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Terms in this set (170)

How has psychodynamic therapy changed over time

it focuses on all relationships, not just early experiences

which is not a problem with benzodiazepines

tardive dyskinesia

the conventional antipsychotic drugs had a problematic side effect involving abnormal movement

tardive dyskinesia

a good example of psychotherapy being used as aguardian of the status quo

occurred when psychiatry was used as a means of political control in the former Soviet Union

the main use of lithium is for

bipolar disorder

which is the most significant challenge to establishing that therapy is effective

many people improve without formal treatment

what does is mean to say a study is "double blind"

both the patient being given the drug and whoever will evalutate the drug's effects do not know whether the patient was given the treatment or the placebo

prozac is a

selective serotonin reuptake inhibitor

a randomized clinical trial

is a study where people are assigned to different groups by the flip of a coin

which is not an element of a therapeutic alliance

client acceptance of the therapist's alliance

what is one of the best predictors of future

past history of violence

what might be a component of a biologically based universal strategy for preventing mental illness

encouragin regular physical activity

although the majority of currently disordered persons show no tendency toward violence, an increased risk of violence is likely among those who

currently experience psychotic

the durham rule

focused on the cause of an unlawful act

selctive intervention programs that teach adolescents social skills and enhance feelings of competency are

aimed at increasing self-esteem and reducing the influence of negative peer pressure

the process by which lithium reduces the likelihood of mood swings

is unknown at this time

while _____ can be used in treatment, it also is a means by which problematic behaviors are acquired

modeling

why should defense lawyers be cautious about using the insanity defense

it rarely works

a doctor prescribing lithium should never say

"we are going to 'target dose' your lithium: when you feel symptoms coming on take your medication

why has the attempt to reduce the drug supply from other countries not reduced the rate of adolescent substance abuse

the drugs most abused by adolescents are alcohol and tobacco, which are easily available

therapy outcome studies depend on rating of the changes seen in clients

the cannot see the client's behavior in a range of settings

research on the impact of matching the clients race and ethnicity with the therapists indicates

there is no solid evidence that outcomes are diminshed when the client and therapist are not matched

in contrast to most other forms of therapy, the client centered therapist

does not give answers or interpretations nor even steer the client onto certain topics

the use of electroconvulsive therapy can be traced to

the belief that schizophrenia and epilepsy are rarely comorbid disorders

for bipolar patients, the risk of relapse after discontinuing lithium is

roughly 50% within six months

the use of lithium in the US was delayed due to

the fact that could not be patented

atypical antipsychotics are more commonly used today because

may effective treat both positive and negative symptoms of schizophrenia

joan was surprised, when she went to therapy, her therapist didn't ask her questions but just listened to her talk

client centered therapy

psychotherapy is best viewed as

a set of tools

which changed with the federal insanity defense reform act of 1984

it put the burden of proof on the defense

whcih of the activities does NIMH perform

support professional training and provide public with intormation on mental health

for which person is aftercare liekly to be helpful because the person will fir the services typically offered

ned, who has had several schizophrenic episodes

at rush general, the inpatient mental ward emplys a program that focuses on modifying behavior of the patients by giving them gold stars for good behavior and ignoring undesirable behavior

social learning

which might be a component of a biologically based universal strategy for preventing mental illness

encouraging regular physical activity

a son of a critical father comes to therapy one data nd with no provocation is extremely hostile in his remarks to the therapist. the therapist might consider that _____ is occurring

transference

dr. lucas says to a client with anxiety disorders, "it is your unrealistic beliefs and perfectionist values that cause you to be so anxious, not the events of you life..."

rational emotive behavior

which is a characteristic of therapeutic community

individual responsibility

psychodynamic interpersonally oriented therapies agree with classical psychoanalysis in the importance of

understanding the present in terms of the past

all of the following are social forces that affect teen drug use except

increased potency of street drugs

a token economy is

a type of contingency managment

Chrissy and her therapist together wrote a list of ten scenes involving Chrissy's fear of flying. After teaching her a relaxation technique, Chrissy's therapist told her to imagine herself in the least frightening scene while she made herself feel relaxed. Chrissy is undergoing

systematic desensitizatino

dennis has disorganized type of schizophrenia. He has lived in an institution for years. He rarely shows any attempt at socializing. A new program is started-- every time Dennis speaks to another person he is given a piece of red paper. At the end of each week, he can use the red papers to get cigarattes or extra priveleges. This new program is

a token economy

punishment is a component of

aversion therapy

which is believed to be essential for effective treatment

agreement between the client and the therapists about the goals of the treatment

why are the SSRI's the most commonly used antidepressants today

their side effect are more tolerable than those of first generation antipsychotics

because much of Donald's depression is a result of his lack of a healthy sexual relationship with his wife, Dr. Jones figured that the best drug to treat him would be

