PSYCHIATRY

By : dr. Wayan Westa, SpKJ(K)

Psychiatry Departement Faculty of
Medicine of Udayana University /
General Public Hospital Sanglah
Denpasar

PSYCHIATRY
One of subdivision of medical
science which learn everything
that related to psychological
disturbance. In the case of
introduction,
treatment,
rehabilitation and prevention as
well as building and increasing
psychological health

HISTORY
Ancient times had known and cured

psychic disturbance (skull punched)

Psychic disturbance caused by evil
spirit which go into human body,
does not handled by doctor
Handling patient by being hurt
18th
Century, in France, care for
psychological
disturbance
more
humanly

HISTORY
At

the end of 19th Century,

investigating
the
causes
of
psychiatric disturbance
Martin Charcot; about histeria is
cured in hypnotherapy
Emil Kraepelin (1855 1926) as the
father of psychiatric writing a book
Kretschmer and Sheldon, the body
shape connected with disease

MODERN PSYCHIATRY
Pioneer:

Sigmund Freud
Carl Gustav Jung
Alfred Adler
Eugen Bleuler

Psychotropic medicine begun in 1950

Typical Anti Psychosis
Atypical Anti Psychosis 1980
by Arvild Carlson

HISTORY in INDONESIA
Since the old days had already known there

was psychological disturbance (Srikandi

edan, Gatot Kaca gandrung)
Sufferer was placed in stocks-lock legs
between two pieces of wood (just snappy
one)
Sufferer becomes vagrant, on the contrary
called ORANG SAKTI
The Dutch Colonial Period, before there was
insane asylum, were housed in a Military
Hospital

HISTORY in INDONESIA
Japan colonial period a great number of

asylums were broken, undeveloped

Freddom period
1947; The departement of psychiatric
problem because physical revolution
undeveloped
1950; refreshment
1958; psychiatric problem
1959; psychiatric section
1966; directorate psychiatric health

HISTORY in INDONESIA
1862; Population cencus of psychological

disturbance, 600 people in Java & Madura,

and 200 in other regions
RSJ Bogor
:
July 1st, 1882
RSJ Lawang :
June 23rd, 1902
RSJ Magelang:
1923
RSJ Sabang :
1927
RSJ was built away from city / public,
isolated and strict guarded
RSJ Bangli Bali

PSYCHIATRY
DEPARTEMENT

Prof. DR Dr. Luh Ketut Suryani, SpKJ(K)

Dr. Nyoman Hanati, SpKJ(K)
Dr. Nyoman Ratep, SpKJ(K)
Dr. Wayan Westa, SpKJ(K)
Dr. I.G.A. Endah Ardjana, SpKJ(K)
Dr. Lely Setyawati, SpKJ(K)
Dr. A.A. Sri Wahyuni, SpKJ
Dr. Cok Bagus Jaya Lesmana, SpKJ
Dr. I.A. Kusuma Wardani, SpKJ
Dr. I.G.A. Indah Ardani, SpKJ
Dr. Ni Ketut Putri Ariani, SpKJ
Dr. Ni Ketut Sri Diniari, SpKJ

THE LAW
No. 9/1960; the law of the main health
No. 3/1966; the law of psychic health

A condition that enable pshysic,

intellectual and emotional from someone
and the development run in harmony
with someone else condition
Estimated 2 3 % the population of the RI
suffering seriously psychic disturbance
(120.000 130.000 people)

THE CAUSE OF PSYCHIC

DISTURBANCE
1. GENETIC FACTOR
2. CONSTITUTION FACTOR
3. DEVELOPMENT FACTOR
4. PSYCHOSOCIAL FACTOR

PERSONALITY
Definition; aunique characteristic of
someone to react against stresser
(either come from the inner of him
surrondings) to reach balancing
Mature; able to work, have friends, take
anvantage of spare time being happy,
general view
Personality is formed by phases of child
development. When having passed
through satisfactorily become mature

STRESS
Definition; a condition that need a new
adaptation. Stressor is its kind
Stress always happens (24 hours), and
good for living (eustres). Distress; the
stresser over durability
Stress creates worry (normal when
reaching progress, patologis becomes
lengthy sick). Worry indication; physic
faal increases and psychological

FEELING
SICK
SEEK
TREATMEN
SOCIAL
FUNCTION
THOUGHT
PROCESS

PSYCHOTI
NON
C
PSYCHOTIC
NO
FEELING SEX
NO

YES

AFFECTED

GOOD/MINIMA
L

AFFECTED

REALISTIC

PSYCHIATRY
MENTAL

NORMAL +
PATHOLOGICAL

THERAPY

BIOPSIKOSOCI
AL

PSYCHOLO
GY
NORMAL

PSYCHOSOCI
AL

CONNECTION with other

SCIENCE BRANCES
Psychology
Sosiology
Antropology
Genetic
Neuroanatomy
Psychofarmakology

SUBSPECIALIZATION
Child Psychiatry
Psychoterapy
Psychiatrysocial
Psychofarmakology
Psychogeriatry
Psychiatryforensic

VENN DIAGRAM

Immature

Schizophr
enia
Personality
Disorder

PERSONALITY

Mature

ps No
yc n
ho Heal
si
s
th

Small/Light

Ps
y

ch
os
is

Acute
Psychosis
Stress
or

Big/Hea
vy

MULTIAXIAL EVALUATION
I.
II.

III.
IV.
V.

CLINICAL DIAGNOSTIC
PERSONALITY & PERSONALITY
DISORDERS
OR
MENTAL
RETARDATION
MEDICAL PROBLEM
PSYCHOSOCIAL STRESS
GAF Scale (GLOBAL ASSESSMENT
OF FUNCTIONING)

CONCLUSION
Psychiatric

is a part of general
medical, can be handled and cured
Handling from PUSKESMAS/RSU/RSJ
and involve community/family
There
is still negative stigma,
considered mysterious, possessed by
bad
Psychiatry is at the same level with
other sciences