Psych Terminology Flashcards
abstract thinking
ability to separate a quality from an object to think symbolically
opposite = concrete thinking
affect
pattern of observable behaviors that is an expression of subjective feeling
flat affect
dull, unresponsive emotions where the client has difficulty expressing feelings
blunted affect
disturbance of affects manifested by a severe reduction in the intensity of externalized feeling tone, not as severe as flat affect
Incongruent affect
affect not matching expressed emotions
constricted affect
reduction in intensity of feeling tone; less severe than blunted affect but clearly reduced
ambivalence
coexistence of opposite attitudes or emotions (love-hate)
anhedonia
absence of pleasure in acts that are normally pleasurable
anxiety
feeling of dread or impending doom, thought process
catatonia
agitated, purposeless activity (excitement);
markedly slower activity (stupor);
voluntary assumption of bizarre posture for long periods of time (posturing)
catharsis
therapeutic release of tension & anxiety
compulsion
Having to do something constantly;
Uncontrollable impulse to perform an act repeatedly, this is the behavior paired with obsession which is the thought process
Concrete thinking
inability to abstract, factual thinking
dyskinesia
difficulty performing voluntary movements; motor incoordination
formal thought disorder
disturbance of speech, communication, or content of thought
illusion
misperception of real stimuli
insight
a person’s ability to understand the meaning and reality of their disease
judgment
ability to assess a situation correctly and act appropriately, not impulsive, safe, good decision making
malingering
faking or embellishing symptoms intentionally for secondary gain
mood
pervasive and sustained emotion subjectively experienced and reported by a patient and observed by others
euphoria
intense elation with feelings of grandeur
euthymic
normal range of mood implying absence of depressed or elevated mood
elated
feelings of joy, euphoria, triumph, intense self-satisfaction, or optimism
depressed
psychopathological feelings of sadness
dysphoria
unpleasant mood
dysthymia
abnormal range of mood
obsession
pathological persistence of an irresistible thought or feeling that can’t be eliminated from consciousness by logical effort
orientation
awareness to person, place, & time;
who they are?
where they are?
time of day/year?
panic
acute, episodic, intense attack of anxiety associated with feelings of dread & autonomic discharge;
The physical symptoms of anxiety
perceptual disturbances
depersonalization
derealization
illusion
hallucination
depersonalization
feel like one is not a person; no sense of self
derealization
feeling that things happening around you aren’t real or that you’re not a part of them
illusion
misperception of a real sensory event
hallucination
false sensory perception not associated with real external stimuli; may or may not be a delusional interpretation of the hallucinatory stimulus
visual hallucination
false perception involving sight consisting of formed images (people) and unformed images (flashes of light)
auditory hallucination
false perception of sound
somatic hallucination
false sensitization of things occurring in or on the body
hypnagogic hallucination
false sensory perception while falling asleep; non pathological
hypnopompic hallucination
false perception while awakening from sleep; nonpathological
olfactory hallucination
false perception of smell
phobia
persistent, irrational, exaggerated & invariably pathological dread of a specific stimulus or situation resulting in a compelling desire to avoid the stimulus
psychomotor agitation
tension state in which anxiety in manifested in psychomotor hyperactivity
psychomotor retardation
slowed psychic activity, motor activity or both often seen in depression
psychosis
disturbance in thinking or perception
pressured speech
rapid speech that is increased in amount and difficult to interrupt
latent speech
slow, difficult speech
echolalia
speaking in echo, echoing another person
rate & rhythm
speed & timing of speech
dysarthria
difficulty in articulation, not in word finding or grammar
poverty of speech
speech that is adequate in amount, but conveys little info because of vagueness, emptiness, or stereotyped phases
thought processes
changes in perception and thinking
flight of ideas
rapid, continuous verbalizations or plays on words producing constant shifting from one idea to another;
ideas tends to be connected & may be followed
loosening of associations
flow of thought in which ideas shift from one subject to another in a completely unrelated way; speech may be incoherent
blocking
Abrupt interruption in train of thinking before a thought or idea is finished;
After a brief pause, person indicates no recall of what was being said or was going to be said
Circumstantiality
indirect speech that is delayed in reaching the point but eventually gets from original point to desired goal; overly detailed
tangentiality
inability to have goal directed associations of thought, speaker never gets from original thought to desired goal
perseveration
persisting response to a previous stimuli after a new stimulus has been presented;
repeating a word over & over again
clang association
rhyming or punning words that have no association other than sound
neologisms
new word created by a patient
word salad
incoherent mixture of words and phrases
thought content
quality of speech, not quantity
thought broadcasting
think other people can hear your thoughts
thought insertion
belief that someone is putting thoughts into your head
idea of reference
thinks something has special meaning just for them
delusion
false belief, based on incorrect inference about external reality, not consistent with patient’s intelligence and cultural background, cannot be corrected
grandiosity
feelings of great importance; absurd exaggeration
magical thinking
false belief that one’s behaviors or thoughts can influence a situation
SPMI
- severe & persistent mentally ill
- Person has been in the hospital over a year and has had repeated illness
MICA
Mentally Ill & Chemically Addicted
Premorbid
persons functioning prior to the onset of the disease; helps physicians make diagnosis and important in determining severity of disease
prodromal
what the person looked like when they first got sick
etiology
cause of illness
Axis 1
Clinical disorders —> NEED MEDICATION
AXIS 2
NOT MEDICATION DEPENDENT
- Mental retardation
- Personality disorders (clusters abc)
Cluster A personality disorders
paranoid
schizoid
schizotypal
cluster b personality disorders
antisocial
borderline
histrionic
narcissistic
cluster c personality disorder
avoidance
dependence
obsessive compulsive personality
axis 3
diabetes, MS etc
axis 4
psychosocial & environmental problems
axis 5
global assessment of functioning – scale 0 - 100
in DSM 5 - WHODAS scale —- survey & check box = less subject – still daily function
- understanding communication, getting around, self-care, getting along with others, life activities