Welbutrin

which person described below is the typical client in psychotherapy

there is no typical client

one criticism of traditional behavioral couple therapy has been

the emphasis on change

freud called dreams the royal road to the unconscious because

he believed that defenses were lowered during sleep and repressed materials would start to come out during dreams

what is usually used as a placebo in a study of psychosocial treatments

a wait list

the text reported the case of a three year old autistic boy who was reinforced initially for picking up eyeglass frames, then for holding them, then for carrying them around, and then for putting the frames on his head. This is an example of

response shaping

a major advantage of the atypical antipsychotic drugs is that

they have a low risk of movement related side effects

according to psychoanalysts, what is the therapists task when doing drea analysis

unconver the disguised meanings, of the manifest content

a psychotesapist says to her client, "say whatever comes to your mind, no matter hoe strange or painful it might seem." the psychotherapist is encouraging

free association

traditional behavioral couples therapy

uses training in communication skills and problems solving to increase caring behaviors in couples

which of the following is an advantage of using Beck's cognitive treatment for depression, as compared to drugs

the likelihood of relapse is decreased

which of the following is a criticism of humanisitc-experimental therapies

goals are not clear

the focus or process experimental therapy is

experiencing of emotions during therapy

which of the following statements about therapy is true

even people who are happy and successful can still benefit from therapy

the current practice of providing treatment stresses

the coordination of services in the community

the new antianxiety drug Buspar has the advantage that

it has a low potential for abuse

why is it important to prevent teen alcohol use

early alcohol use is associated with later alcohol abuse and dependence

which of the following is a characteristic of a therapeautic community

individual responsibility

what was unusual about the Hinckley case

he was successful in pleading the insanity case

according to the M'Naghten Rule, insanity is defined as

not knowing right from wrong

what kind of mistake do most mental health professionals make when assesing dangerousness

they over predict violence

the use of durge that have noxious effects and viewing movies that elicit disgust are both techniques associated with

aversion therapy

drugs that block dopamine receptors are most liekly to be used to

treat psychotic disorder

efforts at reducing racism as a means of preventing mental illness would be an _______ intervention

selective

one criticism of traditional behavioral couple therapy has been

the emphasis on changw

community based treatment programs are now referred to as

after care programs

which of the following would be the most objective way of evaluation treatment success

meauring the change in through personality tests and other instruments

what two professional groups deal extensively with emotional problems but typically do not have specific training in counseling

physicians and the clergy

what do the medications used to treat mental illnesses do

treat the symptoms of the illness

according to the views of Carl Rogers, how should children be raised

they shold be permitted to blossom into the people they are destined to be

Dr. Hart says, for me the goal of treatment is not to uncover inner conflicts, but to help the client achieve adaptive

behavior

how often are medications and therapy combined today

research suggests that over half of those in treatment receive both psychotherapy and medication

what recent changes have altered the types of therapy available

there is an increased need to prove that therapy is effective

in the mid-1900s, prefrontal lobotomies were popular as a treatment because

there weren't many other available treatments

the outcome of psychotherapy is usually dependent on whether the therapist and the client achieve

a productive working alliance

the time course of the effects of antidepressant medications suggests that

changes in cellular functioning are neccessary to alleviate the symptoms of depression

suzanne is takinga benzodiaepine to treat her anxiety. she should be concerned that

she may become physically dependent on the drug

all of the following are challenges of conducting randomized clinical trials of the effectiveness of therapy except

there is a little variation between differnt types of therapy

which of the following would be the most liekly candidate for ECT

a pregnant and depressed 25 year old

a typical defense strategy, to try to counteract public anger about the insanity defense is to

portray the defendant as someone who was themselves a victim

all of the following are sociocultural efforts toward universal prevention of mental disorders except

penal systems

predicting dangerousnes is most comparable to

preparing a weather forecast

the underlying basis of the insanity effect if

some people who have a mental illness are not able to fully comrehend their behavior, so are not able to form the needed intent for a crime, so shouldn't be punished

what impact have HMOS had on mental health care

greater emphasis has been placed on finding treatment approaches that are time and cost efficient

which of the following was a result of teh americans with disabilities act

employers cannot discriminateagainst people with psychiatric problems

tarasoff style laws

are in a majority of states but vary quite a bit

most of NIMH's programs are

actually planned and run by state and local organizations

oscar has been prescribed the following drugs over the years: valium, serax, and ativan. we can gues that oscar has had problems with

anxiety and insomnia

an attorney says "my client has a mental disorder that made it impossible at the time of the crime to have intended..."

