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Dictionary
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Panic attack - An acute, intense rise in anxiety
that is experienced as overwhelming and accompanied by feelings
of impending doom. During a panic attack, one may experience
heart racing or pounding, shortness of breath, numbness or
tingling, nausea, several other physiological symptoms, and
fear of dying or losing control of one’s mind.
Panic disorder - An anxiety
disorder characterized by recurrent panic (anxiety) attacks,
episodes of intense apprehension, fear, or terror associated
with somatic symptoms such as dyspnea, palpitations, dizziness,
vertigo, faintness, or shakiness and with psychological symptoms
such as feelings of unreality (depersonalization or derealization)
or fears of dying, going crazy, or losing control; there is
usually chronic nervousness and tension between attacks.
Paranoia - An intense
and strongly defended irrational suspicion that can not be
modified by facts or reality. Mental state that includes unreasonable
suspicions of people and situations. A person who is paranoid
may be suspicious, hostile, feel very important, or may become
extremely sensitive to rejection by others.
Paranoid ideation - Ideation,
of less than delusional proportions, involving suspiciousness
or the belief that one is being harassed, persecuted, or unfairly
treated.
Paranoid personality disorder -
Personality disorder marked by suspiciousness, envy, extreme
jealousy and stubbornness. Not the same as Paranoid Schizophrenia.
Paranoid schizophrenia -
A form of schizophrenia characterized by delusions (of persecution
or grandeur or jealousy); symptoms may include anger and anxiety
and aloofness and doubts about gender identity; unlike other
types of schizophrenia the patients are usually presentable
and (if delusions are not acted on) may function in an apparently
normal manner.
Parapraxes - See Freudian
Slips
Paraprofessional - Individual
who has been trained in mental health services, but not at
the professional level.
Parasympathetic nervous system -
Division of the nervous system that controls most of the basic
metabolic functions essential for life.
Paresthesia - Exceptional
sensations, such as tingling.
Parietal lobe - An area
located in the uppermost section of the brain. Important in
processing information about temperature, taste, touch and
movement.
Passive-aggressive behavior -
Indirect expression of anger.
Passive-aggressive personality disorder
- Personality disorder marked by passively expressed
aggressiveness.
Pedophilia - Sexual variant
in which an adult engages in or desires sexual relations with
a child.
Perception - Mental processes
by which intellectual, sensory, and emotional data are organized
logically and meaningfully.
Peripheral nervous system -
Nerve fibers passing between the central nervous system and
the sense organs, muscles, and glands.
Persecutory delusion -
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.
Perseveration - Persistent
continuation of a line of thought, speech or activity once
it is under way and past the point that it may serve a function.
Clinically, inappropriate repetition, usually associated with
brain damage. For example: what day is it? Monday, what time
is it? Monday. Often seen in organic disorders.
Personality - Enduring
patterns of perceiving, relating to, and thinking about the
environment and oneself.
Personality disorder -
A group of maladaptive behavioral syndromes originating in
the developmental years. A deeply ingrained and maladjusted
pattern of behavior that persists for many years. It is usually
well established in later adolescence or early adulthood.
The abnormality of behavior is serious enough to cause suffering
either to the person involved or to other people. Same
as Character Disorder.
Personality trait - Characteristic
of an individual that can be observed and measured. 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.
Perversion - Deviation
from normal.
PET scan - See Positron
Emission Tomography
Petit mal - Relatively
mild form of epilepsy involving a temporary partial lapse
of consciousness.
Phenothiazines - The largest
of the 5 main classes of antipsychotic drugs. Although these
drugs are generally effective, there are often serious side-effects
including Parkinsonism and sedation (especially in the early
stages of treatment).
Phobia - An irrational fear.
The fear is out of proportion of the reality of the threat.
The person may realize its irrationality but not be able to
dispel it.
Physical restraints - Any
manual method or mechanical devise to inhibit free movement.
Physiological dependence -
Type of drug dependence involving withdrawal symptoms when
drug is discontinued.
Plasticity - The change
of brain structure or function as the result of experience
or practice.
Play therapy - An intervention
that allows a person to symbolically express feelings through
the medium of play.
Pleasure principle - A tendency
to seek immediate gratification of impulses and tension reduction.
Polydrug abuse - The pathological
use of more than one drug.
Polypharmacy - Taking
of more than one drug at any given time.
Positive Symptoms - Reflect
an excess or distortion of normal functions. Includes delusions,
hallucinations, disorganized speech, and grossly disorganized
or catatonic behavior.
