-
Out of earshot of Dad, Mom points out one of
his parenting inadequacies to the children. From a Contextual Family
Therapy perspective, Mom's actions are evidence for
split filial loyalty
-
Bob (45) and Marianne (38) argue about what
is the proper age for their daughter Jill (14) to begin dating. Jill hears the fighting and enters the room. Marianne draws Jill into the argument to side with her against Bob. From a Bowen Systems perspective, what has occurred?
Triangulation
-
Creation of a sufficient holding environment is a critical part of which theoretical approach?
Object relations
-
Which theory believes that relative birth order is significant in determining specific characteristics?
Bowen Systems
-
Bill (50) and Alexandria (43) present for therapy because their son Ralph (13) has developed school phobia. The
phobia emerged after a trial separation between Bill and Alexandria. Bill moved back into the home when it became apparent that the only way to get Ralph to attend school was with both parents working together to help him. From Bozormenyi-Nagy's perspective, this is an example of
Invisible loyalties
-
Jonathan (47) and Samantha (46) present for
help with their daughter Michelle (12) who has a history of depression. The family has also recently moved and Michelle will be entering a new high school this fall. The family spends some time animatedly describing recent events in their lives that they believe deepened Michelle's depression. The conversation begins to wind down. An Object Relations
therapist would be most likely to
request details of their earlier histories
-
The following therapist is most associated with multigenerational process of psychopathology
Bowen
-
Introjection can only be detected by
trained therapists
-
Anita (23) has had a conflictual relationship with her mother, Sarah (43) throughout her teens. She was rebellious and angry with her mother much of the time. Sarah is a single mother and very anxious about her daughter, so much so that she frequently screamed and used inappropriate punishments in an attempt to get her daughter to "behave". After Anita left home for college, she rarely wrote or called home and only visited on holidays. Now that she has graduated, she took a job several states away from her hometown and continues her pattern of not phoning or calling. A Bowenian therapist would say that Anita is engaged in
emotional cut-off
-
In object relations theory, the latent meaning behind attitudes, behaviors, or feelings that is detected by therapists through analyzing personal reactions to session materials is
knows as
derivatives
-
Sandy's parents divorced when she was 10 years old, and her mother went through a depression. Consequently, Sandy
often was responsible for the care of her 7 year old brother as well as seeing to family meals and other household chores. Her mother often confided in her about her feelings and interacted with her more like an older sister than her mother. When Sandy became a young adult, her mother, who had recovered somewhat, was surprised to find how
irresponsibly Sandy conducted her life and how angry she seemed. According to Bozormenyi-Nagy, Sandy's behavior is an example of
destructive entitlement
-
The role of the therapist is Bowenian therapy is that of
coach
-
Mary's mother often calls her during the week to complain about the behavior of her father. Usually, Mary is highly sympathetic and supportive of her mother's complaints and becomes and remains angry at her father for sometime following the call. After attending therapy with a Bowenian therapist, however, Mary responded to her mother's next complaining phone call with the following statement,
That sounds like something really important that dad needs to know. Have you talked about this with him? Mary is attempting to do what in Bowenian terms?
detriangle
-
A contextual therapist will frequently attempt to help a client see the positive intent and intergenerational loyalty issues behind even the most destructive behaviors of previous generations. this concept is known as
exoneration
-
Object relations theorists believe that, as a process of normal development parts of caretakers are split off and
internalized into a child's developing personality. Expectations of self and other are based on these internal representations. They are known as
ledgers
-
This major model developer believed that, in
order for a therapist to remain detached, neutral, and non-anxious with clients, he or she must lower their level of reactivity to their own family of origin. Who was the model developer?
Murray Bowen
-
This theoretical concept states that normal development should entail a degree of emotional separation from family
of origin while remaining in relationship with them. In addition, an individual should be able to separate emotions from cognitions. What is this concept?
differentiation
-
According to Contextual Family Therapy, each family member earns this concept through the accumulation of care and
concerns toward others.
merit
-
Anna (35) and Chuck (40) have been married for ten years and have struggled with sexual issues the whole time.
