AP Psychology Unit 13: Treatment of Psychological Disorders As you read the chapter, fill in the guided reading. You may be completing statements from the text or answering based on what you have read. 1. Mental health therapies fall into two main categories: _________________ which involves psychological techniques and ___________________ therapy which involves medication or surgery. 2. Therapists who blend several psychotherapy techniques are said to take a(n) __________ approach. 3. The major psychotherapies are based on four of psychologies main theories: the __________, ____________, ______________, and _____________ perspectives. 4. Freud’s technique in which a patient says whatever comes to mind is called ___________ _____________. 5. When, in the course of therapy, a person omits shameful or embarrassing material, ____________ is occurring. Insight is facilitated by the analyst’s _____________ of the meaning of such omissions, of dreams, and of other information revealed during therapy sessions. 6. Freud referred to the hidden meaning of a dream as its ___________ ____________. 7. When strong feelings, similar to those experiences in other important relationships, are developed toward the therapist, ___________ has occurred. 8. Therapists who are influenced by Freud’s psychoanalysis but who talk to the patient face to face are ___________ therapists. In addition, they work with patients only ____________ (how often?) and for only a few weeks or months. 9. A brief alternative to psychodynamic therapy that has proven effective with ____________ patients is _____________ _____________. While this approach aims to help people gain ______________ into their difficulties, it focuses on _______________ _____________ rather than on past hurts. 10. Humanistic therapies attempt to help people meet their potential for ____-_____. 11. The humanistic therapy based on Rogers’ theory is called _______________________ therapy, which is described as _____________ therapy because the therapist _______________ (interprets/does not interpret) the person’s problems. 12. In order to promote growth in clients, Rogerian therapists exhibit ____________, _______________, and _______________. 13. Rogers’ technique of restating and clarifying what a person is saying is called ______________ _____________. Given a nonjudgmental environment that provides _____________ ______________ ______________, patients are better able to accept themselves as they are and to feel valued and whole. 14. Three tips for listening more actively in your own relationships are to ____________, _____________ _____________, and ____________ _______________. 15. One cluster of behavior therapies is based on the principles of _____________ _______________, as developed in Pavlov’s experiments. The technique, in 1 which a new, incompatible response is substituted for a maladaptive one is called __________________. Two examples of this technique are ________________ __________________ and ________________ ________________. 16. The most widely used technique of behavior therapy are the ________________ _________________. The technique of systematic desensitization has been most fully developed by the therapist ________________. The assumption behind this technique is that one cannot simultaneously be ________________ and relaxed. 17. The first step in systematic desensitization is the construction of a ____________ of anxiety-arousing stimuli. The second step involves training in _____________ _____________. By repeatedly pairing _______________ with the anxiety causing imagined scene, one will no longer feel the anxiety. 18. For those who are unable to _____________ an anxiety-arousing situation, or too afraid or embarrassed to do so, _________________ ________________ _______________ therapy offers a promising alternative. 19. In the future, avatars in simulated worlds may help people overcome _______ __________ by allowing them to attend virtual parties or group discussions. 20. In aversive conditioning, the therapist attempts to substitute a ______________ (positive/negative) response for one that is currently (positive/negative). In this technique, a person’s unwanted behaviors become associated with ___________ feelings. 21. Therapists that influence behavior by controlling its consequences are based on principles of _____________ conditioning. One application of this form of behavioral modification therapy used in institutional settings is the _____________ ______________, in which desired behaviors are rewarded. 22. Therapists who teach people new, more constructive ways of thinking are using _______________ therapy. 23. One variety of cognitive therapy attempts to reverse the _____________ beliefs often associated with _______________ (type of disorder) by helping clients see their irrationalities. This therapy was developed by ________________. 24. Training people to restructure their thinking in stressful situations is the goal of _____________ ____________ training. Students trained to ______________ their negative thoughts are less likely to experience future depression. 25. Treatment that combines an attack on negative thinking with efforts to modify behavior is known as ______________-______________ therapy. 26. In a study of people with compulsive disorders, practice in r________________ obsessive thoughts and r_________________ their behaviors was quite effective. 27. In this type of group, therapists focus on healing ___________ within the family and helping family members to discover new ways of preventing or resolving _____________. 28. In contrast to earlier time, most therapy today ___________ (is/is not) provided by psychiatrists. 29. A majority of psychotherapy clients express _______________ (satisfaction /dissatisfaction) with their therapy. 30. A long-term study of 500 Massachusetts boys found that those who received intensive counseling _____________ (had/did not have) significantly fewer problems than a control group. 2 31. Clinicians have positive perceptions of therapy outcomes because hear little from patients who experience only ________________ relief. 32. The debate over the effectiveness of psychotherapy began with a study by ________________; it showed that the rate of improvement for those who received therapy _____________ (was/was not) higher than the rate for those who did not. 33. A statistical technique that makes it possible to combine the results of many different psychotherapy outcome studies is called ____________-____________. Overall, the results of such analysis indicate that psychotherapy is ____________ (somewhat effective/ineffective). 34. Comparisons of the effectiveness of different forms of therapy reveal __________ (clear / no clear) differences, that the type of therapy provider ____________ (matters greatly / does not matter), and that whether therapy is provided by an individual therapist or within a group _____________ (makes a difference / does not make a difference). 