As children develop and grow older, families face the developmental task of having to
shift from a primary focus of providing security to promoting ________
a. happiness.
b. responsibility.
c. individuation.
d. intimacy.
According to Harry S. Sullivan’s Interpersonal Therapy:
a. Personality is a formative tendency to move toward self-actualization.
b. Personality is the development of characteristics gained from engaging in reciprocal
relationships.
c. Personality is a collection of interpersonal strategies employed to avoid or minimize
anxiety, ward off disapproval, and maintain self-esteem.
d. Personality is a formative tendency to remake or rediscover the self through
interpersonal relationships.
Beginning therapists will find that most of their clients have been reared in one of the
following parenting styles:
a. Authoritative.
b. Abusive.
c. Authoritarian.
d. Passive.
Changing how a client ________ old problematic relational pattern in their current
interactions with family members is a powerful influence on client growth.
a. interprets
b. thinks about
c. responds to
d. feels about
Therapists can help clients become aware of their underlying conflicts and the
maladaptive ways they have learned to cope with them by:
a. Pointing out when and how clients employ their coping strategies.
b. Helping clients become aware of how they block their own needs and feelings.
c. Helping clients explore why they become anxious at a particular time.
d. All of the above are correct.
An accurate empathic response by the therapist:
a. Repeats what the client has said.
b. Makes the therapist’s feelings about the client overt.
c. Is not a component of client change.
d. Makes the client feel heard, seen and compassionately understood.
Understanding both sides of their conflicts, empowers clients to:
a. Exercise more choice over what they will change and what they will accommodate
to.
b. Change their personality.
c. Have a better relationship.
d. Influence others more effectively.
Beginning therapists can find an integrating focus by:
a. Deciding what the client needs to do to change.
b. Identifying recurrent themes.
c. Asking the client what is wrong.
d. Dealing with each problem as it arises.
By encouraging clients to discuss and address conflicts with the therapist as they occur
in their interaction:
a. Control battles are always provoked.
b. An opportunity is provided for real life experience of change.
c. Anxiety is aroused.
d. Both b and c are correct.
Therapists’ goals in working with clients’ eliciting maneuvers include all of the
following EXCEPT:
a. Attend to their own reactions to the client’s maneuvers.
b. Find alternate responses that do not reenact the same relational scenarios.
c. Provide the familiar responses the client expects and usually receives.
d. Formulate working hypotheses regarding the feelings and/or situations the client may
be avoiding.
If therapists try to elicit the client’s subjective reactions and perceptions of the therapist:
a. The client will not progress in therapy.
b. The therapist will be reenacting the old relational scenarios.
c. The client will find the therapist intrusive and inappropriate.
d. Important information concerning clients’ relational templates or therapist
reenactment may be revealed.
One way in which therapist’s counter transference reactions are revealed in therapy is
by:
a. The therapist becomes personally invested in the way the client handles a certain
issue.
b. The therapist approaches the central conflict or issue.
c. The therapist can successfully differentiate their own similar feelings from their
clients’.
d. The therapist accurately identifies the client’s feelings.
A therapist usually knows when a client is resisting treatment when:
a. The client has difficulty participating.
b. The client becomes confrontive with his/her family.
c. The client displays a “moving toward” attitude.
d. The client avoids eye-contact during the first session.
Reasons clients do not like to explore difficult feelings include:
a. their belief that the work “it’s too hard”.
b. their belief that “it won”t do any good”.
c. their belief that exploring their feelings in depth “will be overwhelming”.
d. their belief that they will be ridiculed and judged.
One of the most important ways to help clients achieve a greater sense of adequacy and
mastery in their lives is:
a. To give them concrete suggestions for change.
b. To summarize each session thoroughly.
c. To allow them to take full responsibility for the therapeutic process.
d. To help them make sense of their emotional reactions.
