Dsm Iv Appendix C Definitions

Front 1

Agitation

Back 1

excessive motor activity associated with a feeling of inner tension

Front 2

Amnesia

Back 2

loss of memory, two types:
1) anterograde - loss of memory of events that occur after the onset of the condition
2) retrograde-loss of memory of events that occurred before the onset of the etiological condition

Front 3

Aphasia

Back 3

an impairment in the understanding or transmission of ideas by language in any form-reading, writing, speaking- that is due to injury or disease of brain centers involved in language

Front 4

Aphonia

Back 4

an inability to produce speech sounds that require the use of the larynx that is not due to a lesion in the central nervous system

Front 5

Ataxia

Back 5

partial or complete loss of coordination of voluntary muscular movement

Front 6

Avolition

Back 6

an inability to initiate and persist in goal-directed activities

Front 7

Catalepsy

Back 7

waxy flexibility - rigid maintenance of a body position over an extended period of time

Front 8

Cataplexy

Back 8

Episodes of sudden bilateral loss of muscle tone resulting in the individual collapsing, often in association with intense emotions such as laughter, anger, fear, or surprise

Front 9

Catatonic behavior

Back 9

marked motor abnormalities including motoric immobility (i.e., catalepsy or stupor), certain types of excessive motor activity (apparently purposeless agitation not influenced by external stimuli), extreme negativism (apparent motiveless resistance to instructions or attempts to be moved), or mutism, posturing or sterotyped movements, and echolalia or echopraxia

Front 10

Conversion symptom

Back 10

a loss of, or alteration in, voluntary motor or sensory functioning suggesting a neurological or GMC. Psychological factors are judged to be associated with the development of the symptom. Not intentionally produced or feigned and is not culturally sanctioned

Front 11

Delusions

Back 11

firmly held erroneous beliefs due to distortions or exaggerations of reasoning and/or misinterpretations of perceptions or experiences

Front 12

Types of delusions

Back 12

1) bizarre
2) delusional jealousy
3) erotomanic
4) grandiose
5) mood-congruent
6) mood-incongruent
7) of being controlled
8) of reference
9) persecutory
10) somatic
11) thought broadcasting
12) thought insertion

Front 13

Depersonalization

Back 13

an alteration in the perception or experience of the self so that one feels detached from, and as if one is an outside observer of, one's mental processes or body (feeling like in a dream)

Front 14

Derailment

Back 14

"loosening of associations": a pattern of speechin which a person's ideas slip off one track onto another that is completely unrelated or only obliquely related

Front 15

Disorientation

Back 15

confusion about the time of day, date, or season (time), where one is (place), or who one is (person)

Front 16

Dissociation

Back 16

a disruption in the usually integrated functions of consciousness, memory, identity, or perception of the environment

Front 17

Dysarthria

Back 17

imperfect articulation of speech due to disturbances of muscular control

Front 18

Dyskinesia

Back 18

distortion of voluntary movements with involuntary muscular activity

Front 19

echolalia

Back 19

the pathological, parrotlike, and apparently senseless repetition (echoing) of a word or phrase just spoken by another person

Front 20

echopraxia

Back 20

repetitions by imitation of the movements of another. The action is not a willed or voluntary one and has a semiautomatic and uncontrollable quality.

Front 21

Flight of Ideas

Back 21

a nearly continuous flow of accelerated speech with abrupt changes from topic to topic that are usually based on undertandable associations, distracting stimuli, or plays on words

Front 22

Grandiosity

Back 22

an inflated appraisal of one's worth, power, knowledge, importance, or identity

Front 23

Hallucination

Back 23

a sensory perception that has the compelling sense of reality of a true perception but that occurs without external stimulation of the relevant sensory organ.
Types: auditory (hearing), gustatory (taste), olfactory (odor), somatic (physical experience localized within body), tactile (touch), visual (sight)

Front 24

Hypersomnia

Back 24

excessive sleepiness

Front 25

Ideas of reference

Back 25

the feeling that casual incidents and external events have a particular and unusual meaning that is specific to the person

Front 26

Illusion

Back 26

a misperception or misinterpretation of a real external stimulus, such as hearing the rustling of leaves as the sound of voices

Front 27

Incoherence

Back 27

speech or thinking that is essentially incomprehensible to others because words or phrases are joined together without a logical or meaningful connection

Front 28

insomnia

Back 28

difficulty falling or staying asleep

Front 29

Magical thinking

Back 29

the erroneous belief that one's thoughts, words, or actions will cause or prevent a specific outcome in some way that defies commonly understood laws of cause and effect

Front 30

Mood-congruent psychotic features

Back 30

delusions or hallucinations whose content is entirely consistent with the typical themes of a depressed or manic mood. i.e. themes of guilt and inadequacy

Front 31

Mood-incongruent psychotic features

Back 31

delusions or hallucinations whose content is not consistent with the typical themes of a depressed or manic mood

