Test Prep MCAT Test Exam Prep
Medical College Admission Test: Verbal Reasoning, Biological Sciences, Physical Sciences, Writing Sample (Page 4 )

The time has come to acknowledge the ascendancy of the humanistic psychology movement. The so-called "Third Stream" emerged at mid-century, asserting itself against the opposition of a pair of mighty, long- established currents, psychoanalysis and behaviorism. The hostility between these two older schools, as well as divisiveness within each of them, probably helped enable humanistic psychology to survive its early years. But the movement flourished because of its wealth of insights into the nature of this most inexact science.
Of the three major movements in the course of 20th century psychology, psychoanalysis is the oldest and most introspective. Conceived by Sigmund Freud as a means of treating mental and emotional disorders, psychoanalysis is based on the theory that people experience unresolved emotional conflicts in infancy and early childhood. Years later, although these experiences have largely disappeared from conscious awareness, they may continue to impair a person's ability to function in daily life. The patient experiences improvement when the psychoanalyst eventually unlocks these long-repressed memories of conflict and brings them to the patient's conscious awareness.
In the heyday of behaviorism, which occurred between the two world wars, the psychoanalytic movement was heavily criticized for being too concerned with inner subjective experience. Behavioral psychologists, dismissing ideas and feelings as unscientific, tried to deal only with observable and quantifiable facts. They perceived the human being merely as an organism which generated responses to stimuli produced by its body and the environment around it. Patients' neuroses no longer needed analysis; they could instead by modified by behavioral conditioning. Not even babies were safe: B.F. Skinner devised a container in which infants could be raised under "ideal" conditions ­ if a sound-proof box can be considered the ideal environment for child-rearing.
By mid-century, a number of psychologists had grown dissatisfied with both the deterministic Freudian perspective and the mechanistic approach of behaviorism. They questioned the idea that human personality becomes permanently fixed in the first few years of life. They wondered if the purpose of psychology was really to reduce people to laboratory specimens. Was it not instead possible that human beings are greater than the sum of their parts? That psychology should speak to their search for fulfillment and meaning in life?
It is questions like these that members of the Third Stream have sought to address. While the movement cannot be simplified down to a single theoretical position, it does spring from certain fundamental propositions. Humanistic psychologists believe that conscious experience, rather than outward behavior, is the proper subject of psychology. We recognize that each human being is unique, capable of change and personal growth. We see maturity as a process dependent on the establishment of a set of values and the development of self. And we believe that the more aspects of self which are satisfactorily developed, the more positive the individual's self-image.
Abraham Maslow, a pioneer of the Third Stream, articulated a hierarchy of basic human needs, starting with food, water and air, progressing upward through shelter and security, social acceptance and belonging, to love, esteem and self-expression. Progress toward the higher stages cannot occur until all of the more basic needs have been satisfied. Individuals atop the pyramid, having developed their potential to the highest possible extent, are said to be "self-actualized".
If this humanist theoretical perspective is aimed at empowering the individual, so too are the movement's efforts in the practical realm of clinical psychology. Believing that traditional psychotherapists tend to lead patients toward predetermined resolutions of their problems, Carl Rogers pressed for objective evaluations of both the process and outcome of psychotherapeutic treatment. Not content to function simply as a reformer, Rogers also pioneered the development of "client-centered" or nondirective therapy, which emphasizes the autonomy of the client (i.e., patient). In client-centered therapy, clients choose the subjects for discussion, and are encouraged to create their own solutions to their problems.

The time has come to acknowledge the ascendancy of the humanistic psychology movement. The so-called "Third Stream" emerged at mid-century, asserting itself against the opposition of a pair of mighty, long- established currents, psychoanalysis and behaviorism. The hostility between these two older schools, as well as divisiveness within each of them, probably helped enable humanistic psychology to survive its early years. But the movement flourished because of its wealth of insights into the nature of this most inexact science.
Of the three major movements in the course of 20th century psychology, psychoanalysis is the oldest and most introspective. Conceived by Sigmund Freud as a means of treating mental and emotional disorders, psychoanalysis is based on the theory that people experience unresolved emotional conflicts in infancy and early childhood. Years later, although these experiences have largely disappeared from conscious awareness, they may continue to impair a person's ability to function in daily life. The patient experiences improvement when the psychoanalyst eventually unlocks these long-repressed memories of conflict and brings them to the patient's conscious awareness.
