referat waham

8/18/2019 Referat waham

1/13

REFERAT

ILMU KEDOKTERAN JIWA

GANGGUAN WAHAM

Oleh :

ANG TIMOTIUS R. A.

RAMANAWATI

Pembimbing :

d. Agne! M. H"l#h# S$. KJ

FAKULTAS KEDOKTERAN

UNI%ERSITAS HANG TUAH

SURA&A'A

()*+


2/13

PENDAHULUAN

W"h"m "d"l"h ,e-",in"n en"ng !/"/ i!i $i,i"n -"ng id",

!e!/"i deng"n ,en-"""nn-" ""/ id", 0#0#, deng"n inelegen!id"n l"" bel","ng ,eb/d"-""nn-" me!,i$/n !/d"h dib/,i,"n h"l

i/ m/!"hil. *

W"h"m me/$","n !"/1!"/n-" 0ii ,h"! ,lini! ""/ ge2"l" -"ng

$"ling men0#l#,. W"h"m13"h"m e!eb/ 4b"i, /ngg"l m"/$/n

!eb"g"i !/"/ !i!em 3"h"m5 h"/! !/d"h "d" !edi,in-" 6 b/l"n

l"m"n-" d"n h"/! be!i7" ,h"! $ib"di 4$e!#n"l5 d"n b/,"n

b/d"-" !eem$". (

G"ngg/"n 3"h"m -"ng $"ling !eing e2"di $"d" /!i" de3"!"

hingg" /!i" /" d"n lebih 0ende/ng e2"di $"d" $eem$/"n

dib"nding,"n $"d" l",i1l",i. R"!i# /!i" g"ngg/"n 3"h"m be,i!"

"n"" *8 9 8) "h/n n"m/n /!i" eb"n-", "n"" ;) 9 ;+ "h/n. 6


3/13

TINJAUAN PUSTAKA

I. De7ini!iG"ngg/"n 3"h"m me/$","n ,e-",in"n -"ng !"l"h did"!","n

$"d" ,e!im$/l"n -"ng !"l"h en"ng e"li"! e,!en" id",

,#n!i!en deng"n l"" bel","ng inelegen!i d"n b/d"-" $"!ien

id", d"$" di,#e,!i deng"n $en"l""n.6

II. E$idemi#l#gi

In!iden "h/n"n g"ngg/"n 3"h"m "d"l"h *1 6 ,"!/! $e *)).)))

#"ng. Pe


4/13

". W"h"m ,ebe!""n : ,e-",in"n ""/ ,e$e0"-""n bi"!"n-"

$!i,#i, !i7"n-" b"h3" diin-" "d"l"h #"ng -"ng !"ng"

,/" !"ng" be,/"!" ""/ !"ng" be!".

b. W"h"m ,e2""n 4$e!e,/#i,5 : !/"/ del/!i -"ng men"nd"i

!e#"ng -"ng $""n#id -"ng mengi" b"h3" diin-" "d"l"h

,#b"n d"i /!"h" /n/, mel/,"in-" ""/ -"ng mend##ng

"g" di" g"g"l d"l"m ind","nn-".0. W"h"m /2/,"n : !/"/ ,e$e0"-""n ,eli/ -"ng me-",ini

b"h3" ing,"h l",/ #"ng l"in i/ $"!i ","n mem7in"h

memb"h"-","n ""/ ","n men2"hii diin-".d. W"h"m di,end"li,"n : ,e-",in"n -"ng ,eli/ b"h3"

,eingin"n $i,i"n ""/ $e"!""nn-" di,end"li,"n #leh

,e,/""n d"i l/". Tem"!/, did"l"mnn-" :

Thought withdrawal : 3"h"m b"h3" $i,i"nn-" di"i, #leh

#"ng l"in ""/ ,e,/""n l"in.

Thought insertion : 3"h"m b"h3" $i,i"nn-" di!i!i$i #leh

#"ng l"in ""/ ,e,/""n l"in.

Thought broadcasting : 3"h"m b"h3" $i,i"nn-" d"$"

di,e"h/i $leh #"ng l"in ""/ e!i" di /d"".

Thought control : 3"h"m b"h3" $i,i"nn-" di,end"li,"n

#leh #"ng l"in ""/ ,e,/""n l"in.. W"h"m 0emb// : ,e-",in"n -"ng ,eli/ -"ng be"!"l d"i

0emb// $"#l#gi! en"ng $"!"ng"n -"ng id", !ei".B. E##m"ni" : ,e-",in"n -"ng ,eli/ bi"!"n-" $"d" 3"ni"

me"!" -",in b"h3" !e!e#"ng !"ng" men0in"in-".

