Caso Clinico 2 - Trastorno Bipolar - Grupo 4

 

AEQ@ AFICIA@

JE_@F NWFIG[L ERGCKEÕ@ DW[IG__G^ ]EWFE BG_CECKE GQA@OE_ ]E[IÕ@ DF@_IE FG[IAIE @REFFG BWGC[GQ QE_E NWFIG[L _ICAÑC AEHE_D@ FWKY NECG[L ^EHO_EC@ OW_D@Q GQ[GOEC FIHEQ A@__GK@_

BWCKEAIÑC WCIRG_QI[E_IE KG QECDIF- WCIQECDIF BEAWF[EK KG AIGCAIEQ KG FE GKWAEAIÑC Y FE QEFWK GCBG_HG_ÈE IR QGHGQ[_G Y@]EF-AEQECE_G ?=?=

 

AEQ@ AFÈCIA@

JE_@F NWFIG[L ERGCKEÕ@ DW[IG__G^ ]EWFE BG_CECKE GQA@OE_ ]E[IÕ@ DF@_IE FG[IAIE @REFFG BWGC[GQ QE_E NWFIG[L _ICAÑC AEHE_D@ FWKY NECG[L ^EHO_EC@ OW_D@Q GQ[GOEC FIHEQ A@__GK@_

EQGQ@_  EFG\ECKG_ FG@C ]WGFF@

BWCKEAIÑC WCIRG_QI[E_IE KG QECDIF-WCIQECDIF BEAWF[EK KG AIGCAIEQ KG FE GKWAEAIÑC Y FE QEFWK GCBG_HG_ÈE IR QGHGQ[_G Y@]EF-AEQECE_G ?=?=

 

[EOFE KG A@C[GCIK@ [eofe kg a`ctgcik` _GQWHGC.........................................................................................................................7 EOQ[_EA[.......................................................................................................................2 IC[_@KWAAIÑC.............................................................................................................4 @ONG[IR@Q.......................................................................................................................9 @ONG[IR@ DGCG_EF>..........................................................................................................9 @ONG[IR@Q GQ]GAÈBIA@Q>..................................................................................................9 A_I[G_I@Q KG QGFGAAIÑC........................................................................................5= BIQI@]E[@F@DÈE.........................................................................................................55 [G@_IE KG GCBG_HG_ÈE E]FIAEKE E AEQ@ [email protected]? H@KGF@ KG GCBG_HG_IE KG K@_@[LY NL@[email protected]? F@Q QIG[G QWOQIQ[GHEQ KGF H@KGF@ A@CKWA[WEF.........................................5; F@Q QIG[G QWOQIQ[GHEQ KGF H@KGF@ A@CKWA[WEF EF[[email protected] QWOQIQ[GHEQ ]E_E HGN@_E_..................................................................................54 REF@_EAIÑC KGF GQ[EK@ KG FE QEFWK...........................................................5< Icb`rheaiñc Oåsiae>...............................................................................................................5< Espgat` Kgf ]eaigctg.......................................................................................................59 Gxehgc bèsia` a`hpfgt`...................................................................................................?5

 

REF@_EAIÑC AGBEF@AEWKEF....................................................................................?5 REF@_EAI@C CGW_@FÑDIAE.......................................................................................?; ]E_GQ A_ECGEFGQ...........................................................................................................?; QIDC@Q RI[EFGQ............................................................................................................?7 HGKIKEQ EC[_@]@HG[_IAEQ..................................................................................?2 Behifi`drehe...................................................................................................................?4 GA@HE]E ...........................................................................................................................?<

REF@_EAIÑC ]@_ K@HICI@Q...............................................................................?9 REF@_EAI@C ]@_ K@HICI@Q EF[G_EK@Q CECKE...............................................11 KIED_EHE KG ]GQW[................................................................................................17 KIEDC@Q[I@Q ]_I@_I[E_I@Q..................................................................................17 KIEDC@[IA@Q EAAGQ@_I@Q..........................................................................................12 Feoifikek kgf a`ctr`f gh`ai`cef............................................................................................12 Kgtgri`r` kg fe ictgreaaiñc s`aief...........................................................................................19 _igsd` kg vi`fgcaie kiridike e `tr`s.......................................................................................;? [EOFE QIC[GQIQ KG FE QI[WEAIÑC KG GCBG_HG_IE......................................;2 A@CAFWQI@CGQ...........................................................................................................;4 BWGC[GQ KG ICB@_HEAIÑC.....................................................................................;<

 

_GQWHGC

Gf trest`rc` oip`fer sup`cg uce ihp`rtectg ebgateaiñc gc fe aefikek kg vike kg f`s peaigctgs, a`c eft` rigsd` kg a`hpfiaeai`cgs hékia`-fgdefgs s`org t`k` gc gpis`ki`s heciea`s. ]eaigctg bghgcice kg trgicte y sigtg (14) eõ`s kiedc`stiaeke kg trest`rc` oip`fer, quigc le sik` kgtgcike  p`r leogr eteaek` e fe vgaice kg su gxherik` kurectg uc gpis`ki` heciea` a`c sèct`hes  psiañtia`s, a`c ectgagkgctgs kg ictgrés, gc ép`ae ép `ae kg gsa`ferikek fe peaigctg prgsgctñ kibiauftekgs gc fes rgfeai`cgs a`c iduefgs y ekghås tgcèe oen` rgckihigct` eaekéhia`, rgbiriñ gpis`ki`s kg tristgze g lipgrtihie kgskg fe icbecaie, s`org f`s ?= eõ`s a`hgczer`c fes eftgreai`cgs a`ckuatuefgs (irriteoifikek y lgtgr` edrgsivikek) y f`s gpis`ki`s kg hecèe a`c bgcñhgc`s kg fgature kgf pgcsehigct` qug kurec epr`xihekehgctg uce sghece y qug sg eftgrcec a`c gpis`ki`s kg ;-2 hgsgs kg sict`het`f`dèe kgprgsive a`c vivgcaies kg pgrnuiai`. Fe behifie sgõefñ gf ictgrés kg fe peaigctg p`r tghes gs`téria`s, a`ctren` hetrih`ci` y tuv` uc lin`, sg sgperñ e f`s 1; eõ`s  p`rqug tgcèe fe arggcaie kgfirectg qug su gsp`s` gsp`s ` fg gre icbigf.

]efeores afevgs> trest`rc` oip`fer, etequg, lipgrtihie, hecèe.

 

EOQ[_EA[

Oip`fer kis`rkgr les e sidcibiaect ihpeat `c tlg quefity `b fibg `b petigcts, witl e lidl risj `b hgkia`-fgdef a`hpfiaeti`cs, gspgaieffy ic hecia gpis`kgs. [lirty-sgvgc (14) yger-`fk bghefg  petigct kiedc`sgk witl oip`fer kis`rkgr, wl` les oggc errgstgk er rgstgk b`r levicd etteajgk lgr gxlusoeck's cgidlo`r kuricd e hecia gpis`kg witl psyal`tia syhpt`hs, witl e list`ry `b ictgrgst, kuricd sal``ficd tlg petigct prgsgctgk kibbiauftigs ic pggr rgfeti`cslips eck efs` lek f`w eaekghia pgrb`rhecag, rgp`rtgk gpis`kgs `b sekcgss eck lypgrtlyhie sicag alifkl``k, `vgr tlg edg `b ?= ogdec oglevi`ref alecdgs (irriteoifity eck lgtgr`eddrgssivgcgss) eck gpis`kgs `b hecie witl tl`udlt-rgekicd plgc`hgce tlet fest eppr`xihetgfy `cg wggj eck tlet eftgrcetg witl gpis`kgs `b ;-2 h`ctls `b kgprgssivg syhpt`hs witl gxpgrigcags `b kehedg. [lg behify seik tlg  petigct's ictgrgst ic gs`tgria issugs, slg herrigk eck lek e s`c, sgperetgk et 1; ogaeusg slg sl g lek tlg kgfusi`cef ogfigb tlet lgr lusoeck wes ucbeitlbuf t` lg

Jgy w`rks> oip`fer kis`rkgr, sgizurg, lypgrtlyhie, hecie.

 

IC[_@KWAAIÑC

Gf trest`rc` oip`fer gs uce gcbgrhgkek hgctef sgvgre qug aeuse aehoi`s gxtrgh`s gc gf gstek` kg åcih` qug a`hprgckgc eft`s gh`ai`cefgs a`h` fe hecèe ` lip`hecèe y oen`s gh`ai`cefgs a`h` fe kgprgsiñc, gstg trest`rc` hgctef pugkg sgr arñcia` ` gpisñkia`, e vgags sg fg kgc`hice trest`rc` heciea`kgprgsiv` ` kgprgsiñc hecieae. Fe hey`rèe kg fes vgags gf trest`rc` oip`fer a`higcze kurectg f`s þftih`s pgri`k`s kg fe ek`fgsagcaie ` aueck` fe gkek ekufte iciaie, p`r f` dgcgref rgquigrg kg uc tretehigct` kg p`r vike y c` agse p`r sè s`f`. Gf trest`rc` oip`fer pugkg sgr uc beat`r gc gf suiaiki`, gc fe pérkike kg ghpfg`s, pr`ofghes behifiergs, kgtgri`r` cgur`psia`fñdia`, aeog rgsefter qug a`c uc tretehigct` ekgauek` sg pugkgc `otgcgr ougc`s rgsuftek`s gc f`s peaigctgs qug fe pekgagc. Ley 1 tip`s kg trest`rc` oip`fer y gc t`k`s gff`s sg prgsgctec aehoi`s gvikgctgs gc gf gstek` kg åcih`. [rest`rc` oip`fer I> s`c gpis`ki`s heciea`s qug kurec ef hgc`s 4 kèes tehoiéc sg pr`kuagc gpis`ki`s kgprgsiv`s sgperek`s, qug sugfgc kurer ef hgc`s k`s sgheces. [ehoiéc gs p`siofg qug `aurrec gpis`ki`s kg eftgreai`cgs gc gf gstek` kg åcih` a`c aereatgrèstiaes hixtes [rest`rc` oip`fer II> s`c petr`cgs kg gpis`ki`s kgprgsiv`s a`hpfgt`s a`c pgri`k`s lip`heciea`s, gc gstg tip` f`s sèct`hes s`c hås suevgs [rest`rc` aiaf`tèhia`> sg aereatgrize p`r sèct`hes lip`heciea`s y kgprgsiv`s kg b`rhe  pgrsistgctg qug c` s`c ictgcs`s ci tehp`a` kurec f` subiaigctg a`h` pere aefibiaerf`s a`h`

 

gpis`ki`s lip`heciea`s ` kgprgsiv`s, f`s sèct`hes pugkgc `aurrir kurectg ef hgc`s ? eõ`s gc ekuft`s y gc n`vgcgs 5 eõ`. ]ere fe rgefizeaiñc kg sgduihigct` kg gcbgrhgrèe kgf trest`rc` oip`fer gc fe peaigctg gs cgagseri` a`c`agr fes p`siofgs a`hpfiaeai`cgs, sus cgagsikekgs y sus higk`s c`s oesergh`s gc fe buckehgcteaiñc aigctèbiae kg Cecke, Cia y C`a, f`dreck` kisgõer uc ]fec kg Etgcaiñc Kg Gcbgrhgrèe (]EG) pere cugstr` pfec kg auikek`s e cugstre peaigctg, tgckrgh`s a`h` rgbgrgcaie fe tg`rèe kg K`r`tly Nl`cs`c y esè hish` p`kgr kisgõer cugstr` pfec gspgaèbia` pere f`drer  oricker f`s auikek`s ekgauek`s y `p`rtuc`s gc cugstre peaigctg.

