Treatment of Psychological Disorders
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AP Psychology › Treatment of Psychological Disorders
A person with schizophrenia has persistent hallucinations and delusions. Which medication class is most appropriate?
Antipsychotics, used to reduce psychotic symptoms such as hallucinations and delusions in schizophrenia-spectrum disorders.
Stimulants, used for ADHD to improve attention and reduce hyperactivity, and may worsen psychotic symptoms.
Benzodiazepines, used short‑term for acute anxiety and insomnia, not for long‑term management of psychosis.
SSRIs, primarily prescribed for depression and many anxiety disorders, not first-line for core psychotic symptoms.
Explanation
Antipsychotics are the most appropriate medication class for treating persistent hallucinations and delusions in schizophrenia. These medications work by blocking dopamine receptors in the brain, which helps reduce positive symptoms of psychosis. SSRIs are primarily used for depression and anxiety disorders and are not effective for psychotic symptoms. Benzodiazepines provide short-term anxiety relief but don't address core psychotic symptoms. Stimulants are used for ADHD and could potentially worsen psychotic symptoms by increasing dopamine activity.
A therapist gradually pairs a feared stimulus with relaxation to reduce anxiety. What technique is being used?
Cognitive restructuring, challenging automatic thoughts and replacing them with balanced appraisals through evidence testing.
Free association, encouraging uncensored speech to reveal unconscious conflicts and unresolved childhood issues.
Token economy, using tangible rewards to increase desired behaviors in structured settings through operant conditioning.
Systematic desensitization, combining relaxation training with a fear hierarchy to countercondition anxiety responses.
Explanation
This describes systematic desensitization, a behavioral technique that combines relaxation training with gradual exposure to feared stimuli through a hierarchy. The process involves counterconditioning, where the relaxation response becomes paired with the feared stimulus, reducing the anxiety response over time. Cognitive restructuring focuses on changing thoughts rather than pairing stimuli with relaxation. Free association is a psychodynamic technique for exploring unconscious conflicts. Token economy uses rewards to increase desired behaviors in structured settings, not for treating phobias.
A therapist teaches coping skills, assigns homework, and targets thoughts and behaviors. Which therapy is described?
Client-centered therapy, emphasizing empathic listening and self-directed growth without structured skills training or homework.
Aversion therapy, pairing unwanted behaviors with unpleasant stimuli to reduce behavior through conditioning principles.
Psychodynamic therapy, emphasizing insight into unconscious processes and early relationships rather than skills practice.
Cognitive-behavioral therapy, structured and skills-focused, targeting maladaptive thoughts and behaviors with practice and homework.
Explanation
This describes cognitive-behavioral therapy (CBT), which is characterized by its structured, skills-focused approach that targets both maladaptive thoughts and behaviors. CBT therapists typically assign homework, teach coping skills, and use specific techniques to modify both cognitive and behavioral patterns. Client-centered therapy emphasizes empathic listening without structured skills training. Psychodynamic therapy focuses on insight into unconscious processes rather than skills practice. Aversion therapy specifically uses unpleasant stimuli to reduce unwanted behaviors.
A therapist remains nonjudgmental, reflects feelings, and avoids directing solutions. Which approach is this?
Cognitive therapy, emphasizing structured identification and disputation of maladaptive thoughts using worksheets and homework.
Client-centered therapy, emphasizing empathic reflection, unconditional positive regard, and client-led exploration.
Psychodynamic therapy, emphasizing interpretation of unconscious conflicts, defenses, and transference patterns.
Behavior therapy, emphasizing reinforcement contingencies and exposure exercises to change observable behaviors.
Explanation
This describes client-centered therapy, developed by Carl Rogers, which emphasizes remaining nonjudgmental, providing empathic reflection of the client's feelings, and avoiding directive interventions or solutions. The therapist creates conditions for the client's own self-exploration and growth. Cognitive therapy uses structured techniques and homework. Behavior therapy focuses on reinforcement and exposure procedures. Psychodynamic therapy emphasizes interpretation of unconscious conflicts and transference patterns.
A therapist encourages a client to say whatever comes to mind without censoring. Which psychodynamic technique is this?
Cognitive restructuring, identifying cognitive distortions and replacing them with balanced alternatives using evidence.
Token economy, reinforcing desired behaviors with tokens exchangeable for rewards in structured treatment settings.
Systematic desensitization, pairing relaxation with a fear hierarchy to reduce anxiety through counterconditioning.
Free association, encouraging uncensored speech to help reveal unconscious thoughts and conflicts in psychodynamic therapy.
Explanation
This describes free association, a fundamental psychodynamic technique where clients are encouraged to say whatever comes to mind without censoring their thoughts. The goal is to help reveal unconscious thoughts, conflicts, and associations that may be driving current symptoms or difficulties. Cognitive restructuring involves identifying and challenging distorted thoughts with evidence. Systematic desensitization pairs relaxation with fear hierarchies. Token economy uses reinforcement systems with tokens exchangeable for rewards.
