,;

;,1'j

|, .rti':)
"',1
:li

,i,
',;

:.)
",1,,

,.,j

.,

CIct ss,fc ta es e ?'t't' Ps i qt't'ia'l;r'it'

ir'

.-.

,I

,:i

;l

Y\'ar-r-\"c"{)

,i'l

(
nuris cltre n6;511t11i11 trnritrllo's
lassificar ern rncclicina mrritcl
tcntrttivit ctc'sis1111f:-1tf
rretern os $erc$ itr'"tt-*t' U-ir
o
seus ii'titcs, sctr s.frit*ent.' b*sc"rr
li,Ji.,t:t'i.:,'*",fi,i',io
qt'rc sej:t courpreenclic
trrclcnltih
rento c xlan"srrriti.f t,'.i"
'ir!
cliclo, <1t.tcr;titIt'tltclt I t: lt1>t'itltot'zttlt>'t"l't
Os 1:t'occsst"' tr"'littttif rc'r'' tCr'
:ll]i,o'::::,::ili:::',:.::l:1
o tral>alho clc cir.reur I
rcitit.r

,:::*:t,

,r,,r^irril;;;;;;r'i,,..r"n,,,,iri.:;;
cottrl-llc:xos' '
tonir.rrrtct.s
:ulllLllll'Lr) L\/rrrl/'j\'/\\

lc()clcl

hccii'lrnclllO
x conl

t,ii,tr izt, t:ttl( )ss:t ,.i

t'itttlr<>tt;tlrlc'l l):ll'lt.: ,.,,".r
t\ri <:llrssi'i<:1t..'i,,'s sito ttc(:c:l;litiltr;
tlt:vrl,:l:,,t'.li::t:ll:.lXl :.sri()il.s
trctiltlt() ttit<-r :;itrt ,',"it'" tf i*t*r('i:ilico$' Nrti

{,oro "'tittrrtis" 1>ara

::lir:;:;:'; "i;;'',;.',fii,r,,13i,,,
daip dc colthecintet-'tt:' t:t]tu:I.:,-I
'l'ocia classit'it:rtri'o e
''i'".s,,n.r-i'l.lr.t'cirts clc vtrios fat'rcs s,bj
,rurrlir',, ;;iltr,,r,,'
cliagrrst

t"t-ictttt"'cc'r,rtpcttrt's,l"1.1]t,l.l:]::1.tff,::,:::::
tr.rclt> isto itttrt'. crt'e a clttc
fiil;il,;';,*-i,,;i;-,.,r.,,.r,.,(: polrcr;
l i n it('ri'
Li,,nl n*lr<,r', lc' ltrri r rt i l itl:rtlc

objetiv<.xi' Nit>

clo
lv().s c

OLI

classi-

HISTKrco
Aprirneiraclassrilcao_ciostliinstOrnoscloconrportail.en|oCl c
Era urn tr+tado
,"*-rrii"i^ clata cle iioti,t'c', tra Mesopotrnia'
cloenas at
desde
irotnetn'
o
qr;pd"''' 'if*'^'
caus:rda pel
qttc'scria
"itt.satticllttJe",
es naturai..i, Neie ."titu,t- a

;';;;i;;;;;
nio lclta.

que se
divertstrocle rn-

..

?1
Jt'

l,l

.r.v,,u pl
)a.scs llitt(ll1
r1l t r.r lr,r ir
1." l/alllt
p':r lr r ().\ Ll'illStOl'l1o$ mgllrrtJLLtt\.,r.r
J ir.:.9
lll'r.r r o u lJ.r)u
'' t'.
de Hipits consisti;r il qi.r;ir\> rrensrcjnosipiltsi;
iluipr1$;classificao
:;'-.

-"-.;:o,j.r,-!LY.gr,Jl:/-"Y"t^l:4.,y
i.*ltt

pr{nia

,${i

rr.-{ff

d:
.
,$i" if
l;,,. I
.,{:. .l
J:

1,,,
i
1
I

llf
j
{

Jl,'
J'r:

, ';tl;tlrllKltlJgncglia,
,n*Enfglir, exqitao ge paq
.1 ",''; ql..+;"rpm Roma, no sculo I.it,C., Crtluno ilcscrcvcu tr'0s fr>r'nlt.s dc rnelancolia:
g*ral, a rnelsncolia flerebirrl e * lrilrncouciri;r, .
, ,,"liainrqlanolia
ao pen$nrento greco-rclrro rnriritrrda pela,gg'eja na
i,':

;,

":i::i,i:,!qt1?_,."ttl,t*
+ iIic-ffi;,

;i;;'#";*r;;;i:;,;;ii:.'l:Hj,l"% i:

cHsslicxoes cle.saparecerm, r'ctofl1enclo as cxf ligxa5..s nrgico-religiosas.

