Glossary

Explore the definition of social and cultural terminology as well as substance use and mental health terms and disorders from A to Z

D

Diagnosis

A diagnosis is the method by which a disease or condition is recognized from a group of symptoms. The word itself comes from the Greek word “gnosis”, which means knowledge. Diagnoses are given out by medical professionals to determine the severity, mitigations, and possible treatment of a disease. They are also useful for distinguishing different conditions with similar symptoms from each other using information unique to each patient, such as method of acquisition, genetic factors, and medical history.

Disability

A disability is any condition that impairs a person’s ability to access aspects of the society they live in equitably. Disabilities are extremely common and are a normal part of life. Around 16% of the global population, or 1.3 billion people, live with a significant disability. These disabilities vary from society to society, as the environment surrounding the people with the impairments determine whether or not those people are disabled.

The World Health Organization (WHO) splits disability up into three dimensions: Impairment, activity limitation, and participation restrictions. Impairment refers to developments that negatively impact a person’s body function or structure. Activity limitations are mechanical difficulties, such as trouble seeing, walking, or hearing. Participation restrictions aren’t necessarily explicitly placed, but prevent people with certain disabilities from doing certain tasks without outside help.

E

Eating Disorders

Eating disorders are a category of mental disorder relating to eating habits or one’s relationship with food. Eating disorders are very common; in the U.S., around 29 million people have experienced an eating disorder at some point in their life. The prevalence of these disorders is in part due to unrealistic body standards in media causing people to have unhealthy relationships with food. Some of the most common eating disorders include anorexia nervosa, bulimia nervosa, and binge-eating disorder.

Eating disorders affect everyone differently, and symptoms vary between conditions. However, similar disorders, like anorexia and bulimia nervosa, may share symptoms that could help lead to the detection of either disorder. This is important because people struggling with these conditions often feel shame and disgust towards their eating habits, which causes them to hide their behavior from others.

EMDR

EMDR, or Eye Movement Desensitization and Reprocessing, is a type of psychotherapy method that involves using specific eye movements to help the mind heal from traumatic experiences. It works by using side-to-side eye movements to stimulate the brain and promote healing. Experts in EMDR describe the process as the mental version of a wound closing; not a conscious decision the patient makes, but an automatic process carried out by the body. 

EMDR was first brought up as a potential therapy method in 1989. Since then, a solid amount of research has come out proving its effectiveness as a psychotherapy method. EMDR can be applied to help treat chronic mental conditions, namely PTSD. Some healthcare providers also recommend EMDR for patients with anxiety disorders, depression, OCD, and multiple eating disorders.

Etiology

Etiology is the study of the causes of a disease or disorder. It is important for understanding the origin and risk factors of a disease, which could lead to breakthroughs in prevention and treatment measures. The word stems from the Greek word “aitia”, which means change or origin. The term etiology can be used outside of a medical context to study the causes of various phenomena.

F

Family Therapy

Family therapy is a type of talk therapy that involves multiple members of a family unit. The point of family therapy is to bring new perspectives on familial issues that would not be present in one-on-one therapy sessions. The presence of the therapist helps family members foster good communication and conflict resolution skills. Family therapy is suggested for a variety of familial issues, ranging from small disagreements to sizable, potentially relationship-ruining arguments.

Under the family therapy umbrella lies marriage/couples’ counseling. Marriage counseling consists of the couple and usually one therapist working together to resolve existing or perceived marital issues. The role of the therapist in marriage counseling is especially important to prevent excessive argumentation and make sure both partners understand each other. The point is not to facilitate arguments, but rather to host an open forum in which all parties can air their grievances in a respectful manner.

Feminism

Feminism is the belief in economic, social, and political equality of the sexes. It does not call for the destruction of men’s rights in exchange, just an equal playing field. Feminism is often considered a modern philosophy, even though many cultures such as the ancient Roman empire were making strides in women’s rights. Feminism is not necessarily a western concept either; many regions all over the world rejected patriarchal societal structures in favor of neutral or matriarchal social and government systems.

