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Chapter 16- Case Illustration: An Integrative Approach to
Working with Stan
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MULTIPLE-CHOICE TEST ITEMS
1. How would a psychoanalytic therapist view Stan’s drinking problem?
a. as a means of working though his Oedipal complex
b. as a personal power issue associated with early trauma experienced in the anal stage
c. as an oral fixation
d. as a result of the ego-defense mechanism of introjection
e. as a manifestation of his collective unconscious
2. Which of the following is not true when viewing Stan’s problems from the standpoint of self-
psychology and the object-relations theory?
a. On some levels, he is stuck in the symbiotic phase.
b. The focus would be on Stan’s developmental sequences.
c. He is unable to get confirmation of his worth from himself.
d. He had accomplished the task of individuation.
e. He is repeating patterns he formed with his mother during infancy.
3. Which of the following would not be part of an Adlerian approach to working with Stan?
a. giving homework assignments
b. gathering data about his dreams
c. examining his private logic
d. exploring his family constellation
e. confronting the ways he is seeking to escape his freedom through drugs and alcohol
4. An Adlerian therapist would interpret Stan’s depression as:
a. a sickness that needs to be cured.
b. discouragement that can be helped by encouragement.
c. a feeling that leads to his faulty thinking.
d. related to unfinished business.
e. internalized anger and guilt.
5. Which therapeutic approach is likely to use interventions with Stan such as pre-therapy change,
exception questions, scaling questions, and the miracle question?
a. Adlerian therapy
b. rational emotive behavior therapy
c. existential therapy
d. solution-focused therapy
e. cognitive therapy
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6. Which therapeutic approach would focus on gender-role analysis and gender-role socialization with
Stan?
a. strategic family therapy
b. Adlerian therapy
c. feminist therapy
d. existential therapy
e. narrative therapy
7. A therapist who asks Stan where his tension is located in his body and who encourages him to
“be that feeling” is aligned theoretically with which model of therapy?
a. the feminist approach
b. the Gestalt approach
c. family systems therapy
d. cognitive therapy
e. brief psychodynamic therapy
8. How might an existential therapist work with Stan’s depression and suicidal thoughts?
a. by examining his faulty belief system
b. by confronting Stan with the issue of finding meaning and purpose in his life
c. by using active listening and reflection as Stan talks about his feelings
d. by determining the nature of his shadow
9. The therapy approach most likely to focus directly on helping Stan to stop using alcohol and drugs
would be:
a. person-centered therapy.
b. Gestalt therapy.
c. behavior therapy.
d. existential therapy.
e. psychoanalytic therapy.
10. Stan’s person-centered therapist would see him as a man who:
a. needs help in setting goals.
b. has unresolved issues from his past.
c. must face the fact that he is ultimately alone.
d. needs to learn to live with his anxiety.
e. possesses the necessary resources for personal growth.
11. According to a person-centered therapist, the most important aspect of therapy with Stan will be:
a. the therapeutic relationship.
b. the exploration of his past.
c. putting insights into action.
d. teaching him to think in new, positive ways.
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e. conducting a power analysis.
12. Which therapeutic approach would place the least emphasis on having Stan explore his feelings about
his ex-wife?
a. psychoanalytic therapy
b. behavior therapy
c. Gestalt therapy
d. person-centered therapy
13. Which therapeutic approach would work to help Stan recognize, claim, and embrace his personal
power?
a. narrative therapy
b. rational emotive behavior therapy
c. reality therapy
d. feminist therapy
e. existential therapy
14. Which of the following Gestalt techniques would help Stan deal with his unfinished business
concerning his ex-wife?
a. having him “speak” to her in the present
b. “staying with the feeling”
c. the rehearsal experiment
d. all of these
15. The Gestalt approach to helping Stan resolve issues from his past would involve:
a. asking him to bring these significant people to future therapy sessions.
b. talking in detail about past experiences.
c. interpreting his dreams by using universal symbolism.
d. reliving and reexperiencing painful scenes.
e. examining Stan’s stages of development for fixations.
16. Which one of the following approaches to therapy would pay the least attention to Stan’s thought
processes?
a. rational emotive behavior therapy
b. Adlerian therapy
c. Gestalt therapy
d. reality therapy
e. cognitive-behavioral therapies
17. Which of the following therapists would focus on systemic issues with Stan?
a. A family therapist
b. A Gestalt therapist
c. A psychoanalyst
d. A person-centered therapist
e. A solution-focused therapist
18. What technique(s) from behavior therapy might help Stan with his fear of women?
a. systematic desensitization
b. assertion training
c. modeling
d. social skills training
e. all of these
19. What would a rational emotive behavior therapist be least likely to say about Stan’s difficulties in life?
a. He will feel better if he learns to think more rationally.
b. He continually reindoctrinates himself with self-defeating sentences.
c. He will feel better when he simply gains insight into the past roots of his problems.
d. All of Stan’s “oughts, should, and musts” are getting in his way and need to be disputed.