 

@ONG[IR@Q

@ONG[IR@ DGCG_EF> _ga`c`agr fes cgagsikekgs oåsiaes kg cugstr` peaigctg pere bev`rgagr kg hecgre `p`rtuce gf kgsghpgõ` gc gf pr`ags` kg etgcaiñc kg gcbgrhgrèe y gc gf auikek` oåsia` a`c gf bic kg ffgver e aeo` kg hecgre p`sitive gf pr`ags` kg etgcaiñc

@ONG[IR@Q GQ]GAÈBIA@Q> 

_gefizer uc ecåfisis kg fe icb`rheaiñc `otgcike a`c gf bic kg pri`rizer fes cgagsikekgs  oåsiaes kg auikek`s gc gcbgrhgrèe.



Ref`rer kg hecgre a`hpfgte y rga`pifer icb`rheaiñc oåsiae kg sefuk kgf peaigctg.



_ga`c`agr fes kibgrgctgs eftgreai`cgs bèsiaes y a`dcitives qug ebgatec gc cugstre  peaigctg pere kgtgrhicer uc pfec kg etgcaiñc y rgkuair rgk uair butur`s rigsd`s.



Ihpfghgcter f`s kiedcñstia`s pricaipefgs sgdþc fe tex`c`hèe CECKE CIA Y C@A.

 

A_I[G_I@Q KG QGFGAAIÑC

]eaigctg bghgcice kg 14 eõ`s kg gkek fe auef bug esidceke p`r cugstr` k`agctg kg pråatiaes afèciaes, Ngbg Efgxeckgr Fgñc ]ugff`, a`c kiedcñstia` kg uc a`hp`rtehigct` vi`fgct` e aeuse kg uc [rest`rc` oip`fer tip` 5, fe peaigctg prgsgcte vi`fgcaie bèsiae leaie fe vgaice kg su gxherik` fe auef fe etea` kurectg uc gpis`ki` heciea` a`c sèct`hes psiañtia`s, fe l`stifikek leaie su gxherik` tehoiéc sg a`csikgre rgfeai`ceke a`c fe edrgsiñc, sg gvikgcaie qug ley sèct`hes kgprgsiv`s y gpis`ki`s kg lgtgr`edrgsivikek, c` sg gvikgcai` prgsgcaie kg a`csuh` kg efa`l`f ` sustecaies psia`eatives fgdefgs ` ifgdefgs, gs c`t`ri` fes hecibgsteai`cgs kg sèct`hes qug  pr`p`rai`cgc kirgatehgctg uc pr`ags` pet`fñdia`, c` `ostectg, f` qug sg quigrg rgefizer y f`drer a`c fe peaigctg gs, oricker f`s auikek`s kg gcbgrhgrèe pgrticgctgs qug auhpfec a`c gf pr`ags` kg etgcaiñc kg gcbgrhgrèe y qug bev`rgzaec eative y p`sitivehgctg fe situeaiñc kg fe peaigctg, p`r hgki` kg fe ehpfieaiñc kg a`c`aihigct` qug tgckrgh`s c`s pgrhitirå leagr uce pgrticgctg ikgctibiaeaiñc kgf pr`ofghe ` f`s beat`rgs qug pugkgc kgsgcaekgcer gstg tip` kg eat`s, kg iduef b`rhe, sg quigrg ep`yer ef peaigctg gc su pr`ags` kg tretehigct` y hgn`rèe ictgdref.

 

BIQI@]E[@F@DÈE

 

[G@_IE KG GCBG_HG_ÈE E]FIAEKE E AEQ@ AFICIA@ H@KGF@ KG GCBG_HG_IE KG K@_@[LY NL@CQ@C

K`r`tly N`lcs`c ceaiñ gf ?5 kg ed`st` kg 5959.Qg drekuñ gc Ertgs gc fe Erhstr`cd Nuci`r A`ffgdg, gc Qeveccel, Dg`rdie, e f`s 59 eõ`s. Qg rgaiog a`h` gcbgrhgre titufeke e f`s ?1 eõ`s gc fe Wcivgrsikek kg Reckgroift kg Ceslviffg. Gc 59;

@ongtiv`s bucai`cefgs>

 ◀ Hgte

◀ ]r`tgaa ]r`tgaaiñc iñc kg fes icbfug icbfugcai caies es

◀ ]rgkisp`siaiñc e eatuer   ◀ Agctr` kg fe eaaiñc y

keõices ◀ Cutriaiñc

Kgctr` kg su h`kgf`, N`lcs`c pfectge qug gf sistghe a`ckuatuef kgf ickiviku` sg gcaugctre gc gquifiori`, qug kgbicg a`h` uc gstek` kg rgp`s` gsteofg, eucqug hås ` hgc`s trecsit`ri`, gc gf qug gf ickiviku` sg gcaugctre gc erh`cèe a`csid` hish` y a`c su gct`rc`: ihpfiae qug fes bugrzes oi`fñdiaes y psia`fñdiaes gstéc gc gquifiori` gctrg sè y a`c fes bugrzes s`aiefgs qug sg fg ebr`ctec. Gf gquifiori` kgf sistghe a`ckuatuef sg vg a`cstectghgctg gcbrgctek` e beat`rgs gstrgsectgs p`sitiv`s y cgdetiv`s qug pr`vigcgc tect` kgf ictgri`r a`h` kgf gxtgri`r kgf `rdecish`, pr`kuaigck` tgcsiñc y uc aigrt` drek` kg icgsteoifikek. ]ere N`lcs`c gs uc gstek` kg  prgsiñc ` gsbugrz` a`ctghpfåck`sg a`h` gf pr`kuat` bicef kg fe ictgrrupaiñc kgf gquifiori`: fe

 

tgcsiñc pugkg sgr a`cstruative aueck` sg ke uce ekepteaiñc ef aehoi` ` kgstruative aueck` sg  pr`kuag uc us` icgbiaez kg fe gcgrdèe qug ihpikg fe ekepteaiñc y aeuse uc p`siofg keõ` gstruaturef. Gf h`kgf` kg Qistghes a`ckuatuefgs tigcg veries epfiaeai`cgs gc gf åhoit` kg gcbgrhgrèe, icafuygck` fe gkuaeaiñc, ekhicistreaiñc, afèciae g icvgstideaiñc, Gc fe icvgstideaiñc gc gcbgrhgrèe, gc kistictes p`ofeai`cgs kg peaigctgs, gstg h`kgf` gs båaifhgctg ekepteofg e f`s

]eaigctgs psiquiåtria`s gc f`s auefgs su pr`ofghe kg sefuk sg oese gspgaèbiaehgctg gc uce eftgreaiñc a`ckuatuef y fe gcbgrhgre eatþe a`h` rgdufek`r gxtgrc` kg f`s sistghes higctres qug gf hékia` trete fe pertg bisi`fñdiae y berhea`fñdiae.

F@Q QIG[G QWOQIQ[GHEQ KGF H@KGF@ A@CKWA[WEF 5.Kg kgpgckgcaie> pr`hugvg uce a`ckuate kg a`feo`reaiñc qug gxidg uce rgspugste rgaèpr`ae. Qus a`csgaugcaies s`c fe epr`oeaiñc, fe etgcaiñc ` rga`c`aihigct` y fe esistgcaie bèsiae. Fe a`ckuate kgpgckigctg gv`fuai`ce kgskg uc drek` t`tef kg kgpgckgcaie kg f`s kghås leste uc hey`r drek` kg kgpgckgcaie kg uc` hish`.

?.Kg icdgstiñc> tigcg qug vgr a`c añh`, auåck`, qué y auect` y gc qué a`ckiai`cgs c`s efihgcteh`s Auhpfg esè fe ehpfie bucaiñc kg setisbeagr gf epgtit`. Qg gcaugctre gstrgalehgctg rgfeai`cek` a`c beat`rgs ga`fñdia`s, s`aiefgs ekghås kg oi`fñdia`s.

 1. Kg gfihiceaiñc>  sg rgfeai`ce a`c auåck`, añh` y gc qué a`ckiai`cgs sg pr`kuag fe gfihiceaiñc. Gc f`s espgat`s oi`fñdia`s kg gstg suosistghe icbfuygc beat`rgs s`aiefgs y bisi`fñdia`s.

;. Qgxuef> `ogkgag e fe k`ofg bucaiñc kg pr`argeaiñc y kg setisbeaaiñc. Icafuyg gf a`rtgn` y gf ghpergnehigct` y a`ctghpfe uce ehpfie dehe kg a`ckuates es`aiekes a`c gf pepgf sgxuef.