In modern history, the eras of feminism are most commonly broken up into four waves, with the first occurring in the 1840s in New York with the first Women’s Right Convention. The first wave of feminism was characterized by the calls for women’s suffrage in western Europe and the U.S. The second wave first started in the 1960s around the same time as the civil rights movement in the U.S. and mainly focused on women’s rights to autonomy. Third wave feminism came about in the 1980s to oppose the perceived rigidity of the second wave, and the fourth wave exists now through social media as a way to unite women in their shared experiences.

Femme

Femme describes an individual, specifically a queer person, who exhibits typically feminine traits in their gender expression. A person does not necessarily have to be female or identify as a woman to be femme. The term originated in queer communities to describe lesbian women who had a preference for butch women, but now can refer to anyone who purposefully presents in an overtly feminine manner. 

Just like how someone doesn’t have to be a woman to be femme, one doesn’t have to be femme if they are a woman. Queer women who identify more with traditionally masculine traits are often referred to as butch. The butch-femme dichotomy, while being a major part of lesbian history, has been placed under scrutiny for its perceived inflexibility. This caused a shift in the usage of the terms “butch” and “femme” in recent years, transforming them into identities that transcend the gender binary.

Fentanyl

Fentanyl is a synthetic opioid that carries around 50 times the potency of heroin and 100 times that of morphine. Its incredible strength makes it extremely easy to overdose on, with around two-thirds of all overdose deaths in the U.S. being linked to fentanyl. What’s more, fentanyl is very addictive in the same manner as other opiates, and attempts to quit consistent use of the drug often result in withdrawal symptoms. Some withdrawal effects include increased irritability, nausea, body aches, and insomnia.

Due to fentanyl’s low cost, potent dosage and high quantity, some drug handlers decide to mix their other products with fentanyl to increase its volume. As a result, many of the people who overdose on fentanyl had no intention of taking it in the first place. Some may have accidentally taken it with other illegal substances, like heroin or cocaine, but many simply had it mixed with prescription drugs like Adderall or Vicodin. 

First Nations

First Nations are indigenous communities in Canada that are neither Métis or Inuit. The term came about in the 1980s as an alternative to the word “Indian”. Unlike the latter two groups, First Nations are entitled to reserves, or land set aside by the Canadian government for First Nation peoples to live on. 

The term “First Nations” is not officially recognized by the Canadian government. This is due to the “Indian Act of 1876”, which specifically used the terms “Indian” to describe all Indigenous peoples in Canada. While the term “Indian” has mostly been retired from use, “Aboriginal” has also been used as a synonym for “First Nations” when they are not quite the same. “Aboriginal” refers to all indigenous communities in Canada, including the Métis and Inuit, who are legally distinct from First Nations peoples due to reserve legislation.

G

Gambling Disorder

Gambling disorder is a mental condition characterized by the inability to resist the impulse to gamble. The urges persist even when mental, social, and financial consequences arise as a result of the impulsive gambling. Many people with gambling disorder feel as though they have no control over their habits, and will put themselves and their loved ones at risk to satiate their addiction. The condition disproportionately affects young males over any other demographic, but anyone can be susceptible to developing it.

Gambling is defined as any activity in which a risk is taken to achieve a potentially greater reward. Because of this, gambling disorder doesn’t just manifest in casinos. Technological advancements and recent legislation have made it easier for people to access gambling institutions portably through their phones. The culmination of these factors is online gambling websites. These websites use real money, avoid the regional gambling laws which previously held casinos in check, and can be accessed on the go during any moment of boredom. This can cause a dangerous feedback loop that has the capacity to spiral into a full-blown addiction.

