1. BEHAVIOR CHANGES AS THE PROCESS OF TREATMENT
dr. Moetrarsi S, Sp.KJ
Behavior Changes as the Process of Treatment
BEHAVIOR CHANGES AS THE PROCESS OF TREATMENT
Dr. Moetrarsi, SpKJ
Bioethics & Medical Humanities
2004
Block VI, June 14, 2005, Week 5 (International Programme)

2. Behaviour Changes Output
Behaviour Input
Process of Treatment
Behaviour Changes Output
Material ?
Instrument Frighten
Method Heath promotion Consultation Approach

3. CHANGES – action – anxiety Positive Negative
Scars --- Plastic operation
Shame – action anxiety
suspicion
– product happy
Fracture --- Amputation
– action – anxiety
– product – depression

4. INFLUENCE FACTORS Internal External Factor: Factor:
constitution family support personality culture experience health provider
Behavior changes

5. INFLUENCE FACTOR Physically condition
Psychological Sociological culture
Psychological
Age
Behavior Changes
Value/
perception
Financial
His/Her Experience

6. PREDISPOSE ILLNESS/DISEASE
BEHAVIOR
PREDISPOSE ILLNESS/DISEASE
METABOLISM
HYPERTENSION
INFECTION
TRAUMA
DIET
HYGIENIC
SANITATION
IMPULSIVE

7. Personality – experience perception (how)
WHO - the patient - identity
- infancy : birth-2 year
- preschool period : 6-onset of puberty
- adolescence
- old
- status : married/unmarried

8. HOW
Doctor • Professional
Nurse • Attitude
Staff • Approach
Worker
Etc

9. Behavioral Changes: Diabetes Mellitus
Treatment
Limitation to 3P
Polydipsia
Polyuria
Polyphagia
Diit Low Chalorie
Appropriate Drugs
Sports

10. Behavioral Changes:Dysentery
Treatment
Recovery
Amoebic D.
Hygiene
Sanitation
Health Promotion
Behavior Changes
Appropriate Drugs

11. Obsessive Compulsive Disorder
Behavioral Changes:
Obsessive Compulsive Disorder
Treatment
Behavior
Changes
OCD
Behavioral Therapy
Appropriate Drugs
Phobia

12. Limitation/Cure Attention deficit hyperactivity disorder
Behavior Therapy
Drugs
Diet
Family Therapy
Limitation/Cure

13. Schizophrenic Disorders
dr. Moetrarsi S, Sp.KJ
Behavior Changes as the Process of Treatment
Schizophrenic Disorders
Neroleptic
antipsychotic
(Haloperidol)
Extra pyramidal syndromes
Akathisia, Torticolis, Opisthotonus
Reduce - Drugs
Elimination
Block VI, June 14, 2005, Week 5 (International Programme)

14. BEHAVIOR SEEING DOCTOR TREATMENT Management EXAMINATION diagnose
Without
instrument
Instrument
Anamneses
Inspection
Palpation
Auscultation
prognoses
Pharmaco
psycho
instrument
instrument
electric
scissor
electric
Ect & ro
needle
smear
needle
puncture
ECG/EEG/
USG SCAN
RO FOTO

15. Why Which How Where (H) When Who/Whom Behavior changes What kind at
action
product
Which
Behavior changes
How
Smart rough
Where (H)
- education
- general
- specialist
When
Who/Whom

16. BEHAVIOR PREDISPOSING FACTORS ENABLING FACTORS REINFORCING FACTORS
Individual knowledge
Individual Attitude
Confidence
Culture (IND/COM)
Health policy
Attitude
Behavior from health member

17. SYMTOMS OF MENTAL ILLNESS
Pervasive depressed mood
Inability to experience pleasure
Difficulty sleeping
Appetite change
Weight loss
Lost of energy
Guilt feelings
Suicidal thought

18. ANXIETY BEHAVIOUR Irritability Trembling Feeling of restlessness
Inability to relax
Insomnia
Palpitation
Sighing
Dyspnoe
Frequency of micturition
Facial pallor
Fid getting

19. Reference
Sadock, BJ, Sadock, VA. Kaplan & Sadock’s Synopsis of Psychiatry 9th ed Lippincott Williams& Wilkins. Philadelphia, USA
Helman,CG.Culture,Health and Illness 4th ed Oxford University Press, New York, USA
M.J Sains Bury,1984 Key to Psychiatry a text book for students, General Hospital Psychiatry.Chapter 22.Australia-New Zealand Book Co.PT YLTD
Harold/Kaplan MD,alfild M Freemon MD, Benjamin/Sadock,MD.Comprehension textbook of Psychiatry III,William Wilkins