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Euphoria Wiki2Web Clarity Challenge

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Study Guide: Euphoria: Historical Perspectives, Neurobiology, and Clinical Manifestations

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Euphoria: Historical Perspectives, Neurobiology, and Clinical Manifestations Study Guide

Conceptual and Historical Understanding of Euphoria

Euphoria is exclusively defined as a pathological heightening of mood associated with neurological disorders.

Answer: False

Explanation: While euphoria can be a pathological sign in neurological or psychiatric disorders, it is also generally defined as a normal state of great happiness and well-being.

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Thomas Laycock, in the 1860s, described euphoria as a feeling of bodily well-being and hopefulness, noting its potential as a pathological sign in terminal illnesses.

Answer: True

Explanation: Thomas Laycock indeed described euphoria as bodily well-being and hopefulness, and recognized its pathological significance when misplaced in terminal illnesses.

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Sigmund Freud's 1884 monograph *Über Coca* described cocaine consumption as producing a state of increased self-control and vigor, which he called the normal euphoria of a healthy person.

Answer: True

Explanation: Freud's 1884 monograph *Über Coca* detailed his observations of cocaine-induced euphoria, noting increased self-control and vigor, which he termed 'the normal euphoria of a healthy person.'

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Carl Wernicke lectured about the normal feelings of well-being experienced by patients with mania around 1890.

Answer: False

Explanation: Carl Wernicke lectured about the *abnormal* euphoria observed in patients with mania, distinguishing it from normal feelings of well-being.

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According to a 1920 Popular Science magazine article, euphoria normally makes life worth living and motivates drug use.

Answer: True

Explanation: A 1920 *Popular Science* article stated that euphoria normally makes life worth living and motivates drug use, also noting its potential for being 'ill-formed' in mental illnesses.

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Robert S. Woodworth's 1921 textbook described euphoria as an organic state similar to fatigue, where a person feels less ready for activity.

Answer: False

Explanation: Robert S. Woodworth's 1921 textbook described euphoria as the *opposite* of fatigue, an organic state of feeling good and being more ready for activity.

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Harris Isbell redefined euphoria in the 1950s to include objective signs of morphine administration, such as pupil constriction, because ordinary feelings of well-being were difficult to evaluate objectively.

Answer: True

Explanation: Harris Isbell redefined euphoria in the 1950s to focus on objective signs of morphine administration, such as pupil constriction, due to the difficulty in objectively evaluating subjective feelings of well-being.

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British pharmacologist D. A. Cahal regarded opioid euphoria as medically undesirable in 1957.

Answer: False

Explanation: In 1957, D. A. Cahal viewed opioid euphoria as an effect that *enhances* the value of a major analgesic, not as medically undesirable.

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In a psychiatric context, the 1977 *A Concise Encyclopaedia of Psychiatry* noted that euphoria always has a pathological connotation, often described as bland and out of context.

Answer: True

Explanation: The 1977 *A Concise Encyclopaedia of Psychiatry* stated that in a psychiatric context, euphoria always carries a pathological connotation, often appearing bland and out of context as a sign of cerebral disease.

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The etymological origin of 'euphoria' combines 'eu' meaning 'bad' and 'pherō' meaning 'to carry'.

Answer: False

Explanation: The etymological origin of 'euphoria' is from Ancient Greek 'eu' meaning 'well' and 'pherō' meaning 'to bear,' signifying 'bearing well' or 'feeling good.'

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What is the general definition of euphoria?

Answer: The experience or affect of pleasure or excitement, characterized by intense feelings of well-being and happiness.

Explanation: Euphoria is generally defined as the experience or affect of pleasure or excitement, characterized by intense feelings of well-being and happiness, which can be a normal or pathological state.

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What is the etymological origin of the word 'euphoria'?

Answer: Ancient Greek terms 'eu' meaning 'well' and 'pherō' meaning 'to bear'.

Explanation: The word 'euphoria' originates from the Ancient Greek 'eu' (well) and 'pherō' (to bear), signifying a state of 'bearing well' or 'feeling good.'