Gamma-Hydroxybutyric (GHB)

GHB, or Gamma-Hydroxybutyrate is an odorless and colorless central nervous system depressant. It is commonly known as the “date rape drug” due to its ability to sedate, increase euphoria, and cause amnesia in those who take it. Given that it has no odor or color, it could be covertly inserted into alcoholic beverages during parties to facilitate sexual assault. GHB abuse is a major issue in college party and nightclub culture, and while legistlation has restricted the methods by which the drug can be obtained, it’s still wise to proceed with caution when drinking with others.

GHB is normally prescribed to treat narcolepsy, a sleep-related illness. It can also be abused intentionally for its supposed muscle gain and fat loss effects, but this is not an officially prescribed use and can lead to overdose. Side effects of GHB overuse include nausea, vomiting, headaches, confusion, and even amnesia. GHB can also become addictive after bouts of repeated use.

Gaslighting

Gaslighting is the process of emotionally manipulating someone into questioning their sanity, perception, or reality. This manipulation can cause victims to feel confused or disoriented as they begin to lose their sense of reality. The term originated in the 1938 play “Gas Light”, which follows a husband who gradually manipulates his wife into doubting her perception of reality. While the word “gaslighting” was never used in the play itself, it has since been adopted as the term for the phenomenon. 

Perpetrators of gaslighting will often attempt to isolate their victims from their support systems in order to prevent them from receiving an untainted perspective. The gaslighting party will often use those feelings of isolation to make their victims dependent on them. This dependency makes it difficult for victims of gaslighting to escape its self-perpetuating cycle of abuse.

Gay

Gay is a word with multiple meanings. Traditionally, it has been used as a synonym for homosexual; someone who is attracted to people of the same gender. More recently, it has been used by people in queer communities as an umbrella term for anyone who identifies as LGBTQIA+. This means that the meaning of the word “gay” changes depending on context, and someone who describes themselves as such. It also used to mean “happy” or “energetic” but this meaning is antiquated. 

Up until 1987, homosexuality was classified in the Diagnostic and Statistical Manual for Mental Disorders as a mental disorder, carrying a heavy stigma that persists even today. However, psychologists and social rights activists alike fought to remove homosexuality from the DSM and destigmatize it, leading to the legalization of gay marriage and other social advancements for LGBTQIA+ people all over the U.S.

Gender

Gender is an aggregation of socially constructed roles implicitly assigned to specific sexes. While often used interchangeably, sex and gender are different concepts. Sex refers to physical characteristics at birth while gender is more of an identification with those characteristics. Statistically, most people’s gender identity is aligned with their assigned sex at birth, but some find that the gender they identify as is different from their biological sex. 

The way people choose to behave in relation to their gender identity is called gender expression. Anything, ranging from the clothes people wear to the music they choose to listen to, can be considered a form of gender expression. For some, forms of gender expression that align with their gender identity can cause feelings of joy known as gender euphoria. The opposite of this is gender dysphoria, which is common among transgender and nonbinary people when something about their gender expression conflicts with their identity.

Gender Affirming Surgery

Gender-affirming surgery includes any surgeries performed for the sake of altering someone’s sex characteristics to match their gender identity. Transgender and nonbinary get gender-affirming surgery to reduce dysphoria, or feelings of discomfort that stem from having one’s physical traits differ from their gender identity. The two main types of gender affirmation surgeries are top and bottom surgery. These surgeries both refer to changing the structure of certain body parts to match one’s gender identity; top surgery for the chest and torso and bottom surgery for the genitalia.

Surgery is not required to transition but many find it helpful in mitigating dysphoria and finding comfort in their own bodies. For those who prefer non-invasive procedures, there are many non-surgical options for receiving gender-affirming care. These include hormone replacement therapy (HRT), which gradually changes the body to become closer to one’s gender identity through the use of hormones, and voice therapy, or vocal training to make someone sound conventionally masculine, feminine, or otherwise.

