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35 Cards in this Set
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- Back
- 3rd side (hint)
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A couple comes in with their one-and-a-half-year-old, who speaks only a word or two. They are very concerned about the child's lack of language skills. The BEST referral would be to a: |
Parenting Classes |
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A couple in their 60's comes to you with each partner complaining of depression and extreme unhappiness in their marriage. They want advice about how to improve their sex life. As a competent MFT, you would FIRST: |
Assess both for level of depression and the presence of any suicidal ideation. |
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A DSM-5 diagnosis of Acute Stress Disorder requires a duration of symptoms of: |
For a diagnosis of Acute Stress Disorder, the DSM-5 requires that symptoms have a duration of three days to one month. It notes that symptoms typically begin immediately after exposure to the trauma but does not require that they do so.
The correct answer is: Three days to one month. |
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DSM-5 diagnosis of Posttraumatic Stress Disorder or Acute Stress Disorder requires the development of characteristic symptoms following exposure to: |
Actual or threatened death, serious injury, or sexual violence. |
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A family comes to see you. The mother and father are having trouble with their two sons, Bill, age 16, and Don, age 18. The parents don't believe that the boys should date until they are out of college. This can BEST be described as: |
A developmental crisis. |
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A family consisting of Jack and Barbara, and their two children, Jeff, 14, and Tracy, 12, comes into your office. They were referred to you by Jack's AA sponsor. Barbara tells you that the problem is Jeff and his "acting out" behavior. She relates that she found a bottle of rum under his bed and he snuck out of the house on a school night and did not return until after midnight. Barbara wants Jeff to be more like his sister, Tracy, who is an honor student. Jack states that Jeff doesn't seem to understand that the whole family needs to work together to get through Jack's recovery. What role would best describe Jeff in the alcoholic family? |
Co-dependent |
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Wayne and Lynn come to therapy to work on communication issues. At the first session, you notice that as Lynn speaks, Wayne's jaw muscles clench and his face begins to turn red. At one point, Wayne jumps out of his chair in frustration. When he does this, Lynn moves to the corner of the couch and covers her face in her hands. As Wayne and Lynn's therapist you should: |
Consider conducting separate assessments |
Because there are indicators of domestic violence, conducting separate assessments would be the best choice. It may not be safe for Lynn to express her feelings since Wayne is very physically reactive and Lynn's responses indicate the possibility of domestic violence |
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The Barry family is a Caucasian middle-class family consisting of Mrs. Barry, 38 Mr. Barry 39, Tom 16, Jane 15, and Nick 13. After Tom experienced a traumatic football injury his doctor recommended family therapy for the family to cope with the lifestyle changes that Tom will likely experience. In the first session Mrs. Barry does most of the talking and is emotional that her life will never be the same because she will have to do all of the caretaking for Tom. Jane also starts crying as she listens to her mom and says that she can’t stand to see her mom upset. She later identified starting to binge since the accident and that it makes her feel better in the moment. Nick says that he feels upset about what happened to his brother but that lately he can’t seem to find joy in anything. You notice that when Nick shifts in his seat he has some cuts on his forearm. Mr. Barry finally says that he is frustrated because his wife already spends so much time caring for the kids and now, he’ll probably never have alone time with her. After creating the genogram within the first few sessions with the family, what is the MOST important next step? |
Nick’s level of depression and create a safety plan with the family. |
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A family is characterized by enmeshment, overprotectiveness, rigidity (e.g., resistance to change or autonomy of family members), and an inability to resolve conflicts. From a structural therapist's point of view, a member of this family is most likely to display: |
Psychosomatic symptoms |
Minuchin often works with families where the children have psychosomatic illnesses such as asthma and Eating Disorders. He believes these disorders are usually influenced by enmeshed family structures with weak parental coalitions. Answer A is correct: Characteristics of a psychosomatic family include those listed in the question: enmeshment, overprotectiveness, rigidity, and a lack of conflict resolution. A psychosomatic family is one in which emotional conflicts are transformed into somatic symptoms |
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A five-year-old is referred by his teacher due to his refusal to talk in class. He just started school three weeks ago. He is sociable at home and in other, non-classroom settings and doesn't seem to have any other problems. What is the most likely diagnosis? |
Phase of Life Problem |
Phase of life problem is included in the DSM with Other Conditions That May Be a Focus of Clinical Attention. It may apply, for example, when a person's problems are related to life events such as starting school, leaving parental control, or starting a new job. |
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Phase of life problem is included in the DSM with Other Conditions That May Be a Focus of Clinical Attention. It may apply, for example, when a person's problems are related to life events such as starting school, leaving parental control, or starting a new job. |
