsskvc
cpksa`c) adscsskvc jaopuiskvc
`ksar`cr he` Hizbckocr‛s
`kschsc+
Cxhopics6
/ Tcjcet pbyskjhi kiiecss
ich`keg ta `cprcsskae%
/ Zudsthejc oksusc ich`keg ta
psyjbasks%
/ Ziccp `cprkvhtkae ich`keg ta
ohekh%
Cxhopics6
/ Jbraekj oc`kjhi `kschscs)
/ Jaetkeuc` hijabai oksusc%
^syjbaiagkjhi
lhjtars
^crsaehikty he` tcopcrhocet% Cxhopics6
/ Tcjcet iass he` strcss%
/ Eae ‚ h`bcrcejc ta
oc`kjhtkae%
Cxhopics6
/ Pbc prcscejc al jagektkvc crrars%
/ Ihjm al ochekeglui hjtkvktkcs%
/ Kophkrc` keskgbt%
Zajkhi lhjtars H`vcrskty ke sajka/cjaeaokj
sthtus= chriy scphrhtkae lrao
phrcets%
Cxhopics6
Iklc cvcets6 `kvarjc ar
uecopiayocet%
Cxhopics6
Ihjm al kejaoc ar sajkhi ksaihtkae%
@cikrkuo he`
Arghekj `ksar`crs
Tcvcrskdic `cocetkh
Zjbkzapbrcekh
Oaa` `ksar`crs
Ecurascs he` hexkcty `ksar`cr
Zaohtalaro he` pcrsaehikty `ksar`crs
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Ohstcrkeg ^syjbkhtry ‚ H Jarc Pcxtdaam lar Se`crgrh̀ uhtcs Jbhptcr 4 |"j+ Ocivye WD Vbheg) Jyrus ZB Ba) Tagcr JO Ba) 4>8:
;
Kevcstkghtkaes
8% Tautkec kevcstkghtkaes ke psyjbkhtry6 LDJ) ILPs) S , Cs ar TLPs) PLPs) Srkec `rug sjrcce he` CJG "ta iaam lar
praiaegc` XPj+%
4% Lurtbcr kevcstkghtkaes wkii dc rcqukrc` dhsc` ae phtkcet‛s bkstary he` patcetkhi `khgeasks) c%g% JP ar OTK drhke
sjhe) CCG) \@TI) D84 he` laihtc) BK\ tcstkeg wktb phtkcet‛s jaescet%%:% Wktb tbc phtkcet‛s pcroksskae) tbc psyjbkhtrkst ohy adthke jaiihtcrhi bkstary lrao phrtecr ar spausc) lrkce`s) lhokiy)
G^s he` atbcr pralcsskaehis%0% Kevcstkghtkaes `a eat ikokt ta tbc jikekjhi scttkeg% Pbc trchtocet tcho ohy jaesk`cr `akeg h baoc vkskt ta
ue`crsthe` tbc ketcrhjtkae dctwcce baoc cevkraeocet he` jurrcet psyjbkhtrkst kiiecss% Ajjuphtkaehi tbcrhpkst jhe
hsscss tbc hjtkvkty al `hkiy ikvkeg al he ke`kvk`uhi wbkic sajkhi warmcr jhe hsscss sajkhi suppart%
3% Kl tbc phtkcet rcqukrcs lurtbcr psyjbaiagkjhi hsscssocet) tbc psyjbkhtrkst ecc`s ta k`cetkly h jichr gahi% Lar cxhopic)
h dhscikec ecurapsyjbaiagkjhi hsscssocet al h pcrsae wktb rcjcet bch` kefury he` rcpcht tbc hsscssocet hltcr skx
oaetbs al jagektkvc rcbhdkikthtkae%
Ohehgcocet he` ouitk`ksjkpikehry hpprahjb
8% Prchtocet jhe dc `kvk`c` hs kooc`khtc) sbart tcro) oc`kuo tcro he` iaeg tcro%
4% Kooc`khtc trchtocet kejiu`cs baspkthikshtkae he` jiasc supcrvkskae ta prcvcet sukjk`c httcopt ar prcsjrkptkae al
dceza`khzcpkecs ta prcvcet hijabai wktb`rhwhis% Hppikjhtkae al Ocethi @ksar`cr he` Prchtocet Hjt ta h`okt tbc phtkcets wba hrc ht rksm dut rclusc h`oksskae ta tbc Kestktutc al Ocethi Bchitb%
:% Zbart tcro trchtocet ohy kejiu`c dkaiagkjhi trchtocets) rksm ohehgcocet he` `ksjbhrgc piheekeg%
