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Q4399097 Medicina
Sobre os melanomas, assinale a alternativa incorreta.
Alternativas
Q4399096 Medicina
Sobre as neoplasias de pele, assinale a alternativa correta.
Alternativas
Q4399095 Medicina
Em relação às patologias das glândulas salivares, assinale a alternativa correta.
Alternativas
Q4399094 Medicina
Em relação aos tumores cervicais congênitos, é correto afirmar:
Alternativas
Q4399093 Medicina
Em relação aos cuidados perioperatórios dos pacientes submetidos a laringectomia total, assinale a alternativa incorreta.
Alternativas
Q4399092 Medicina
No que se refere às complicações pós-operatórias em tireoidectomias, assinale a alternativa incorreta.
Alternativas
Q4399075 Pedagogia
Read the study case below:
An English class is preparing multimodal digital travel guides that combine written descriptions, maps, photographs, and recorded explanations. One student is blind and uses a screen reader. The English teacher and the second teacher want the student to work toward the same communicative goals while ensuring access to source materials and meaningful participation in the final product.
Which plan is pedagogically appropriate?
Alternativas
Q4399074 Inglês
A language program assesses learners through CEFR mediation descriptors. One learner can reliably convey detailed information and the main arguments of complex but clearly structured texts, provided that the topics concern professional, academic, or personal fields with which the learner is familiar. The task requires selecting and reorganizing relevant information for another person, but does not involve interpreting highly implicit meanings, subtle ambiguity, or specialized material beyond the learner's field.
Within the CEFR mediation scale, this performance corresponds to:
Alternativas
Q4399073 Inglês
The article contrasts low rates of therapy use among older adults with research on treatment effectiveness and discusses barriers operating at different levels. Its argument therefore depends on distinguishing evidence about access, effectiveness, and attitudes toward ageing rather than treating them as equivalent phenomena.
Analyze the statements below:

I.The lower rate of therapy use among older adults cannot, on the evidence presented, be interpreted as evidence that psychotherapy is less effective for this age group.

II.The article presents group-based interventions as consistently more effective than individual therapy for every older adult receiving psychological treatment.

III.Age-related prejudice may affect access both through healthcare practices and through beliefs internalised by older potential patients.


It is correct what is stated in:
Alternativas
Q4399072 Inglês
The article combines percentages from different sources with qualified claims about access, effectiveness, and treatment completion. A careful reader must distinguish what the evidence directly establishes from conclusions that would extend beyond the information actually presented.
Judge the statements below as True (T) or False (F):

(__)The World Health Organization figure cited in the article indicates that around 14% of people over 70 live with a mental health disorder.

(__)The 2024 study reports a lower rate of psychological therapy among adults aged 65 and over than among both younger comparison groups mentioned.

(__)A completion rate that can reach 54% establishes that most older therapy patients in every population complete treatment.

(__)The article establishes ageist attitudes among physicians as the sole cause of lower therapy access among older adults.

The correct sequence, from top to bottom, is:
Alternativas
Q4399071 Inglês
Consider the following sentences:

I.The students looked the unfamiliar expression up before the discussion.
II.The students relied on the glossary during the discussion.
The position of the object in these sentences provides evidence about the syntactic behavior of the multiword verbs involved.
Which analysis is correct?
Alternativas
Q4399070 Inglês
The article discusses treatment outcomes, possible advantages of group interventions, and several reasons why older adults may fail to enter therapy. These points require careful distinction between what the text suggests, what it reports directly, and what would constitute an unsupported generalization.
Analyze the statements below:

I.The article associates the potentially strong response to group interventions with the opportunity for structured social connection.
II.The reference to completion rates reaching 54% demonstrates that older participants consistently complete therapy more often than younger participants.
III.The article presents both financial constraints and healthcare referral practices as barriers to therapy access.

It is correct to state that:
Alternativas
Q4399069 Inglês
A teacher presents short interactions among English users from Kenya, India, Brazil, Singapore, Canada, and Nigeria. Instead of ranking pronunciation against one national standard, the class analyzes intelligibility, accommodation strategies, identity marking, and the ways speakers negotiate meaning across linguistic backgrounds.
Which pedagogical principle is consistent with this approach?
Alternativas
Q4399068 Inglês
'I felt lighter, more open': Why you are never too old for therapy


We assume therapy belongs to youth, yet older people may be particularly likely to benefit from psychological support.

Maurizio is 70. He recently began therapy in the hope of better understanding a physical pain he had carried since childhood. He has suffered migraines since the age of seven and wanted to explore what might lie behind them.

Over the years he had consulted different doctors and sought multiple opinions – therapy was another attempt to trace the origins of the problem. But he continued even after realising he might never find a single cause. "The process itself became something meaningful, a space for introspection that helped me understand my life more clearly," Mauizio says. (We have omitted the surnames of the therapy clients quoted within this piece to preserve their privacy.)

Antonio, 73, and his wife Gigliola, 68, turned to therapy hoping to save their relationship after years marked by disappointments and unspoken tensions. "After some time, I realised I felt lighter, more open," Antonio says.

"Looking within ourselves and bringing out what we could never say before perhaps helped us," Gigliola adds.

Their stories challenge a common assumption: that therapy is only for the young. And a growing body of evidence suggests that many older people could benefit from the same kind of help.

Therapy in later life

The potential for therapy to treat mental illness and enhance our overall wellbeing is now well-established, yet it is relatively rare for older people to access these services.

According to the World Health Organization, around 14% of people over 70 live with a mental health disorder, most commonly anxiety and depression, and 17% of all suicides occur in people of in this age range. A study published in 2024, however, found that only around 4% of US adults aged 65 and over received psychological therapy, compared with 12% of those aged 18-24 and 8% among those aged 35-64.

