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Chapter 16 - Psychological and Biological Treatments
final exam prep
68
Psychology
Undergraduate 1
04/14/2014

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Term
Therapists treat people of all ages and social, cultural, and ethnic backgrounds. Individuals with anxiety, and those with minor and temporary problems, are most likely to benefit from therapy. Socioeconomic status, gender, age, and ethnicity don't predict treatment outcome.
Definition
Describe who seeks treatment, who benefits from psychotherapy, and who practises psychotherapy.
Term
Psychotherapy
Definition
___________ can be defined as a psychological intervention designed to help people resolve emotional, behavioural, and interpersonal problems and improve the quality of their lives
Term
women
Definition
In general (women/men) are more likely to seek psychotherapy.
Term
less
Definition
Hispanics are (less/more) likely than non-Hispanics to seek mental health services.
Term
can
Definition
People (can/can't) be helped by therapists who differ from them in significant ways.
Term
likely
Definition
Individuals who experience some anxiety or minor, temporary problems are (not likely/likely) to benefit from therapy.
Term
A 1964 study found that many therapists preferred to treat people who were relatively young, attractive, verbal, intelligent, and successful. Therapists have recently become more aware of the importance of assisting a broad clientele of all ages and cultural backgrounds.
Definition
What was the ideal client like, according to a 1964 study of people in therapy? Has that view changed today?
Term
Unlicensed paraprofessionals with no formal training, as well as licensed professionals, can be equally effective as trained therapists. Warmth, selecting important topics to discuss, not contradicting clients, and the ability to establish a positive relationship are more important determinants of a therapist's effectiveness than formal training or being licensed.
Definition
Distinguish between professionals and paraprofessionals, and describe what it takes to be an effective therapist.
Term
paraprofessional
Definition
A person with no professional training who provides mental health services is called a ______________.
Term
isn't
Definition
In most provinces, the term "therapist" (is/isn't) legally protected.
Term
In this show, Laura develops sexual feelings for her therapist, Paul. Paul almost follows through with a sexual relationship with her, but he ends up getting a panic attack and pussying out. Had he followed through, his behaviour would've been unethical.
Definition
How ethical was the client-therapist relationship in the television drama "In Treatment"?
Term
ineffective
Definition
A therapist who talks a lot about his or her personal life is likely to be (effective/ineffective).
Term
The core beliefs of psychodynamic therapies are the importance of the unconscious, childhood experiences, expressing emotions and reexperiencing past events, and acquiring insight. Evidence for psychodynamic therapies is based largely on small and highly select patient samples, anecdotal studies, and the questionable curative value of insight, although controlled studies suggest that these therapies may be helpful in some cases.
Definition
Describe the core beliefs and criticisms of psychodynamic therapies.
Term
free association
Definition
In the technique of _________________, clients are allowed to express themselves without censorship of any sort.
Term
less
Definition
Neo-Freudians placed (more/less) emphasis on the unconscious than did Freudians.
Term
individuation
Definition
According to Jung, ____________ is the integration of opposing aspects of the patient's personality into a harmonious "whole"--namely, the self.
Term
isn't
Definition
Critics of psychodynamic therapies assert that understanding our emotional history (is/isn't) required to relieve psychological distress.
Term
Humanistic therapies hold that self-actualization is a universal human drive, and adopt an experience-based approach in which clients work to fulfill their potential. Research suggests that genuineness, unconditional positive regard, and empathic understanding are related to improvement.
Definition
Describe and evaluate the effectiveness of humanistic therapies.
Term
person-centred
Definition
In Roger's __________ therapy, the therapist uses reflection to communicate empathy to the client.
Term
Gestalt therapy's two-chair technique aims to integrate opposing aspects of the client's personality, such as the "good boy" and the "spoiled brat."
Definition
Explain the two-chair technique as used by Gestalt therapists.
Term
Group methods span all schools of psychotherapy and are efficient, time-saving, and less costly than individual methods. Participants learn from others' experiences, benefit from feedback and modelling others, and discover that problems and suffering are widespread. AA is helpful for some clients, but appears to be no more effective than other treatments, including CBT. Research suggests that controlled drinking approaches can be effective for some people with alcoholism.
Definition
List the advantages of group methods and describe the research evidence concerning the effectiveness of Alcoholics Anonymous.
