单选题 Giving psychologists the option to become trained prescribers may create a division among psychologists whereby some will be able to prescribe and others will not. As a result, major discord could emerge. It is possible that psychologists with the fight to prescribe may consider themselves superior to those without the right. If gaining prescription privileges would lead to broader third party payments or full hospital privileges for those qualified to prescribe, psychologists unable to do so may feel that they have been accorded second class status in their profession.
The debate, thus far, has focused on the training necessary to grant psychologists prescription privileges. Although this matter is important, of more basic concern are treatment implications and the future role of psychologists. Prescription privileges could move psychologists closer to a medical model and further away from their historical goal. Psychology began in the late 19th century as an application for psychological techniques. Its focus has been on assessment, behavioral interventions, Consuhation, and applied research. Before the widespread use of psychotropic medications, psychiatry emphasized the practice of psychotherapy. Gradually, psychiatry moved toward increased reliance on drugs and away from psychotherapy. It is possible, over time, that psychologists, like psychiatrists, could become more influenced by the use of medication.
Despite the argument that prescription privileges significantly may alter traditional psychotherapeutic implications, some psychologists strongly feel that they would be looked upon more favorably, gain prestige, and increase their caseload if they could have the same status of prescribing medication as psychiatrists do. Does this mean that a lack of prescription privileges promotes the image of psychology as an inferior profession to psychiatry? Contrary to this argument is the fact that psychologists are delivering more outpatient mental health care than any other group of providers.
Whatever some psychologists may perceive as a therapeutic drawback because they are unable to offer prescriptions for psychotropic medications apparently is not recognized by the general public. Psychologists may have flourished because they have offered a clear and distinct service from psychiatry. The use of medication may send a message to patients that may interfere with personal change and growth. Medications can undercut psychotherapy efforts by implying that benefits come from external agents, not from one's own efforts at change and growth.
A large portion of the population prefers the non-medication orientation of psychology. If psychologists began prescribing medications, many of their patients seeking alternative treatment might turn to social workers or other non-medical therapists. There is little question that psychologists' prescription privileges could have profound effects on the future direction of their profession.

单选题 Prescription' privileges may lead to professional discord mainly because
A. patients would turn to those qualified to prescribe.
B. not all psychologists would gain the right to prescribe.
C. trained prescribers are outstanding in their career.
D. psychological techniques would become second choice.
【正确答案】 B
【答案解析】[解析] 细节题。根据题干定位到第一段。前两句指出:给予一部分心理学家开处方的权利会分化整体从业人员,导致思想分歧。因此B项“并不是所有的心理学家都有开处方的权利”为discord产生的原因。
单选题 The word "accord" (Para. 1) means
A. to grant. B. to agree.
C. to conform. D. to bring.
【正确答案】 A
【答案解析】[解析] 含义题。根据题干定位到第一段。本句意为“没有权利开处方的心理学家就会感觉他们像是被______了第二种职业地位”,推知accord意为“给予”,因此A项grant正确。其他选项均不符合题意。
单选题 We can infer from the passage that if psychologists could prescribe
A. it would lead to broader third party payment.
B. they would be looked upon more favorably.
C. their caseload would increase.
D. they might become more influenced by the use of drugs.
【正确答案】 D
【答案解析】[解析] 推断题。文章第二段最后一句话提到,心理医生有可能像精神病医师一样更多地使用药物疗法而变得更有影响力。由此可以推知D项正确。
单选题 In the eyes of general public
A. psychology is an inferior profession to psychiatry.
B. inability to offer prescription put psychologists at a therapeutic disadvantage.
C. medication diminish the effectiveness of psychotherapy.
D. prescription privileges could raise the psychologists image.
【正确答案】 C
【答案解析】[解析] 细节题。第四段末尾提到medications can undercut psychotherapy efforts by implying...(在……这一点上,药物可能会削弱心理治疗的效果),C项表述了这一意思,为正确答案。
单选题 The best title of the passage may be
A. Future Role of Psychologists
B. Prescribing Medications: a Reasonable Choice
C. Psychology versus Psychiatry
D. Prescription Privileges & Psychotropic Medications
【正确答案】 B
【答案解析】[解析] 主旨题。本文主要围绕是否有必要给予心理从业人员处方权这一中心议题展开讨论,由此可见B项“开药物处方:一个理性的选择”正确。