This is despite there being no evidence that therapy is any less effective or useful as we get older, according to Pim Cuijpers, professor of clinical psychology at the Vrije Universiteit Amsterdam in the Netherlands. "Therapies work across the whole adult age," he says.

Cuijpers recently published a review on psychotherapy for depression across different age groups. "What surprised me is that there is quite a lot of research in older people who are above 75 and we didn't find any indication that psychotherapies differ in that age group either," he says.

Older people may find that therapy helps to target some of the specific concerns that come with ageing, including social isolation and chronic illness, with widespread benefits. Many report improvements in overall wellbeing, renewed motivation and increased social participation. In this way therapy can function as a bridge: helping older adults reconnect with themselves and the wider world. The strongest responses, according to a 2025 review, may be found in group-based interventions, which makes sense, since they offer a structured means of relating with others.

And despite lower levels of initial access, completion rates among older participants can reach up to 54%, often surpassing those of younger adults. This demonstrates that older patients are frequently highly committed to therapy and capable of sustaining the work required for meaningful change.

"We don't know the reasons but we could imagine that when older adults are willing to seek help, they are also more motivated to do that," says Cuijpers.

Barriers to care

Financial difficulties help explain part of the gap in older people beginning therapy in the first place: their health insurance may not cover therapy, and they may not be able to afford to pay for it independently.

A world of therapy options

Therapy comes in many different forms and can be tailored to different needs. A few that may be worth considering trying are:

• Cognitive behavioural therapy (CBT) focuses on identifying and changing unhelpful thought patterns.

• Psychodynamic therapy has an emphasis on how past experiences shape present emotions and behaviours.

• Family therapy is for those who want to work beyond an individual focus (such as in Antonio and Gigliola's case) and looks at relationships and dynamics within the family as a whole.

• Group therapy creates opportunities to share experiences with people facing similar medical diagnoses and to feel more understood and less alone.

But another barrier can arise within the healthcare system itself. The journey into therapy often depends on a referral from a primary care physician, yet some research suggests that older adults are referred to psychological treatments less frequently, even when they present with symptoms of anxiety or depression. Their distress may be seen as a natural response to ageing or physical decline, rather than as a mental health condition that warrants treatment.

Part of this prejudice comes from Sigmund Freud, the founder of psychoanalysis, who argued that therapy stopped working after 40 or 50 years, says Rossana De Beni, professor and senior researcher in experimental psychology at the University of Padua, Italy. In On Psychotherapy (1905), a brief technical paper on the practice of psychoanalysis, Freud noted that above a certain age "the elasticity of the mental processes, on which the treatment depends, is as a rule lacking".

But that is "absolutely not true", says De Beni. In fact, "studies show the opposite".

Clinicians need to see the older person for who they truly are, De Beni points out, not simply as "an old person", but as a multi-faceted individual. Unfortunately, our ageist prejudices are often "deeply entrenched", she says.

Some of the ageism may be internalised by the potential patients themselves. Beliefs such as the idea that mental health problems are simply a normal part of ageing are among the most frequently cited obstacles to accessing care. This is especially problematic, since ageism can itself predispose someone to greater anxiety and depression.

The simple truth is that positive transformation is possible across the lifespan. "Ageing, right to the very end, is a stage of life marked by change," De Beni says. "People become more fully themselves in a process of continuous transformation, learning and flexibility that never truly ends."

Maurizio certainly identifies with this sentiment. "There are three moments when therapy helped me: in dealing with my marital separation, in working through certain conflicts with my children, and in navigating the transition from active work to a pre-retirement phase, where I had to find new ways to socialise," Maurizio says. "I never thought it could be too late for anything."

He hopes that he has set an example for others to follow. "I think it may have planted a small seed: not today, not tomorrow, but perhaps the day after, they will bring it out and water it," he says.



https://www.bbc.com/future/article/20260609-mental-health-and-ageingwhy-you-are-never-too-old-for-therapy
The article opens with the experiences of Maurizio, Antonio, and Gigliola before introducing statistics, research findings, and expert commentary. Their individual experiences are therefore positioned within a broader discussion about ageing, access to psychological care, and assumptions concerning therapeutic effectiveness.
What is the main argumentative function of these personal narratives? 
Alternativas
Q4399067 Inglês
'I felt lighter, more open': Why you are never too old for therapy


We assume therapy belongs to youth, yet older people may be particularly likely to benefit from psychological support.

Maurizio is 70. He recently began therapy in the hope of better understanding a physical pain he had carried since childhood. He has suffered migraines since the age of seven and wanted to explore what might lie behind them.

Over the years he had consulted different doctors and sought multiple opinions – therapy was another attempt to trace the origins of the problem. But he continued even after realising he might never find a single cause. "The process itself became something meaningful, a space for introspection that helped me understand my life more clearly," Mauizio says. (We have omitted the surnames of the therapy clients quoted within this piece to preserve their privacy.)

Antonio, 73, and his wife Gigliola, 68, turned to therapy hoping to save their relationship after years marked by disappointments and unspoken tensions. "After some time, I realised I felt lighter, more open," Antonio says.

"Looking within ourselves and bringing out what we could never say before perhaps helped us," Gigliola adds.

Their stories challenge a common assumption: that therapy is only for the young. And a growing body of evidence suggests that many older people could benefit from the same kind of help.

Therapy in later life

The potential for therapy to treat mental illness and enhance our overall wellbeing is now well-established, yet it is relatively rare for older people to access these services.

According to the World Health Organization, around 14% of people over 70 live with a mental health disorder, most commonly anxiety and depression, and 17% of all suicides occur in people of in this age range. A study published in 2024, however, found that only around 4% of US adults aged 65 and over received psychological therapy, compared with 12% of those aged 18-24 and 8% among those aged 35-64.

