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Cỏc trang th loi Ri lon tõm thn v hnh vi Mc lc Bo dõm 1.1 Xem thờm 1.2 Chỳ thớch Bnh Alzheimer 2.1 c im 2.1.1 Giai on trc mt trớ nh 2.1.2 Giai on nh 2.1.3 Giai on khỏ nng 2.1.4 Giai on nng 2.2 Nguyờn nhõn 2.3 Sinh lý bnh 2.3.1 Bnh hc thn kinh 2.3.2 Sinh húa 2.3.3 C ch bnh 2.3.4 Di truyn 2.4 Phũng chng 2.5 Chm súc ti nh 2.6 Dch t hc 2.7 c thờm 2.8 Chỳ thớch 2.9 Liờn kt ngoi 11 Bnh Parkinson 13 3.1 Phõn loi 13 3.2 Cỏc du hiu v triu chng 13 3.2.1 Triu chng v ng 13 3.2.2 Triu chng v thn kinh 14 3.2.3 Cỏc triu chng khỏc 14 3.3 Chỳ thớch 14 3.4 Liờn kt ngoi 14 Bnh tõm thn 15 i ii MC LC 4.1 Dch t hc 15 4.2 Chỳ thớch 16 4.3 c thờm 16 4.4 Liờn kt ngoi 17 Chỏn n tõm thn 5.1 T nguyờn v phõn bit 5.2 Biu hin 5.3 5.4 18 18 5.2.1 Tõm lý 18 5.2.2 cht 19 5.2.3 Cm xỳc 19 5.2.4 Cỏc quan h xó hi 19 5.2.5 Hnh vi 19 Cỏc nguyờn nhõn gõy bnh 19 5.3.1 Nguyờn nhõn xó hi v mụi trng 19 5.3.2 Nguyờn nhõn di truyn 20 5.3.3 Yu t dinh dng 20 ng kờ trờn th gii 20 5.4.1 T l t vong 21 5.4.2 T l mt s quc gia 21 5.4.3 Mt s ngi cht vỡ chỏn n tõm thn 21 5.5 Chn oỏn v cỏc c im lõm sng 21 5.6 a chn oỏn v cỏc tranh cói 21 5.7 iu tr 22 5.8 Cn lm gỡ ngi thõn b chỏn n tõm thn 22 5.9 Xem thờm 22 5.10 Tr giỳp Y t 18 22 5.11 Liờn kt ngoi 22 5.12 Chỳ thớch 23 Chng bt th 25 6.1 Nguyờn nhõn 25 6.2 Triu chng 25 6.3 Cỏc trng hp lch s 25 6.4 am kho 25 Chng cung dõm 26 7.1 am kho 26 7.2 Liờn kt ngoi 26 Chng khú c 27 8.1 nh ngha 27 8.2 Nguyờn nhõn 27 MC LC iii 8.2.1 Lý thuyt tiu nóo 28 8.2.2 Lý thuyt thõm ht õm v hc 28 8.2.3 Lý thuyt x lý thớnh giỏc nhanh chúng 28 8.2.4 Lý thuyt th giỏc 28 8.3 Cỏc ri lon i kốm 28 8.4 Triu chng 28 8.4.1 Tr tui mu giỏo 28 8.4.2 u tiu hc 28 8.4.3 Cui tiu hc 28 8.4.4 Tui trung hc v trng thnh 29 8.5 Chỳ thớch 29 8.6 Xem thờm 29 8.7 Liờn kt ngoi 29 Chng nghin ru 30 9.1 Nguyờn nhõn 30 9.1.1 Nguyờn nhõn cỏ nhõn 30 9.1.2 Nguyờn nhõn xó hi 31 9.2 Mc ph bin 31 9.3 Hu qu xó hi 31 9.4 Din tin v biu hin 31 9.4.1 Din tin chng bnh 31 9.4.2 Biu hin 32 9.4.3 Di chng 33 9.5 iu tr 33 9.6 Xem thờm 34 9.7 am kho 34 9.8 Liờn kt ngoi 34 10 Hikikomori 35 10.1 i tng 35 10.2 Biu hin 35 10.3 Nguyờn nhõn 35 10.4 am kho 36 10.5 Liờn kt ngoi 36 11 Hoang tng o giỏc 37 11.1 i cng lõm sng 37 11.2 Triu chng 37 11.3 Chn oỏn v iu tr 38 11.4 Chỳ thớch 38 12 Hysteria 39 iv MC LC 12.1 Triu chng 39 12.2 Nguyờn nhõn 39 12.3 iu tr 39 12.4 Lch s 39 12.5 Cỏc lý thuyt v phng phỏp hin i 40 12.6 Chỳ thớch 40 12.7 Liờn kt ngoi 40 13 Hi ng Asperger 41 13.1 c im 41 13.1.1 K nng sinh hot kộm 41 13.1.2 Lp d 41 13.1.3 Kh nng phi thng 42 13.2 Nguyờn nhõn 42 13.3 Du hiu 42 13.4 iu tr 43 13.5 Chỳ thớch 43 14 Hi ng Einstein 45 14.1 am kho 15 Hi ng Munausen 45 46 15.1 Triu chng 46 15.2 Xem thờm 46 15.3 am kho 46 16 Hi ng s xó hi 47 16.1 Chn oỏn 47 16.2 Yu t nguy c 47 47 16.3 T l 16.4 iu tr 48 16.4.1 Liu phỏp hnh vi v hnh vi nhn thc 48 16.4.2 Dựng thuc 48 16.5 Xem thờm 48 16.6 Liờn kt ngoi 48 16.7 Chỳ thớch 49 17 Hi ng Tourette 50 17.1 Mozart v chng Touree 50 17.2 Chỳ thớch 50 18 ICD-10 Chng 5: Ri lon tõm thn v hnh vi 52 18.1 Ri lon tõm thn v hnh vi (F00-F99) 18.1.1 Ri lon tõm thn thc th bao gm ri lon tõm thn triu chng (F00-F09) 52 52 MC LC v 18.1.2 Ri lon tõm thn v hnh vi s dng cỏc cht tỏc ng tõm thn(F10-F19) 52 18.1.3 Tõm thn phõn lit, ri lon dng phõn lit v ri lon hoang tng (F20-F29) 52 18.1.4 Ri lon khớ sc (cm xỳc) (F30-F39) 53 18.1.5 Lon thn kinh, ri lon liờn quan n stress v ri lon dng c th (F40-F48) 53 18.1.6 Hi chng hnh vi kt hp vi ri lon sinh lý v yu t th cht (F50-F59) 53 18.1.7 Ri lon nhõn cỏch v hnh vi ngi trng thnh (F60-F69) 53 18.1.8 Chm phỏt trin tõm thn (F70-F79) 54 18.1.9 Ri lon phỏt trin tõm lý (F80-F89) 54 18.1.10 Ri lon v hnh vi v cm xỳc vi s bnh thng xy la tui tr em v thiu niờn (F90-F98) 54 18.1.11 Ri lon tõm thn khụng xỏc nh (F99) 55 18.2 am kho 55 18.3 Liờn kt ngoi 55 19 Kh dõm 56 19.1 Ngun gc 56 19.2 Xem thờm 56 19.3 Chỳ thớch 56 20 Lit dng 57 20.1 ng kờ 57 20.2 Sinh lý hc 57 20.3 Nguyờn nhõn 58 20.4 Chn oỏn 58 20.5 Bnh lý kt hp 59 20.6 iu tr 59 20.6.1 uc 59 20.6.2 Dng c 59 20.6.3 Phu thut 59 20.7 Xem thờm 59 20.8 Liờn kt ngoi 59 20.9 Chỳ thớch 60 21 L lc tỡnh dc 21.1 Cỏc dng bnh 61 61 21.1.1 Lch lc i tng 61 21.1.2 Lch lc mc tiờu 61 21.2 Nguyờn nhõn 62 21.3 iu tr 62 21.3.1 Liu phỏp hnh vi nhn thc 62 21.3.2 Phõn tõm 62 21.3.3 Dựng thuc 62 21.4 Xem thờm 62 vi MC LC 21.5 Liờn kt ngoi 62 21.6 Chỳ thớch 62 22 Mt ng 63 22.1 Nguyờn nhõn 63 22.1.1 Yu t to khuynh hng/nguy c mt ng 63 22.1.2 Yu t gõy mt ng tc thi 63 22.1.3 Yu t gõy mt ng lõu di 63 22.2 Phõn loi 63 22.2.1 Mt ng nguyờn phỏt (primary insomnia) cú dng 63 22.2.2 Mt ng th phỏt (secondary) nhng lý bờn ngoi 64 22.3 Chng mt ng tr em 64 22.4 Chỳ thớch 64 22.5 Liờn kt ngoi 64 23 Mt trớ nh 65 23.1 Xem thờm 65 23.2 Chỳ thớch 65 24 Mc cm ngoi hỡnh 66 24.1 Vn nghiờm trng 66 24.2 Phõn bit khỏi nim 66 24.3 Triu chng 66 24.4 Mc cm ngoi hỡnh thng bt u t la tui no? 67 24.5 