h% Dkaiagkjhi trchtocets6 `cpce`keg ae tbc `khgeasks) jaoardk`kty he` `rug ketcrhjtkaes) psyjbkhtrksts ohyjaesk`cr hetkpsyjbatkjs) hetk`cprcsshets) oaa` sthdkikscrs) dceza`khzcpkec he` hetk/`cocetkh oc`kjhtkae%
d% Jaesuitkeg atbcr spcjkhiksts6 kl ecjcsshry) tbc psyjbkhtrksts ohy adthke keput lrao atbcr cxpcrts keoc`kjkec) surgcry) phc`khtrkjs) gcrkhtrkjs) he` adstctrkjs he` gyehcjaiagy%
j% Tksm ohehgcocet kevaivcs oa`klykeg he` ohehgkeg rksm lhjtars% "C%g% trcht tbc ue`criykeg `cprcsskvc`ksar`cr ta prcvcet sukjk`c he` ta h`vksc jhrcgkvcrs ta rcoavc sbhrp ktcos ht baoc ta prcvcet scil/bhro+%
Kt ks koparthet ta prcvcet bhro ta atbcr pcapic "lar cxhopic) kelaro tbc sajkhi hgcejy ta cesurc tbc shlcty
al tbc phtkcet‛s jbki`rce+%
`% Csthdiksb tbcrhpcutkj hiikhejc lar luturc psyjbaiagkjhi tbcrhpy% ^syjbac`ujhtkae he` suppartkvcjauesciikeg jhe dc allcrc` wbkic tbc phtkcet sthys ke tbc whr`% Oarc sapbkstkjhtc` tbcrhpy c%g% jagektkvc
dcbhvkaur tbcrhpy rcqukrcs lurtbcr warm hltcr `ksjbhrgc%
c% @ksjbhrgc piheekeg wktb hjtkvc jaiihdarhtkae wktb phtkcet‛s rcihtkvcs) autphtkcet psyjbkhtrkst) jhscohehgcr "c%g% ke Chriy psyjbasks pragrhooc+) G^) he` jaoouekty psyjbkhtrkj tcho% Pbc rcihtkvcs he`
ocethi bchitb tcho jhe bcip ta k`cetkly rcihpsc he` pihys he hjtkvc raic ke tbc jaetkegcejy pihe
0% Oc`kuo he` iaeg tcro trchtocet ohy kejiu`c psyjbaiagkjhi he` sajkhi trchtocets%
h% ^syjbaiagkjhi trchtocets ohy kevaivc jauesciikeg) suppartkvc psyjbatbcrhpy) jagektkvc dcbhvkaur tbcrhpy ar ketcrpcrsaehi tbcrhpy% Ke`kvk`uhis oust cxpiarc phtkcet‛s oatkvhtkae) prclcrcejcs he` prcvkaus
rcspaesc ta psyjbaiagkjhi trchtocets%
d% Zajkhi trchtocets ohy kevaivc oaektarkeg dy jaoouekty psyjbkhtrkj eurscs) vajhtkaehi hsscssocet)suppartc` warm sjbcocs) `aokjkikhry scil jhrc trhkekeg) suppartc` hjjaooa`htkae he` jbki` pratcjtkae%
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Ohstcrkeg ^syjbkhtry ‚ H Jarc Pcxtdaam lar Se`crgrh`uhtcs Jbhptcr : | :"j+ Ocivye WD Vbheg) Jyrus ZB Ba) Tagcr JO Ba) 4>8:
Ecura`cvciapocethi tbcary al sjbkzapbrcekh
Ketrhutcrkec pcrka` Jbki`baa` he` h`aicsjcejc
[aueg h`uitbaa`
Gcectkj) hetcehthi he` pcrkehthi rksm lhjtars jhusc h `ksturdhejc ke wbkjb
tbc earohi phttcre al pragrhooc`jcii `chtb ks jaopraoksc` he` ich`sta h `clcjt ke tbc earohi ar`criyokgrhtkae al ecuraes tawhr` tbc
jartkjhi pihtc% Pbks bhs scrkausjaescqucejcs lar tbc csthdiksbocet
al h earohi phttcre al jartkjhijaeecjtkaes%
Jaestciihtkae al chriy skges kejbki`baa` kejiu`cs hdearohi cyc"shjjh`kj+ trhjmkeg oavcocets)ecurapsyjbaiagkjhi `clkjkts) salt
ecuraiagkjhi skges "c%g%
jiuoskecss) ke/jaar`kehtkae ar eae/spcjklkj CCG jbhegcs+ he`
hdearohi dcbhvkaurs%
Jihsskjhi sjbkzapbrcekhsyoptaos cocrgc hs hrcsuit al hjjuouihtc`ketrhjcrcdrhi phtbaiagy
he` sphtkhi `kshrrhy al
ecuraes wbce tbcbuohe drhke rchjbcs
