One of the most effective ways therapists can help their clients change is to:
a. Offer advice and reassurance.
b. Validate and confirm their subjective experience.
c. Give them concrete ways to behave differently.
d. Encourage them to see that things are not so bad.
Compromise solutions ________ and ________.
a. always succeed / resolve conflicts
b. provide flexible alternatives / gratify needs
c. block needs / rise above needs
d. approach needs directly / boost self-esteem
When the client’s conflict begins to be replayed in the therapeutic relationship, and the
therapist accepts the validity of that concern and helps the client to explore and
understand it more fully:
a. The therapist offers the opportunity to negotiate a new type of relationship and
resolve the conflict in the current interaction.
b. The therapist strengthens the client’s reliance on that interpersonal relational pattern.
c. The client will become anxious and defensive.
d. The therapist encourages the client to reenact the conflict.
According to Object Relations Theory, the primary motivation is:
a. To establish and maintain emotional ties to parental care-givers.
b. To exert control over environmental contingencies.
c. To fulfill sexual desire.
d. To establish and maintain emotional ties to their peers.
Entering therapy for clients involves both _____ and _____.
a. need for relief/benevolent direction
b. desire for help/fear and shame
c. pain/sorrow
d. depression/help-seeking
The most significant way to achieve a flexible interpersonal range that will allow
therapists to respond to the diversity of problems that clients present, therapists must:
a. Train for many hours under direct supervision.
b. Remain empathetic and non-directive.
c. Appear confident to their clients.
d. Do their own family of origin work.
According to Horney, a client who rises above their need through aloofness and
glorifies this stance by feeling self-righteously self-sufficient has a characterological
interpersonal style of:
a. Moving away.
b. Moving inward.
c. Moving against.
d. Moving toward.
The best way for a therapist to demonstrate his/her understanding of the client’s
experience is:
a. To say “I hear you.”
b. To say “I know just what you mean.”
c. To say “I understand completely.”
d. None of the above are correct.
The factor most responsible for the fostering of dependence of a client is:
a. the length of time of therapy.
b. the theoretical model used by the therapist.
c. the repeated directing of the course of therapy by the therapist.
d. All of the above are correct.
The most common reason clients prematurely terminate therapy is:
a. The therapist reminds the client of a parental figure.
b. Clients are acting on rather than talking about their conflicted feelings about entering
therapy.
c. Client’s lives are too busy.
d. The client is unable to bond with the therapist.
In order to focus clients inward, a therapist should:
a. Self-disclose.
b. Encourage the client not to feel sorry for him/herself.
c. Encourage the client to expand and elaborate their fears and concerns.
d. Join the client in complaining about others.
When a client presents a set of ‘shoulds” which include unrealistic demands on others
and self, helpful interventions by a therapist include:
a. helping the client appreciate these interpersonal coping strategies.
b. helping the client see these coping strategies are unnecessary in many current
situations.
c. helping the client see that this coping strategy is central to the clients’ basic sense of
self.
d. All of the above are correct.
The core conflict which underlies and pervades the client’s life and problems has its
origins in:
a. A single traumatic experience.
b. Repetitive relational patterns that block the child’s developmental needs.
c. Poor peer relations.
d. Toxic parents.
The single most important guideline for negotiating a successful termination to therapy
is:
a. For the therapist to wait until the last session to approach the subject of ending.
b. For the therapist to unambiguously acknowledge the reality of ending and establish a
final date for termination.
c. For the therapist to accept the client’s wishes to discontinue the impending
termination.
d. For the therapist to address termination carefully and indirectly to prevent the client
from becoming angry.
Often times the most difficult therapeutic intervention for therapists to provide is:
a. To interpret the original wound.
b. Normative and educative information about the problem.
c. Contain the client’s affect by remaining emotionally connected to them as they
experience painful feelings.
d. Talk about child-rearing practices and parental influences.
One way therapists can help clients begin to discover and articulate their Dreams is to:
a. Analyze their clients’ unmet dependency needs.
b. Encourage clients to experience their inner life more fully.
c. Reassure them about their weaknesses.
d. Help clients act on what they should do.