Phase of Life Problem |
Age-appropriate overactivity, as seen in some highly active children, is not as haphazard as the behavior associated with a diagnosable mental disorder. Also, for some children, an inadequate and chaotic environment may result in difficulty sustaining attention and maintaining goal-directed behavior |
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Age-appropriate overactivity, as seen in some highly active children, is not as haphazard as the behavior associated with a diagnosable mental disorder. Also, for some children, an inadequate and chaotic environment may result in difficulty sustaining attention and maintaining goal-directed behavior. A four-year-old child who is impulsive and has difficulty waiting his or her turn and playing cooperatively would probably: |
Be Considered normal |
When assessing whether such a child's behavior is normal or not, a developmental approach to the child's activity level, attentional skills, and impulsivity should be used -- for example, younger children normally move more, are less attentive, and are more impulsive than older children. |
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Aldo, age 22, reports that he is irritable and having trouble concentrating at school and at his part-time job because he's distracted by constant worrying. He adds that he has trouble falling asleep at night because he can't stop his thoughts, and his coworkers and friends complain because he always seems preoccupied. Aldo says he worries "about everything," even unimportant things like what clothes he should wear to class and what he should have for dinner. He has had these symptoms for nearly a year and has been unable to control them. The most likely diagnosis for Aldo |
Generalized Anxiety Disorder |
Generalized Anxiety Disorder involves excessive worry and anxiety about numerous events or activities. The worry and anxiety are relatively constant for at least six months and are difficult to control. In addition to excessive worry and anxiety, symptoms include difficulty concentrating, irritability, and sleep disturbances |
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Alex, age 32, has been a "hermit" all his life. He lives with his family, spends most of his time alone in his room listening to music, and says he never feels particularly happy or unhappy. Six months ago, Alex was diagnosed with Brief Psychotic Disorder. Alex has never had a close relationship and says he does not mind. His symptoms are most suggestive of which of the following? |
Schizoid Personality Disorder. Alex's life-long isolation, indifference to social relationships, and lack of strong emotions are consistent with a diagnosis of Schizoid Personality Disorder. |
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Alex, age 32, has been a "hermit" all his life. He lives with his family, spends most of his time alone in his room listening to music, and says he never feels particularly happy or unhappy. Six months ago, Alex was diagnosed with Brief Psychotic Disorder. Alex has never had a close relationship and says he does not mind. His symptoms are most suggestive of which of the following? |
Schizoid Personality Disorder. |
Alex's life-long isolation, indifference to social relationships, and lack of strong emotions are consistent with a diagnosis of Schizoid Personality Disorder. |
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Not true about personality disorders ..... They usually begin in adulthood |
Although Personality Disorders are commonly diagnosed in adults rather than teens or children, Personality Disorders are assumed to begin early in life and are generally recognizable by adolescence and then continue through adult life (although some symptoms may attenuate during or after middle age). |
The therapist has used "role-reversal"; i.e., he/she has asked the partners to switch roles and argue for their partner's position.Role-reversal, role-playing ("a"), and family sculpting ("c") are all "enactive techniques," which are methods used to increasefamily members? empathy for each other's situation and feelings. |
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A family therapist asks both members of a married couple in conflict to argue for their partner's position. This technique is known as: |
role-reversal |
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A husband and wife bicker as they attempt to describe their problem to you. You notice that both partners are equally capable of holding their own as they argue and that, until you intervene, the argument continues to escalate. Jackson would say that this illustrates which type of communication pattern? |
symmetrical |
The clues in this question were that each partner can hold his/her own in the argument and that the argument escalates. Inaddition, you needed to choose what "Jackson" would say. |
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The belief that one's own ethnic group, nation, or culture is superior to all others is referred to as: |
. ethnocentrism |
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The client is a 25-year-old gay man who has just discovered, through anonymous testing at a community clinic, that he is HIV positive. He is asymptomatic and still working and participating in other usual activities. However, he is anxious, depressed, and worried that his new lover will leave him when he finds out. He also wonders what to tell his parents, who do not even know he is homosexual. The therapist's first intervention should be: |
referral for medical advice |
Because the client was just diagnosed at a community clinic (rather than by his physician), this is the best first intervention. A physician knowledgeable about treating HIV would be able to help the client stay healthy by, for example, prescribing an appropriate medication regimen. This would also begin to alleviate the client's anxiety and depression in a very concrete way, making psychotherapy more effective. Although you, as the therapist, must also be concerned about infection of the man's lover, it is arguable that the doctor might be able to explain the risk of infection with more authority than you can. In any event, after referring the man for medical advice and treatment, you can then address with him his obligation to inform his partner. |
