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C2  ·  28 words

Psychiatry and the mental state in Italian

Describing before interpreting — the words of the mental state examination.

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From these 28 words, as many per round as you like — up to all of them: first what is due today, then new ones. First you choose, then you fill the gap, then you write it yourself. Mistakes come back again shortly.

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Halfway down this list sits l’agitazione, and the noun looks so much like « agitation » that a reader stops there. The trouble is not the noun but the family behind it. In English, « agitate » and « agitated » have narrowed almost entirely to people: somebody is agitated, a crowd is agitated, and outside the clinic the word survives mainly in politics, where an agitator stirs people up. Italian never narrowed it. Agitare is the plain physical verb for moving something to and fro: agitare la bottiglia is what the label tells you to do before pouring, agitare la mano is waving, and agitare le acque is making trouble. The past participle then does a job English hands to other words altogether: il mare è agitato is a rough sea, and una notte agitata is a broken night. So one Italian family answers in turn to « shake », « wave », « rough », « restless » and « agitated », and only the situation says which. Read l’agitazione here in its clinical sense, but do not carry that sense back out of the consulting room.

The words

Adjective (1)

Grammar for these: Adjective agreement · Where the adjective stands

psicomotoriopsychomotorAdjectiveC2
Il rallentamento psicomotorio si nota nei gesti.Psychomotor slowing shows in the gestures.

Noun (f) (10)

Grammar for these: Definite article: il, lo, la · Indefinite article: un, uno

la diagnosi differenzialethe differential diagnosisNoun (f)C2
La diagnosi differenziale elenca quello che potrebbe essere altro.The differential diagnosis lists what else it could be.
l’anedoniaanhedoniaNoun (f)C2
L’anedonia toglie il piacere anche a quello che prima piaceva.Anhedonia takes the pleasure even out of what used to please.
la maniamaniaNoun (f)C2
Nella mania il sonno sembra superfluo.In mania sleep seems unnecessary.
l’ipomaniahypomaniaNoun (f)C2
L’ipomania passa spesso per buon umore.Hypomania often passes for good spirits.
l’agitazionethe agitationNoun (f)C2
L’agitazione riempie la stanza di movimento.Agitation fills the room with movement.
la ruminazionethe ruminationNoun (f)C2
La ruminazione gira sempre attorno alla stessa scena.Rumination keeps circling the same scene.
l’ossessionethe obsessionNoun (f)C2
L’ossessione torna anche quando la si respinge.An obsession comes back even when it is pushed away.
la compulsionethe compulsionNoun (f)C2
La compulsione calma per poco e poi ricomincia.A compulsion calms for a moment and then starts again.
la dissociazionethe dissociationNoun (f)C2
Nella dissociazione la scena sembra vista da fuori.In dissociation the scene seems to be watched from outside.
l’alleanza terapeuticathe therapeutic allianceNoun (f)C2
L’alleanza terapeutica si costruisce prima di ogni tecnica.The therapeutic alliance is built before any technique.

Noun (m) (17)

Grammar for these: Definite article: il, lo, la · Indefinite article: un, uno

l’esordiothe onsetNoun (m)C2
L’esordio è stato lento e poco chiaro.The onset was slow and hard to make out.
l’episodiothe episodeNoun (m)C2
L’episodio si è chiuso dopo alcune settimane.The episode closed after a few weeks.
l’episodio depressivothe depressive episodeNoun (m)C2
Nell’episodio depressivo il tempo sembra fermo.In a depressive episode time seems to stand still.
il deliriothe delusionNoun (m)C2
Il delirio non si corregge con un argomento.A delusion is not corrected by an argument.
il disturbo formale del pensierothe formal thought disorderNoun (m)C2
Nel disturbo formale del pensiero le frasi saltano da un tema all’altro.In formal thought disorder the sentences jump from one subject to another.
l’appiattimento affettivothe flattened affectNoun (m)C2
L’appiattimento affettivo si vede nel volto e nella voce.Flattened affect shows in the face and in the voice.
l’ottundimento affettivothe blunted affectNoun (m)C2
L’ottundimento affettivo lascia una reazione debole.Blunted affect leaves a weak reaction.
l’arresto psicomotoriothe stuporNoun (m)C2
Nell’arresto psicomotorio il paziente resta immobile e sveglio.In psychomotor stupor the patient stays motionless and awake.
il pensiero intrusivothe intrusive thoughtNoun (m)C2
Il pensiero intrusivo arriva senza essere chiamato.An intrusive thought arrives without being called.
l’attacco di panicothe panic attackNoun (m)C2
L’attacco di panico raggiunge il culmine in pochi minuti.A panic attack reaches its peak within a few minutes.
l’evitamentothe avoidanceNoun (m)C2
L’evitamento riduce la paura oggi e la allarga domani.Avoidance makes the fear smaller today and larger tomorrow.
il desiderio compulsivothe cravingNoun (m)C2
Il desiderio compulsivo arriva a ondate.Craving comes in waves.
il ricovero contro la volontàthe involuntary admissionNoun (m)C2
Il ricovero contro la volontà resta l’ultima strada.Involuntary admission remains the last resort.
il trattamento sanitario obbligatoriothe compulsory treatment orderNoun (m)C2
Il trattamento sanitario obbligatorio ha una durata fissata per legge.The compulsory treatment order has a length fixed by law.
il piano di crisithe crisis planNoun (m)C2
Il piano di crisi si scrive quando le cose vanno bene.A crisis plan is written while things are going well.
il modello della guarigionethe recovery modelNoun (m)C2
Il modello della guarigione parte da quello che la persona vuole.The recovery model starts from what the person wants.
lo stigmathe stigmaNoun (m)C2
Lo stigma accompagna la diagnosi fuori dallo studio.The stigma follows the diagnosis out of the consulting room.

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