Psych Study Guide: Chapter 16

ECT stands for electroconvulsive therapy, which is a medical treatment used for severe mental illnesses such as major depression, bipolar disorder, and schizophrenia. It involves passing electric currents through the brain to induce controlled seizures, which can help alleviate symptoms and improve mental health. ECT is typically used when other treatments have failed or when there is a need for rapid and effective intervention. It is administered under anesthesia and is considered safe and effective when performed by trained professionals.

Play therapy involves the use of toys as a therapeutic process. It is a form of therapy where children can express their thoughts, emotions, and experiences through play. By engaging in play, children can communicate and work through their difficulties in a safe and non-threatening environment. Play therapy allows the therapist to observe and understand the child's behavior, providing insights into their emotional and psychological well-being. This therapeutic approach is particularly effective for children who may have difficulty expressing themselves verbally.

Group therapy can decrease a client's shame and isolation about a problem. In a group therapy setting, individuals with similar issues come together to share their experiences, emotions, and challenges. This creates a supportive environment where clients can realize that they are not alone in their struggles. By hearing others' stories and receiving empathy and understanding from group members, clients can feel more accepted and less ashamed or isolated. This can lead to increased self-esteem, improved coping skills, and a sense of belonging, ultimately benefiting their overall mental health and well-being.

This scenario describes involuntary treatment. Stavros is required to attend therapy sessions as part of his prison sentence, even though he doesn't want to. The consequence of not attending these sessions is an extension of his sentence, indicating that his attendance is not optional but mandatory. Therefore, the treatment is involuntary.

Psychiatric hospitals replaced asylums in caring for the mentally ill. Asylums were often overcrowded and lacked proper medical care, leading to poor treatment of patients. Psychiatric hospitals, on the other hand, were established to provide specialized care and treatment for individuals with mental illnesses. These hospitals offered a more structured and professional approach to mental healthcare, focusing on therapy, medication, and rehabilitation. This shift aimed to improve the overall well-being and quality of life for those suffering from mental illnesses.

Confidentiality refers to the ethical obligation of a therapist to keep private communications between themselves and their clients confidential. This means that the therapist cannot disclose this information to any third party unless they are legally mandated or permitted to do so. This principle is essential in maintaining trust and privacy in the therapeutic relationship, allowing clients to feel safe and comfortable in sharing their personal information with their therapist.

When people have problems, they may see a variety of individuals in order to obtain help. This answer suggests that individuals have different preferences and beliefs when it comes to seeking help for their problems. Some may choose to see a professional counselor, while others may seek guidance from a pastor or other clergy member. The answer acknowledges that there are different options available and that people may choose different paths based on their personal needs and beliefs.

In the free association technique of psychoanalysis, the client is encouraged to say whatever comes to mind at the moment. This technique aims to uncover unconscious thoughts and emotions by allowing the client to express themselves freely without censorship or judgment. By doing so, the therapist can gain insight into the client's underlying conflicts and help them gain a deeper understanding of their thoughts and feelings. This process can lead to increased self-awareness and promote emotional healing.

Play therapy is often used to treat children. This therapeutic approach allows children to express themselves and work through their emotions and experiences through play. Play therapy utilizes toys, games, and other creative activities to help children communicate, build relationships, and develop problem-solving skills. It is particularly effective for children who may not have the verbal or cognitive abilities to express themselves through traditional talk therapy methods.

Group therapy involves 5-10 people with the same issue or concern meeting together with a trained clinician. In this setting, participants have the opportunity to share their experiences, offer support, and learn from one another. The trained clinician facilitates the group process, ensuring a safe and supportive environment. This modality is often used to address a wide range of mental health concerns, including depression, anxiety, addiction, and interpersonal difficulties. Group therapy can provide a sense of belonging, validation, and interpersonal growth through the shared experiences of group members.

Family therapy focuses on helping relatives to focus on changing disruptive patterns of communication and improving the ways in which members relate to each other. This type of therapy involves working with the entire family unit to address conflicts, improve communication, and build stronger relationships among family members. It aims to identify and address dysfunctional patterns within the family system, and to promote healthier and more effective ways of interacting with one another.

The cognitive distortion in this example is Lana thinking that being late for dinner is a catastrophe. This is because her perception of the situation is inaccurate and exaggerated, leading her to feel bad about herself.

This scenario describes voluntary treatment. Lexi agrees to see a therapist and actively seeks a referral from her primary care physician. She takes the initiative to schedule appointments and commits to attending therapy sessions with Dr. Clark. This indicates that she is willingly participating in her treatment and making a conscious choice to seek help for her impulsive hair-pulling behavior.

