Term
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Definition
Agreeable manners, behavior
I: Level of Cooperation |
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Term
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Definition
Willingness and ability to work with others in a common effort
I: Level of Cooperation |
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Term
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Definition
Ability to sustain focus on one activity.
I: I: Level of Cooperation |
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Term
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Definition
finishing tasks, easily distracted or having difficulty in concentration.
I: Level of Cooperation |
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Term
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Definition
Appears to be Stated Age
General State of Physical Health
Dress: Neat, clean or disheveled
Hygiene: Bathed, groomed, shaved or not.
II: General Apperence |
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Term
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Definition
| The position or posture that an individual presents to others. |
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Term
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Definition
Easily hurt or damaged, delicate, susceptible.
III. ATTITUDE |
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Term
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Definition
Inactive submissive, no opposition
III. ATTITUDE |
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Term
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Definition
Requires assistance from others
III. ATTITUDE |
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Term
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Definition
Vivid, emotional, with flair.
III. ATTITUDE |
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Term
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Definition
Exaggerated sense of importance
III. ATTITUDE |
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Term
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Definition
Demands higher quality of performance from self and others more than is required by the situation.
III. ATTITUDE |
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Term
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Definition
Hostile to or opposes social establishments, legal authorities, etc.
III. ATTITUDE |
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Term
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Definition
Odd, deviation from established norms
III. ATTITUDE |
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Term
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Definition
Self-serving, controlling for own advantage
III. ATTITUDE
III. ATTITUDE |
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Term
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Definition
Distrustful, guarded
III. ATTITUDE |
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Term
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Definition
Prone to act spontaneously
III. ATTITUDE |
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Term
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Definition
Forceful, ready, pushy
III. ATTITUDE |
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Term
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Definition
Normal
Happy
SAD
Anxious
Silly
Embarrassed
Angry
Expressionless
Avoid Direct Eye Contact
Stares into Space |
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Term
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Definition
Furrowed brow (sustained contraction of corrugator muscle)
IV: Facial Expressions |
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Term
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Definition
Normal: In rate, tone, volume
Slow: Rate less than average
Fast pressured: Rate greater than average
Soft: Decreased volume
Loud: Increased volume
Monotone: No fluctuation in tone
Slurred: omission, reduction or substitution of sounds
Stuttering: Involuntary disruption or blocking of speech
Mutism: Inability to speak |
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Term
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Definition
Restricted amount of speech, monosyllables
V: Speech |
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Term
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Definition
copious, logical speech
V: Speech |
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Term
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Definition
repetition of one person’s words by another
V: Speech |
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Term
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Definition
Ability to speak is lost but understanding remains
V: Speech
V: Speech |
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Term
| VI. BEHAVIOR AND PSYCHOMOTOR ACTIVITY |
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Definition
Normal
Increased Amount: Excessive body movement.
A. Hyperactivity: Supranormal amount of purposeful, goal directed activity.
B. Agitation: Increased purposeless, goalless behavior
Decreased Amount:(Psychomotor Retardation) Diminution or poverty of movement, lethargic |
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Term
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Definition
Twitching or spasmodic movement
VI. BEHAVIOR AND PSYCHOMOTOR ACTIVITY |
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Term
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Definition
Trembling, shaking
VI. BEHAVIOR AND PSYCHOMOTOR ACTIVITY |
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Term
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Definition
The unnatural impulse to pull out one’s own hair
VI. BEHAVIOR AND PSYCHOMOTOR ACTIVITY |
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Term
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Definition
Walking back and forth
VI. BEHAVIOR AND PSYCHOMOTOR ACTIVITY |
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Term
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Definition
failure of muscle coordination; Irregularity of muscle action
VI. BEHAVIOR AND PSYCHOMOTOR ACTIVITY |
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Term
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Definition
Motor restlessness, inability to sit still
VI. BEHAVIOR AND PSYCHOMOTOR ACTIVITY |
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Term
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Definition
| Involuntary, irregular chronic contortions of the muscles of trunk and extremities |
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Term
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Definition
Involuntary bucco-facial movements
VI. BEHAVIOR AND PSYCHOMOTOR ACTIVITY |
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Term
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Definition
extreme tonus; muscular rigidity
A. Mannerisms: Odd, repetitive movements, goal- directed
B. Stereotype: Odd repetitive movements. Not goal directed.
C. Echopraxia: Automatic copying of examiner’s movements or posture
D. Catalepsy: Awkward posture or position for prolonged period
E. Flexibilities (Waxy Flexibility)
Encountering resistance when moving extremity which is maintained in an odd position.