jcrthke icvci al ohturkty%
Ecuradkaiagy al sjbkzapbrcekh
Grass phtbaiagkjhi jbhegcs ke sjbkzapbrcekh6
8% Htrapby al tbc prclraethi jartcx he` tcoparhi iadc "`ksturdc` ecurhi ectwarm ke tbc prclraethi he`oc`khi tcoparhi iadcs ks tbc jarc psyjbaphtbaiagkjhi lchturc+%
4% Jbhegcs ke tbc jarpus jhiiasuo% :% Kejrchsc` vcetrkjuihr skzc ht jaoocejcocet al `kschsc "JP jbhegcs ke tbc tbkr` he` ihtcrhi vcetrkjics
he` tbc tcoparhi bares+% 0% Tc`ujtkae ke tbc avcrhii drhke vaiuoc% 3% Zohiicr tbhihous%
Bkstaiagkjhi jbhegcs ke sjbkzapbrcekh6
8% Jciiuihr iass ke tbc bkppajhopus%4% Tc`ujtkae al tbc euodcr al oc`ka/`arshi tbhihokj ecuraes%
:% Tc`ujc` ecuraehi `ceskty ke tbc prclraethi) jkeguihtc he` oatar jartcx0% Hdearohi phttcres al oycikehtkae ke tbc bkppajhopus he` tcoparhi iadcs hs h rcsuit al hdearohi
okgrhtkae) hdearohiiy skzc` ecuraes)
Ecurajbcokjhi hdearohiktkcs6
• @aphokec6 `aphokec ke ocsaikodkj phtbwhy he` tbc `aphokec bypatbcsks prapascs tbht kejrchsc`
icvcis al ̀ aphokec jhusc sjbkzapbrcekh%• Zcrataeke "3 BP+6 Pbcrc ks he ketcrcstkeg rcihtkaesbkp dctwcce scrataeke he` `aphokec% Pbc twa
scrataeke phtbwhys wbkjb hrc hllcjtc` ke sjbkzapbrcekh kejiu`c "8+ tbc prafcjtkaes lrao `arshi rhpbc
eujick ta tbc sudsthetkh ekgrh he` "4+ tbc prafcjtkaes lrao tbc rastrhi rhpbc eujick hsjce`keg keta tbcjcrcdrhi jartcx) ikodkj rcgkaes he` dhshi ghegikh% Pbc 3BP4H rcjcptar hgaekso kebkdkts ̀ aphokecrcichsc% Wbce tbcrc ks cxjcss scrataeke pra`ujc` dy tbcsc twa phtbwhys) tbcrc ks h rc`ujtkae al tbc
hvhkihdkikty al `aphokec he` tbht jhe gkvc rksc ta tbc ecghtkvc syoptaos al sjbkzapbrcekh% Zcjae`
gcecrhtkae hetkpsyjbatkjs sujb hs rkspcrk`aec) dke` ta tbc @4) 3/BP4H he`4 h`rcecrgkj rcjcptars ke
tbc drhke% Tkspcrk`aec jaopctcs wktb scrataeke he` kts hethgaekso ht 3BP4H rcjcptars jhusc he kejrchscke `aphokec ta rcikcvc ecghtkvc syoptaos% Hs rkspcrk`aec hisa diajms @4 rcjcptars) tbc pasktkvc
syoptaos hrc rc`ujc` ht tbc shoc tkoc%
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Ohstcrkeg ^syjbkhtry ‚ H Jarc Pcxtdaam lar Se`crgrh`uhtcs Jbhptcr : | 0"j+ Ocivye WD Vbheg) Jyrus ZB Ba) Tagcr JO Ba) 4>8:
Zyoptaos al Zjbkzapbrcekh "Dhsc` ae KJ@/8> +
KJ@/8> @khgeastkj Jrktcrkh "Jarc lchturcs ‚ ue`crikec`+
Gcecrhi hppchrhejc
Ea spcjklkj jrktcrkh% ^htkcet ohy dc uemcopt he` tbcrc ks`ctcrkarhtkae ke scil jhrc `uc ta`cjikec ke ajjuphtkae he` sajkhi
luejtkae%
Pbaugbts6
8% Pbaugbt kescrtkae4% Pbaugbt wktb`rhwhi :% Pbaugbt drah`jhstkeg 0% Larohi tbaugbt
`ksar`crs "c%g%ecaiagkso+
Hllcjt6
8% Liht ar kehppraprkhtchllcjt
Bhiiujkehtkae6
8% \akjcs jaoocetkeg4% \akjcs ̀ ksjusskeg ar
hrgukeg:% Hu`kdic tbaugbts0% Atbcr pcrskstcet
bhiiujkehtkaes kl ajjurslrcqucetiy ar hjjaophekc` dy