This scenario exemplifies play therapy as a psychotherapeutic orientation. Play therapy is a form of therapy specifically designed for children, where they are encouraged to express their thoughts, feelings, and experiences through play. In this case, Harlow's sessions with Dr. Gardener involve her interacting with stuffed animals and toys, which is a common technique used in play therapy to help children communicate and process their emotions.

Thora is using systematic desensitization as a form of therapy. This therapy involves gradually exposing oneself to the feared stimulus, in this case heights, in a controlled and safe environment. By slowly increasing her exposure to heights, Thora aims to reduce her fear and anxiety over time. This technique is commonly used in treating phobias and anxiety disorders.

Client-centered, psychoanalysis, and cognitive therapies all have "talking cures" in common. These therapeutic approaches emphasize the importance of verbal communication between the therapist and the client as a means of understanding and resolving psychological issues. In client-centered therapy, the therapist provides a supportive and non-judgmental environment for the client to freely express their thoughts and feelings. Psychoanalysis focuses on exploring the unconscious mind through free association and interpretation of the client's dreams and fantasies. Cognitive therapy involves identifying and challenging negative thought patterns and beliefs through dialogue. In all these therapies, talking plays a central role in facilitating healing and personal growth.

The principle underlying cognitive-behavioral therapy is that thoughts affect behavior. This means that our thoughts and beliefs influence our actions and behaviors. Cognitive-behavioral therapy focuses on identifying and challenging negative or irrational thoughts and replacing them with more positive and rational ones. By changing our thoughts, we can change our behavior and improve our mental well-being.

In medieval times, abnormal behaviors were viewed as a sign that a person was possessed by demons. This belief was rooted in the religious and superstitious beliefs of the time, where any deviation from normal behavior was often attributed to supernatural forces. People believed that demons could enter a person's body and cause them to act in strange or abnormal ways. As a result, those who displayed abnormal behaviors were often seen as being under the influence of evil spirits and were treated accordingly, with exorcisms and other religious rituals.

The correct answer is biomedical because Xanax is a medication that belongs to a class of drugs called benzodiazepines, which are commonly used to treat anxiety disorders. Biomedical therapy focuses on the use of medications and medical interventions to treat psychological disorders, making Xanax a prime example of this approach.

This cognitive distortion is called all-or-nothing thinking. Susan believes that her boss is either perfect or not worthy of admiration, without considering any middle ground or shades of gray. This type of thinking is characterized by extreme and rigid judgments, where things are seen as either completely good or completely bad, with no room for nuance or complexity.

Asylums were the first institutions created for the specific purpose of housing people with psychological disorders. These institutions were established to provide care and treatment for individuals who were deemed mentally ill or insane. Asylums were often large, isolated facilities where people with mental illnesses were confined and treated. They were seen as a solution to the growing societal concern over how to manage and care for individuals with psychological disorders. However, over time, asylums became associated with neglect, abuse, and overcrowding, leading to significant reforms in mental health care.

In aversion therapy, the therapist aims to treat clients' fears or anxiety by exposing them to the object or situation that causes their problem, with the idea that they will eventually become accustomed to it. The word "aversion" implies a negative reaction or avoidance, which contradicts the purpose of the therapy. Changing it to "exposure" better aligns with the goal of gradually familiarizing the clients with their fears or anxiety-inducing stimuli.

The goal of humanistic therapy is to help individuals become more self-aware and accepting of themselves. This approach focuses on personal growth, self-actualization, and understanding one's own feelings and experiences. Through this therapy, clients are encouraged to explore their emotions, develop a positive self-concept, and embrace their true selves. The therapist provides a supportive and non-judgmental environment to facilitate self-discovery and promote self-acceptance. This approach aims to empower individuals to make positive changes in their lives and achieve personal fulfillment.

The given scenario describes a school counselor leading a support group for children whose parents have AIDS. The counselor's focus is on defining AIDS, discussing treatment and its side effects, and helping the children develop coping mechanisms. This approach is best categorized as psycho-educational treatment because it involves providing information and education about the disease and its management, as well as teaching the children skills to cope with their situation.

Dr. Xavier encourages his client to relax and say whatever comes to mind at the moment. This technique is known as free association. Free association is a psychoanalytic therapy technique where the client is encouraged to freely express their thoughts, feelings, and memories without censorship. It aims to uncover unconscious thoughts and emotions that may be contributing to the client's difficulties. By allowing the client to speak freely, Dr. Xavier can gain insight into their unconscious mind and help them explore and understand their thoughts and emotions on a deeper level.

