{"id":747,"date":"2012-07-28T11:25:42","date_gmt":"2012-07-28T08:25:42","guid":{"rendered":"http:\/\/www.hvtd.org\/?p=747"},"modified":"2012-07-28T11:25:42","modified_gmt":"2012-07-28T08:25:42","slug":"antisosyal-kisilik-yapisi-ve-tibbi-sertifikasyon","status":"publish","type":"post","link":"https:\/\/www.hvtd.org\/?p=747","title":{"rendered":"Antisosyal ki\u015filik yap\u0131s\u0131 ve t\u0131bbi sertifikasyon"},"content":{"rendered":"
\n

\"\"<\/a>Antisosyal Davran\u0131\u015f:<\/strong> Zihinsel hastal\u0131klar\u0131n tan\u0131sal ve istatistiksel de\u011ferlendirmesi i\u00e7in haz\u0131rlanm\u0131\u015f uluslar aras\u0131 \u00f6l\u00e7\u00fctler vard\u0131r (DSM IV). Bu \u00f6l\u00e7\u00fctlerin yer ald\u0131\u011f\u0131 el kitab\u0131nda antisosyal ki\u015filik bozuklu\u011fu, \u00e7ocukluk ve ergenlik d\u00f6nemlerde ba\u015flay\u0131p yeti\u015fkinlikte de devam eden ve ba\u015fkalar\u0131n\u0131n haklar\u0131na sayg\u0131s\u0131zl\u0131k ve tecav\u00fcz etme tutumlar\u0131n\u0131n belirgin oldu\u011fu bir ruhsal rahats\u0131zl\u0131k olarak g\u00f6sterilmektedir. Bu ki\u015filer kendi davran\u0131\u015flar\u0131n\u0131 k\u00f6t\u00fc olarak g\u00f6rmedikleri gibi, de\u011fi\u015fmeye de istekli de\u011fildirler. 40\u2019l\u0131 ya\u015flardan sonra kriminal davran\u0131\u015flarda ve uyu\u015fturucu kullan\u0131m\u0131nda bir miktar azalma olas\u0131d\u0131r; ama hastal\u0131\u011f\u0131n gidi\u015fi k\u00f6t\u00fcd\u00fcr. Tedavi \u00e7abalar\u0131 genellikle sonu\u00e7suz kal\u0131r. Baz\u0131 ila\u00e7lar k\u0131sa s\u00fcreli yat\u0131\u015fma sa\u011flayabilir; hapishane ve hastane ortamlar\u0131nda grup psikoterapileri de yararl\u0131 olabilir ama uzun erimli fayda veya de\u011fi\u015fim elde edilemez.<\/p>\n

\u00d6yk\u00fc:<\/strong> 2003 A\u011fustos\u2019unda Class-3 t\u0131bbi de\u011ferlendirme s\u0131ras\u0131nda AME taraf\u0131ndan karar verilmek \u00fczere Aeromedical Certification Division\u2019a (AMCD) sevk edilmi\u015f 36 ya\u015f\u0131nda erkek olgu. Dosyas\u0131nda psikiyatrik ve psikolojik de\u011ferlendirmeler yan\u0131 s\u0131ra, ge\u00e7mi\u015fteki su\u00e7 ve cezalar\u0131na ait resmi belgeler de bulunmakta. Bu belgelere g\u00f6re; 13-17 ya\u015flar\u0131nda araba h\u0131rs\u0131zl\u0131\u011f\u0131ndan dolay\u0131 7 kez \u00e7ocuk hapishanesinde tutuklu kald\u0131\u011f\u0131, 17 ya\u015f\u0131nda b\u0131\u00e7akla d\u00fckkan soymaktan 5 y\u0131l hapis yatt\u0131\u011f\u0131, edepsizce te\u015fhir su\u00e7undan 3 hafta ceza evinde kald\u0131\u011f\u0131, 27 ya\u015f\u0131nda alkoll\u00fc araba kullan\u0131rken bir ki\u015fiyi kald\u0131r\u0131mda s\u0131k\u0131\u015ft\u0131rmaktan dolay\u0131 tekrar tutukland\u0131\u011f\u0131, 28 ya\u015f\u0131nda ba\u015fka bir ki\u015finin ismini kullanarak telefon almak ve sahte kimlik kullanmaktan, 34 ya\u015f\u0131nda da telefon sap\u0131kl\u0131\u011f\u0131 y\u00fcz\u00fcnden tutukland\u0131\u011f\u0131 anla\u015f\u0131lmakta. Eski patronuna 2 g\u00fcn i\u00e7inde binlerce faks \u00e7ekti\u011fi y\u00f6n\u00fcndeki \u015fikayetler ise kan\u0131tlanamad\u0131\u011f\u0131ndan ceza verilmemi\u015ftir.<\/p>\n