Nguyờn nhõn ca bnh 67 24.6 Mc cm no trờn c th mang tớnh ph bin 67 68 68 24.9 Lch s 68 24.10 Xem thờm 68 24.11 Tr giỳp Y t 68 24.12 Liờn kt ngoi 68 24.13 Chỳ thớch 68 24.7 Bnh tõm lý kt hp 24.8 Khớa cnh húa 25 Mc cm thiu c bp 69 25.1 c im 69 25.2 Nguyờn nhõn 69 25.3 Tr giỳp Y t 69 25.4 Xem thờm 70 25.5 Chỳ thớch 70 26 Ngt xu 26.1 Cỏch iu tr 71 71 MC LC vii 26.2 am kho 71 26.3 c thờm 71 27 Ng c nc 72 27.1 Cỏc tỏc nhõn gõy hi 72 27.1.1 Khi lng c th thp (tr s sinh) 72 27.1.2 dc, th thao cng cao 72 27.1.3 ỏ sc v cng thng 72 27.1.4 Luyn th tham gia cỏc cuc thi n, ung nhanh 72 27.1.5 Ri lon tõm thn 72 27.1.6 Trong iu tr 73 27.2 Sinh lý bnh hc 73 27.3 Cỏch thc phũng chng 73 27.4 iu tr 73 27.5 am kho 73 27.6 Liờn kt ngoi 73 28 Nhõn cỏ yờu mỡnh thỏi quỏ 74 28.1 Nguyờn nhõn 74 28.2 Tiờu chun chn oỏn 74 28.2.1 Chn oỏn phõn bit 75 28.3 Dch t hc 75 28.3.1 Bnh kt hp 75 28.4 Tr giỳp Y t 75 28.5 Chỳ thớch 75 29 Núi lp 77 29.1 Dch t hc 77 29.2 Nhng yu t quan h 77 29.3 Nguyờn nhõn 77 29.4 Cha tr 78 29.5 Nhng ngi ni ting 78 29.6 Chỳ thớch 78 30 Phõn loi thng kờ quc t v cỏc bnh tt v sc khe liờn quan 79 30.1 am kho 79 30.2 Liờn kt ngoi 79 31 Ri lon lo õu 80 31.1 Cỏc dng ri lon lo õu 31.1.1 Ri lon lo õu lan ta (GAD) 80 80 31.1.2 Ri lon ỏm nh cng ch (OCD) 80 31.1.3 Ri lon stress sau sang chn (PTSD) 81 viii MC LC 31.1.4 m nh s xó hi 81 31.1.5 Ri lon lo õu xa cỏch 82 31.2 Cỏc ri lon tõm thn kt hp 82 31.3 iu tr 82 31.3.1 Liu phỏp hnh vi nhn thc 82 31.3.2 Dựng thuc 82 31.4 Xem thờm 82 31.5 Liờn kt ngoi 82 31.6 Chỳ thớch 83 32 Ri lon lo õu lan ta 84 32.1 Vn 84 32.2 Tiờu chun chn oỏn 84 32.3 Cỏc ri lon tõm thn kt hp 84 32.4 Dch t hc 85 32.5 ng kờ trờn th gii 85 32.6 Nguyờn nhõn v cỏc yu t nguy c 85 32.7 iu Tr 85 32.7.1 Tõm lý tr liu 85 32.7.2 Dựng thuc 86 32.8 Xem thờm 86 32.9 Liờn kt ngoi 86 32.10 Chỳ thớch 86 33 Ri lon nhõn cỏ 88 33.1 c im 88 33.1.1 Chỳ ý 88 33.2 Nguyờn nhõn 89 33.3 Phõn loi ri lon nhõn cỏch 89 33.3.1 Nhúm A:K quỏi/lp d 33.3.2 Nhúm B:Kch tớnh/nhiu cm xỳc/bt nh 89 89 33.3.3 Nhúm C:Lo õu 89 33.4 Chn oỏn 89 33.5 Cỏc giai on iu tr v t qun lý bn thõn 90 33.5.1 S dng thuc 90 33.5.2 Phõn tớch tõm lý 90 33.5.3 Liu phỏp nhn thc v hnh vi 90 90 90 33.7 Xem thờm 90 33.8 Liờn kt ngoi 91 33.9 Chỳ thớch 91 33.5.4 Da vo cng ng 33.6 Tr giỳp Y t MC LC ix 34 Ri lon nhõn cỏ ng xó hi 92 34.1 Lch s 92 34.2 Yu t nguy c 92 34.3 Tiờu chun chn oỏn 92 34.3.1 Chn oỏn phõn bit 93 34.4 Dch t hc 93 34.5 Tiờn lng 93 34.6 Tr giỳp Y t 93 34.7 Xem thờm 93 34.8 Liờn kt ngoi 93 34.9 Chỳ thớch 93 35 Ri lon nhõn cỏ trỏnh nộ 95 35.1 Chn oỏn 95 35.1.1 Chn oỏn phõn bit 95 35.2 Bnh kt hp 95 95 35.4 Nguyờn nhõn 95 35.5 iu tr 96 35.6 Tr giỳp Y t: 96 35.7 Xem thờm 96 35.8 Chỳ thớch 96 35.3 Dch t hc 36 Ri lon nhõn cỏ ỏm nh cng 97 36.1 Tiờu chun chn oỏn 97 36.2 Dch t hc 97 36.3 Tr giỳp Y t 97 36.4 Xem thờm 98 36.5 Chỳ thớch 98 37 Ri lon phõn ly th 99 37.1 Triu chng 99 37.2 Nguyờn nhõn 99 37.3 Phũng bnh 99 37.4 am kho 100 38 Ri lon stress sau sang n 38.1 Trng hp c th 101 101 38.2 Lch s 102 38.3 Cỏc triu chng ca ri lon stress sau sang chn 102 38.4 ng kờ 102 38.4.1 Cu binh 102 38.4.2 Ton dõn 103 Chng 49 i nhi i nhi (ting Anh: pedophilia hoc paedophilia), l bn nng hay ham mun tỡnh dc lõu di v liờn tc, phn nhiu hay ton phn i vi tr em cha n tui thnh niờn, thụng thng di tui 12[1][2] Trong chn oỏn y hc, tui chớnh xỏc tớnh l ỏi nhi tui t trc dy thỡ cho ti 13.[1] Mt ngi c coi l ỏi nhi phi tui ớt nht l 16, nhng tr tui v thnh niờn phi ln hn i tng b hi ớt nht tui thỡ mi coi l ỏi nhi.[1][2] Trong phõn loi DSM[3] , ỏi nhi thuc nhúm lch lc tỡnh dc, ngi cú biu hin ỏi nhi c gi l ngi ỏi nhi (ting Anh: pedophile) Hnh vi lm dng tỡnh dc tr em hay cũn gi l tỡnh dc huyn nhi, u dõm cú liờn quan n hin tng ny Ngc li vi hin tng ny l ỏi lóo, ngi b lch lc tỡnh dc hng n ngi gi ut ng pedophilia cú ngun gc t ting Hy Lp: , phiờn õm: paidolia, ú pais () ngha l tr em hay trai, lia () l tỡnh yờu, tỡnh bn ut ng nguyờn thy ca Hy Lp c i ny c nh tõm thn hc ngi o Richard von KraEbing bt u s dng thut ng tõm thn hc paedophilia erotica[4] nm 1886 Trong cỏc lnh vc khụng chuyờn mụn, nht l truyn thụng i chỳng, ỏi nhi c dựng ch quan h tỡnh dc vi tr em cha n tui thnh niờn hoc cỏc hot ng liờn quan n phim nh kớch dõm vi tr em (sn xut, lu tr, phõn phi, s dng) Do cỏc nh ngha v ỏi nhi cha chớnh xỏc v cha n nh, mc tn ti ca hin tng ỏi nhi xó hi khụng th xỏc nh bng phng phỏp cú th vt quỏ phm vi ca tng phng cỏch iu tra c th hng vo cỏc chỏu thi kỡ chm dy thỡ, mt ớt trng hp c cỏc chỏu gn ht tui dy thỡ hay ngi mi trng thnh nhng cũn nhng nột dỏng hoc cung cỏch tr Tr mi ln thng hp dn khụng ch i vi nhng ngi ỏi nhi, m cũn c i vi nhng ngi nhúm lch lc tỡnh dc vi ngi mi ln (ting Anh: teleiophilia) 49.1.2 Hon ton hay phn ln ụng thng, bn nng ham mun tỡnh dc ca mt ngi hon ton hay phn ln ch cú i vi tr em thỡ mi coi l hin tng ỏi nhi Kh nng ngi yờu thng tr em, c tr em lụi cun, kh nng c quan sinh dc cú th b tr em kớch thớch mt gii