35. With phobias, compulsions, and other specific behavior problems, ____________ ______________ therapies have been the most effective. 36. Studies have also demonstrated that suicide risk can be reduced and depression may be effectively treated with ___________ _____________. 37. As a rule, psychotherapy is most effective with problems that are ____________ (clear-cut /less-focused). The more specific the problem, the _______________ the hope. 38. To ensure patients receive the best treatment for their conditions, government and insurer support for mental health services requires ___________-____________ ______________. 39. Today, many forms of _____________ _____________ are touted as effective treatments for a variety of complaints and may provide more options beyond psychotherapy. 40. In another popular alternative therapy, a therapist triggers eye movements in patients while they imagine _____________ ______________. This therapy, called ____________ ____________ ____________ ___________ __________, has proven _______________ (completely ineffective/somewhat effective) as a treatment for nonmilitary ____________ - ____________ ____________ ____________. However, skeptics point to evidence that the effects may be due to a robust ____________ ______________ instead of the therapy. 41. For people who suffer from the wintertime form of depression called __________ ____________ ____________, timed ____________-______________ therapy seems to be as effective as _________________________ or _____________________________. 42. Studies have found ____________ (little/much) correlation between therapists’ training and experience and clients’ outcomes. 43. The three benefits most often reported from effective therapeutic environments are ___________________________, ____________________________, and _________________________________. 44. The emotional bond between therapist and client is called the _______________ _________________. 3 45. Generally speaking, psychotherapists’ personal values _____________ (do/do not) influence their therapy. 46. The most widely used biomedical treatments are the ____________ therapies. The field that studies the effects of drugs on the mind and behavior is _________________. 47. Thanks to these therapies, the number of residents in mental institutions has _____________ sharply. 48. When neither the patients nor the staff are aware of which condition a given individual is in, a _____________-_____________ procedure is being conducted. 49. One effect of ______________ drugs such as _____________ is to help those experiencing ____________ (positive/negative) symptoms of schizophrenia by decreasing their responsiveness to irrelevant stimuli. This is accomplished by ______________ receptor sites for _______________ and blocking its activity. 50. A side effect of traditional anti-psychotics is _____________ _______________ which produces body twitches similar to those experienced by those who suffer from ________________ disease. 51. Schizophrenic patients who are apathetic and withdrawn may be more effectively treated with the atypical antipsychotic drug _________________. These drugs work by targeting the receptor sites for the neurotransmitters _____________ and ______________. 52. Risk of _______________ and _________________ are associated with antipsychotics. So, research into stimulating receptor sites for ______________ is raising hopes of being able to reduce schizophrenic symptoms with fewer side effects. 53. Xanax and Ativan are classified as ______________ drugs. These drugs depress activity in the _____________ _____________ _____________. 54. Critics fear that antianxiety meds may reduce symptoms without ____________ the underlying problem and may cause ____________________ dependence. The rate of outpatient treatment for anxiety has nearly _______________ and the percent of psychiatric patients receiving medication has increased from __________% to __________%. 55. Drugs that are prescribed to alleviate depression and are increasingly used to treat anxiety are called ______________ drugs. These drugs also work by increasing levels of the neurotransmitters _____________ and _____________. One example of this type of drug is _____________ , which works by blocking the reabsorption of _____________ from synapses and is therefore called a _______________-_______________-_______________-_______________ drug. Two other drugs that work this way are ___________ and _____________. 56. While effective in calming anxious people and energizing depressed people ___________ ___________ drugs, which block the reabsorption or breakdown of serotonin and norepinephrine also come with side effects like ___________, __________________ and __________________. 57. Aerobic exercise does ________________ (as much/not as much) good for people with mild to moderate depression. 58. Although people with depression often improve after one month on antidepressants, meta-analysis studies demonstrate that a large percentage of the 4 effectiveness may be due to natural ________________ and _________________ effect. 59. While science is not sure why, in order to stabilize the mood swings of a bipolar disorder, ______________ or the drug ___________ is often prescribed. 60. The therapeutic technique in which the patient received an electric shock to the brain is referred to as _________________________ therapy, abbreviated as __________________. 61. ECT is most often used with patients suffering from severe _____________. Research evidence __________ (confirms/does not confirm) ECT’s effectiveness with such patients. 62. One theory of how ECT works suggests that it boosts the production of new ______________ _______________. 63. A gentler procedure called ______________ ______________ _______________ ______________ aims to treat depression by presenting pulses through a magnetic coil held close to a person’s skull above the right eyebrow. Unlike ECT, this procedure produces no ______________, _____________ loss, or other side effects. This procedure may work by energizing the brain’s left ___________ _____________, which is relatively inactive in depressed patients. 64. The biomedical therapy in which a portion of brain tissue is removed or destroyed is called ______________. 65. In the 1930’s, Moniz developed an operation called the ____________. In this procedure the _____________ lobe of the brain is disconnected from the rest of the brain. 66. Today, psychosurgery is used only in very extreme cases like patients suffering from uncontrollable ________________. 67. Because ______________ affects body chemistry and health, some researchers/therapists are promoting ____________ ___________-____________ _____________. This therapy stresses the importance of regular ______________ __________________ and sleep. 5