Identified patient (IP) is a form of dysfunctional parenting where one child, usually selected by the mother, is forced into going to therapy while the family’s overall dysfunction is kept hidden. The term is also used in the context of organizational management, in circumstances where an individual becomes the carrier of a group problem (also known as scapegoating).
The term emerged from the work on family homeostasis in the Bateson Project, a ground-breaking collaboration organized by English social scientist Gregory Bateson in the 1950s and early 1960s. Bateson described it as a way to identify a largely unconscious pattern of behavior whereby an excess of painful feelings in a family lead to one member being identified as the cause of all the difficulties – a scapegoating of the IP.
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Identified Patient
Role Suction
Role suction is a term introduced in the USA by pyschologist Fritz Redl in the mid-twentieth century to describe the power of a social group to allocate roles willy-nilly to its members. British psychoanalyst W. R. Bion’s group dynamics further explored the ways whereby the group (unconsciously) allocates particular functions to particular individuals in order to have its covert emotional needs met; and the process has recently been highlighted anew within the ‘Systems Centered Therapy’ of Yvonne Agazarian (a form of group therapy).
Among regularly occurring group roles are those of the ‘scapegoat’ for the group’s troubles; the ‘joker’; the ‘peacemaker’; the ‘critic/spokesperson’ for group standards; the ‘idol,’ or upholder of the group ideal; and the ‘identified patient’ (the person in a dysfunctional group who has been subconsciously selected to act out the group’s inner conflicts as a diversion). In mixed gender groups, women may be disproportionately pressured by role suction into playing a nurturing/peacemaker role.
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Coulrophobia
Coulrophobia [kool-ruh-foh-bee-uh] is a fear of clowns. The term is of recent origin, probably dating from the 1980s, and according to one analyst, ‘has been coined more on the Internet than in printed form because it does not appear in any previously published, psychiatric, unabridged, or abridged dictionary.’ However, the author later notes, ‘regardless of its less-than-verifiable etymology, coulrophobia exists in several lists.’ The prefix ‘coulro-‘ may be a neologism derived from an Ancient Greek word meaning ‘stilt-walker,’ although the concept of a clown as a figure of fun was unknown in classical Greek culture, stiltwalking was practiced.
According to a psychology professor at California State University, Northridge, young children are ‘very reactive to a familiar body type with an unfamiliar face.’ A study conducted by the University of Sheffield found that the children did not like clown décor in the hospital or physicians’ office settings. The survey was about children’s opinions on décor for an upcoming hospital redesign. Dr Penny Curtis, a researcher, stated ‘We found that clowns are universally disliked by children. Some found the clown images to be quite frightening and unknowable.’
Comfort Object
A comfort object, transitional object, or security blanket is an item used to provide psychological comfort, especially in unusual or unique situations, or at bedtime for small children. Among toddlers, comfort objects may take the form of a blanket, a stuffed animal, or a favorite toy, and may be referred to by English-speaking toddlers as ‘blankey’ or ‘lovey.’ Stuffed toys are sometimes equipped in emergency vehicles and police patrol cars, to be given to victims involved in an accident or traumatic shock, to provide them comfort.
Paramedics are trained to treat physical shock with a wide array of blankets designed to preserve heat, blood, and wounds for life threatening traumas. Often charities will provide comfort objects such as blankets and quilts to survivors of disasters. Psychologists are experimenting with the use of heavy thick fleece blankets to replace restraints such as straitjackets. They have noted through experiments with autistic children that weighted blankets have a desirable soothing effect to help calm agitated patients.
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Pharming
Pharming is a portmanteau of farming and ‘pharmaceutical’ and refers to the use of genetic engineering to insert genes that code for useful pharmaceuticals into host animals or plants that would otherwise not express those genes, thus creating a genetically modified organism (GMO).
The products of pharming are typically recombinant proteins (or their metabolic products), which are proteins that result from the expression of recombinant DNA (molecular cloning in a laboratory brings together genetic material from multiple sources, creating sequences that would not otherwise be found in biological organisms). Recombinant proteins are most commonly produced using bacteria or yeast in a bioreactor.
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Childhood Obesity
Childhood obesity is linked to Type 2 diabetes, heart disease, stroke, and high blood pressure, conditions uncommon in children and teenagers until recently. The term ‘overweight’ rather than obese is often used in children as it is less stigmatizing. The first problems to occur in obese children are usually emotional or psychological. Some of the other disorders would include liver disease, early puberty or menarche, eating disorders such as anorexia and bulimia, skin infections, and asthma and other respiratory problems.