I%. Ei#l#giPen-eb"b !eben"n-" id", di,e"h/i. Ad" bebe"$" 7",# 6 :

". F",# bi#l#gi!&eb"g"i !/b!"n!i d"n ,e"d""n medi! n#n1$!i,i"i

em"!/, 7",# bi#l#gi! -"ng n-"" d"$" men-eb"b,"n

3"h"m e"$i id", !ei"$ $endei" /m# #", mem$/n-"i

3"h"m.Ke"d""n ne/#l#gi! -"ng $"ling !eing beh/b/ng"n deng"n

3"h"m "d"l"h ,e"d""n -"ng mengen"i !i!em limbi, d"n b"!"l

g"ngli".


5/13

G"ngg/"n 3"h"m 2/g" d"$" imb/l !eb"g"i e!$#n! n#m"l

eh"d"$ $eng"l"m"n "bn#m"l eh"d"$ ling,/ng"n !i!em

!""7 e$i ""/ !i!em !""7 $/!".

b. F",# $!i,#din"mi,P",i!i memili,i im$e!i ,lini! ,/" b"h3" ,eb"n-","n

$"!ien g"ngg/"n 3"h"m memili,i ,#ndi!i !#!i"l ei!#l"!i d"n

ing," $en0"$"i"n d"l"m hid/$n-" ,/"ng d"i -"ng

dih""$,"n.Te#i $!i,#din"mi, !$e!i7i, mengen"i $en-eb"b d"n e


6/13

;5 Pi,i"nG"ngg/"n $i,i"n d"l"m 3"h"m me/$","n ge2"l" /"m" d"

g"ngg/"n 3"h"m bi"!"n-" !i!em"i! d"n ,"",ei!i,n-"

"d"l"h !e!/"/ -"ng m/ng,in.+5 Oien"!i

P"!ien deng"n g"ngg/"n 3"h"m bi"!"n-" id", memili,i

g"ngg/"n d"l"m #ien"!i ,e0/"li bil" mee," memili,i 3"h"m

!$e!i7i, en"ng #"ng em$" 3",/.5 D"-" ing"

D"-" ing" d"n $#!e! ,#gnii7 $"d" $"!ien g"ngg/"n 3"h"m

id", eg"ngg/.B5 Peimb"ng"n d"n ili,"n

P"!ien deng"n g"ngg/"n 3"h"m h"m$i !ele/hn-" id",memili,i ili,"n eh"d"$ ,#ndi!i mee," d"n h"m$i !el"l/

dib"3" ,e /m"h !",i #leh #"ng l"in.85 Ke2/2/"n

P"!ien deng"n g"ngg/"n 3"h"m bi"!"n-" d"$" di$e0-"

in7#m"!in-" ,e0/"li 2i," h"l e!eb/ memb"h"-","n !i!em

3"h"mn-".

%I. Di"gn#!i!Ped#m"n di"gn#!i, g"ngg/"n 3"h"m 4F((.)5 ( :

W"h"m13"h"m me/$","n !"/1!"/n-" 0ii ,h"! ,lini! ""/

ge2"l" -"ng $"ling men0#l#,. W"h"m13"h"m e!eb/ 4b"i,

/ngg"l m"/$/n !eb"g"i !/"/ !i!em 3"h"m5 h"/! !/d"h "d"

!edi,in-" 6 b/l"n l"m"n-" d"n h"/! be!i7" ,h"! $ib"di

4$e!#n"l5 d"n b/,"n b/d"-" !eem$".

Ge2"l"1ge2"l" de$e!i7 ""/ b"h,"n !/"/ e$i!#de de$e!i7 -"ng

leng,"$@ full brown 4F6(.15 m/ng,in e2"di !e"" inemien

deng"n !-"" b"h3" 3"h"m13"h"m e!eb/ mene"$ $"d"

!""1!"" id", ed"$" g"ngg/"n "7e,i7 i/.

Tid", b#leh "d" b/,i1b/,i en"ng "d"n-" $en-",i #",.

Tid", b#leh "d" h"l/!in"!i "/di##i, ""/ h"n-" ,"d"ng1

,"d"ng !"2" "d" d"n be!i7" !emen"".

Tid", "d" i3"-" ge2"l"1ge2"l" !,i?#7eni" 43"h"m

di,end"li,"n !i" $i,i"n $en/m$/l"n "7e, d!b5.