hn nh l kh nng ca phn ỏng k ca ngi Trong quỏ trỡnh nghiờn cu s thay i th tớch dng vt (ting Anh: phallography), s ngi cm nhn kớch thớch i vi cỏc tỏc ng tr em tng ng hay mnh hn phn ng i vi cỏc tỏc ng ngi ln khong vi chc phn trm[6] , t l ny nhúm ngi c coi l ỏi nhi ch vi phn trm[7] 49.2 Xem thờm Lch lc tỡnh dc i lóo (Gerontophilia) i vt Bo dõm Kh dõm 49.1 nh ngha Miờn dõm 49.1.1 Tui tr em ng tớnh luyn ỏi Trong mt vi nh ngha, ỏi nhi ch bú hp phm vi ham mun tỡnh dc i vi cỏ nhõn cha cú nhng biu hin phỏt trin tỡnh dc th cp[5] Nhng theo nhng nh ngha khỏc (vớ d Kra-Ebing), ngoi khong tui k cn dy dy thỡ, hin tng ỏi nhi cũn 134 Giao cu vi loi vt dõm i t thi 49.3 CH THCH 49.3 Chỳ thớch [1] Diagnostic and Statistical Manual of Mental Disorders, 5th Edition American Psychiatric Publishing 2013 Truy cp ngy 25 thỏng nm 2013 [2] See section F65.4 Paedophilia e ICD-10 Classication of Mental and Behavioural Disorders Diagnostic criteria for research World (PDF) World Health Organization/ICD-10 1993 Truy cp ngy 10 thỏng 10 nm 2012 B A persistent or a predominant preference for sexual activity with a prepubescent child or children C e person is at least 16 years old and at least ve years older than the child or children in B [3] Diagnostic and Statistical Manual of Mental Disorders [4] Psychopathia Sexualis, xut bn 1886, tỏc gi Richard von Kra-Ebing [5] Biu hin phỏt trin tỡnh dc th cp giai on dy thỡ bao gm: i ging, phỏt trin ngc, lụng, c v.v tỏc ng ca húc mụn sinh dc [6] Wogan, Michael (2002) Wogan, Michael (2002) [7] Rỹdiger Lautmann 135 Chng 50 i t thi eo cỏc chuyờn gia tõm thn, nhng trng hp "ỏi t thi u c cho l b mc cỏc triu chng ri lon tõm thn H thng ngh rng nhng ngi thõn ca mỡnh ch cht v phn xỏc ch khụng cht v phn hn H tin rng linh hn ca ngi cht cũn sng v cm nhn c nhng vic ngi sng lm vi h Hin tng ny ang din trờn khp th gii, ỏng chỳ ý l trng hp ca Tim Bayes, mt niờn vựng ngoi ụ thnh ph Bari, Italia ó nh m ca ngi yờu mỡnh hn ngy lin, hay trng hp ca ụng Lờ Võn ng Nam, Vit Nam ó ụm xỏc v ng hn sut nm trc b phỏt hin, v trng hp ca lóo b ngi M Jean Steven 91 tui mt th trn ho lỏnh ti Pennsylvania ó sng bờn xỏc cht ca chng mỡnh sut 10 nm[3] Bnh nhõn "ỏi t thi bờn xỏc cht 50.1 Hi chng Nhng bnh nhõn ỏi t thi thng cú hi chng gn ging nhau, ú l nhng biu hin khỏ bt thng nh phỏt ngụn, hnh ng mt o huyt ca ngi m h yờu ri mang hi ct v nh ng chung vi nhng lý ca riờng h[4] 50.1.1 Biu hin Thi hi i t thi (tờn khoa hc: Necrophilia) l hi chng b hp dn bi xỏc cht[1][2] Khi ngi thõn (ngi v, ngi chng hay thm c l m hoc cỏi) gia ỡnh qua i, bnh nhõn "ỏi t thi mun gi li xỏc ngi ú v chm súc nh h cũn sng Bnh c chia lm dng: ỏi t thi kim v bnh ỏi t thi Nm 1895, san y khoa Lancet cú bi ngn mụ t hin tng gi xỏc ngi thõn ó qua i nh Nhng ti mun gi xỏc t thi nh? Nm 1989, mt bi bỏo ni ting ca Rosman v Resnick ó mụ t 34 trng hp vi hi chng "ỏi t thi cho thy nhng lý sau õy: H mun gi mt ngi bn i, cú th l bn tỡnh, tỡnh trng khụng dng nh, ngi bnh ch biu hin mc mong khỏng c (68%), mun sum hp vi ngi tỡnh c (21%), mun gi li ngi quỏ c õu ym, chm súc hoc vỡ lý dc tớnh (15%) v trỏnh cm giỏc cụ n ng chung vi xỏc ngi thõn sut thi gian di (15%) ca nhng ngi cú sc khe tõm thn v nim tin tụn Mt trng hp khỏ trm trng v hi chng "ỏi t thi giỏo c bit Cũn dng nng hn c xem l bnh vỡ khỏc l ụng John Price Anh Sau ngi v u ca ngi mc bnh cú th quan h vi c ngi ó cht ụng qua i, ụng tỏi giỏ Nhng thi th ngi v quỏ v thm thc hin c nhng hnh ng nh cu xộ, c c ụng p v gi cựng mt ging vi ngi v mi[5] ngu nghin thõn xỏc ngi cht 136 50.4 XEM THấM 137 [6] Cn an tỏng ngi quỏ c [7] V ụm xỏc v: Cú nhng dng "ỏi t thi no? 50.4 Xem thờm i nhi Ma-n-canh Kleine-Levine 50.5 Liờn kt ngoi What is Necrophilia? Video cho i t thi Millaisova slika Ophelia 50.2 nh hng n mụi trng Hnh ng ca mt s ngi mc hi chng "ỏi t thi xut phỏt t tỡnh yờu nhng cỏch h th hin chng nhng khụng phự hp vi quy c xó hi m cũn cú th gõy ụ nhim mụi trng, cú hi n sc khe ca chớnh h[6] ễng c Edmundo Mộxico ó qua i vỡ nhng nguyờn nhõn t nhiờn hn nm trc ú, nhng cỏi cht ca ụng ó khụng c cụng b Cho ti nhng ngi hng xúm than phin v mựi xỏc thi bc t cn nh ny thỡ cnh sỏt mi vo cuc Khi lc lng cnh sỏt phỏ ca nh b Mercedes Velarde, h ó tỡm thy mt xỏc cht ó thi ca ụng chng nm trờn sn phũng ng ca b ta Bỏo a phng cũn a tin rng ngi trai ca b Velarde cũn thng xuyờn bt l dũi b xỏc cht ca b giỳp m[7] 50.3 Chỳ thớch [1] Cú nhng dng "ỏi t thi no? [2] Kra-Ebing, Richard von Sexualis English translation: (1886) Psychopathia [3] Xem chi tit ti õy [4] Cụng an vo cuc v ụm xỏc v sut nm [5] Ca "ỏi t thi in hỡnh Chng 51 i vt i vt, lon dc vt hay bỏi vt tỡnh dc (ting Anh: Sexual fetishism) l nhng tờn gi ch cỏc mi quan tõm tỡnh dc trờn nhng i tng khụng phi l c quan sinh dc.[1] Nhng mi quan tõm ny cú th coi nh cụng c h tr t cm hng tỡnh dc hoc cú th tr thnh ri lon tõm thn nu nú gõy nhng au kh tõm lý ỏng k cho ngi mc hoc tỏc ng cú hi vo cỏc lnh vc quan trng i sng ca h.