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How did a 1706 English dictionary define euphoria?

Answer: The well bearing of the operation of a medicine, meaning when the patient finds himself eased or relieved by it.

Explanation: An early 1706 English dictionary defined euphoria as 'the well bearing of the operation of a medicine,' referring to a patient feeling eased or relieved by its effects.

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Which physician, in the 1860s, described euphoria as bodily well-being and hopefulness, noting its misplaced presentation in terminal illnesses?

Answer: Thomas Laycock

Explanation: Thomas Laycock, an English physician in the 1860s, described euphoria as bodily well-being and hopefulness, specifically noting its pathological presentation in the final stages of some terminal illnesses.

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What did Sigmund Freud's 1884 monograph *Über Coca* describe regarding cocaine?

Answer: Cocaine producing a state he called the normal euphoria of a healthy person, with increased self-control and vigor.

Explanation: In *Über Coca* (1884), Sigmund Freud described cocaine as inducing a state he termed 'the normal euphoria of a healthy person,' characterized by increased self-control, vigor, and work capability.

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Carl Wernicke, around 1890, lectured about what specific aspect of euphoria?

Answer: The abnormal euphoria observed in patients with mania.

Explanation: Around 1890, Carl Wernicke focused his lectures on the *abnormal* euphoria seen in patients with mania, distinguishing it from typical feelings of well-being.

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According to Robert S. Woodworth's 1921 textbook, *Psychology: A study of mental life*, how did he characterize euphoria?

Answer: As an organic state that is the opposite of fatigue, meaning about the same as feeling good.

Explanation: Robert S. Woodworth's 1921 textbook characterized euphoria as an organic state opposite to fatigue, signifying a feeling of well-being and readiness for activity.

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Why did American addiction researcher Harris Isbell redefine euphoria in the 1950s to include objective signs of morphine administration?

Answer: Because he found ordinary feelings of well-being difficult to evaluate objectively.

Explanation: Harris Isbell redefined euphoria in the 1950s to include objective signs of morphine administration because he found subjective feelings of well-being challenging to evaluate objectively in research.

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In 1957, British pharmacologist D. A. Cahal viewed opioid euphoria as:

Answer: An effect that enhances the value of a major analgesic.

Explanation: D. A. Cahal, in 1957, considered opioid euphoria to be an effect that enhances the value of a major analgesic, rather than an undesirable side effect.

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According to *A Concise Encyclopaedia of Psychiatry* (1977), what is the connotation of euphoria in a psychiatric context?

Answer: Always a pathological connotation, often described as bland and out of context.

Explanation: The 1977 *A Concise Encyclopaedia of Psychiatry* states that in a psychiatric context, euphoria always has a pathological connotation, often described as bland and out of context, indicating cerebral disease.

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Neurobiological Mechanisms of Euphoria

The sensation of intense euphoria is generated by the isolated activation of a single hedonic hotspot in the brain's reward system.

Answer: False

Explanation: Intense euphoria is believed to be generated by the simultaneous activation of multiple functionally interrelated hedonic hotspots within the brain's reward system, not by isolated activation.

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Hedonic hotspots are functionally independent neural structures in the brain that generate pleasure.

Answer: False

Explanation: Hedonic hotspots are functionally *interrelated* neural structures within the brain's reward system, meaning their activation is interconnected, not independent.

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Musical anhedonia affects approximately 15% of the population, causing them to experience intense pleasure from emotionally arousing music.

Answer: False

Explanation: Musical anhedonia affects approximately 5% of the population and is characterized by the *inability* to experience pleasure from emotionally arousing music, despite perceiving the emotion.

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A 2019 clinical study found that decreasing dopamine neurotransmission enhances the hedonic impact of music in humans.

Answer: False

Explanation: A 2019 clinical study concluded that *increased* dopamine neurotransmission is a necessary condition for pleasurable hedonic reactions to music in humans, implying that decreasing it would not enhance pleasure.

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How is the sensation of intense euphoria believed to be generated in the brain?