20. According to a rational emotive behavior therapist, what will not bring about actual changes in Stan’s
life?
a. doing the hard work of challenging and changing irrational beliefs
b. recognizing ways his faulty beliefs affect what he does and how he feels
c. understanding the A-B-C theory
d. acknowledging the “shoulds” and “oughts” he has accepted
e. waiting for Stan to get in touch with his shadow
21. Stan’s reality therapist would focus on all of the following except:
a. Stan’s positive experiences with his camp supervisor.
b. Stan’s negative experiences during his childhood.
c. Stan’s wants and perceptions.
d. Stan’s future goals.
e. Stan’s evaluation pertaining to his drinking.
22. Stan’s reality therapist would do all of the following except:
a. explore Stan’s quality world.
b. ask him to engage in the process of self-evaluation of his behavior.
c. use the WDEP system.
d. use the A-B-C Model.
e. help him to develop a plan.
23. Which of the following therapeutic approaches would place some emphasis on helping Stan with the
future?
a. narrative therapy
b. Adlerian therapy
c. reality therapy
d. solution-focused therapy
e. all of these
24. Stan has completed his experience in counseling. Which of the following approaches would be most
concerned with evaluating the outcomes of therapy?
a. existential therapy
b. behavior therapy
c. Gestalt therapy
d. rational emotive behavior therapy
e. the postmodern therapies
25. Stan has a tendency to relate external events to himself, even when there is no basis for making these
connections. He blamed himself for the incident in which a female classmate did not show up for a
lunch date. He agonized over this and convinced himself that she would have been humiliated to be
seen in his presence. This is an example of which form of cognitive distortion?
a. arbitrary inferences
b. overgeneralization
c. personalization
d. labeling and mislabeling
26. Stan frequently engages in thinking and interpreting in all-or-nothing terms. Through this process of
dichotomous thinking, Stan has self-defeating labels and boxes that keep him restricted. This is an
example of which form of cognitive distortion?
a. arbitrary inferences
b. overgeneralization
c. personalization
d. labeling and mislabeling
e. polarized thinking
27. Stan makes conclusions without supporting and relevant evidence. He often engages in catastrophizing,
which involves thinking about the worst possible scenario and outcome for a given situation. This is an
example of which form of cognitive distortion?
a. arbitrary inferences
b. overgeneralization
c. personalization
d. labeling and mislabeling
e. polarized thinking
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28. In suggesting that Stan write his father a letter as a homework assignment, Jerry’s intent was:
a. to provide an avenue for Stan to continue thinking about the impact his father has had on
him and to further promote his work during the week.
b. for Stan to mail the letter and prepare to confront his father in person.
c. to help Stan understand how much he still needs his father.
d. to give Stan the opportunity to show his father what a great writer he is, which would
hopefully boost Stan’s confidence.
29. Stan acquired his beliefs on the basis of a single incident and applied them inappropriately and broadly
in many contexts of his life. This is an example of which form of cognitive distortion?
a. arbitrary inferences
b. overgeneralization
c. personalization
d. labeling and mislabeling
e. polarized thinking
30. Which of the following therapists would accept Stan’s drinking as the problem and assist him in
deconstructing his alcohol-saturated story and reauthoring a new life story?
a. A solution-oriented therapist
b. A reality therapist
c. A person-centered therapist
d. A narrative therapist
e. A rational emotive behavior therapist
31. Using a narrative approach to Stan’s therapy, one would have the general goal of:
a. exploring the causes of his current problems with women.
b. assisting Stan in the process of reauthoring his life story.
c. uncovering Stan’s basic mistakes in his thinking.
d. focusing on eliminating the presenting problem and finding solutions.
e. attempting to restructure the family dynamics.
32. In working with Stan, a solution-focused therapist would most likely utilize the following technique:
a. bibliotherapy
b. assertiveness training
c. cognitive restructuring
d. exception questions
e. the empty chair
33. A counselor using an integrative approach to working with Stan would be most concerned with:
a. holding Stan accountable for his problems.
b. conducting a comprehensive assessment as a basis for determining which techniques to
use with Stan.
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c. finding a theoretical model that best explains Stan’s condition.
d. understanding Stan from multiple perspectives and developing a thoughtful and flexible
treatment plan tailored to his unique characteristics.
34. Which type of therapist would view Stan’s multiple concerns as the result of the choices he has made
in his life?
a. Gestalt therapist
b. reality therapist
c. feminist therapist
d. psychoanalytic therapist
e. person-centered therapist
35. Stan is a man who is quite concerned about what others think of him. He worries that his peers and
family members think he’s a “loser”. What type of therapist would have Stan participate in shame–
attacking exercises to conquer his fear of negative evaluation of others?
a. Gestalt therapist
b. behavior therapist
c. rational emotive behavior therapist
d. reality therapist
e. family systems therapist