Gender Binary

The gender binary is the classification of gender into two distinct, opposite forms of masculine and feminine, whether by social system or cultural belief. More implicitly, the gender binary reinforces socially accepted ways of being “masculine” or “feminine” and discourages people who express themselves outside of those roles. In most Western cultures, the gender binary shows its influence in everyday life, like public bathrooms categorized by men and women or advertisements targeting a particular gender.

In response to the rigidity of the gender binary, a new form of viewing the societal implications of gender known as the “gender continuum” emerged. The core principle of the gender continuum is that, instead of a binary system with either men or women, gender is a spectrum between masculinity and femininity that most people fall somewhere between. This system proves to be more inclusive for transgender and nonbinary people who felt excluded by the rigid margins of the gender binary.

Gender Dysphoria

Gender dysphoria is characterized by feelings of distress, unhappiness, or anxiety that people may feel when their gender identity does not match their assigned sex at birth. Dysphoria affects everyone in different ways, with some transgender people avoiding it entirely. Its effects can be felt as early as childhood, long before the affected person comes out as transgender or nonbinary.

Common symptoms of dysphoria include anxiety, self-harm, and negative self-thought. Since these symptoms are very similar to those of a mood disorder like depression or general anxiety disorder,  many people with dysphoria get prescribed treatment for those disorders instead. Treatment for gender dysphoria includes counseling or talk therapy, hormone replacement therapy, and other types of gender-affirming care.

Gender Fluid

Someone who is genderfluid does not have a fixed gender identity, which means that their gender identity may shift between male, female, both, or neither. Genderfluid people experience this fluidity in different ways, and the time periods in which they identify as a certain gender vary depending on the person. Shifts in gender identity may occur over hours or days for some, or weeks, months, or even years for others.

Being genderfluid is not the same thing as being nonbinary. Instead of the fluid, ever-shifting gender identity of genderfluidity, nonbinary people experience a single, constant gender identity – just one that isn’t represented by the gender binary of male and female. It is possible to identify as both genderfluid and nonbinary; it would just mean that the genderfluid individual is currently identifying or has at some point identified as nonbinary, and that it is subject to change.

Gender Norms

Gender norms are expectations on how to behave that are placed on members of a society based on their gender. Assumptions based solely off of gender norms are referred to as gender stereotypes. Some common gender stereotypes include men being aggressive, boisterous, or rugged and women being delicate, nurturing, or emotional. These stereotypes can lead to gender inequality due to preconceived notions of a certain gender’s work ethic, intelligence, physical ability, etc.

Social gender norms have no basis in biology; every culture has its own set of gender norms and many of them change over time. An example of this is the set of colors associated with gender in the West. In the early 20th century, when manufacturers were first pushing the concept of gendered colors in children’s clothing, the general consensus was that pink was for boys and blue was for girls. However, over the next couple of decades, the culture gradually shifted to accepting pink as a color for women and blue for men. The cultural trends were able to shift so drastically because they depended solely on widespread cultural acceptance. It only took a few pink-clad celebrity women like Mamie Eisenhower and Kay Thompson to alter the cultural perception of the color pink for the next century.

Generalized Anxiety Disorder

Generalized anxiety disorder (GAD) is a mental health condition characterized by persistent anxiety, or extreme nervousness about different aspects of one’s life. Experiencing anxiety is a normal response to dealing with stress or uncertainty, but for GAD, the feelings of anxiety occur more frequently and intensely. Bouts of anxiety may be a result of valid stressors, like the loss of a job or a health issue, they tend to persist after the upsetting situation has passed.

Generalized anxiety disorder may cause physical effects as well. Some symptoms include insomnia, nausea, headaches, and muscle aches. The disorder also affects people differently depending on certain risk factors, like gender and medical history. Specifically, someone is more likely to develop generalized anxiety disorder if they are female and/or have other medical conditions, like depression or bipolar disorder. Substance use can also exasperate the effects of anxiety attacks.

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