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Deep Learning Technology: Sebastian Arnold, Betty van Aken, Paul Grundmann, Felix A. Gers and Alexander Löser. Learning Contextualized Document Representations for Healthcare Answer Retrieval. The Web Conference 2020 (WWW'20)
Funded by The Federal Ministry for Economic Affairs and Energy; Grant: 01MD19013D, Smart-MD Project, Digital Technologies
Low frustration tolerance (LFT), or "short-term hedonism" is a concept utilized to describe the inability to tolerate unpleasant feelings or stressful situations. It stems from the feeling that reality should be as wished, and that any frustration should be resolved quickly and easily. People with low frustration tolerance experience emotional disturbance when frustrations are not quickly resolved. Behaviors are then directed towards avoiding frustrating events which, paradoxically, leads to increased frustration and even greater mental stress.
In REBT the opposite construct is "high frustration tolerance".
The person's appearance, behavior, and history, along with a psychological evaluation, are usually sufficient to establish a diagnosis. There is no test to confirm this diagnosis. Because the criteria are subjective, some people may be wrongly diagnosed.
The frustration discomfort scale (FDS), a multidimensional measure for LFT, was developed using REBT theories.
These dimensions were labelled in four categories:
1. Emotional intolerance, involving intolerance of emotional distress.
2. Entitlement, involving intolerance of unfairness and frustrated gratification.
3. Discomfort intolerance, involving intolerance of difficulties and hassles.
4. Achievement, involving intolerance of frustrated achievement goals.
The past DSM-IV criteria for IED were similar to the current criteria, however verbal aggression was not considered as part of the diagnostic criteria. The DSM-IV diagnosis was characterized by the occurrence of discrete episodes of failure to resist aggressive impulses that result in violent assault or destruction of property. Additionally, the degree of aggressiveness expressed during an episode should be grossly disproportionate to provocation or precipitating psychosocial stressor, and, as previously stated, diagnosis is made when certain other mental disorders have been ruled out, e.g., a head injury, Alzheimer's disease, etc., or due to substance abuse or medication. Diagnosis is made using a psychiatric interview to affective and behavioral symptoms to the criteria listed in the DSM-IV.
The DSM-IV-TR was very specific in its definition of Intermittent Explosive Disorder which was defined, essentially, by exclusion of other conditions. The diagnosis required:
1. several episodes of impulsive behavior that result in serious damage to either persons or property, wherein
2. the degree of the aggressiveness is grossly disproportionate to the circumstances or provocation, and
3. the episodic violence cannot be better accounted for by another mental or physical medical condition.
Emotional dysregulation (ED) is a term used in the mental health community to refer to an emotional response that is poorly modulated, and does not fall within the conventionally accepted range of emotive response.
Possible manifestations of emotional dysregulation include angry outbursts or behavior outbursts such as destroying or throwing objects, aggression towards self or others, and threats to kill oneself. These variations usually occur in seconds to minutes or hours. Emotional dysregulation can lead to behavioral problems and can interfere with a person's social interactions and relationships at home, in school, or at place of employment.
Emotional dysregulation can be associated with an experience of early psychological trauma, brain injury, or chronic maltreatment (such as child abuse, child neglect, or institutional neglect/abuse), and associated disorders such as reactive attachment disorder. Emotional dysregulation may present in people with psychiatric disorders such as attention deficit hyperactivity disorder, bipolar disorder, borderline personality disorder, narcissistic personality disorder, and complex post-traumatic stress disorder. ED is also found among those with autism spectrum disorders. In such cases as borderline personality disorder, hypersensitivity to emotional stimuli causes a slower return to a normal emotional state. This is manifested biologically by deficits in the frontal cortices of the brain.
Psychiatrist Kantor suggests a treatment approach using psychodynamic, supportive, cognitive, behavioral and interpersonal therapeutic methods. These methods apply to both the Passive–aggressive person and their target victim.
The previous edition of the Diagnostic and Statistical Manual of Mental Disorders, DSM IV-TR, defines histrionic personality disorder (in Cluster B) as:
The DSM-IV requires that a diagnosis for any specific personality disorder also satisfies a set of general personality disorder criteria.