 

7. Kg edrgsivikek> a`csistg gc pr`tgdgr y a`csgrver, y pr`vigcg kg uce ictgcaiñc priherie kg keõer e f`s kghås. Fe s`aigkek kghecke fèhitgs gc f`s h`k`s kg eut`pr`tgaaiñc y pikg qug sg rgspgtg y pr`tgne tect` e fes pgrs`ces a`h` e su pr`pigkek.  2. Kg rgefizeaiñc> su bucaiñc a`csistg gc a`ctr`fer ` k`hicer uc espgat` pr`pi` kgf huck` airauckectg leste efaeczer uc aigrt` drek` kg supgreaiñc. Qg rgfeai`cec gstrgalehgctg fes auefikekgs ictgfgatuefgs, bèsiaes, hgaåciaes y s`aiefgs.

4 Kg ebifieaiñc> pr`p`rai`ce supgrvivgcaie y sgdurikek. Qus a`csgaugcaies s`c icafusiñc, ictihikek y b`rheaiñc y hectgcihigct` s`aiefgs kg uc gcfeag s`aief bugrtg.

F@Q QIG[G QWOQIQ[GHEQ KGF H@KGF@ A@CKWA[WEF EF[G_EK@Q

QWOQIQ[GHE KG KG]GCKGCAIE

]e ]eai aigc gctg tg c` pr prgs gsgc gcte te kgpg kgpgck ckgc gcai aie e kg ci cicd cduc uc` ` kg su cþafg` behifier ` kg tgragr`s.

QWOQIQ[GHE KG ICDGQ[IÑC

]eaigctg c` prgsgcte uce efihgcteaiñc rgaurrgctg kgoik` Augs`cgs psia`fñdiaes, psia`fñdiaes, a`h` tristgze g irriteoifikek irriteoifikek p`r gst`, prgsgcte pgrkike pérkike peraief kgf epgt` epgt` ( lip`rgxie) ]eaigctg A.C c` rggrg cicduce eftgreaiñc gc fe hiaaiñc ` gc fes fes kgp` kgp`si siai ai`c `cgs gs,, c` rg rgg grg rg ci cicd cduc uce e a` a`hp hpfia fiaea eaiñ iñc c ` kiauftek gc ffgver e aeo` sus cgagsikekgs si`fñdiaes.

QWOQIQ[GHE KG GFIHICEAIÑC

QWOQIQ[GHE QG\WEF QWOQIQ[GHEKG ED_GQIÑC/]_@[GAAIÑC

e h`ci` beh behi`if ifie iey kg aigc ig A. C sgcte rg ggr gtgcgr uga`ckua a`ct a`kuates ctre ren` n` heFtrih`c hetri tuv` tuv`feucpelin lin`, `,ctg c` A.C prgsgc prg tegrg tgcqgr a`c tes es`aiekes a`c gf pepgf sgxuef. Behifiergs kg fe peaigctg A.C a`hgctec qug le prgsgctek` gpis`k gpi s`ki`s i`s kg lgtgr` lgtgr`-ed -edrgs rgsivi ivikek kek leaie leaie `o `ongt ngt`s `s kgskg kgskg su icbecaie ,peaigctg rgefize eut`-edrgsiñc rgefizeck` uce s`org icdgste ictgcai`cef kg hgkiaehgct`s gc gf pugrpgri`, e su vgz fe h`veaiñc e ffgver e aeo` fe edrgsiñc edrgsiñc e su vgaice p`r pertg kg fe peaigctg bugr`c pgcsehigct`s pgcsehigct`s kgfirectgs, hecibgsteck` hecibgsteck` fe peaigc peaigctg tg qug sus vgaice vgaicess fe a`ctr`f a`ctr`feo eoec ec p`r hgki` hgki` kg tghes gs`téria` ia`s ` hedie cgdre ictr`kuaiéck`fg pgcs pgcseh ehigc igct` t`ss ihpgr ihpgre ev` v`s> s> sus sus vg vgai aice cess k` k`hi hice ceoe oec c su v`fuctek v`fuc tek hgkiectg hgkiectg hedie cgdre, cgdre, ictr`kua ictr`kuaèec èec pgcsehigc pgcsehigct`s t`s ihpgrev`s gc su hgctg, ffgvåck`fe e vgcdersg kg supugstes

 

QWOQIQ[GHE KG _GEFI^EAIÑC

ickgfikekgs `aurrikes kurectg gf hetrih`ci`, p`r f` auef fg aeusñ aeus ñ keõ` keõ` e su vgaice vgaice argygck` qug éf vivèe effè, ekghås kg hecibgster l`sfikek e su gxherik` y ekhir fe ictgcai`cefikek kg fe edrgsiñc gngraike. ]eaigctg rgefizñ sgduihigct` psiquiåtria` f`s þfh`s 2 eõ`s þciaehgctg kurectg f`s gpis`ki`s kgprgsiv`s,  kgprgsiv`s,   Qg gsteofgag gf kiedcñsa` kg [rest`rc` Oip`fer p` I, gpis`ki` hås rgaigctg heciea`. p`r gst` sg rga`hgckñ gf tretehigct` psiquiåtria`, pukigck` sgr ehoufet`ri` higctres sg dereczesg gf a`ctr`f kgf rigsd` kg rgitgreaiñc kg a`ckuates lgtgr`edrgsives.

QWOQIQ[GHE KG EBIFIEAIÑC

]eaigctg rggrg kiauftekgs gc fes rgfe feaai`cgs ictg ictgrp rpgr grs` s`ce cefgs fgs gc gf hgki hgki` ` gs gsa` a`fe ferr y ef hi hish sh` ` g ghp hp` ` prgsgcteoe hef rgckihigct` eaekéhia`, hecigste gpis`ki`s kg tristgze g lipgrhie kgskg su icbecaie, peaigctg rggrg ikges kgfirectgs kgfirectgs kg pgrnuiai` pgrnuiai` p`r pertg pertg kg su gxherik` gxherik` y sus vgaices.

 

QWOQIQ[GHEQ ]E_E HGN@_E_ 

 

 

REF@_EAIÑC KGF GQ[EK@ KG FE QEFWK

Icb`rheaiñc Oåsiae> C`horg> J. L. G. Y

AA> \\\\\=;7

Gkek> 14 eõ`s

Bgale kg ceaihigct`> ?; kg nuci` kgf 59 Qgviffe

Gckek> G]Q A`cteicgr Ficg QF

@aupeaiñc>

Décgr`>

Bghgcic` Gstek` Aivif> Qgpereke

Kirgaaiñc>

Agfufer ` [gféb`c`>

_édihgc Efieaiñc>

1527;1 ]r`bgsi`cef

A`ctriouv` ]r`agkgcaie> Gspeõe

Ceai`cefikek> Gspeõ`fe

Kgsaripaiñc vivigcke, sgrviai`s pþofia`s y rgaurs`s kgf oerri`> Fe aese sg gcaugctre uoiaeke gc gf Jh ? vèe perqug f`s ae`o`s kgf huciaipi` kg fiogrtek`rgs kg aereaes Rgcgzugfe, vivèe a`c su gsp`se g line, fe aese gstruaturefhgctg augcte a`c: 1 leoiteai`cgs, leoiteaiñc pricaipef a`c oeõ` privek`, oeõ` s`aief, sefe a`hgk`r, a`aice, z`ce kg  ooq, peti` kg r`pes, lefer, dereng, aese t`tefhgctg tgrhiceke, fe z`ce uroece augcte a`c efaecteriffek`, gcgrdèe, sgrviai` kg des y edue p`teofg, ekiai`cefhgctg fe z`ce augcte a`c aeffgs t`tefhgctg pevihgctekes y sgckgr`s pget`cefgs, sgõefizeai`cgs pictekes, p`stgs kg efuhorek`  pþofia`.

Espgat` Kgf ]eaigctg Eperigcaie> Qg `osgrve fe peaigctg fihpie y `rkgceke, a`c vgstikure ea`rkg e fe gkek, sic  prgsgcaie kg `f`rgs kgsedrekeofgs. kgsedreke ofgs.

A`cteat` Risuef> Fe peaigctg c` hecibigste a`cteat` visuef, gs tèhik` y gvesiv`.

 

Eo`rkeoifikek> Qu eatituk gre lipgrvidifectg, suspiaez, a`c ecsigkek bf`tectg gfgveke y ebgativikek rgstricdike.

@rigcteaiñc> Fe peaigctg c` sg gcaugctre ekgauekehgctg `rigcteke gc pgrs`ce, ye qug  prgsgcte uce hefe eo`rkeoifikek, pgr` gc tighp` y gspeai` gs peai` c` prgsgcte eftgreai`cgs.

]sia`h`triaikek> Qg gvikgcaiec eftgreaiñc gc fe psia`h`triaikek a`c bgcñhgc`s kg pesivikek a`rp`ref.

]gcsehigct` Y Fgcdueng> Qg `osgrve qug fe peaigctg tigcg ictgrprgteai`cgs kgfirectgs g ikgeaiñc kgfirectg kg pgrnuiai`, icsgraiñc kgf pgcsehigct`, trecsitivish`, c` prgsgcteoe eftgreaiñc  pere gcteofer uce a`cvgrseaiñc hecibgstek` p`r gf fgcdueng, ye qug su fgcdueng gre a`hpr a`hprgcsiofg, gcsiofg, bfuik`, pgr` efd` c` a`lgrgctg.

Qgcs`pgragpaiñc> Qg gvikgcaieoe agcgst`peties gc fe peaigctg. Ebgativikek> Fe peaigctg prgsgcteoe gc gf þftih` hgs gpis`ki`s kg kgprgsiñc y gc fes þftihes sgheces uce drec irriteoifikek y lgtgr`edrgsivikek.

Uugne ]ricaipef> ‖His vgaices pusigr`c pgcsehigct`s ihpgretiv`s y kg vgcdecze a`c hef kg `n`‘

Ehpfieaiñc Kg Fe Uugne>

 

]eaigctg bghgcice kg 14 eõ`s kg gkek, kgsghpfgeke, treèke e urdgcaies pere vef`reaiñc, fe auef bug kgtgcike g ictgrceke icv`fucteriehgctg p`r a`hgtgr edrgsiñc bèsiae a`c s`se aeustiae (likrñxik` kg s`ki`) a`ctre uce vgaice kg su gxherik` (kgsa`c`aike). Fe peaigctg rgbigrg ‖hef kg `n`‘ p`r pertg kg sus vgaices y rgfete eftgreai`cgs a`ckuatuefgs a`h` gf k`hici` kg su v`fuctek, icsgraiñc kg pgcsehigct`s ihpgretiv`s gc su hgctg y eat`s kg vgcdecze leaie su gxherik` p`r supugstes icbikgfikekgs `aurrikes kurectg hetrih`ci`, sgdþc su a`ckuate a`cbidur` hecibgsteai`cgs psia`pet`fñdiaes y sg a`csikgrñ qug sus beauftekgs a`dc`saitives y v`fitives a`h` ecufekes gc rgfeaiñc e f`s lgal`s. Qg rga`hgckñ gf tretehigct`  psiquiåtria` pere derectizer gf rigsd` kg rgitgreaiñc kg a`ckuates lgtgr`edrgsives.

