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Mental and Behavioural Health CRG

Date

01/24/2024

Attendees

Apologies

Recording (GoogleDrive)


Discussion items

ItemDescriptionOwnerNotesAction
1

25467004 |Hyperaffectivity (finding)|

Clarify meaning and position in hierarchy.  

APA dictionary of psychology have a definition of affectivity: the degree of a person’s response or susceptibility to pleasure, pain, and other emotional stimuli. Evaluation of affectivity is an important component of a psychological examination; the therapist or clinician may look for evidence of such reactions as blunted affect, inappropriate affect, loss of affect, ambivalence, depersonalization, elation, depression, or anxiety.

https://dictionary.apa.org/affectivity

Consider

  • Inactivate Is a relationship: 106131003 |Mood finding (finding)|
  • New Is a relationship: 288545008 |Showing emotion (finding)|


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2

 198288003 |Anxiety state (finding)|

Clarify meaning and position in hierarchy.  

Used extensively in the UK.

APA dictionary defines it as an older concept related to anxiety neurosis: https://dictionary.apa.org/anxiety-state

Consider:

  • Inactivate concept
  • Replaced by 21897009 | Generalized anxiety disorder (disorder) |
    • Add SYN to replacement concept: Anxiety state


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3

102498003 |Agony (finding)|

Clarify meaning and position in hierarchy.  

Currently modeled as a subtype of Finding relating to grief and dying (finding) 

Merriam Webster has the following definitions of agony:

1a: intense pain of mind or spirit : extreme distress : anguish <the agony of being found wanting and exposed to the disapproval of others — Margaret Mead>

1b often capitalized : the sufferings of Jesus in the garden of Gethsemane <and being in an agony he prayed more earnestly — Luke 22:44 (Authorized Version)>

2a: intense pain of body : extreme torment : torture <left arm twisted upward behind him … in slow, deliberate agony — Kay Boyle>

2b: the throes of death : death struggle <his final agony>

3: a violent struggle, conflict, or contest <the world is convulsed by the agonies of great nations — T. B. Macaulay>

4: a strong sudden and often uncontrollable display (as of joy or delight) : outburst <my cousin … in an agony of mirth — Edith Wharton>

Consider:

  • Inactivate Is a Relationship: Finding relating to grief and dying (finding) 
  • Add Is a Relationship: Distress finding (finding)
  • Add SYN Extreme distress
  • Add DEF:  Intense, negative experience typically occuring in the context of intense physical or emotional pain as often occurs in the context of impending death and extreme emotional trauma


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4

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

Clarify position in hierarchy

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.


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4

Disturbance in intuition (finding) and lack of intuition (finding)

Clarify meaning and position in hierarchy.  

  • What is a Disturbance in intuition - is this a valid concept?
  • If valid, Is lack of intuition a subtype?
Piper Allyn Ranallo 


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