Client-centered therapy is a non-directive approach where therapists do not give advice or provide solutions to clients. Instead, they create a supportive and empathetic environment, actively listen to clients' feelings, and help them explore their own thoughts and emotions. The therapist's role is to facilitate the client's self-discovery and personal growth, rather than directing or guiding them towards a specific outcome. Therefore, the statement that therapists are directive is least true regarding client-centered therapy.

Humanistic therapy is also called client-centered therapy because it emphasizes the importance of the client's subjective experience and their ability to make choices and take responsibility for their own growth and development. This approach focuses on creating a supportive and non-judgmental therapeutic environment where the therapist empathically understands and accepts the client's perspective. The goal is to empower the client to gain self-awareness, self-acceptance, and personal growth through self-exploration and self-actualization.

This scenario is an example of a token economy. In a token economy, individuals receive tokens or rewards for engaging in desired behaviors. These tokens can then be exchanged for privileges or desired items. In this case, the patients at Manderly Psychiatric Center receive chips as rewards for engaging in positive behaviors, and they can later exchange these chips for privileges like extra TV time. This system helps to reinforce and encourage positive behaviors in the patients.

The sentence states that Carl Rogers believed that psychological problems are the result of repressed impulses and trauma experienced in childhood, and that psychoanalysis would help uncover these buried feelings. However, the correct answer suggests that the name "Carl Rogers" should be changed to "Sigmund Freud". This implies that the sentence would be true if it was Sigmund Freud who believed in these ideas, not Carl Rogers.

Sigmund Freud developed psychoanalysis. He was an Austrian neurologist and the founder of psychoanalysis, a clinical method for treating psychopathology through dialogue between a patient and a psychoanalyst. Freud's theories and techniques have had a significant impact on the field of psychology and have greatly influenced our understanding of the human mind and behavior.

Relapse refers to the recurrence of drug or alcohol use after a period of abstinence or improvement from substance abuse. It is a common occurrence in addiction and can happen due to various factors such as triggers, stress, or underlying psychological issues. Relapse is considered a setback in recovery and often requires additional support and intervention to regain sobriety.

Addiction is often viewed by AA as a chronic disease because it is characterized by long-lasting and recurring patterns of substance abuse or compulsive behaviors. The term "chronic" suggests that addiction is a condition that persists over time and requires ongoing management and treatment. This perspective aligns with the understanding that addiction is a complex and multifaceted condition that cannot be easily cured or resolved. Instead, individuals with addiction must learn to manage their symptoms and make ongoing efforts to maintain their recovery.

During the therapist's first meeting with the client, called intake, the therapist gathers specific information to address the client's immediate needs. This initial session allows the therapist to collect relevant information about the client's background, history, current concerns, and goals. The information obtained during intake helps the therapist to assess the client's needs and determine an appropriate treatment plan. It is an essential step in the therapeutic process as it provides crucial information to guide the therapist in providing effective support and intervention.

Dr. Duncan's commitment to being non-judgmental during therapy sessions aligns with the concept of unconditional positive regard in client-centered therapy. Unconditional positive regard refers to the therapist's acceptance and support of the client without any judgment or conditions. By practicing unconditional positive regard, Dr. Duncan creates a safe and non-threatening environment for her clients, allowing them to feel accepted and valued as they work through their issues related to domestic violence.

This question is asking for the psychotherapeutic orientation that is exemplified by changing cognitive distortions and self-defeating behaviors through helping the individual learn to identify such behaviors. The correct answer is cognitive-behavioral therapy. This form of therapy focuses on the connection between thoughts, feelings, and behaviors, and aims to help individuals identify and change negative thought patterns and behaviors that contribute to their difficulties. By working on cognitive distortions and self-defeating behaviors, the therapist is using techniques commonly associated with cognitive-behavioral therapy.

Mood stabilizers, such as lithium, are commonly prescribed to treat bipolar disorder. Bipolar disorder is a mental health condition characterized by extreme shifts in mood, energy, and activity levels. These shifts can range from manic episodes, where individuals experience an elevated or irritable mood and increased energy, to depressive episodes, where individuals feel extremely sad, hopeless, and have low energy. Mood stabilizers help to regulate and stabilize these mood swings, reducing the frequency and intensity of both manic and depressive episodes. Therefore, they are not typically used to treat anxiety disorders, depression, or ADHD.