In the heyday of behaviorism, which occurred between the two world wars, the psychoanalytic movement was heavily criticized for being too concerned with inner subjective experience. Behavioral psychologists, dismissing ideas and feelings as unscientific, tried to deal only with observable and quantifiable facts. They perceived the human being merely as an organism which generated responses to stimuli produced by its body and the environment around it. Patients' neuroses no longer needed analysis; they could instead by modified by behavioral conditioning. Not even babies were safe: B.F. Skinner devised a container in which infants could be raised under "ideal" conditions ­ if a sound-proof box can be considered the ideal environment for child-rearing.
By mid-century, a number of psychologists had grown dissatisfied with both the deterministic Freudian perspective and the mechanistic approach of behaviorism. They questioned the idea that human personality becomes permanently fixed in the first few years of life. They wondered if the purpose of psychology was really to reduce people to laboratory specimens. Was it not instead possible that human beings are greater than the sum of their parts? That psychology should speak to their search for fulfillment and meaning in life?
It is questions like these that members of the Third Stream have sought to address. While the movement cannot be simplified down to a single theoretical position, it does spring from certain fundamental propositions. Humanistic psychologists believe that conscious experience, rather than outward behavior, is the proper subject of psychology. We recognize that each human being is unique, capable of change and personal growth. We see maturity as a process dependent on the establishment of a set of values and the development of self. And we believe that the more aspects of self which are satisfactorily developed, the more positive the individual's self-image.
Abraham Maslow, a pioneer of the Third Stream, articulated a hierarchy of basic human needs, starting with food, water and air, progressing upward through shelter and security, social acceptance and belonging, to love, esteem and self-expression. Progress toward the higher stages cannot occur until all of the more basic needs have been satisfied. Individuals atop the pyramid, having developed their potential to the highest possible extent, are said to be "self-actualized".
If this humanist theoretical perspective is aimed at empowering the individual, so too are the movement's efforts in the practical realm of clinical psychology. Believing that traditional psychotherapists tend to lead patients toward predetermined resolutions of their problems, Carl Rogers pressed for objective evaluations of both the process and outcome of psychotherapeutic treatment. Not content to function simply as a reformer, Rogers also pioneered the development of "client-centered" or nondirective therapy, which emphasizes the autonomy of the client (i.e., patient). In client-centered therapy, clients choose the subjects for discussion, and are encouraged to create their own solutions to their problems.
According to the passage, the ultimate goal of Carl Rogers's client-centered therapy is:

The time has come to acknowledge the ascendancy of the humanistic psychology movement. The so-called "Third Stream" emerged at mid-century, asserting itself against the opposition of a pair of mighty, long- established currents, psychoanalysis and behaviorism. The hostility between these two older schools, as well as divisiveness within each of them, probably helped enable humanistic psychology to survive its early years. But the movement flourished because of its wealth of insights into the nature of this most inexact science.
Of the three major movements in the course of 20th century psychology, psychoanalysis is the oldest and most introspective. Conceived by Sigmund Freud as a means of treating mental and emotional disorders, psychoanalysis is based on the theory that people experience unresolved emotional conflicts in infancy and early childhood. Years later, although these experiences have largely disappeared from conscious awareness, they may continue to impair a person's ability to function in daily life. The patient experiences improvement when the psychoanalyst eventually unlocks these long-repressed memories of conflict and brings them to the patient's conscious awareness.
In the heyday of behaviorism, which occurred between the two world wars, the psychoanalytic movement was heavily criticized for being too concerned with inner subjective experience. Behavioral psychologists, dismissing ideas and feelings as unscientific, tried to deal only with observable and quantifiable facts. They perceived the human being merely as an organism which generated responses to stimuli produced by its body and the environment around it. Patients' neuroses no longer needed analysis; they could instead by modified by behavioral conditioning. Not even babies were safe: B.F. Skinner devised a container in which infants could be raised under "ideal" conditions ­ if a sound-proof box can be considered the ideal environment for child-rearing.
