2.
   2023
/   

(   -II)
 : 3     :75
:     -    ,          
                
 -
1. OCD   ,          
2.       ,     ?
 -
3.             :  ,
  , 
4.  -          -      
 
2.
 -
5.       ?        ?
6.          ,
-
7.            
8.           -            
  
2.
   2023
/   

(   -II)
 : 3     :75
:     -    ,          
                
 -
1. OCD   ,          
:1. OCD  
OCD     '    
 :   
()  :        

 -  ,  , ,       - 
     
,       
  
    :
    
     
"      ?"  
   
       
                ,
   :
2.
"











?







?








?"
  -   ,      
 :
󷷑󷷒󷷓󷷔       ,      
  
OCD  
 
() :      -         

     ,         
()         
    :
-  
- , ,    
     
    
   
 :         3-4     
    ,       ,     
     :
         
     OCD    
(c)        
OCD      
        
 :
   
  
    
  
   ( )
2.
    
OCD      
  
      


2. OCD    ( )
 ""          OCD     

 ,          
    
()    (   )
 
   OCD          
      
  (   )
  (  )
 ( )
OCD ,            "  " 
  ,               
  
OCD        ,      
      OCD     
  
OCD          OCD ,     
   
 
()   
       OCD   
 :

2.
  
  
 
  
 :            "
 ",              
  OCD      
    - 
 
   OCD   :
"






,





"
"





"
       
 
()     
      OCD    :
 


   
 -
 :               
    
3. OCD  
   : OCD    ,         
    ' -    
()    ()
OCD       :
     (CBT)
2.
       (ERP)   ,    
ERP    :
 -     
  ( ,  ""  )
   (  )    
    
   '   
      
:          30       
    ,    ,      
     
()    
          
 :
SSRIs (   )



 :
   
 
  
   '              
(c)   
         +         
          
2.
(d)          
       :
    
   
    
   
    
,              


 -        
 -    
              
(  )   ( )  OCD   ,
 ,            
 OCD        ,      
  (  ERP)  -      ,
   , OCD    '      , 
     
2.       ,     ?
:     ?
             
             

       ,        
     
   :          
      
1.    
2.
o -       (, 
,  ,  )
o              
2.    (     )
o       , , ,  
     ""  
o :           
 
3.   (    )
o          
o            
4.      (BDD)
o          
o :             
 
5.   
o      '      
o           

6.    
o          
   
      
     
 : , ,  ,  
(     )
 : , ,     
   : -   , -  ,  
   ' 
 '  :    ,       ,
 
      "" 
       , 
      

       ( )
      ' ,       
 :
1.   
o     :      '   

2.
o   :        
  ,       
o   :        
2.   
o       
o   (   )     
3.       
o            ,
  
    
o  :       '      
""  ,           

4.    
o            
     
  
             
  
     ""       
 
,          
 : , , ,    , 
, - 
:      , , -  
  :  ,  ,  ,  
   

    
       
 -    
              ,   
              
 
,     , 
        
   
 ,      
,  
   
      
2.
 -
3.             :  ,
  , 
:󷈷󷈸󷈹󷈺󷈻󷈼    (NPD)
            ,    
 ,    '        
 
 
    
1. -      
NPD        , ,      
-                :
                 
2.   
            ,   
   ,       
3.    
             
     :       
 
      
 
4.     
       ,  ,    
5.    
        (, , )   
  
6.       - 
     ,    ,      
        '  
󷷑󷷒󷷓󷷔 : ,   ,       , 
    -
2.
󹱣󹱤     (BPD)
            ,  
    ,            
     
    
1.   
  -  (  ,    )     
          
2.    
   ("
 ")    ("
 ")  
       -        
3.    
      - , , ,  -     
4.    
        :   ,    ,
   ,  
5.         
           
6. -       
, ,       ,       
          
7.         
             
8.  -
            ,     ,     
 
󷷑󷷒󷷓󷷔 :  ,   ,  , , 
-     
󺰎󺰏󺰐󺰑󺰒󺰓󺰔󺰕󺰖󺰗󺰘󺰙󺰚    (DPD)
2.
 ,               ,
   ,          
 
    
1.     
 ,      '      -    
  
2.   '   
             : 
         
3.      
            
4.   
                
     
5.  - 
       '       
6.    
       -        
7.        
    ,           
󷷑󷷒󷷓󷷔 :       -  ,   
     
󹺖󹺗󹺕    
 :"  ;       "
  :"      ;       
"
:"   
 ;     "
󼩏󼩐󼩑       ' 
   
2.
           
     :

 
-
 
          ,      
- , ,        
󷄧󼿒
, ,      -  

       :
     ' 
        ' 
    ' 
              
  ""  "" 
,      
         ,    
 ,  -        
4.  -          -      
 
:: -     ?
ASPD           ,  
         ""     
 -
 , , ,            
 
 
   '               
   
ASPD    
2.
ASPD        :
1.         
o -        
o      
2. 
o   ,    ,       

3. 
o      
o      
4.  
o - , ,    
5.     
o           
6. - 
o          
7.     
o          
     ,   -
 
 (   )
 
   ASPD ,          :
 :          
 
 
   :        
    
 
   : , ,  -,   

  :         ASPD
   
   
ASPD      
    
    
  ,     :
1.  
o      (CBT):       
     
o  :         
2.
o   -   (MBT):       
 
 
2.  
o    ASPD  
,   , ,
 -  /      
3. --   
o          
         
4.       
o 
 ASPD           , 
      

: ASPD            
  ,   ,     
- :         ,     
         -    
   :     ' ASPD    - ,
         
   :  ,      
,            


-      , ,    
        ,      
         , ,  ,  
 ,          ,   
      -  ,      
,    '          
    
2.
 -
5.       ?        ?
:      ?
    