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The concept of an "undifferentiated family ego mass," as used by Murray Bowen, results from |
triangles within a family system |
"Differentiation" is the ability to separate thoughts from feelings, both intrapsychically and interpersonally. "Ego mass" refers to a group of individuals, such as a family. Slipp (1984) has described an "undifferentiated ego mass" in the following way: "The couple and the triangulated child become locked into an overly close relationship ... the symbiotic survival pattern. They are functioning as if they were one personality, with each family member of the triangle taking a component part of self or object, either good or bad." |
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The Growden family is in their first session with a Structural Family therapist. Mrs. Growden reports that her husband works too much and never helps her with the kids, who are out of control. She tells you that she works too and it’s not fair. Their three children ages 5, 7, and 9, all sit fidgeting on the couch between Mr. and Mrs. Growden. How would you respond NEXT? |
Say that you admire how much energy they have. |
Saying that you admire how much energy they have is an example of reframing, which would occur in the early stage of therapy for a structural family therapist. Moving the children from between their parents is an example of restructuring, which would occur in the middle stage of therapy ( |
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The hallmark concept emphasized in Contextual Family Therapy is: |
The promotion of an ethical environment in the family. |
All of the answers given here are essentially correct in that they are in line with Contextual Family Therapy (developed by Ivan Boszormenyi-Nagy) concepts. However, the primary concept associated with CFT is that an ethical family environment is essential to the healthy emotional and relational well-being of its members. An ethical family environment is one in which trust, mutual support, fairness, accountability and loyalty are present, which creates a positive emotional context for human growth. |
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The identified patient is a teen-age girl, acting out in school and at home. Her parents bring her to therapy and want her seen individually. They want a quick solution to her problems. The best intervention would be to: |
. see the girl alone briefly to allow any secrets to emerge, and then insist on family therapy |
Seeing the girl alone would allow you to thoroughly assess the roots of her behavior. Afterwards, family therapy would be indicated since this girl is a part of a system. Behavioral problems can be a way of managing anxiety created by family system dysfunction. |
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The incorporation of new knowledge into existing cognitive schemes is referred to as: |
assimilation |
he question describes assimilation, which is associated with Piaget's theory of cognitive development. |
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The Internal Family Systems (IFS) model, pioneered by Richard Schwartz, postulates that an individual's psyche is made up of sub-personalities or "Parts," with an essential 'Self" at the core. Each Part wants something positive for the individual and will exert itself in order to gain influence over the internal system. The most common roles that Parts play are: |
Managers focus on keeping the individual safe, Exiles carry painful emotions and memories and Firefighters override the exiles’ feelings by compulsive activities. |
The Parts described in Internal Family Systems therapy (Richard Schwartz) include three major categories: 1) Managers, who run the daily life of the individual, attempt to keep control and protect parts from rejection and hurt, and try to hide the exiles from the rest of the internal system 2) Exiles are parts that carry the emotions, memories, and sensations from past experiences when a person has been hurt, humiliated, or frightened. Exiled parts can become extreme in an effort to be cared for and heard. 3) Firefighters who try to distract from the awareness of exiled feelings with such behaviors as addictions, dissociation, self-harming behaviors, obsessions, compulsions, over-exercising, workaholic behavior, etc. |
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The Kelley family comes to see you after a suicide attempt by their fifteen-year-old daughter Susan. The parents, Megan and William are shocked that this could have happened. They say that they have been trying for years now to create a successful future for Susan. When you ask Susan what happened she says that she has no control in her life. She tells you that after her dad started traveling for work a year ago all she does is fight with her mom. Megan says that things have been challenging since William started traveling but she believes that young women should learn to overcome challenges in life. You have been seeing this family for several sessions. As a contextual therapist what would be a primary goal in helping this family? |
Deepen the conversation by shifting the dialogue to insight which will allow the family members to start to take accountability for their actions. |
Deepen the conversation by shifting the dialogue to insight which will allow the family members to start to take accountability for their actions. |
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The likelihood that an ideal working relationship will develop between a therapist and his or her client appears to depend most on which of the following? |
the therapist's experience |
Research on the effects of therapist factors on therapy outcome have generally yielded inconclusive results. |
