Psychological Perspectives on Medication Effects

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Questions and Answers

What is a key factor that can influence a client's compliance with prescribed medication?

  • The effectiveness of the medication
  • The client's level of education
  • The client's worldview towards psychotropic medication (correct)
  • The cost of medication

What does the cultural perspective emphasize in the context of mental health?

  • The shared beliefs and worldviews of groups (correct)
  • The role of psychological therapies
  • The effect of social policies
  • The biological factors of mental disorders

Which perspective concerns the structure and impact of social institutions on individuals?

  • Psychological Perspective
  • Social Perspective (correct)
  • Biological Perspective
  • Cultural Perspective

Which of the following is NOT mentioned as a type or aspect of truth concerning mental health?

<p>Economic truth (B)</p> Signup and view all the answers

What limitation is noted regarding medication in the context of psychological suffering?

<p>It cannot address the underlying causes of suffering (C)</p> Signup and view all the answers

What role do cultural beliefs play in mental health treatment?

<p>They provide a framework for understanding individual experiences (A)</p> Signup and view all the answers

Which perspective primarily addresses people's views on how they should treat one another?

<p>Cultural Perspective (D)</p> Signup and view all the answers

What can happen if a client possesses a highly suspicious worldview towards medication?

<p>They might refuse to take prescribed medication (A)</p> Signup and view all the answers

What is referred to as 'word magic' in the context of the pharmaceutical industry?

<p>Creating the illusion of certainty where none exists (C)</p> Signup and view all the answers

What was the outcome of the lawsuit against Janssen in 2011?

<p>Janssen was fined $158 million for deceptive marketing (B)</p> Signup and view all the answers

What expectation do clients often have regarding antidepressant medication?

<p>That it will completely erase all suffering (B)</p> Signup and view all the answers

How has the nature of expectations for medications changed since the first edition of the book was published?

<p>Expectations have become almost magical (A)</p> Signup and view all the answers

What industry is identified as having significant power, particularly in the United States?

<p>The pharmaceutical industry (D)</p> Signup and view all the answers

What societal perception is critiqued regarding pharmaceutical companies and their products?

<p>They have almost magical expectations placed upon them (B)</p> Signup and view all the answers

Which of the following is NOT a factor mentioned as contributing to magical expectations of medications?

<p>Rising popularity of alternative treatments (A)</p> Signup and view all the answers

What is suggested about the influence of the pharmaceutical industry on clients' beliefs?

<p>It has normalized irrational expectations about treatment (A)</p> Signup and view all the answers

What is one primary purpose of word magic in communication?

<p>To increase one's control and power (B)</p> Signup and view all the answers

Which company was fined $1.42 billion for illegal marketing practices in 2009?

<p>Eli Lilly Company (A)</p> Signup and view all the answers

What was AstraZeneca fined for in 2010?

<p>Illegal marketing of an antipsychotic (B)</p> Signup and view all the answers

What term did A. Mitchell Palmer and Joseph McCarthy use to exercise power during the red scares?

<p>Communist (D)</p> Signup and view all the answers

Which significant event is not mentioned as an example of the use of word magic?

<p>World War II (C)</p> Signup and view all the answers

What effect does word magic aim to achieve in the face of complexity?

<p>To simplify reality for control (C)</p> Signup and view all the answers

What was a common characteristic of the pharmaceutical industry highlighted in the content?

<p>A history of ethically questionable actions (A)</p> Signup and view all the answers

What consequence did the pharmaceutical companies face due to their illegal actions?

<p>Significant financial penalties (B)</p> Signup and view all the answers

What ethical consideration is highlighted when a client takes a medication not approved by the FDA for a serious disorder?

<p>The welfare of the client is significantly at stake. (A)</p> Signup and view all the answers

Which perspective is discussed regarding children being referred for medication rather than counseling?

<p>Social perspective (B)</p> Signup and view all the answers

What might a family believe if they think psychotropic medication is spiritually damaging?

<p>It conflicts with their spiritual beliefs. (B)</p> Signup and view all the answers

What does R. Stivers suggest about technology and human perception?

<p>Technology can lead to magical thinking. (A)</p> Signup and view all the answers

How is the relationship between mental health professionals and prescribing professionals characterized?

<p>It should be collaborative and healthy. (A)</p> Signup and view all the answers

What is suggested as a beneficial approach in the study of psychopharmacology?

<p>Integrate various types of knowledge. (A)</p> Signup and view all the answers

What might be a consequence of 'disenchantment' according to technological perspectives?

<p>A response characterized by magical thinking. (C)</p> Signup and view all the answers

What is one key consideration about taking psychotropic medication from a psychological perspective?

<p>It requires understanding client experiences. (C)</p> Signup and view all the answers

What was Lawrence's father's typical response to his emotional struggles?

<p>Just move on, son. (B)</p> Signup and view all the answers

How did Lawrence feel about his relationships at home and school?

<p>He was often lonely and misunderstood. (A)</p> Signup and view all the answers

What medication was Lawrence prescribed after bupropion?

<p>Aripiprazole (D)</p> Signup and view all the answers

What social issue did Lawrence develop as a result of his emotional state?

<p>Social anxiety (B)</p> Signup and view all the answers

What did the psychiatrist conclude about Lawrence's condition after further consultation?

<p>He was masking bipolar disorder. (D)</p> Signup and view all the answers

What was a significant emotional loss experienced by Lawrence during his development?

<p>Loss of his mother's nurturing. (B)</p> Signup and view all the answers

How did Lawrence react to the changes in his medication?

<p>He became agitated and unable to focus. (D)</p> Signup and view all the answers

What was the psychiatrist's initial response to Lawrence's inability to sleep after medication changes?

<p>To conduct an in-depth clinical interview. (A)</p> Signup and view all the answers

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Study Notes

Psychological and Cultural Perspectives in Mental Health

  • Psychological perspective emphasizes the individual's experience of nonbiological suffering, which cannot be addressed by medication alone.
  • Cultural perspective highlights the impact of belief systems on treatment acceptance; for instance, clients skeptical of psychotropic medications may refuse prescriptions.
  • Social perspective examines how shared beliefs in societies affect mental health treatment, focusing on the prevalence of counseling versus medication for children.

Integration of Knowledge in Psychopharmacology

  • Advocates for an integrated approach that combines scientific, cultural, social, and psychological perspectives to enhance understanding in psychopharmacology.
  • Importance of collaboratively understanding the meaning and implications of psychotropic medication for clients, especially in families with spiritual beliefs against its use.
  • Rising scrutiny of the pharmaceutical industry related to illegal practices and deceptive marketing, with significant lawsuits highlighting unethical behavior.
  • Example of Massachusetts' lawsuit against Janssen for misleading marketing of resperidone, resulting in a $158 million settlement.
  • Between 2004-2011, the U.S. recovered nearly $8 billion from pharmaceutical companies for promoting drugs for unauthorized uses.

Word Magic and Its Impact

  • The concept of "word magic" is introduced: the manipulation of language to create illusions of certainty and control in complex situations.
  • Historical examples include political uses of language during "red scares" and witch hunts, showcasing the power of language in shaping perceptions and societal reactions.

Case Study: Lawrence's Treatment Journey

  • Lawrence, a bright but isolated individual, struggles with anxiety and developing a social phobia after losing maternal support during critical developmental stages.
  • Initial treatment involved the antidepressant bupropion; symptoms worsened leading to medication reassessment by his psychiatrist.
  • Final treatment included lithium (lithobid) after discontinuing previous medications, demonstrating the need for careful clinical evaluation and adaptation to individual needs.

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