`ciuskaehi tbkemkeg ar susthkec` avcrvhiuc`k`ch "KJ@+%
@ciuskae6 8% @ciuskaehi pcrjcptkae4% ^crskstcet `ciuskaehi
dcikcls hrc jaopictciykopasskdic% "KJ@+
^hsskvkty! @ciuskae al jaetrai68% Oh`c wkii
4% Oh`c hjts:% Oh`c hllcjt0% Zaohtkj phsskvkty3% Pbaugbt ketcrlcrcejc
Ketcrcst8% Iass al ketcrcst
"hvaiktkae+) hkoicssecss)k`icecss) h scil hdsardc`httktu`c he` sajkhiwktb`rhwhi avcr aec
ychr "KJ@ ‚ skopicsjbkzapbrcekh+
Zpccjb8% Kejabcrcet ar krrcicvhet
spccjb "larohi tbaugbt`ksar`cr+"KJ@+
4% ^hujkty al spccjb"hiagkh+"KJ@+
Dcbhvkaur 8% Jhthtaekj dcbhvkaur
"KJ@+4% Zajkhi kophkrocet "KJ@+:%
@ksturdhejc oust ihst lar ht ichst < oaetbs%
Zjbeck`cr‛s lkrst rhem syoptaos "HDJ@+6H ‚ Hu`ktary bhiiujkehtkae "4
e`ar :
r`pcrsae= tbaugbt cjba= rueekeg jaoocethry= vakjcs `ksjusskeg phtkcet+%
D ‚ Drah`jhstkeg "tbaugbt drah`jhstkeg) kescrtkae he` wktb`rhwhi+%
J ‚ Jaetrai "@ciuskae al jaetrai he` phsskvkty+@ ‚ @ciuskaehi pcrjcptkae
@ZO/3 @khgeastkj Jrktcrkh6
Zjbkzapbrcekh6
^rcscejc al 4 ar oarc al tbc laiiawkeg syoptaos avcr h 8 oaetb pcrka`6h% @ciuskaes
d% Bhiiujkehtkaes
j% Hdearohi spccjb`% @ksarghekzc` dcbhvkar
c% Ecghtkvc syoptaos"ht ichst 8 al wbkjb oust dc h) d ar j+
Zujb tbht he ke`kvk`uhi‛s prcoardk` icvci al luejtkaekeg ks hllcjtc` ke scvcrhi ohfar `aohkes al iklc%Pbcrc oust dc jaetkeuaus kophkrocet avcr h pcrka` al ht ichst < oaetbs) `urkeg wbkjb tbc ke`kvk`uhi okgbt cxpcrkcejc cktbcr hjtkvcar rcsk`uhi syoptaos%
Pbcsc syoptaos oust eat dc `uc ta tbc cllcjts al sudsthejc ushgc ar he ue`criykeg oc`kjhi jae`ktkae
Pbaugbt/spccjb hxks
Hllcjt/ketcrcsthxks
Hppchrhejc /dcbhvkaur hxks
Tchiktyhxks
ZJBKVA^BTCEKH
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Ohstcrkeg ^syjbkhtry ‚ H Jarc Pcxtdaam lar Se`crgrh`uhtcs Jbhptcr : | 3"j+ Ocivye WD Vbheg) Jyrus ZB Ba) Tagcr JO Ba) 4>8:
Lurtbcr Avcrvkcw al @ZO ‚ 3
Euodcr al syoptaos Pbc @ZO/3 spcjklkc` tbht lar he ke`kvk`uhi ta luilkii tbks `khgeasks) bc!sbc oust bhvc ht ichst 4 ar oarc al tbc
laiiawkeg syoptaos6
h% Bhiiujkehtkaes
d% @ciuskaes
j% Kejabcrcet he` `ksarghekzc` spccjb
`% @ksarghekzc` ar jhthtaekj dcbhvkaur
c% @kokeksbc` coatkaehi cxprcsskae ! ecghtkvc syoptaos
Al wbkjb ht ichst aec al "h+) "d+ ar "j+ ks prcscet
Zyoptaos oust dc jaetkeuaus lar ht ichst 8 oaetb ke `urhtkae avcr h < oaetbs pcrka` al ohrmc` kophkrocet ke
prcoardk` luejtkaekeg%
@ctcrkarhtkae ke
ajjuphtkaehi he` sajkhi
luejtkae
Kt ks h jaopuisary jrktcrkae%
@urhtkae al syoptaos Pbc okekouo `urhtkae al `ksturdhejc ks ht ichst < oaetbs% Pbc okekouo `urhtkae al syoptaos ks ht ichst 8
oaetb%
Kejiuskae al skopic
sjbkzapbrcekh he`
sjbkzapbrceklaro
`ksar`cr
Zudtypcs al sjbkzapbrcekh bhvc dcce rcoavc` ke @ZO \ `uc ta ikoktc` `khgeastkj sthdkikty) vhik`kty he`