,;
'l'.':' No.suk: XVIII, houve granclc impr-rlso ii psit'pri;.rr-ria"na,1rr:lri;i"-"

;_

.1],,
;:,;
'j,':
:
r.';
1:, '

ii:,:'
it'
r'.
i
1'
ltl
iii

,,
fil
, f
l:i.

flcrtrnnlra, e clltre olrtl'r.s, surgir.rnr lr.s cllissi'ir.r, t. ,_t ;i,rr1r"ril1,.,.f" plriirr*

Pinel. A.clas'si'icao cle I', Pinel cc.rn.si.stin clc' ,Jc,iirr.rcia, icliotia', nrniri'-"
melancolia (cour e senl dclrio).
: :
Iltn utca<J<.rs clo.scurl<,
Psicirrirrtli:r irL-'..r;,e r()ri rrrr:ios urtjvcrsitr1IX,il
,.,:?t.* com111' a'a1>ztrccci jnnrclirs cl;r.$sj'ic'rrr.'irt,., lr;rst::rcl;.rs,lr;r
1r<rsriu.t
e{iologia o(J l1a "sintcltrtaLolr:gil. r\.s clel;cri:i:cr; c: c;l:l;.,,iiclrr)cs crilram
igtncrs 11::ttlt'r. ; clnicos. ccrl'rc:r lrr:l r<:[r-eniiC,: l':..:kr:r,,,, i**r_-i,,.i-;Crhl
t"v,.tl' f' 1;t'ilr*iru c.lassiicazo i;r:lsileira'foi a
clr Silr.;i )cixot,'cie 1s37, ra
paseacla na escola liancesj: deni,:cia,,
icljori:i, n,,;,,iJ
De g*nrle irnp.,rncia par ;,
"',,ronrrni".
;;;ii,;;;;;'i;;,i:,,,iil,.0"
lclrclirr, clc 1l)9, d:r sr:xra ,r.i'i,, ,1... n,.", 'riztr:ttr,) rrr, tti7111i,r/r.r1.cre rrrn' Kr.a_
r:rsc,lvir_lio
f
rtt:1<l a1:ctrt's cr.si't.ttt;rs,
,c,r',r,, .u'.,,1,.,r,."r' rr;rr.r'rr.:rl cr(xi tr;,'..storros.
"'t".1'i,,,,,'r
' obscr'ou qc quaclr'cl.r ainic,r.r,i*..'riic'scllrri.rrr
hrlt:r:lr: iirrh;rrl crl colur)
urtra JrercLr'.,rgniii;;,-:.rferiva
i;;,;;:
na itt:i,_tc.j'r,c rir (pr.cc<:cc,).,Assir',
scpitrou a "clciirr:t:ia precocc" (cl<.rPr.ri.s
clcn<:r)riirrrirri ,,,,<iriz,)l.c'ia)
cl;r insaniclsdc. tt't:t'ac:'-clenr111iva (dep'isl
.tcp:.rsa,, ai.i 1i.., ,ri.,,,io rrrpolar).
A evo.j:]*+p t:atut'al ,ro,,* un,,. possvcr ...rrnprnur,,:-r() (:,{';r)t-i;ciil':r
c ,..r)r.. crrr.irr> cra cras.sifica_
olrrr.().s,rc:i()s
iro'i:or
cierjul.rl''""',""v(r\...(t,
i

i,.

Hm 9,19, :r Organiza<; Munclial clc

.Sadc ((jr\.ll) ;rsstrrr(" :r
l)ul)licrg

j iil
j trit.,

ci,"o' .r" r,'ri,'.r.,-l pubii.. ...,,,,, .,,.,r,

(crD-6)
;::i i'l':]:lLf 'lanual
Internaci<r-tral tli c:Ja:;sii.'1,1,tai.'tj.,.,,-.,,,,,.,
"<ric;r..,

j ii''
l
i ,i

cl;r

[,,c....
-r
c-,:i,,:1:lif:r-.'""il","
ilil:li,','lil,i,,;:j;x:,:;,;:,:h?n:i:.::::::
r Asi<,.i;;*;;;;i;'^lill,:illl,l ',i::":l::lllllll-.'i'l"i'
,i,i-]lni
l?5-2,
tebrja psianirrtica.
,,,r,r:jic,r t;-il;;;;r:i';':;':l;"i,1,;;,ll;ilJillJ::':.i:l:

r n c,rr,,:.. ,r., rr,r,.-

"