Gv`fuaiñc

Ectgagkgctgs ]grs`cefgs>  ]et`fñdia`s ` pgrs`cefgs> Lipgrtihie, Lip`rgxie.

Hékia`s> C` prgsgcte. Lgrgkiteri`s ` Behifiergs> Kgprgsiñc. Uuirþrdia`s> C` prgsgcte. [reuhet`fñdia`s> C` prgsgcte. Eférdia`s> Cicduc`. Berhea`fñdia`s>  Ectgagkgctgs Gc f`s þftih`s 2 eõ`s t`heoe kg b`rhe irrgdufer af`reagpet` (5=hd/kèe) y sgrtrecife (5==hd/kèe)

Gv`fuaiñc tretehigct` berhea`fñdia`

 

Kg b`rhe pr`drgsive sg eprgaiñ uc kistecaiehigct` kg fe ikgeaiñc kgfirectg y kg fes eftgreai`cgs kg fe vivgcaie kgf y` a`c ?= hd kg af`reagpet` y 2 hd kg rispgrik`ce ef kèe, qug sg rgtirñ p`r sict`het`f`dèe gxtrepirehikef, ictr`kuaiéck`sg `feczepice e k`sis kg ?= hd ef kèe. A`icaikigck` a`c gf aehoi` kgf tretehigct` prgsgctñ uc auekr` lip`heciea` a`c eftgreai`cgs a`ckuatuefgs, iciaiåck`sg vefpr`et` leste 57== hd ef kèe a`c uce ougce rgspugste.

[`xia`fñdia`s> C` prgsgcte. ]r`ofghes Kg Qefuk Gxistgctgs> [rest`rc` Oip`fer tip` 5. Ectgagkgctgs Behifiergs> ]EK_G> Auekr` kgprgsiv`. HEK_G> C` rgbigrg.

Gxehgc bèsia` a`hpfgt`

REF@_EAIÑC AGBEF@AEWKEF Aeogze> E fe icspgaaiñc c`rh` agbåfiae, sihétriae, pr`p`rai`cef ef rgst` kgf augrp`, aeogff` likretek`, fihpi`, a`c ekgaueke ihpfecteaiñc, a`f`r cgdr`, augr` aeogffuk` sic prgsgcaie kg z`ces ef`péaiaes, sic sidc`s kg sgo`rrge: e fe pefpeaiñc c` prgsgcte heses, ` pr`tuogrecaies.

Aere> E fe icspgaaiñc sg gvikgcaie sihétriae, pr`p`rai`cef ef rgst` kgf augrp`, pigf likreteke, c` ley pérkike kg fe gfestiaikek, sic prgsgcaie kg aiaetriags. ]erpek` hñvif, agnes y pgsteões kg ihpfecteaiñc l`h`décge, sic z`ces ef`péaiaes: @n`s sihétria`s, pupifes is`añriaes rgeatives ef b`a` fuhic`s`, eperet` fearihef y a`cnuctives ictgdres g likretekes, hua`ses pefpgorefgs cesefgs y `refgs likretekes, ceriz pgqugõe p`a` pr`hicgctg.

 

]eogffñc Euriaufer Y @èk`s> ]eogffñc euriaufer ictgdr` a`c ekgaueke ihpfecteaiñc sgdþc fècge `aufer gxtgrce, a`ckuat` eukitiv` fihpi`.

Feoi`s> A`f`r r`sek` påfik`, sihétria`s, sic prgsgcaie kg qugifitis. Hua`se @ref> O`ae sihétriae, aevikek `ref, a`hisure feoief ictgdre, pigzes kgctefgs supgri`rgs g icbgri`rgs ictgdres, pefeker ofeck` y kur` èctgdr`s g likretek`s, bréhit` ouaef a`csgrvek`, þvufe hñvif, a`c ehèdkefes prgsgctgs, likretekes g ictgdres, fgcdue likreteke g ictgdre y sic prgsgcaie kg feagreai`cgs ` fgua`pfeaes.

Augff`> E fe icspgaaiñc sg gvikgcaie fihpi`, pigf likreteke sic prgsgcaie kg aiaetriags: e fe  pefpeaiñc sg gcaugctre hñvif, sic prgsgcaie kg ekgc`petèes ekg c`petèes ` z`ces k`f`r`ses.

[ñrex Y Qistghe _gspiret`ri`> Icspgaaiñc> C` sg gvikgcaiec breatures gc afevèaufes, c` ley prgsgcaie kg aiaetriags quirþrdiaes, pigf likreteke, sg `osgrve tñrex Qihétria`, f`cdifècg`, rgdi`cgs a`stefgs c`rhefgs y  pigf likreteke.

]efpeaiñc> C` ley prgsgcaie kg heses ci ekgc`petèes. Eusaufteaiñc> _uik`s rgspiret`ri`s> Rioreai`cgs v`aefgs sic hetikgz, hurhuff` vgsiaufer prgsgctg sic edrgdek`s

_uik`s aerkiea`s> _èthia`s sic prgsgcaie kg s`pf`s. ]grausiñc> E fe pgrausiñc sg gsauale s`cik` tihpåcia` e civgf kg eho`s aehp`s pufh`cergs. Eok`hgc>

 

Icspgaaiñc Qg `osgrve eok`hgc sihétria`, pr`p`rai`cef ef augrp` y pigf likreteke.

Eusaufteaiñc E fe eusaufteaiñc sg gcaugctrec ruik`s ictgsticefgs p`sitiv`s (; p`r hicut`), gc f`s auekrectgs ictgsticefgs.

]efpeaiñc E fe pefpeaiñc supgrbiaief y pr`bucke c` sg gvikgcaies sidc`s kg kistgcaiñc eok`hicef, c` hgdefies: eok`hgc ofeck`, kgprgsiofg a`c pufseai`cgs kg fe ertgrie eok`hicef gc hgs`destri`.

Highor`s Qupgri`rgs> E fe icspgaaiñc sg `osgrvec sihétria`s, pr`p`rai`cefgs ef augrp`, a`c ekgaueke likreteaiñc, sic prgsgcaie kg cñkuf`s heses ` gkghes, e fe pefpeaiñc sg gcaugctre pufs` rekief y orequief, a`c h`vihigct`s y sgcsioifikek ekgaueke. E fe gsaefe kg bugrze husaufer sg gvikgcaie uc pucteng kg 7 a`c h`vihigct` c`rhef.

Highor`s Icbgri`rgs>  E fe icspgaaiñc pigf ictgdre, fihpie, g likreteke, sg gvikgcaie ffgcek` aepifer ekgauek`, a`c ihpfecteaiñc kg vgff`sikek ekgaueke, e fe pefpeaiñc sidc` kg bñvge cgdetiv`, e fe gsaefe kg bugrze husaufer c`s err`ne uc pucteng kg 7 a`c h`vihigct` c`rhef.

REF@_EAI@C CGW_@FÑDIAE

 

REF@_EAIÑC CGW_@FÑDIAE A`caigcaie A`cai gcaie>> ]eaigctg `rigctek` eut`psèquiaehgctg y ef`psiquiaehgctg, a`c besaies kg ictrecquifikek y hecibgsteai`cgs vgroefgs kg agrtgze.

Fgcdueng>

]eaigctg

BWCAI@CGQ QW]G_I@_GQ Hgh`rie>  rgsp`ckg ef

ffehe ffehek`, k`, c` sg gvikgca gvikgcaie ie eft eftgre greaiñ aiñc c kg eftg eftgre reai ai`c `cgs gs a`hprgsiñc ci pgragpaiñc.

C` kg

sg

gvikgcaiec

ih ihp` p`rt rtec ecai aie e

afè fèci ciae ae::

gvikgcaiek` p`r qug fe peaigctg rgaugrke suag suags` s`ss pe pese sek` k`s, s, eu eucq cqug ug rg rgsp spga gat` t` ef icai icaikg kgct ctg g suag suagki kik` k` a` a`c c fe vg vgai aice ce kgf gxherik`, hecigste tgcgr pgcsehigct`s qug c` rga`c`ag a`h` pr`pi`s.

 ]E_GQ A_ECGEFGQ @fbet`ri` (I)> E fe ve vef` f`rea reaiñ iñcc kgf pri prihg hgrr pe per  r  arec arecge geff c` sg gv gvik ikgc gcai aiec ec le leff ffezd ezd`s `s kg ihp`r ihp`rte tecai caiee afèciae, kek` qug fe peaigctg  pgraiog g ikgctibiae `f`rgs.

[ridéhic`  (R)> E fe vef`reaiñc kg fe rehe h`t`r `t`ree c` sg gv gvik ikgc gcai aiee le leff ffezd ezd`s `s kg ihp`r ihp`rte tecai caiee afèciae kek` qug gf peaigctg  prgsgcte ekgaueke bugrze husaufer gc tghp`ref hesgt he sgtgr` gr` y he hexi xife fer. r. E fe

]E_GQ A_ECGEFGQ Ñptia` (II)>  aehp` visuef sic leffezd`s kg ihp`rtecaie afèciae ye qug gf peai peaigc gctg tg ik ikgc gcti tibi biae ae gf cþ cþhg hgr` r` kg kgk kgk`s `s pugst pugst`s `s fetgrefhgctg gc aeke `n`, esè a`h` tehoiéc visuefize gf h`vihigct` kg f`s hish`s gc sus kibgrgctgs auekrectgs: e fe vef`reaiñc kgf b`ck` kg `n` sg gvikgca caiie rgbf bfggn` r` r`nn`:  pupifes is`añriaes rgeatives ef b`a` fuhic`s`. Bea eaiief (RII)> II)>  E fe vef`re reaaiñc kgf RII per  ar arec ecge geff c` sg gv gvik ikgc gcai aiec ec le leff ffezd ezd`s `s kg ih ihp`r p`rte teca caie ie afèciae, kek` qug gf peaigctg rgefize fes eaai`cgs  pr`pugstes p`r gf gxehicek`r kg hecgr gree

@auf`h @auf `h`t `t`r `r,, [r [r`a `afg fger er,, Eokuagctg (III, IR y RI)> E fe vef`reaiñc kgf III, IR, RI per arecgef c` sg gvikgca gvi kgcaier ier`c `c lef leffez fezd`s d`s kg ihp`rtecaie afèciae, ye qug gf peaigctg rgefize h`vi h` vihi higc gct` t`ss `a `auf ufer ergs gs gc kibgrg kib grgctg ctgss kirgaa kirgaai`cg i`cgss sic cicduce kibiauftek ` eftgreaiñc.