Although Anna probably has a desire disorder and doesn't enjoy sex, she insists that Chuck is the one who never wants to be sexual. She has made appointments with medical doctors and therapists and tells each one that she very much wants to have more sexual relationship with Chuck doesn't want to. According to object relations theory, Anna is probably
engaging in what?
projective identification
-
Amy is discussing her relationship with her father in therapy. She is angry and attributes her father's "unreasonable" behavior to his lack of empathy for others. As she describes the latest argument with her father, her therapist says, "As your father turned around and walked out of the room, what were you thinking?" and "What happened next?" and "How did you respond to that?"
Her therapist is probably using _____ and is practicing from a _____
process questions, Bowenian perspective
-
Milan systemic therapy differs from Haley's strategic in that
systemic therapy helps families to understand the meaning of the symptoms, while strategic just changes the pattern
-
In Strategic Therapy, when first starting out with a family in therapy, it is important to
adjust your style to the family's, paying close attention to both verbal and non-verbal cues as you attempt to engage with each member of the family.
-
The following theorist is most associated with power and control
Haley
-
Which model will sometimes use ordeals to alter symptom expression?
strategic
-
According to MRI, all communication contains which of the following two levels of functions?
report and command
-
A symptom carrier for family dysfunction or pathology is often referred to as
the scapegoat
-
In the MRI version of brief therapy, it is essential to
identify the disabling sequence of which the symptom is a vital part
-
Which theorist assumes that all problems presented to therapy result from the dilemma between love and violence?
CHloe Madanes
-
Which of the following is NOT one of the five stages of the initial interview? Social Stage, Engagement Stage, Problem Stage, Interaction Stage
Engagement phase
-
Dr. J is seeing a family in which the husband and wife frequently argue in the bedroom. In fact, the two argue
while preparing for bed almost every night. Dr. J does not ask the couple to attempt to stop their arguments, but directs them to only argue in the kitchen. If an argument starts in the bedroom, they have to move to the kitchen to compete it. Dr. J is using what technique?
manipulating the symptom
-
In addition, Dr J exaggerates the couple's arguments, calling the "battles" and relationship threatening. He relates to the family is fears that these "battles" are headed straight
for the divorce court. Dr. J is most likely practicing from which theorist's model?
Haley
-
Quid pro quo refers to a family or couple's tendency to take which stance?
If you do X/ I'll do why
-
Jane is struggling with insomnia. She's seeing a therapist who has instructed her that, if she is not asleep with 30 minutes of going to bed, she must get up and mop and wax her kitchen floor. This technique is known as
ordeal therapy
-
Jane doesn't like that intervention and goes to another therapist. This therapist tells Jane she must attempt to stay awake at least three hours each night when she goes to bed. This therapist is
targetting the attempted solution
-
The Smith family comes into therapy with Dr S and presents with behavioral problems with their 10 and 9 year olds. At
the end of the session, Dr S directs them to spend time together this week away from the children. Dr S, in fact, gives this directive to all the families she sees that are experiencing problems with children. Dr S is using _____ associated with _____ Therapy.
invariant prescription/Milan Systemic
-
The Milan approach is characterized by the following techniques:
circular questioning and hypothesizing
-
Most strategic tasks have a common characteristic -- they try to manipulate
the symptom
-
An MRI-based therapist working with a client with stage fright is most likely to tell the client
to identify the disadvantages of improvement
-
The first clinical director of the Mental Research Institute in Palo Alto, CA.
Don Jackson
-
Mara Selvini Palazzoli, Juigi Boscolo, Gianfranco Cecchin and Guilana Prata were strategic therapists who based their approach on the work of Gregory Bateson. What is the name of their approach to family therapy?
Milan Systemic Therapy
-
The non-verbal aspect of a communication, which defines the relationship between the participants is called what?
analogic communication
-
The double bind theory is a hypothesis about the cause of what?
schizophrenia
-
Applying more of the same attempted solution, only to provoke an escalation of the problem is an example of what?
negative feedback loop
-
Communicating about communicating is known as what?