This is despite there being no evidence that therapy is any less effective or useful as we get older, according to Pim Cuijpers, professor of clinical psychology at the Vrije Universiteit Amsterdam in the Netherlands. "Therapies work across the whole adult age," he says.

Cuijpers recently published a review on psychotherapy for depression across different age groups. "What surprised me is that there is quite a lot of research in older people who are above 75 and we didn't find any indication that psychotherapies differ in that age group either," he says.

Older people may find that therapy helps to target some of the specific concerns that come with ageing, including social isolation and chronic illness, with widespread benefits. Many report improvements in overall wellbeing, renewed motivation and increased social participation. In this way therapy can function as a bridge: helping older adults reconnect with themselves and the wider world. The strongest responses, according to a 2025 review, may be found in group-based interventions, which makes sense, since they offer a structured means of relating with others.

And despite lower levels of initial access, completion rates among older participants can reach up to 54%, often surpassing those of younger adults. This demonstrates that older patients are frequently highly committed to therapy and capable of sustaining the work required for meaningful change.

"We don't know the reasons but we could imagine that when older adults are willing to seek help, they are also more motivated to do that," says Cuijpers.

Barriers to care

Financial difficulties help explain part of the gap in older people beginning therapy in the first place: their health insurance may not cover therapy, and they may not be able to afford to pay for it independently.

A world of therapy options

Therapy comes in many different forms and can be tailored to different needs. A few that may be worth considering trying are:

• Cognitive behavioural therapy (CBT) focuses on identifying and changing unhelpful thought patterns.

• Psychodynamic therapy has an emphasis on how past experiences shape present emotions and behaviours.

• Family therapy is for those who want to work beyond an individual focus (such as in Antonio and Gigliola's case) and looks at relationships and dynamics within the family as a whole.

• Group therapy creates opportunities to share experiences with people facing similar medical diagnoses and to feel more understood and less alone.

But another barrier can arise within the healthcare system itself. The journey into therapy often depends on a referral from a primary care physician, yet some research suggests that older adults are referred to psychological treatments less frequently, even when they present with symptoms of anxiety or depression. Their distress may be seen as a natural response to ageing or physical decline, rather than as a mental health condition that warrants treatment.

Part of this prejudice comes from Sigmund Freud, the founder of psychoanalysis, who argued that therapy stopped working after 40 or 50 years, says Rossana De Beni, professor and senior researcher in experimental psychology at the University of Padua, Italy. In On Psychotherapy (1905), a brief technical paper on the practice of psychoanalysis, Freud noted that above a certain age "the elasticity of the mental processes, on which the treatment depends, is as a rule lacking".

But that is "absolutely not true", says De Beni. In fact, "studies show the opposite".

Clinicians need to see the older person for who they truly are, De Beni points out, not simply as "an old person", but as a multi-faceted individual. Unfortunately, our ageist prejudices are often "deeply entrenched", she says.

Some of the ageism may be internalised by the potential patients themselves. Beliefs such as the idea that mental health problems are simply a normal part of ageing are among the most frequently cited obstacles to accessing care. This is especially problematic, since ageism can itself predispose someone to greater anxiety and depression.

The simple truth is that positive transformation is possible across the lifespan. "Ageing, right to the very end, is a stage of life marked by change," De Beni says. "People become more fully themselves in a process of continuous transformation, learning and flexibility that never truly ends."

Maurizio certainly identifies with this sentiment. "There are three moments when therapy helped me: in dealing with my marital separation, in working through certain conflicts with my children, and in navigating the transition from active work to a pre-retirement phase, where I had to find new ways to socialise," Maurizio says. "I never thought it could be too late for anything."

He hopes that he has set an example for others to follow. "I think it may have planted a small seed: not today, not tomorrow, but perhaps the day after, they will bring it out and water it," he says.



https://www.bbc.com/future/article/20260609-mental-health-and-ageingwhy-you-are-never-too-old-for-therapy
The expression "older adults" occurs repeatedly in the article. In a non-rhotic variety of British English, the /r/ represented in older may be absent before a pause or consonant but pronounced when the following word begins with a vowel, as in older adults.
This connected-speech phenomenon is known as:  
Alternativas
Q4399066 Inglês
'I felt lighter, more open': Why you are never too old for therapy


We assume therapy belongs to youth, yet older people may be particularly likely to benefit from psychological support.

Maurizio is 70. He recently began therapy in the hope of better understanding a physical pain he had carried since childhood. He has suffered migraines since the age of seven and wanted to explore what might lie behind them.

Over the years he had consulted different doctors and sought multiple opinions – therapy was another attempt to trace the origins of the problem. But he continued even after realising he might never find a single cause. "The process itself became something meaningful, a space for introspection that helped me understand my life more clearly," Mauizio says. (We have omitted the surnames of the therapy clients quoted within this piece to preserve their privacy.)

Antonio, 73, and his wife Gigliola, 68, turned to therapy hoping to save their relationship after years marked by disappointments and unspoken tensions. "After some time, I realised I felt lighter, more open," Antonio says.

"Looking within ourselves and bringing out what we could never say before perhaps helped us," Gigliola adds.

Their stories challenge a common assumption: that therapy is only for the young. And a growing body of evidence suggests that many older people could benefit from the same kind of help.

Therapy in later life

The potential for therapy to treat mental illness and enhance our overall wellbeing is now well-established, yet it is relatively rare for older people to access these services.

According to the World Health Organization, around 14% of people over 70 live with a mental health disorder, most commonly anxiety and depression, and 17% of all suicides occur in people of in this age range. A study published in 2024, however, found that only around 4% of US adults aged 65 and over received psychological therapy, compared with 12% of those aged 18-24 and 8% among those aged 35-64.

