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DSM IV-TR Glossary of Technical Terms
technical terms from the DSM IV-TR and their definitions
54
Psychology
Undergraduate 4
09/26/2012

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Term
affect
Definition
a pattern of observable behaviors that is the expression of s subjectively experienced feeling state -
refers to more fluctuating changes in emotion
Term
blunted affect
Definition
significant reduction in the intensity of emotional expression
Term
flat affect
Definition
absence or near absence of any signs of affective expression
Term
inappropriate affect
Definition
discordance between affective expression and the content of speech or ideation
Term
labile affect
Definition
abnormal variability in affect with repeated, rapid, and abrupt shifts in affective expression
Term
restricted or constricted affect
Definition
mild reduction in the range and intensity of emotional expression
Term
agitation (psychomotor agitation)
Definition
excessive motor activity associated with a feeling of inner tension - repetitive pacing, pulling of
clothes, etc.
Term
alogia
Definition
an impoverishment in thinking that is inferred from observing speech and language behavior
Term
amnesia
Definition
loss of memory
Term
anterograde amnesia
Definition
loss of memory of events that occur after the onset of the etiological condition or agent
Term
retrograde amnesia
Definition
loss of memory of events that occurred before the onset of the etiological condition or agent
Term
anxiety
Definition
the apprehensive anticipation of future danger or misfortune accompanied by a feeling of dysphoria
or somatic symptoms of tension
Term
aphasia
Definition
an impairment in the understanding or transmission of ideas by language in any of its forms -
reading, writing, or speaking - that is due to injury or disease of the brain centers involved in
language
Term
avolition
Definition
an inability to initiate and persist in goal-directed activities - when severe enough to be considered
pathological, avolition is pervasive and prevents the person from completing many different types of
activities such as work
Term
catalepsy
Definition
waxy flexibility - rigid maintenance of a body position over an extended period of time
Term
catatonic behavior
Definition
marked motor abnormalities including motoric immobility (i.e., catalepsy or stupor), certain types
of excessive motor activity (apparently purposeless agitation not influence by external stimuli),
extremem negativism (apparent motiveless resistance to instructions or attempts to be moved), or
mutism, posturing or stereotyped movements, and echolalia or echopraxia
Term
conversion symptom
Definition
a loss of, or alteration in, voluntary motor or sensory functioning suggesting a neurological or
general medical condition
Term
defense mechanism
Definition
automatic psychological process that protects the individual against anxiety and from awareness of
internal or external stressor or dangers such as projection, suppression, denial,etc.
Term
delusion
Definition
a false belief based on incorrect inference about external reality that is firmly sustained despite
what almost everyone else believes and despite what constitutes incontrovertible and obvious proof
of evidence to the contrary
Term
bizarre delusion
Definition
involves a phenomenon that the person's culture would regard as totally implausible
Term
delusional jealousy
Definition
the delusion that one's sexual partner is unfaithful
Term
grandiose delusion
Definition
a delusion of inflated worth, power, knowledge, identity, or special relationship to a deity or
famous person
Term
of being controlled delusion
Definition
a delusion in which feelings, impulses, thoughts, or actions are experienced as being under the
control of some external force rather than being under one's own control
Term
persecutory delusion
Definition
a delusion in which the central theme is that one (or someone to whom one is close) is being
attacked, harassed, cheated, persecuted, or conspired against
Term
somatic delusion
Definition
a delusion whose main content pertains to the appearance or functioning of one's body
Term
thought broadcasting delusion
Definition
the delusion that one's thoughts are being broadcast out loud so that they can be perceived by
others
Term
depersonalization
Definition
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
Term
disorientation
Definition
confusion about the time of day, date, or season (time), where one is (place), or who one is (person)
Term
dyskinesia
Definition
dyskinesia
distortion of voluntary movements with involuntary muscular activity
Term
echolalia
Definition
the pathological, parrotlike, and apparently senseless repetition of a word or phrase just spoken by
another person
Term
flashback
Definition
a recurrence of a memory, feeling, or perceptual experience from the past
Term
flight of ideas
Definition
a nearly continuous flow of accelerated speech with abrupt changes from topic to topic that are
usually based on understandable associations, distracting stimuli, or plays on words - when sever
speech may be disorganized and incoherent
Term
gender identity
Definition
a person's inner conviction of being male or female
Term
gender role
Definition
attitudes, patterns of behavior and personality attributes defined by the culture in which the person
lives as stereotypically "masculine" or "feminine" social roles
Term
hallucination
Definition
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
Term
auditory hallucination
Definition
involving the perception of sound, most commonly of voices
Term
gustatory hallucination
Definition
involving the perception of taste (usually unpleasant)
Term
olfactory hallucination
Definition
involving the perception of odor, such as of burning rubber or decaying fish
Term
visual hallucination
Definition
involving sight, which may consist of formed images, such as of people, or of unformed
images, such as flashes of light
Term
hypersonmia
Definition
excessive sleepiness, as evidenced by prolonged nocturnal sleep, difficulty maintaining an alert awake
state durng the day, or undesired daytime sleep episodes
Term
incoherence
Definition
speech or thinking that is essentially incomprehensible to others because words or phrases are joined
together without a logical or meaningful connections
Term
insomnia
Definition
a subjective complaint of difficulty falling or staying asleep or poor sleep quality
Term
magical thinking
Definition
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
Term
mood-congruent psychotic features
Definition
Delusions or hallucinations whose content is entirely consistent with the typical themes of a depressed
or manic mood. If the mood is depressed, the content of the delusions or hallucinations would involve
themes of personal inadequacy, guilt, disease, death, nihilism, or deserved punishment. The content of
the delusion may include themes of persecution if these are based on self-derogatory concepts such as
deserved punishment. If the mood is manic, the content of the delusions or hallucinations would involve
themes of inflated worth, power, knowledge, or identity, or a special relationship to a deity or a famous
person. The content of the delusion may include themes of persecution if these are based on concepts
such as inflated worth or deserved punishment.
