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Official Explanation from MGMAT:

What’s the assumption? The author assumes that in order to be effective, a treatment must address mental processes that are under the control of the patient. This is easy to miss, but it’s an important assumption that is critical to the argument. We can strengthen the argument by making this assumption explicit. Answer (B) does this.

(A) weakens the argument.

(C) is irrelevant. It doesn’t matter if it’s the only form of therapy that focuses on conscious beliefs. The argument deals only with cognitive psychotherapy vs. other forms of psychotherapy that do NOT focus on conscious beliefs.

(D) strengthens the argument by providing an additional piece of supporting evidence, but it does not strengthen as much as answer (B). An answer that fills a gap in the argument will generally strengthen the most (since the argument is weak with the gap).

(E) fails to provide any information comparing the two types of therapy.
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Hi,

I have a confusion between option B and D.

B says that psychotherapies which do not focus on mental states are not as effective as ones that do. This strengthens the conclusion, in fact, I would go even further and say this is, in fact, the author's assumption. (Negate it and the conclusion falls apart)

D says that no form of psychotherapy can be effective till it changes conscious beliefs. Although this is an exaggeration, it does increase my belief in the conclusion that possibly cognitive psychotherapy, since it changes conscious beliefs, is likely to be effective. I am not sure how to eliminate D.

Is it because changing conscious beliefs is a necessary condition and not a sufficient one for psychotherapy to be active? That is even if a psychotherapy changes conscious beliefs, there is no guarantee it will be more effective than a therapy which does not?

Many thanks.
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Ah, we know we're in LSAT land when we get this deep into sufficient and necessary. If you want a good treatment of that, check out my friend Patrick's analysis here (the post from March 21, 2012): https://www.manhattanprep.com/lsat/foru ... tml#p15880

In a nutshell, the crucial difference between B and D is that D talks about "helping to change beliefs" while B addresses "focusing" on states under conscious control. The latter fits well with the argument. The problem with "helping" is that perhaps we could help change conscious beliefs without actively focusing them. In other words, if I'm receiving therapy that focuses on the unconscious, then it seems clear enough that I'm not focusing on the conscious, so B kicks in and helps us. However, we don't know whether that therapy is helping me to change my conscious beliefs, so D does not necessarily apply.
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guys

this seems to be very complex. is this limited only to LSAT or even GMAT has such tough questions? i hope we dont get many such questions on the real exam.
also how is that difficulty calculated?
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This is definitely a more LSAT-like question. One of the big differences in the LSAT is that it focuses heavily on conditional logic. To do well on the LSAT, you need to have a strong grasp of sufficient vs. necessary and you will often need to diagram arguments using conditional notation. We can generally get through the GMAT without any of this.

Short answer, for those who are worried: no, you're not likely to see something like this on the GMAT.

Another way to think about the difficulty is that while it may not be the hardest LSAT question of all time, it tests skills that GMAT students won't typically have been working on. Similarly, we might not enjoy seeing an easy trigonometry question if we haven't studied trigonometry!
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Hi expert

I narrowed down to options "B" and "D".
I rejected "D" because it stated that "no form of psychotherapy could be effective unless it focuses on changing a person's concios belief". While the argument only says that Cognitve psychotherapy is more effective than other forms that concerntrate on unconcious beliefs. This implies that other forms of psychotheapy are also somewhat effective. Hence "D" is incorrect.
B makes a comparison by saying that it is difficult for other forms to be effective. This implies, though difficult, other forms can be effective. The statement is in line with the argument.

Please let me know if my line of reasoning is correct.

Thanks
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GMATNinja VeritasKarishma gmat1393 nightblade354 AjiteshArun DavidTutorexamPAL
I rejected D as it is mentioned that No form of psychotherapy that focuses on changing the patient’s unconscious beliefs and desires can be effective unless it also helps change beliefs that are under the patient’s direct conscious control.

Where as in passage it is already mentioned that ognitive psychotherapy is likely to be more effective at helping patients overcome psychological problems than are forms of psychotherapy that focus on changing unconscious beliefs and desires,

It means that psychotherapy that focus on changing unconscious beliefs are less effective but are still effective whereas in D it talks about psychotherapy that focus on changing unconscious beliefs are not effective

Is my reasoning correct if it's wrong please correct me
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Therapist: Cognitive psychotherapy focuses on changing a patient’s conscious beliefs. Thus, cognitive psychotherapy is likely to be more effective at helping patients overcome psychological problems than are forms of psychotherapy that focus on changing unconscious beliefs and desires, since only conscious beliefs are under the patient’s direct conscious control.

