Psychology Terms Starting With 'V'

Browse through our collection of psychological terms and their definitions.

Terms Starting with "V"

521 terms
value-driven care

value-driven care a federally backed movement to improve quality and reduce costs in U.S. health care by increasing system transparency and encouraging consumer choice. Such an emphasis on quality contrasts with the current volume-driven model of care in which consumers are passive recipients of treatments and providers are reimbursed for the number of cases they handle, regardless of patient outcome or the standard of services rendered. The central premise underlying value-driven care is that informed consumers are active and discriminating decision makers who will examine their available service options and choose those that will be the most beneficial and cost effective, and that this in turn will foster competition among providers to provide better services at reduced costs (e.g., by eliminating waste, improving cooperation and coordination among providers, preventing foreseeable patient complications, etc.). For example, if a person needing an operation is able to review readily available statistics on outcome, price, and so forth, he or she will likely avoid choosing hospitals, procedures, or medical professionals having poor success rates or costing too much. According to the U.S. government, however, the success of value-driven care requires not only the consistent measurement and public reporting of provider quality and cost information, but also the nationwide adoption of standardized, interoperable health information technology and the use of incentives that motivate all parties within the system—payors, patients, providers, and health care facilities—to achieve better care for less money.

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vasopressin

vasopressin n. a peptide hormone produced in the paraventricular nucleus and supraoptic nucleus of the hypothalamus and released by the posterior pituitary gland into the blood as controlled by osmoreceptors. It has two forms that differ by a single amino acid—lysine vasopressin (LVP) in pigs and arginine vasopressin (AVP) in humans and all other mammals—and that bind to one of three distinct receptors, called V1a, V1b, and V2. Both forms increase fluid retention in the body by signaling the kidneys to reabsorb water instead of excreting it in urine, and they raise blood pressure by signaling specific smooth muscle cells to contract and narrow small blood vessels. Beside these and other physiological functions, vasopressin modulates complex cognitive functions—such as attention, learning, and the formation and recall of memories—and may also modulate emotion. Additionally, vasopressin and the chemically related peptide hormone oxytocin have been implicated in a range of mammalian social behaviors, such as aggression, territoriality, maternal and paternal care, pair-bond formation and mating, social recognition, attachment, affiliation, and vocalization, as well as components of human-specific social behaviors and disorders (e.g., autism). Vasopressin itself may be involved in the pathophysiology of anxiety disorders, including posttraumatic stress disorder, and has been implicated in the pathophysiology of depression as well. AVP secretion appears to play a critical role in the stress response through activation of the hypothalamic–pituitary–adrenal axis (HPA axis): In times of stress, the HPA axis secretes corticotropin-releasing factor and AVP to stimulate the release of corticotropin from the anterior pituitary gland synergistically, culminating in a rise in circulating glucocorticoids. Vasopressin is produced synthetically (e.g., desmopressin) for such therapeutic purposes as helping the body conserve fluids (e.g., in the treatment of diabetes insipidus), restoring blood pressure (e.g., in the treatment of hypotension), and facilitating blood clotting (e.g., in the treatment of hemophilia). Also called antidiuretic hormone (ADH).

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vegetative state

vegetative state a condition in which a person appears awake but lacks any self-awareness, environmental awareness, or basic or higher level cognitive functions (e.g., information processing, language comprehension and production, perception). The individual exhibits normal reflexes, circadian rhythms (including sleep–wake cycles), respiration, circulation, and other brainstem- and hypothalamus-governed functions but shows no voluntary behavior or other purposeful response to stimuli. Additionally, electroencephalography often reveals slowed electrical activity. Typically associated with destruction of vast areas of cerebral cortex or its integrating connections as a result of trauma, the condition is most often seen following coma but also occurs in those who have various degenerative disorders or severe congenital malformations of the nervous system. A persistent vegetative state (PVS, or persistent noncognitive state) is one lasting more than four weeks from which there is the possibility—however slim—of recovery, whereas a permanent vegetative state is one lasting more than three to 12 months (depending upon cause) from which there is no chance of regaining consciousness. The vegetative state is distinct from both brain death and the minimally conscious state but nonetheless is misdiagnosed as the latter nearly half the time. The assessment of residual cognitive abilities is extremely difficult, and uniform assessment protocols for the vegetative state have yet to be established. However, advanced functional neuroimaging techniques (e.g., event-related potentials, functional magnetic resonance imaging) are being investigated as a source of information beyond the traditional clinical method to aid diagnosis, and several recently developed measures using structured behavioral observations, such as the Sensory Modality Assessment and Rehabilitation Technique (SMART) and the Wessex Head Injury Matrix (WHIM), are now available. [defined in 1972 by British neurologist William Bryan Jennett (1926–2008) and U.S. neurologist Fred Plum (1924–2010)]

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