By mid-century, a number of psychologists had grown dissatisfied with both the deterministic Freudian perspective and the mechanistic approach of behaviorism. They questioned the idea that human personality becomes permanently fixed in the first few years of life. They wondered if the purpose of psychology was really to reduce people to laboratory specimens. Was it not instead possible that human beings are greater than the sum of their parts? That psychology should speak to their search for fulfillment and meaning in life?
It is questions like these that members of the Third Stream have sought to address. While the movement cannot be simplified down to a single theoretical position, it does spring from certain fundamental propositions. Humanistic psychologists believe that conscious experience, rather than outward behavior, is the proper subject of psychology. We recognize that each human being is unique, capable of change and personal growth. We see maturity as a process dependent on the establishment of a set of values and the development of self. And we believe that the more aspects of self which are satisfactorily developed, the more positive the individual's self-image.
Abraham Maslow, a pioneer of the Third Stream, articulated a hierarchy of basic human needs, starting with food, water and air, progressing upward through shelter and security, social acceptance and belonging, to love, esteem and self-expression. Progress toward the higher stages cannot occur until all of the more basic needs have been satisfied. Individuals atop the pyramid, having developed their potential to the highest possible extent, are said to be "self-actualized".
If this humanist theoretical perspective is aimed at empowering the individual, so too are the movement's efforts in the practical realm of clinical psychology. Believing that traditional psychotherapists tend to lead patients toward predetermined resolutions of their problems, Carl Rogers pressed for objective evaluations of both the process and outcome of psychotherapeutic treatment. Not content to function simply as a reformer, Rogers also pioneered the development of "client-centered" or nondirective therapy, which emphasizes the autonomy of the client (i.e., patient). In client-centered therapy, clients choose the subjects for discussion, and are encouraged to create their own solutions to their problems.
Psychoanalysts and humanistic psychologists would be most likely to disagree about:

Due to ever-increasing paranoia about the transmission of hepatitis and AIDS via blood transfusions and the frequent difficulty of procuring matching blood donors for patients, researchers have been working at a feverish pace to produce disease-free and easy-to-use blood substitutes. The difficulty most synthetic blood researches have had is in formulating a substance that combines qualities of sterility, high capacity for carrying oxygen to body tissues, and versatility within the human body. Three major substitute technologies have been developed to date; each has certain advantages and shortcomings.
"Red blood," the first of the blood substitute technologies, is derived from hemoglobin which has been recycled from old, dead, or worn-out red blood cells and modified so that it can carry oxygen outside the red blood cell. Hemoglobin, a complex protein, is the blood's natural oxygen carrier and is attractive to scientists for use in synthetic blood because of its oxygen-carrying capacity. However, hemoglobin can sometimes constitute a two- fold threat to humans when it is extracted from the red blood cell and introduced to the body in its naked form. First, hemoglobin molecules are rarely sterile and often remain contaminated by viruses to which they were exposed in the cell. Second, naked hemoglobin is extremely dangerous to the kidneys, causing blood flow at these organs to shut down and leading, ultimately, to renal failure. Additional problems arise from the fact that hemoglobin is adapted to operate optimally within the intricate environment of the red blood cell. Stripped of the protection of the cell, the hemoglobin molecule tends to suffer breakdown within several hours. Although modification has produced more durable hemoglobin molecules which do not cause renal failure, undesired side effects continue to plague patients and hinder the development of hemoglobin-based blood substitutes.
Another synthetic blood alternative, "white blood," is dependent on laboratory synthesized chemicals called perfluorocarbons (PFCs). Unlike blood, PFCs are clear oil like liquids, yet they are capable of absorbing quantities of oxygen up to 50% of their volume, enough of an oxygen carrying potential for oxygen-dependent organisms to survive submerged in the liquid for hours by "breathing" it. Although PFCs imitate real blood by effectively absorbing oxygen, scientists are primarily interested in them as constituents of blood substitutes because they are inherently safer to use than hemoglobin-based substitutes. PFCs do not interact with any chemicals in the body and can be manufactured in near-perfect sterility. The primary pitfall of PFCs is in their tendency to form globules in plasma that can block circulation. Dissolving PFCs in solution can mitigate globulation; however, this procedure also seriously curtails the PFCs' oxygen capacity.