A therapist monitors the client’s progress with weekly symptom ratings and adjusts interventions accordingly. Which principle is shown?
Spontaneous recovery, expecting symptoms to return after improvement as a normal learning process in conditioning.
Catharsis alone, assuming emotional release is sufficient for change without tracking outcomes or adjusting interventions.
Fixed trait assumption, believing symptoms cannot change, so collecting progress data is unnecessary in psychotherapy.
Ongoing assessment and feedback, using measurement to guide treatment decisions and tailor interventions to client response.
Explanation
This demonstrates ongoing assessment and feedback, a principle where therapists use regular measurement and monitoring to guide treatment decisions and tailor interventions based on client response. Weekly symptom ratings allow for data-driven adjustments to treatment approaches. Catharsis alone assumes emotional release is sufficient without tracking outcomes. Spontaneous recovery refers to the return of extinguished responses in learning contexts. Fixed trait assumptions would suggest symptoms cannot change, making progress monitoring unnecessary.
A therapist uses role-playing and social skills training to improve assertiveness. Which broad approach is most consistent?
Behavioral approach, using skills training, modeling, rehearsal, and reinforcement to build new social behaviors.
Biomedical approach, relying on antipsychotic medication as the primary method to increase assertiveness skills.
Client-centered approach, avoiding directive interventions like skills training to let clients find their own solutions.
Psychodynamic approach, relying primarily on dream interpretation and uncovering unconscious conflicts through free association.
Explanation
This describes a behavioral approach using skills training, modeling, role-playing, rehearsal, and reinforcement to build new social behaviors like assertiveness. Behavioral interventions focus on teaching specific skills through practice and reinforcement of desired behaviors. Psychodynamic approaches emphasize unconscious conflicts and dream interpretation. Client-centered approaches avoid directive interventions to allow self-discovery. Biomedical approaches rely primarily on medication rather than skills training for behavioral change.
A client with social anxiety practices feared conversations repeatedly in session and real life. Which technique is used?
Aversion therapy, pairing social interactions with unpleasant stimuli to reduce the desire to engage in conversations.
Dream interpretation, analyzing latent dream content to uncover unconscious wishes causing social anxiety symptoms.
Exposure practice, repeatedly engaging feared social situations to reduce anxiety and avoidance through habituation and learning.
Token economy, giving tokens for conversations as the primary intervention rather than practicing exposure to anxiety triggers.
Explanation
This describes exposure practice, where clients with social anxiety repeatedly engage in feared social situations both in therapy sessions and real-life settings. The repeated practice helps reduce anxiety and avoidance through habituation and new learning processes. Dream interpretation analyzes unconscious content in psychodynamic therapy. Aversion therapy pairs social interactions with unpleasant stimuli, which would be counterproductive. Token economy focuses on rewards rather than practicing exposure to anxiety-provoking situations.
A therapist uses an unpleasant taste to reduce nail-biting. Which technique is being applied?
Systematic desensitization, pairing relaxation with feared stimuli to reduce anxiety responses through counterconditioning.
Client-centered therapy, providing unconditional positive regard and empathic reflection without using unpleasant stimuli.
Aversion therapy, pairing an unwanted behavior with an unpleasant stimulus to decrease the behavior through conditioning.
Cognitive therapy, identifying distorted thoughts and testing them with evidence rather than using taste-based conditioning.
Explanation
This describes aversion therapy, a behavioral technique that pairs an unwanted behavior (nail-biting) with an unpleasant stimulus (bad taste) to decrease the behavior through classical conditioning principles. The goal is to create a negative association with the unwanted behavior. Systematic desensitization pairs relaxation with feared stimuli to reduce anxiety. Client-centered therapy provides unconditional positive regard without using conditioning techniques. Cognitive therapy focuses on identifying and testing distorted thoughts rather than taste-based conditioning.
A therapist asks a depressed client to schedule pleasurable activities to increase positive reinforcement. What is this?
Dream analysis, interpreting latent content of dreams to reveal unconscious wishes driving depressive symptoms.
Systematic desensitization, pairing relaxation with feared stimuli to reduce phobic anxiety through counterconditioning.
Behavioral activation, increasing engagement in rewarding activities to counter withdrawal and improve mood through reinforcement.
Aversion therapy, pairing an unwanted behavior with an unpleasant stimulus to reduce the behavior via conditioning.
Explanation
This describes behavioral activation, a behavioral treatment for depression that involves scheduling and increasing engagement in pleasurable or meaningful activities. The technique is based on the principle that increased activity and positive reinforcement can help counter the withdrawal and inactivity that characterize depression. Dream analysis is a psychodynamic technique focusing on unconscious content. Systematic desensitization is used for phobias with relaxation and gradual exposure. Aversion therapy pairs unwanted behaviors with unpleasant stimuli.