[1][2] Kớch thớch tỡnh dc cú c t mt phn c th c bit cú th c phõn loi k hn an tõm tỡnh dc.[3] 51.1 nh ngha Ban u, hu ht cỏc ngun tin y t nh ngha ỏi vt nh mt s quan tõm tỡnh dc vi cỏc i tng phi sinh vt,mt b phn trờn c th ngi hoc cht dch c th Vo nm 1980 sau mt nghiờn cu - DSM-III, Hip hi Tõm thn M ó loi tr b phn c th ngi i tng tỡnh dc ca ngi mc theo tiờu chun chn oỏn ca h Trong DSM-IV (1994), nú c coi l mt phn riờng bit ca lch lc tỡnh dc nh DSM-III Gn õy mt phiờn bn mi sa i ca DSM (DSM-5) i nm 2013 li xỏc nhp cỏc b phn c th ngi vo i tng tỡnh dc ca ngi mc hi chng ỏi vt v gi ú l cỏc mi quan tõm tỡnh dc (ting Anh:Partialism) 51.3 Quan im cho nguyờn nhõn eo Alfred Bine ỏi vt tỡnh dc xut phỏt t mt nhng cỏ nhõn d b tn thng vo thi th u v ó tri qua nhng kinh nghim tỡnh cm mónh lit vi cỏc i tng tỡnh dc nờn dn n hin tng ny Richard von Kra-Ebing vHavelock Ellis cng tin rng ỏi vt xut phỏt t kinh nghim kt hp, nhng khụng cho ú l iu tt yu Nh tỡnh dc hc, ụng Magnus Hirschfeld cho rng sc hp dn tỡnh dc khụng bao gi bt ngun t mt cỏ nhõn n l, nhng luụn luụn l sn phm ca s tng tỏc ca cỏc tớnh nng cỏ nhõn ễng núi rng hu nh cng cú mi quan tõm c bit no ú nờn ó la chn mt loi bỏi vt lnh mnh Ngy nay, lý thuyt ca Hirschfeld thng c nhc n bi cnh ca hnh vi c th nh ph n s lm ni bt b phn c th bng qun ỏo hoc ph kin v nam gii s phn ng vi chỳng Sigmund Freud tin rng ỏi vt tỡnh dc nam gii bt ngun t s s hói vụ thc t b phn sinh dc ca ngi m, t ni s b thin, t s tng tng hỡnh nh ngi m ct t dng vt ca mt ngi n ụng Nm 1951, Donald Winnico trỡnh by lý thuyt ca ụng v i tng chuyn tip v cỏc hin tng, theo ú hnh ng tr nh mỳt ngún tay v cỏc vt nh chi d thng l ngun gc ca hnh vi dnh cho ngi ln ú l s chuyn tip hỡnh thnh hnh vi ỏi vt tỡnh dc 51.4 Cỏc loi Khi xem xột 48 trng hp ỏi vt lõm sng, cỏc i tng tỡnh dc ca h bao gm qun ỏo (58,3%), cao su v cỏc mt hng cao su (22,9%), giy dộp (14,6%), cỏc b phn c th (14,6%), da (10,4%), v cỏc vt liu 51.2 Phõn tớch mm hay vi (6,3%) Mt nghiờn cu nm 2007 c cỏc thnh viờn nhúm tho lun trờn Internet vi t i vt cú th chia lm nhiu loi, c nam v n u cú fetish vi ch v cỏc b phn trờn c th thỡ cho th mc phi nhiờn nam chim nhiu hn ay vỡ kt qu 47% thuc v nhúm v nhúm bỏi vt chõn (foot am mờ quan h tỡnh dc vi ngi khỏc phỏi, hoc fetishism), 9% v dch c th, 9% v kớch thc c th, 7% cựng phỏi (trng hp ngi ng tớnh luyn ỏi) thỡ h v túc (hair fetish), v 5% v c bp (muscle worship) li si mờ nhng vt khin h cú cm giỏc kớch thớch Nhúm ớt ph bin trung vo rn (navel fetishism), chng hn nh: giy, gng tay v hay gp l qun lút chõn, lụng trờn c th, ming, v múng tay, s 138 51.6 T L nhng th khỏc Kt qu ca nhúm cỏc i tng v trang phc,kt qu thu c cú 33% t l thuc v nhúm thớch nhng b qun ỏo mc trờn chõn hoc mụng (nh v hoc vỏy), 32% v giy dộp (shoe fetishism), 12% v qun lút (underwear fetishism), v 9% v ton b c th nh ỏo khoỏc Nhúm i tng ớt ph bin trung vo m nún, ng nghe, wristwear, v tó lút (diaper fetishism) 51.5 Nguyờn nhõn 139 51.6 T l T l cho ngi mc hi chng ny ch c xỏc nh mt cỏch tng i v s ngi mc l nam thỡ nhiu hn n Trong mt nghiờn cu nm 2011, khong 30% nam gii bỏo cỏo tng tng ỏi vt tỡnh dc, v 24,5% ó tham gia vo hnh vi tỡnh dc vi vt.Trong s nhng tng tng ca bỏo cỏo, 45% cho rng cỏc kớch thớch ó c dy mnh m.Trong mt nghiờn cu khỏc vo nm 2014, khong 26,3% ph n v 27,8% nam gii tha nhn bt k o tng v quan h tỡnh dc vi mt vt yờu thớch hoc i tng phi tỡnh dc Mt phõn tớch ni dung ca nhng tng tng ỏi vt phỏt hin rng 14% ca nhng tng tng ỏi vt l bn chõn, v 4,7% trung vo mt phn c th no ú khụng phi bn chõn Mt nghiờn cu khỏc cng cho thy rng 28% nam gii v 11% ph n cho bit rng cú kớch thớch tỡnh dc vi cỏc vt (bao gm c chõn, vi, v cỏc i tng nh giy, gng tay, hoc chi sang trng) I vt n mc nú tr thnh mt ri lon tõm thn l khỏ him vi ớt hn 1% bnh nhõn tõm thn c kho sỏt cho õy l ca h v bnh ch c xỏc nh nu tha hai iu kin sau: Trong khong thi gian ớt nht l thỏng bnh nhõn thng xuyờn tng tng dy tỡnh dc, cú ham mun tỡnh dc hay nhng hnh vi liờn quan n vic s dng vt tha tỡnh dc vi mt cng cao Cỏc vựng cm giỏc cho ụi chõn b phn sinh dc nm bờn cnh nhau, nh th hin vừ nóo i vt thng tr nờn rừ rng tui dy thỡ, v cú th phỏt trin trc ú Mt s gii thớch ú l phn x cú iu kin.eo John Bancro, khú m gii thớch c nguyờn nhõn ca ỏi vt tỡnh dc, bi vỡ nú khụng dn n ỏi vt cho hu ht mi ngi ễng cho rng iu kt hp vi mt s yu t khỏc, chng hn nh s bt thng quỏ trỡnh hc tỡnh dc.Cỏc lý thuyt v n tng tỡnh dc xut rng ngi hc cỏch nhn cỏc tớnh nng v cỏc hot ng mong mun quan h tỡnh dc thi th u ỏi vt tỡnh dc cú th xy mt a tr c hiu khụng chớnh xỏc hay cú khỏi nim quỏ hp v mt i tng quan h tỡnh dc.S khỏc bit v thn kinh cú th úng mt vai trũ mt s trng hp Vilayanur S Ramachandran quan sỏt thy rng vic x lý khu vc cm giỏc u vo t bn chõn nm bờn cnh khu vc kớch thớch b phn sinh dc v ngh mt liờn kt ngu nhiờn gia cỏc khu vc ny cú th gii thớch s ph bin ca bỏi vt chõn Gii thớch c a cho s him cú cho ngi mc l n vỡ hu ht hỡnh nh vt l hỡnh nh t nhiờn v nam gii c cho l nhy cm hn tỡnh