PSYC 306 1st Edition Exam # 2 Study Guide Chapters 4, 9 & 15 Mental Status A set of interview questions and observations designed to reveal the degree and nature of a person’s abnormal functioning. ECT (Electroconvulsive Therapy) Used frequently because its an effective and fast acting intervention for unipolar o 60-80% of patients improve 1917 Malaria- Induced fever o Julius Wagner-Jauregg, Vienna 1927 Insulin- Induced Coma o Manfred Sakel, Berlin . Insulin injection . Seizures . Inject glucose 1934 Metrazol- Induced Coma o Ladislaus von Meduna, Budapest . Biological antagonism . 42% of spinal fractures First seen in the 1930’s … widespread use by 1939 o 1937- Ugo Cerlitti & Lucio Bini o Nominated for noble prize . ECT Procedure Informed consent Anesthetic Muscle relaxant 800 milliamps Several hundred watts 1-6 seconds 3X/ week 6-12 treatments Texas does 1500 annually o Age range (16-97) o Although effective it has declined since the 1950’s . B/c of memory loss associated with treatment & The frightening nature of the procedure Behavioral Treatment Rational-Emotive Therapy (RET) o Cognitive therapy o Developed by Albert Ellis o Help people identify and change the irrational assumptions and thinking that help cause psychological disorders Stress Inoculation Training o SIT Stages . Conceptualization phase . Rehearsal phase . Application phase Re-hospitalizations decrease by 50% among clients treated with cognitive- behavioral therapy Anti-Depressants 1st Generation o Monoamine Oxidase Inhibitors (MAO) /tricyclics . Marplan . Nardil 2nd Generation o Selective Serotonin Reuptake Inhibitors (SSRI’s) . Group of 2nd generation anti-depressant drugs that increase serotonin activity specifically without affecting other neurotransmitters Prozac (Most popular) o ‘Reach for Mother’s Little Helper” . Newsweek, 1994 o The Personality Pill”.