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      New question bank for paper B   05/11/18

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Guest khuram

Any suggestions(Psychotherapy)

14 posts in this topic

1.Habituation can exacerbate panic avoidance.

2.Negative reinforcement can exacerbate the avoidance in phobic avoidance.

3.Individual psychotherapy is better than group psychotherapy for the treatment of sexual offences by patients with a learning disability.

4.Rational emotional therapy is of proven benefit for patients with emotionally unstable personality disorder

5.The Therapists account of the stength of a therapeutic relationship is related to the outcome

6.projective identification is a defence mechanism against unconconsious anxiety

7.According to psychoanalytic theory interpretative statements should be tentative

8.Transference phenomena does not effect the therapist

9.Underlying assumptions are process that belong to the dynamic unconsciousness

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1.Habituation can exacerbate panic avoidance.

False

Repeated presentation of the same stimulus can have two consequences: sensitization or habituation. The former involves an increase in responding, and the latter involves a decrease. Slow rates of stimulus presentation are relatively more likely to result in sensitization, and rapid rates are more likely to result in habituation.

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9.Underlying assumptions are process that belong to the dynamic unconsciousness

True

personal dynamic unconscious reflects developmental vicissitudes and residues of a life history.

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6.projective identification is a defence mechanism against unconsious anxiety

True

One member of a couple has an affair, the other, unable to show directly their hurt, may retaliate by themselves sleeping with someone else. Here the initially injured party communicates pain, humiliation, and rage not by direct expression of anger, but by inducing those feelings in the other via PI

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1.Habituation can exacerbate panic avoidance.

False, agree with your answer

2.Negative reinforcement can exacerbate the avoidance in phobic avoidance.

False - negative reinforcement is when something unpleasant happens following a behaviour which your are trying to extinguish

3.Individual psychotherapy is better than group psychotherapy for the treatment of sexual offences by patients with a learning disability.

4.Rational emotional therapy is of proven benefit for patients with emotionally unstable personality disorder

FALSE - rebt does not have good eidence base

5.The Therapists account of the stength of a therapeutic relationship is related to the outcome

6.projective identification is a defence mechanism against unconconsious anxiety

agree TRUE

7.According to psychoanalytic theory interpretative statements should be tentative

?TRUE...tricky

8.Transference phenomena does not effect the therapist

False - it is the reactions that the patient projects pnto the therapist... must affect the therapist in some way (my own interpretation)

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8.Transference phenomena does not effect the therapist

False - it is the reactions that the patient projects pnto the therapist... must affect the therapist in some way (my own interpretation)

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All the answers given I believe are correct except for

2.Negative reinforcement can exacerbate the avoidance in phobic avoidance.  

TRUE - Negative reinforcement means that an aversive stimulus is present before a behaviour, so that once the desired behaviour occurs the adversive stimulus stops thus increasing the probability of that desired behaviour reoccurring. This learned response is called avoidance conditioning

Punishment is where an adversive stimulus is appiled after a given behaviour (usually an undesired one) occurs  

- Revision notes in Psychiatry

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agree with your reply on question 2. thanks :-*

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more questions from the last exam;

1.agoraphobia responds well to fantasy desensitisiation

2.tics respond to both response prevention and exposure therapy

3.Characteristics of agoraphobia includes good response to desensitisation in fantasy

4.Both response prevention and habit reversal techniques have been shown to be beneficial in reducing tic frequency in touretts syndrome

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1.agoraphobia responds well to fantasy desensitisiation

False

Imaginal systematic desensitization was pioneered by Wolpe, a founding father of behavior therapy. Comparative outcome studies have indicated, however, that imaginal desensitization is not as effective as in vivo exposure, particularly with agoraphobic patients. Wolpe himself argued that agoraphobia is a heterogeneous condition requiring a broader behavioral approach that includes targets, such as marital conflict, dependency, and medical conditions (e.g., seizures and Meniere's disease). Imaginal desensitization also requires more sessions than in vivo procedures and tends to be tedious to administer. For these reasons, imaginal desensitization is not commonly used in the clinical treatment of phobias today. However, it remains an option for patients who require a low-anxiety approach, such as children or medically compromised patients.

Kaplan

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1.idealization masks denigration

2.the therapist's view of the therapeutic alliance predicts a good outcome

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1.agoraphobia responds well to fantasy desensitisiation

Agoraphobia does respond to in-vivo desensitisation.

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I agree

1.agoraphobia responds well to fantasy desensitisiation f

In Italy, enduring improvement of agoraphobia/panic and of social phobia persisted over a mean of 7 years' follow-up after a therapist had spent 5-6 hours guiding self-exposure treatment

(Fava et al, 2001).

From -Some brief psychotherapies help anxiety/depressive disorders but mechanisms of action are unclear

[Review Article] MARKS, ISAAC M.

The British Journal of Psychiatry Volume 180, March 2002, pp 200-204

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