dc kớch thớch th giỏc Nhng tng tng ú gõy au kh tõm lý nghiờm trng hay lm cn tr cỏc mi quan h trng xó hi, ngh nghip ca bnh nhõn Nhng trng hp khụng hi hai iu kin trờn thỡ c xem l khụng mc bnh v s t vũng thi gian nm 51.7 Chn oỏn Cỏc thng kờ- ICD-10 nh ngha ỏi vt nh mt s ph thuc vo i tng phi sinh vt cho vic kớch thớch tỡnh dc v s hi lũng Nú ch c coi l mt chng ri lon hot ng gay au kh hay can thip vo quan h tỡnh dc bỡnh thng eo nghiờn cu DSM-5, ỏi vt l kớch thớch tỡnh dc t cỏc i tng vt phi sinh vt hoc cỏc b phn khụng phi c quan tỡnh dc, c chn oỏn l ri lon tõm thn t hi chng ny, cỏc kớch thớch phi kộo di ớt nht l sỏu thỏng v gõy au kh tõm lý xó hi cú ý ngha hoc suy gim lnh vc quan trng ca cuc sng ca h Trong DSM-IV, ham mun tỡnh dc cỏc b phn c th c phõn bit t ỏi vt di tờn partialism (chn oỏn l lch lc tỡnh dc NOS), nhng 140 CHNG 51 I VT nú ó c sỏp nhp vi ri lon tỡnh dc vt cho hoc dnh ch nhng ngy nht nh thc hin hnh DSM-5 vi ny Nu vic cng dng m khụng th thiu cỏc Cỏc d ỏn ReviseF65 ó ng cho vic chn oỏn vt yờu thớch, cỏc bỏc s chuyờn khoa cú th khuyờn ICD c bói b hon ton trỏnh s k th i vi ngi mc thay i vựng nhy cm mt tng khoỏi cm kớch thớch din bỡnh thng (mc dự cỏc c ngi mc hi chng ny s bng chng cho cỏc k thut cũn yu) Nh tỡnh dc hc Odd Reiersol lp lun rng hi chng ny thng gõy s xu h v iu ú lm khng hong tõm lý cho ngi mc eo ụng, trng 51.9 Cỏc ng vt khỏc hp cỏ nhõn khụng kim soỏt c hnh vi gõy hi, thay vo ú h c chn oỏn vi mt cỏ tớnh cú hi i vt ó c so sỏnh vi phn x cú iu kin ca hoc ri lon kim soỏt xung phn ng tỡnh dc ng vt khỏc Hp dn tỡnh dc vi nhng tớn hiu nht nh cú th c gi to gõy chut C chut c v chut cỏi s phỏt trin mt 51.8 iu tr s thớch tỡnh dc trung lp hoc thm thay i i tỏc tỡnh dc nu i tỏc ú cú nhng mựi hng c eo T chc Y t gii (WHO), ỏi vt l mt tng kt hp vi kinh nghim tỡnh dc sm ca chỳng Vic tng ph bin v ch nờn c coi l mt ri lon tiờm morphine hoc oxytocin vo mt chut c nú lm suy gim chc nng hot ng bỡnh thng quỏ trỡnh tip xỳc u tiờn ca nú vi chut cỏi hoc gõy au kh cng s cú mựi thm cú tỏc dng tng t Chut cng Mc tiờu ca iu tr l loi b cỏc hot ng ti s phỏt trin s thớch tỡnh dc cho kinh nghim tỡnh dc phm, gim s ph thuc vo cỏc vt tha u tiờn ca chỳng, v cú th dn n hin tng tng tỡnh dc, nõng cao k nng quan h, hoc c gng hng phn nh quan h vi mt chut cỏi nhng loi b hon ton kớch thớch lch lc ny Cỏc bng thc ú ch l mt cỏ chi bng nha Mi chng cho hiu qu iu tr cũn hn ch v ang quan h tỡnh dc tng t cng ó c chng minh c nghiờn cu.Hin khụng cú nghiờn cu v iu tr trong, loi kh uụi súc v chim cỳt Nht Bn cho trng hp l n Liu phỏp hnh vi nhn thc l mt nhng phng phỏp ph bin Tr liu hnh vi nhn thc dy cho ngi mc cỏch thay th nhng tng tng cú hi ny bng nhng tng tng cú ớch khỏc Liu phỏp iu tr ỏc cm iu tr ỏc cm, liu phỏp ny cú th lm gim kớch thớch tỡnh dc ngn hn, nhng dng nh khụng cú tỏc dng vnh vin Antiandrogens v cỏc cht c ch serotonin cú chn lc tỏi hp thu (SSRIs) cú th c quy nh gim ham mun tỡnh dc Cyproterone acetate l antiandrogen ph bin nht c s dng Cỏc cht ny lm gim tỡnh dc tng tng núi chung Cỏc tỏc dng ph cú th bao gm loóng xng, ri lon chc nng gan, v gõy n tớnh húa Cỏc nghiờn cu ó cho thy rng vic dựng antiandrogen acetate medroxyprogesterone s thnh cụng vic lm gim ham mun tỡnh dc, nhng cú th cú tỏc dng ph nh loóng xng, tiu ng, huyt tnh mch sõu, n tớnh húa, v tng cõn Mt s bnh vin s dng leuprolide acetate v goserelin acetate lm gim ham mun tỡnh dc, v hin cú rt ớt bng chng cho hiu qu ca h, vic dựng nú gõy ớt tỏc dng ph hn antiandrogens khỏc Mt s nghiờn cu h tr vic s dng cỏc thuc SSRI, m cú th thớch hp antiandrogens thỡ tỏc dng ph s tng i lnh tớnh Vic T cỏc mi quan h cú th dựng gim s ph thuc vo cỏc vt v ci thin kh nng tỡnh dc ỳng ngha bng vic s dng cỏc k thut nh cóm giỏc trung Ngi mc cú th tip tc hnh vi ny nhng mt gii hn cú th kim soỏt c, Cú th cỏc kớch thớch ỏi vt ó c bỏo cỏo hai loi linh trng khỏc t cựng s thỳ Bt c no mt kớch thớch u tiờn thu c vi mt chỳ tinh tinh thụng thng sinh iu kin nuụi nht l nú s luụn nhỡn chm chm vo b phn sinh dc bng cỏch chm vo nú, tr nờn cng cng ri bt u ch dng vt ca mỡnh chng li s cng cng ú ri cui cựng l xut tinh hai, mt kh u s tr nờn cng cng c sỏt v ngi chõn ca mỡnh, nhng khụng phi th dõm hay chm vo chõn v dng vt ca mỡnh 51.10 Cỏc bnh lch lc tỡnh dc tng t Lch lc tỡnh dc Bo dõm Kh dõm i lóo i nhi Ri lon tõm thn 51.11 Tham kho Tỡnh dc v ri lon tỡnh dc 51.14 LIấN KT NGOI Lch lc tỡnh dc cú phi l bnh 51.12 c thờm Bienvenu, Robert, e Development of Sadomasochism as a Cultural Style in the Twentieth-Century United States, 2003, Online PDF under Sadomasochism as a Cultural Style Gates, Katharine (1999) Deviant Desires: Incredibly Strange Sex Juno Books ISBN 1-890451-03-7 Kaplan, Louise J (1991) Female Perversions: e Temptations of Emma Bovary New York: Doubleday ISBN 0-385-26233-7 Love, Brenda (1994) e Encyclopedia of Unusual Sex Practices Barricade Books ISBN 1-56980-0111 Steele, Valerie (1995) Fetish: Fashion, Sex, and Power Oxford