Exam 16: Approaches to Treatment and Therapy

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For centuries, physicians treated mental illness by trying to change brain function directly. Examine electroconvulsive therapy from the perspective of its supporters and its critics. How does transcranial magnetic stimulation differ from electroconvulsive therapy?

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A good answer will include the following key points.
* ECT is used to treat severe depression.
* Today muscle relaxants and anesthesia are used, so convulsions are minimized.
* It has been effective for people who are suicidal and have not responded to medication or other treatment.
* The mood-improving effect is usually short-lived and the depression almost always returns.
* Critics argue that it causes brain damage and impairs memory.
* Transcranial magnetic stimulation does not cause memory loss or other side effects and may be helpful.

Antidepressant drugs are used to treat all of the following EXCEPT:

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D

Rational-emotive behaviour therapy emphasizes the client's free will to change.

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False

Neuroleptics block or reduce the sensitivity of brain receptors that respond to dopamine.

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When the appropriate drug is given, medication eliminates people's mental disorders.

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Murray is a bright student, but he procrastinates. He puts off writing term papers and gets incompletes, which eventually become F's. After exploring his early memories, Murray comes to the insight that he procrastinates as a way of expressing anger toward his parents. The treatment method used to help Murray deal with his problem is:

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Therapeutic influence, and sometimes coercion, is likely responsible for the huge number of people diagnosed with:

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A drug that elevates the levels of norepinephrine and serotonin in the brain by blocking an enzyme that deactivates these neurotransmitters would be considered a/an:

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________ is/are more effective than any other treatment for agoraphobia.

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The ________ school of therapy has as one of its primary goals new and optimistic perceptions of self and the world.

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Eye Movement Desensitization and Reprocessing, originated by Francine Shapiro:

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________ therapists may create a family tree to look for patterns of behaviour across generations.

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Which of the following is the most important predictor of successful therapy?

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The form of psychosurgery known as the prefrontal lobotomy:

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Lithium carbonate produces its effects by preventing the normal reuptake of serotonin.

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The ________ school of therapy has as one of its primary goals modification of self-defeating behaviours.

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All successful therapies, regardless of approach, share the following key element:

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________ must be given in exactly the right dose because too little will not help people who suffer from bipolar disorder and too much is toxic.

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If a person is prescribed lithium carbonate, it is most likely that she or he has been diagnosed as suffering from obsessive-compulsive disorder.

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The therapeutic window refers to the:

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