1. In response to a mother’s report that her daughter’s no longer bringing her tea in the morning must mean her daughter does not love her, the therapist says: “Your daughter’s bringing you tea fewer times a week may mean she is building friendships with girls her own age, which could be a sign she is making progress toward her goal of becoming more independent.” What is the term to describe this?
1. According to the Satir growth model, there are five communication strategies for survival. Which of the following suggestions would be best for a therapist working with clients who have adapted the placator stance or role?
|a.||Encourage the client to take a firm stance from the onset of therapy.|
|b.||Use less directive therapy methods, such as multiple choice questions and open-ended reflections, to require them to voice their opinion and take a stand.|
|c.||Use therapeutic techniques, such as reflecting, to highlight hidden emotions.|
|d.||Applaud the placator; after all, they can be the easiest people to get along with.|
1. Nathan and Alexander, a couple who have been in a relationship for 7 years, complain of a lack of communication and a dissatisfying intimate life. Nathan says he wants more emotional and physical intimacy with Alexander, but that Alexander is happy with cuddling on the couch or doing activities such as gardening together. Alexander complains that their closeness is never enough for Nathan and that he often feels pressured to do more to make Nathan happy. David, a Bowenian therapist, might use which type of intervention with this couple to promote Nathan and Alexander differentiating more and taking responsibility for their individual needs?
|a.||Teaching each person to self-soothe rather than demand the other to change|
|b.||Hugging to relax and working with the couple to be “seen” by the other|
|c.||Creating a genogram to identify patterns and alternative ways for relating to each other|
|d.||All of the above|
1. When using CBFT with a diverse population, which of the following is important to keep in mind?
|a.||CBFT is a good fit with any cultural group because it focuses on thoughts and behaviors rather than emotion.|
|b.||CBFT goals inherently conform to dominant cultural values; therefore, it is necessary to be culturally sensitive.|
|c.||CBFT treatment goals outweigh religious, cultural, or socio-economic values.|
|d.||CBFT therapists should not take an expert stance if the family is of a different cultural background.|
1. A couple attends therapy with Julia, a solution-oriented therapist. The couple reports a very difficult relationship. They are always arguing, disagreeing, and separating. After a very intense first session, Julia says to the couple, “Between now and the next time we meet, I would like you to observe so you can describe to me what happens in your relationship you do not want to have changed by therapy.” What kind of intervention is Julia using?
|a.||The miracle question|
|b.||A formula first session task|
|d.||Compliments and encouragement|
1. A client lives in daily fear of having another psychotic episode after not having one for over 10 years. She says that it is her illness that keeps her from moving forward in life. The therapist says, “That’s interesting. You say you haven’t had an episode in 10 years, so hallucinations don’t seem to be plaguing you these days. It sounds like the worry about hallucinations is the problem at this point. Do you think of this as part of the original problem, or is it a new problem that only developed after the first was resolved?” What is the therapist doing with the client?
|b.||Sharing inner dialogue|
|c.||Making an appropriately unusual comment|
1. MRI therapists view the problematic interactional sequences in families as families attempting to do which of the following?
|a.||Assert independence from each other|
|b.||Destroy the family dynamics|
|c.||Sabotage parent child relationships|
|d.||Maintain family homeostasis|
1. Mikayla and Jenna have been married for six years. They have recently decided to try therapy because they find they argue incessantly and are drifting apart emotionally. They are no longer able to spend quality time together without fighting, and both would rather spend time with friends or by themselves than with each other. They state that their arguments tend to follow the same theme time after time, regardless of what they are fighting about. Mikayla sees Jenna as “overly emotional” and states that she always breaks down during their fights. Jenna states that Mikayla never tries to understand her, that she can’t share her emotions and that she’d rather be “logical” all the time. From a structural viewpoint, how might you describe this relationship pattern?