University Press ISBN 0-19509044-6 Utley, Larry; Autumn Carey-Adamme (2002) Fetish Fashion: Undressing the Corset Green Candy Press ISBN 1-931160-06-6 51.13 Tham kho [1] American Psychiatric Association biờn (2013) Fetishistic Disorder, 302.81 (F65.0) Diagnostic and Statistical Manual of Mental Disorders, Fih Edition American Psychiatric Publishing tr 700 [2] Fetishism, F65.0 e ICD-10 Classication of Mental and Behavioural Disorders: Clinical descriptions and diagnostic guidelines (PDF) World Health Organization tr 170 Truy cp ngy thỏng nm 2014 [3] Milner, J S., & Dopke, C A (1997) Paraphilia Not Otherwise Specied: Psychopathology and theory In D R Laws and W O'Donohue (Eds.), Sexual deviance: eory, assessment, and treatment New York: Guilford 51.14 Liờn kt ngoi K cp 4.000 chic lút ph n, bn ting Anh:Serial lingerie thief arrested 141 142 CHNG 51 I VT 51.15 Ngun, ngi úng gúp, v giy phộp cho bn v hỡnh nh 51.15.1 Vn bn Bo dõm Ngun: https://vi.wikipedia.org/wiki/B%E1%BA%A1o_d%C3%A2m?oldid=26122112 Ngi úng gúp: Robbot, Mekong Bluesman, aisk, Vinhtantran, Newone, DHN-bot, Vuongphu, JAnDbot, TXiKiBoT, Qbot, ChinTam, Ditimchanly, Luckas-bot, Ptbotgourou, Mt tri , Lấ TN LC, TuHan-Bot, FoxBot, ChuispastonBot, Cheers!-bot, MerlIwBot, Hoang Dat, Addbot, Tuanminh01, TuanminhBot v ngi vụ danh Bnh Alzheimer Ngun: https://vi.wikipedia.org/wiki/B%E1%BB%87nh_Alzheimer?oldid=26734171 Ngi úng gúp: CommonsDelinker, VolkovBot, Qbot, Ditimchanly, Y Kpia Mlo, AlleinStein, Luckas-bot, Pq, Porcupine, Xqbot, KamikazeBot, TjBot, TuHan-Bot, Tranphuongthuy, EmausBot, Yanajin33, ZộroBot, Yduocizm, CNBH, Trongkhanhknv, FoxBot, Cheers!, Milk Coee, WikitanvirBot, Mjbmrbot, Cheers!-bot, CocuBot, MerlIwBot, AlphamaBot, Addbot, , OctraBot, Arc Warden, Tuanminh01, AlphamaBot3, TuanminhBot, angbt, ẫn bc AWB v ngi vụ danh Bnh Parkinson Ngun: https://vi.wikipedia.org/wiki/B%E1%BB%87nh_Parkinson?oldid=26113018 Ngi úng gúp: JAnDbot, VolkovBot, Ditimchanly, AlleinStein, Luckas-bot, Amirobot, Rubinbot, NgocChinh, Prenn, TuHan-Bot, EmausBot, ZộroBot, CNBH, Donghienhp, ChuispastonBot, Cheers!-bot, MerlIwBot, Mikhail Ryazanov, DanGong, Vagobot, AlphamaBot, Hugopako, Addbot, , OctraBot, Tuanminh01, TuanminhBot, Vinhtc86 v ngi vụ danh Bnh tõm thn Ngun: https://vi.wikipedia.org/wiki/B%E1%BB%87nh_t%C3%A2m_th%E1%BA%A7n?oldid=25346620 Ngi úng gúp: JAnDbot, Duyt-ph, DragonBot, Ditimchanly, BodhisavaBot, AlleinStein, Luckas-bot, Mt tri , Porcupine, Xqbot, Tranletuhan, TuHan-Bot, EmausBot, Yduocizm, RedBot, JackieBot, Tran Xuan Hoa, FoxBot, Cheers!, Ripchip Bot, Movses-bot, Cheers!bot, MerlIwBot, JYBot, YFdyh-bot, AlphamaBot, Bs uan, Addbot, itxongkhoiAWB, Tuanminh01, TuanminhBot, ẫn bc AWB, Cutehousemouse v ngi vụ danh Chỏn n tõm thn Ngun: https://vi.wikipedia.org/wiki/Ch%C3%A1n_%C4%83n_t%C3%A2m_th%E1%BA%A7n?oldid=27352700 Ngi úng gúp: Mekong Bluesman, Lu Ly, Newone, Dung005, CommonsDelinker, VolkovBot, TXiKiBoT, TVT-bot, DragonBot, Qbot, Paris, Ditimchanly, Meotrangden, Y Kpia Mlo, Luckas-bot, Grenouille vert, ArthurBot, Rubinbot, Xqbot, SassoBot, TobeBot, DangTungDuong, Dinhtuydzao, Tnt1984, ieu iot, TuHan-Bot, EmausBot, FoxBot, WikitanvirBot, Cheers!-bot, Dhguardianes, DanGong, AlphamaBot, Earthshaker, Addbot, OctraBot, Tuanminh01, TuanminhBot, ẫn bc AWB v 11 ngi vụ danh Chng bt th Ngun: https://vi.wikipedia.org/wiki/Ch%E1%BB%A9ng_b%E1%BA%AFt_th%E1%BA%BF?oldid=20506034 Ngi úng gúp: AlleinStein, TuHan-Bot, EmausBot, Cheers!-bot, Ngocminh.oss, TuanUt, AlphamaBot v ngi vụ danh Chng cung dõm Ngun: https://vi.wikipedia.org/wiki/Ch%E1%BB%A9ng_cu%E1%BB%93ng_d%C3%A2m?oldid=22098396 Ngi úng gúp: Ditimchanly, Luckas-bot, Mt tri , ToiyeuTTMC, TuHan-Bot, EmausBot, ZộroBot, FoxBot, Cheers!-bot, MerlIwBot, AvocatoBot, YFdyh-bot, AlphamaBot, AlphamaBot2, Addbot, OctraBot, itxongkhoiAWB, TuanminhBot v Mt ngi vụ danh Chng khú c Ngun: https://vi.wikipedia.org/wiki/Ch%E1%BB%A9ng_kh%C3%B3_%C4%91%E1%BB%8Dc?oldid=26825816 Ngi úng gúp: Robbot, Chobot, Lu Ly, Casablanca1911, Cao Xuan Kien, JAnDbot, VolkovBot, TXiKiBoT, SieBot, Purbo T, Ditimchanly, BodhisavaBot, CarsracBot, Luckas-bot, GhalyBot, TobeBot, KamikazeBot, MastiBot, TuHan-Bot, EmausBot, Maihuongly, ChuispastonBot, WikitanvirBot, Mjbmrbot, Cheers!-bot, AlphamaBot, Addbot, itxongkhoiAWB, TuanminhBot, ẫn bc AWB, ManlyBoys, P.T. v ngi vụ danh Chng nghin ru Ngun: https://vi.wikipedia.org/wiki/Ch%E1%BB%A9ng_nghi%E1%BB%87n_r%C6%B0%E1%BB%A3u?oldid= 23726484 Ngi úng gúp: Mxn, Robbot, Mekong Bluesman, Phan Ba, Nguyn anh ang, YurikBot, Lu Ly, Newone, DHN-bot, JAnDbot, ijs!bot, VolkovBot, TXiKiBoT, AlleborgoBot, SieBot, TVT-bot, Idioma-bot, Alexbot, Kimse, AlleinStein, Nallimbot, Luckasbot, Pq, ArthurBot, Xqbot, TobeBot, Tnt1984, TuHan-Bot, EmausBot, C rt, JackieBot, ChuispastonBot, WikitanvirBot, Cheers!bot, CocuBot, MerlIwBot, Daiannamthang, Justincheng12345-bot, Alphama, AlphamaBot, Addbot, OctraBot, itxongkhoiAWB v 11 ngi vụ danh Hikikomori Ngun: https://vi.wikipedia.org/wiki/Hikikomori?oldid=30729249 Ngi úng gúp: DHN, Mekong Bluesman, Vinhtantran, DHN-bot, Viethavvh, Escarbot, VolkovBot, TXiKiBoT, Handyhuy, anhtam2000, Idioma-bot, AlleinStein, Luckas-bot, Volga, KamikazeBot, Tnt1984, Yakushosama, TuHan-Bot, ZộroBot, Cheers!