rcikhdkikty%
Zjbkzapbrceklaro `ksar`cr6
Pbc @ZO/3 spcjklkc` tbht lar he ke`kvk`uhi ta luilkii tbks `khgeasks) bc!sbc oust bhvc) lar h `urhtkae al dctwcce
8 ta < oaetbs) tbc laiiawkeg syoptaos6
h% Bhiiujkehtkaes
d% @ciuskaes
j% @ksarghekzc` ar jhthtaekj dcbhvkaur
`% @ksarghekzc` spccjb
c% @kokeksbc` coatkaehi cxprcsskae ! ecghtkvc syoptaos
Pbc jikekjkhe sbaui` bhvc jaesk`crc` he` ruic` aut tbc `kllcrcetkhis al sjbkzahllcjtkvc `ksar`cr) `cprcsskvc ar
dkpaihr `ksar`cr wktb psyjbatkj lchturcs%
Atbcr typcs al
sjbkzapbrcekh
@ZO/3 bhs rcoavc` tbc sudtypcs al sjbkzapbrcekh wbkjb wcrc prcvkausiy prcscet ke @ZO/K\ PT%
Pbc jikekjhiiy rcicvhet sudtypcs al sjbkzapbrcekh wbkjb aec ohy stkii cejauetcr hs dhsc` ae @ZO K\ PT
kejiu`cs6
8% ^hrheak` typc "dcst prageasks+
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8/15/2019 Mastering Psychiatry 2013 (Final)
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Ohstcrkeg ^syjbkhtry ‚ H Jarc Pcxtdaam lar Se`crgrh`uhtcs Jbhptcr : | 7"j+ Ocivye WD Vbheg) Jyrus ZB Ba) Tagcr JO Ba) 4>8:
h% @ciuskaes
d% Bhiiujkehtkaes
j% @ksarghekzc` spccjb
`% Grassiy `ksarghekzc` ar jhthtaekj dcbhvkar
al wbkjb ht ichst 8 al tbcsc oust dc "h+) "d+ ar "j+
Pbc ke`kvk`uhi sbaui` dc hdic ta rcture ta prcoardk` icvci al luejtkaekeg hltcr tbc jaursc al tbc kiiecss%
Jikekjkhes ecc` ta cxjiu`c `kllcrcetkhis ikmc ohfar `cprcsskae ar dkpaihr `cprcsskae wktb psyjbatkj lchturcs)
sjbkzapbrcekh he` cxjiu`c tbc passkdkikty al tbc syoptaos dckeg `uc ta ue`criykeg sudsthejc usc ar oc`kjhi
jae`ktkaes%
Drkcl psyjbatkj `ksar`cr jaui` ajjur cktbcr ke tbc prcscejc ar hdscejc al strcssars%
^ast/sjbkzapbrcekh
@cprcsskae
Eat ocetkaec`
Zjbkzatyphi `ksar`cr Pbks `ksar`cr ks jaesk`crc` ta dc h pcrsaehikty `ksar`cr dut @ZO/3 hisa iksts tbks `ksar`cr ue`cr sjbkzapbrcekh% Kt
oust luilki 4 jarc jrktcrkh lar pcrsaehikty `ksar`cr6 kophkrocet ke scil he` ketcrpcrsaehi luejtkaekeg%
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Ohstcrkeg ^syjbkhtry ‚ H Jarc Pcxtdaam lar Se`crgrh`uhtcs Jbhptcr : | 2"j+ Ocivye WD Vbheg) Jyrus ZB Ba) Tagcr JO Ba) 4>8:
AZJC6 Ketcrvkcw h phtkcet ta csthdiksb h `khgeasks al sjbkzapbrcekh
H 44 ‚ ychr ‚ ai` uekvcrskty stu`cet ks draugbt dy bks jauesciiar ta tbc Hjjk`cet he` Cocrgcejy @cphrtocet% Bcwhs scce dy tbc psyjbkhtrkst ht tbc Sekvcrskty jikekj he` `khgeasc` ta sullcr lrao sjbkzapbrcekh% [au hrc tbc
rcsk`cet warmkeg ke tbc Hjjk`cet he` Cocrgcejy @cphrtocet%
Phsm6 Phmc h bkstary ta cikjkt lkrst rhem syoptaos he` atbcr rcihtc` syoptaos ta csthdiksb tbc `khgeasks al sjbkzapbrcekh%
H%
Ketra`ujtkae
he` hsscss
bhiiujkehtkaes%
H8% Ketra`ujtkae
‒K waui` ikmc ta hsm yausaoc qucstkaes% Zaoc al
tbco ohy hppchr h dkt
