When families have cross-generational alliances, children may:
a. Learn to be responsible and individuate.
b. Associate anxiety and guilt with achievements and outside commitments.
c. Gain an exaggerated sense of their own importance.
d. Both b and c.
One reason why clients are often ambivalent about exploring their anxiety is:
a. The therapist is leading the client closer to the conflict that is the source of their
problems.
b. All clients are resistant to feeling anxiety.
c. Clients are not truly motivated to change.
d. Anxiety can cause the client to regress.
The primary role for a therapist is to:
a. encourage the client to take ownership of the treatment process.
b. explain and interpret the client’s most pressing issue right now.
c. actively direct a treatment focus.
b. All of the above are correct.
Before clients can adopt new, more effective responses to old problems, they must:
a. Decrease their attempts to change others.
b. Exert more control over others’ behaviors.
c. Gain more understanding and control of their reactions.
d. Both a and c are correct.
A “differentiated sense of self” is defined as:
a. a sense of self that is disconnected from others.
b. a sense of self that includes taking others’ advice into consideration.
c. a sense of self that connects to a coherent, reflective inner voice that is the foundation
for self-efficacy.
d. All of the above are correct.
The Interpersonal Process Approach is based on which three theories?
a. Psychodynamic, Object Relations, and Behavioral.
b. Interpersonal, Object Relations, and Family Systems.
c. Family Systems, Behavioral, and Psychodynamic.
d. Interpersonal, Behavioral, and Family Systems.
Therapists can explore and assess parenting styles with their clients by:
a. asking directly about them.
b. using attachment theory assessments.
c. guessing the type of parenting style from the narratives the client gives.
d. None of the above are correct.
Process comments are used to:
a. Address how the therapist and client are responding to each other.
b. Focus on the content of what the therapist and client are talking about.
c. “Do something” to help the client change.
d. Focus on immediate, meaningful existential issues.
When clients become discouraged by the repetitious working through process, it is
helpful for the therapist to:
a. Provide the client with a guarantee for change.
b. Provide the client with a relationship that offers them a promise of change, by
actively reaching out and extending their care and concern for the client.
c. Assume responsibility for the client’s motivation to continue, by actively reaching out
and extending their care and concern.
d. Completely avoid the client’s transference reactions.
According to Horney, clients who have angry behavior, are competitive, are
self-centered, and are demanding, but see themselves as heroes or strong leaders have
adopted an interpersonal coping style of:
a. Moving away.
b. Moving against.
c. Moving toward.
d. Moving inward.
When clients do not assimilate or attempt new, adaptive responses, despite the
continuing discussion about them in therapy:
a. The therapist and client are most likely recapitulating the generic conflict.
b. The client is simply not ready to change.
c. The therapist must remain vigilant in guiding the client towards making new
responses.
d. The client is probably currently in an abusive relationship where they feel unable to
respond assertively.
For adult clients, the process of experiencing the sadness of hurtful parent-child
interactions and coming to terms with these developmental losses is called:
a. Grief Work.
b. Neurotic Resolution.
c. Early Childhood Development.
d. Personal Growth.
Two guidelines for helping clients work through family of origin issues are:
a. For clients to change how they respond to current interactions with family members
and for clients to grieve what they have missed developmentally.
b. For clients to get angry and blame their abusive parents and for clients to confront
their parental figures directly.
c. For clients to learn more assertive communication styles and for them to approach
their parental figures directly in order to openly discuss their childhood issues.
d. None of the above are guidelines for helping clients.
Clients who have been parentified as children may:
a. Avoid any situations requiring them to act responsibly.
b. Grow up to become care-giving professionals who are at risk of early professional
“burnout.”
c. Relinquish control easily and are comfortable in mutually reciprocal relationships.
d. Will be inattentive and unresponsive to the therapist.
When clients successfully utilize eliciting maneuvers with the therapist:
a. The client attains protection from the core conflict and no effective change.
b. The client attains protection from the core conflict and effective change within the
therapeutic relationship.
c. Is not sufficiently motivated to change in therapy.
d. Must explain what this means.
Sue et al (1998) describe cultural competence in working with clients. This is important
because therapists need to know:
a. family dynamics are the same in every culture.
b. family dynamics are not important in some families of various cultures.
c. for many clients it is culturally taboo to speak critically of parents.
d. for many clients it is culturally appropriate to be treated as if the color of their skin
isn”t important.
The dismissive client:
a. elicits boredom in a therapist.
b. avoids relationships.
c. will focus on other’s problems.
d. All of the above are correct.