Many psychiatric disorders and some substance use disorders are associated with increased aggression and are frequently comorbid with IED, often making differential diagnosis difficult. Individuals with IED are, on average, four times more likely to develop depressive or anxiety disorders, and three times more likely to develop substance use disorders.
Bipolar disorder has been linked to increased agitation and aggressive behavior in some individuals, but for these individuals aggressiveness is limited to manic and/or depressive episodes, whereas individuals with IED experience aggressive behavior even during periods with a neutral or positive mood. In one clinical study, the two disorders co-occurred 60% of the time. Patients report manic-like symptoms occurring just before outbursts and continuing throughout. According to a study, the average onset age of IED was around five years earlier than the onset age of bipolar disorder, indicating a possible correlation between the two.
Similarly, alcohol and other substance use disorders may exhibit increased aggressiveness, but unless this aggression is experienced outside of periods of acute intoxication and withdrawal, no diagnosis of IED is given. For chronic disorders, such as PTSD, it is important to assess whether the level of aggression met IED criteria prior to the development of another disorder. In antisocial personality disorder, interpersonal aggression is usually instrumental in nature (i.e., motivated by tangible rewards), whereas IED is more of an impulsive, unpremeditated reaction to situational stress.
Early experiences with caregivers can lead to differences in emotional regulation. The responsiveness of a caregiver to an infant's signals can help an infant regulate their emotional systems. Caregiver interaction styles that overwhelm a child or that are unpredictable may undermine emotional regulation development. Effective strategies involve working with a child to support developing self-control such as modeling a desired behavior rather than demanding it.
The richness of environment that a child is exposed to helps development of emotional regulation. An environment must provide appropriate levels of freedom and constraint. The environment must allow opportunities for a child to practice self-regulation. An environment with opportunities to practice social skills without over-stimulation or excessive frustration helps a child develop self-regulation skills.
Assessment of patients with DES can be difficult because traditional tests generally focus on one specific problem for a short period of time. People with DES can do fairly well on these tests because their problems are related to integrating individual skills into everyday tasks. The lack of everyday application of traditional tests is known as low ecological validity.
The fear of crime refers to the fear of being a victim of crime as opposed to the actual probability of being a victim of crime.
The fear of crime, along with fear of the streets and the fear of youth, is said to have been in Western culture for "time immemorial". While fear of crime can be differentiated into public feelings, thoughts and behaviors about the personal risk of criminal victimization, distinctions can also be made between the tendency to see situations as fearful, the actual experience while in those situations, and broader expressions about the cultural and social significance of crime and symbols of crime in people's neighborhoods and in their daily, symbolic lives.
Importantly, feelings, thoughts and behaviors can have a number of functional and dysfunctional effects on individual and group life, depending on actual risk and people's subjective approaches to danger. On a negative side, they can erode public health and psychological well-being; they can alter routine activities and habits; they can contribute to some places turning into 'no-go' areas via a withdrawal from community; and they can drain community cohesion, trust and neighborhood stability. Some degree of emotional response can be healthy: psychologists have long highlighted the fact that some degree of worry can be a problem-solving activity, motivating care and precaution, underlining the distinction between low-level anxieties that motivate caution and counter-productive worries that damage well-being.
Factors influencing the fear of crime include the psychology of risk perception, circulating representations of the risk of victimization (chiefly via interpersonal communication and the mass media), public perceptions of neighborhood stability and breakdown, the influence of neighbourhood context, and broader factors where anxieties about crime express anxieties about the pace and direction of social change. There are also some wider cultural influences. For example, some have argued that modern times have left people especially sensitive to issues of safety and insecurity.
Philophobia: The fear of falling in love or emotional attachment. The risk is usually when a person has confronted any emotional turmoil relating to love but also can be chronic phobia. This affects the quality of life and pushes a person away from commitment. The worst aspect of fear of being in love and falling in love is that it keeps a person in solitude. It can also evolve out of religious and cultural beliefs that prohibit love.It represents certain guilt and frustration towards the reaction coming from inside.
The Behavioural Assessment of the Dysexecutive Syndrome (BADS) was designed to address the problems of traditional tests and evaluate the everyday problems arising from DES. BADS is designed around six subtests and ends with the Dysexecutive Questionnaire (DEX). These tests assess executive functioning in more complex, real-life situations, which improves their ability to predict day-to-day difficulties of DES.