-bot, Makecat-bot, Che Guevara VN, AlphamaBot, Rotlink, Addbot, ynhan1910, Tuanminh01, ShiraAki, ẫn bc AWB v 12 ngi vụ danh Hoang tng o giỏc Ngun: https://vi.wikipedia.org/wiki/Hoang_t%C6%B0%E1%BB%9Fng_%E1%BA%A3o_gi%C3%A1c?oldid= 26573440 Ngi úng gúp: AlleinStein, Luckas-bot, GhalyBot, Phng Huy, TjBot, Namnguyenvn, TuHan-Bot, EmausBot, RedBot, ChuispastonBot, Cheers!-bot, Trnh Bch ng, MerlIwBot, GrouchoBot, AlphamaBot, Addbot, Tuanminh01, TuanminhBot, P.T. v ngi vụ danh Hysteria Ngun: https://vi.wikipedia.org/wiki/Hysteria?oldid=26087335 Ngi úng gúp: JAnDbot, AlleinStein, Luckas-bot, HerculeBot, Bongdentoiac, Dinhtuydzao, TuHan-Bot, EmausBot, RedBot, WikitanvirBot, Cheers!-bot, MerlIwBot, AvocatoBot, Makecat-bot, YFdyh-bot, AlphamaBot, Addbot, Tuanminh01, TuanminhBot, ẫn bc AWB, Trantrongnhan100YHbot v Mt ngi vụ danh Hi ng Asperger Ngun: https://vi.wikipedia.org/wiki/H%E1%BB%99i_ch%E1%BB%A9ng_Asperger?oldid=26761152 Ngi úng gúp: CommonsDelinker, Phng Huy, TuHan-Bot, Cheers!-bot, MerlIwBot, DanGong, enhitran, AlphamaBot, Addbot, OctraBot, itxongkhoiAWB, Tuanminh01, TuanminhBot, Trungvu113, ẫn bc AWB, Piestiasm, Bbqvn, P.T., Trantrongnhan100YHbot v 10 ngi vụ danh Hi ng Einstein Ngun: https://vi.wikipedia.org/wiki/H%E1%BB%99i_ch%E1%BB%A9ng_Einstein?oldid=26456020 Ngi úng gúp: Hugopako, AlphamaBot4 v Drsharpiedcat Hi ng Munausen Ngun: https://vi.wikipedia.org/wiki/H%E1%BB%99i_ch%E1%BB%A9ng_Munchausen?oldid=25939768 Ngi úng gúp: AlphamaBot4, TuanminhBot v Unserefahne Hi ng s xó hi Ngun: https://vi.wikipedia.org/wiki/H%E1%BB%99i_ch%E1%BB%A9ng_s%E1%BB%A3_x%C3%A3_h%E1%BB% 99i?oldid=25341774 Ngi úng gúp: Mekong Bluesman, Vinhtantran, ijs!bot, VolkovBot, SieBot, Qbot, Ditimchanly, SpBot, Luckas-bot, ArthurBot, Rubinbot, Xqbot, TobeBot, KamikazeBot, TuHan-Bot, EmausBot, Cheers!-bot, HiW-Bot, LYQUOCMAIANH, Nguyennguyen1806, YFdyh-bot, AlphamaBot, Rotlink, Addbot, TuanminhBot, Powerover, Piestiasm v ngi vụ danh 51.15 NGUN, NGI ểNG GểP, V GIY PHẫP CHO VN BN V HèNH NH 143 Hi ng Tourette Ngun: https://vi.wikipedia.org/wiki/H%E1%BB%99i_ch%E1%BB%A9ng_Tourette?oldid=26711875 Ngi úng gúp: Mxn, Vinhtantran, DHN-bot, JAnDbot, ijs!bot, VolkovBot, TXiKiBoT, BotMultichill, SieBot, DragonBot, OKBot, Alexbot, Ditimchanly, StigBot, Luckas-bot, Nghiem Bao Duy, ArthurBot, Xqbot, TuHan-Bot, EmausBot, AlphamaBot, Addbot, OctraBot, Tuanminh01, MichaelMai92, Trantrongnhan100YHbot, IlcomposộldelMozọrt v ngi vụ danh ICD-10 Chng 5: Ri lon tõm thn v hnh vi Ngun: https://vi.wikipedia.org/wiki/ICD-10_Ch%C6%B0%C6%A1ng_5%3A_R% E1%BB%91i_lo%E1%BA%A1n_t%C3%A2m_th%E1%BA%A7n_v%C3%A0_h%C3%A0nh_vi?oldid=26075158 Ngi úng gúp: Squall282, VolkovBot, TXiKiBoT, SieBot, Alexbot, Ditimchanly, AlleinStein, Xqbot, NgocChinh, TobeBot, TuHan-Bot, ChuispastonBot, Cheers!bot, LYQUOCMAIANH, Nguyennguyen1806, AlphamaBot, Addbot, Trantrongnhan100YHbot v ngi vụ danh Kh dõm Ngun: https://vi.wikipedia.org/wiki/Kh%E1%BB%95_d%C3%A2m?oldid=24188625 Ngi úng gúp: Mekong Bluesman, Newone, CommonsDelinker, SieBot, Ditimchanly, Meotrangden, Luckas-bot, Mt tri , Lyphonglong~viwiki, ToiyeuTTMC, SassoBot, TuHan-Bot, ErikvanB, FoxBot, WikitanvirBot, MerlIwBot, Carol Fenijn, TuanUt, AlphamaBot, Addbot, Tuanminh01, TuanminhBot, Immortality113 v ngi vụ danh Lit dng Ngun: https://vi.wikipedia.org/wiki/Li%E1%BB%87t_d%C6%B0%C6%A1ng?oldid=26629423 Ngi úng gúp: Vng Ngõn H, Nguyn anh ang, ỏi Nhi, Newone, DHN-bot, Cao Xuan Kien, JAnDbot, ijs!bot, VolkovBot, TXiKiBoT, Magnier, Dynamine999, EDUCA33E, SieBot, Qbot, ChinTam, Ditimchanly, Luckas-bot, Amirobot, ArthurBot, Rubinbot, Xqbot, Trn Nguyn Minh Huy, Vani Lờ, MastiBot, Phỏ phỏch, Tnt1984, TuHan-Bot, EmausBot, JackieBot, Trongkhanhknv, ChuispastonBot, Anhtucxac, Baoanduong, Sachlachong, Cheers!-bot, Movieclub12, Violetbonmua, ng Vn Bc, GrouchoBot, AlphamaBot, Do Tan Loi, Addbot, TuanUt-Bot!, Gaconnhanhnhen, Mrthieugia, Tabi Phan, Tuanminh01, TuanminhBot, ng dựng wiki qung cỏo v 20 ngi vụ danh L lc tỡnh dc Ngun: https://vi.wikipedia.org/wiki/L%E1%BB%87ch_l%E1%BA%A1c_t%C3%ACnh_d%E1%BB%A5c?oldid= 26612086 Ngi úng gúp: TXiKiBoT, Synthebot, SieBot, Qbot, Ditimchanly, Y Kpia Mlo, Luckas-bot, HerculeBot, Ptbotgourou, Mt tri , Magicangel1996, ToiyeuTTMC, Rubinbot, Xqbot, TobeBot, Phng Huy, TuHan-Bot, EmausBot, FoxBot, ChuispastonBot, WikitanvirBot, Cheers!