Front 32

paranoid ideation

Back 32

ideation, of less than delusional proportions, involving suspiciousness or the belief that one is being harassed, persecuted, or unfairly treated

Front 33

personality

Back 33

enduring patterns of perceiving, relating to, and thinking about the environment and oneself

Front 34

prodrome

Back 34

an early or premonitory sign or symptom of a disorder

Front 35

psychomotor retardation

Back 35

visible generalized slowing of movements and speech

Front 36

Residual phase

Back 36

the phase of an illness that occurs after remission of the florid symptoms or the full syndrome

Front 37

stressor, psychosocial

Back 37

any life event or life change that may be associated temporally (and perhaps causally) with the onset, occurrence, or exacerbation of a mental disorder

Front 38

Stupor

Back 38

a state of unresponsiveness with immobility and mutism

Front 39

Alogia

Back 39

"poverty of speech": the lessening of speech fluency and productivity, thought to reflect slowing or blocked thoughts, and often manifested as short, empty replies to questions

Front 40

affective flattening

Back 40

the reduction in the range and intensity of emotional expression, including facial expression, voice tone, eye contat, and body language

Front 41

Labile affect

Back 41

abnormal variability in affect with repeated, rapid, and abrupt shifts in affective expression

Front 42

Inappropriate affect

Back 42

discordance between affective expression and the content of speech or ideation

Front 43

anhedonia

Back 43

the absence of pleasure or the ability to experience it; seen in depression - loss of interest in things that once interested you

Front 44

Somatization Disorder

Back 44

a polysymptomatic disorder that begins before age 30, extends over a period of years, and is characterized by a combination of pain, gastrointestinal, sexual, and pseudoneurological symptoms

Front 45

Undifferentiated Somatoform Disorder

Back 45

characterized by unexplained physical complaints, lasting at least 6 months, that are below the threshold for a diagnosis of somatization disorder

Front 46

Conversion Disorder

Back 46

unexplained symptoms or deficits affecting voluntary motor or sensory function that suggest a neurological or other GMC; psychological factors are judged to be associated with the symptoms

Front 47

Pain Disorder

Back 47

characterized by pain as the predominant focus of clinical attention; psychological factors are judged to have an important role in its onset, severity, exacerbation, or maintenance

Front 48

Hypochondriasis

Back 48

the preoccupation with the fear of having, or the idea that one has, a serious disease based on the person's misinterpretation of bodily symptoms or bodily functions

Front 49

Body Dysmorphic Disorder

Back 49

the preoccupation with an imagined or exaggerated defect in physical appearance

Front 50

exacerbate

Back 50

to increase severity, violence, or bitterness of

Front 51

Factitious Disorder

Back 51

A. Intentional production or feigning of physical or psychological signs or symptoms
B. The motivation for behavior is to assume the sick role
C. External incentives for the behavior (such as economic gain) are absent
-i.e. shaving head to say you have cancer and receive sympathy
Code:
-with psychological signs
-with physical signs
-with combined psych and phys signs

Front 52

Malingering Disorder

Back 52

the individual is consciously motivated by an external incentive

Front 53

Dissociative Amnesia

Back 53

characterized by an inability to recall important personal information, usually of a traumatic or stressful nature, that is too extensive to be explained by ordinary forgetfulness

Front 54

Dissociative Fugue

Back 54

characterized by sudden, unexpected travel away from home or one's customary place of work, accompanied by an inability to recall one's past and confusion about personal identity or the assumption of a new identity

Front 55

Dissociative Identity Disorder

Back 55

characterized by the presence of two or more distinct identities or personality states that recurrently take control of the individual's behavior accompanied by an inability to recall important personal information that is too extensive to be explained by ordinary forgetfulness

Front 56

Depersonalization Disorder

Back 56

characterized by a persistent or recurrent feeling of being detached from one's mental processes or body that is accompanied by intact reality testing

Front 57

Anorexia Nervosa

Back 57

A. Refusal to maintain body weight at or above a minimally normal weight for age and height
B. Intense fear of gaining weight or becoming fat, even though underweight
C. Disturbance in the way in which one's body weight or shape is experienced, undue influence of body weight or shape o self-evaluation, or denial of the seriousness of the current low body weight
D. in postmenarcheal females, the absence of at least 3 consecutive mentrual cycles

Specify type:
-Restricting type
-Binge-Eating/Purging Type

Front 58

Bulimia Nervosa

Back 58

A. Recurrent episodes of binge eating.
1) eating, in a discrete period of time, an amount of food that is definitely larger than most people would eat
2) sense of lack of control over eating during the episode
B. Recurrent inappropriate compensatory behavior in order to prevent weight gain (vomiting, laxatives)
C. both binge and purge occur at least twice a week for 3 months
D. Self-evaluation is unduly influenced by body shape and weight
E. does not occur exclusively during episodes of Anorexia Nervosa

Specify:
-Purging (vomiting, laxatives)
-Nonpurging (fasting, excessive exercise)