The Dysexecutive Questionnaire (DEX) is a 20-item questionnaire designed to sample emotional, motivational, behavioural and cognitive changes in a subject with DES. One version is designed for the subject to complete and another version is designed for someone who is close to the individual, such as a relative or caregiver. Instructions are given to the participant to read 20 statements describing common problems of everyday life and to rate them according to their personal experience. Each item is scored on a 5-point scale according to its frequency from "never" (0 point) to "very often" (4 points).
Stir crazy is a phrase that dates to 1908 according to the Oxford English Dictionary and the online Etymology Dictionary. Used among inmates in prison, it referred to a prisoner who became mentally unbalanced because of prolonged incarceration. The term "stir crazy" is based upon the slang "stir" (1851) to mean prison. It is now used to refer to anyone who becomes restless or anxious from feeling trapped and even somewhat claustrophobic in an environment perceived to be more static and unengaging than they can any longer continue to hold interest, meaning, and value to and for them.
"Stir crazy" could be classified as a more specific form of boredom, but combined with elevated and often increasing levels of anxiety, frustration, agitation, fidgeting, bipolar type mood swings, and accessory episodes of acting out impulsively or otherwise antisocially on those feelings, the longer the unengaging non-stimulating environment is persisted in.
In the first version of the "Diagnostic and Statistical Manual of Mental Disorders", DSM-I, in 1952, the Passive–aggressive was defined in a narrow way, grouped together with the passive-dependent.
The DSM-III-R stated in 1987 that Passive–aggressive disorder is typified by, among other things, "fail[ing] to do the laundry or to stock the kitchen with food because of procrastination and dawdling."
Emotional and behavioral disorders (EBD; sometimes called emotional disturbance or serious emotional disturbance) refer to a disability classification used in educational settings that allows educational institutions to provide special education and related services to students that have poor social or academic adjustment that cannot be better explained by biological abnormalities or a developmental disability.
The classification is often given to students that need individualized behavior supports to receive a free and appropriate public education, but would not be eligible for an individualized education program under another disability category of the Individuals with Disabilities Education Act (IDEA).
The IDEA requires that a student must exhibit one or more of the following characteristics over a long duration, and to a marked degree that adversely affects their educational performance, to receive an EBD classification:
- Difficulty to learn that cannot be explained by intellectual, sensory, or health factors.
- Difficulty to build or maintain satisfactory interpersonal relationships with peers and teachers.
- Inappropriate types of behavior (acting out against self or others) or feelings (expresses the need to harm self or others, low self-worth, etc.) under normal circumstances.
- A general pervasive mood of unhappiness or depression.
- A tendency to develop physical symptoms or fears associated with personal or school problems.
The term "EBD" includes students diagnosed with schizophrenia, but does not apply to students who are "socially maladjusted", unless it is determined that they also meet the criteria for an EBD classification.
Mystical psychosis is a term coined by Arthur J. Deikman in the early 1970s to characterize first-person accounts of psychotic experiences that are strikingly similar to reports of mystical experiences. According to Deikman, and authors from a number of disciplines, psychotic experience need not be considered pathological, especially if consideration is given to the values and beliefs of the individual concerned. Deikman thought the mystical experience was brought about through a "deautomatization" or undoing of habitual psychological structures that organize, limit, select, and interpret perceptual stimuli. There may be several causes of deautomatization—exposure to severe stress, substance abuse or withdrawal, and mood disorders.
A first episode of mystical psychosis is often very frightening, confusing and distressing, particularly because it is an unfamiliar experience. For example, researchers have found that people experiencing paranormal and mystical phenomena report many of the symptoms of panic attacks.
On the basis of comparison of mystical experience and psychotic experience Deikman came to a conclusion that mystical experience can be caused by "deautomatization" or transformation of habitual psychological structures which organize, limit, select and interpret perceptional incentives that is interfaced to heavy stresses and emotional shocks. He described usual symptoms of mystical psychosis which consist in strengthening of a receptive mode and weakening of a mode of action.
