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Title:

?????? ??????? - B

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... fugue multiple personality permanent transient transient global amnesia post ECT amnesia transient epileptic amnesia post-traumatic amnesia progressive stable ... – PowerPoint PPT presentation

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Title: ?????? ??????? - B


1
?????? ??????? - B
2
???? ??????
3
Psychogenic amnesia
Dissociative/Selective amnesia
  • ??????? ??? ?? ???? ?? ????? ???? ????????????
    (???????) ????, ???? ??? ???? ???????, ??? ?????
    ?????? ???? ??????? ??????? ????? ?????.

Fugue
"?????" ??????? ????? ?? ????? ?????? ??? ?????
?????? ????, ????? ?????? ????? ?? ????? (??? ??
????) ?? ???? ????.
Dissociative identity disorder (Multiple
Personality(
????? ?????? ???? ?? ???? ?????? ???????, ??
??? ?? ????? ?????? ?? ????? ???? ?????????
?????? ??????. ?? ??? ?????????? ???? ??????
??????? ?? ??????? ?????. ?? ????? ?????? ?????
???? ??? ?? ???? ??????? ?????? ?????, ?? ??? ???
???? ????????? ?? ????? ????? ?? ????.
4
???? ?????? ??????? ?????
  • ????? ?? Dana (1894) ????? ?????? ????? ??????
    ????? ?? ?????? ?????. ??? ????? ????? ??????
    ????? (skills), ?? ???? ???????? ??? ???? (???
    ????? ??????), ??? ?? ??? ???? ??????? ????
    ?????? ???????. ??? ???? ????? ?? Transient
    Global Amnesia.
  • ?????? ???????? ?-ECT ????? ??????? ??????
    ?????? ?????? ??????, ?????? ??????? ??????????.
    ?????? ??????? ??? ????? ????? (anterograde
    amnesia), ?? ?? retrograde amnesia ???? ???????
    ??? ??? ????? ?????? ????. ????? ?? ????? ??
    ???????? "?????" ?????? ???? ???? "?????".

5
????? ??????? ?????
  • ?????? ?????? ??, ????? ????, ?????? "?????? ??
    ?????" ?? ??? ??? ??? ?????? ?? ?????? ??????
    ???? ??? ???????.
  • ????? ??????? ???????? (??? ??????) ????? ??????
    ?? ???? ??????? ???? ?????? ??????? ??? ??????
    ??????.

6
????? ?? ???
  • ?????? ?????? ?????? ?????? ??? ??? ????? ??????
    ????????.
  • ???? ????? ?? ?????? ?????? ??????? ?????? ?????
    ?"? digit span ?? ????, ?? ?? ?? ???? ?????
    ??????? ??? ??????? ???? ????????.
  • ?????? ????? ?????? ?????? ?????. ???? ???????
    ???? ????? ??? ????? ???? ??? ?? ????? ??????
    ?????? ????? ????. ?????? ????? ????? ??? ??????
    ???? ????? ???. ?????? ???? (????? ???????
    ??????? ????? ?????? ??? ?????? ????? ????????).
  • ?????? ????? ???? ??????? ??????? ????????, ????
    ?????? ???? ???????? ?????? ?????? ???????? ??
    ??????.

7
????? ?????????? ????? ??????
  • ???????????
  • ??????????? ????? ??? (Cohesion) ?????? ???
    ????? ?? ????
  • ??????????? ????? ???? ??????? ?????????? ?????
    ??????
  • ?? ?? ???? ?? ?????? ??????????? ????? ????
    ?????? ???? ?? ???? ????? ?? ??? ?????
    ???????????? ?????? ?????? ?????? ?????? ???????
    ??????? ????? ?? ???? (neocortex)

8
??????? ????? ?????? ?????? ?????????? ??-MTL
???????
  • ?????????? ???? ???? ??? ???? ???? ?????
    ?-neocortex ????? ????? ????? ????.
  • ?????????? ????? ????? ?????? ???????? ??????
    ????? ??? ??????? ????? ????.
  • ????? ???????????? ???? ??? ?? ?????? ????
    ?????????? ???? ????? ???? ????? ????? ???????
    ????? ????.
  • ?????????? ????? ????? ?????? ?????? ???????.
    ????? ?? ??? ?-neocortex ????? ????? ?? ????
    ??????? ????? ???? ???? ?????????? ?????? ??????.
  • ????? ??????????, ??? ???? ??, ???? ????? ??????
    ???????????? ??????? ??? ????? ????? ?-AA ??-RA
    ??????

9
????? ?????? ????? ??????
  • ??????? "????" ?-RA (????? Ribot)
  • ????? ?-RA ?????? ?????? ?-AA

10
????? ????????? ?????? ????? ?????? - 1
  • ?????? ?? ???? ??????? ?????? ????? ???? ?? ???
    RA ?????? ??? ?-?MTL
  • ??-????? ???? ??????? ????????????
  • ???????? ????????????? RA ???? ?????? ????
    ?-MTL
  • ??????? ????? RA ???? ????? ???? ???????
    ???????.
  • ?? ????? ???? ??????? ??????
  • ??? ???? ????????? ???? ???? ?? ??? ????? ?-MTL
  • ??? ???? ???? ??? ???? ?? ??? ????? ?-MTL (???
    ????? ?? Warrington McCarthy
  • ???? ??? ?? ???? ??????? ????????? ???? ?????
    ???? ??? ????? ???? ??????