A common reason beginning therapists may find it anxiety arousing to directly address
the current interaction between them and their clients are:
a. It does not facilitate immediacy.
b. A history of depression in their family of origin.
c. Fear of trespassing social norms and cultural expectations.
d. A pattern of permissive parenting.
The overreaching treatment goal is to assist clients in replacing defensive
characterological coping strategies with the following:
a. Attainable Dreams.
b. Ways to cognitively track anxiety.
c. Knowledge of defense mechanisms.
d. Insight.
When the dependent client acts assertively in the session, the therapist provides a
corrective emotional experience by:
a. Explaining why the client has been dependent in the past.
b. Expressing pleasure in the client’s stronger stance.
c. Suggesting further reading about assertiveness training.
d. Counter-asserting their opinion.
At-risk youth who bring schemas for rejection and distrust to the therapeutic
relationship are typically raised by:
a. authoritative parents.
b. authoritarian parents.
c. permissive parents.
d. disengaged parents.
Being personally effected by a client:
a. should never happen.
b. is a risk a therapist has to take to be effective.
c. is a sign that therapy is not working.
d. is unethical.
The therapist’s ability to address termination forthrightly will:
a. Leave clients feeling powerless and out of control.
b. Reenact clients’ past conflicted feelings over termination.
c. Give clients a mastery experience by allowing them to become active, informed
participants in the termination.
d. Clients do not benefit by openly addressing termination.
One of the most common themes that makes therapy threatening for clients is:
a. “If I let myself depend on the therapist he/she might leave me, or take advantage of
me, or try to control me as others have done when I needed them.”
b. “I cannot ask for help or need anything from others because I must be perfect and in
control all of the time.”
c. “Asking for help is admitting that there really is a problem, and if therapy does not
help then I surely will be hopeless.”
d. All of the above are common themes for clients.
When is it useful for therapists to give interpretations, facilitate client insights about
historical roots, train clients about more adaptive responses and use
cognitive-behavioral interventions?
a. Just preceding a corrective emotional experience.
b. At any time during therapy.
c. After the client has experienced a meaningful change within the immediate
relationship.
d. They are never useful.
An effective response to a client’s ambiguity in attending a first session is:
a. For the therapist to ignore the client’s indecision and schedule the appointment
anyway.
b. For the therapist to call the client the day before the schedule appointment and
remind him/her to attend.
c. For the therapist to acknowledge the client’s ambiguity and address it directly.
d. The therapist should not schedule an appointment with this client; he/she will not
show up.
Which of the following constitutes an open-ended bid?
a. “When we talked on the telephone you said you were having trouble with your boss.
What is the problem there?”
b. “I”d like to begin by learning more about the concerns that have brought you to
therapy. What has been the difficulty?”
c. “I understand you are having difficulty with your husband. What is the problem?”
d. “Your physician has referred you to me for help with your agoraphobia. How long
have you had it?”
When clients risk exposing their pain, vulnerability, or shame and the therapist responds
with kindness and understanding, clients ________
a. are personally empowered.
b. become too dependent on the therapist.
c. reexperience their original shame.
d. generally terminate treatment.
Attachment theory researchers measure adult attachment styles along the following two
orthogonal dimensions:
a. anxiety and preoccupation.
b. avoidance and dismissing.
c. anxiety and avoidance.
d. dismissing and avoidance.
An “assessment function”:
a. creates more resistance in the client.
b. offers a way to assess a client’s anxiety level.
c. assesses how much resistance the client has.
d. helps shape the treatment focus.
An effective way for therapists to teach clients that hurtful interactions can be talked
about and relationships can be restored is:
a. to name, make overt, and talk about hurtful interactions between therapist and client.
b. to always make sure conversations between therapist and client are not hurtful or
confusing.
c. to give their client bibliotherapy literature about healing from hurtful interactions
from the client’s childhood.
d. to teach their client to simply not take things personally.
In order to help clients discover their feelings, preferences, interests, values, and their
“Dreams,” they should repeatedly do which of the following:
a. Ask clients to attend to what they are experiencing right now.
b. Remain interested in and continue entering into the client’s subjective experience.
c. Acknowledge what clients do well.
d. All of the above are helpful.
The therapist’s ability to respond to both sides of clients’ core conflicts will:
a. Confuse the client.
b. Clarify the ambivalence that has made decisions difficult.
c. Help clients to have compassion for themselves.
d. Both b and c.
Clients develop complex interpersonal coping strategies and defense mechanisms to
ward off ________ associated with ________
a. the depression/ the client’s current life situation.
b. the fear/the client’s uncontrollable circumstances.
c. the therapist’s demands/the client’s feelings of vulnerability.
d. the anxiety/the client’s generic conflicts.