When clients are threatened by conflicted feelings about continuing therapy, they:
a. Feel blamed when the therapist inquires about resistance.
b. May begin to come late, miss appointments and drop out.
c. Are concerned the therapist is angry or disappointed.
d. All of the above.
One of the most common reason intervention techniques often fail is:
a. therapists don”t know which techniques to use with a new client.
b. therapists haven”t learned how to integrate theory and technique.
c. therapists have not conceptualized what has gone awry for the client in other
relationships and considered how these relational themes could be reenacted in their
therapeutic process.
d. None of the above is correct.
To “resolve shame dynamics”, therapists should :
a. unambiguously provide kind and accepting responses to clients as they experience
feelings of shame.
b. work (over time) to help the client internalize the therapist’s compassion for their
shame.
c. help their clients to break the identification with the attachment figure who was
rejecting.
d. All of the above are correct.
The greatest opportunity to help clients change occurs:
a. At the moment clients are experiencing the full emotional impact of their problems.
b. When the client follows through with the therapist’s concrete suggestions for change.
c. During the final session prior to termination of therapy.
d. There is no greatest opportunity to help clients change.
One ingredient necessary for the development of primary parental coalition is:
a. For both parents to remain enmeshed with their families of origin.
b. For both parents to have psychologically emancipated from their families of origin.
c. For both parents to have transferred their primary coalitions from their parents onto
their offspring.
d. For both parents to have yielded to their children’s needs.
According to Horney, a client who is always sensitive to the needs of others, committed
to the ideals of peace and harmony, and wins needed approval from others is defending
against a blocked need by:
a. Moving away adaptation.
b. Moving against adaptation.
c. Moving toward adaptation.
d. Moving inward adaptation.
Beginning a session by telling the client that, “I would like you to begin each session by
bringing up what you want to talk about. I”d like to work on what is most important to
you”, is an example of:
a. Nondirective Therapy.
b. Empathic Connection.
c. Interpersonal Feedback.
d. Shared Control.
When treatment fails, what usually happens is that:
a. the eliciting maneuvers or transference reactions of the client has tapped into the
therapist’s own personal issues and created a shared conflict for both of them.
b. the treatment process has repeated some of the same relationship dynamics the client
has been struggling with in other relationships.
c. the working alliance has been ruptured.
d. All of the above are correct.
The preoccupied client:
a. most worries about losing a relationship.
b. most worries about other’s dependency on them.
c. has de-activating and hyperactivating coping strategies that allow many of them to
function with only modest symptomatology.
d. Both a and c are correct.
It is important to consider __________ when engaging in therapy with clients from
some cultural groups:
a. age
b. economic class
c. gender
d. All of the above are correct.
Therapist’s ability to respond to the unique circumstances of each client and provide the
specific interpersonal experiences the client needs to change, illustrates the concept of:
a. Early Maladaptive Schema
b. Behavioral adaptation
c. Transference
d. Client response specificity.
Karen Horney’s interpersonal coping styles of moving toward, moving away, and
moving against work for the client to:
a. Reduce anxiety and provide partial, indirect gratification of unmet needs.
b. Build the basis of relationships.
c. Provide a foundation for intimacy.
d. Give flexible behavioral responses.
Therapists can tell they have effectively “passed” important tests from clients by:
a. tracking moment-to-moment interaction sequences of how the client responds to
what the therapist just said.
b. waiting for their client to verbalize that they can utilize the therapist’s comments.
c. listening to their clinical supervisor for affirmation that they “passed”.
d. All of the above are correct.
In order to work in the interpersonal process approach, therapists mush shift away from
the _____ of what is discussed, and track _____.
a. emotional content/subjective meaning
b. overt content/relational process
c. emotional content/cognitive process
d. client’s world view/ behavioral consequences
Change is likely to occur whenever the way in which the therapist and client interact
provides a/an ______ of the client’s conflicts rather than a/an ______ of them.
a. resolution/repetition
b. repetition/resolution
c. awareness/resolution
d. awareness/growth