strhegc% Ks tbht hii rkgbtwktb yau1 K ghtbcr tbht
yau bh` dcce tbraugb hiat al strcss rcjcetiy%Wbce ue`cr strcss
saoctkocs pcapic bhvcjcrthke ueusuhi
cxpcrkcejcs% Bhvc yaubh` sujb cxpcrkcejcs1‛
H4% Hsscss hu`ktary
bhiiujkehtkaes
Dy ueusuhi cxpcrkcejc) K oche)lar cxhopic) saoc pcapic bchrkeg
vakjcs wbce ea aec hraue`% Kl ycs)………‒@a tbc vakjcs spchm `krcjtiy ta
yau1‛ "4e` pcrsae+‒@a tbcy spchm hoaegtbcoscivcs1‛ ":r` pcrsae+
‒Wbht sart al tbkegs `a tbc vakjcsshy1‛
Oecoaekjs6 CHT
Cjbacs al awe tbaugbts6 ‒@a tbcvakjcs rcpcht yaur tbaugbts1‛Hrgukeg vakjcs kevaivc ht ichst 4
vakjcs%T ueekeg jaoocethry ae phtkcet6‒@a tbcsc vakjcs `csjrkdc ar jaoocet upae wbht yau hrc
`akeg ar tbkemkeg1‛
@a tbc vakjcs tcii yau ta `atbkegs1 "jaoohe` bhiiujkehtkaes+
H:% Atbcr bhiiujkehtkaes
\ksuhi bhiiujkehtkaes6 ‒Bhvcyau cvcr bh` cxpcrkcejcs
`urkeg wbkjb yau shw tbkegsar sbh`aws tbht atbcrs jaui`eat scc1‛
Phjtkic bhiiujkehtkaes6 ‒@ayau lcci tbht tbcrc hrc
strhegc sceshtkaes wktbkeyau) hs kl saoctbkeg ksjrhwikeg wktbke yaur da`y1‛
Ailhjtary ! gusthtarybhiiujkehtkaes6 ‒Bhvc yaucvcr bh` cxpcrkcejcs `urkeg
wbkjb yau socii ar cxpcrkcejc strhegc thstcs tbhtatbcrs `a eat cxpcrkcejc1‛
D% Hsscss
tbaugbt
ketcrlcrcejcs%
D8%Pbaugbt kescrtkae
‒Ks tbcrc hey ketcrlcrcejcwktb yaur tbaugbts1‛
‒@a atbcrs put ar larjctbckr tbaugbts keta yaur oke`1‛
D4% Pbaugbt wktb`rhwhi
‒Jaui` saocaec thmc yaur tbaugbts aut al yaur bch`1‛
D:% Pbaugbt drah`jhstkeg
‒@a atbcr pcapic meaw wbhtyau tbkem ke yaur oke`1‛
‒@a yau lcci tbht yaur tbaugbts hrc drah`jhstc` taatbcr pcapic1‛
J% @ciuskaes
keskgbt) oaa`
he` sudsthejc
oksusc%
J8% @ciuskae al jaetrai
ar phsskvkty cxpcrkcejc%
‒Bhs tbcrc dcce hey`kllkjuity wktb lccikegs)hjtkaes) ar da`kiysceshtkae1
Ks tbcrc saocaec ar saoctbkeg trykeg tajaetrai yau ke tbclaiiawkeg hrchs6‛
Oecoaekj ‚ WCH6W/ Wkii "kopuiscs+C ‚ Coatkaes "Lccikegs
ar hllcjt+H ‚ Hjtkaes "vaiktkaehi+
J4 Atbcr `ciuskaes%
‒Wbce ue`cr strcss saoc pcapiclke` tbht saocaec ks pihykeg trkjmsae tbco% Bhvc yau bh` hey sujbcxpcrkcejcs1‛
@ciuskae al ̂ crscjutkae6 ‒Hrctbcrc saoc pcapic wba try tabhro yau ar ohmc yaur iklcokscrhdic1‛
@ciuskae al rclcrcejc6 ‒@a yautbkem tbht saocaec ks whtjbkeg)laiiawkeg ar spykeg ae yau1‛
@ciuskae al grhe`cur6 ‒@a yaubhvc hey spcjkhi pawcrs ar
J: Hsscss keskgbt he`
oaa`%
‒Wbht `a yau tbkem ks tbcjhusc lar tbcsc cxpcrkcejcs1‛
‒Jaui` yau sullcr lrao he
kiiecss ke yaur oke`1‛
‒@a yau tbkem trchtocetwaui` bcip ta rc`ujc tbasc
cxpcrkcejcs1‛
‒Baw `a yau `csjrkdc yaur oaa`1 @a yau lcci sh`1‛
‒Wbce yau lcci sh`) `a yaubhvc tbaugbt al bhrokeg
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Ohstcrkeg ^syjbkhtry ‚ H Jarc Pcxtdaam lar Se`crgrh`uhtcs Jbhptcr : | ;"j+ Ocivye WD Vbheg) Jyrus ZB Ba) Tagcr JO Ba) 4>8:
hdkiktkcs tbht atbcrs ̀ ae‛t bhvc1‛
@ciuskae al gukit6 ‒@a yau lcciikmc yau `cscrvc pueksbocet lar oksthmcs yau oh`c ke tbc phst1Jhe yau tcii oc tbc ehturc al tbc
oksthmcs he` pueksbocet yau`cscrvc1‛
yaurscil1‛
‒K cejauetcr saoc stu`cetsusc rcjrchtkaehi ̀ rugs wbcetbcy ga lar avcrschscxjbhegc ar phrty% Bhvc yau
usc` rcjrchtkaehi ̀ rugsrcjcetiy1‛
@% Hsscss
ecghtkvc
syoptaos he`
hjh`cokj
`ksturdhejcs
"Eatc6
hiagkh!ihjm al spccjb he`lihttce hllcjt ks
adscrvc``urkeg
ketcrvkcw+
@8% Hphtby "ihjm al
oatkvhtkae+
‒@a yau cejauetcr hey`kllkjuity ke iaamkeg hltcr yaurscil1 Baw altce `a
yau tce` ta thmc h sbawcr ar h dhtb1‛
‒Bhs heyaec jaopihkec`hdaut tbc sthtc tbc liht ks
ke1 Ks kt `kllkjuit ta sthytk`y ar ta mccp tbc lihttbc why yau waui` ikmckt1‛
@4% Hebc`aekh "ihjm al
ketcrcsts+
‒Bhvc yau spcet hey tkoc wktblrkce`s ihtciy1‛
‒@a yau lke` kt `kllkjuit ta lccijiasc coatkaehiiy ta atbcrs1‛
‒@a yau bhvc hey hjtkvkty yaucefay ta `a eawh`hys1‛
‒Wbht wcrc yaur ohke ketcrcsts ar baddkcs ke tbc phst1‛
@:% Hsscss sajkhi he`
hjh`cokj `ctcrkarhtkae%
‒Baw `a yau lke` yaur hjh`cokj pcrlarohejcrcjcetiy1‛
‒Jhe yau jaejcetrhtc ke yaur stu`y1‛
‒Kt sccos tbht yaur hjh`cokj
pcrlarohejc ks eat hs gaa`hs ke tbc phst% Baw iaeg bhskt dcce1‛
Tksm hsscssocet he` sjbkzapbrcekh
\kaicejc ke pcapic wktb sjbkzapbrcekh ks uejaooae dut tbcy `a bhvc h bkgbcr rksm tbhe gcecrhi papuihtkae%^rcvhicejc al rcjcet hggrcsskvc dcbhvkaur hoaeg autphtkcets wktb sjbkzapbrcekh ks hraue` 3#% Pbc typcs al vkaicejc he` hggrcsskae hrc jihssklkc` hs laiiaws6 vcrdhi hggrcsskae "hraue` 03#+) pbyskjhi vkaicejc tawhr`sadfcjts "hraue` :>#+) vkaicejc tawhr`s atbcrs "hraue` 4>#+ he` scil/`krcjtc` vkaicejc "hraue` 8>#+% Lhokiy
ocodcrs hrc kevaivc̀ ke 3># al tbc hsshuits wktb strhegcrs dckeg htthjmc` ke 4>#% @ajtars ecc` ta dcjaopctcet ke k`cetkly phtkcets ht rksm he` pratcjt datb phtkcets he` atbcrs%
^byskjhi cxhokehtkae) kevcstkghtkae he` qucstkaeehkrc
^byskjhi cxhokehtkae 8+ \kthi Zkges "BT) tcopcrhturc+%4+ DOK ta ruic aut octhdaikj sye`raoc he` guk`c jbakjc al oc`kjhtkae%
:+ Ecuraiagkjhi cxhokehtkae%0+ ̂ byskjhi skges suggcstkeg sudsthejc oksusc "c%g% kefcjtkae ohrms+%
Kevcstkghtkae 8+ LDJ) ILP) S,Cs) tbyrak` luejtkae tcsts) lhstkeg ikpk`s he` giujasc) δ/BJG "taruic aut prcgehejy lar waoce+) taxkjaiagy sjrcce he` CJG "jbcjm lar praiaegc`XPj ketcrvhi+%%
4+ Aptkaehi6 ^raihjtke "kl tbcrc ks ghihjtarrbach+%:+ JP ar OTK drhke%0+ Srkec `rug sjrcce ta ruic aut rcjcet usc al rcjrchtkaehi `rugs%
3+ CCG kl suspcjts al tcoparhi iadc cpkicpsy%
Xucstkaeehkrc
^asktkvc he` ecghtkvc sye`raoc sjhic lar sjbkzapbrcekh "^HEZZ+
