Chapter 9 Treatment of Behavioral Disorders Antidepressant Drugs Drugs used to treat major depressive disorder; include the tricyclics, MAOIs, SNRIs, and SSRIs Antimanic Drug Drugs used to control the manic symptoms of bipolar disorder and hypomania Antipsychotic Drugs Drugs used to treat psychotic disorders such as schizophrenia Anxiolytic Drugs Drugs used to reduce symptoms of anxiety and promote sleep; sometimes called minor tranquilizers Behavior Therapy Therapy based on the assumption that maladaptive behavior has been learned and can therefore be unlearned Cognitive Restructuring Therapy Cognitive therapy aimed at restructuring irrational thinking patterns such as the tendency to use negative self-labels Cognitive Therapies Approaches to therapy that are based on the premise that most behavioral disorders result from distortions in cognitions or thoughts Deep Brain Stimulation (DBS) An invasive procedure in which an electrode is implanted deep in the brain and electrical current can be applied periodically Dream Analysis Psychoanalytic technique involving the interpretation of dreams to learn about hidden aspects of personality Electroconvulsive Therapy (ECT) A method to induce seizures by strong electrical current applied to the brain; used to treat depression Free Association Psychoanalytic technique developed by Sigmund Freud in which patients relax and say whatever comes to their minds Lobotomy Surgical procedure that severs the nerve tracts connecting the prefrontal cortex to lower brain areas that mediate emotional responses Magnetic Seizure Therapy (MST) A method of inducing seizures using strong magnetic fields as opposed to electrical current; used to treat depression, bipolar disorder, and schizophrenia Operant Conditioning Therapies Behavior modification techniques that attempt to influence behavior by manipulating reinforcers Pavlovian (or Classical) Conditioning Therapy Any behavior therapy that involves Pavlovian conditioning such as systematic desensitization therapy Psychoactive Drugs Drugs that have the effect of altering mood and behavior by changing neuronal functioning Psychoanalysis Technique developed by Freud in which an individual's revelations of normally unconscious cognitions are interpreted Psychotherapy Any nonbiological, noninvasive psychological technique or procedure designed to improve a person's adjustment to life Rational-Emotive Therapy (RET) Approach to therapy based on the premise that psychological problems result when people interpret their experiences based on self-defeating, irrational beliefs Resistance In psychoanalysis, a patient's unwillingness to describe freely some aspects of his or her life Stimulants Drugs that increase arousal and the activity of the central nervous system; used to treat attention disorders and narcolepsy; psychoactive drugs, including caffeine, nicotine, amphetamines, and cocaine, that stimulate the central nervous system by increas Systematic Desensitization Behavior therapy using a Pavlovian conditioning technique that pairs the slow, systematic exposure to anxiety-inducing situations with relaxation training Transference In psychotherapy, a process in which a patient begins to relate to the therapist in much the same way as to other important people in his or her life (such as a parent) Virtual Reality Therapy Use of virtual reality simulations to generate a variety of stimuli for systematic desensitization The behavior modification technique that raises questions concerning its ethicality as well as its permanent effectiveness is ______. a. b. punishment ( ✓ correct ) c. reinforcement d. modeling ( ✗ incorrect ) systematic desensitization training Cognitive restructuring is often experiential and has clients do real-life "experiments" to disprove their beliefs. a. b. True ( ✓ correct ) False ( ✗ incorrect ) These individuals rely heavily on knowledge of Pavlovian conditioning and operant conditioning. a. b. Behavior therapists ( ✓ correct ) Psychoanalysts c. d. Family therapists Psychiatrists Why can resistance be seen as a positive in psychoanalysis? a. b. It is a method of reducing anxiety on the part of the client. c. It allows an additional avenue for the therapist to assist the client. ( ✓ correct ) It allows a stronger relationship to develop between client and therapist. d. It is a natural means to self-soothing and healing. If Mary begins to miss therapist appointments (claiming she got so busy that she forgot) and acts nonchalant about her therapy, she is experiencing transference. a. b. True ( ✗ incorrect ) Fals Free association is the act or process of venting repressed feelings that result in a temporary reduction of tension. a. b. True ( ✗ incorrect ) False ( ✓ corr Compared to reinforcement, punishment a. b. produces only temporary behavioral suppression. ( ✓ correct ) is more effective at creating long-term behavioral change. c. d. cannot change behavior. results in removal of behaviors from the repertoire. Ellis developed the idea of cognitive-restructuring theory. a. b. True ( ✗ incorrect ) False ( ✓ correct ) Audrey has been diagnosed as suffering from a phobic disorder. As her therapist, if you believe that the behavior is the root of the problem, what would you then recommend? a. b. Systematic desensitization training. ( ✓ correct ) Aversive conditioning therapy. c. d. That you both engage in active listening. Psychoanalysis. The “royal road to the unconscious” was free association. a. b. True ( ✗ incorrect ) False ( ✓ correct ) What is pharmacoconvulsive therapy? a. The use of drugs to induce seizure-like activity in the brain. ( ✓ correct ) c. b. The use of drugs to treat epilepsy. d. The use of surgical instruments to cause a seizure. How are the antimanic effects of lithium believed to be achieved? The administration of drugs to the brain during psychosurgery to minimize the brain damage. ( ✗ incorrect ) a. c. By increasing the release of serotonin and decreasing the release of norepinephrine. ( ✗ incorrect ) By increasing the availability of dopamine to the postsynaptic membrane. b. By decreasing the release of MAO at the synapse. d. By increasing