METACOMMUNICATION
-
Sarah's family therapist suggested that,
although close monitoring worked well with Rebecca while she was a
pre-schooler and school-aged, that Rebecca is now a teenager. She
suggested that Sarah discus with other parents of teenagers might think
were reasonable rules. Sarah's therapist is attempting to engender what
type of change?
SECOND ORDER CHANGE
-
A "3-S" pot is a metaphor associated with which model?
Satir
-
Bill (50) and Alexandria (43) present for therapy because their son Ralph (13) has developed school phobia. The
phobia emerged after a trial separation between Bill and Alexandria. Bill moved back into the home when it became apparent that the only way to get Ralph to attend school was with both parents working together to help him. From a Behavioral Family therapy's perspective, scenario given
is an example of
positive reinforcement
-
The technique of "temperature reading' or
asking a family to set aside a specific time each day to get in touch
with each other, was developed by
Satir
-
Sally (32) and Nathan (41) seek help with how to handle their 5 year old son, Timothy. Tim's aggression in school
dates back to a biting incident in preschool. Sally and Nathan report a relatively trouble-free marriage with almost no conflict, not at all like their respective parents who fought continually before divorcing.
The therapist notices that they are especially cautious about not wanting to contradict one another. Several sessions later, a discussion between Sally and Nathan gives way to a sizable quarrel, complete with yelling and cursing. A Structural Family therapist would interpret the fight as evidence of
marital discord
-
From the solution-focused therapy perspective
problems can be solved without knowing their cause
-
The Smith family has presented for therapy with behavioral problems with 9 year old Ann. According to the family,
Ann is a bad child, disrespectful, and uncooperative. Although the therapist tries to reframe, the family continues to view Ann as bad and incorrigible. From a narrative perspective, "badness" is Ann's
dominant story
-
According to the social constructionist's perspective, diagnosis can categorize individuals by labeling them. This process is known as
objectification
-
Multiversa is term developed by Harlene Anderson. This term refers to
The multitude of ideas that potentially exist.
-
Every client has access to alternate stories, or stories that represent a different way of viewing a problem than that of the dominate story. White and Epston refer to this alternate story as
subjugate story
-
A "problem determined system" is a system
whose dominate view serves to maintain the problem. Through conversation the members of the system agree that a problem exists. Which theorist coined this term?
Anderson and Goolishian
-
A term developed by White and Epston which refers to those situations in the past when clients have resolved their problems but had not previously been aware that they had done so.
Unique outcome
-
In the post-modern, social constructionist therapists, the therapist and client jointly develop an alternate point
of view of a situation. This process is referred to as
co-construction
-
A narrative therapist will often give a symptom a name, such as labeling anorexia as "crazy dieting." Rather than viewing Maria as anorexic, they might discuss the times when "crazy
dieting" has control of her, thus separating Maria from the problem. this process is known as
externalization
-
Andrew comes to therapy struggling with depression. His therapist asked him to describe the times he is not depressed, or at least a little less depressed than usual. His therapist
is most likely practicing from which perspective?
soltion focused
-
As Andrew's therapy session draws to a close, his therapist gives him the following homework: "Between now and
the next time we meet, I would like for you to notice what is going on in your life, right now, that you would like to see continue, even when this depression has lifted." This intervention is known as
the formula first session task
-
The study of feedback mechanisms in self-regulating systems is known as
cybernetics
-
The ability of complex systems to reach a given final goal in a variety of given ways
equifinality
-
A conflict created when a person perceives
contradictory messages on different levels of abstraction in an
important relationship, and cannot leave or comment
double bind
-
Tendency of families to resist change in order to maintain a steady state is known as
family homeostasis
-
Temporary or superficial changes within a system that do not alter the basic organization of the system itself are known as
first order change
-
The process by which a system changes its structure to adapt to new contexts
morphogenesis
-
Information that signals a system to correct a deviation and restore the status quo
NEGATIVE feedback
-
A change that constitutes a basic change in the structure and functioning of a system
second order change
-
The idea that anyone attempting to observe and change a system is therefore part of that system
second order cybernetics
-
According to communication theory, the content, or spoken word of a communication is known as