Psikiyatrik \u00f6zge\u00e7mi\u015f: <\/strong>Belli bir hastal\u0131\u011f\u0131 yok. Ancak gen\u00e7li\u011finde psikiyatrik dan\u0131\u015fmanl\u0131\u011fa ba\u015fvurma ihtiyac\u0131 g\u00f6sterdi\u011fi, bir s\u00fcre Alkolik Anonymus toplant\u0131lar\u0131na devam etti\u011fi belgeli.<\/p>\n

Sosyal ve aile \u00f6zge\u00e7mi\u015fi:<\/strong> Anne ve baba ayr\u0131 ya\u015famakta. Okul devresinde s\u00fcrekli kavga etti\u011fi ve notlar\u0131n\u0131n \u00e7ok d\u00fc\u015f\u00fck oldu\u011funu belirtti. Hi\u00e7 evlenmemi\u015f. Sigara ve ila\u00e7 kullanmamakta, cinsel sapmas\u0131 olmad\u0131\u011f\u0131n\u0131, hafta sonlar\u0131nda fazlaca alkol almakla birlikte yasal sorun ya\u015famad\u0131\u011f\u0131n\u0131 s\u00f6ylemekte. K\u0131z karde\u015fi ila\u00e7 ba\u011f\u0131ml\u0131l\u0131\u011f\u0131ndan dolay\u0131 hapis cezas\u0131 alm\u0131\u015f, amca ve halas\u0131 da ayn\u0131 nedenle tedavi g\u00f6rm\u00fc\u015f.<\/p>\n

Ruhsal muayene: <\/strong>\u0130yi giyimli, yer ve durumu hakk\u0131nda bilin\u00e7li ve oryante, g\u00f6z temas\u0131 kurmakta, konu\u015fmas\u0131 normal, d\u00fc\u015f\u00fcnceleri amaca y\u00f6nelik. Duygulan\u0131m normal, yak\u0131n ve uzak belle\u011fi iyi. \u0130\u00e7g\u00f6r\u00fc ve yarg\u0131 i\u015flevleri zay\u0131f. Depresyon, hezeyan, hal\u00fcsinasyon, s\u00fcisidal d\u00fc\u015f\u00fcnceleri yok.<\/p>\n

Test bulgular\u0131:<\/strong> Dikkat, zihinsel esneklik, sonu\u00e7 \u00e7\u0131karma ve psiko-motor h\u0131z\u0131 ortalaman\u0131n \u00fcst\u00fcnde. D\u00fcrt\u00fcsellik, isyankarl\u0131k, riskli tutumlara yatk\u0131nl\u0131k bulgular\u0131 dikkat \u00e7ekmekte.<\/p>\n