Term
Mood-incongruent Psychotic features
Definition
Delusions or hallucinations whose content is not consistent with the typical themes of a depressed or
manic mood. In the case of depression, the delusions or hallucinations would not involve themes of
personal inadequacy, guilt, disease, death, nihilism, or deserved punishment. In the case of mania, the
delusions or hallucinations would not involve themes of inflated worth, power, knowledge, or identity,
or a special relationship to a deity or a famous person. Examples of mood-incongruent psychotic
features include persecutory delusions (without self-derogatory or grandiose content), thought
insertion, thought broadcasting, and delusions of being controlled whose content has no apparent
relationship to any of the themes listed above.
panic attacks Discrete periods of sudden onset of intense apprehension, fearfulness, or terror, often
associated with feelings of impending doom. During these attacks there are symptoms such as shortness
of breath or smothering sensations; palpitations, pounding heart, or accelerated heart rate; chest pain
or discomfort; choking; and fear of going crazy or losing control.
Term
paranoid ideation
Definition
Ideation, of less than delusional proportions, involving suspiciousness or the belief that one is being
harassed, persecuted, or unfairly treated.
personality Enduring patterns of perceiving, relating to, and thinking about the environment and
oneself. Personality traits are

prominent aspects of personality that are exhibited in a wide range of important social and personal
contexts. Only when personality traits are inflexible and maladaptive and cause either significant
functional impairment or subjective distress do they constitute a Personality Disorder.
Term
phobia
Definition
A persistent, irrational fear of a specific object, activity, or situation (the phobic stimulus) that
results in a compelling desire to avoid it. This often leads either to avoidance of the phobic stimulus or
to enduring it with dread.
Term
pressured speech
Definition
Speech that is increased in amount, accelerated, and difficult or impossible to interrupt. Usually it is also
loud and emphatic. Frequently the person talks without any social stimulation and may continue to talk
even though no one is listening.
Term
Psychomotor retardation
Definition
Visible generalized slowing of movements and speech.
Term
psychotic
Definition
This term has historically received a number of different definitions, none of which has
achieved universal acceptance. The narrowest definition of psychotic is restricted to delusions
or prominent hallucinations, with the hallucinations occurring in the absence of insight into their
pathological nature. A slightly less restrictive definition would also include prominent hallucinations
that the individual realizes are hallucinatory experiences. Broader still is a definition that also includes
other positive symptoms of Schizophrenia (i.e., disorganized speech, grossly disorganized or catatonic
behavior). Unlike these definitions based on symptoms, the definition used in DSM-II and ICD-9 was
probably far too inclusive and focused on the severity of functional impairment, so that a mental
disorder was termed psychotic if it resulted in "impairment that grossly interferes with the capacity
to meet ordinary demands of life." Finally, the term has been defined conceptually as a loss of ego
boundaries or gross impairment in reality testing. Based on their characteristic features, the different
disorders in DSM-IV emphasize different aspects of the various definitions of psychotic.
Stereotyped movements
Term
Stereotyped movements
Definition
Repetitive, seemingly driven, and nonfunctional motor behavior (e.g., hand shaking or waving, body
rocking, head banging, mouthing of objects, self-biting, picking at skin or body orifices, hitting one's own
body).
Term
stressor, psychosocial
Definition
Any life event or life change that may be associated temporally (and perhaps causally) with the onset,
occurrence, or exacerbation of a mental disorder.
Term
stupor
Definition
A state of unresponsiveness with immobility and mutism.
Term
synesthesia
Definition
A condition in which a sensory experience associated with one modality occurs when
another modality is stimulated,
for example, a sound produces the sensation of a particular color.
tic An involuntary, sudden, rapid, recurrent, nonrhythmic, stereotyped motor movement or vocalization.
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