People susceptible to mystical psychosis become much more impressible. They feel a unification with society, with the world, God, and also feel washing out the perceptive and conceptual borders. Similarity of mystical psychosis to mystical experience is expressed in sudden, distinct and very strong transition to a receptive mode. It is characterized with easing the subject—object distinction, sensitivity increase and nonverbal, lateral, intuitive thought processes.
Deikman's opinion that experience of mystical experience in itself can't be a sign to psychopathology, even in case of this experience at the persons susceptible to neurophysiological and psychiatric frustration, in many respects defined the relation to mystical experiences in modern psychology and psychiatry.
Deikman considered that all-encompassing unity opened in mysticism can be all-encompassing unity of reality.
The core aspect of fear of crime is the range of emotions that is provoked in citizens by the possibility of victimization. While people may feel angry and outraged about the extent and prospect of crime, surveys typically ask people "who they are afraid of" and "how worried they are". Underlying the answers that people give are (more often than not) two dimensions of 'fear': (a) those everyday moments of worry that transpire when one feels personally threatened; and (b) some more diffuse or 'ambient' anxiety about risk. While standard measures of worry about crime regularly show between 30% and 50% of the population of England and Wales express some kind of worry about falling victim, probing reveals that few individuals actually worry for their own safety on an everyday basis. One thus can distinguish between fear (an emotion, a feeling of alarm or dread caused by an awareness or expectation of danger) and some broader anxiety. However it should be noted that some people may be more willing to admit their worries and vulnerabilities than others.
There is no generally agreed upon diagnostic criteria for POIS. One group has developed five preliminary criteria for diagnosing POIS. These are:
1. one or more of the following symptoms: sensation of a flu-like state, extreme fatigue or exhaustion, weakness of musculature, experiences of feverishness or perspiration, mood disturbances and / or irritability, memory difficulties, concentration problems, incoherent speech, congestion of nose or watery nose, itching eyes;
2. all symptoms occur immediately (e.g., seconds), soon (e.g., minutes), or within a few hours after ejaculation that is initiated by coitus, and / or masturbation, and / or spontaneously (e.g., during sleep);
3. symptoms occur always or nearly always, e.g., in more than 90% of ejaculation events;
4. most of these symptoms last for about 2–7 days; and
5. disappear spontaneously.
POIS is prone to being erroneously ascribed to psychological factors such as hypochondriasis or somatic symptom disorder.
Malignant narcissism is a psychological syndrome comprising an extreme mix of narcissism, antisocial behavior, aggression, and sadism. Often grandiose, and always ready to raise hostility levels, the malignant narcissist undermines organizations in which they are involved, and dehumanizes the people with whom they associate.
Malignant narcissism is a hypothetical, experimental diagnostic category. Narcissistic personality disorder is found in the "Diagnostic and Statistical Manual of Mental Disorders" (DSM-IV-TR), while malignant narcissism is not. As a hypothetical syndrome, malignant narcissism could include aspects of narcissistic personality disorder as well as paranoia. The importance of malignant narcissism and of projection as a defense mechanism has been confirmed in paranoia, as well as "the patient's vulnerability to malignant narcissistic regression".
While narcissists are common, malignant narcissists are less common. A notable difference between the two is the feature of sadism, or the gratuitous enjoyment of the pain of others. A narcissist will deliberately damage other people in pursuit of their own selfish desires, but may regret and will in some circumstances show remorse for doing so, while a malignant narcissist will harm others and enjoy doing so, showing little empathy or regret for the damage they have caused.
The CAGE questionnaire, the name of which is an acronym of its four questions, is a widely used method of screening for alcoholism.
- Online version of the CAGE questionnaire
ADT tachyphylaxis specifically occurs in depressed patients using SSRIs and MAOIs. Currently, SSRIs are the preferred treatment for depression among clinicians, as MAOIs require the patient to avoid certain foods and other medications due to the potential for interactions capable of inducing dangerous side effects. Provided is a list of medications known to be subject to Poop-out.
The Alcohol Use Disorders Identification Test (AUDIT) is considered the most accurate alcohol screening tool for identifying potential alcohol misuse, including dependence. It was developed by the World Health Organisation, designed initially for use in primary healthcare settings with supporting guidance.