VI. BEHAVIOR AND PSYCHOMOTOR ACTIVITY |
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Term
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Definition
Excess of joy or sadness, a wide range
VII. AFFECT (Objective) |
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Term
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Definition
The clinician’s observation/evaluation of the patient’s feelings state (during the interview)
Appropriate: Emotional tone consistent with content of speech, thought and ideas.
Inappropriate: Emotional tone inconsistent with content of speech, thought of ideas |
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Term
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Definition
Rapid, abrupt changes in feeling tone
VII. AFFECT (Objective) |
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Term
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Definition
impoverished, inhibited, a spectrum of feelings not elicited
VII. AFFECT (Objective) |
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Term
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Definition
A severe reduction in the intensity of feeling tone
VII. AFFECT (Objective) |
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Term
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Definition
Contradictory feelings present at the same time.
VII. AFFECT (Objective) |
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Term
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Definition
| The patient’s report of his/her feeling state over the past several weeks. |
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Term
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Definition
Normal, level range of mood, implying absence of depression or elation
VIII. MOOD (Subjective) |
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Term
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Definition
Easily annoyed and provoked to anger
VIII. MOOD (Subjective) |
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Term
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Definition
An unpleasant, painful or anguished state
VIII. MOOD (Subjective) |
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Term
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Definition
intense elevation with feelings of grandeur
VIII. MOOD (Subjective) |
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Term
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Definition
Lack of feeling or emotion
VIII. MOOD (Subjective) |
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Term
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Definition
Sadness appropriate to real loss
VIII. MOOD (Subjective) |
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Term
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Definition
Spirits low
VIII. MOOD (Subjective) |
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Term
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Definition
Loss of interest in and withdrawal from all regular and pleasurable activities.
VIII. MOOD (Subjective) |
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Term
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Definition
Inability or difficulty in describing or being aware of one’ s moods or emotions
VIII. MOOD (Subjective) |
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Term
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Definition
Consistent shift in feeling during 24-hour period. Ex: Better morning, worse as day progresses
VIII. MOOD (Subjective) |
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Term
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Definition
Content of thoughts, feelings, mood appropriate
VIII. MOOD (Subjective) |
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Term
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Definition
Content of thoughts, feelings has no association with mood.
VIII. MOOD (Subjective) |
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Term
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Definition
| The specific topics, details or matters presented during the interview. |
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Term
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Definition
Ideas that are in harmony with an individual’s concept of self
X. THOUGHT CONTENT |
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Term
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Definition
Self-reproach, responsibility for imagined offenses
X. THOUGHT CONTENT |
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Term
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Definition
Alienation, lack of direction
X. THOUGHT CONTENT |
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Term
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Definition
Critical of one’s worth or ability
X. THOUGHT CONTENT |
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Term
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Definition
Incapable of assisting one’s self
X. THOUGHT CONTENT |
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Term
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Definition
utter despair, problems can’t be solved
X. THOUGHT CONTENT |
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Term
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Definition
Overly concerned with body functions
X. THOUGHT CONTENT |
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Term
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Definition
Persistence of an unwanted thought that cannot be eliminated from consciousness
X. THOUGHT CONTENT |
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Term
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Definition
Pathological need to act on animpulse which, if resisted anxiety
X. THOUGHT CONTENT |
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Term
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Definition
Excessive worry, repetitive or continuous speculation
X. THOUGHT CONTENT |
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Term
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Definition
Uncertainty
X. THOUGHT CONTENT |
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Term
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Definition
Exaggeration of one’s worth
X. THOUGHT CONTENT |
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Term
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Definition
incorrect assumption that real events or incidents have direct reference to one’s self
X. THOUGHT CONTENT |
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Term
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Definition
Fanatically maintained notions, such as the superiority of one’s sex, nation, or race over others
X. THOUGHT CONTENT |
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Term
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Definition
Belief that one is singled out for unfair treatment
X. THOUGHT CONTENT |
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Term
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Definition
Excessive concern with spiritual matters
X. THOUGHT CONTENT |
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Term
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Definition
Irrational, unrealistic fears.
A. Specific-Circumscribed dread of discreet object or situation. (Ex-spiders, snakes)
B. Social-Dread of public humiliation (public speaking, performing, eating in public)
X. THOUGHT CONTENT |
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Term
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Definition
A fixed false belief
X. THOUGHT CONTENT |
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Term
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Definition
false belief that one is being harassed or cheated
X. THOUGHT CONTENT |
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Term
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Definition
false belief of one’s importance, power, or identity
X. THOUGHT CONTENT |
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Term
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Definition
False belief that behavior of others, events, or objects refers to one’s self
X. THOUGHT CONTENT |
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Term
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Definition
False belief that one’s will, thoughts and feelings are controlled by external forces
1) Thought Withdrawal: Thoughts are being removed by external forces
2) Thought Insertion: Thoughts are being implanted by external forces.