Rgstiouf`a`afger (RIII)>  E fe ve vef` f`re reai aiñc ñc kg fe re rehe he eu euki kiti tive ve c` sg gv gvik ikgc gcai ai`` cicdþc leffezd` kg ihp`rtecai ihp`r tecaiee afèciae. afèciae. _ehe vgstio vgs tioufe uferr sic eft eftgrea greai`cg i`cgss kg ih ihp` p`rt rtec ecai aiee af afèc ècia iaee ye qug gf peaigctg hectigcg gf

 

vef`reaiñc kg fe rehe sgcsitive c` sg gvikgcaier`c le leff ffezd ezd`s `s kg ihp`r ihp`rte tecai caiee afèciae ye qug gf peaigctg ikgctibiae gf tip` kg gstèhuf` y su f`aefizeaiñc. _gbfgn` a`rcgef prgsgctg. Df`s`berècdg Df`s` berècdg``  ‑ Red`  (I\ y \)> E fe vef`reaiñc kgf I\ Y \ per arecgef c` sg gvi gvikgca kgcaii` leff leffez ezd` d`ss kg ih ihp`rt p`rtecai ecaiee afècia afèciaee kec keck` k` a`h` rgsuftek` bucai` buc ai`cef cefike ikekk ekg ekgaue aueke ke gc eho`s pergs arecgefgs.

ekgaueke.

gquifiori`.

Eaags`r `rii` (\I)>  Qic le leff ffezd ezd`s `s kg ih ihp`r p`rte teca caie ie af afèc ècia iae, e, ek ekga gaue ueke ke bu bugr grze ze husaufer.

Lip`d Lip`df` f`s` s` (\I (\II)> I)>  E fe ve vef` f`re reai aiñc ñc sg gv gvik ikgc gcai aiee ekgaue ekg auek` k` bucai` bucai`ceh cehigc igct` t` kg kgff \II \II pe perr ar arec ecge geff, si sicc le leff ffez ezd` d` kg ih ihp` p`rt rtec ecai aiee afèciae.

QIDC@Q RI[EFGQ  

B_> 59 _]H

 

BA> 4= F]H

 

[½>  12 ½A

 

Q]@?> 97% - Qp`?%

 

[/E> 5?=/ 27 JD

 

[EFFE> 5.2< AH

 

IHA> ?1 JD/H? C@_HEF

AEQI

EFDWCEQ

AEQI

QIGH]

 

]_GDWC[EQ Hg sesbeag fe eyukek kg rgaio`

CWCAE \

RGAGQ

QIGH]_G

_G

kg hi behifie aueck` tgcd` efdþc pr`ofghe Hg sesbeag a`h` gc hi behifie

 \

leofeh`s y a`hperh`s cugstr` pr`ofghe Hg sesbeag a`h` hi behifie

\  

eagpte y ep`ye hi kgsg` kg ghprgckgr cugves eavikekgs Hg sesbeag a`h` hi behifie

\

gxprgse gbgat` y rgsp`ckg e his gh`ai`cgs tefgs a`h` reoie,

 

tristgze eh`r. Hg sesbeag a`h` a`hperh`s

 

gc hi behifie 5. [ighp` pere gster nuct`s

\  

?. F`s gspeai gspeai`s `s gc fe aese 1. Gf kicgr`

IC[G_]_G[EAI@C> •

Qighprg> ((11 ppuuct`s)

•

Aesi sighprg> rg> (? puct`s)

•

Efduc duces vgags> (5 puct`)

•

Aesi cucae> (= puct`s).

Fes puctueai`cgs kg aeke uce kg fes aica` prgductes sg suhec p`stgri`rhgctg. •

]uct ]uctue ueai aiñc ñc kkgg 4 e 55== su sudi digr grgg uce uce behi behifi fiee huy huy bu bucai cai`c `cef ef..

•

]uct ]uctuea ueaiñc iñc kg ; e 2 sudig sudigrg rg uce uce behifi behifiee h h`kgr `kgrekeh ekehgct gctgg ki kisbuc sbucai` ai`cef cef..

•

]uctueaiñc kg = e 1 sudigrg uce behifie a`c drevg kisbucaiñc.

Ecåfisis>  Gf Epder Behifier kg fe usuerie c`s err`ne uce puctueaiñc, fe auef c`s pgrhitg ikgctibiaer uce behifie a`c uce drevg kisbucaiñc. ]ugst` qug gc su cþafg` behifier c` sg f`dre gvikgcaier ebgativ`s y augcte a`c p`ae a`huciaeaiñc gff`s, gstgekghås h`k`, tehoiéc gst`s sg beat`rgs c`fez`s s`f` f`drec ebgater gf gstek` kg sefuk kg cugstre gctrg usuerie, sic`kgqug

 

vg icafuik` su gstek` gh`ai`cef, gf auef gstå oestectg icgsteofg kgoik` e sus eftgreai`cgs a`ckuatuefgs kg fe irriteoifikek, lgtgr`edrgsivikek.

Behifi`drehe

ECEFIQIQ> Qgõ`re Q. A  kiedc`stiaeke a`c _O5 augcte a`c uc cþafg` behifier behifier icgsteofg, kiv`raieke leag 1 eõ`s kgf sgõ`r N, a`c uce kureaiñc kg (5) eõ` kg hetrih`ci`, rgbigrg qug fes icbikgfikekgs p`r pertg kg su gsp`s` bug fe aeuse kg su sgpereaiñc, rgbigrg l`stifikek leaie su gxherik`, kgf brut` kg gstg het hetrih`ci` rih`ci` tuv` uc lin` kg sgx` hesaufic` qug eatuefhgctg tigcg tigcg 5= eõ`s kg gkek, fe sgõ`re Q,A Q,A hecibigste vgcir kg uce behifie behifie cuafger , b`rheke p`r sus  pr`dgcit`rgs hekrg y pekrg, su hekrg hekr g beffgaiñ aueck` tec s`f` gre uce ciõe, su pekrg cucae gstuv` pere gffe, sg prg`aupeoe hås p`r fe ga`c`hèe kgf l`der, p`r gst` fe sgõ`re s.a hecibigste tgcgr uc vècauf` kéoif a`c su pekrg, su pekrg icbfuik` p`r fe hugrtg kg su gsp`se le prgsgctek` auekr`s kg kgprgsiñc kgskg leag veri`s eõ`s.

 

GA@HE]E

ECEFIQIQ> Gf Cþafg` behifier kg fe sgõ`re Q-A c`s pgrhitg a`c`agr su rgfeaiñc behifier: a`h` a`c `tr`s sistghes s`aiefgs (treoen`, gkuaeaiñc, sgrviai`s kg sefuk, rgfeai`cgs ictgrpgrs`cefgs y rgfidiñc), Fe sgõ`re Q- A rgbigrg ffgver uce rgfeaiñc a`c ffee sefuk  ougce ye qug augcte a`c sgrviai`s kg sefuk ekgauek`s y eaagsiofgs pere su tretehigct`, rgbigrg ffgver uce rgfeaiñc cufe a`c fe rgfidiñc kgoik` e qug fg kgkiae huy p`a` tighp` y argg gs gc tghes gs`téria`s: e su vgz prgsgcte uce rgfeaiñc hgkie oene a`c gf treoen`, behifie y rgfeai`cgs

ictgrpgrs`cefgs kgoik` e qug prgk`hicec eftgreai`cgs a`ckuatuefgs a`h` fe irriteoifikek, irriteoifikek, lgtgr`edrgsivikek, sgctihigct`s kg l`stifikek y gstrés. Ef hish` ttighp` ighp` hectigcg uce a`cgxiñc gstrgsectg a`c fe gkuaeaiñc gc f` qug sg kgsteaec kibiauftekgs gc gf hgki` gsa`fer y gc sus gstuki`s priheri`s a`c huy hef rgckihigct` eaekéhia`. BWCKEAIÑC WCIRG_QI[E_IE KG QEC DIF - WCIQECDIF Y@]EF

Bgale kg

 

 

ghisiñc>

]_@D_EHE KG GCBG_HG_IE

_gvisek` p`r>

REF@_EAIÑC ]@_ K@HICI@Q

NBG> Efgxeckgr  Fgñc ]ugff` ]r`oek` p`r> GQ[. GCBG_HG_IE ;G_  QGHGQ[_G

ICB@_HEAIÑC DGCG_EF

Bgale kg Ref`reaiñc> Kiaighorg kgf ?=?=  C/C LA ]_@D_EHE Ref`reaiñc =5?1;724 14 eõ`s ]_@AGKGCAIE Qgviffe @AW]EAI@C DGCG_@ B x H A@__G@ QAMdheif.a`h Kgsghpfgeke B@_HE KG FFGDEKE IC[G__@DEAIÑC (x) QIFFE KG _WGKEQ ( ) AEHIFFE ( ) BWGC[G KG ICB@_HEAI@C ]EAIGC[G (\) BEHIFIE ( ) @[_@ ( ) H@[I H@ [IR@ R@ K KG G A@ A@CQ CQWF WF[E [E Re Ref` f`re reai aiñc ñc h hgc gcte teff p` p`rr uc ucee ed edrg rgsi siñc ñc llea eaie ie uuce ce vvga gaic icee a` a`cc s` s`se se aaeu eust stia iaee EC[GAGKGC[GQ ]ekrg kgprgsiv` UWI_WDIA@ ]G_Q@CEFGQ Q ICIAI@ RIKE QG\WEFIKEK QG\WEF

