问题 单项选择题

一般资料:女性,17岁,高中二年级学生,因总是揪自己的头发引起斑秃,由母亲陪同前来咨询。

案例介绍:两年前求助者无意间发现长了一根白头发,就把它揪了下来,也没怎么在意。差不多两三个月后,无意间又发现了一根,就又把它揪了下来。从此以后,就经常发现有白头发,其母亲带求助者到医院检查,医生都说是青春期的原因,要求助者不要太在意。求助者也认为医生说的可能是对的,但觉得一个年轻女孩长白头发多难看啊,于是就揪,看见了就揪,不揪就难受,有时连黑头发都揪下来了,甚至有时明明没有白头发,也要揪,现在头发明显的减少了,头顶已经有斑秃了。眼看着自己的头发越来越少,很害怕,但就是控制不住自己,内心特别痛苦。

心理咨询师从求助者母亲处了解到,求助者反映的情况是真实的,除揪头发外没有其他不良嗜好。

下面是心理咨询师与求助者的咨询谈话:

心理咨询师:根据你说的情况,我对你的诊断是强迫性神经症。

求助者:啊?我得神经病啦?

心理咨询师:不,你别紧张,是神经症,不是神经病,是心理方面的问题,就是由于你存在着强迫与反强迫的矛盾冲突,造成了你内心的痛苦,长时间得不到解决,而这种冲突是现实的,所以你迟迟不能解决,越来越痛苦。

求助者:好像是这样的,我该怎么办?您有什么好的方法能帮我改掉揪头发的坏习惯吗?

心理咨询师:有啊,我决定对你实施厌恶疗法,坚决地使你改掉揪头发的坏习惯。

求助者:什么是厌恶疗法?我不懂,您能给我讲讲吗?

心理咨询师:厌恶疗法是一种心理治疗的方法,就是你以后再揪头发时,我将给你一个很不好的刺激,比如电击,由于受到电击你会非常不舒服,就产生了厌恶的生理或心理反应,你一揪,我就给电击,结果就使揪头发的行为和厌恶反应建立了联系,这叫条件反射,以后你再揪头发,就联想到所受的电击,会非常不舒服的,你就不敢揪了,揪头发的坏习惯就改过来了。

求助者:哦,我明白了,我就用方法吧。

心理咨询师:好,为了安全,我给你用110伏的电压刺激,只要你揪头发,我就给你电刺激,直到你改了这个坏习惯。

求助者:110伏,会不会把我电坏?

心理咨询师:你肯定会很不舒服,为了改掉你的坏习惯,电刺激必须时非常强烈的。

求助者:需要多长时间才能改掉?我今年高二,学习很紧张的。

心理咨询师:那要看多长时间才能建立起条件反射。

求助者:我需要准备些什么吗?

心理咨询师:也没什么特别的,你和你妈妈商量好就行了。

求助者:好吧。

对该求助者揪头发的行为,还可使用的方法是()。

A、认知疗法

B、阳性强化法

C、冲击疗法

D、生物反馈法

答案

参考答案:B

单项选择题

Malthusian fears that population growth will outstrip food supplies have been widely discounted as food production has kept well ahead of growing human numbers in the last half century. While population doubled, food supply tripled, and life expectancy increased from 46 in the 1950s to around 65 today. But more recently, some experts have once again been sounding the alarm about a possible food crisis.

The reason lies in the combined impact of many factors including climate change, forest denudation, land degradation, water shortage, declining oil supplies, species extinction, destruction of coastal ecosystems and the growing demands for a meat-rich diet from newly developed parts of the world.

At the root of all these problems has been the ruthless exploitation of the earth’s resources, fuelled by growing affluence in some parts of the world and desperate poverty in others. Between 1980 and 2000, global population rose from 4.4 billion to 6.1 billion, while food production increased 50 per cent. By 2050, the population is expected to reach 9 billion.

Data shows that while grain yields per acre have been increasing, the rate of increase has been slowing since the days of the Green Revolution in the 1970s. Most of the benefits of irrigation, machinery, fertilizer and plant breeding have already been realized. The production of grain per acre is close to the maximum obtainable through photosynthesis.

To keep up with the growth in human population, more food will have to be produced over the next 50 years than has been during the past 10,000 years combined, said the participants of the recent UN-backed forum in Iceland on sustainable development. It is, of course, possible that new technologies, smart environmental management and sensitive social policies will combine to good effect to usher in a new green revolution. But as grain reserves have fallen to their lowest level for many years, this cannot be guaranteed.

At the 1996 World Food Summit political leaders from 186 countries pledged to halve the number of hungry people in the world by the year 2015, or a reduction of 20 million each year. At that time, about 800 million people were reported to suffer from under- nourishment. In 2007 estimates from the UN Food and Agriculture Organization (FAO) suggest that there are 854 million people who do not get enough to eat every day. "Far from decreasing, the number of hungry people in the world is currently increasing," said FAO Director-General Jacques Diouf. (Of course, world population has increased by some 800 million in that time, so food supplies have kept up relatively well, but have failed to reach an increasing number, let alone reduce the total going hungry.)

The food crisis may come as a result of()

A. the population’s getting bigger than before

B. some experts’ exaggeration

C. the joint force of a variety of factors

D. people’s turning a blind eye to the situation

单项选择题