This is despite there being no evidence that therapy is any less effective or useful as we get older, according to Pim Cuijpers, professor of clinical psychology at the Vrije Universiteit Amsterdam in the Netherlands. "Therapies work across the whole adult age," he says.

Cuijpers recently published a review on psychotherapy for depression across different age groups. "What surprised me is that there is quite a lot of research in older people who are above 75 and we didn't find any indication that psychotherapies differ in that age group either," he says.

Older people may find that therapy helps to target some of the specific concerns that come with ageing, including social isolation and chronic illness, with widespread benefits. Many report improvements in overall wellbeing, renewed motivation and increased social participation. In this way therapy can function as a bridge: helping older adults reconnect with themselves and the wider world. The strongest responses, according to a 2025 review, may be found in group-based interventions, which makes sense, since they offer a structured means of relating with others.

And despite lower levels of initial access, completion rates among older participants can reach up to 54%, often surpassing those of younger adults. This demonstrates that older patients are frequently highly committed to therapy and capable of sustaining the work required for meaningful change.

"We don't know the reasons but we could imagine that when older adults are willing to seek help, they are also more motivated to do that," says Cuijpers.

Barriers to care

Financial difficulties help explain part of the gap in older people beginning therapy in the first place: their health insurance may not cover therapy, and they may not be able to afford to pay for it independently.

A world of therapy options

Therapy comes in many different forms and can be tailored to different needs. A few that may be worth considering trying are:

• Cognitive behavioural therapy (CBT) focuses on identifying and changing unhelpful thought patterns.

• Psychodynamic therapy has an emphasis on how past experiences shape present emotions and behaviours.

• Family therapy is for those who want to work beyond an individual focus (such as in Antonio and Gigliola's case) and looks at relationships and dynamics within the family as a whole.

• Group therapy creates opportunities to share experiences with people facing similar medical diagnoses and to feel more understood and less alone.

But another barrier can arise within the healthcare system itself. The journey into therapy often depends on a referral from a primary care physician, yet some research suggests that older adults are referred to psychological treatments less frequently, even when they present with symptoms of anxiety or depression. Their distress may be seen as a natural response to ageing or physical decline, rather than as a mental health condition that warrants treatment.

Part of this prejudice comes from Sigmund Freud, the founder of psychoanalysis, who argued that therapy stopped working after 40 or 50 years, says Rossana De Beni, professor and senior researcher in experimental psychology at the University of Padua, Italy. In On Psychotherapy (1905), a brief technical paper on the practice of psychoanalysis, Freud noted that above a certain age "the elasticity of the mental processes, on which the treatment depends, is as a rule lacking".

But that is "absolutely not true", says De Beni. In fact, "studies show the opposite".

Clinicians need to see the older person for who they truly are, De Beni points out, not simply as "an old person", but as a multi-faceted individual. Unfortunately, our ageist prejudices are often "deeply entrenched", she says.

Some of the ageism may be internalised by the potential patients themselves. Beliefs such as the idea that mental health problems are simply a normal part of ageing are among the most frequently cited obstacles to accessing care. This is especially problematic, since ageism can itself predispose someone to greater anxiety and depression.

The simple truth is that positive transformation is possible across the lifespan. "Ageing, right to the very end, is a stage of life marked by change," De Beni says. "People become more fully themselves in a process of continuous transformation, learning and flexibility that never truly ends."

Maurizio certainly identifies with this sentiment. "There are three moments when therapy helped me: in dealing with my marital separation, in working through certain conflicts with my children, and in navigating the transition from active work to a pre-retirement phase, where I had to find new ways to socialise," Maurizio says. "I never thought it could be too late for anything."

He hopes that he has set an example for others to follow. "I think it may have planted a small seed: not today, not tomorrow, but perhaps the day after, they will bring it out and water it," he says.



https://www.bbc.com/future/article/20260609-mental-health-and-ageingwhy-you-are-never-too-old-for-therapy
The text combines personal accounts, statistical evidence, expert opinion, and historical references in order to challenge simplified assumptions about therapy in later life. Careful reading is required because several statements in the article are qualified and should not be converted into broader claims than the evidence supports.
Judge the statements below as True (T) or False (F):

(__)Maurizio continued therapy even after accepting that he might never identify a single cause for his longstanding migraines.

(__)The statement that 17% of all suicides occur among people over 70 means that 17% of people in this age group die by suicide.

(__)The article suggests that the social interaction provided by group interventions may help explain their particularly strong responses.

(__)Freud's view that therapy becomes ineffective after a certain age is presented as consistent with current research evidence.



The correct sequence, from top to bottom, is:
Alternativas
Q4399065 Inglês
'I felt lighter, more open': Why you are never too old for therapy


We assume therapy belongs to youth, yet older people may be particularly likely to benefit from psychological support.

Maurizio is 70. He recently began therapy in the hope of better understanding a physical pain he had carried since childhood. He has suffered migraines since the age of seven and wanted to explore what might lie behind them.

Over the years he had consulted different doctors and sought multiple opinions – therapy was another attempt to trace the origins of the problem. But he continued even after realising he might never find a single cause. "The process itself became something meaningful, a space for introspection that helped me understand my life more clearly," Mauizio says. (We have omitted the surnames of the therapy clients quoted within this piece to preserve their privacy.)

Antonio, 73, and his wife Gigliola, 68, turned to therapy hoping to save their relationship after years marked by disappointments and unspoken tensions. "After some time, I realised I felt lighter, more open," Antonio says.

"Looking within ourselves and bringing out what we could never say before perhaps helped us," Gigliola adds.