3) Thought Broadcasting: thoughts can be heard by others
X. THOUGHT CONTENT |
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Term
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Definition
delusion that thoughts can be heard by others
X. THOUGHT CONTENT |
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Term
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Definition
delusion that thoughts are being implanted by external forces
X. THOUGHT CONTENT |
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Term
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Definition
delusion that thoughts are being removed by external forces
X. THOUGHT CONTENT |
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Term
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Definition
Desire to harm oneself or end one’s life
X. THOUGHT CONTENT |
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Term
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Definition
Desire to do serious harm to or take the life of another person
X. THOUGHT CONTENT |
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Term
| XL. DISORDER OF PERCEPTION |
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Definition
| Perception: The mental registration or meaning interpretation of the sensory stimulus. |
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Term
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Definition
Misinterpretation of a real, sensory experience
XL. DISORDER OF PERCEPTION |
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Term
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Definition
Inability to recognize and interpret the significance of sensory stimuli
XL. DISORDER OF PERCEPTION(auditory, visual, olfactory, gustatory, facile) |
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Term
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Definition
Loss of sensory modalities from internal conflicts.
XL. DISORDER OF PERCEPTION |
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Term
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Definition
Objects seem larger and closer than they are
XL. DISORDER OF PERCEPTION |
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Term
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Definition
Objects seem smaller and receded into space
XL. DISORDER OF PERCEPTION |
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Term
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Definition
A subjective sense of being unreal, strange, or unfamiliar to oneself
XL. DISORDER OF PERCEPTION |
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Term
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Definition
A subjective sense that the environment to strange or unreal
XL. DISORDER OF PERCEPTION |
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Term
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Definition
False feeling of unfamiliarity with a real situation one has experienced: opposite of Deja VU
XL. DISORDER OF PERCEPTION |
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Term
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Definition
An incorrect sensory perception in the absence of actual external stimulus
XL. DISORDER OF PERCEPTION
A. Auditory: False perception of sound
1)Elementary Noises
2) Complete: Voices or words
B. Visual: False perception of eight consisting of formed and unformed images.
C. Olfactory: False perception of smell
D. Gustatory: False perception of taste
E. Tactile: False perception of touch or surface sensation
F. Somatic: False perception of things occurring to one’s body
G. Extracampine: Sees objects outside the sensory field. Ex: Behind his back
H. Kaleidoscopic: Vivid colors with geometric patterns |
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Term
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Definition
False perception of sound
1)Elementary Noises
2) Complete: Voices or words
XL. DISORDER OF PERCEPTION |
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Term
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Definition
False perception of eight consisting of formed and unformed images.
XL. DISORDER OF PERCEPTION |
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Term
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Definition
False perception of smell
XL. DISORDER OF PERCEPTION |
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Term
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Definition
False perception of taste
XL. DISORDER OF PERCEPTION |
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Term
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Definition
False perception of touch or surface sensation
XL. DISORDER OF PERCEPTION |
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Term
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Definition
False perception of things occurring to one’s body
XL. DISORDER OF PERCEPTION |
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Term
| Extracampine Hallucination |
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Definition
Sees objects outside the sensory field. Ex: Behind his back
XL. DISORDER OF PERCEPTION |
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Term
| Kaleidoscopic Hallucination |
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Definition
Vivid colors with geometric patterns
XL. DISORDER OF PERCEPTION |
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Term
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Definition
False perception occurring while falling asleep
XL. DISORDER OF PERCEPTION |
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Term
| Hypnopompic Hallucination |
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Definition
False perception occurs while awakening from sleep
XL. DISORDER OF PERCEPTION |
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Term
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Definition
A perceptual disturbance in more than one modality. Hearing colors, smelling music
XL. DISORDER OF PERCEPTION |
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Term
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Definition
Sleep: Normal, Difficulty getting to sleep, diminished amount of sleep, early morning awakening(terminal insomnia)
Eating Habits: Appetite-normal, increased, decreased. Unusual food cravings, binge eating, self-induced vomiting.
Weight: Normal, increased, decreased
Crying Spells
,
Decreased Energy
Loss of Interest
Diminished Libido
Tachycardia
Sweating
Shortness of Breath |
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Term
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Definition
The level of consciousness or mental clarity
Issues regarded in an upcoming decision, or way past decisions handled.
XIII. SENSORIUM, COGNITIVE FUNCTION
INSIGHT, AND JUDGEMENT |
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Term
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Definition
Quick to perceive and respond, ready
Issues regarded in an upcoming decision, or way past decisions handled.