Someone who has a preoccupied attachment style is:
a. high in anxiety and low in avoidance.
b. high in anxiety and high in avoidance.
c. low in anxiety and low in avoidance.
d. none of the above is correct.
When a collaborative relationship has been established:
a. The therapist and client share an active role.
b. The therapist maintains a passive role.
c. The therapist maintains a directive role.
d. The responsibility for therapy rests with the client.
By identifying the enduring issues that arise for the client, the therapist will be better
prepared to:
a. Terminate treatment in a timely manner.
b. Solve the enduring issues for the client.
c. Maintain a detached position in the therapeutic relationship.
d. Center treatment around these repeated themes.
Family homeostasis requires that many patterns of interaction and communication
become _____ and _____.
a. free floating/independent
b. repetitive/independent
c. free floating/rule-bound
d. repetitive/rule-bound
Therapists can develop credibility when working with diverse clients by:
a. responding in a manner that is congruent with the client’s worldview.
b. show they are trustworthy by setting therapeutic goals in a knowledgeable way for
the client.
c. show they are trustworthy by collaborating with clients on therapeutic goal setting.
d. Both a & c are correct.
An important goal for clients in the working through phase of therapy is:
a. Develop intellectual distance from the current, hurtful relationships.
b. The integration of what was good as well as what was problematic in the client’s
development.
c. Intense analysis of the client’s developmental history.
d. Breaking off relationships with problematic familial members.
The most challenging arena of change for the client is:
a. the relationship between client and therapist.
b. relationships with developmental figures with whom the conflicts originally arose.
c. relationships with primary others with whom conflict is currently being lived out.
d. Both b and c are correct.
In order to establish a collaborative relationship, the therapist may have to:
a. Actively encourage or facilitate the client’s participation and initiative.
b. Ask the client to provide more historical information.
c. Lead the client towards more affectively relevant material.
d. Clarify his or her credentials and competence.
It is necessary for a therapist to draw out the full range of emotions a client has toward
a therapist:
a. to address the belief by a client that he/she does not deserve the attention they receive
from the therapist.
b. to address the belief that the client has manipulated positive feelings from therpist.
c. to work at figuring out the parenting style of the client.
d. Both a and b are correct.
When therapists and clients collude to deny or avoid the impending separation:
a. Clients’ fears of abandonment are healed.
b. Therapists may be acting out their own separation anxieties.
c. Therapists are eliminating the problem of reenacting the client’s generic conflict.
d. Clients’ initial presenting symptoms may return.
In the beginning stage of therapy, most clients see the source of their problems as
________
a. residing “out there” with someone else.
b. their own fault.
c. financial.
d. their Mother’s fault.
When clients have been enmeshed with their families of origin, clients need therapists
to do the following:
a. Establish boundaries.
b. Like them.
c. Be non-confronting.
d. Be confronting.
By rising above their needs and feeling special, clients develop a sense of________ .
a. self-esteem
b. mastery and control
c. self-efficacy
d. false pride and entitlement
Family of origin exploration in the working through phase of therapy can be very
meaningful when:
a. The therapist carefully points out the connections between past and current
relationships.
b. Clients spontaneously make links between formative and current relationships.
c. Therapists interpret developmental deficits.
d. Therapists patiently explain the relational connections to the client.
A hierarchical helper-helpee mode of therapy:
a. Is an effective mode.
b. Shifts responsibility away from the client and onto the therapist.
c. Validates the client’s concerns.
d. Reflects the client’s need for help.
Clients usually enter therapy when:
a. Situational life stressors have caused their interpersonal coping strategies to fail.
b. Stress due to developmental transition stressors in adulthood have caused their
interpersonal coping strategies to fail.
c. An interpersonal conflict has evoked related developmental conflicts.
d. All of the above are correct.
Defenses such as trying to be perfect, repeatedly taking charge, and avoiding all
conflict:
a. are ineffective.
b. are necessary.
c. are evidence of psychotic personality.
d. None of the above is correct.
According to Sullivan’s theory _____ is the central motivating force for human
behavior.
a. sexual desire
b. the will to power
c. anxiety
d. love