Their stories challenge a common assumption: that therapy is only for the young. And a growing body of evidence suggests that many older people could benefit from the same kind of help.

Therapy in later life

The potential for therapy to treat mental illness and enhance our overall wellbeing is now well-established, yet it is relatively rare for older people to access these services.

According to the World Health Organization, around 14% of people over 70 live with a mental health disorder, most commonly anxiety and depression, and 17% of all suicides occur in people of in this age range. A study published in 2024, however, found that only around 4% of US adults aged 65 and over received psychological therapy, compared with 12% of those aged 18-24 and 8% among those aged 35-64.

This is despite there being no evidence that therapy is any less effective or useful as we get older, according to Pim Cuijpers, professor of clinical psychology at the Vrije Universiteit Amsterdam in the Netherlands. "Therapies work across the whole adult age," he says.

Cuijpers recently published a review on psychotherapy for depression across different age groups. "What surprised me is that there is quite a lot of research in older people who are above 75 and we didn't find any indication that psychotherapies differ in that age group either," he says.

Older people may find that therapy helps to target some of the specific concerns that come with ageing, including social isolation and chronic illness, with widespread benefits. Many report improvements in overall wellbeing, renewed motivation and increased social participation. In this way therapy can function as a bridge: helping older adults reconnect with themselves and the wider world. The strongest responses, according to a 2025 review, may be found in group-based interventions, which makes sense, since they offer a structured means of relating with others.

And despite lower levels of initial access, completion rates among older participants can reach up to 54%, often surpassing those of younger adults. This demonstrates that older patients are frequently highly committed to therapy and capable of sustaining the work required for meaningful change.

"We don't know the reasons but we could imagine that when older adults are willing to seek help, they are also more motivated to do that," says Cuijpers.

Barriers to care

Financial difficulties help explain part of the gap in older people beginning therapy in the first place: their health insurance may not cover therapy, and they may not be able to afford to pay for it independently.

A world of therapy options

Therapy comes in many different forms and can be tailored to different needs. A few that may be worth considering trying are:

• Cognitive behavioural therapy (CBT) focuses on identifying and changing unhelpful thought patterns.

• Psychodynamic therapy has an emphasis on how past experiences shape present emotions and behaviours.

• Family therapy is for those who want to work beyond an individual focus (such as in Antonio and Gigliola's case) and looks at relationships and dynamics within the family as a whole.

• Group therapy creates opportunities to share experiences with people facing similar medical diagnoses and to feel more understood and less alone.

But another barrier can arise within the healthcare system itself. The journey into therapy often depends on a referral from a primary care physician, yet some research suggests that older adults are referred to psychological treatments less frequently, even when they present with symptoms of anxiety or depression. Their distress may be seen as a natural response to ageing or physical decline, rather than as a mental health condition that warrants treatment.

Part of this prejudice comes from Sigmund Freud, the founder of psychoanalysis, who argued that therapy stopped working after 40 or 50 years, says Rossana De Beni, professor and senior researcher in experimental psychology at the University of Padua, Italy. In On Psychotherapy (1905), a brief technical paper on the practice of psychoanalysis, Freud noted that above a certain age "the elasticity of the mental processes, on which the treatment depends, is as a rule lacking".

But that is "absolutely not true", says De Beni. In fact, "studies show the opposite".

Clinicians need to see the older person for who they truly are, De Beni points out, not simply as "an old person", but as a multi-faceted individual. Unfortunately, our ageist prejudices are often "deeply entrenched", she says.

Some of the ageism may be internalised by the potential patients themselves. Beliefs such as the idea that mental health problems are simply a normal part of ageing are among the most frequently cited obstacles to accessing care. This is especially problematic, since ageism can itself predispose someone to greater anxiety and depression.

The simple truth is that positive transformation is possible across the lifespan. "Ageing, right to the very end, is a stage of life marked by change," De Beni says. "People become more fully themselves in a process of continuous transformation, learning and flexibility that never truly ends."

Maurizio certainly identifies with this sentiment. "There are three moments when therapy helped me: in dealing with my marital separation, in working through certain conflicts with my children, and in navigating the transition from active work to a pre-retirement phase, where I had to find new ways to socialise," Maurizio says. "I never thought it could be too late for anything."

He hopes that he has set an example for others to follow. "I think it may have planted a small seed: not today, not tomorrow, but perhaps the day after, they will bring it out and water it," he says.



https://www.bbc.com/future/article/20260609-mental-health-and-ageingwhy-you-are-never-too-old-for-therapy
The article reports that psychological therapy is accessed less frequently by adults aged 65 and over than by the younger groups cited. It also reports expert and review evidence indicating no corresponding decline in therapeutic effectiveness with age.
Which conclusion is supported by the relationship between these pieces of evidence? 
Alternativas
Q4399064 Linguística
'I felt lighter, more open': Why you are never too old for therapy


We assume therapy belongs to youth, yet older people may be particularly likely to benefit from psychological support.

Maurizio is 70. He recently began therapy in the hope of better understanding a physical pain he had carried since childhood. He has suffered migraines since the age of seven and wanted to explore what might lie behind them.

Over the years he had consulted different doctors and sought multiple opinions – therapy was another attempt to trace the origins of the problem. But he continued even after realising he might never find a single cause. "The process itself became something meaningful, a space for introspection that helped me understand my life more clearly," Mauizio says. (We have omitted the surnames of the therapy clients quoted within this piece to preserve their privacy.)

Antonio, 73, and his wife Gigliola, 68, turned to therapy hoping to save their relationship after years marked by disappointments and unspoken tensions. "After some time, I realised I felt lighter, more open," Antonio says.