j ;t,

:j,,,#'rn*m:l1.:fi:liiliJiii'i".,,,,

,i,tl
f iii

jlfi
tiil,

r.,,i.ii:,,i,,1;i,r ,iiriz;rd;r er^ r*r._

r: ,r ,,,cr,<,,,,r

c
T,*i*ffh:;!,;*,,,;*:,;,'J:^:l:,'rc:c\s.-'
al'tt'ru ao.ielr cliitr'r clu:rs <:l:rs,r;.ir..r,.i,,,. ,.tll]l]'ltl li''rjc' :r 1r'siqtriatria'ni.cr',ri,nu,r.iill,lil,8,;'liffi;l':,.*i,1,:,1,,,,i-,
r:rir;'sil'rci,'.,,"it,.',r,,i.,,t,,t",'riii,",1,,,i,,i,)

ljil :i,;i l+#li

ir I)(,.siir.,..j;. 1.1i,ro1qirrs,
rrr:r1c,ie cr.
<,r1,,.,,,, ,i,,n *,i,,,'i
,i, ,(i,r;,,'
liljii,,.|1':'i:;:,';ll:l'':i

'lffii r1iriill;l;
r$', ,. il;g;l,ii-*i,:fillf''il:li:li:l'r''l'i"'i':Jl;il;li,:J;ili;i;li:i
lj'iii;
,

l:;'11.,..'tt*tt'lltl ,j:"lli'ono"l(ettt ingls,,c/uo,rcktt) uiiii:r:,,

rrr r.^r^.. -r.. ._.

..,

"

Petlfir.o ilUe in;'t l;;te;

'nhecintento dc ctiolol;ia, por e.4crnplo,

J..,

,,

crD-1.O
crl-.
Sofreu infl unc a clircta clos couce: itos, fut udatrlento$
reI
norte-atnericara.
psiqr,riatria
trios classificatrios e cliagnsticos cta
l
baseado
senra um esquema cle coctiFicao alfa-numrico,
"q9:q9i
(It00).
uni*'ttr* nica o*gi,i.f" 1>Jr iiois algatist'r:s a!('trsucaraCterps.
tpara cacla trinst()r() f<;inccicJa r-rma clcscrio clos aspecto$'clnico's
i

:*

e Outl'OS ils[)ectos aSsOciaclo.s, Ilas lnenos especficos' As "dire

'"iiCtt,""s" iucJicittrr os .sitttomrts,.o ntlnero " :l.l'"1:1,""f q.::,:li:
s tlirutriZcl
rrslrirlrr.lcnte ncccsstt'iits J)ll'l ttrrr tli:t11tr{lstic'o l:pnfiv$l'
petrit
ttrutrtlcl0

.l.l
llcxil:ililarle
g,',ttt
br.rn'lachs cjc rttatrcit'r, .1,. .,,tt
Citrai.s

ta,s

()

cc)-

pe-

b.
por
lvg,
o

Tabela

i,r

i;il'

'

5.1

ruPat 9l*rgnotlcoo dq CID'10

slntorntlco (dnmnclas'
F00-F09: Trnstornos mentals orgnicos, lncluinclo
cerebral) I
por
leiso
dtms rinEtias, andromes
substneln pelcnatlvn (leo.l
de
uso
clo
docorrenos
F10-F19: iranstornos montais
cocana, ostlrnulantes'
des, canabinirjes, sed;rtivos ou lriprrticos,
tabaco, solventes voltois)

F20-F29: Esquizokenia'tranStornoSosquizotpicosedolirantes,,
_ afetivos (clepresso, nrania, bipolar, transtornos
F30.F39: Transtornos do humor

'itrssoJ
tl
.uu"'p.r,,un"nlais-associr1as a potubtgs islolglcas
ao
s:xu:l: associados
coJ (trastonos alimonlaros,:cJo sno' disuno
dependncia)
procluzem
que
rto
abuso rje substncias

F50-59: s{nrjromcs

F60-F69: J'ranstornos do

p(}rsonalidi''tcJo

F79.79t Retardo mental

psicolgieo
F80-FB9: Transtornos clo desenvolvirnunto
e adolescncia
inlncia
F90-F9B: Transtornos emocionais na
:

1.

