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5
Chapter 2- Case Approach to Psychoanalytic Therapy
22. What fundamental interest is a critical distinction between analytic therapy and other approaches?
a. the individual client’s thinking
b. an interest in the client’s childhood and family experiences
c. the “whys” of an individual client’s experience and behavior
d. how the client’s behavior is helping or preventing them from getting what they want
23. Assessment of an individual client’s need for analytic therapy would include:
a. development of behaviors that express an unconscious desire.
b. determining whether he/she wants and needs to understand the unconscious roots of his/her neurosis.
c. identifying an early childhood trauma that resulted in becoming fixated at an early developmental stage.
d. the client’s ability to recall his/her dreams so that they may be analyzed.
24. From a psychoanalytic perspective, if the focus of treatment is limited to individual symptoms, it is likely that:
a. therapy will be successful.
b. symptom substitution may occur.
c. the analyst will feel less overwhelmed and will be more effective in his or her role.
d. the client will be extremely grateful.
e. an analysis of transference can be avoided.
25. A headache might serve to keep a client sexually distant from her husband while also providing a pretext for
avoiding social contacts that might threaten her marriage. This is an example of:
a. double bind.
b. multifaceted distinction.
c. overt and covert behavior.
d. secondary gain.
e. an outcome of a triangulation.
26. Insight in analytic therapy typically requires the client to experience therapeutic regression and the “working
through” of distortions in the context of the therapeutic relationship. These processes:
a. require an immense amount of commitment from the client and are only for the strong willed.
b. cannot be terminated prematurely without danger of psychological harm to the client.
c. suggest the client has to be psychologically “reborn”.
d. are well-understood by managed care institutions and are usually financially supported.
e. are resigned to the unconscious and will happen no matter what the client or therapist does.
27. Treatment techniques of psychoanalytic psychotherapy include all except:
a. dreams, jokes, slips and symptoms.
b. interpretations of resistance and content.
c. transference and countertransference.
d. paradoxical intention.
e. the therapeutic contract.
28. Which of the following statements about the psychodynamic approaches is not true?
a. Practitioners can learn to think psychoanalytically even if they do not practice psychoanalytically.
b. The goal of brief psychodynamic therapy is to cure clients.
c. Brief dynamic therapy focuses more on the here and now of the client’s life than on the there and then of
childhood experiences.
d. Contemporary psychoanalytic practice emphasizes the origins and transformations of the self.
e. Psychodynamic therapy is aimed at promoting integration and ego development.
29. Repeating interpretations of a client’s behavior and overcoming his/her resistance, allowing the client to resolve
his/her neurotic patterns is called:
a. redundant interpretation.
b. wearing down.
c. working through.
d. transference absorption.
e. projective identification.
Chapter 2