Which one of the following, if true, would most strengthen the therapist’s argument?

+1 for B

(A) Psychological problems are frequently caused by unconscious beliefs that could be changed with the aid of psychotherapy.
unconscious thoughts are not changed with psychometry therapy these are not in direct control of the patient

(B) It is difficult for any form of psychotherapy to be effective without focusing on mental states that are under the patient’s direct conscious control.
Yes this is explicitly stated in the passage with the aid of the direct conscious of the patient we can effectively carry out psychometric therapy

(C) Cognitive psychotherapy is the only form of psychotherapy that focuses primarily on changing the patient’s conscious beliefs.
We cannot round off since this is out of scope of the paragraph given therefore we are ruling out this paragraph

(D) No form of psychotherapy that focuses on changing the patient’s unconscious beliefs and desires can be effective unless it also helps change beliefs that are under the patient’s direct conscious control.
Similar reasoning as C

(E) All of a patient’s conscious beliefs are under the patient’s conscious control, but other psychological states cannot be controlled effectively without the aid of psychotherapy.
We cannot oversimplify and state that if the uncosciousness can be controlled that will aid in effectively carrying out psychometry therefore out
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Hi DmitryFarberMPrep, I got this question correct but took me 4 minutes to see the difference between B and D. Although post seeing that, it was such a good feeling. But I wanted to ask how come I can increase by speed here? I know with practice it will improve, but I can also see it's not improving a lot. Any specific things I should incorporate in my strategy when solving questions?
DmitryFarberMPrep
Ah, we know we're in LSAT land when we get this deep into sufficient and necessary. If you want a good treatment of that, check out my friend Patrick's analysis here (the post from March 21, 2012): https://www.manhattanprep.com/lsat/foru ... tml#p15880

In a nutshell, the crucial difference between B and D is that D talks about "helping to change beliefs" while B addresses "focusing" on states under conscious control. The latter fits well with the argument. The problem with "helping" is that perhaps we could help change conscious beliefs without actively focusing them. In other words, if I'm receiving therapy that focuses on the unconscious, then it seems clear enough that I'm not focusing on the conscious, so B kicks in and helps us. However, we don't know whether that therapy is helping me to change my conscious beliefs, so D does not necessarily apply.
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Therapist: Cognitive psychotherapy focuses on changing a patient’s conscious beliefs. Thus, cognitive psychotherapy is likely to be more effective at helping patients overcome psychological problems than are forms of psychotherapy that focus on changing unconscious beliefs and desires, since only conscious beliefs are under the patient’s direct conscious control.

Which one of the following, if true, would most strengthen the therapist’s argument?

The therapist argues that cognitive psychotherapy is likely to be more effective because it focuses on conscious beliefs, and only conscious beliefs are under the patient’s direct conscious control. The missing link is that psychotherapy works better when it focuses on mental states the patient can directly control.

(A) Psychological problems are frequently caused by unconscious beliefs that could be changed with the aid of psychotherapy.

Wrong. This weakens or at least does not help the therapist. It suggests unconscious beliefs are important and can be changed through psychotherapy.

(B) It is difficult for any form of psychotherapy to be effective without focusing on mental states that are under the patient’s direct conscious control.

Correct. This directly supports the therapist’s reasoning. If effective psychotherapy generally needs to focus on mental states under direct conscious control, then cognitive psychotherapy has an advantage over therapies focused on unconscious beliefs and desires.

(C) Cognitive psychotherapy is the only form of psychotherapy that focuses primarily on changing the patient’s conscious beliefs.

Wrong. This shows cognitive psychotherapy is unique in its focus, but it does not show that this focus makes it more effective.

(D) No form of psychotherapy that focuses on changing the patient’s unconscious beliefs and desires can be effective unless it also helps change beliefs that are under the patient’s direct conscious control.

Tempting, but weaker than B. This says unconscious-focused therapies need to also affect conscious beliefs in order to work, but it leaves open that they do exactly that and are just as effective as cognitive psychotherapy.

(E) All of a patient’s conscious beliefs are under the patient’s conscious control, but other psychological states cannot be controlled effectively without the aid of psychotherapy.

Wrong. The first part repeats the idea that conscious beliefs are controllable, but the second part suggests psychotherapy can help control other psychological states too. It does not show cognitive psychotherapy is more effective.

Answer: (B)
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