oordeel- en kritiekstoornissen

English translation: impaired judgement and insight

GLOSSARY ENTRY (DERIVED FROM QUESTION BELOW)
Dutch term or phrase:oordeel- en kritiekstoornissen
English translation:impaired judgement and insight
Entered by: Barend van Zadelhoff

14:12 Feb 20, 2011
Dutch to English translations [PRO]
Medical - Psychology
Dutch term or phrase: oordeel- en kritiekstoornissen
In a text about a patient with mental health issues, the patient is stated to have "oordeel-en kritiekstoornissen". The text does not provide further details.
This seems to be a common phrase in Dutch. How might I translate it in English?

TIA
ebell
Local time: 06:06
loss of insight and judgement
Explanation:
XIII. SENSORIUM
COGNITIVE FUNCTION
INSIGHT AND JUDGEMENT
Sensorium: The level of consciousness or mental clarity
Alert: Quick to perceive and respond, ready
Delirium: Bewildered, restless, confused
Somnolence: Abnormal drowsiness; Lethargy, obtunded.
Stupor: Lack of reaction to and unawareness of surroundings. Aroused by intense stimuli only
Coma: prolonged degree of unconsciousness
Orientation: Time-Year, season, date, day of week, month, approximate time of day
Place: Knows where he/she is: state, city, county(town)street, name of hospital
Person: Knows own name. Situation: Why he/she is here, with whom he/she is interacting
Memory: Immediate Recall-3 items; recall in 120 seconds. Short Term: Events of past 5-10 minutes. Recent-Events or items of day, week, or month. Past-Birthdate, anniversaries, significant past experiences
A. Amnesia: Partial or total inability to recall past experiences
B. Fugue: Amnesia, then assuming a new identity
C. Confabulation: Unconscious filling of gaps in memory with imagined or untrue experiences
Attention and Calculation
A. County by threes-1,4,7,---(1-40)
B. County backwards from 21-1, 20-19, 18,
C. Process Digits: Forward-Three (6-35)
to eight (82673829)backwards-Three(183)to eight (72485136)
D. Simple arithmetic: 6+8, 50-12; 8x9
E. Spell Words: World, State (Forward, Backwards)
F. Sentence Learning: “No ifs, ands, or buts”(Repeat)
G. Identity Objects: (Dystopia) Example: Pen, watch, shoe.
H. Copy Design: Visual Motor Integrity(Draw two triangles which must connect at one point)
Fund of Information: Who is the President?
Vice-President? County in which you reside? State Capital? How many weeks are there in a year? What direction are you traveling when going from San Francisco to Boston?

Insight: Awareness of how one’s own personality traits and behaviors contribute to symptoms and problems. To understand cause and meaning of a situation.

Judgement: Ability to access situation correctly, choose among different options, and act appropriately within that situation

Evaluate: Issues regarded in an upcoming decision, or way past decisions handled.

http://metapsychology.mentalhelp.net/images/clientid_125/men...

--------------------------------------------------
Note added at 1 day4 hrs (2011-02-21 18:12:36 GMT)
--------------------------------------------------

Thank you too, Ebell

I am convinced that 'insight' refers to 'kritiek'
'kritiek' was the term most difficult to translate
this is because it is used in the specific and somewhat unusual sense of 'insight' in this context

You could go for 'impaired insight and judgement' and I think this is an appropriate translation

I do think, however, "loss" is a translation option as well, but impairment may be the better choice

Barend
Selected response from:

Barend van Zadelhoff
Netherlands
Local time: 07:06
Grading comment
4 KudoZ points were awarded for this answer



Summary of answers provided
3 +3impaired judgement
P.L.F. Persio
3loss of insight and judgement
Barend van Zadelhoff
Summary of reference entries provided
mental status examination
Lianne van de Ven
oordeel- en kritiekstoornissen
Barend van Zadelhoff

Discussion entries: 1





  

Answers


50 mins   confidence: Answerer confidence 3/5Answerer confidence 3/5 peer agreement (net): +3
impaired judgement