digital communication
-
________ relationships are characterized by a high frequency of opposite kinds of behavior.
complentary
-
________ relationships are characterized by a high frequency of similar kinds of behavior.
symmetrical
-
One of the task of the launching stage of the family life cycle is
releasing adult children into work, college, or marriage
-
One of the developmental tasks of the middle-age adult stage of the family life cycle is
REBUILDING THE MARRIAGE
-
One of the developmental tasks of the middle-age adult stage of the family life cycle is
welcoming children's spouses, grandchildren in the family
-
One of the developmental tasks of the middle-age adult stage of the family life cycle is
dealing with the aging of one's own parents
-
What are two dimension of family functioning assessed i the Olson Circumplex Model?
cohesion/adaptability
-
What is the purpose of a negative feed back loop?
corrective; adjusting the input and returning the system to a steady state
-
Greg argued with his parents about his curfew and his parents then grounded him. Greg then ran away and stayed with a friend. A first order intervention at this point might be
to help the parents find a more effective punishment to tame this out-of-control child
-
Watzlawick would describe couples who are free to pursue careers and share childbearing and household chores as having a
symmetrical relationship
-
A term that addresses the tendency for all systems to gravitate towards remaining the same over time.
homeostasis
-
The non-verbal aspect of a communication, which defines the relationship between the participants is called what?
analogic communication
-
When having discovered that a client is HIV
positive and has withheld this information from his spouse, the
therapist's ethical responsibility is to
protect client confidentiality unless mandated by state law to do so.
-
Ethical concerns about offering "telephone therapy" include
difficult in ensuring confidentiality
-
Ethical concerns about offering "telephone therapy" include
loss of visual and other non-verbal information
-
Ethical concerns about offering "telephone therapy" include
confusion about accepting phone calls from a jurisdiction in which the therapist is not licensed.
-
A therapist is seeing a 7-year-old girl and she reports that when daddy kisses her he puts his tongue in her mouth.
An ethical therapist would
Call the proper authorities and document clearly what daughter has reported in case notes.
-
You have been hired to speak to a group on
family therapy. You are introduced as a Ph.D. when in fact you have a
MA. In this case you should
correct the mistake
-
You are a clinical member of AAMFT. You want
to expand your practice to include meditation. You take a day long workshop with an expert in the area and begin to advertise yourself as mediator. Your behavior is
unethical, since it is unethical to misrepresent your skills
-
Privilege refers to
a legal requirement designed to protect confidential information from being disclosed in a legal proceeding.
-
Ethics promotes _____ standards of performance determined by the profession
maximum or ideal
-
Three factors relevant to the legal definition of informed consent include capacity, voluntariness and
comprehension of information
-
__________ is a legal concept involving negligence and accompanying client injury or loss.
malpractice
-
Therapists working with potentially dangerous clients are recommended to
(1) inform clients of confidentiality limits (2) record steps taken to protect others, if necessary (3) seek consultation
-
the US Supreme Court ruling in the case of Jaffee vs Redmond highlights the importance
Confidentiality toward successful treatment
-
In marital and family therapy, therapists must assess their own values in order to avoid
- 1) taking sides with one family member
- against another (2) Imposing their values on family members (3)
- Persuading clients the marriage should be maintained
-
Effective informed consent procedures
Reduce client misunderstanding and liability
-
who were the leading figures in experiential family therapy
Whitaker, Satir, Duhl, Napier, keith, swartz, greenberg, and johnson
-
Major concepts of experiential family therapy are
unblocking the emotional expressions in families
-
Experiential FT theory of dysfunction
when the family resists awareness of feelings and bunt their emotional repsonsiveness.
-
Experiential FT theory of change
growth through change in authentic experiences
-
Experiential FT roles
THerapist as the conductor/orchestrator
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