Terms beginning with "C"

Many misunderstandings in the depiction of people with mental illnesses have arisen from misunderstanding of the vocabulary of mental illnesses, or inaccuracies in that vocabulary’s use. The following glossary has been developed from The American Psychiatric Association’s Psychiatric Glossary and a list prepared by the Mental Health Association in Los Angeles County, of preferred and misunderstood terms used to describe mental illnesses. The glossary contains examples of both proper language and language that perpetuates misunderstanding and stigma.

Those marked with an asterisk (*) are examples of outmoded, inaccurate and stigmatizing language.

A B C D E F G H I J K L M N O P S V W

Chronic

Continuing over a long period of time or recurring frequently. Chronic conditions often begin inconspicuously and symptoms are less pronounced than in acute conditions

Cognitive Therapy

A treatment method based on the theory that negative thinking, perception and attitude cause psychological disturbances, especially depression, and that these problems can be corrected through rational understanding.

Combat Fatigue*

Along with “battle fatigue” and “shell-shock”, this is an outmoded term of post-traumatic stress disorder. If used, “battle fatigue,” “combat fatigue” and “shell-shock” are misleading in that they lead people to believe that PTSD is a condition arising only from the trauma of war. Actually, it is a condition much more common to victims of accidents, rape and other forms of domestic violence.

Compulsion

An insistent, repetitive and unwanted urge to perform an act as a means of relieving anxiety. However ritualistic behavior, such as repeated hand washing, is not related realistically to what the person is trying to avoid.

Confidentiality

The ethical principle that a physician may not reveal any information disclosed in the course of medical treatment.

Crack

A street name for rock-like pieces or pellet-sized chips of cocaine. Crack is smoked, creating an intensely euphoric feeling in the user within 4 to 6 seconds, followed by an overwhelming low period within 5 to 7 minutes. Crack is more addictive than heroin and produces many side effects, including a dramatic rise in blood pressure, heart rate and temperature; narrowing of the arteries to restrict blood flow to the heart, possibly causing a heart attack; erratic and ineffective heart beat, possibly resulting in death; and respiratory failure.

Crazy*

Along with numerous terms—such as “nuts,” “wacko,” “looney” or bonkers—these are generic, insulting terms used to describe mentally ill people or people who are acting in an eccentric manner. Not only are they denigrating, they are also inaccurate catch-all terms, lumping all mental illnesses together. Specific mental illnesses have specific symptoms, and specific names.

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