Positron emission tomography (PET)
- A noninvasive procedure that maps brain structure
and function by looking at the distribution of radioactively
labeled substances. PET scanning is used as a research
tool in schizophrenia, cerebral palsy, and similar types of
brain damage.
Post Traumatic Stress Disorder (PTSD)
- A disorder characterized by residual symptoms following
traumatic experience.
Postural Hypotension -
Also known as orthostatic hypotension, it is characterized
by low blood pressure that can cause dizziness and fainting
after standing or sitting up quickly. Sometimes an early side-effect
when starting some psychotropic medicines.
Posturing - Inappropriate or
bizarre bodily posture adopted continuously over a sustained
period.
Postvention - A strategy
or approach that is implemented after a crisis or traumatic
event has occurred.
Poverty of speech - Speech
that is brief and uncommunicative. Tends to occur in severe
depressive states The inability to start or take part in a
conversation, particularly "small talk." This is
a very common symptom in schizophrenia and prevents people
with this condition from taking part in many social activities.
Precipitating cause -
The particular stress that triggers a disorder.
Predisposition - Likelihood
that an individual will develop certain symptoms under given
stress conditions. Tendency to develop a certain disease.
Premorbid - Existing prior
to onset of mental disorder.
Pressured speech - Forceful
energy heard in a manic individual’s frantic, jumbled
speech as he or she struggles to keep pace with racing thoughts.
Speech 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.
Prevention - A strategy
or approach that reduces the likelihood of risk of onset,
or delays the onset of adverse health problems, or reduces
the harm resulting from conditions or behaviors.
Primary cause - Cause
without which a disorder would not have occurred.
Primary prevention - Establishing
conditions designed to prevent occurrence of mental disorders.
Problem drinker - Behavioral
term referring to one who has serious problems associated
with drinking.
Prodrome - An early or
premonitory sign or symptom of a disorder.
Prognosis - Prediction
as to the probable course and outcome of a disorder.
Projection - A defense
mechanism in which individual attributes unacceptable desires
and impulses to others.
Projective identification -
Once projection has occurred, fear of the person who is the
object of the projection is coupled with a desire to control
the person.
Projective tests - Psychological
diagnostic tests in which the test material is unstructured
so that any response will reflect a projection of some aspect
of the subject's underlying personality and psychopathology.
Protective factors - Factors
that make it less likely that individuals will develop a disorder.
Protective factors can be biological, psychological or social
factors.
Pseudodementia - A syndrome
in which dementia is mimicked or caricatured by a functional
psychiatric illness, for example depression. Symptoms and
response of mental status examination questions are similar
to those found in dementia.
Psychiatrist - A medical doctor
who specializes in the diagnosis and treatment of mental disorders.
Psychiatry - Field of
medicine concerned with understanding, assessing, treating
and prevention of mental disorders.
Psycho-educational therapy -
A strategy of teaching clients and their families about disorders,
treatments, coping techniques, and resources.
Psychogenic - Of psychological
origin; originating in the psychological functioning of the
individual; physical conditions affected by psychological
factors.
Psychogenic amnesia - The
loss of memory for an event or period of time that contains
overwhelming anxiety and pain. The loss of memory is related
to psychological stress.
Psychological test - Standard
procedure designed to measure a person’s performance
on a specified task.
Psychomotor - Involving
both psychological and physical activity.
Psychomotor agitation - The
constant movement such as pacing, nail biting, smoking, foot-
or finger tapping to relieve tension.
Psychomotor retardation -
Slowing down of psychological and physical activity; extremely
slow and difficult movements that in the extreme can lead
to complete inactivity and incontinence.
Psychopathology - Mental
disorder
Psychopharmacological drug -
Drug used in treatment of a mental disorder.
Psychosis - Any major
mental disorder that involves change of personality and loss
of contact with reality. This usually includes delusions and/or
hallucinations. Severe psychological disorder involving loss
of contact with reality and gross personality distortion.
Impairment in reality testing as evidence by hallucinations
or delusions.
Psychosocial - Pertaining
to interpersonal interactions and relations that influence
the individual’s development and/or behavior.
Psychosocial rehabilitation -
The development of skills necessary for people with mental
illness to live independently.
Psychosomatic disorders -
Physical symptoms, which may involve actual tissue damage,
resulting from continued emotional mobilization under stress.
Psychotropic - Affecting
the mind.
Psychotropic drugs - Drugs
that have an effect on psychic function, behavior or experience.
Pyramidal nervous system -
Term applied to descending motor pathways from the brain that
provide the nerve supply to different muscle groups.
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