-bot, enhitran, JYBot, YFdyh-bot, AlphamaBot, AlphamaBot2, Addbot, Tuanminh01, TuanminhBot, AlbertEinstein05, Propose885, P.T. v ngi vụ danh Mt ng Ngun: https://vi.wikipedia.org/wiki/M%E1%BA%A5t_ng%E1%BB%A7?oldid=26516199 Ngi úng gúp: DHN, Arisa, Chobot, Lu Ly, Vinhtantran, Newone, Cao Xuan Kien, JAnDbot, ijs!bot, VolkovBot, TXiKiBoT, Dynamine999, SieBot, Loveless, Idiomabot, NDS, S3056007, Ditimchanly, MelancholieBot, WikiDreamer Bot, CarsracBot, AlleinStein, Luckas-bot, Amirobot, Eternal Dragon, ArthurBot, Rubinbot, Xqbot, Camnangthuoc, TobeBot, Erin nguyen, Vani Lờ, Tnt1984, Ngụ Tn, TuHan-Bot, Wyang, Khanhngujen, Morphine, Donghienhp, Trongkhanhknv, ChuispastonBot, Anhtucxac, Baoanduong, Huongthiennam, Cheers!-bot, Hoidongvan, Ngi bu c, MerlIwBot, Richrichpham, AlphamaBot, Addbot, , OctraBot, itxongkhoiAWB, Stomperinky, PhanAnh123, Vdongold v 15 ngi vụ danh Mt trớ nh Ngun: https://vi.wikipedia.org/wiki/M%E1%BA%A5t_tr%C3%AD_nh%E1%BB%9B?oldid=19004824 Ngi úng gúp: Trn Nguyn Minh Huy v AlphamaBot Mc cm ngoi hỡnh Ngun: https://vi.wikipedia.org/wiki/M%E1%BA%B7c_c%E1%BA%A3m_ngo%E1%BA%A1i_h%C3%ACnh?oldid= 26085947 Ngi úng gúp: ỏi Nhi, JAnDbot, CommonsDelinker, Qbot, Ditimchanly, MystBot, Ptbotgourou, Xqbot, Tnt1984, TuHan-Bot, FoxBot, WikitanvirBot, Dhguardianes, Ngi bu c, AlphamaBot, Rotlink, Undoer undoer, Addbot, Tuanminh01, Trantrongnhan100YHbot v ngi vụ danh Mc cm thiu c bp Ngun: https://vi.wikipedia.org/wiki/M%E1%BA%B7c_c%E1%BA%A3m_thi%E1%BA%BFu_c%C6%A1_b%E1% BA%AFp?oldid=24192037 Ngi úng gúp: Ti2008, Ditimchanly, SpBot, Luckas-bot, ArthurBot, Xqbot, Trevinci, TuHan-Bot, EmausBot, RedBot, AlphamaBot, Addbot, Tuanminh01 v TuanminhBot Ngt xu Ngun: https://vi.wikipedia.org/wiki/Ng%E1%BA%A5t_x%E1%BB%89u?oldid=26238586 Ngi úng gúp: CommonsDelinker, DanGong, Alphama, AlphamaBot, itxongkhoiAWB, Nguyờn T-54 v Trantrongnhan100YHbot Ng c nc Ngun: https://vi.wikipedia.org/wiki/Ng%E1%BB%99_%C4%91%E1%BB%99c_n%C6%B0%E1%BB%9Bc?oldid=26186532 Ngi úng gúp: Newone, Daubac402, Cheers!, Alphama, AlphamaBot, GHA-WDAS, Tuanminh01, Mai Ngc Xuõn, P.T. v ngi vụ danh Nhõn cỏ yờu mỡnh thỏi quỏ Ngun: https://vi.wikipedia.org/wiki/Nh%C3%A2n_c%C3%A1ch_y%C3%AAu_m%C3%ACnh_th%C3% A1i_qu%C3%A1?oldid=22863378 Ngi úng gúp: Ti2008, Ditimchanly, AlleinStein, Pq, angbao, Trn Nguyn Minh Huy, Tnt1984, Namnguyenvn, TuHan-Bot, Cheers!-bot, MerlIwBot, AlphamaBot, Addbot, OctraBot, TuanUt-Bot!, TuanminhBot, Piestiasm v ngi vụ danh Núi lp Ngun: https://vi.wikipedia.org/wiki/N%C3%B3i_l%E1%BA%AFp?oldid=22102678 Ngi úng gúp: Duongdt, G.G, DHNbot, Cao Xuan Kien, JAnDbot, ijs!bot, VolkovBot, AlleborgoBot, SieBot, Tmsnhien, Ditimchanly, CarsracBot, Lascorz, Xqbot, KamikazeBot, TuHan-Bot, EmausBot, Poodu, ZộroBot, RedBot, FoxBot, WikitanvirBot, Cheers!-bot, Violetbonmua, TRMC, MerlIwBot, Makecat-bot, YFdyh-bot, AlphamaBot, Addbot, TuanminhBot v ngi vụ danh Phõn loi thng kờ quc t v cỏc bnh tt v sc khe liờn quan Ngun: https://vi.wikipedia.org/wiki/Ph%C3%A2n_lo%E1% BA%A1i_th%E1%BB%91ng_k%C3%AA_qu%E1%BB%91c_t%E1%BA%BF_v%E1%BB%81_c%C3%A1c_b%E1%BB%87nh_t%E1%BA%ADt_ 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Cheers!-bot, AvocatoBot, LYQUOCMAIANH, AlphamaBot, Addbot, TuanUt-Bot!, Arc Warden, Tuanminh01, Piestiasm, Trantrongnhan100YHbot v Mt ngi vụ danh 144 CHNG 51 I VT Ri lon nhõn cỏ Ngun: https://vi.wikipedia.org/wiki/R%E1%BB%91i_lo%E1%BA%A1n_nh%C3%A2n_c%C3%A1ch?oldid=26616570 Ngi úng gúp: TXiKiBoT, Ditimchanly, AlleinStein, Luckas-bot, SilvonenBot, Rubinbot, Xqbot, NgocChinh, Tnt1984, TuHan-Bot, Cheers!-bot, MerlIwBot, Sanya3, LYQUOCMAIANH, AlphamaBot, Addbot, TuanUt-Bot!, Hamhochoi99, Tuanminh01, TuanminhBot, Piestiasm v ngi vụ danh Ri lon nhõn cỏ ng xó hi Ngun: https://vi.wikipedia.org/wiki/R%E1%BB%91i_lo%E1%BA%A1n_nh%C3%A2n_c%C3%A1ch_ ch%E1%BB%91ng_x%C3%A3_h%E1%BB%99i?oldid=24188660 Ngi úng gúp: JAnDbot, VolkovBot, Ditimchanly, Luckas-bot, Xqbot, KamikazeBot, TjBot, TuHan-Bot, EmausBot, Cheers!-bot, MerlIwBot, AvocatoBot, Minsbot, DHTD, JYBot, YFdyh-bot, AlphamaBot, Rotlink, Addbot, TuanUt-Bot!, Tuanminh01, TuanminhBot, Piestiasm, E2k95lhp v Mt ngi vụ danh Ri lon nhõn cỏ trỏnh nộ Ngun: 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Ngh s u tiờn: ? Tp_tin:Writing_by_a_Parkinson{}s_disease_patient.png Ngun: https://upload.wikimedia.org/wikipedia/commons/9/91/Writing_ by_a_Parkinson%27s_disease_patient.png Giy phộp: Public domain Ngi úng gúp: Lectures on the diseases of the nervous system Published 1879 Second edition by H C Lea in Philadelphia Lecture V: On paralysis agitans (p 112) Ngh s u tiờn: Jean-Martin Charcot 51.15.3 Giy phộp ni dung Creative Commons Aribution-Share Alike 3.0 ... ICD-10 Chương 5: Rối loạn tâm thần hành vi 52 18.1 Rối loạn tâm thần hành vi (F00-F99) 18.1.1 Rối loạn tâm thần thực thể bao gồm rối loạn tâm thần triệu chứng (F00-F09)... Chương Bệnh tâm thần Bệnh tâm thần, Rối loạn tâm thần rối loạn tinh thần hình thức tâm lý hành vi cá biệt cho gây đau khổ, khả cư xử phát triển bình thường Những người rối loạn tâm thần có quyền... 18.1.2 Rối loạn tâm thần hành vi sử dụng chất tác động tâm thần( F10-F19) 52 18.1.3 Tâm thần phân liệt, rối loạn dạng phân liệt rối loạn hoang tưởng (F20-F29) 52 18.1.4 Rối loạn khí