mental obnubilation

...type of psychoactive substance and dose being used immediately before cessation or reduction of use. The withdrawal state may be complicated by convulsions. .4 Withdrawal state with delirium A condition where the withdrawal state as defined in the common fourth character .3 is complicated by delirium as defined in F05.-. Convulsions may also occur. When organic factors are also considered to play a role in the etiology, the condition should be classified to F05.8. Delirium tremens (alcohol-induced) .5 Psychotic disorder A cluster of psychotic phenomena that occur during or following psychoactive substance use but that are not explained on the basis of acute intoxication alone and do not form part of a withdrawal state. The disorder is ch ...[+++]aracterized by hallucinations (typically auditory, but often in more than one sensory modality), perceptual distortions, delusions (often of a paranoid or persecutory nature), psychomotor disturbances (excitement or stupor), and an abnormal affect, which may range from intense fear to ecstasy. The sensorium is usually clear but some degree of clouding of consciousness, though not severe confusion, may be present. Alcoholic:hallucinosis | jealousy | paranoia | psychosis NOS | Excl.: alcohol- or other psychoactive substance-induced residual and late-onset psychotic disorder (F10-F19 with common fourth character .7) .6 Amnesic syndrome A syndrome associated with chronic prominent impairment of recent and remote memory. Immediate recall is usually preserved and recent memory is characteristically more disturbed than remote memory. Disturbances of time sense and ordering of events are usually evident, as are difficulties in learning new material. Confabulation may be marked but is not invariably present. Other cognitive functions are usually relatively well preserved and amnesic defects are out of proportion to other disturbances. Amnestic disorder, alcohol- or drug-induced Korsakov's psychosis or syndrome, alcohol- or other psychoactive substance-induced or unspecified Excl.: nonalcoholic Korsakov's psychosis or syndrome (F04) .7 Residual and late-onset psychotic disorder A disorder in which alcohol- or psychoactive substance-induced changes of cognition, affect, personality, or behaviour persist beyond the period during which a direct psychoactive substance-related effect might reasonably be assumed to be operating. Onset of the disorder should be directly related to the use of the psychoactive substance. Cases in which initial onset of the state occurs later than episode(s) of such substance use should be coded here only where clear and strong evidence is available to attribute the state to the residual effect of the psychoactive substance. Flashbacks may be distinguished from psychotic state partly by their episodic nature, frequently of very short duration, and by their duplication of previous alcohol- or other psychoactive substance-related experiences. Alcoholic dementia NOS Chronic alcoholic brain syndrome Dementia and other milder forms of persisting impairment of cognitive functions Flashbacks Late-onset psychoactive substance-induced psychotic disorder Posthallucinogen perception disorder Residual:affective disorder | disorder of personality and behaviour | Excl.: alcohol- or psychoactive substance-induced:Korsakov's syndrome (F10-F19 with common fourth character .6) | psychotic state (F10-F19 with common fourth character .5) | .8 Other mental and behavioural disorders .9 Unspecified mental and behavioural disorder | Acute drunkenness in alcoholism Bad trips (drugs) Drunkenness NOS Pathological intoxication Trance and possession disorders in psychoactive substance intoxication | Psychoactive substance abuse | Chronic alcoholism Dipsomania Drug addiction | Delirium tremens (alcohol-induced) | Alcoholic:hallucinosis | jealousy | paranoia | psychosis NOS | Amnestic disorder, alcohol- or drug-induced Korsakov's psychosis or syndrome, alcohol- or other psychoactive substance-induced or unspecified | Alcoholic dementia NOS Chronic alcoholic brain syndrome Dementia and other milder forms of persisting impairment of cognitive functions Flashbacks Late-onset psychoactive substance-induced psychotic disorder Posthallucinogen perception disorder Residual:affective disorder | disorder of personality and behaviour ...

clouding of consciousness [ lowering of consciousness | clouded sensorium | obnubilation ]

Definition: A disorder of persistent or recurrent hallucinations, usually visual or auditory, that occur in clear consciousness and may or may not be recognized by the subject as such. Delusional elaboration of the hallucinations may occur, but delusions do not dominate the clinical picture; insight may be preserved. | Organic hallucinatory state (nonalcoholic)

altered state of consciousness | ASC

G-induced loss of consciousness [ G-LOC,GLOC | loss of consciousness under high G loads ]

Definition: Disorders in which there is a temporary loss of the sense of personal identity and full awareness of the surroundings. Include here only trance states that are involuntary or unwanted, occurring outside religious or culturally accepted situations.

awareness of management

In this respect, the applicant states that the automatic nature of the detailed examination by the defendant, determined by that amount of differential costs, constitutes a manifest error of assessment which ultimately prevented a proper exercise of discretion, in particular when examining the proportionality and effects of the aid.

all personnel are aware of the potential safety hazards connected with their duties (safety awareness).

Seizures without influence on consciousness or the ability to act: the applicant or driver who has never had any seizures other than seizures which have been demonstrated exclusively to affect neither consciousness nor cause any functional impairment can be declared fit to drive so long as this pattern has been established for a period which must not be less than the seizure-free period required for epilepsy.

Other loss of consciousness: the loss of consciousness should be assessed according to the risk of recurrence while driving.