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The Lopez family, who recently came to America from El Salvador, is referred by their priest because their oldest daughter is having problems adjusting to the move. Taking their cultural values into consideration, how would a systems therapist intervene? |
According to cultural standards, direct the communication to Mr. Lopez initially because he is considered the head of the household. |
According to cultural standards, direct the communication to Mr. Lopez initially because he is considered the head of the household. |
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The Marriage and Family Therapist meets 5 year old Ricky for the first time. Ricky has been referred because of his aggressive behaviors in kindergarten. When the Marriage and Family Therapist asks Ricky if he would like to come into the playroom, Ricky doesn't reply and turns away from her. What is the NEXT thing that the Marriage and Family Therapist should do? |
Make a reflective statement about Ricky’s feelings. |
Ricky is evidencing a sense of distrust in the therapist, or perhaps an unwillingness to be told what to do. The best way for the therapist to begin forming a rapport with Ricky would be to make a statement that reflects what she believes Ricky may be feeling. The therapist might say, "You don't know me and you're not sure if you want to come into the playroom," or "You haven't made up your mind whether you'd like to come into the playroom." |
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he Mental Research Institute (MRI) pioneered innovative approaches and models for psychotherapy including: |
MRI Brief Therapy was developed at the Mental Research Institute in Palo Alto, California by Paul Watzlawick, John Weakland and Dick Fisch. Brief therapy is an umbrella term for a variety of approaches to psychotherapy which differs from other schools of therapy in that it emphasises: 1) a focus on a specific problem and 2) direct intervention. Brief therapy is often highly strategic, exploratory, and solution-focused rather than problem-oriented. It is less concerned with how a problem arose than with the current factors sustaining it and preventing change. Strategic Therapy (strongly influenced by Gregory Bateson's cybernetics model) is focused upon changing behavior rather than insight. The crux of the theory is that clients simply need to act differently and see for themselves that the family's rules for problem-solving can be more flexible. There are three main models in this theory: 1) The Mental Research Institute (MRI), started by Don Jackson who worked with Gregory Bateson, as well as with Jay Haley; 2) Jay Haley's and Cloe Madanes' Strategic approach, which was heavily influenced by Milton Erikson, Gregory Bateson, and Salvador Minuchin and 3) the Milan Model led by Mara Selvini Palazzoli, a prominent Italian psychoanalyst. |
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The Nelson family, consisting of John, 47, Maxine, 42, Mary, 18, Ken 16, and Melinda, 12, have been referred to you by their HMO and have been approved for 12 sessions of family therapy to deal with their grief over the recent suicide of Mr. Nelson's father. The father or grandfather had been living with them for the past 18 months. He shot himself in their home while they were all sleeping. Melinda was the first one to enter his room. What is the primary focus of your treatment plan? |
the focus would be crisis intervention and may involve advocating for more family sessions as well as individual sessions for any family members in need |
the focus would be crisis intervention and may involve advocating for more family sessions as well as individual sessions for any family members in need |
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A young woman comes to therapy alone. She has been dating a man for almost a year and they recently began having sexual relations. Although the woman is sexually aroused during intercourse, she is unable to achieve orgasm through either intercourse or clitoral stimulation. The woman says that, while this is her first experience with intercourse, she has masturbated to orgasm several times. In treating the woman a therapist using Masters and Johnson's approach to sex therapy is most likely to recommend that the woman use which of the following techniques? |
Sensate focus |
Although many questions that ask you to choose an intervention are "best answer" questions, this is a "one-correct-answer" question because Masters and Johnson suggest specific procedures for treating each sexual dysfunction.In treating secondary Orgasmic Disorder, Masters and Johnson emphasize the sexual value system and recommend giving the couple permission to be sexual, using sensate focus with constant communication of likes and dislikes to the partner, genital play, penile containment without thrusting, and, finally, coitus. |
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Based on the initial evaluation of a 15-year-old boy, a clinician believes the nature and number of his symptoms suggest a DSM-5 diagnosis of Attention-Deficit or Hyperactivity Disorder, predominantly inattentive presentation. Before assigning the diagnosis, the clinician will want to confirm that some symptoms were present before the boy was _____ years of age and that he exhibits them in at least _____ settings. |
12; 2 |
For a diagnosis of ADHD, the DSM-5 requires that "several inattentive or hyperactive-impulsive symptoms were present prior to age 12" (p. 60) and that symptoms are present in at least two settings. |
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Betty was referred to you by her primary care physician who could find no medical explanation for her symptoms. Betty says that she's experienced several unexpected "scary episodes" that involved chest pain and feeling unable to breathe and that these episodes make her feel like she's "going crazy." What additional information would help confirm a diagnosis of Panic Disorder? |
Persistent worry about having another panic attack |
Familiarity with the essential features of Panic Disorder would have helped you identify the correct answer to this question. |