The final and perhaps most ambitious attempt to form a blood substitute involves the synthesis of a modified version of human hemoglobin by genetically-altered bacteria. Fortunately, this synthetic hemoglobin seems to closely mimic the qualities of sterility, and durability outside the cellular environment, and the oxygen-carrying efficiency of blood. Furthermore, researchers have found that if modified hemoglobin genes are added to bacterial DNA, the bacteria will produce the desired product in copious quantities. This procedure is extremely challenging, however, because it requires the isolation of the human gene for the production of hemoglobin, and the modification of the gene to express a molecule that works without support from a living cell.
While all the above technologies have serious drawbacks and difficulties, work to perfect an ideal blood substitute continues. Scientists hope that in the near future safe synthetic blood transfusions may ease blood shortages and resolve the unavailability of various blood types.
The author mentions all of the following as weaknesses of synthetic bloods EXCEPT:

Due to ever-increasing paranoia about the transmission of hepatitis and AIDS via blood transfusions and the frequent difficulty of procuring matching blood donors for patients, researchers have been working at a feverish pace to produce disease-free and easy-to-use blood substitutes. The difficulty most synthetic blood researches have had is in formulating a substance that combines qualities of sterility, high capacity for carrying oxygen to body tissues, and versatility within the human body. Three major substitute technologies have been developed to date; each has certain advantages and shortcomings.
"Red blood," the first of the blood substitute technologies, is derived from hemoglobin which has been recycled from old, dead, or worn-out red blood cells and modified so that it can carry oxygen outside the red blood cell. Hemoglobin, a complex protein, is the blood's natural oxygen carrier and is attractive to scientists for use in synthetic blood because of its oxygen-carrying capacity. However, hemoglobin can sometimes constitute a two- fold threat to humans when it is extracted from the red blood cell and introduced to the body in its naked form. First, hemoglobin molecules are rarely sterile and often remain contaminated by viruses to which they were exposed in the cell. Second, naked hemoglobin is extremely dangerous to the kidneys, causing blood flow at these organs to shut down and leading, ultimately, to renal failure. Additional problems arise from the fact that hemoglobin is adapted to operate optimally within the intricate environment of the red blood cell. Stripped of the protection of the cell, the hemoglobin molecule tends to suffer breakdown within several hours. Although modification has produced more durable hemoglobin molecules which do not cause renal failure, undesired side effects continue to plague patients and hinder the development of hemoglobin-based blood substitutes.
Another synthetic blood alternative, "white blood", is dependent on laboratory synthesized chemicals called perfluorocarbons (PFCs). Unlike blood, PFCs are clear oil like liquids, yet they are capable of absorbing quantities of oxygen up to 50% of their volume, enough of an oxygen carrying potential for oxygen-dependent organisms to survive submerged in the liquid for hours by "breathing" it. Although PFCs imitate real blood by effectively absorbing oxygen, scientists are primarily interested in them as constituents of blood substitutes because they are inherently safer to use than hemoglobin-based substitutes. PFCs do not interact with any chemicals in the body and can be manufactured in near-perfect sterility. The primary pitfall of PFCs is in their tendency to form globules in plasma that can block circulation. Dissolving PFCs in solution can mitigate globulation; however, this procedure also seriously curtails the PFCs' oxygen capacity.
The final and perhaps most ambitious attempt to form a blood substitute involves the synthesis of a modified version of human hemoglobin by genetically-altered bacteria. Fortunately, this synthetic hemoglobin seems to closely mimic the qualities of sterility, and durability outside the cellular environment, and the oxygen-carrying efficiency of blood. Furthermore, researchers have found that if modified hemoglobin genes are added to bacterial DNA, the bacteria will produce the desired product in copious quantities. This procedure is extremely challenging, however, because it requires the isolation of the human gene for the production of hemoglobin, and the modification of the gene to express a molecule that works without support from a living cell.
While all the above technologies have serious drawbacks and difficulties, work to perfect an ideal blood substitute continues. Scientists hope that in the near future safe synthetic blood transfusions may ease blood shortages and resolve the unavailability of various blood types.
According to the passage, PFCs are helpful in the synthesis of blood substitutes because they:
I). mimic the oxygen-carrying capacity of blood.
II). do not react with other body chemicals.
III). break down in the blood within several hours.