the activity of serotonin in the cortex. ( ✓ correct Chlorpromazine calms and quiets patients. a. b. True ( ✓ correct ) False ( ✗ incorrect Chlorpromazine primarily has which of the following effects? a. b. Heavily sedating the individual. c. Calming the patient and reducing responsivity to irrelevant stimuli. d. Calming the patient and blocking dopamine receptors. ( ✓ correct ) Blocking the dopamine receptors within the brain. ( ✗ Stimulants typically ________ norepinephrine and dopamine activity. a. b. increase ( ✓ correct ) c. decrease ( ✗ incorrect ) d. cancel out the effects of have no effect on The treatment that has most contributed to a decline in the number of people hospitalized for psychological disorders and a significant reduction in the average duration of hospitalization is which of the following treatments? a. b. Psychosurgery techniques. c. Electroconvulsive and magnetic seizure therapies. d. Psychoactive drug therapy. ( ✓ correct ) Psychotherapy. ( ✗ incorrect ) The four general classes of antidepressant drugs include which of the following? a. c. Serotonin blockers, MAO exciters, GABA inhibitors, and serotonin exciters. MAO inhibitors, neuroleptics, serotonin inhibitors, and norepinephrine exciters. b. d. Neuroleptics, tricyclics, serotonin inhibitors, and norepinephrine inhibitors. Tricyclics, MAO inhibitors, serotonin specific reuptake inhibitors (SSRIs), and serotonin-norepinephrine reuptake inhibitors (SNRIs). ( ✓ correct ) As Amy is being given a drug called Tegretol, she probably a. b. is depressed. c. is neurotic. d. Has bipolar disorder. ( ✓ correct ) has schizophrenia. Antimanic is a class of psychoactive drug. a. b. True ( ✓ correct ) False ECT has improved in recent years via the administration of a muscle relaxant. a. b. True ( ✓ correct ) False ( ✗ incorrect ) Dale has a phobia of hospitals. Which therapy would suggest he gain exposure gradually to the hospital until the anxiety is reduced? a. b. Systematic desensitization ( ✓ correct ) Cognitive therapy c. d. Family therapy Psychoanalysis Freud would analyze people’s dreams in order to determine the ________ content, or the underlying meaning of the dream. a. b. phallic c. manifest d. latent ( ✓ correct ) wish Abby feels that her children and husband must always show her love and approval. What would a rational-emotive therapist call her belief? a. b. Irrational ( ✓ correct ) Reality c. d. Sociopathic Normal What is any nonbiological, noninvasive psychological technique or procedure designed to improve a person's adjustment to life called? a. b. Lobotomy c. Psychosurgery d. Psychotherapy ( ✓ correct ) Drug therapy Are rational-emotive therapy and cognitive restructuring therapy similar? a. c. Yes, they both argue that the basis of mental health is to seek out affirmation from others. Yes, they both revolve around the idea that mental disorder results from unconscious motivations. b. d. Yes, they are both cognitive therapies, but that is where the similarity ends. Yes, they both argue that the basis of mental disorder revolves around irrational beliefs. ( ✓ correct ) When Michael yells and screams for a candy bar in the store but his mother ignores him, she is trying to engage in negative reinforcement of the child’s response. a. b. True ( ✗ incorrect ) False ( ✓ correct ) The fundamental assumption of psychoanalysis is that disordered behavior results from which of the following? a. b. Unconscious conflicts and repressed urges. ( ✓ correct ) Self-defeating, irrational beliefs. c. d. Distortions in a person's cognitions or thoughts. Alienated fragmentation of the self. Compared to psychoanalytic therapies, behavioral therapies: a. b. are less effective at addressing disorders. c. are more effective at addressing disorders. d. are based on a more extensive research base. ( ✓ correct ) are based on a less extensive research base. Lithium is similar to SSRIs in that: a. b. Both reduce serotonin receptors in the brain. c. Both increase dopamine levels in the brain. d. Both increase production of neuronal growth proteins. ( ✓ correct ) Both decrease production of neuronal growth proteins. Psychoactive drugs have been ineffective in reducing the number of people hospitalized for psychological disorders. a. b. True ( ✗ incorrect ) False ( ✓ correct ) The treatment that has most contributed to a decline in the number of people hospitalized for psychological disorders and a significant reduction in the average duration of hospitalization is which of the following treatments? a. b. Psychosurgery techniques. c. Electroconvulsive and magnetic seizure therapies. d. Psychoactive drug therapy. ( ✓ correct ) Psychotherapy. Compared to seizures induced by magnetic seizure therapy, those induced under electroconvulsive therapy: a. b. do not disrupt memory. c. are less intense. d. disrupt more aspects of memory. ( ✓ correct ) involve weaker convulsions Chlorpromazine calms and quiets patients. a. b. True ( ✓ correct ) False Jamie is demonstrating symptoms of a major depressive disorder. As his therapist, you would be likely to recommend ________ as the first line of treatment and then resort to ________ if the first treatments did not work. a. b. psychoactive drugs; psychosurgery c. psychosurgery; psychoactive drugs d. psychoactive drugs; ECT ( ✓ correct ) ECT; psychosurgery Which of the following is not one of the main classes of psychoactive drugs? a. b. Anti-inflammatory ( ✓ correct ) c. Antidepressants d. Anxiolytics ( ✗ incorrect ) Antipsychotics Tardive dyskinesia is a neurological disorder typically manifested as uncontrollable muscular movements of the jaw, lips, and tongue. a. b. True ( ✓ correct ) False The four general classes of antidepressant drugs include which of the following? a. c. Serotonin blockers, MAO exciters, GABA inhibitors, and serotonin exciters. MAO inhibitors, neuroleptics, serotonin inhibitors, and norepinephrine exciters. b. d. Neuroleptics, tricyclics, serotonin inhibitors, and norepinephrine inhibitors. Tricyclics, MAO inhibitors, serotonin specific reuptake inhibitors (SSRIs), and serotonin-norepinephrine reuptake inhibitors (SNRIs). ( ✓ correct )