Studies have shown that overweight children are more likely to grow up to be overweight adults. Obesity during adolescence has been found to increase mortality rates during adulthood. Obese children often suffer from teasing by their peers. Some are harassed or discriminated against by their own family. Stereotypes abound and may lead to low self-esteem and depression.
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Neologism
A neologism [nee-ol-uh-jiz-uhm] is a newly coined term, word, or phrase, that may be in the process of entering common use, but has not yet been accepted into mainstream language. Neologisms are often directly attributable to a specific person, publication, period, or event. The term is first attested in English in 1772, borrowed from French ‘néologisme.’ In psychiatry, the term is used to describe the use of words that have meaning only to the person who uses them, independent of their common meaning.
This tendency is considered normal in children, but in adults can be a symptom of psychopathy or a thought disorder (e.g. schizophrenia). People with autism also may create neologisms. Additionally, use of neologisms may be related to aphasia (sudden loss of language comprehension) acquired after brain damage resulting from a stroke or head injury. In theology, a ‘neologism’ is a relatively new doctrine (e.g. Transcendentalism). In this sense, a neologist is one who proposes either a new doctrine or a new interpretation of source material such as religious texts.
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Mortality Salience
Mortality salience [sey-lee-uhns] is a term which describes awareness of one’s eventual death. Mortality salience has the potential to cause worldview defense, a psychological mechanism which strengthens people’s connection with their in-group as a defense mechanism. This can lead to feelings of nationalism and racial bigotry being intensified.
Studies also show that mortality salience can also lead people to feel more inclined to punish minor moral transgressions. One such study divided a group of judges into two groups — one which was asked to reflect upon their own mortality, and one group which was not. The judges were then asked to set a bond for an alleged prostitute. The group who had reflected on mortality set an average bond of $455, while the control group’s average bond was $50.
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Humor in Freud
Sigmund Freud noticed that humor, like dreams, can be related to unconscious content. In the 1905 book ‘The Joke and Its Relation to The Unconscious,’ as well as in the 1928 journal article ‘Humor,’ Freud distinguished contentious jokes from non-contentious or silly humor. In fact, he sorted humor into three categories that could be translated as: joke, comic, and mimetic (imitation).
In Freud’s view, jokes (the verbal and interpersonal form of humor) happened when the conscious allowed the expression of thoughts that society usually suppressed or forbade. The superego (conscience) allowed the ego (self) to generate humor. A benevolent superego allowed a light and comforting type of humor, while a harsh superego created a biting and sarcastic type of humor. A very harsh superego suppressed humor altogether.
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Social Proof
Social proof, also known as informational social influence, is a psychological phenomenon where people assume the actions of others in an attempt to reflect correct behavior for a given situation. This effect is prominent in ambiguous social situations where people are unable to determine the appropriate mode of behavior, and is driven by the assumption that surrounding people possess more knowledge about the situation.
The effects of social influence can be seen in the tendency of large groups to conform to choices which may be either correct or mistaken, a phenomenon sometimes referred to as herd behavior. Although social proof reflects a rational motive to take into account the information possessed by others, formal analysis shows that it can cause people to converge too quickly upon a single choice, so that decisions of even large groups of individuals may be grounded in very little information (i.e. information cascades).
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Robert Cialdini
Robert Cialdini is Regents’ Professor Emeritus of Psychology and Marketing at Arizona State University. He is best known for his book on persuasion and marketing, ‘Influence: The Psychology of Persuasion.’ The book has been translated into 26 languages has also been published as a textbook under the title ‘Influence: Science and Practice.’
In writing the book, he spent three years going ‘undercover’ applying for jobs and training at used car dealerships, fund-raising organizations, and telemarketing firms to observe real-life situations of persuasion. The book also reviews many of the most important theories and experiments in social psychology. Cialdini distills his theory down to six key principles: Reciprocity, Commitment and Consistency, Social Proof, Authority, Liking, and Scarcity.
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Paleo Diet
The paleolithic diet (also popularly referred to as the caveman diet, Stone Age diet, and hunter-gatherer diet) is a modern nutritional plan based on the presumed ancient diet of wild plants and animals that various hominid species habitually consumed during the Paleolithic era—a period of about 2.5 million years which ended around 10,000 years ago with the development of agriculture and grain-based diets.
In common usage, such terms as the ‘Paleolithic diet’ also refer to the actual ancestral human diet. Centered on commonly available modern foods, the ‘contemporary’ Paleolithic diet consists mainly of fish, grass-fed pasture raised meats, eggs, vegetables, fruit, fungi, roots, and nuts, and excludes grains, legumes, dairy products, potatoes, refined salt, refined sugar, and processed oils.
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