Answer: By the simultaneous activation of every hedonic hotspot within the brain's reward system.

Explanation: Intense euphoria is believed to result from the simultaneous activation of all hedonic hotspots within the brain's reward system, which are functionally interrelated pleasure centers.

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What are hedonic hotspots in the context of neuropsychology?

Answer: Functionally interrelated neural structures in the brain that intrinsically or extrinsically generate feelings of pleasure.

Explanation: Hedonic hotspots are functionally interrelated neural structures in the brain that serve as pleasure centers, generating feelings of pleasure intrinsically or extrinsically.

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What is the role of hedonic hotspots in generating intense euphoria?

Answer: The simultaneous activation of every hedonic hotspot within the reward system is probably necessary for intense euphoria.

Explanation: The simultaneous activation of all hedonic hotspots within the brain's reward system is likely necessary for generating intense euphoria, as these centers are functionally interconnected.

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According to neuroimaging studies, how does music induce euphoria?

Answer: By strongly increasing dopamine neurotransmission in the dopaminergic pathways that project to the striatum.

Explanation: Neuroimaging studies indicate that music induces euphoria by strongly increasing dopamine neurotransmission in the brain's dopaminergic pathways projecting to the striatum, a key part of the reward system.

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What is musical anhedonia?

Answer: The ability to perceive emotion in music but not experience pleasure from it.

Explanation: Musical anhedonia is a condition where individuals can perceive emotion in music but do not experience pleasure from it, affecting approximately 5% of the population.

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A January 2019 clinical study on music-induced pleasure concluded that:

Answer: Increased dopamine neurotransmission is a necessary condition for pleasurable hedonic reactions to music in humans.

Explanation: A 2019 clinical study concluded that increased dopamine neurotransmission is a necessary condition for humans to experience pleasurable hedonic reactions to music.

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Pharmacological Induction of Euphoria (Euphoriants)

A euphoriant is a type of psychoactive drug that specifically induces feelings of anxiety and distress.

Answer: False

Explanation: A euphoriant is a psychoactive drug that induces euphoria, characterized by intense feelings of happiness and excitement, not anxiety and distress.

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Most euphoriants are considered addictive drugs due to their reinforcing properties and activation of the brain's reward system.

Answer: True

Explanation: Euphoriants are largely considered addictive because they activate the brain's reward system, leading to reinforcing properties and a strong desire for repeated use.

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Nicotine is a strong euphoriant, comparable in intensity to methamphetamine.

Answer: False

Explanation: Nicotine is considered a mild euphoriant in some individuals, with effects generally less intense than stronger dopaminergic stimulants like methamphetamine.

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The major psychoactive ingredients in areca nut chewing that cause euphoria are caffeine and theobromine.

Answer: False

Explanation: The primary psychoactive ingredients in areca nut chewing responsible for euphoria are arecoline and arecaidine, not caffeine and theobromine.

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Depressants like alcohol, GHB, and ketamine are incapable of producing euphoria.

Answer: False

Explanation: Certain depressants, including alcohol in moderate doses, GHB, and ketamine, are capable of producing euphoria despite their general calming effects.

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The euphoriant effects of barbiturates and benzodiazepines are primarily determined by the user's personality, not the drug's properties.

Answer: False

Explanation: The euphoriant effects of barbiturates and benzodiazepines are determined by the drug's speed of onset, increasing dose, and method of administration, rather than primarily by the user's personality.

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Benzodiazepines are known to diminish opioid-induced euphoria.

Answer: False

Explanation: Benzodiazepines tend to *enhance* opioid-induced euphoria, a combination that also carries significant risks.

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Pregabalin induces euphoria that is independent of the dose administered.

Answer: False

Explanation: Pregabalin induces *dose-dependent* euphoria, meaning its intensity increases with higher doses, particularly at supratherapeutic levels.

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Gabapentin-induced euphoria is typically more intense than opioid-induced euphoria.

Answer: False

Explanation: Gabapentin-induced euphoria is characterized as opioid-like but *less intense* than opioid-induced euphoria.