Term
common
Definition
It is (rare/common) for self-help groups to form on the Internet.
Term
abstinence violation
Definition
The relapse prevention approach teaches people to not feel ashamed or discouraged when they lapse, in an effort to avoid the _________________ effect.
Term
Family therapies treat problems in the family system. Strategic family therapists remove barriers to effective communication, whereas structural family therapists plan changes in the way family interactions are structured.
Definition
Identify different approaches to treating the dysfunctional family system.
Term
Strategic family interventions
Definition
____________________ are designed to remove barriers to effective communication within the family.
Term
structural
Definition
In _____________ family therapy, the therapist is actively involved in the everyday activities of the family to change the structure of their interactions.
Term
Behavioural therapy is grounded in the scientific method and based on learning principles. Exposure therapies confront people with their fears. Exposure can be gradual and stepwise or start with the most frightening scenes imaginable. Modelling techniques, based on observational learning principles, include behavioural rehearsal and role-playing to foster assertiveness. Token economies and aversion therapies are based on operant conditioning principles.
Definition
Describe the characteristics of behavioural therapy and identify different behavioural approaches.
Term
exposure therapy
Definition
A class of procedures that confronts patients with that they fear with the goal of reducing this fear is known as ______________.
Term
systematic desensitization
Definition
During _____________________, clients are taught to relax as they are gradually exposed to what they fear in a stepwise manner.
Term
"In vivo" means "in real life". Clients gradually approach and handle any fears, as these clients are doing as they overcome their fear of flying. In vivo desensitization involves real-life, gradual exposure to what the patient actually fears, rather than imagining the anxiety-provoking situation.
Definition
What is in vivo exposure therapy, and how can it help people with a fear of flying?
Term
flooding
Definition
Patients are exposed right away to images of stimuli that they fear the most for prolonged periods during ___________.
Term
response prevention
Definition
A crucial component of flooding is _______________, in which the therapist blocks clients from performing their typical avoidance behaviours.
Term
Synonymous with observational learning. An example would be participant modelling, a technique in which the therapist models a calm encounter with the client's feared object or situation, and then guides the client through steps of the encounter until she can cope unassisted.
Definition
Define vicarious learning and provide an example.
Term
EMDR (Eye Movement Desensitization and Reprocessing)
Definition
In _________, the patient focuses on the therapist's fingers as they move back and forth while reliving a traumatic memory. Studies indicate that such eye movements play no useful role in the procedure's effectiveness.
Term
participant modelling
Definition
During _________________, the therapist first models a problematic situation and then guides the client through steps to cope with it.
Term
token economy
Definition
In ________________ programs, desirable behaviours are rewarded through the consistent application of operant conditioning princples. (patient receives a "token" for every good behaviour noticed, and these "tokens" can be redeemed for desirable prizes
Term
Cognitive-behavioural therapists modify irrational and negative beliefs and distorted thoughts that contribute to unhealthy feelings and behavious. Ellis's rational emotive behavioural therapy, Beck's cognitive therapy, and Meichenbaum's stress inoculation training are influential variations of CBT.
Definition
Describe the features of cognitive-behavioural therapies (CBT).
Term
belief
Definition
Ellis's rational emotive behavioural therapy (REBT) emphasizes that our ____________ systems play a key role in how we function psychologically.
Term
stress inoculation training
Definition
In Meichenbaum's (1985) _______________________, therapists teach clients to prepare for and cope with future stressful life events.
Term
Many therapies are effective. Nevertheless, some therapies, including behavioural and cognitive-behavioural treatments, are more effective than other treatments for specific problems, such as anxiety disorders. Still, other treatments, like crisis debriefing, appear to be harmful in some cases.
Definition
Evaluate the claim that all psychotherapies are equally effective.
Term
effective
Definition
The dodo bird verdict suggests that all types of psychotherapies are equally __________.
Term
no consensus
Definition
Among researchers there is (strong consensus/no consensus) that the dodo bird verdict is correct.
Term
more
Definition
Research shows that behavioural and cognitive behavioural therapies are (more/less) effective than other treatments for children and adolescents with behavioural problems.
Term
80 percent
Definition
Most studies show that (20 percent/80 percent) of people who receive psychotherapy do better than the average person who does not.
