Ch. 3 Lecs

Question 1

In 5 states, psychologists can describe psychotropic meds:
- … and … were the first states
~
controversy regarding … of mental disorders

Answer 1

New Mexico;
Louisiana;
overexpansion

Question 2

Historically, only difference between psychiatrists and psychologists were …
- psychiatrists are not … –> they deal with …/…

Answer 2

prescription privileges;
licensed therapists;
biological/medical model

Question 3

(why psychs should prescribe)

• shortage of …, esp in 5 states that already legalized it –> … is the term we use when talking about psychiatric medications
• more expertise in psychological disorders than …

Answer 3

psychiatrists;
psychotropic meds;
family doctors

Question 4

(why psychs should prescribe)

• other … have prescription privileges (e.g. dentists, optometrists, advanced practice nurses)
• nearly 80% of psychotropic meds are written by … and not by …
• … for clients –> wouldn’t have to see both a … and a …

Answer 4

non-physicians; 
primary care physicians; 
professionals in the field; 
"one-stop" shopping; 
therapist; psychiatrist

Question 5

(why psychs should prescribe)

- … - independently providing a … –> right now, therapist has to communicate with the … about the client

Answer 5

professional autonomy;
wider range of services;
prescriber

Question 6

(why psychs should prescribe)

• … - would set … apart
• potentially the … of the profession, prescribing as the …
• … for the profession - increasing …

Answer 6

professional identification; 
prescribers; 
natural evolution; 
logical next step; 
revenue; 
income

Question 7

(why psychs shouldn’t prescribe)

• … issues - what kind of training would they have to go to, who should those courses …, as well?
• threats to …

Answer 7

training;
be taught by;
psychotherapy;

Question 8

(why psychs shouldn’t prescribe)

- threats to psychotherapy –> can … threaten psychotherapy? … being replaced by … for …

Answer 8

psychopharmacology;
talk therapy;
psychopharmacology;
increased revenue

Question 9

(why psychs shouldn’t prescribe)

• … –> some psychs prescribing, some won’t - can be … to general public to understand the difference
• influence of … industry –< offer gifts/food, form research, they have a …

Answer 9

identity confusion;
confusing;
pharm;
quota

Question 10

(evidence-based treatments/manualized therapy)

• therapy that’s … –> looking at what forms of therapy work best for …
• ensures … across therapists

Answer 10

research-based;
specific disorders;
uniformity

Question 11

(evidence-based treatments/manualized therapy)
ensures uniformity across therapists –> same …, minimizes … among treatment and results
- proven manualized techniques must be done … across the board
- … supports use of manualized therapy

Answer 11

efficacy;
variability;
the same;
data

Question 12

(evidence-based treatments/manualized therapy)
examples:
… for OCD (…)
- someone with OCD may feel the need to do something … as a response to the … caused by their obsession

Answer 12

exposure plus response prevention;
ERP;
repetitively;
anxiety

Question 13

(evidence-based treatments/manualized therapy)
examples:
ERP for OCD:
- someone with OCD may feel the need to do something repetitively as a response to the anxiety caused by their obsession
- ERP involves … to obsessions but the …, - gives rise to their … by they cannot have the …

Answer 13

exposure;
response is prevented;
anxiety;
have the OCD response

Question 14

(evidence-based treatments/manualized therapy)

examples:
- … (…) for … (…)

Answer 14

dialectical behavioral therapy;
BPD;
borderline personality disorder

Question 15

(advantages of manualized therapy) 
... 
- follows ...
- has been ... and ... 
- has been ... 
- less focus on ... form of it

Answer 15

scientifically legitimate; 
scientific method; 
studied; generalized; 
proven to work; 
eclectic

Question 16

(advantages of manualized therapy)

• establishes levels of … –> when you’re trained in a certain form of therapy, you will be …, in it
• …

Answer 16

competence;
competent;
training improvements

Question 17

(advantages of manualized therapy)

- decreased reliance on … –> the caveat here is that … is also …

Answer 17

clinical judgment;
clinical judgment;
valuable

Question 18

(disadvantages of manualized therapy)

• can threaten the … –>do not emphasize this, just focuses on …
• … –> only works if the client has …, most people have … (i.e. …)

Answer 18

psychotherapeutic relationship; 
technique; 
diagnostic complications; 
one disorder; 
more than one disorder; 
comorbidity

Question 19

(disadvantages of manualized therapy)

- … on practice –> without clinical judgment, therapists are just …, not using more than one … - very …

Answer 19

restrictions;
prescribing techniques;
technique;
limiting

Question 20

(disadvantages of manualized therapy)
… for empirical evidence –> who determines what makes it …?
- favors … and … What about …, …, etc, which can also be beneficial to a client?

Answer 20

debatable criteria;
evidence based;
behavioral; cognitive therapies;
humanism; existentialism

Question 21

(overexpansion of mental disorders)

• how far are we going with this?
• 35 million Americans are on … Is this necessary?
• criticisms of …
• influence of the … –> they’re pushing …

Answer 21

antidepressants;
increased diagnoses;
pharm industry;
meds

Question 22

(overexpansion of mental disorders)
we used to tolerate a lot of these things, but now we’re … –> have to look at what’s … in our culture vs what’s truly …
- it only becomes pathological when it causes any of the …

Answer 22

pathologizing them;
“normal”;
pathological;
4 Ds

Question 23

(payment methods)

• ,.. controls how much clinical psychologists get paid
• … started covering mental health around the 90s

Answer 23

pharm industry;

insurance

Question 24

(Effect of third party (i.e. insurance) payment on therapy)
Negative impact on …/… of therapy
- insurance companies controlling how … we see a client (e.g. dictating that 15 sessions are enough) –> too little control over …, esp …
- all insurance companies require that patients need to be … to get paid

Answer 24

quality/effect; 
long; 
clinical decisions; 
diagnoses; 
diagnosed

Question 25

(Effect of third party (i.e. insurance) payment on therapy)

- greater … for many clients

Answer 25

affordability

Question 26

(influence of tech)

• can use … to do therapy –> but, can’t make eye contact, see body language, etc?
• many people do … and … online

Answer 26

internet;
assessment;
treatment

Question 27

(applications of tech)

• … to interview/treat
• … –> maybe as a supplement to therapy?
• interactive …/… to supplement

Answer 27

videoconferencing;
email psychotherapy;
internet sites/apps

Question 28

(applications of tech)

• online … –> e.g. … you can attend online
• … –> e.g. seeing oneself in an airplane when they have a phobia to flying and dealing with that with the therapist

Answer 28

psychotherapy programs;
groups;
virtual reality therapeutic experiences

Question 29

(applications of tech)

• …
• therapist/client interaction via … like …

Answer 29

computer-based self-instruction;

hand-held devices; phones

Question 30

(suggestions for emerging professional issues)

• always … with tech too
• …/… in development (e.g. rn in NJ, therapists can only see people …)

Answer 30

informed consent;
cybertherapy/telehealth laws;
from NJ

Question 31

(suggestions for emerging professional issues)

• continue following …
• ensure … when online –> zoom-bombing occurs sometimes, can hackers access zoom calls?? … and …

Answer 31

APA ethics;
confidentiality;
challenges; compromises confidentiality

Question 32

(suggestions for emerging professional issues)

• appreciate …
• is there extra …/… needed?
• know client’s … –> if treating a client in a different state, it may be difficult to know … for those people

Answer 32

culture;
training; practice;
local emergency resources;
psych resources