7/13

%II. Di"gn#!i! &"ndingDi"gn#!i! b"nding ( 6 :

Delii/m

Demen!i"

Pen-"l"hg/n""n "l,#h#l

In#,!i,"!i #b" !im$"#mimei,

M"lingeing

G"ngg/"n ,e$ib"di"n $""n#id

S,i?#7eni" $""n#id

G"ngg/"n m##d

G"ngg/"n #b!e!i71,#m$/l!i7

G"ngg/"n !#m"#7#m

%III. Pen2"l""n Pen-",i d"n P#gn#!i!G"ngg/"n 3"h"m di"ngg"$ me/$"," di"gn#!i! -"ng 0/,/$

!"bil. K/"ng d"i (+= ,"!/! g"ngg/"n 3"h"m didi"gn#!"

!,i?#7eni" d"n C*)= $"!ien meng"l"mi g"ngg/"n m##d. Se,i"

+)= $"!ien !emb/h deng"n $eng#b""n ()= meng"l"mi

$eng/"ng"n ge2"l" d"n 6)= l"inn-" id", "d" $eb"i,"n.6

F",#17",# -"ng beh/b/ng"n deng"n $#gn#!i! b"i, 6 :

Ting," $e,e2""n

Pene-e!/"in 7/ng!i#n"l -"ng inggi

Jeni! ,el"min 43"ni"5

On!e !ebel/m /!i" 6) "h/n

On!e e2"di ib"1ib"

L"m" $en-",i !ing,"

Ad"n-" 7",# $en0e/!

W"h"m ,e2" !#m"i, d"n e#i,

I. Pen""l",!"n""n

*. Pe"3""n di /m"h !",i dil",/,"n deng"n /2/"n 6 :

Pemei,!""n medi! d"n ne/#l#gi! -"ng leng,"$ "d" $"!ien

/n/, menen/,"n "$","h ed"$" ,#ndi!i medi!

n#n$!i,i"i -"ng men-eb"b,"n g"ngg/"n 3"h".

Penil"i"n ,em"m$/"n $"!ien /n/, $engend"li"n im$/l!

,e,e"!"n !e$ei b/n/h dii d"n memb/n/h.

Peil",/ $"!ien mengen"i 3"h"m !e0"" !igni7i,"n d"$"

mem$eng"/hi ,em"m$/"nn-" /n/, be7/ng!i d"l"m


8/13

,el/"g" d"n $e,e2""nn-" !ehingg" memel/,"n ine


9/13

Me,"ni!me ,e2"

Ob" "ni1$!i,#!" i$i,"l : membl#,"de d#$"mine $"d"

e!e$# $"!0"1!in"$i, ne/#n di #", 4!i!em limbi, d"n

!i!em e,!"$i"mid"l5 !ehingg" e7e,i7 /n/, ge2"l"

$#!ii7.

Ob" "ni1$!i,#!" "i$i,"l : !el"in be"7ini"! eh"d"$

e!e$# d#$"mine D( 2/g" eh"d"$ e!e$# !e##nin

+HT( !ehingg" e7e,i7 2/g" /n/, ge2"l" neg"i7.

Ine",!i #b"

Ani$!i,#!" "ni$!i,#!" l"in $#en!i"!i e7e, !"m$ing

#b"

Ani$!i,#!" "nide$e!"n i!i,li, e7e, !"m$ing

"ni,#linegi, mening,"

Ani$!i,#!" "ni"ie"! e7e, !ed"!i mening,"

Ani$!i,#!" "ni,#n


10/13

Fl/$hen"?ine + +1)

H"l#$eid# ( (1*))

Pim#?ide ( (1

l#?"$ine (+ (+1()) 1

#e$ine +) B+1*)) S/l$ide ()) ())1*))

Ri!$eid#ne ( (1>

/ei"$ine *)) +)1;))

Ol"n?"$ine *) *)1()

Ai$i$"?#le *) *)1()

b5 Peng"/"n d#!i!D"l"m $eng"/"n d#!i! $el/ mem$eimb"ng,"n :

On!e e7e, $ime : !e,i" (1; mingg/

On!e e7e, !e,/nde :!e," (1 2"m

W",/ $"/h : *(1*; 2"m 4$emebei"n #b" *1( $eh"i5

D#!i! $"gi d"n m"l"m d"$" bebed" /n/, meng/"ngi

d"m$", d"i e7e, !"m$ing #b".05 L"m" $embei"n

Un/, $"!ien deng"n !e"ng"n !ind#m $!i,#!i! -"ng

m/lie$i!#de e"$i $emelih"""n dibei,"n $"ling

!edi,i !el"m" + "h/n

P"d" /m/mn-" $emebi"n #b" "ni$!i,#!" !eb"i,n-"

di$e"h"n,"n !el"m" 6 b/l"n !"m$"i * "h/n !eel"h

!em/" ge2"l" $!i,#!i! meed" !"m" !e,"li.