Term
Scared Straight programs, which expose adolescents to prison life are ineffective and can actually increase the rate of problem behaviours in teens.
Definition
What does research suggest about the effectiveness of Scared Straight programs?
Term
Empirically supported therapies
Definition
____________________ are treatments for specific disorders that are supported by high-quality scientific evidence.
Term
Ineffective therapies can appear to be helpful because of spontaneous remission, the placebo effect, self-serving biases, regression to the mean, and retrospective rewriting of the past.
Definition
Explain how ineffective therapies can sometimes appear to be effective.
Term
Positive life events can help to explain spontaneous remission, the phenomenon of a psychological problem improving without any intervention.
Definition
What kind of effect can positive life events, like major job promotions, have on psychological problems?
Term
self-serving bias
Definition
Even when they don't improve, clients who have invested time, money, and emotional effort in psychotherapy may convince themselves that they've been helped, a psychological phenomenon known as the __________________.
Term
high
Definition
According to the regression to the mean phenomenon, if a client comes into treatment extremely depressed, the chances are (high/low) that she'll be less depressed in a few weeks.
Term
self-help books
Definition
Canadians spend millions each year on __________________ that promise self-improvement.
Term
Medications are available to treat psychotic conditions (neuroleptics/antipsychotics or major tranquilizers), bipolar disorder (mood stabilizers), depression (antidepressants), anxiety (anxiolytics), and attentional problems (psychostimulants).
Definition
Recognize different types of drugs to treat psychological conditions.
Term
psychopharmacotherapy
Definition
The use of medications to treat psychological problems is called __________________.
Term
schizophrenia
Definition
The first major drug for a psychological disorder, Thorazine (chlorpromazine), was used to treat ______________.
Term
selective serotonin reuptake
Definition
Prozac and Zoloft are among the best known _______________________ inhibitors.
Term
is not
Definition
There (is/is not) scientific evidence for an "optimal level" of serotonin or other neurotransmitters in the brain.
Term
People who prescribe drugs must be aware of side effects, not overprescribe medications, and carefully monitor the effects of multiple medications on an individual (polypharmacy).
Definition
Outline key considerations in drug treatment.
Term
do not
Definition
People of different races and cultures (do/do not) respond equally to the same dose of medication.
Term
children; adolescents
Definition
The safety and effectiveness of SSRIs when prescribed to ___________ and __________ have been called into question because of increased risk of suicidal thoughts.
Term
overprescribed
Definition
The drug Ritalin, used to treat ADHD, is an example of a medication that many feel has been _____________ and may substitute for effective coping strategies for focusing attention.
Term
Contrary to popular belief, electroconvulsive therapy (ECT) is not painful or dangerous, and doesn't invariably produce memory loss, personality changes, or brain damage. Psychosurgery may be useful as a treatment of absolute last resort.
Definition
Identify misconceptions about biomedical treatments.
Term
electroconvulsive therapy
Definition
During __________________, patients receive brief electrical pulses to the brain that produce a controlled seizure to treat serious psychological problems including depression.
Term
Short-term confusion and clouded memory (to what just happened right before the procedure) are typical side-effects of ECT. More noteworthy side effects are memory and attention problems persisting in some patients for up to six months after treatment. Unilateral ECT (electrode on right side of head) produces slightly less side effects than Bilateral ECT (electrodes on both sides of head).
Definition
What are the potential side effects of ECT?
Term
Psychosurgery is brain surgery used to treat psychological problems. Psychosurgery once involved the destruction of significant portions of the brain, resulting in impaired memory, diminished emotion and creativity, and personality change. Psychosurgery today is much more sophisticated and associated with significantly milder side effects. Nevertheless, the stigma surrounding psychosurgery remains.
Definition
Define psychosurgery and explain its potential side effects.
Term
Interpersonal therapy (IPT)
Definition
________________ is a treatment that strengthens social skills and targets interpersonal problems, conflicts, and life transitions.
Term
dismantling
Definition
The research procedure for examining the effectiveness of isolated components of a larger treatment is called ___________.
Term
Aversion
Definition
___________ therapy is a treatment that uses punishment to decrease the frequency of undesirable behaviours.
Term
meta-analysis
Definition
____________ is a statistical method that helps researchers to interpret large bodies of psychological literature.
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