MFT National Exam Prep

  1. 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
  2. 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
  3. Creation of a sufficient holding environment is a critical part of which theoretical approach?
    Object relations
  4. Which theory believes that relative birth order is significant in determining specific characteristics?
    Bowen Systems
  5. 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
  6. 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
  7. The following therapist is most associated with multigenerational process of psychopathology
    Bowen
  8. Introjection can only be detected by
    trained therapists
  9. 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
  10. 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
  11. 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
  12. The role of the therapist is Bowenian therapy is that of
    coach
  13. 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
  14. 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
  15. 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
  16. 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
  17. 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
  18. According to Contextual Family Therapy, each family member earns this concept through the accumulation of care and
    concerns toward others.
    merit
  19. 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
  20. 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
  21. 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
  22. 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.
  23. The following theorist is most associated with power and control
    Haley
  24. Which model will sometimes use ordeals to alter symptom expression?
    strategic
  25. According to MRI, all communication contains which of the following two levels of functions?
    report and command
  26. A symptom carrier for family dysfunction or pathology is often referred to as
    the scapegoat
  27. In the MRI version of brief therapy, it is essential to
    identify the disabling sequence of which the symptom is a vital part
  28. Which theorist assumes that all problems presented to therapy result from the dilemma between love and violence?
    CHloe Madanes
  29. 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
  30. 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
  31. 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
  32. Quid pro quo refers to a family or couple's tendency to take which stance?
    If you do X/ I'll do why
  33. 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
  34. 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
  35. 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
  36. The Milan approach is characterized by the following techniques:
    circular questioning and hypothesizing
  37. Most strategic tasks have a common characteristic -- they try to manipulate
    the symptom
  38. An MRI-based therapist working with a client with stage fright is most likely to tell the client
    to identify the disadvantages of improvement
  39. The first clinical director of the Mental Research Institute in Palo Alto, CA.
    Don Jackson
  40. 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
  41. The non-verbal aspect of a communication, which defines the relationship between the participants is called what?
    analogic communication
  42. The double bind theory is a hypothesis about the cause of what?
    schizophrenia
  43. Applying more of the same attempted solution, only to provoke an escalation of the problem is an example of what?
    negative feedback loop
  44. Communicating about communicating is known as what?
    METACOMMUNICATION
  45. 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
  46. A "3-S" pot is a metaphor associated with which model?
    Satir
  47. 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
  48. 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
  49. 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
  50. From the solution-focused therapy perspective
    problems can be solved without knowing their cause
  51. 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
  52. According to the social constructionist's perspective, diagnosis can categorize individuals by labeling them. This process is known as
    objectification
  53. Multiversa is term developed by Harlene Anderson. This term refers to
    The multitude of ideas that potentially exist.
  54. 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
  55. 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
  56. 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
  57. 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
  58. 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
  59. 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
  60. 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
  61. The study of feedback mechanisms in self-regulating systems is known as
    cybernetics
  62. The ability of complex systems to reach a given final goal in a variety of given ways
    equifinality
  63. 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
  64. Tendency of families to resist change in order to maintain a steady state is known as
    family homeostasis
  65. Temporary or superficial changes within a system that do not alter the basic organization of the system itself are known as
    first order change
  66. The process by which a system changes its structure to adapt to new contexts
    morphogenesis
  67. Information that signals a system to correct a deviation and restore the status quo
    NEGATIVE feedback
  68. A change that constitutes a basic change in the structure and functioning of a system
    second order change
  69. The idea that anyone attempting to observe and change a system is therefore part of that system
    second order cybernetics
  70. According to communication theory, the content, or spoken word of a communication is known as
    digital communication
  71. ________ relationships are characterized by a high frequency of opposite kinds of behavior.
    complentary
  72. ________ relationships are characterized by a high frequency of similar kinds of behavior.
    symmetrical
  73. One of the task of the launching stage of the family life cycle is
    releasing adult children into work, college, or marriage
  74. One of the developmental tasks of the middle-age adult stage of the family life cycle is
    REBUILDING THE MARRIAGE
  75. 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
  76. 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
  77. What are two dimension of family functioning assessed i the Olson Circumplex Model?
    cohesion/adaptability
  78. What is the purpose of a negative feed back loop?
    corrective; adjusting the input and returning the system to a steady state
  79. 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
  80. Watzlawick would describe couples who are free to pursue careers and share childbearing and household chores as having a
    symmetrical relationship
  81. A term that addresses the tendency for all systems to gravitate towards remaining the same over time.
    homeostasis
  82. The non-verbal aspect of a communication, which defines the relationship between the participants is called what?
    analogic communication
  83. 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.
  84. Ethical concerns about offering "telephone therapy" include
    difficult in ensuring confidentiality
  85. Ethical concerns about offering "telephone therapy" include
    loss of visual and other non-verbal information
  86. Ethical concerns about offering "telephone therapy" include
    confusion about accepting phone calls from a jurisdiction in which the therapist is not licensed.
  87. 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.
  88. 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
  89. 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
  90. Privilege refers to
    a legal requirement designed to protect confidential information from being disclosed in a legal proceeding.
  91. Ethics promotes _____ standards of performance determined by the profession
    maximum or ideal
  92. Three factors relevant to the legal definition of informed consent include capacity, voluntariness and
    comprehension of information
  93. __________ is a legal concept involving negligence and accompanying client injury or loss.
    malpractice
  94. 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
  95. the US Supreme Court ruling in the case of Jaffee vs Redmond highlights the importance
    Confidentiality toward successful treatment
  96. 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
  97. Effective informed consent procedures
    Reduce client misunderstanding and liability
  98. who were the leading figures in experiential family therapy
    Whitaker, Satir, Duhl, Napier, keith, swartz, greenberg, and johnson
  99. Major concepts of experiential family therapy are
    unblocking the emotional expressions in families
  100. Experiential FT theory of dysfunction
    when the family resists awareness of feelings and bunt their emotional repsonsiveness.
  101. Experiential FT theory of change
    growth through change in authentic experiences
  102. Experiential FT roles
    THerapist as the conductor/orchestrator
Author
tlctke
ID
154333
Card Set
MFT National Exam Prep
Description
MFT exam study questions
Updated