  ,     ' ,  
           :   , , 
    '        - ,   
   ,             
1.    (      )
   (  , ,  )  
              
     
      ,          :
  , , 
      
           
    
        
 ,         
     
,     -          
       ,  ,  , 
               ' 
 ,    " "
2.    (  )
            
,  :
"  "
"   
"
"    "
2.
  -          
 -        
         -, , 
  '   ,          
,         ,       
,      
3.        
              
  ,  :
   
    
   
    
   
                
  ,  -       
      

  ,       
       
  
 ,    ,
 ,          
4.      
             :
    +   +   

-    + 
  +   
       
  ,     
    
2.
         ?
                
   ,          ' , , 
        
1.   ( 
)
 -             
   (CBT) 
 ,       :
    
-   
    
     
 : "    "  ,    , " 
 ,      "
  ,  ,        
  
      
    -  ( )  -
 (   )  
2.  
        ,        
 :
     
       
 ( ) →     
  
 -       ,   
      ,        ,   
   
2.
3.    
            :
 
 -
 
 
    
     
   (, )
   '       "   " 

   20         
4.    
    ,           
               
      
        
       

5.      
        ,         
  :
 
  
   

   
   
         ,       
      
2.

   " "     
   , ,  
              
     ,           

 ,     - , ,   ,  
   ,         
        :    ,  
     
6.          ,
:   ?
           ,   
            
         , ,     
     
 "  "  
,           , 
      
    
   (DSM-5)    -   
    ,          
 
1.   
 (    )      
:               
 
       
2.  ()  
 ,  ,      
2.
:   '         
 
3.    
         
  ,  ,        
             
4.    
     ,     
       ,      
5. -  
    - 
    ,   
     
6.   ( )
       (   
 )   
   
   '      :
1.     (      )
:  ,  ,        

:   '   ( ,         )
  / :    ,  
  :  ,  
2.     (     )
 :    
:  
:     
    :      
3.    (   )
,     
2.
    '     
  
   
 -        '  
 ,        ,     '  
   - (, , , , ) 
     ,        '
  

:
      ,      
   , , , ,     ,
        
 (, )     ( ,  ) 
 (   ) 
       -   " " 
, 
            ,   
           
-
7.            
:󷊆󷊇   ?
         '   ,
,           ,  , 
               
            '  :
1.     - 
      
2.   -         
3.   -           
4.    -   ,    
 
2.
  "" 
   ,    , , 
 -       
        
󷋇󷋈󷋉󷋊󷋋󷋌     
          
   ,
 ,  -          
1. - (    )
    ,    '    
 
 :

 
  ?

      ?
 
 -         ?
           
󷷑󷷒󷷓󷷔: - 
2.       
  
       ,       
    :
   
  ?
     ?
       ?
              
 
󷷑󷷒󷷓󷷔:    
2.
3. - 
     
          

        
:          ,     
      , ,        
   
  :
     ?
        ?

     ?
󷷑󷷒󷷓󷷔:      
4.      
   , , ,      
 
     ,         
:                 
    
󷷑󷷒󷷓󷷔:    
5.   
       ,     
 
        :
      ?
    ?
     -    
󷷑󷷒󷷓󷷔:    
2.
6.     
        '    
 :

      ?
       ?
     
 
󷷑󷷒󷷓󷷔:    
7.             
  ,    
      

 ,      -    
 
 :

 
 
󷷑󷷒󷷓󷷔:     

󷇮󷇭   
               
     
1.    
           
  
   -      
:            
    
2.
2.     
        
            
:              
3.      
        :
  




            
4.    
       ,      '    
            
  
5.      
         '       
  
     :
  
  
  
2.
6.   -    
           
         :
 
  
  
       
 
7.     - 
    ,     
      :
-
 
    
  ,       
󷈷󷈸󷈹󷈺󷈻󷈼   
?
-   ,   :
   ' 
       
     
   '   
       
    
          
 
󷊻󷊼󷊽    
2.
              
 
        '    
   :
      ?

   '   ?

    ?

     ?
    : "      ,    
"
       
󷄧󼿒
               '  :
, , ,       -   -, -
,  ,    -      
  '     
8.           -            
  
:    ?
  -            
      '           
    ()    ()
   :     ,   ,    

    
      
1.      
o    ,       
2.
o    " "  
    
  
2.   '   
o   ,        
 '   
o   :     ,  
    ?
3.     
o     
       
,   , ,  - 
o    
   
4.   
o   :       ( ,
   )
o   :          

5. - 
o    ,        -
     
o   
    
 
6.   
o       
  -  ,  
 ,  
o      
,   
   
7.    
o      ,       
 
o          
 
       
1.     -
o      '   
o       '         
2. - 
o  , ,  -  (OCD),     
  
3.       
o            
o   (   )     
4.     
o   
      '   
o -      
2.
5. 
o        ,     (CBT )
o     (, ,   )    
       
1.   '   ,     ' 
o              
" "    
o  ,           

 
2.          

o            
  
3.       
o         ,    
      
4.    
o        ,      
o         
5.     
o        ,   '  '
   
o             
 

    '           , 
 -        , - 
  ,   , OCD,       

  ,       '   ,   
,            
"                 
 
          ,         
 "