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Ethosuximide and perampanel are antiepileptic drugs that can produce euphoria at therapeutic doses.

Answer: True

Explanation: Ethosuximide and perampanel, both antiepileptic drugs, are known to produce euphoria even at their therapeutic doses.

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μ-Opioid receptor agonists, such as dynorphin, are known to cause dysphoria.

Answer: False

Explanation: μ-Opioid receptor agonists cause euphoria, while κ-opioid receptor agonists, like dynorphin, are known to cause dysphoria.

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Traditional psychedelic drugs like LSD and psilocybin are capable of inducing euphoria and are highly addictive.

Answer: False

Explanation: Traditional psychedelic drugs like LSD and psilocybin can induce euphoria but are notable for *lacking addictive qualities*, distinguishing them from many other euphoriants.

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The Global Drug Survey found that MDMA, LSD, and psilocybin mushrooms were ranked most positively on the Net Pleasure Index among recreational drugs studied.

Answer: True

Explanation: The Global Drug Survey indeed reported that MDMA, LSD, and psilocybin mushrooms received the highest positive rankings on the Net Pleasure Index among recreational drugs surveyed.

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Long-term exposure to exogenous glucocorticoids is known to produce sustained euphoria.

Answer: False

Explanation: While acute exogenous glucocorticoid administration can produce euphoria, this effect is *not* observed with long-term exposure, suggesting a transient nature.

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Which of the following is NOT considered a euphoriant?

Answer: Naloxone

Explanation: Naloxone is an opioid antagonist used to reverse opioid overdose and does not induce euphoria; amphetamine, cocaine, and fentanyl are all known euphoriants.

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What are the major psychoactive ingredients in areca nut chewing responsible for its euphoric effect?

Answer: Arecoline and arecaidine.

Explanation: The euphoric effect of areca nut chewing is primarily attributed to arecoline, a muscarinic receptor partial agonist, and arecaidine, a GABA reuptake inhibitor.

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Which of these depressants can produce euphoria?

Answer: Alcohol in moderate doses, γ-hydroxybutyric acid (GHB), and ketamine.

Explanation: Alcohol in moderate doses, γ-hydroxybutyric acid (GHB), and ketamine are depressants known to produce euphoric effects.

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What factors determine the euphoriant effects of barbiturates and benzodiazepines?

Answer: The drug's speed of onset, increasing dose, and method of administration.

Explanation: The euphoriant effects of barbiturates and benzodiazepines are influenced by the drug's speed of onset, the dose administered, and the method of administration.

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How does pregabalin induce euphoria?

Answer: It induces dose-dependent euphoria, becoming more frequent at supratherapeutic doses.

Explanation: Pregabalin induces dose-dependent euphoria, meaning the euphoric effect becomes more pronounced and frequent at higher, particularly supratherapeutic, doses.

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Which type of opioid receptor agonists are known to cause dysphoria, the opposite effect of euphoria?

Answer: κ-Opioid receptor agonists

Explanation: κ-Opioid receptor agonists, such as dynorphin, are known to cause dysphoria, a mood state characterized by profound discontent, which is the opposite of euphoria.

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Which of the following is a cannabinoid receptor 1 agonist known to be a euphoriant?

Answer: THC

Explanation: THC (tetrahydrocannabinol) is a cannabinoid receptor 1 agonist and a well-known euphoriant derived from the cannabis plant.

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Which inhalant is specifically mentioned as being known to induce euphoria?

Answer: Nitrous oxide (N2O)

Explanation: Nitrous oxide (N₂O), commonly known as laughing gas, is an inhalant specifically mentioned for its ability to induce euphoria.

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What distinguishes traditional psychedelic drugs like LSD and psilocybin from many other euphoriants?

Answer: They are capable of inducing euphoria despite lacking addictive qualities.

Explanation: Traditional psychedelic drugs such as LSD and psilocybin are unique among many euphoriants because they can induce euphoria without possessing addictive qualities.