BEHIFIE_GQ

LEOI[@Q

 C` prgsgcte

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Icbecaie BWHE

 C` rgbigrg

EFG_DIA@Q °]E_GNE EA[WEF0 CIGDE

[@\IA@Q

Cigde

°LEAG AWEC[@0 L@_EQ KG QWQ[ECAIEQ  CIGDE QWGÕ@ ]QIA@EA[IREQ

@OQG_REAI@CGQ (LEOI[@Q) EC[_@]@HG[_IE [EFFE  5,2<

 Cicduce

;L

 

QIDC@Q RI[EFGQ 5?=/ IHA [/E I[Q QI ( ) C@ (\) ]_@OFGHE KG EA[IRIKEK GQ]GAIBIUWG> QG\WEF A@C QW ]E_GNE QI ( ) C@ (\) KIQBWCAI@C QG\WEF H@[IR@ KG KIQBWCQI@C QG\WEF

]ECKIFFENG ( )

C@ EAG][E ( ) K@HICI@ 9 EB_@C[EHIGC[@ / [@FG_ECAIE EF GQ[_GQ [_EC ED_GQ [_IQ[G () UWIF@ IR@ ( ) _GQ]WGQ[E GQ[_GQ EF

A@_]@_EF K@HICI@ < QG\WEFIKEK GQ[EK@ Q@F[G_@ AEQEK@ KIR@_AIEK@ AIRIF ( ) ( ) (\) RIWK@ ( ) WCI@C FIO_G ()

HIGK@ E [_ECBWQI@C

QGA_GAI@CGQ EC@_HEFGQ

OI@F@DIAEQ ( )

GKEK ( )

]QIA@F@DIAE Q( ) QI ( )

@[_E ( ) C@ ( \)

K@HICI@ 5=. ]_ICAI]I@Q RI[EFGQ _GFIDI@ UWG ]_@BGQE

C@ HECIBIGQ[E

_GQ[_IAI@CGQ _GFIDI@QEQ

C@ HECIBIGQ[E

Q@FIAI[E E]@Y@ GQ]I_I[WE GQ]I_I[WEF F EAG][E [_ECQBWCAI@CGQ QECDWICGEQ KIBIAWF[EK ]E_E [@HE_  KGAIQI@CGQ ]_ICAI]EF REF@_ UWG ]_EA[IAE A@CG\I@CGQ

E_[G ( )

QI ()

C@ (\ )

QI (\)

C@ ( )

QI ()

C@ ( \ )

C` rgbigrg HWQIAE ( )

KEC^E ( )

 

IC[GC[@ KG QWIAIKI@

HWG_[G ( ) QI  C@ ( ) (\)

EKE][EAI@C EF QG_RIAI@

QI ( \ )

GQ ()  C½ KG RGAGQ (=) C@ ( )

K@HICI@ 55 QGDW[W_DGC[G _IKEK/]_@[GA AFI@ ]E IKCE ( ) (\) KIEB@_G[I QGAE (\) AE ( ) ]IGF B_IE ( ) IA[G_IAE ( AIEC@[IAE ( ) FGQI@CGQ _GUWIG_G KIQ]@QI[IR@ EC[IGQAE_EQ _GUWIG_G AIC[W_@C KG QGDW_IKEK _GUWIG_G AEHE A@C OE_ECKEQ EC[GAGKGC[GQ

GKGHE ( ) D_EK@ ( )

LGHE[@HEQ ( ) QI ( )

AGFWFI[IQ ( ) C@ (\)

QI ( )

A@C [GE[ _@ ( )

@[_E ( )

AWEF

KC @HICI@ 5? A A@ @CB@_[ F@AEFI^EAI@  CICDWC@ KGF K@F@_  K@F@_ EDWK@ K@F@_  K@F@_  ( ) A_@CIA@ ]WC^EC[G ( ( ) ) K@F@_ KIBWQ@ () K@F@_ A@H]_GCQIR@ ( ) EICGQ ( ) @]IEAG@Q ]FEAGO@ HECGN@ ( ) ( ) KG K@F@_  ]_GQGCAIE QI () C@ ( )  CEWQGEQ QI ( ) C@ () ]_GQGCAIE R@HI[@

C@ (\)

QI ( )

C@ (\)

AEIKEQ KGQHEY@Q ( ) ( ) A@CRWFAI@CGQ ( )

UWIGC A@CQWF[E

UWIGC _GEFI^E FE A@CQWF[E

FI[G_E[W_  E ( )

C/C -

Qere _icañc

--

D @ veoffrgec` Fuf`kryie^ ^e eh Jer`f Evgckeõ` ]eufe Gsa`oer Gstgoec F Fiihes

]G_AIOG EIQFEHIGC[@ Q@AIEF

QI ( )

C@ ( \ )

BGALE KG WF[IH@ A@C[_@F

KIAIGHO_G KGF ?=?=

QG_RIAI@

IC[G__@DEAI@C

REF@_EAI@C ]@_ K@HICI@Q EF[G_EK@Q CECKE K@HICI@ EF[G_EK@

AFEQG EF[G_EKE

KIEDC@Q[IA@ GCBG_HG_IE

KG

 

K`hici` 5. ]r`h`aiñc kg fe sefuk.

Kishicuaiñc kgf a`hpr`his` kg eativikek rgargetive A/K Eftgreaiñc kgf gstek` kgf åcih`. K`hici` ?. Cutriaiñc Af Afesg esg 5. Icdgst Icdgstiñ iñcc Kg Kgsgq sgqui uifi fiori ori`` cu cutr tria iai` i`ce cef> f> icdgst icd gstee icbgri icbgri`r `r e fes cgagsik cgagsikekg ekgss B/_ icd cdgs gste te ics csub ubia iaiigc gctg tg kg efihgct`s K`h `hic icii` ;.  Eativikek/ Afesg 5. Qugõ`/ Ics`hci` B/_  Ecsigkek  Ecsigkek rgp`s` rgp`s` Kgsa Kg saui uik` k` pg pgrs rs`c `cef ef// A`ckiaiñc K`h `hic icii` ;.  Eativikek/ Afesg 7. Kgsau sauik` es`aieke / [rest`rc` psiquiåtria`. rgp`s`  pgrs`cef K`hi K` hici ci`` 7.  ]gragpaiñc/ Af Afesg esg ;. A`dci A`dciai aiñc ñc-A`cbusiñc arñciae A/K a`cbusiñc Eftgreaiñc gc a`hp`rtehigct` a`dciaiñc K `hici` a`dciaiñc

Afesg 5.

Af Afesg esg ;. A`dci A`dciai aiñc ñc-A`ct A` ctr`f r`f kg ih ihpuf pufs`s s`s ic icgbi gbiae aezz A/K  Eatueai aiññc ihpu puffsi sivve ` 7.  ]gragpaiñc/ A`ctr`f kg ihpufs`s A`hp`rt rteehigct` vi`fgct`. B/_  [rest`rc` kgf gstek` kg ecih`  

K`hici K`hi ci`` 7.  ]gragpaiñc/ Af Afesg esg ;. A`dci A`dciai aiñc ñc-Feoifikek kgf a`ctr`f gh`ai`cef a`dciaiñc A`ctr`f gh`ai`cef A/K  gx gxpr prgs gsiñ iñcc kg gh`a gh`aiñ iñcc si sicc rgfeaiñc a`c gf beat`r   kgsgcaek kgsg caekgce gcectg ctg A/E trest` trest`rc` rc` kgf gstek` kg ecih` K`hici` 2. Afesg ?. Eut`gstihe Oene Eu Eut`gstihe si situeai`cef B/_  Eut`pgragpaiñc rg rga` a`c` c`ai aihi higc gctt` ice cekg kgau auek ek`` ` Eftgreai`cgs gc gf r`f s`aief. Af Afesg esg 1. Kgsgh Kgsghpgõ pgõ`` Kgtgri`r` kg fe ictgreaaiñc s`aief kgf r`f B/_ eftgreai`cgs gc f`s pr`ags`s kg  pgcsehigct`. A/K kg kgtg tgri ri`r` `r` kgf bucai`cehigct` s`aief K`hici` a`ctr`f gh`ai`cef Kgbiciaiñc> gsteffik`s ica`ctr`feofgs kg gxprgsi`cgs gh`ai`cefgs gxedgrekes g icv`fucteries Aereatgrèstiaes kgbicit`ries> gxprgsiñc kg gh`aiñc sic rgfeaiñc e beat`r kgsgcaekgcectg Beat`r rgfeai`cek`> trest`rc` gh`ai`cef A`ckiaiñc es`aieke> trest`rc` kgf gstek` kg ecih` Gsaefe kg puctueaiñc Kiece> Gquifiori` gh`ai`cef (5?=;)

]uctueaiñc> ?7/?7

 

Gstek` iciaief> 5?/?7

Gstek` Gspgrek`> 54/?7

K`hici` III> Qefuk psia`s`aief

Afesg H> Oigcgster psia`fñdia`

Kgciaiñc> Ekepteaiñc epr`pieke kgf t`c` gh`ai`cef prgk`hicectg gc rgspugste e fes airaucstecaies.

Ickiaek`rgs

5?=;=? Hugstre uc gstek` kg åcih` sgrgc`

5?=;=1  Hugstre a`ctr`f kg f`s ihpufs`s

Cucae kgh`strek` 5 Cucae le kgh`strek` uc gstek` kg åcih` sgrgc`. G.I Cucae kghugstre a`ctr`f kg f`s ihpufs`s

_erehgctg kgh`strek` ?

_erehgctg kghugstre uc gstek` kg åcih` sgrgc` _erehgctg kghugstre a`ctr`f kg f`s ihpufs`s.

G.I

5?=;=;  _ggrg k`rhir kg b`rhe ekgaueke

5?=;?=  Kgprgsiñc

5?=;=9  Gub`rie

Cucae kugrhg kg b`rhe ekgaueke

_erehgctg kugrhg kg b`rhe ekgaueke G.I

Cucae le kgh`strek` gpis`ki`s kgprgsiv`s

_erehgctg kghugstre gpis`ki`s kgprgsiv`s G.G

Cucae kghugstre gpis`ki`s kg lipgrhie

_erehgctg kghugstre gpis`ki`s kg lipgrhie G.G

E vgags kgh`strek` 1

Brgaugctgh gctg kgh`strek` ;

E vgags kghugstre a`ctr`f kg

Brgaugctgh gctg kghugstre uc gstek` kg åcih` sgrgc` G.G Brgaugctgh gctg kghugstre a`ctr`f kg f`s

f`s ihpufs`s

ihpufs`s G.G

E vgags kghugstre uc gstek` kg åcih` sgrgc`.

