Ⅰ.阅读理解
阅读下列短文，从每题所给的A、B、C和D四个选项中，选出最佳选项。
(湖南省五市十校2019－2020学年高三上学期第二次联考)
Online programs to fight depression are already commercially available.While they sound efficient and cost-saving，a recent study reports that they are not effective，primarily because depressed patients are not likely to engage with them or stick with them.
The study looked at computer-assisted cognitive(认知的)behavioral therapy(CBT) and found that it was no more effective in treating depression than the usual care patients receive from a primary care doctor.
Traditional CBT is considered an effective form of talk therapy(治疗)for depression，helping people challenge negative thoughts and change the way they think in order to change their mood and behaviors.However，online CBT programs have been gaining popularity，with the attraction of providing low-cost help wherever someone has access to a computer.
A team of researchers from the University of York conducted a randomized(随机的)control trial with 691 depressed patients from 83 physician practices across England.The patients were split into three groups：one group received only usual care from a physician while the other two groups received usual care from a physician plus one of two computerized CBT programs.Participants were balanced across the three groups for age，sex，educational background，severity and duration of depression，and use of antidepressants(抗抑郁药)．
After four months，the patients using the computerized CBT programs had no improvement in depression levels over the patients who were only getting usual care from their doctors.
“It’s an important，cautionary note that we shouldn’t get too carried away with the idea that a computer system can replace doctors and therapists，says Christopher Dowrick，a professor of primary medical care at the University of Liverpool.“We do still need the human touch or the human interaction，particularly when people are depressed.”
Being depressed can mean feeling “lost in your own small，negative，dark world，”Dowrick says.Having a person，instead of a computer，reach out to you is particularly important in combating that sense of isolation.“When you’re emotionally vulnerable (脆弱的)，you’re even more in need of a caring human being，” he says.
1．Why has online CBT programs been increasingly popular?
A．Because of their effectiveness in fighting depression.
B．Because of their easy and inexpensive access by patients.
C．Because of their recommendation by primary care doctors.
D．Because of their attraction of changing mood and behavior.
2．What is the conclusion of the experiment done by researchers at the University of York?
A．Online CBT programs are as ineffective as regular care from physicians.
B．The combination of traditional CBT and computerized CBT is most effective.
C．The online programs are more advanced than regular care from physicians.
D．Online CBT programs have no advantages over regular care from physicians.
3．Which of the following statement can best convey Professor Dowrick’s advice on online programs?
A．Their use should be encouraged by doctors.
B．They should not be ignored in primary care.
C．Their effectiveness should not be overestimated(高估)．
D．They should be used to help people touch these patients.
4．What is more important to an emotionally vulnerable person?
A．A positive state of mind.
B．An appropriate therapy.
C．An advanced CBT program.
D．A caring human being.
【答案】 1.B 2.D 3.C 4.D
【解析】 这是一篇说明文。近年来在线CBT因为价格便宜、随时可以进行治疗而受到抑郁患者的青睐，但最新实验研究发现在线CBT并没有显著效果，抑郁患者最好通过传统CBT来进行治疗。
1．细节理解题。根据文章第三段的“online CBT programs have been gaining popularity，with the attraction of providing low-cost help wherever someone has access to a computer.”可知在线CBT变得受欢迎，主要因为价格低并且只要有电脑的地方都可以进行。B.Because of their easy and inexpensive access by patients.(因为对于病人来说它们很容易获得，而且便宜。)符合以上说法。故选B项。
2．细节理解题。根据文章倒数第三段“After four months，the patients using the computerized CBT programs had no improvement in depression levels over the patients who were only getting usual care from their doctors.”可知相较于使用传统CBT患者，使用在线CBT治疗的病人的病情没有得到任何改善D.Online CBT programs have no advantages over regular care from physicians.(和医生常规护理相比，在线CBT项目没有优势。)符合以上说法。故选D项。
3．推理判断题。根据文章倒数第二段的“It’s an important，cautionary note that we shouldn’t get too carried away with the idea that a computer system can replace doctors and therapists”和“We do still need the human touch or the human interaction，particularly when people are depressed.”可知Christopher Dowrick认为人们不应该被计算机系统可以取代医生和医师治疗抑郁症的想法冲昏头脑，人们仍然需要人与人之间的接触和互动，尤其是当人们感到沮丧时。故推测Christopher Dowrick认为在线CBT的效果不如传统方式。C.Their effectiveness should not be overestimated(高估)．(它们的效果不应该被高估。)符合以上推测。故选C项。
4．细节理解题。根据文章最后一段的“’When you’re emotionally vulnerable (脆弱的)，you’re even more in need of a caring human being，’ he says.”可知人们在情感脆弱时更需要一个关心的人类。D.A caring human being.(一个关心的人类。)符合以上说法。故选D项。