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According to the Global Drug Survey, which recreational drugs were ranked most positively on the Net Pleasure Index?

Answer: MDMA, LSD, and psilocybin mushrooms.

Explanation: The Global Drug Survey identified MDMA, LSD, and psilocybin mushrooms as the recreational drugs ranked most positively on the Net Pleasure Index by participants.

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What is the effect of acute exogenous glucocorticoid administration on mood?

Answer: It produces euphoria, but this effect is not observed with long-term exposure.

Explanation: Acute administration of exogenous glucocorticoids can induce euphoria, but this mood elevation is not sustained with long-term exposure.

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Which of the following is an example of a GABA_A receptor positive allosteric modulator (PAM) or agonist that is a euphoriant?

Answer: Muscimol

Explanation: Muscimol is an example of a GABA_A receptor positive allosteric modulator or agonist that functions as a euphoriant, alongside substances like alcohol and benzodiazepines.

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Which drugs are classified as classical dopamine reuptake inhibitors or dopamine releasing agents and are considered psychostimulants?

Answer: Cocaine and amphetamine.

Explanation: Cocaine and amphetamine are classified as psychostimulants, acting as classical dopamine reuptake inhibitors or dopamine releasing agents, respectively.

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What are gabapentinoids, and which of the following is an example listed as a euphoriant?

Answer: α2δ ligands; Pregabalin.

Explanation: Gabapentinoids are α2δ ligands, and pregabalin is an example listed as a euphoriant within this class of medications.

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Non-Pharmacological and Natural Euphoria

Fasting has been associated with improved mood and a sense of well-being, and sometimes euphoria.

Answer: True

Explanation: Fasting has been linked to improved mood, a sense of well-being, and in some cases, euphoria, with potential applications in treating depression.

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Which of the following natural activities is NOT mentioned as being able to induce euphoria?

Answer: Reading a complex philosophical text

Explanation: The provided source mentions aerobic exercise, laughter, listening to or making music, and dancing as natural activities that can induce euphoria, but not reading complex philosophical texts.

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Which of the following is NOT listed as a main category of stimuli that can induce euphoria?

Answer: Extreme physical pain

Explanation: The main categories of stimuli listed as inducing euphoria are psychoactive drugs, natural rewards, and social activities; extreme physical pain is not included.

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What is 'runner's high' or 'rower's high' a colloquial term for?

Answer: Exercise-induced euphoria.

Explanation: 'Runner's high' and 'rower's high' are colloquial terms for exercise-induced euphoria, a transient emotional state of pleasure and well-being experienced during or after intense physical activity.

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Clinical and Social Manifestations of Euphoria

Euphoria is strongly associated with hypomania and mania, which are characterized by a pathological heightening of mood.

Answer: True

Explanation: Euphoria is indeed strongly associated with hypomania and mania, which are neuropsychiatric states defined by a pathological heightening of mood.

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Euphoria sclerotica is a syndrome that occurs in persons with multiple sclerosis and typically includes euphoria along with cognitive and behavioral dysfunction.

Answer: True

Explanation: Euphoria sclerotica is a recognized syndrome in multiple sclerosis patients, characterized by euphoria alongside other cognitive and behavioral dysfunctions.

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Gender euphoria is the distress felt by a person due to inconsistency between their gender identity and gendered features.

Answer: False

Explanation: Gender euphoria is the *satisfaction or enjoyment* felt due to consistency between gender identity and gendered features, serving as the positive counterpart to gender dysphoria.

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Experiences of intersex variation and their diagnoses, such as congenital adrenal hyperplasia, have been associated with euphoria.

Answer: True

Explanation: Studies have recorded euphoria associated with experiences of intersex variation and their diagnoses, such as congenital adrenal hyperplasia, when these align with identity and social recognition.

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What is gender euphoria?

Answer: The satisfaction or enjoyment felt due to consistency between gender identity and gendered features.

Explanation: Gender euphoria is defined as the satisfaction or enjoyment experienced when there is consistency between a person's gender identity and their gendered features, contrasting with gender dysphoria.

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