|a.||The boundaries within their relationship are too diffuse.|
|b.||The boundaries are rigid, and the couple doesn’t want to change.|
|c.||Complementary — their roles have become rigidly polarized.|
|d.||Symmetrical- each partner tries to match the other’s role.|
1. From the narrative perspective, which of the following is TRUE about the view of problems?
|a.||Problems are integrated into the person.|
|b.||Problems are separate from the person.|
|c.||Problems require reframing of their context.|
|d.||Problems allow the person to fully experience personal awareness.|
1. Zena is a first year therapist using the Milan approach. She is working with a family in which the only child and the stay-at-home father have a very close bond or covert coalition. Zena instructs the parents to arrange to go on a date and not tell the child where they are going. This creates a secret between the parents to hopefully end the inappropriate coalition between the father and child. What type of intervention did Zena use?
1. Differentiation is one of the most useful concepts for understanding interpersonal relationships. Which of the following statements is true?
|a.||Differentiation refers to a person’s ability to separate intrapersonal and interpersonal distress.|
|b.||Differentiation is the ability to balance two life forces: the need for togetherness and the need for autonomy.|
|c.||Differentiation is a lifelong journey that is colloquially referred to as “maturity” in the broadest sense.|
|d.||All of the above|
1. The CBFT therapist’s problem analysis focuses on present day __________, __________, and __________ that make the situation a problem.
|a.||behaviors; emotions; thoughts|
|b.||actions; reactivity; rationale|
|c.||behaviors; actions; thoughts|
|d.||actions; emotions; rationale|
1. Which technique can best be used when asking a client to define their goals and rate their progress toward goals?
|a.||The miracle question|
1. Why is using solution-oriented therapy appropriate when working with diverse populations?
|a.||The goal-setting process of solution-based therapies is a good fit for many ethnic groups because the goals are predefined by the theory.|
|b.||Focusing on emotions rather than behavior is more comfortable to many ethnic minority groups.|
|c.||The focus on solving problems from the past rather than the future makes sense to many ethnic minorities.|
|d.||The solution-based viewing of behaviors in context allows for a more fair understanding of problem behaviors of marginalized populations.|
1. Instead of replacing the problem story with a problem-free story, narrative therapists help their clients do which of the following?
|a.||Redefine the client’s problems as opportunities|
|b.||Help the client realize how others have “wronged” them|
|c.||Find new ways to view, interact with, and respond to problems in their lives by redefining the role of problems|
|d.||Speak their beliefs about the problem out loud, therefore realizing how absurd they are|
1. In strategic therapy, directives are used to:
|a.||center the family on the intent of the session.|
|b.||bring to the attention of an individual the repercussions of their actions.|
|c.||complete a specific task, usually between sessions but sometimes within the session.|
|d.||simulate a problem that the family is experiencing.|
1. Which of the following statements is TRUE about postmodern therapies?
|a.||Postmodern therapies integrate consideration of cultural issues at the most fundamental level of their method.|
|b.||They are often considered the quintessential approach for diverse populations.|
|c.||Postmodern therapies are particularly suitable for clients from marginalized groups.|
|d.||All of the above.|
1. Intergenerational therapists focus on developing a therapeutic relationship that encourages all parties to further their differentiation process. What does this mean?
|a.||Intergenerational therapists believe that clients are in charge of the therapeutic process.|
|b.||Intergenerational therapists believe that clients can only differentiate as much as their therapists have differentiated.|
|c.||Intergenerational therapists believe that the differentiation of the client is the technique.|
|d.||Intergenerational therapists believe that they must take sides with the most differentiated family member.|
1. When working with survivors of sexual abuse and/or trauma, solution-based therapists honor the agency of the survivors. What does this mean?
|a.||Solution-based therapists insist the survivor share the details of their abuse.|
|b.||Solution-based therapists take a more directive role in working with the survivor.|
|c.||Solution-based therapists allow the client to decide whether or when to tell their abuse story.|
|d.||Solution-based therapists determine the pacing of the therapy.|