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外交人員考試三等考試-外交領事人員類科英文組一外國文(含新聞書信撰寫與編譯)(英文)10817單選題
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Schizophrenia is a complex, chronic, and severe brain that interferes with a person's ability to think clearly, manage emotions, make decisions, and relate to others. Nowadays it affects approximately 1% of all adults globally. The word schizophrenia comes from the Greek word skhizein meaning "to split" and the Greek word phren meaning "heart, mind." The Swiss psychiatrist, Eugen Bleuler (1857-1939), coined the term Schizophrenie in 1908. However, schizophrenia does not imply a "split personality" or "multiple personality disorder"—a condition with which it has been confused in public perception. Experts say schizophrenia is probably many illnesses masquerading as one. Research indicates that schizophrenia is likely to be the result of faulty neuronal development in the brain of the fetus, which later in life emerges as a full-blown illness. As of today there is no physical or laboratory test that can absolutely diagnose schizophrenia. Clinical diagnosis of schizophrenia is based on a person's observed behavior and self-reported experiences. Symptoms of schizophrenia typically come on gradually, beginning in young adulthood and lasting a long time, and they may vary, depending on the individual. Some may hear voices that are not there. Some may be convinced that others are reading their minds, controlling how they think, or plotting against them. This can distress patients severely and persistently, making them demotivated, withdrawn, and frantic. Others may find it hard to make sense of what the patients are talking about. In some cases, they may spend hours completely still, without talking. On other occasions they may seem fine, until they start explaining what they are truly thinking. The effects of schizophrenia reach far beyond the patient. Families, friends, and society are affected too. A sizable proportion of people with schizophrenia have to rely on others, for they are unable to hold a job or care for themselves.

According to the passage, which of the following statements is TRUE about schizophrenia?

AIts patients mostly share common symptoms.
BIt is a special case of split personality disorder.
CIts patients mostly can manage their own daily life.
DIt cannot be objectively diagnosed using medical tests.正確答案
答案與詳解
D
正確答案
思覺失調症無法透過客觀醫學檢測(如血檢、腦部掃描)確診,僅能靠症狀觀察與臨床判斷。

為什麼答案是 D

正確。思覺失調症無法透過客觀醫學檢測 (blood test, brain scan) 直接診斷,必須靠精神科醫師依症狀、病史、行為觀察做臨床判斷,這是此病診斷的一大特點。

考點:症狀多元性考點:概念釐清考點:生活功能受損考點:診斷方式
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