"Looking within ourselves and bringing out what we could never say before perhaps helped us," Gigliola adds.

Their stories challenge a common assumption: that therapy is only for the young. And a growing body of evidence suggests that many older people could benefit from the same kind of help.

Therapy in later life

The potential for therapy to treat mental illness and enhance our overall wellbeing is now well-established, yet it is relatively rare for older people to access these services.

According to the World Health Organization, around 14% of people over 70 live with a mental health disorder, most commonly anxiety and depression, and 17% of all suicides occur in people of in this age range. A study published in 2024, however, found that only around 4% of US adults aged 65 and over received psychological therapy, compared with 12% of those aged 18-24 and 8% among those aged 35-64.

This is despite there being no evidence that therapy is any less effective or useful as we get older, according to Pim Cuijpers, professor of clinical psychology at the Vrije Universiteit Amsterdam in the Netherlands. "Therapies work across the whole adult age," he says.

Cuijpers recently published a review on psychotherapy for depression across different age groups. "What surprised me is that there is quite a lot of research in older people who are above 75 and we didn't find any indication that psychotherapies differ in that age group either," he says.

Older people may find that therapy helps to target some of the specific concerns that come with ageing, including social isolation and chronic illness, with widespread benefits. Many report improvements in overall wellbeing, renewed motivation and increased social participation. In this way therapy can function as a bridge: helping older adults reconnect with themselves and the wider world. The strongest responses, according to a 2025 review, may be found in group-based interventions, which makes sense, since they offer a structured means of relating with others.

And despite lower levels of initial access, completion rates among older participants can reach up to 54%, often surpassing those of younger adults. This demonstrates that older patients are frequently highly committed to therapy and capable of sustaining the work required for meaningful change.

"We don't know the reasons but we could imagine that when older adults are willing to seek help, they are also more motivated to do that," says Cuijpers.

Barriers to care

Financial difficulties help explain part of the gap in older people beginning therapy in the first place: their health insurance may not cover therapy, and they may not be able to afford to pay for it independently.

A world of therapy options

Therapy comes in many different forms and can be tailored to different needs. A few that may be worth considering trying are:

• Cognitive behavioural therapy (CBT) focuses on identifying and changing unhelpful thought patterns.

• Psychodynamic therapy has an emphasis on how past experiences shape present emotions and behaviours.

• Family therapy is for those who want to work beyond an individual focus (such as in Antonio and Gigliola's case) and looks at relationships and dynamics within the family as a whole.

• Group therapy creates opportunities to share experiences with people facing similar medical diagnoses and to feel more understood and less alone.

But another barrier can arise within the healthcare system itself. The journey into therapy often depends on a referral from a primary care physician, yet some research suggests that older adults are referred to psychological treatments less frequently, even when they present with symptoms of anxiety or depression. Their distress may be seen as a natural response to ageing or physical decline, rather than as a mental health condition that warrants treatment.

Part of this prejudice comes from Sigmund Freud, the founder of psychoanalysis, who argued that therapy stopped working after 40 or 50 years, says Rossana De Beni, professor and senior researcher in experimental psychology at the University of Padua, Italy. In On Psychotherapy (1905), a brief technical paper on the practice of psychoanalysis, Freud noted that above a certain age "the elasticity of the mental processes, on which the treatment depends, is as a rule lacking".

But that is "absolutely not true", says De Beni. In fact, "studies show the opposite".

Clinicians need to see the older person for who they truly are, De Beni points out, not simply as "an old person", but as a multi-faceted individual. Unfortunately, our ageist prejudices are often "deeply entrenched", she says.

Some of the ageism may be internalised by the potential patients themselves. Beliefs such as the idea that mental health problems are simply a normal part of ageing are among the most frequently cited obstacles to accessing care. This is especially problematic, since ageism can itself predispose someone to greater anxiety and depression.

The simple truth is that positive transformation is possible across the lifespan. "Ageing, right to the very end, is a stage of life marked by change," De Beni says. "People become more fully themselves in a process of continuous transformation, learning and flexibility that never truly ends."

Maurizio certainly identifies with this sentiment. "There are three moments when therapy helped me: in dealing with my marital separation, in working through certain conflicts with my children, and in navigating the transition from active work to a pre-retirement phase, where I had to find new ways to socialise," Maurizio says. "I never thought it could be too late for anything."

He hopes that he has set an example for others to follow. "I think it may have planted a small seed: not today, not tomorrow, but perhaps the day after, they will bring it out and water it," he says.



https://www.bbc.com/future/article/20260609-mental-health-and-ageingwhy-you-are-never-too-old-for-therapy
Several discourse markers in the article organize relations among claims rather than merely connecting sentences grammatically. Their interpretation requires attention to whether the writer is signaling concession, contrast, reinforcement, or a consequence drawn from previous information.
Match the markers in Column 1 with their discourse functions in Column 2.
Column 1
1.Despite. 2.However. 3.In fact. 4.In this way.
Column 2
(__)Introduces an interpretive consequence derived from the preceding discussion.
(__)Reinforces or corrects a previous claim by presenting stronger supporting information.
(__)Introduces a circumstance that might be expected to prevent the proposition that follows.
(__)Marks a contrastive transition between propositions or stages of an argument.



Select the alternative containing the correct sequence, from top to bottom:
Alternativas
Q4399063 Inglês
'I felt lighter, more open': Why you are never too old for therapy


We assume therapy belongs to youth, yet older people may be particularly likely to benefit from psychological support.

Maurizio is 70. He recently began therapy in the hope of better understanding a physical pain he had carried since childhood. He has suffered migraines since the age of seven and wanted to explore what might lie behind them.

