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Psychology Past to Present — The Five Approaches

Biological Therapy: Drug Therapy or Psychosurgery — effectiveness of the therapy

  • 3 things to know
  • AS Unit 1

Overview

Recall questions on criticising medication as a chemical straitjacket.

What you need to know

Answer each one before you reveal it.

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Key term

Under what circumstances is psychosurgery considered acceptable in the UK today?

Key term

Give one piece of evidence on the effectiveness of drug therapy.

Key term

Why is relapse a problem for judging drug therapy successful?

Questions from this subtopic

Each one with the model answer underneath.

  1. 1

    Under what circumstances is psychosurgery considered acceptable in the UK today?

    Model answer

    Only as a last resort for a severe, long-standing disorder that has failed to respond to every other treatment, with the patient's own consent and an independent second opinion.

  2. 2

    Give one piece of evidence on the effectiveness of drug therapy.

    Model answer

    Reviews of controlled trials of SSRIs for obsessive-compulsive disorder show significantly greater symptom reduction than placebo.

  3. 3

    What argument do critics such as Kirsch make about antidepressant trials?

    Model answer

    That once the placebo response is taken into account, the additional benefit of the drug is small except in the most severely depressed patients.

  4. 4

    Why is relapse a problem for judging drug therapy successful?

    Model answer

    Symptoms commonly return when medication stops, which suggests the drug suppresses the symptoms rather than curing the underlying disorder.

  5. 5

    Why does the placebo effect make drug trials difficult to interpret, and how is it controlled?

    Model answer

    Patients improve simply from believing they are being treated, so trials use a double-blind design in which neither patient nor prescriber knows who has the active drug.

  6. 6

    How is the effectiveness of psychosurgery judged, and why is that evidence weak?

    Model answer

    By symptom rating scales taken before and after surgery, but patients are few, there is no control group and randomised trials are considered unethical, so firm conclusions cannot be drawn.

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Psychology Past to Present — The Five Approaches
Contemporary Debates
Principles of Research and Application of Research Methods
Mathematical Requirements for Psychology (Appendix A: AS Unit 2 and A2 Unit 4)

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AParticipants volunteer and are already motivated.
BSamples are self-selecting.
CNo convincing placebo version exists.

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