Explanation:
I agree with the definitions reported by Barend. Hope this helps:
http://www.touchneurology.com/articles/differential-diagnosi...
The term ‘dementia’ is used to describe a decline in intelligence, memory and judgement as a result of brain disorders. The following cognitive deficits are common in dementia: impaired judgement (decline in intellectual performance and critical thinking), deficits in logical thinking and deductive reasoning, inability to understand or process information, memory deficits and loss of orientation to people, time and places. In some forms of dementia, such as frontotemporal dementia, personality changes are also present, and almost all forms are associated with a number of other deficits involving higher cortical functions, such as recognition of objects (agnosia), speech disorders (aphasia) and inability to perform learned purposeful movements (apraxia). This wide spectrum of neurological and psychiatric symptoms leads to markedly impaired cognitive and social function.

P.L.F. Persio
Netherlands
Local time: 07:06
Native speaker of: Native in ItalianItalian

Peer comments on this answer (and responses from the answerer)
agree  Lianne van de Ven: For lack of more context, and considering my remarks with Barend's answer, I would go with this more general (i.e.fuzzy) translation.
28 mins
  -> bedankt, Lianne; een fijne zondag!

agree  Tina Vonhof (X): There is very little difference between the two and you need one in order to exercise the other. Can be part of disorders other than dementia.
50 mins
  -> bedankt, Tina; U ook een fijne zondag!

agree  Verginia Ophof
2 hrs
  -> dank U wel, Verginia!
Login to enter a peer comment (or grade)

55 mins   confidence: Answerer confidence 3/5Answerer confidence 3/5
loss of insight and judgement


Explanation:
XIII. SENSORIUM
COGNITIVE FUNCTION
INSIGHT AND JUDGEMENT
Sensorium: The level of consciousness or mental clarity
Alert: Quick to perceive and respond, ready
Delirium: Bewildered, restless, confused
Somnolence: Abnormal drowsiness; Lethargy, obtunded.
Stupor: Lack of reaction to and unawareness of surroundings. Aroused by intense stimuli only
Coma: prolonged degree of unconsciousness
Orientation: Time-Year, season, date, day of week, month, approximate time of day
Place: Knows where he/she is: state, city, county(town)street, name of hospital
Person: Knows own name. Situation: Why he/she is here, with whom he/she is interacting
Memory: Immediate Recall-3 items; recall in 120 seconds. Short Term: Events of past 5-10 minutes. Recent-Events or items of day, week, or month. Past-Birthdate, anniversaries, significant past experiences
A. Amnesia: Partial or total inability to recall past experiences
B. Fugue: Amnesia, then assuming a new identity
C. Confabulation: Unconscious filling of gaps in memory with imagined or untrue experiences
Attention and Calculation
A. County by threes-1,4,7,---(1-40)
B. County backwards from 21-1, 20-19, 18,
C. Process Digits: Forward-Three (6-35)
to eight (82673829)backwards-Three(183)to eight (72485136)
D. Simple arithmetic: 6+8, 50-12; 8x9
E. Spell Words: World, State (Forward, Backwards)
F. Sentence Learning: “No ifs, ands, or buts”(Repeat)
G. Identity Objects: (Dystopia) Example: Pen, watch, shoe.
H. Copy Design: Visual Motor Integrity(Draw two triangles which must connect at one point)
Fund of Information: Who is the President?
Vice-President? County in which you reside? State Capital? How many weeks are there in a year? What direction are you traveling when going from San Francisco to Boston?

Insight: Awareness of how one’s own personality traits and behaviors contribute to symptoms and problems. To understand cause and meaning of a situation.

Judgement: Ability to access situation correctly, choose among different options, and act appropriately within that situation

Evaluate: Issues regarded in an upcoming decision, or way past decisions handled.

http://metapsychology.mentalhelp.net/images/clientid_125/men...