an insanity defense

which of the followng is a form of behavioral therapy that is commonly used in the treatment of anxiety disorders

systematic desensitization

which of the following is a disadvantage of psychotherapy

it takes time

which of the following can be committed against their will to a psychiatric ward

kathie, who has schizophrenia and has been threatening to hurt people on the street

key ideas in gestalt therapy are

integratino of mind and body, dream interpretation, and emotional impasse

which of the following is a disadvantage of teh use of drugs to treat psychological disorders

relapse is likely when drugs is terminated

what is usually used as a placebo in a study of psychosocial treatment

a with list

the history of abnormal psychology makes it clear that

the field can be profoundly changed through individual effort

the use of drugs with noxious effects and viewing movies that elicit disgust are both techniques associated with

aversion therapy

behoavior theory is based on the belief that

abnormal behavior is learned the same ways as normal behavior and can be unlearned

_____ therapies developed in reaction to problems of alienation, loneliness, and failure to find meaning in life

humanistic existential

knowing right from wrong is to ____ as "unlawful act was the product of mental disease" is to _____

mnaughten rule, durham rule

all of the following are social forces that affect teen drug use except

increased potency of street drugs

although the majority of currently disorderd persons show no tendency toward violence, an increased risk of violence is likley among those who

currently experience psychotic symtoms

Lawrence, a hypochondriac, gains a great deal of attention from his family when he complains about health problems; they tend to ignore him when he talks about other topics. A behavior therapist has instructed the family to reverse these responses: ignore the complaints and reinforce other topics. What kind of treatment does this best illustrate?

contingency management

Family-oriented alcohol prevention problems have been developed because

teen views of alcohol typically reflect those of their parents

Which of the following has the best chance of successfully pleading not guilty by reason of insanity?

susie, who has schizo has ben in and out of hospitals her whole life, who triend to break the arm of a romantic rival

Dr. Patel says this about his goals in therapy: "I want my patients to become aware of their repressed memories from childhood and come to terms with them in the light of adult realities." Dr. Patel most likely prefers ________ therapy.

psychodynamic

Universal interventions are concerned with two key tasks:

altering conditions that cause disorders and establishing conditions that doster positvie mental health

The Brady family is attending family therapy sessions. The therapist has told them, "If the whole family context changes, Marcia's problem behavior will change as well." The family therapist probably agrees with the ________ therapy approach

a structural family

One of the main reasons it is so hard to predict future dangerousness is

situational circumstances play as large a role as an individuals personality traits

Indicated prevention emphasizes

the early detection and prompt treatment of maladaptive behavior in a person's community setting

What is the goal of school-based drug and alcohol education programs?

to teach children about drugs so that they can make informed choices

what is one of the best predictors of future violence?

past history of violence

All of the following are elements of "milieu therapy" EXCEPT

teaching social skills and problem solving

Dr. McDougal's specialty is forensic psychology. We can imagine that she

is concerned with the legal status of the mentally ill

Which of the following is TRUE regarding the use of mental health resources in private industry?

many companies have recently begun providing psychological services through employee assistance programs

A clinical psychologist who said that maladaptive behaviors are shared between members of a relationship and not just the responsibility of an individual would be in harmony with therapists who take the ________ approach.

family therapy

Which of the following was an unforeseen consequence of deinstitutionalization?

a rise in homelessness

Jack tells his therapist about a dream in which he struggles to drive a car that takes him in directions he does not want to go. The therapist interprets the dream to mean that Jack is trying to get control of his career future but feels he is being controlled by others. This suggests that the

manifest content of the dream is the story of the car

Efforts to counterbalance the social factors that entice adolescent binge drinking are examples of

selective interventions

why is a drug that produces long lasting results desirable

it will need to be taken less frequently

The verdict of Guilty but Mentally Ill

means people with mental illness that are found guilty of a crime go to the hospital until they are better, then return to jail to serve out their sentence

Sarah has just received her first treatment of electroconvulsive therapy. She is most likely to

experience amnesia and confusion for an hour after the treatment

The advantage of using outside independent observers or pre-post test comparisons to evaluate a client's progress is that

they increase the objectivity ratings over those given by the poeple involved in treatment

