问题 单项选择题

一般资料:男性,20岁,待业,因主述情绪低落,压抑、厌学,而来咨询。
案例介绍:求助者性格较内向,由于父母教育严格,因此从小学习很努力,成绩也较好。中考时因感冒发烧发挥失常,只考上一所普通中学,而该学校学习环境不好,学生间打架斗殴不断。高一时因不愿意帮别人写作业,不愿意欺负弱小同学等被其他同学辱骂、殴打,感到自己无能,自我评价较低,后逐渐变得拘谨、胆小,学习成绩也明显下降。从此,打不起精神,闷闷不乐,自卑感强,认为别人都讨厌自己,不愿与自己一起玩,而他人认为其不合群。求助者曾多次想向父母提出换学校又怕给父母添麻烦而没说。父母并没在意其异常,只是要求他努力学习,求助者只好坚持上完高中。虽然埋头苦学但成绩始终不理想。两年前未能考上大学,复读一年后仍然没有考上。之后变得很少与人交流,独来独往,家长、邻居都认为其不活泼,不像男子汉。求助者不想继续学习,也不想找工作,半年前曾有过一两次工作机会,因自身原因没有坚持下来。每天无所事事,打不起精神,没有自己想干的事情,对什么都没有兴趣,觉得活着没有一点意义,感到极度痛苦。曾多次到医院就诊,发现没有明显器质性病变,医生考虑其可能有“神经衰弱”、“神经宫能症”,建议看心理门诊,但自己不知道有无心理问题。

该求助者属于( )。

A.心理健康

B.心理正常

C.心理不健康

D.心理不正常

答案

参考答案:D

解析:“正常”和“不正常”,是标明和讨论“有精神障碍”或“没有精神障碍”等问题的一对范畴。心理正常就是具备正常功能的心理活动,或者说是不包含有精神病症状的心理活动;心理不正常就是异常心理,是指有典型精神障碍(俗称“精神病”)症状的心理活动。“健康”和“不健康”,是另外一对范畴,是在“正常”范围内,用来讨论“正常心理”水平的高低和程度如何。在临床上,鉴别心理正常和异常的标准与区分心理健康水平高低的标准也是截然不同的。根据案例描述,该求助者可能是抑郁性神经症,所以属于心理不正常。

选择题
阅读理解

阅读理解。

     About six years ago I was eating lunch in a restaurant in New York City when a woman and

a young boy sat down at the next table, I couldn't help overhearing parts of their conversation. At

one point the woman asked: "So, how have you been?" And the boy-who could not have been

more than seven or eight years old-replied. "Frankly, I've been feeling a little depressed lately."

     This incident stuck in my mind because it confirmed my growing belief that children are changing.

As far as I can remember, my friends and I didn't find out we were "depressed" until we were in high

school.

     The evidence of a change in children has increased steadily in recent years. Children don't seem

childlike anymore. Children speak more like adults, dress more like adults and behave more like

adults than they used to.

     Whether this is good or bad is difficult to say, but it certainly is different. Childhood as it once

was no longer exists, Why?

     Human development is based not only on innate (天生的) biological states, but also on patterns

of access to social knowledge. Movement from one social rote to another usually involves learning

the secrets of the new status. Children have always been taught adult secrets, but slowly and in stages:

traditionally, we tell sixth graders things we keep hidden from fifth graders.

     In the last 30 years, however, a secret-revelation (揭示.  machine has been installed in 98 percent

of American homes. It is called television, Television passes information, and indiscriminately (不加

区分地), to all viewers alike, be they children or adults. Unable to resist the temptation, many children

turn their attention from printed texts to the less challenging, more vivid moving pictures.

     Communication through print, as a matter of fact, allows for a great deal of control over the social

information to which children have access. Reading and writing involve a complex code of symbols

that must be memorized and practices. Children must read simple books before they can read complex

materials.

1. According to the author, feeling depressed is ________.

A. a sure sign of a psychological problem in a child

B. something hardly to be expected in a young child

C. an inevitable has of children's mental development

D. a mental scale present in all humans, including children

2. Traditionally, a child is supposed to learn about the adult world ________.

A. through contact with society

B. gradually and under guidance

C. naturally and by biological instinct

D. through exposure to social information

3. The phenomenon that today's children seem adult like is attributed by the author to ________.

A. the widespread influence of television

B. the poor arrangement of teaching content

C. the fast pace of human intellectual development

D. the constantly rising standard of living

4. Why is the author in favor of communication through print for children?

A. It enables children to gain more social information.

B. It develops children's interest in reading and writing.

C. It helps children to memorize and practice more.

D. It can control what children are to learn.

5. What does the author think of the change in today's children?

A. He feels amused by chair premature behavior.

B. He thinks it is a phenomenon worthy of note.

C. He considers it a positive development.

D. He seems to be upset about it.