--------------------------------------------------
Note added at 1 day4 hrs (2011-02-21 18:12:36 GMT)
--------------------------------------------------

Thank you too, Ebell

I am convinced that 'insight' refers to 'kritiek'
'kritiek' was the term most difficult to translate
this is because it is used in the specific and somewhat unusual sense of 'insight' in this context

You could go for 'impaired insight and judgement' and I think this is an appropriate translation

I do think, however, "loss" is a translation option as well, but impairment may be the better choice

Barend

Barend van Zadelhoff
Netherlands
Local time: 07:06
Specializes in field
Native speaker of: Native in DutchDutch
PRO pts in category: 12
Notes to answerer
Asker: I like the the suggestion of insight - it does seem to equate to kritiek here. So judgement and insight, but I prefer impaired to loss. Thank you!


Peer comments on this answer (and responses from the answerer)
neutral  Lianne van de Ven: I can't agree with the 'loss', should rather be lack, usually. Also, is it a neurological or psychological statement? If neurological, there would be more context, is my guess.
21 mins
  -> I would say look at the definitions (reference entry) and compare loss of hearing, loss of memory and, indeed, loss of judgement, loss of insight etc. IMO we don't need more context. It can be both psychiatric and neurological.
Login to enter a peer comment (or grade)




Reference comments


1 hr
Reference: mental status examination

Reference information:
http://en.wikipedia.org/wiki/Mental_status_examination
Ref the general use of 'impaired judgment'

Lianne van de Ven
United States
Specializes in field
Native speaker of: Native in DutchDutch
PRO pts in category: 4
Login to enter a peer comment (or grade)

39 mins peer agreement (net): +1
Reference: oordeel- en kritiekstoornissen

Reference information:
it is both mental dysfunctions, or thinking disturbances if you like, rather than emotional dysfunctions

Pinkhof:

kritiekstoornis = cerebrale functiestoornis waarbij het inzicht in eigen ziekte en situatie, maar bijv. ook in actuele gebeurtenissen, gestoord is

oordeelstoornis = cerebrale functiestoornis waarbij de beoordeling van situaties en gebeurtenissen gestoord is.

--------------------------------------------------
Note added at 2 hrs (2011-02-20 16:29:14 GMT)
--------------------------------------------------

Well, compare the definitions from Pinkhof with the definitions below:

Insight: Awareness of how one’s own personality traits and behaviors contribute to symptoms and problems. To understand cause and meaning of a situation.

Judgement: Ability to access situation correctly, choose among different options, and act appropriately within that situation

You can only conclude that 'kritiek' directly corresponds with 'insight' and 'oordeel' with 'judgement', that is, 'insight and judgement' are appropriate translations for 'kritiek' and 'oordeel'

Moreover, both 'insight' and 'judgement' are routinely evaluated as part of assessing a the patient's mental health status

So "kritiek- en oordeelstoornissen" requires the translation corresponding to what happens in an assessment of a patient: his insight and judgement are being assessed

There certainly is a difference between 'insight' and 'judgement': see definitions

There can be no doubt about how the terms have been used
It is just standard terms

Voor mij ben je gewoon spijkers op laag water aan het zoeken.
Dat is niet rot bedoeld, maar ik wil alleen maar zeggen dat ik mijn vertaling uiterst voor de hand liggend vind en dat ik het jammer vind dat je dat niet inziet.

Barend van Zadelhoff
Netherlands
Specializes in field
Native speaker of: Native in DutchDutch
PRO pts in category: 12

Peer comments on this reference comment (and responses from the reference poster)
agree  Lianne van de Ven: Deze ref is correct, Barend. Maar twee vragen: zonder verdere context, zijn de termen (correct) gebruikt zoals hier bedoeld? En: hoe worden ze het best vertaald?
1 hr
  -> these are my thoughts: see above
Login to enter a peer comment (or grade)



Login or register (free and only takes a few minutes) to participate in this question.

You will also have access to many other tools and opportunities designed for those who have language-related jobs (or are passionate about them). Participation is free and the site has a strict confidentiality policy.

KudoZ™ translation help

The KudoZ network provides a framework for translators and others to assist each other with translations or explanations of terms and short phrases.


See also:
Term search
  • All of ProZ.com
  • Term search
  • Jobs
  • Forums
  • Multiple search