11
????? ????????? ?????? ????? ?????? - 2
  • ?? ????? ???? ?-RA ???? ??? ?-MTL?
  • ?-RA ???? ??? ?-MTL ????? ????? ????? ???? ??????
    ??????????? ?? ??????? ?????? ?? ????? ?? ??????
    ??? ?????? ????
  • ??? ?????? ?? ????? ???????????? ???? ?? ?? ????
    ??? (????? ?? ?????). ??? ??, ?? ???? ?? ?????
    ??????????? ????? ????? ????? ??????? ????? ????
    ???? ????.

12
????? ????????? ?????? ????? ?????? - 3
  • ??? ???? ???? ????? ??????? ???? ???? ??? ?-MTL?
  • ???? ??????? ???????????? ???? ???? ??????? ??
    ???? ????? ??? ????.
  • ???? ?????? ???????? ???????? ???? ???? ?????
    ???????? ??? ?? ?? ????? ???? ????? ?????? ??????
    ????.
  • ?? ??, ???? ???????? ????? ?? ??? ???? (????
    ?????? ?-MTL) ????? ????? ????? ??????.

13
????? ????????? ?????? ????? ?????? - 4
  • ??? ???? ?? ???? ??? RA ?-AA ???? ??? ?-MTL?
  • ????? ???? ?? ??????? ???? ????? ?-MTL. ????
    ??????? ???? ???? ??? ????? ???? ??-AA ???? ???
    ??? ??????.
  • ???? ???? ?? ????? ?-RA ?????? ??????? ?-RA??????
    ????? ???? ?-MTL ???? ???? ???? ?????? ?-AA.

14
????? ?????? ????? ?????? ??????? ?????
  • ????? ?????? ????? ????? ?????? ????? ??? ???
    (????? ????) ???? ??????.
  • ????? ????? ????? ???????
  • ????? ?? ???? ?????????? ??-neocortex ??????
    ?????? ?? ?????? ??? ??????? ?????? ?????????
    ????? ?????.
  • ????? ??????? ???? ????? ???? ?????? ?-MTL
  • ????? ?????? ????? ????? ?????? RA ????? ????
    ????? ????? ?? ??? ???? ???????.

15
???? ?-Multiple Trace (MTT Nadel Moscovitch,
1997)
  • ????? ??????????? ????? ?? ?? ????? ????? (?????
    ???????). ??? ????? ???????????? ????? ???.
  • ???? ?? ????? ???? ??? ???????? ??????????.
  • ??? ?? ?????? ??? (Pointer) ?? ?????? ?????????
    ?-neocortex ???????? ?? ????? ????? ????? ???????
    ????? ?????? (binding) ????? ?????? ????????.
  • ????? ?-hippocampal-neocortical ??????? ?????
    ???? ?? ????? ???????. ????????? ???? ?????
    ????????????? ?? ????? ????????.
  • ?? ????? ???? ?? ???? ?? ????? ???? ?? ?????
    ???????? ?? ??????????.
  • ?? ????? ????? ?? ???? ???? ?????????? ????? ????
    ????.
  • ?? ???? ???? ??? ????? ??? ?? ?? ????? ????????
    ?? ????? ???????.
  • ????? ?? ????? ?????? ????? ????? ????? ?? ????
    ??????? ???? ???????? ??????? ????? ???? ????
    ?????.
  • ?????????? ????? ????? ????? ??????? ?? ????
    ????????????? ???????

16
????? ????? ?? (2004) Snowden
  • ?? ?? ??? ??????? ???????? ????? ??????? ???????
  • ??? ????????? ???????? ?? Semantic Dementia?
  • ???? ???? Semantic Dementia ??????? ?????????
  • ???? ????? ?????? ?-Semantic dementia ?????
    ????? ????? ?? ??????? ???????
  • ???? ????? ??? ?? ?? ????? ????? ????????? ??
    ????? ??? ?????? ???????? ????? ?? ?????
    ?????????
  • ?? ????? ??????? ??? ?????? ???? ????????
    ???????? ?????? ??? ?? ???? ????? (???? ???????)
    ?? ???? ?????? ????????

17
??????
18
?????? ECT ?? ??????
  • Disorientation
  • Anterograde amnesia
  • Retrograde amnesia

19
Acute memory disturbance
  • Postictal

20
????? ??????? ?????????
21
?????? ECT ?? ??????
  • ????? ???-????? ??? ????? ????? ????? ?
  • ????? ????? ???????
  • ??? ???? ??????? ??????
  • ???? ?????? ????????????

22
?????? ???????? ?? ????? ?????? ??????? ???? ECT
  • ???? ????????
  • ?????? ????????
  • ????? ????
  • ????? ??????????

23
????? ECT
  • ECT ????? ????? ??????? ?? ???????
  • ????? ????? ??? ??? ???????.
  • ????? ??????? ????? ????? ??????? ???????? ??
    ECT.
  • ???? ????? ?? ?????? ????? ??????? ????? ??
  • ???? ??????? ?????? ?????? ??????? ?????????
    (????? ???????? ????????).
  • ??????? ???????? ?????? ????? ??????? ?????? ECT
    ?? ?-mesial temporal lobe ??-prefrontal cortex
    (??? ?? ??????? ??????? ??????? ????? ??????? ??
    seizures)

24
Retrograde amnesia ????? Huntington
Albert et al., 1981
25
?????? ???? ?????????? P.Z.
Butters Cermak, 1986
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