Pbc ^HEZZ ks h :>/ktco scok/strujturc` ketcrvkcw ta hsscss pasktkvc syoptaos "7/ktcos+) ecghtkvc syoptaos "7/ktcos+ he` giadhi psyjbaphtbaiagy "8< ktcos+% Pbcscvcrkty al ke`kvk`uhi ktcos hrc sjarc` hjjar`keg ta tbc oheuhis%
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8/15/2019 Mastering Psychiatry 2013 (Final)
39/362
Ohstcrkeg ^syjbkhtry ‚ H Jarc Pcxtdaam lar Se`crgrh`uhtcs Jbhptcr : | 88"j+ Ocivye WD Vbheg) Jyrus ZB Ba) Tagcr JO Ba) 4>8:
dc jaesk`crc` lar phtkcets wba bhvceat rcspae`c` ta he h`cquhtc
trkhi al hetkpsyjbatkjs he` lar
phtkcets wktb iklc tbrchtcekegsyoptaos sujb hs jhthtaekh he`
praokecet `cprcsskvc syoptaos%
ketcrvcetkaes c%g% jagektkvc dcbhvkaur tbcrhpy he`
pradico saivkeg tbcrhpy%
3+ Hetk`cprcsshets sbaui` dc jaesk`crc` wbce
`cprcsskvc syoptaoscocrgc `urkeg tbc sthdic
pbhsc al sjbkzapbrcekh
"past/psyjbatkj`cprcsskae+%Hetk`cprcsshets sbaui` dc
usc` ht tbc shoc `asc hslar trchtocet al ohfar `cprcsskvc ̀ ksar`cr "OABguk`cikecs 4>88+
dc rcguihriy oaektarc` lar octhdaikj sk`c cllcjts
"OAB guk`cikecs 4>88+%
7+ Prchtocet aptkaes lar
sjbkzapbrcekh phtkcets
wba hrc prcgehet sbaui` dcke`kvk`uhiksc`) wktb
jaesk`crhtkae al scvcrkty al prcvkaus cpksa`cs)
prcvkaus rcspaesc ta
trchtocet he` tbc waohe‛s prclcrcejc% Hdruptjcsshtkae al oc`kjhtkaes
sbaui` dc hvak`c`% "OABguk`cikecs 4>88+
Pbc ‒oast‛ he` tbc ‒ichst‛ al tbc lkrst gcecrhtkae he` scjae` gcecrhtkae al hetkpsyjbatkjs%
Hetkpsyjbatkjs Pbc oast ikmciy ! Bkgb rksm Pbc ichst ikmciy ! Iaw rksm
8st
gcecrhtkae
Lkrstgcecrhtkaehetkpsyjbatkjs
8+ Ke hjutc `ystaekh) yaueg oce htoast rksm%4+ Ke thr`kvc ̀ ysmkecskh) ci`criy
waoce hrc ht oast rksm%
Eki
Bhiapcrk`ai 8+ Bkgb rksm lar C^ZC4+ Bkgb rksm lar ghihjtarrbach
8+ Bhiapcrk`ai/ iaw rksm al wckgbt ghke) pasturhi bypatceskae he`sc`htkae%
Prkliuapcrhzkec Eki 8+ Prkliuapcrhzkec6 iaw rksm al wckgbt ghke he` pasturhi
bypatceskae%
Zuipkrk`c Eki
8+ Zuipkrk`c jhrrkcs iaw rksm al wckgbt ghke%4+ Zuipkrk`c jhrrkcs iaw rksm al pasturhi bypatceskae%
0+ Zuipkrk`c jhrrkcs tbc iaw rksm al sc`htkae%
Jiazhpkec 8+ Oast jaooae sk`c cllcjt kssc`htkae tkii tbc ecxt oarekeg%
4+ Zcjae` oast jaooae sk`ccllcjt ks bypcrshikvhtkae%
:+ Jiazhpkec "ikmc aihezhpkec+jhrrkcs tbc bkgbcst rksm al wckgbt
ghke%
8+ Jiazhpkec ks ichst ikmciy ta jhusc thr`kvc `ysmkecskh%
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8/15/2019 Mastering Psychiatry 2013 (Final)
40/362
Ohstcrkeg ^syjbkhtry ‚ H Jarc Pcxtdaam lar Se`crgrh`uhtcs Jbhptcr : | 84"j+ Ocivye WD Vbheg) Jyrus ZB Ba) Tagcr JO Ba) 4>8:
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8/15/2019 Mastering Psychiatry 2013 (Final)
41/362
Ohstcrkeg ^syjbkhtry ‚ H Jarc Pcxtdaam lar Se`crgrh`uhtcs Jbhptcr : | 8:"j+ Ocivye WD Vbheg) Jyrus ZB Ba) Tagcr JO Ba) 4>8:
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