Psychological and physiological dependence is a well-documented danger of using

anxiolytics

Antidepressants are used to treat all of the following EXCEPT

schizophrenia

lithium was once used

as a salt substance

community based facilities that provide aftercare are typically run by

the residents themselves

in most states with a tarasoff type rule, when a client threatens someone a therapist must

make a reasonable effort to warn potential victims

when is peer influence most powerful for high risk teens

when there is a lack of adult supervision

the broadest of the insanity rules is the

durham rule

which of the following is sociocultural effort toward universal prevention

public education

One difference between voluntary hospitalization and involuntary commitment is that people who are in the hospital voluntarily

can, with sufficient notice, leave the hospital when they want to

Under what circumstances might the use of medications prior to psychotherapy be essential?

when the patient's symptoms are so severe that they make psychotherapy impossible

Which phrase best captures how well mental health professionals do in predicting the occurrence of dangerous acts?

not as well as we would like

Project Northland demonstrated that

community wide "no-use" norms for teens can be taight

The most recent research on deinstitutionalization has found

inpatient hospitalization has been increasing due to the failure to provie adequate care in the community

In understanding and treating mental disorders, the World Health Organization at the present time has

been very much aware of the interrelationship between physical, psychosocial, and sociocultural factors

In what way does therapy differ from simply talking to a friend or family member about a problem?

a therapist's interaction with a client is guided by theory

What led to the development of family systems therapy?

the realization that the family environment played a role in whther relapse occurred

What doctrine came out of the original Tarasoff v. Regents of the University of California et al. case?

the duty to warn

Which of the following is NOT an advantage of behavior therapy?

it works well if a problem is vage and ill defined

While ________ can be used in treatment, it also a means by which problematic behaviors are acquired when others' behavior is problematic.

modeling

Prozac is a

selective serotonin inhibitor

A typical defense strategy, to try to counteract public anger about the insanity defense, is to

portray the defendant as someone who was him or herself a victim

The process by which lithium reduces the likelihood of mood swings

is unknown at this time

While most antianxiety drugs act on ________, Buspar acts primarily on ________.

GABA; serotonin

While there is little research on the different substance abuse prevention programs, what there is on programs such as D.A.R.E. suggests

they are mostly ineffective

drugs that block dopamine receptors are most likely to be used to

treat psychotic disorders

a nobel prize winning treatment for scizophrenia was

prefrontal lobotomies

What do the National Association for Mental Health, the National Association for Retarded Citizens, and the National Alliance for the Mentally Ill (NAMI) have in common?

They all try to improve services and educate the government and public about various problems.

what has research on the use of a combined approach to the treatment of depression deomstrated

medication in combination with therapy yields the best results

punishment is a component of

aversion therapy

the time course of the effect of antidepressant medications suggests that

changes in celluar functioning are necessary to alleviate the symptoms of depression

whic of the following best illustrates the analysis of resistance

noting that the client is able to talk freely about his mother but not report anythign about his father

in beck's cognitive therapy, an early "hw" assignment would be

recording one's automatic thoughts and their associated emotional reactions

psychodynamic interpersonally oriented therapies agree with classical psychoanalysis in the importance of

understanding the present in terms of the past

what treatment approach is most liekly to be employed by an HMO to treat an anxiety disorder

pharmacotherapy

to summarize what is known about psychotherapy effectiveness we can say that

the chance of an vverage client benefiting significantly are impressive

an analysis of brief psychodynamic psychotherapy found that

there is great promise in it for borderline personality disorder

yuko is painfully shy...

modeling

cognitve behavioral therapy

assumes that thinking influences emotion, motivation, and behavior

in order to prevent long term consequences ______ interventions are provided immediately after a disaster such as a plane crash

indicated

indicated prevention emphasizes

the early detection and prompt treatment of maladaptive behvaior in a person's community setting

how commonly are medications and therapy combined today

research suggests that over hald of those in treatment receive both psychotherapy and medication

once a person has been involuntarily committed to a mental institution, he or she

mayrefuse treatment

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Which of the following is the most important determinant of the effectiveness of psychotherapy?

_Willingness of the Patient: Perhaps the greatest determinant of how effective psychotherapy can be is the willingness of the patient. Therapy only works when the patient has a desire to get better.

What is most true about the status of therapy effectiveness quizlet?

What is most true about the status of therapy effectiveness? Most researchers believe therapy is effective, but there are a few critics who question its efficacy. Keeping the identity of your client confidential. It implies trust.

What is the most important factor that determines whether or not therapy is successful?

The most important aspect of effective therapy is that the patient and the therapist work together to help the patient reach their goals in therapy. Q. Some therapists consistently produce better outcomes than others, regardless of treatment and patient characteristics.

Which of the following is the best predictor of therapeutic success?

Interestingly enough, patients and therapists often (but not always) agree on the quality of their relationship. However, it is the patient's perception of the quality of the relationship that is the strongest predictor of treatment success.