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19 Cards in this Set

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Reflective listening is a useful tool in marital counseling. What are the four main components of this Rogerian technique?

empathy, congruence, acceptance, concreteness empathy, congruence,

“to change a patient’s perspective of the problem:” Reframing problems and perspectives can lead to new possible solutions. A variety of ways exists to reframe a symptom. One example might be to cast a positive light on a previously negatively viewed behavior. Viewing the negative as potentially positive can open the patient up to new discussion and possible solutions.

Refrain

“Families often will vilify the alcoholic in the family, causing more shame and less likelihood of the patient responding to helpful efforts. Externalizing the problem to a focus on the “addiction” can aid in everyone attacking the problem rather than attacking the individual.

Focusing on addiction

When patients don’t complete or inaccurately complete out-of-session work assigned by the therapist, this situation is usually

the therapist’s fault.

When patients do not complete assignments, it is often the therapist’s fault. Common reasons for this failure to complete include assignments that are unreasonable in light of the patient’s capabilities. Sometimes therapists have not explained assignments properly, or the assignments require more time to complete than the patient has available. Therapists should consider these factors and other factors before assigning out-of-session work in order to manage such work in a successful manner.

Therapist fault

Entering into a therapeutic relationship with a student is considered inappropriate and unethical. The risk of possible exploitation and impaired objectivity (given the influential position of the therapist/supervisor over the student), presents an inappropriate

A therapist’s student shares concerns about dysfunctional behavior in the student’s family. The student requests a session with the therapist. Is it acceptable for the therapist to see the student (and his family), in a therapy setting?

A wife who was recently diagnosed with bipolar disorder is placed on medication. She is also seen once a month by a psychiatrist for individual treatment and a medication check up. The husband and wife wish to also be seen by a family therapist for marital difficulties. In this case it will be essential for the family therapist to:


collaborating with another health care provider.Such collaboration is going to help keep the treatment progress transparent, avoid any confusion or triangulation. Since bipolar disorder is a life-long disorder, waiting for the wife to complete individual psychotherapy

A therapist who is using strategic therapy with clients might assess a successful outcome by pursuing a discussion of:

The aspects of the problems originally brought into therapy that the client might wish to keep.


since strategic therapy identifies the problems at the onset of treatment and uses paradoxical interventions to help the client gain control over their problems. By the client identifying which aspect of the problem they would like to maintain, they continue to exert control over it.

A practitioner meets with the parents of a 7-year-old who has been struggling with school phobia. The parents both have different beliefs about how to manage the problem. A practitioner who is familiar with the early writings of the Milan group is MOST LIKELY to use which of the following interventions to deal with the parental split.

Tell the parents to do what they think is appropriate on alternating days.

A single parent often explodes in anger when she gets frustrated with her children. She reports that her parents are regularly critical of her parenting. A Strategic therapist would likely attempt to intervene in the parenting by:

Pointing out ways in which she is a good mother and acts maturely Strategic therapist is likely to apply a therapeutic paradox – an intervention that contradicts the goals of the therapy, but is designed to achieve those goals in a different manner. A strategic therapist would not teach the client parenting skills

A family paradigm is BEST defined by which of the following statements?

The way a family defines and organizes experience.


Rationale: The definition of family paradigm is answer (A), the way a family defines and organizes experiences, based on shared beliefs.

A therapist is using brief therapy with a client. Therapy is considered effective when change occurs in:

The original complaint.


Rationale: Brief therapists tend to focus their efforts on the presenting complaint

Feminist therapy works to help the clients understand and own the——— that they have

power

Which of the following would be most useful for establishing a DSM-5 diagnosis ofIntellectual Disability?

Vineland




he Vineland Adaptive Behavior Scale is a measure of daily living skills,communication, socialization, motor skills, and internalizing/externalizing behaviors for individuals from birthto age 90 and is useful for establishing a diagnosis of Intellectual Disability

he Brief Symptom Inventory (BSI) is most useful for which of the following purposes?

tracking a client’s progress during the course of therapy

as been having trouble concentrating at school,spends most of the weekend sleeping, and has been eating more than usual and has put on 20 pounds. Theboy's parents tell you that he "used to be a good student" but "simply doesn't focus anymore" and hasbecome irritable and hard to get along with. They also say that this change started over a year ago. The boysays he feels just feels miserable most of the time. The most likely DSM-5 diagnosis is:

PDD

All of the following emphasize the triadic process

Haley, Palazzoli, and Lynn Hoffman are consistently aware of triadic relationships. Murray Bowen introduced the concept of emotional triangles, structural family therapists have also been aware that enmeshment or disengagement between two people is always a function of reciprocal relationships with a third. Haley, Palazzoli, and Lynn Hoffman are consistently aware of triadic relationships. (Nichols & Schwart, 4th edition, pg. 457.)

According to the communication theorists the content aspect of communication is known as

Report




All communications have a report and command elements. The report element refers to the content, while the command element refers to the relationship between the sender and receiver. Metacommunication is communication about communication. This term usually refers to the covert, nonverbal message (e.g., tone of voice, inflection, body language) that gives additional meaning to an overt, verbal message.

A_____ strategy is a type of paradoxical intervention. The paradoxical interventions used by strategic family therapists take three forms: g strategies exaggerate the family's negative interpretation of their situation.

restraining

(1) restraining strategies warn the family of the negative consequences of behavioral change; (2) prescribing strategies explicitly instruct family members to engage in their dysfunctional behavior; and (3) positionin