,,

ru:
i;r,liiit1i
j I l'i '''"
1 ll

:l;,;
't ,r CID'10rt: ;r DSM-V
$8tltll () rtf"srno prrrlrir tcri.ic, c prtico. A DSM'rA'
iV
ar-ru*,,r-,*o"i,rn,.
r:ritirios
c.spr:c:ficr.s qrrr: p<::rrrrir,"'ru',;"Jti;:lr,1l;
'
ctQ i'ima cla.ssi'ica.r: cliagnstica. O enbrlrrt ,': iler;crilivc), consi.stilclo as r1e.
I

nies dos l"rltnstorno,s, na tfttiori:r clir.s vcz.c:s, lc (:ulu<:tt:r.sticlrs clrricas. Anrc.scnl,ir sul)cliissi'icircies quitr:t(() ir cvoltr'lo, sintc)nrrj c qr:rvirlucic. I)cscicv<;
tll|p*qlc'tl1cl1l'c clr<l:t tra,nl;l(,n() crr s(:rlri rrsp(.(:t{,s, (..sri(.nci:ris c scq:l1.rlr,,ri-

breqcs cometrricjs sobrc ii iJade cc aparccircnro, curso,

,'os'f$,gm
lrrejuzosi' complicilires, fatores preciisporrenle^s,
tixa cle Ai.otiitluio
;rrc::v:iln<.ia,

,' lior'scx<:, p:rr-lriio fanrilirrr e cliagrtirstic<l clicr.t:rr<:irrl.

'' ;.,':, DSvl-lV um.sistema multlxial, que;v;rii1l o prrciente ao lon.go
.rrnirii3ric de vrrrivcis, coirtenclo cinco eixos:
'
: i ll i .:;'/.. St t dtrt m)e cl hti ctt :;- I "a tLsI o t.t t o m e n t & I.
,.,,'",.i:1:,tt'l:laltslonxoscte.pets'onclIictaclc,'...

cle

:::,,,,j',{& '|.'i'attsllon ou rloena.fi'sica.

i,;-i l.,,fl ktrc'xores psico.",sbas. Polencialnlecre ci)rze.s cle cxcrct:r influno <pradro clrricci tuul. o estrcsse cicvc rcr osn.iclo 1o ltimo ano
iil?;tiflure
;i
,i;ic;gg11uucl paia o'1ur#hento .1,, p,,,oiog;, ;;;; ;,;;;;^;;
p.atc,lo,Bl!;:Prce,xistcntc. .Sit: a<:onr<.t.irn<:nros orr
:;irrncs
Ia$ver'$as e lrLtstralltes, clcteilninaclorcs dc lrrr11stilr, ,sr.rlrircrtr:,
-',f:fl|.,_"-'9_a;.-lt'lu
clor,,rleclo,
'
l';,Wiii=t'+a ou culpa
:lr;,
Nuel
ma'ls
l:tiil.!t-'
3tyar!+:;1!!iftutciortunct:te tto titttrtrtt rurc.r. Avaliao',sind9
derieri.sn1t?_-{yii"al,
consicleraiirlr-r;t: o rcnclirnenrr> clas
,,i;.19ii.
lunos paclrcii'ilc relacionamer.ro
:

ilff"r:

..te{a;;'nsirlicas,
i'rqritbrtrbalh'.'

-,

iii':

Irirnos eixoslbo uririzacios

:;'l:ji:lp:lois
reler,ncia
'.
: pr;rica clnic:r.
ferca

i:,

c()n ()r; rlcrnais c o renclimen-

ape.r.s c.rr I(..sqlrisas especficas,

i;S3,,

'j,,,ii
I '

';

,
. ,l

.''..

l:'

rlEggPnfrvAs ru rtnras

I ", .r '. ;r,l

.
r. t. ' --,t
r,r'*'1,
,

'ii

i.,:

"".
: ;iir'i.r{pe,sar clos avanos n',a ot:tcno cle
clas..;;..:::l(_()t:.r; crlur rcspelclo
clrri_
i,l;X,;5*ttr{cr>, :rccitao r'irncli"i .ii,",**;;'.*',;; i,,r" :rpri'rorame._
o ,,o,ii,.', ,,1.,,,, cienrrico enr
I :l;Xij;l,'l,1':lf,:::.lilt'l:.,1:j:,,r*.
i iriilrildr",."'r-"ffi;;i'i,;JJ;i:i^.,:,rj;:iil.iij,,iJ..,:".;l
l:?j.:irjr:fisrcarJ's,:rrr<>r:rrrliclacles,'c,1.,:ut,,r".r'.Jri.rj",j",
A"_
.lilifi
rquantoirxf;
cssas cra.ssifica-cs
:Jil:t:a:1l,',1x.:::,*r!1:!:i;Jino s<; possr,cis, t",nor'q-e utiti_
ir I
as .il,;in,,,,e,; crn vigor; no
rlll
so a
ri,il
li:,;lltii:tl:nf1i;r
.,,m
l>A.se'o'cx>,,r,.:.,1,i,
rt
lljt,ffi*$Sj.lefinifiVa;;aperiaffins,r,,,,

iffiffi

il

ll

til

I 1tt
r;

Ii

1,4$
;

Jfi'

ii*:';li:l_l*i;f::;;'."il:l'i;J,'.,,::,'f,,:llni.":