Over the years he had consulted different doctors and sought multiple opinions – therapy was another attempt to trace the origins of the problem. But he continued even after realising he might never find a single cause. "The process itself became something meaningful, a space for introspection that helped me understand my life more clearly," Mauizio says. (We have omitted the surnames of the therapy clients quoted within this piece to preserve their privacy.)

Antonio, 73, and his wife Gigliola, 68, turned to therapy hoping to save their relationship after years marked by disappointments and unspoken tensions. "After some time, I realised I felt lighter, more open," Antonio says.

"Looking within ourselves and bringing out what we could never say before perhaps helped us," Gigliola adds.

Their stories challenge a common assumption: that therapy is only for the young. And a growing body of evidence suggests that many older people could benefit from the same kind of help.

Therapy in later life

The potential for therapy to treat mental illness and enhance our overall wellbeing is now well-established, yet it is relatively rare for older people to access these services.

According to the World Health Organization, around 14% of people over 70 live with a mental health disorder, most commonly anxiety and depression, and 17% of all suicides occur in people of in this age range. A study published in 2024, however, found that only around 4% of US adults aged 65 and over received psychological therapy, compared with 12% of those aged 18-24 and 8% among those aged 35-64.

This is despite there being no evidence that therapy is any less effective or useful as we get older, according to Pim Cuijpers, professor of clinical psychology at the Vrije Universiteit Amsterdam in the Netherlands. "Therapies work across the whole adult age," he says.

Cuijpers recently published a review on psychotherapy for depression across different age groups. "What surprised me is that there is quite a lot of research in older people who are above 75 and we didn't find any indication that psychotherapies differ in that age group either," he says.

Older people may find that therapy helps to target some of the specific concerns that come with ageing, including social isolation and chronic illness, with widespread benefits. Many report improvements in overall wellbeing, renewed motivation and increased social participation. In this way therapy can function as a bridge: helping older adults reconnect with themselves and the wider world. The strongest responses, according to a 2025 review, may be found in group-based interventions, which makes sense, since they offer a structured means of relating with others.

And despite lower levels of initial access, completion rates among older participants can reach up to 54%, often surpassing those of younger adults. This demonstrates that older patients are frequently highly committed to therapy and capable of sustaining the work required for meaningful change.

"We don't know the reasons but we could imagine that when older adults are willing to seek help, they are also more motivated to do that," says Cuijpers.

Barriers to care

Financial difficulties help explain part of the gap in older people beginning therapy in the first place: their health insurance may not cover therapy, and they may not be able to afford to pay for it independently.

A world of therapy options

Therapy comes in many different forms and can be tailored to different needs. A few that may be worth considering trying are:

• Cognitive behavioural therapy (CBT) focuses on identifying and changing unhelpful thought patterns.

• Psychodynamic therapy has an emphasis on how past experiences shape present emotions and behaviours.

• Family therapy is for those who want to work beyond an individual focus (such as in Antonio and Gigliola's case) and looks at relationships and dynamics within the family as a whole.

• Group therapy creates opportunities to share experiences with people facing similar medical diagnoses and to feel more understood and less alone.

But another barrier can arise within the healthcare system itself. The journey into therapy often depends on a referral from a primary care physician, yet some research suggests that older adults are referred to psychological treatments less frequently, even when they present with symptoms of anxiety or depression. Their distress may be seen as a natural response to ageing or physical decline, rather than as a mental health condition that warrants treatment.

Part of this prejudice comes from Sigmund Freud, the founder of psychoanalysis, who argued that therapy stopped working after 40 or 50 years, says Rossana De Beni, professor and senior researcher in experimental psychology at the University of Padua, Italy. In On Psychotherapy (1905), a brief technical paper on the practice of psychoanalysis, Freud noted that above a certain age "the elasticity of the mental processes, on which the treatment depends, is as a rule lacking".

But that is "absolutely not true", says De Beni. In fact, "studies show the opposite".

Clinicians need to see the older person for who they truly are, De Beni points out, not simply as "an old person", but as a multi-faceted individual. Unfortunately, our ageist prejudices are often "deeply entrenched", she says.

Some of the ageism may be internalised by the potential patients themselves. Beliefs such as the idea that mental health problems are simply a normal part of ageing are among the most frequently cited obstacles to accessing care. This is especially problematic, since ageism can itself predispose someone to greater anxiety and depression.

The simple truth is that positive transformation is possible across the lifespan. "Ageing, right to the very end, is a stage of life marked by change," De Beni says. "People become more fully themselves in a process of continuous transformation, learning and flexibility that never truly ends."

Maurizio certainly identifies with this sentiment. "There are three moments when therapy helped me: in dealing with my marital separation, in working through certain conflicts with my children, and in navigating the transition from active work to a pre-retirement phase, where I had to find new ways to socialise," Maurizio says. "I never thought it could be too late for anything."

He hopes that he has set an example for others to follow. "I think it may have planted a small seed: not today, not tomorrow, but perhaps the day after, they will bring it out and water it," he says.



https://www.bbc.com/future/article/20260609-mental-health-and-ageingwhy-you-are-never-too-old-for-therapy
After describing improvements in wellbeing, motivation, and social participation, the article states that therapy can "function as a bridge" for older adults. The expression occurs after the discussion of social isolation and before the reference to group-based interventions.
In this context, the metaphor primarily suggests that therapy can: 
Alternativas
Q4399062 Pedagogia
'I felt lighter, more open': Why you are never too old for therapy


We assume therapy belongs to youth, yet older people may be particularly likely to benefit from psychological support.

Maurizio is 70. He recently began therapy in the hope of better understanding a physical pain he had carried since childhood. He has suffered migraines since the age of seven and wanted to explore what might lie behind them.

