Unit 4 Examination – Clinicians who are concerned
14:$PVOTFMJOH4ZTUFNTBOE5FDIOJRVFT Unit 4 Examination Multiple Choice Questions (Enter your answers on the enclosed answer sheet)1. Clinicians who are concerned with cultural biases that are inherent with theories suchas Family Systems Theories tend to criticize FST for:a. the narrow definition of family.b. the fact that differentiation is not culturally sensitive, and can sometimes bedestructive to families who are not Caucasian middle-class.c. the distinct heterosexual bias.d. all of the above 2. Which of the following theorists would most closely match the philosophy of human natureadopted by Virginia Satir?a. Sigmund Freudb. Carl Rogersc. Albert Ellisd. Aaron Beck 3. Minuchinâs theory of personality development tends to focus on:a. feedback that the identified patient receives from the other family members.b. implications of being a member of a triangle within a family.c. the development of the family rather than each individual within the family.d. Minuchin does not propose a theory of personality development. 4. When stress levels rise in a family that is of relatively low differentiation, which of thefollowing is likely to be observed?a. Problems in the couple relationshipb. Dysfunction in a childc. Dysfunction in one of the partnersd. All of the above are possible 5. The idea that the therapist must know their own family is essential to which of the FSTs?a.b.c.d. 6. The pseudo independent posture is the result of:a.b.c.d. 170 structuralstrategicsatirnone of the above impression management strategies.high differentiation.low self-esteem.low differentiation. 14:$PVOTFMJOH4ZTUFNTBOE5FDIOJRVFT Unit 4 Examination 7. Janie is the youngest child in a large family. Her relatives all live down the street from Janie,but Janie refuses to visit anyone, even for Thanksgiving dinner. According to Bowen, Janie isdisplaying:a.b.c.d. emotional cutoff.triangulation.disengagement.pseudo self. Please answer questions 8 – 10 based on the paragraph below:Jessie sought therapy because he was fired from his last two jobs and his wife has threatened tofile for divorce unless he attended counseling. During the initial meeting, Jessie told his therapist,Greg, that he isnât really sure why he needs to come to counseling; after all, his bosses were âjustreally unreasonableâ and his wife is âalways nagging himâ about not working.8. Greg, who is a Solution Focused Therapist, hypothesizes that Jessie might be a:a.b.c.d. 9. customer.complementary receiver.complainant.visitor. Greg is likely to focus on Jessieâs:a. thoughts about how the two of them could work together to make something different inJessieâs life.b. difficulty taking responsibility for being fired.c. relationship with his wife.d. apparent lack of concern for the problems that he is encountering.. 10. Which of the following interventions is Greg likely to try with Jessie?a.b.c.d. 171 differentiationcomplimentshaving Jessie make a genogramhypnotherapy 14:$PVOTFMJOH4ZTUFNTBOE5FDIOJRVFT Unit 4 Examination Please answer questions 11 â 14 based on the paragraph below:Jane is a 42 year-old married mother of four children who was recently diagnosed with multiplesclerosis â a neurological disorder that often leads to motor weakness, speech disturbance,and other cognitive symptoms. She sought counseling from Mark, who is currently involved ina Solution Focused Training program. As Mark conducted his intake assessment of Jane, hedetermined that Jane was experiencing symptoms of depression that were particularly relatedto her loss of sensation in her feet and lack of coordination. Jane further reported that as hersymptoms have progressed, she is aware that when she goes out to run errands or do activities withher children, people generally treat her âdifferentlyâ than before she became ill.11. Mark will likely conduct a formal assessment of Jane (e.g., a structured interview, briefmeasure of intelligence, and paper and pencil personality inventory) for the purpose of:a.b.c.d. examining how her conditions of worth are related to her current symptoms of depression.investigating the extent that her symptoms of depression are due to her physical illness.determining an accurate DSM-IV diagnosis.Solution Focused Therapists do not use formal assessments. 12. In addition to empathic listening, Mark would most likely:a. focus on family membersâ reactions to Janeâs disease.b. look for evidence of Janeâs competence and strength.c. acknowledge that Solution Focused approaches to therapy are only effective forpsychological disorders.d. ask Jane a series of questions about her illness as soon as possible, given the nature ofJaneâs problems.13. Mark asks Jane the question, âIf while you were sleeping something happened to makeeverything better, how would you know that things were better in the morning?â Markâsquestion is an example of which of the following Solution Focused Interventions?a.b.c.d. 172 The person is politicalScaling QuestionsThe Miracle QuestionFast Forward Questions 14:$PVOTFMJOH4ZTUFNTBOE5FDIOJRVFT Unit 4 Examination 14. Mark spends many sessions gathering further information about Jane and ends up attributingJaneâs depression and hopelessness to a traumatic event that happened during Janeâsfirst marriage. Mark presents his conceptualization to his supervisor, who is likely to concludethat:a. Mark is right on track with his hypotheses and should explore the roots of Janeâsdepression further.b. Jane has little or no hope to ever feel happy again, due to this traumatic event.c. Jane would benefit from continued assessment.d. Mark has become âtangledâ in the problem.15. Which of the following is NOT one of West and Bubenzerâs (2002) three problematicnarratives?a.b.c.d. Ongoing ConflictNot Being AppreciatedContinual Lack of TrustBeing Used 16. Assessment in a Narrative Therapy model is:a. seen as a continuous process that is focused on understanding clientâs perspectives ontheir lives.b. not likely to use formal means.c. inconsistent with Narrative Therapy philosophy.d. all of the above17. In a Narrative Therapy session, whose language is used?a.b.c.d. The clientâsThe counselorâsBoth the clientâs and counselorâsThe other therapists who are observing and helping 18. The Narrative Therapist is seen as a(n):a.b.c.d. 173 expert.consultant.master storyteller.none of the above 14:$PVOTFMJOH4ZTUFNTBOE5FDIOJRVFT Unit 4 Examination 19. The major technique used in Narrative Therapy is:a.b.c.d. visualizing.giving homework.asking questions.b and c 20. The Transtheoretical Approach to Psychotherapy:a. strictly adheres to only one theory.b. uses the techniques from a theory but ignores the underlying theoretical assumptions.c. combines the techniques of various theories as long as the aim of the strategy is to helpa client progress through the various stages of change.d. adheres to the underlying theoretical assumptions but disregards the techniques.21. Which of the following is NOT an element of the Contextual Model that was proposed by Frank& Frank in 1991?a.b.c.d. the setting connected to a healing missiona match between client and counselor backgroundthe rationale that is believed by the client and counselorthe ritual that is based on rationale 22. Processes, stages, and levels are three basic dimensions of change that are associated withwhich of the following theoretical orientations?a.b.c.d. Interpersonal TheoriesBeutlerâs Systematic Eclectic PsychotherapyTranstheoretical TherapyContextual Therapy 23. Which of the following are some of the basic processes that are associated with changeaccording to the Transtheoretical approach to therapy?a.b.c.d. 174 self-liberationsocial liberationemotional expressionall of the above 14:$PVOTFMJOH4ZTUFNTBOE5FDIOJRVFT Unit 4 Examination 24. A client who shows initial attempts to change their behavior is in what stage of change inthe Transtheoretical Model?a. Pre-contemplationb. Preparationc. Travelingd. Procrastination25. Laura is working with a client from a Person Centered approach and determined that the clientis in Stage 3 of the therapy process. Lauraâs colleague, Matt, who practices therapy from theTranstheoretical approach, consults with Laura on the case and determines that her client is inthe _____ stage of change.a.b.c.d. 175 precontemplationprocrastinationpreparationpreliminary