U\u00e7u\u015fa t\u0131bbi uygunlu\u011fu:<\/strong> FAA, AMEX kriterlerine g\u00f6re; \u00f6zge\u00e7mi\u015finde a\u00e7\u0131k\u00e7a belli olan eylemlerle, g\u00f6zlenen veya a\u00e7\u0131\u011fa \u00e7\u0131km\u0131\u015f a\u015fikar ki\u015filik bozukluklar\u0131n\u0131 u\u00e7u\u015ftan elenme nedeni sayar. Antisosyal ki\u015filik bozuklu\u011fu olan ki\u015filerin \u00f6zge\u00e7mi\u015finde minor<\/strong> (okuldan ka\u00e7ma, kurallara uymama) veya major<\/strong> nitelikte (kriminal su\u00e7lar, alkol-madde ba\u011f\u0131ml\u0131l\u0131\u011f\u0131,vs) davran\u0131\u015f bozukluklar\u0131 mutlaka bulunur; bunlar u\u00e7u\u015f emniyeti i\u00e7in risk fakt\u00f6r\u00fc say\u0131l\u0131r ve lisans verilmez.<\/p>\n

Sonu\u00e7:<\/strong> Bu vaka AMCD taraf\u0131ndan tart\u0131\u015f\u0131ld\u0131. Yo\u011fun antisosyal \u00f6yk\u00fcs\u00fc bulunan bu ki\u015finin sertifikasyon iste\u011fi kabul edilmedi.<\/p>\n

Kaynaklar:<\/strong><\/p>\n

1. Connolly K. Antisocial Personality Disorder and Medical Certification. Federal Air Surgeon\u2019s Medical Bulletin. Vol. 43, No.4: 5-6, 2005<\/p>\n

2. DeHart RL, Davis JR Fundamentals of Aerospace Medicine 3rd Edit. Lippincott W&W 2002 p.411<\/p>\n

\u00c7eviri:<\/strong> Dr. Abdullah \u00d6ks\u00fcz, Do\u00e7.Dr. Muzaffer \u00c7eting\u00fc\u00e7<\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

Antisosyal Davran\u0131\u015f: Zihinsel hastal\u0131klar\u0131n tan\u0131sal ve istatistiksel de\u011ferlendirmesi i\u00e7in haz\u0131rlanm\u0131\u015f uluslar aras\u0131 \u00f6l\u00e7\u00fctler vard\u0131r (DSM IV). Bu \u00f6l\u00e7\u00fctlerin yer ald\u0131\u011f\u0131 el kitab\u0131nda antisosyal ki\u015filik bozuklu\u011fu, \u00e7ocukluk ve ergenlik d\u00f6nemlerde ba\u015flay\u0131p yeti\u015fkinlikte de devam eden ve ba\u015fkalar\u0131n\u0131n haklar\u0131na sayg\u0131s\u0131zl\u0131k ve tecav\u00fcz etme tutumlar\u0131n\u0131n belirgin oldu\u011fu bir ruhsal rahats\u0131zl\u0131k olarak g\u00f6sterilmektedir. Bu ki\u015filer kendi davran\u0131\u015flar\u0131n\u0131 k\u00f6t\u00fc olarak g\u00f6rmedikleri gibi, de\u011fi\u015fmeye de istekli […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_eb_attr":"","_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[6],"tags":[],"class_list":["post-747","post","type-post","status-publish","format-standard","hentry","category-bulten"],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"jetpack-related-posts":[],"_links":{"self":[{"href":"https:\/\/www.hvtd.org\/index.php?rest_route=\/wp\/v2\/posts\/747","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.hvtd.org\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.hvtd.org\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.hvtd.org\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.hvtd.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=747"}],"version-history":[{"count":1,"href":"https:\/\/www.hvtd.org\/index.php?rest_route=\/wp\/v2\/posts\/747\/revisions"}],"predecessor-version":[{"id":749,"href":"https:\/\/www.hvtd.org\/index.php?rest_route=\/wp\/v2\/posts\/747\/revisions\/749"}],"wp:attachment":[{"href":"https:\/\/www.hvtd.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=747"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.hvtd.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=747"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.hvtd.org\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=747"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}