P"d" engheni"n -"ng mend"d", d"$" imb/l ge2"l"

cholinergic rebound 4g"ngg/"n l"mb/ng m/"l m/n"h

di"e $/!ing geme"5d5 Pengg/"n $"ene"l

Pembei"n #b" "ni$!i,#!" long-acting h"n-" /n/, e"$i

!"bili!"!i d"n $emelih"""n eh"d"$ ,"!/! !,i?#7eni".

E7e, !"m$ing

Sed"!i d"n inibi!i $!i,#m## 4"!" meng"n/,

,e3"!$"d""n be,/"ng ,ine2" $!i,#m## men//n

,em"m$/"n ,#gnii7 men//n5

G"ngg/"n ##n#mi, 4hi$#en!i "ni,#linegi,@

$""!im$"#lii,:m/l/ ,eing ,e!/li"n mi,!i d"n

de7e,"!i hid/ng e!/mb" m"" ,"b/ TIK meninggi

g"ngg/" i"m" 2"n/ng5


11/13

G"ngg/"n e,!"$i"mid"l 4di!#ni" ",/ ","hi!i!

!ind#m $",in!#n: em# b"di,ine! igidi"!5

G"ngg/"n end#,in 4"men#h#e g-n"e0#m"!i5

me"b#li, 42"/ndi0e5 hem"#l#gi, 4"g"n/l#!i#!i!5

bi"!"n-" $"d" $em","i"n 2"ng," $"n2"ng.

Sind#m Ne/#le$i, M"lign" 4SNM5 : hi$e$ie,!i"

igidi"! in0#ninen!i" /in"e $e/b"h"n !"/! me"l

$e/b"h"n ing," ,e!"d""n ge2"l" imb/l d"n

be,emb"ng !e0"" 0e$".

K#n"indi,"!i

Pen-",i h"i

Pen-",i d""h

E$ile$!i

Kel"in"n 2"n/ng

Febi! -"ng inggi

Keeg!n/ng!n !l,#h#l

Pen-!,i SSP

G"ngg/"n ,e!"d""n di!eb"b,"n de$e!i NS

Hind"i $engg/n""n #b"1#b" "ni,l#ninegi,


12/13

KESIMPULAN

G"ngg/"n 3"h"m me/$","n ,e-",in"n -"ng !"l"h did"!","n

$"d" ,e!im$/l"n -"ng !"l"h en"ng e"li"! e,!en" id",

,#n!i!en deng"n l"" bel","ng inelegen!i d"n b/d"-" $"!ienid", d"$" di,#e,!i deng"n $en"l""n.

W"h"m id", mem$elih","n g"ngg/"n $i,i"n d"n m##d -"ng

$e7"!i7 !e$ei -"ng dien/,"n $"d" ,#ndi!i $!i,#i, l"in. Tid", "d"

"7e, d"" ""/ "7e, id", !e"!i h"l/!in"!i -"ng menin2i#l ""/

3"h"m "neh -"ng n-"". P"!ien memili,i !"/ ""/ bebe"$" 3"h"m

!eing be/$" 3"h"m ,e2" d"n ,eid",!ei""n !el"in i/ d"$" 2/g"

beben/, 3"h"m ,ebe!""n !#m"i, ""/ ee#m"ni".

Ei#l#gi id", di,e"h/i. &eb"g"i !/b!"n!i d"n ,#ndi!i medi!

n#n$!i,i"i d"$" men-eb"b,"n 3"h"m d"n 2/g" ,e"d""n1,e"d""n

-"ng mem$eng"/h !i!im limbi, d"n b"!"l g"ngli". Keb"n-","n

$"!ien g"ngg/"n 3"h"m memili,i ,#ndi!i !#!i"l ei!#l"!i d"n

ing," $en0"$"i"n d"l"m hid/$n-" ,/"ng d"i -"ng dih""$,"n.


13/13

DAFTAR PUSTAKA

*. M""mi! Will- F. ())>. Catatan Ilmu kedokteran Jiwa. Edi!i

,ed/". S/"b"-" : Ail"ngg" Uni

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