ECT is a medical procedure that involves sending electric currents through the brain to induce a controlled seizure. It is primarily used to treat severe depression that has not responded to other treatments such as medication or therapy. ECT has shown to be highly effective in improving symptoms of depression, including reducing suicidal thoughts and improving overall mood. It is not commonly used for treating schizophrenia, ADHD, or somatoform disorder.

Humanistic therapy emphasizes the client's present and future. This approach focuses on the individual's current experiences, feelings, and goals, as well as their potential for personal growth and self-actualization. It encourages self-awareness, self-acceptance, and taking responsibility for one's own choices and actions. The therapist aims to create a supportive and non-judgmental environment where the client can explore their thoughts, emotions, and aspirations, ultimately fostering personal development and a sense of fulfillment in the present moment and in the future.

Psychotropic medications are used to treat mental health conditions such as depression, anxiety, and bipolar disorder. It is important to understand that these medications can have different effects on different individuals. The way a medication works and its effectiveness can vary from person to person based on factors such as genetics, metabolism, and individual brain chemistry. Therefore, it is accurate to say that psychotropic medications work uniquely for each person.

Behavior therapy focuses on using principles of learning to help clients change undesirable behaviors, while psychoanalysis involves delving into the unconscious mind.

After undergoing electroshock therapy, the most common outcome is that the patient's depression lifts. Electroshock therapy, also known as electroconvulsive therapy (ECT), is a psychiatric treatment used to alleviate symptoms of severe depression. It involves passing electric currents through the brain to induce a controlled seizure. While the therapy can have side effects, such as memory loss or confusion, it has been found to be effective in improving depressive symptoms in many patients. Therefore, it is likely that the patient will experience an improvement in their depression after undergoing electroshock therapy.

Cultural competence refers to a therapist's understanding and attention to race, culture, and ethnicity in providing treatment. This means that the therapist acknowledges and respects the diversity of their clients' backgrounds and incorporates this knowledge into their therapeutic approach. By being culturally competent, therapists can better understand their clients' unique experiences and tailor their treatment to meet their specific needs, ensuring a more effective and inclusive therapeutic process.

Comorbid disorder refers to the presence of two or more diagnoses in an individual, often including a substance-related diagnosis and another psychiatric diagnosis. It means that the person is experiencing multiple conditions simultaneously. Bipolar disorder, codependency, and bi-morbid disorder are not specifically related to having multiple diagnoses.

The amount of time spent in therapy depends on the needs of the client and their personal goals. Each client may have different objectives they want to achieve through therapy, and the duration of therapy will vary accordingly. The therapist will work with the client to identify their goals and develop a treatment plan that aligns with their objectives. By focusing on the client's personal goals, therapy can be tailored to their specific needs and provide the most effective outcomes.

The statement "It was the dominant form of therapy in the 19th century" is least true because psychoanalysis was not the dominant form of therapy in the 19th century. Psychoanalysis was developed by Sigmund Freud and involves dream analysis and free association as part of the therapeutic process. However, it did not become widely recognized and accepted as a form of therapy until the 20th century. In the 19th century, other forms of therapy such as mesmerism and hypnosis were more prevalent.

Psychiatric hospitals emphasize short-term care because insurance coverage often limits the length of time one can be hospitalized due to the high cost of psychiatric hospitalization.

Dorothea Dix led the reform efforts for mental health care in the United States. She was a social reformer and advocate for the mentally ill, who fought for the establishment of mental asylums and improved conditions for those suffering from mental illnesses. Dix's efforts led to significant changes in the treatment and care of the mentally ill, and she played a crucial role in shaping mental health care policies in the United States.

This scenario exemplifies cognitive therapy because Rafael's therapist is helping him identify and challenge his negative thought patterns, specifically the tendency to overgeneralize and assume that doing poorly on one exam means he will fail the entire class. Cognitive therapy focuses on changing negative or distorted thinking patterns in order to improve emotional well-being and behavior.

In group therapy, there is a higher risk of breach of confidentiality compared to other types of therapy. This is because group therapy involves multiple individuals sharing personal information and experiences in a group setting. There is a possibility that one member may disclose information shared by others outside of the group, violating the trust and confidentiality of the other members. In individual therapy, the therapist and client have a one-on-one relationship, reducing the chances of confidentiality breaches.

This aspect of client-centered therapy is active listening. The therapist acknowledges Marlena's feelings, restates what she has told him, and clarifies the feelings behind her expression. This demonstrates that the therapist is actively engaged in the conversation and is fully present, showing empathy and understanding towards Marlena's experiences. Active listening is a fundamental skill in client-centered therapy as it helps build trust, rapport, and a safe space for the client to explore their emotions and thoughts.