Over the years he had consulted different doctors and sought multiple opinions – therapy was another attempt to trace the origins of the problem. But he continued even after realising he might never find a single cause. "The process itself became something meaningful, a space for introspection that helped me understand my life more clearly," Mauizio says. (We have omitted the surnames of the therapy clients quoted within this piece to preserve their privacy.)

Antonio, 73, and his wife Gigliola, 68, turned to therapy hoping to save their relationship after years marked by disappointments and unspoken tensions. "After some time, I realised I felt lighter, more open," Antonio says.

"Looking within ourselves and bringing out what we could never say before perhaps helped us," Gigliola adds.

Their stories challenge a common assumption: that therapy is only for the young. And a growing body of evidence suggests that many older people could benefit from the same kind of help.

Therapy in later life

The potential for therapy to treat mental illness and enhance our overall wellbeing is now well-established, yet it is relatively rare for older people to access these services.

According to the World Health Organization, around 14% of people over 70 live with a mental health disorder, most commonly anxiety and depression, and 17% of all suicides occur in people of in this age range. A study published in 2024, however, found that only around 4% of US adults aged 65 and over received psychological therapy, compared with 12% of those aged 18-24 and 8% among those aged 35-64.

This is despite there being no evidence that therapy is any less effective or useful as we get older, according to Pim Cuijpers, professor of clinical psychology at the Vrije Universiteit Amsterdam in the Netherlands. "Therapies work across the whole adult age," he says.

Cuijpers recently published a review on psychotherapy for depression across different age groups. "What surprised me is that there is quite a lot of research in older people who are above 75 and we didn't find any indication that psychotherapies differ in that age group either," he says.

Older people may find that therapy helps to target some of the specific concerns that come with ageing, including social isolation and chronic illness, with widespread benefits. Many report improvements in overall wellbeing, renewed motivation and increased social participation. In this way therapy can function as a bridge: helping older adults reconnect with themselves and the wider world. The strongest responses, according to a 2025 review, may be found in group-based interventions, which makes sense, since they offer a structured means of relating with others.

And despite lower levels of initial access, completion rates among older participants can reach up to 54%, often surpassing those of younger adults. This demonstrates that older patients are frequently highly committed to therapy and capable of sustaining the work required for meaningful change.

"We don't know the reasons but we could imagine that when older adults are willing to seek help, they are also more motivated to do that," says Cuijpers.

Barriers to care

Financial difficulties help explain part of the gap in older people beginning therapy in the first place: their health insurance may not cover therapy, and they may not be able to afford to pay for it independently.

A world of therapy options

Therapy comes in many different forms and can be tailored to different needs. A few that may be worth considering trying are:

• Cognitive behavioural therapy (CBT) focuses on identifying and changing unhelpful thought patterns.

• Psychodynamic therapy has an emphasis on how past experiences shape present emotions and behaviours.

• Family therapy is for those who want to work beyond an individual focus (such as in Antonio and Gigliola's case) and looks at relationships and dynamics within the family as a whole.

• Group therapy creates opportunities to share experiences with people facing similar medical diagnoses and to feel more understood and less alone.

But another barrier can arise within the healthcare system itself. The journey into therapy often depends on a referral from a primary care physician, yet some research suggests that older adults are referred to psychological treatments less frequently, even when they present with symptoms of anxiety or depression. Their distress may be seen as a natural response to ageing or physical decline, rather than as a mental health condition that warrants treatment.

Part of this prejudice comes from Sigmund Freud, the founder of psychoanalysis, who argued that therapy stopped working after 40 or 50 years, says Rossana De Beni, professor and senior researcher in experimental psychology at the University of Padua, Italy. In On Psychotherapy (1905), a brief technical paper on the practice of psychoanalysis, Freud noted that above a certain age "the elasticity of the mental processes, on which the treatment depends, is as a rule lacking".

But that is "absolutely not true", says De Beni. In fact, "studies show the opposite".

Clinicians need to see the older person for who they truly are, De Beni points out, not simply as "an old person", but as a multi-faceted individual. Unfortunately, our ageist prejudices are often "deeply entrenched", she says.

Some of the ageism may be internalised by the potential patients themselves. Beliefs such as the idea that mental health problems are simply a normal part of ageing are among the most frequently cited obstacles to accessing care. This is especially problematic, since ageism can itself predispose someone to greater anxiety and depression.

The simple truth is that positive transformation is possible across the lifespan. "Ageing, right to the very end, is a stage of life marked by change," De Beni says. "People become more fully themselves in a process of continuous transformation, learning and flexibility that never truly ends."

Maurizio certainly identifies with this sentiment. "There are three moments when therapy helped me: in dealing with my marital separation, in working through certain conflicts with my children, and in navigating the transition from active work to a pre-retirement phase, where I had to find new ways to socialise," Maurizio says. "I never thought it could be too late for anything."

He hopes that he has set an example for others to follow. "I think it may have planted a small seed: not today, not tomorrow, but perhaps the day after, they will bring it out and water it," he says.



https://www.bbc.com/future/article/20260609-mental-health-and-ageingwhy-you-are-never-too-old-for-therapy
Read the teaching situation below:
An English teacher uses the article with an advanced class. Students compare the headline with the statistical evidence, distinguish expert claims from personal testimony, examine expressions such as "natural response to ageing" and "deeply entrenched," and then redesign the article as a short social-media carousel for a younger audience while documenting what information had to be selected, reframed, or omitted.
Which interpretation characterizes this teaching sequence?
Alternativas
Respostas
8121: C
8122: A
8123: B
8124: B
8125: B
8126: C
8127: C
8128: A
8129: A
8130: A
8131: B
8132: B
8133: B
8134: D
8135: B
8136: B
8137: D
8138: C
8139: C
8140: C