

From: Harold I. Kaplan & Benjamin J. Sadock: Modern
Synopsis of Comprehensive Textbook of Psychiatry/IV, Baltimore: Williams
& Wilkins, 1985. p. 176-177.
8.2 Typical Signs and Symptoms of Psychiatric Illness
[In this chapter a range of ‘typical signs and
symptoms of psychiatric illness’ is classified in 7 categories: consciousness,
emotion, motor behavior (conation), thinking, perception, memory and
intelligence. MS]
(...)
II. Emotion: A complex feeling state with
psychic, somatic, and behavioral components that is related to affect and
mood.
A. Affect: the subjective and immediate
experience of emotion attached to ideas. Affect has outward manifestations.
l. Inappropriate affect: disharmony between the emotional
feeling tone and the idea, thought, or speech accompanying it.
2. Appropriate affect: emotional tone in harmony with
the accompanying idea, thought, or speech.
3. Blunted affect: a disturbance in affect
manifestated by a severe reduction in the intensity of externalized feeling
tone.
4. Flat affect: absence or near absence of any signs
of affective expression.
5. Labile affect: rapid changes in emotional feeling
tone, unrelated to external stimuli.
B. Mood.: a pervasive or sustained emotion
1. Dysphoric mood: an unpleasant mood
2. Euthymic mood: normal range mood
3. Expansive mood: expression of one's feelings
without restraint
4. Irritable mood: easily annoyed and provoked to
anger
5. Mood swings: oscillations between periods of
euphoria and depression or anxiety
6. Elation: air of confidence and enjoyment
associated with increased motor activity
7. Exaltation: intense elation with feelings of
grandeur
8. Ecstasy: feeling of intense rapture
9. Depression: psychopathological feeling of sadness
10. Grief or mourning: sadness appropriate to a real
loss
11. Alexithymia: inability or difficulty in describing
or being aware of one's emotions or moods
C. Other emotions
1. Anxiety: feeling of apprehension due to unconscious
conflicts
2. Fear: anxiety due
to consciously recognized and realistic
danger
3. Agitation: anxiety
associated with severe motor restlessness
4. Tension: increased
motor and psychological activity that is unpleasant
5. Panic: acute
intense attack of anxiety associated with personality disorganization
6. Free-floating
anxiety: pervasive fear not attached to any idea
7. Apathy: dulled
emotional tone associated with detachment or indifference
8. Ambivalence:
coexistence of two opposing impulses toward the same thing in the same person
at the same time
9. Depersonalization:
feeling of unreality concerning oneself or one's environment
10. Derealization:
distortion of spatial relationships so that the environment becomes unfamiliar
11. Aggression: forceful goal-directed action that may be verbal or physical and that is the motor counterpart of the affect of rage, anger, or hostility