E vgags kugrhg kg b`rhe ekgaueke

Brgaugctgh gctg kugrhg kg b`rhe ekgaueke

Qighprg kghugstre uc gstek` kg åcih` sgrgc`.

Qighprg kghugstre a`ctr`f kg f`s ihpufs`s Qighprg kugrhg kg b`rhe ekgaueke G.G

E vgags kghugstre gpis`ki`s kgprgsiv`s

Brgaugctgh gctg kghugstre gpis`ki`s kgprgsiv`s G.I

Qighprg kghugstre gpis`ki`s kgprgsiv`s

E vgags kghugstre gpis`ki`s kg lipgrhie

Brgaugctgh gctg Kghugstre gpis`ki`s kg lipgrhie G.I

Qighprg kghugstre gpis`ki`s kg lipgrhie

Gsaefe kg puctueaiñc Kiece> Leoifikekgs kg ictgreaaiñc s`aief

.

Qighprg kgh`strek` 7

 

CIA

Afesg> _ EYWKE ]E_E GF EB_@C[EHIGC[@ Aehp`> =1 A@CKWA[WEF

Ictgrvgcaiñc

A`ctr`f kgf gstek` kg åcih` ( 711=)

Kgciaiñc

 

]r`p`rai`ce sgdurikek, gsteoifikek, gsteoifikek, rgaupgreaiñc y hectgcihigct` e uc peaigctg qug gxpgrihgcte uc gstek` kg åcih` kisbucai`cefhgctg kgprihik` ` gubñria`. g ubñria`.





Eavikekgs



Gvefuer gf gstek` kg åcih` (sidc`s, sèct`hes, ectgagkgctgs pgrs`cefgs) iciaiefhgctg y a`c rgduferikek. ]`cgr gc pråaae fes prgaeuai`cgs cgagseries pere sefveduerker ef peaigctg y e f`s qug fg r`kgec kgf rigsd` kg keõ`s sia`s (suiaiki`, eut`fgsi`cgs, budes, vi`fgcaie) Ekhicistrer augs`ceri`s augs`ceri`s eut` a`hpfghgctek`s a`hpfghgctek`s (Icvgcteri` kg kgprgsiñc kg Ogaj, gsaefes kgf gstek` bucai`cef) sgdþc a`rrgsp`cke.

IC[G_RGCAI@CGQ _GEFI^EKEQ ]E_E GF KIEDCÑQ[IA@ FEOIFIKEK KGF A@C[_@F GH@AI@CEF EA[IRIKEK HG[@K@F@DIE ‖Aefheck` e hi y`‘ A`csistg gc preaaer hgkiteaiñc: fe auef gcsgõerå e rggxi`cer e fe peaigctg, f` auef gs ougc` pere hicihizer f`s pr`ofghes qug e kieri` surdgc gc su vike. Fe hgkiteaiñc fg pr`p`rai`ce lgrrehigctes hgctefgs pere su eut`a`ctr`f. eut`a`ctr`f.

‖Eprgck` e rgfenerhg‘

Q`c téaciaes qug a`csistgc gc rgefizer gngraiai`s kg tgcsiñcrgfeneaiñc a`c aeke uce kg fes pertgs kgf augrp`. [igcg qug p`cgrsg gc uce p`sture añh`ke y gc uc ehoigctg rgfenek`, sic kistreaai`cgs ci prises, pere esè ffgder e uc ougc gstek` kg rgfeneaiñc.

 

‖Gf oeþf kg his rgaugrk`s‘

A`csistg gc kgsarioir situeai`cgs gc fes qug sgpeh`s qug le kisbrutek`, p`r gnghpf`, uce pfeye, fe gxaursiñc a`c f`s a`hpeõgr`s e fe sigrre, uc kèe gc fe pisaice. Qg irå kgsarioigck` a`c kgteffg f` qug gstå suagkigck`, leaigck` efusiñc e fe rgfeneaiñc qug sigctg fe peaigctg: fe peaigctg gsterå tuhoeke y sg fg pgkirå qug ihedicg gse situeaiñc. A`cvigcg ufizer uc t`c` kg v`z suevg g ir kgsarioigck` fe gsagce a`c t`k` kgteffg, ictgcteck` i ctgcteck` pr`v`aer gc fe peaigctg qug sgcrèe gc gse situeaiñc.

Kgtgri`r` kg fe ictgreaaiñc s`aief •

Añkid` kiedcñstia`> ===7?

•

K`hici` 4

•

Afesg 1

•

A`cagpt`> ictgreaaiñc s`aief

•

Kgbiciaiñc> aectikek icsubiaigctg ` gxagsive ` aefikek kg ictgraehoi` icgbiaez

• •

Aereatgrèstiaes kgbicit`ries> kgtgri`r` kgf bucai`cehigct` s`aief Beat`r rgfeai`cek`> eftgreaiñc gc f`s pr`ags`s kgf pgcsehigct`

Gsaefe kg puctueaiñc Kiece> Leoifikekgs kg ictgreaaiñc s`aief ]uctueaiñc> 5=/5= Gstek` iciaief> ?/5=

Gstek` Gspgrek`> Qefuk psia`s`aief

Afesg ]> Ictgreaaiñc s`aief

Kgbiciaiñc> a`ckuates pgrs`cefgs qug b`hgctec rgfeai`cgs gbiaeags

 

E vgags Brgaugctg Cucae Qighprg _erehgct kgh`strek hgctg kgh`strek kgh`strek` Ickiaek`rgs g kgh`strek` ` kgh`strek` ` 7 ? 1 ; 5 Fe  peaigctg Fe cucae  peaigctg e Fe peaigctg Fe peaigctg Fe peaigctg (57=?5?) Qg kghugstre vgags e hgcuk` sg sighprg sg rerehgctg sg rgfeai`ce a`c  ougce kghugstre rgfeai`ce a`c rgfeai`ce a`c rgfeai`ce a`c f`s kghås rgfeaiñc rgfeai`cersg f`s kghås f`s kghås f`s kghås a`c f`s a`c f`s G.G kghås kghås G.I Fe Fe  peaigctg Fe peaigctg Fe peaigctg Fe peaigctg  peaigctg e cucae (57=?52) vgags brgaugctghgct sighprg rerehgctg utifize Wtifize utifize g utifize utifize utifize gstretgdies gstretgdies gstretgdies gstretgdie pere gstretgdies gstretgdies  pere pere  pere rgs`fuaiñc kg  pere  pere a`cbfiat`s rgs`fuaiñc kg rgs`fuaiñc rgs`fuaiñc kg rgs`fuaiñc kg a`cbfiat`skg rgs`fuaiñc kg G.G a`cbfiat`s a`cbfiat`s a`cbfiat`s a`cbfiat`s G.I

CIA

Afesg> @ [G_E]IE A@CKWA[WEF

 

Aehp`> =1 A@CKWA[WEF Ictgrvgcaiñc

H`kibiaeaiñc kg fe a`ckuate > leoifikekgs s`aiefgs ( ;12?)

Kgbiciaiñc

Eyuke ef peaigctg pere qug kgserr`ffg ` hgn`rg fes leoifikekgs s`aiefgs ictgrpgrs`cefgs.

 







Eativikekgs 

Eyuker e fe peaigctg e ikgctibiaer f`s rgsuftek`s kgsgek`s kg fes rgfeaiñc gs ` situeai`cgs ictgrpgrs`cefgs pr`ofghåtiaes. Gkuaer e f`s effgdek`s kg fe peaigctg (behifiergs, a`hpeõgr`s, ghpfgek`rgs…), sgdþc a`rrgsp`cke, s`org gf pr`pñsit` y pr`ags` kgf gctrgcehigct` kg fes leoifikekgs s`aiefgs. Eciher e fe peaigctg e hecibgster vgroefhgctg f`s sgctihigct`s es`aiek`s a`c f`s pr`ofghes ictgrpgrs`cefgs. Eyuker e fe peaigctg e ikgctibiaer fes gtepes a`ckuatuefgs kg fe leoifikek s`aief kgsgeke.

 

IC[G_RGCAI@CGQ _GEFI^EKEQ ]E_E GF KIEDCÑQ[IA@ KG[G_I@_@ KG FE IC[G_EAAIÑC Q@AIEF EA[IRIKEK

HG[@K@F@DIE

‖Leofeck` a`cd`‘

A`csistg gc gcteofer uce a`cvgrseaiñc a`c uc tghe gc gspgaèa` icv`fuareck` aigrt` drup` kg pgrs`ces, ye sgec ehid`s, behifiergs y/` effgdek`s, a`c gf c kg hgn`rer su rgfeaiñc s`aief.

‖Hgn`reck` fe rgfeaiñc‘

A`csistg gc icv`fuarer e f`s behifiergs kg fe peaigctg, rgefizeck` eavikekgs fþkiae-rgargevess a`h` nugd`s kg hgse, fþkiae-rgargeve a`cter ecéak`tes dreai`ses, gngraiai`s sia`s, gta. ]ere esè b`hgcter e tgcgr uce

 

ougce rgfeaiñc a`c su behifie

‖^uhoe tgrepie‘

A`csistg gc qug fe peaigctg esiste e uce tgrepie kg oeifg, fe auef fg pgrhirå rgfeai`cersg a`c kibgrgctgs pgrs`ces engces e fes qug a`c`ag, pere esè hgn`rer sus rgfeai`cgs s`aiefgs.

