2024-09-25 - MBH-CRG Meeting

Emotion v. Emotion State  AND Mental phenomenon v. Mental State

Problem: There is currently no way to express the idea of emotional or mental phenomena, only mental states and emotional states.

Psychotic disorder (disorder) and Personality disorder (disorder) are represented as a types of mental state findings

Propose new concepts:

• mental observable (observable)  or mental phenomenon (observable)
• mental finding (finding)
• emotion finding (finding) 

Discuss:

• Is there value in a distinct concepts to represent the specific idea of a "point in time" emotion and "point in time" mental state, or should the "state" qualifier be removed for clarity?
• Or... should both concepts exists - emotion finding + emotion state finding

SMEs to evaluate sets of concepts under mental state finding (disorder v manifestation)

Later - specific constructs

 198288003 |Anxiety state (finding)|

Clarify meaning and position in hierarchy.  

Consider:

• Moving child concepts directly under | Anxiety (finding) | 

Approved -  move child concepts to  | Anxiety (finding) | 

Leaden paralysis (finding) is a Symptoms of depression (finding)

Clarify position in hierarchy

ICD-11 MMS MB24.D Leaden paralysis - A feeling that one's arms or legs are as heavy as lead, associated with a form of depression that also commonly includes overeating and oversleeping - parent = symptoms or signs involving mood or affect.

Subjective feeling 

https://icd.who.int/dev11/l-m/en#/http://id.who.int/icd/entity/1189315647

Consider:

• Inactivate Is a Relationship: Symptoms of depression (finding)
• Add Is a Relationship: Motor retardation (finding)
• Add DEF: ?
• Question: how is leaden paralysis different from motor retardation - can we model this distinction or just note it in the def?

Discussion: 

Guidance around 'symptom' concepts.