XIII. SENSORIUM, COGNITIVE FUNCTION
INSIGHT, AND JUDGEMENT |
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Term
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Definition
Bewildered, restless, confused
Issues regarded in an upcoming decision, or way past decisions handled.
XIII. SENSORIUM, COGNITIVE FUNCTION
INSIGHT, AND JUDGEMENT |
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Term
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Definition
Abnormal drowsiness; Lethargy, obtunded
Issues regarded in an upcoming decision, or way past decisions handled.
XIII. SENSORIUM, COGNITIVE FUNCTION
INSIGHT, AND JUDGEMENT |
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Term
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Definition
Lack of reaction to and unawareness of surroundings. Aroused by intense stimuli only
Issues regarded in an upcoming decision, or way past decisions handled.
XIII. SENSORIUM, COGNITIVE FUNCTION
INSIGHT, AND JUDGEMENT |
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Term
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Definition
prolonged degree of unconsciousness
Issues regarded in an upcoming decision, or way past decisions handled.
XIII. SENSORIUM, COGNITIVE FUNCTION
INSIGHT, AND JUDGEMENT |
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Term
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Definition
Time-Year, season, date, day of week, month, approximate time of day
Place
: Knows where he/she is: state, city, county(town)street, name of hospital
Person
: Knows own name. Situation: Why he/she is here, with whom he/she is interacting
Issues regarded in an upcoming decision, or way past decisions handled.
XIII. SENSORIUM, COGNITIVE FUNCTION
INSIGHT, AND JUDGEMENT |
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Term
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Definition
-3 items; recall in 120 seconds. Short Term: Events of past 5-10 minutes. Recent-Events or items of day, week, or month. Past-Birthdate, anniversaries, significant past experiences
Issues regarded in an upcoming decision, or way past decisions handled.
XIII. SENSORIUM, COGNITIVE FUNCTION
INSIGHT, AND JUDGEMENT |
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Term
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Definition
Partial or total inability to recall past experiences
Issues regarded in an upcoming decision, or way past decisions handled.
XIII. SENSORIUM, COGNITIVE FUNCTION
INSIGHT, AND JUDGEMENT |
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Term
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Definition
Amnesia, then assuming a new identity
Issues regarded in an upcoming decision, or way past decisions handled.
XIII. SENSORIUM, COGNITIVE FUNCTION
INSIGHT, AND JUDGEMENT |
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Term
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Definition
Unconscious filling of gaps in memory with imagined or untrue experiences
Issues regarded in an upcoming decision, or way past decisions handled.
XIII. SENSORIUM, COGNITIVE FUNCTION
INSIGHT, AND JUDGEMENT |
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Term
| Attention and Calculation |
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Definition
A. County by threes-1,4,7,---(1-40)
B. County backwards from 21-1, 20-19, 18,
C. Process Digits: Forward-Three (6-35)
to eight (82673829)backwards-Three(183)to eight (72485136)
D. Simple arithmetic: 6+8, 50-12; 8x9
E. Spell Words: World, State (Forward, Backwards)
F. Sentence Learning: "No ifs, ands, or buts"(Repeat)
G. Identity Objects: (Dystopia) Example: Pen, watch, shoe.
H. Copy Design: Visual Motor Integrity(Draw two triangles which must connect at one point)
Issues regarded in an upcoming decision, or way past decisions handled.
XIII. SENSORIUM, COGNITIVE FUNCTION
INSIGHT, AND JUDGEMENT |
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Term
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Definition
Who is the President?
Vice-President? County in which you reside? State Capital? How many weeks are there in a year? What direction are you traveling when going from San Francisco to Boston?
Issues regarded in an upcoming decision, or way past decisions handled.
XIII. SENSORIUM, COGNITIVE FUNCTION
INSIGHT, AND JUDGEMENT |
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Term
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Definition
Awareness of how one’s own personality traits and behaviors contribute to symptoms and problems. To understand cause and meaning of a situation.
Issues regarded in an upcoming decision, or way past decisions handled.
XIII. SENSORIUM, COGNITIVE FUNCTION
INSIGHT, AND JUDGEMENT |
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Term
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Definition
Ability to access situation correctly, choose among different options, and act appropriately within that situation
Issues regarded in an upcoming decision, or way past decisions handled.
XIII. SENSORIUM, COGNITIVE FUNCTION
INSIGHT, AND JUDGEMENT |
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Term
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Definition
Issues regarded in an upcoming decision, or way past decisions handled.
XIII. SENSORIUM, COGNITIVE FUNCTION
INSIGHT, AND JUDGEMENT |
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