_igsd` kg vi`fgcaie kiridike e `tr`s

•

Añkid` kiedcñstia`> ==51<

•

K`hici`> 55

•

A`cagpt`> vi`fgcaie kiridike e `tr`s

•

Kgbiciaiñc> susagptiofg e a`ckuates gc qug fe pgrs`ce kghugstres qug pugkg sgr bèsiae, gh`ai`cef y/` sgxuefhgctg fgsive pere `tr`s

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Beat`r rigsd`> ihpufsivikek A`ckiaiñc es`aieke> trest`rc` psiañtia`

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½Afesg> 1

Gsaefe kg puctueaiñc Kiece> Eut`a`ctr`f kgf pgcsehigct` kist`rsi`cek` ]uctueaiñc> 57/57 Gstek` iciaief> ;/57

Gstek` Gspgrek`> 55/57

K`hici` III> Qefuk psia`s`aief

Afesg ]> Eut`a`ctr`f (@)

Kgciaiñc> Eut`r rgstriaaiñc kg fe eftgreaiñc kg fe pgragpaiñc, pr`ags`s kgf pgcsehigct` y pgcsehigct`.es pgrs`cefgs qug b`hgctec rgfeai`cgs gaeags

 

Ickiaek`rgs

Cucae kgh`strek` 5

_erehgctg kgh`strek` ?

(5;=1=5)  _ga`c`ag qug gcg efuaiceai`cgs ` ikges kgfirectgs

Fe peaigctg cucae rga`c`ag qug gcg efuaiceai`cg s ` ikges kgfirectgs

Fe peaigctg rerehgctg rga`c`ag qug gcg efuaiceai`cgs ` ikges kgfirectgs GI

(5;=1=;) Rgroefize brgaugcaie kg efuaiceai`cgs ` ikges kgfirectgs

(5;=1=9)  Ictgreaai`ce a`c f`s kghås kg b`rhe epr`pieke

 

CIA

Fe peaigctg cucae vgroefize brgaugcaie kg efuaiceai`cg s ` ikges kgfirectgs G.I Fe peaigctg cucae ictgreaai`ce a`c f`s kghås kg b`rhe epr`pieke G.I

Fe peaigctg rerehgctg vgroefize brgaugcaie kg efuaiceai`cgs ` ikges kgfirectgs

E vgags kgh`strek` 1

Brgaugctghg ctg kgh`strek` ;

Fe peaigctg e vgags

Fe peaigctg brgaugctghg

rga`c`ag qug gcg efuaiceai`cg s ` ikges kgfirectgs

ctg rga`c`ag qug gcg efuaiceai`cgs ` ikges kgfirectgs G.G

Fe peaigctg e vgags vgroefize brgaugcaie kg efuaiceai`cg s ` ikges

Fe peaigctg brgaugctghg ctg vgroefize brgaugcaie kg efuaiceai`cgs ` ikges kgfirectgs

Qighprg kgh`strek` 7

Fe peaigctg sighprg rga`c`ag qug gcg efuaiceai`cgs ` ikges kgfirectgs

Fe peaigctg sighprg vgroefize brgaugcaie kg efuaiceai`cgs ` ikges kgfirectgs

kgfirectgs G.G Fe peaigctg rerehgctg ictgreaai`ce a`c f`s kghås kg b`rhe epr`pieke

Fe peaigctg e vgags ictgreaai`ce a`c f`s kghås kg b`rhe epr`pieke

Fe peaigctg brgaugctghg ctg ictgreaai`ce a`c f`s kghås kg b`rhe epr`pieke G.G

Afesg > ] [G_E]IE A@DCI[IRE Aehp`> =1 A@CKWA[WEF

Fe peaigctg sighprg ictgreaai`ce a`c f`s kghås kg b`rhe epr`pieke

 

Ictgrvgcaiñ

Eyuke pere gf a`ctr`f kgf gcbek` ( ;2;=)

c Kgbiciaiñc

 

Beaifi Beai fite teai aiñc ñc kg fe gx gxprg prgsi siñc ñc kg kgff gcbek gcbek`` kg hecg hecgre re ek ekept eptet etiv ivee y c` vi`fgcte. 



Eativikekgs 



Wtifizer uc eagraehigct` qug sge sgrgc` y qug kg sgdurikek A`ctr`fer A`ctr` fer gf p`tgcaief p`tgcaief kg edrgsiñc edrgsiñc icekgaueke kg fe peaigctg g ictgrvgcir  ictgrvgcir  ectgs kg qug sg hecibigstg. Kgtgrh Kgtg rhic icer er fe fess gxp gxpga gate teti tives ves kg a`hp`r a`hp`rte tehi higc gct` t` ek ekga gauek uekes es pere pere fe gxprgsiñc kgf gcbek`, kek` gf civgf kg bucai`cehigct` a`dcitiv` y bèsia` kgf peaigctg. Icstruir e fe peaigctg s`org hgkikes qug pr`p`rai`cgc aefhe (kgsaecs`s y rgspireai`cgs pr`buckes).

IC[G_RGCAI@CGQ _GEFI^EKEQ ]E_E GF KIEDCÑQ[IA@ _IGQD@ KG RI@FGCAIE KI_IDIKE E @[_@Q EA[IRIKEK HG[@K@F@DIE Gc gstg puct` sg gsteofgaiñ qug gf peaigctg c`s ioe e ‖A`ctr`feck` his ihpufs`s‘ kgh`strer p`r hgki` kg su eatituk, v`fuctek, aepeaikek y gctgrgze hecibgsteck` fes gxpgatetives k`ckg éf pugkg a`ctr`fer su a`hp`rtehigct` kgh`stråck`c`s fe aepeaikek kg a`ctr`f qug pugkg

‖His gh`ai`cgs s`c sicagres kg vgrkek‘

ffgder e `otgcgr. Gc gste eativikek sg quis` ikgctibiaer a`c gf ea`hpeõehigct` kgf peaigctg f`s ogcgbiai`s kg fe hecibgsteaiñc kg gcbek` gxprgserfes kg uce b`rhe c` vi`fgcte, y qug sg f`drgc ekepter e fes airaucstecaies a`c gf bic kg rgefizer fez`s  psia`ebgativ`s  psia`ebg ativ`s gsteofgs g steofgs y sic rigsd` r igsd` efduc`. efdu c`.

 

‖Kgspués kg r`t` c` sg pugkg errgdfer‘

Gc gstg puct` sg qugrrå qug gf peaigctg sigcte fe cgagsikek kg hecibgster sus pgcsehigct`s l`stifgs iduefhgctg kgprgsiv`s ` ecsi`s`s a`c gf bic kg qug sg ké augcte qug kgspués kg qug sg `aesi`ce keõ` e efd` ` efduigc ye c` ley rgdrgs` p`r hgki` kg rgprgsgcteai`cgs drebiaes kg añh` vg gf pr`ofghe y a`h` qugkerèe kgspués kg qug gf ictgrvicigre.

 

[EOFE QIC[GQIQ KG FE QI[WEAIÑC KG GCBG_HG_IE KIEDC IEDC@Q @Q[ [IA IA@ @

feoifikek kgf a`ctr`f gh`ai`cef

IC IC[G [G_R _RGC GCA AIÑ C E]FIAEKE CIA

-A`ctr`f kgf gstek gst ek`` kg ecih` ecih` (711=)

Kgtgri`r` kg fe -H`kibiaeai -H`kibiaeaiñc ñc kg ictgreaaiñc fe a`ckuate. s`aief leoifikekgs s`aiefgs (;12?)

_igsd` kg -Eyuke pere gf vi`fgcaie a`ctr`f kgf kiridike e `tr`s gcbek` (;2;=)

G[IUWG[E C@A E]FIAEKE

gquifiori` gh`ai`cef

leoifikekgs kg ictgreaai`cgs s`aiefgs

eut`a`ctr`f kgf  pgcsehigct` kist`rsi`cek`

GBIAEAIE F@D_EKE

GQ[EK@ GQ[EK@ ICIAIEF BICEF

Fe peaigctg kgh`strñ ictgrés p`r  hgn` hg n`re rerr su gs gste tek` k` gh`a gh `aii`c `cef ef qu qugg fg `aesi`ce fe   5?/?7  pet`f`dèe kgf tre trest` st`rc` rc` oip`fe oip`fer, r, y gsteck gst eck`` kg eaugrk` eaugrk` a`c fes eativi eativikek kekgs gs  pere su hgn`rèe kg su gstek` hgctef. Fe peai peaigct gctgg hgn`r` hgn`r` fes situeai`cgs ?/5= ic ictg tgrp rpgrs grs`ce `cefg fgs, s, sg f`d `dre re vi vica cauf ufer er kg uc ucee hgn` hgn`rr hecg hecgre: re: sus gh`ai`cgs, sg sgct ctiihigc higctt`s `s,, gt gtaa qu qugg f`d `dre recc vg vgrr uc drec aehoi` gc sus leoifikekgs leoif ikekgs s`aiefgs s`aiefgs y hecibigste vgroe oeffhgct ctgg sus sgctihigct`s. fe peai aiggctg f`dre rga`c`agr sus evgroefize fuaiceai`cgs y brgaugc brga ugctgh tghgct gctgg fes   ikges kgfirectgs. ;/57 Qg f`dre hgn`rer su a`hp`rtehigct` rgfeai`cek` a`c gxprgsi`cgs, ye qug ebgateoec gf bucai`cehigct` a`dcitiv` y bèsia` kg fe peaigctg, p`r gckg c` c`ss gc gcb` b`ae aeh` h`ss gc hgn`rer gstg espgat` y sg vi` uc `ptih`

  54/?7

//TTT. CIHL  CIHL. CIL  CIL.D@R/LGEF[L/]WOFIAE[I@CQ/GQ]EC@F/[_EQ[@_C@OI]@FE_ /ICKG\.QL[H 

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GAW]G_EK@ ? D@HG^, F., & D@C^EFG^, H. ( Q. B.). K@_@[LY G. N@LCQ@C. _ GAW]G_EK@ KG KIAIGHO_G KG ?=?=, KG  L[[]Q>//HEFWD_@HG_ .BIFGQ.T@_K]_GQQ.A@H/?=5;/=;/K@_@[LY-G-N@LCQ@C.]KB  • •

 CECKE AFEQIBIAEAIÑC A@H]FG[E KG _GQWF[EK@Q KG GCBG_HG_ÈE C@A ?=5< (2@ GKIAIÑC). (?=59, 57 @A[WO_G). _ GAW]G_EK@ GAW]G_EK@ 7 KG KIAIGHO_G KG ?=?=, KG  L[[]Q>//TTT.QEFWQ]FEY.A@H/OF@D/AFEQIBIAEAI@C-A@H]FG[E-_GQWF[EK@QGCBG_HG_IE- C@A-?=5