748 Choice Theory/Reality Therapy

Question 1

Basic Assumptions

Answer 1

Symptoms are the result of choices we’ve made
We can choose to think, feel and behave differently
Reality therapy is based on Choice Theory

Question 2

Basic Assumptions

Answer 2

Emphasis is on personal responsibility

Question 3

Basic Assumptions

Answer 3

Therapist’s function is to keep therapy focused on the present and not on symptoms

Question 4

Basic Assumptions

Answer 4

We often mistakenly choose misery in our best attempt to meet our needs

Question 5

Basic Assumptions

Answer 5

We act responsibly when we meet our needs without keeping others from meeting their needs

Question 6

Basic Assumptions

Answer 6

The notion of transference is rejected by reality therapists

Question 7

Basic Human Needs

Answer 7

All internally motivated behavior is geared toward meeting one or more of our basic genetically encoded needs:

Question 8

Basic Human Needs

Answer 8

Love and belonging
Power
Freedom
Fun
Survival (physiological needs)

Question 9

Our Quality World

Answer 9

Our quality world consists of our visions of specific people, activities, events, beliefs, and situations that will fulfill our needs

Question 10

Our Quality World

Answer 10

Our quality world is like a picture album of specific wants as well as precise ways to satisfy these wants

Question 11

Our Quality World

Answer 11

Getting into the clients’ quality world is the art of therapy

Question 12

Total Behavior

Answer 12

Doing – active behaviors

Question 13

Total Behavior

Answer 13

Thinking – thoughts, self-statements

Question 14

Total Behavior

Answer 14

Feelings – anger, joy, pain, anxiety

Question 15

Total Behavior

Answer 15

Physiology – bodily reactions

Question 16

Cycle of Counseling

Answer 16

Creating the counseling environment

Supportive, challenging, and non coercive

Question 17

Cycle of Counseling

Answer 17

Implementing specific procedures that lead to changes in behavior
-WDEP

Question 18

The “WDEP” System

Answer 18

Procedures That Lead to Change:
W Wants - What do you want to be and do?

D Doing and Direction - What are you doing?
Where do you want to go?

E Evaluation - Does your present behavior have a reasonable chance of getting you what you want?

P Planning – “SAMIC3”

Question 19

Planning For Change. SAMIC3

Answer 19

S	Simple
	A	Attainable
	M	Measurable
 	I	Immediate and involved
	C	Controlled by the planner, committed to, and 	consistently done

Question 20

Application to Group Counseling

Answer 20

Group leaders and members jointly determine goals and plans of action

Question 21

Application to Group Counseling

Answer 21

Members explore new courses of behavior that will bring them closer to getting what they want out of life

Question 22

Application to Group Counseling

Answer 22

Leaders challenge members to evaluate for themselves if what they are currently doing is working for them

Question 23

Application to Group Counseling

Answer 23

Feedback from leaders and members can help individuals design realistic and attainable plans

Question 24

Application to Group Counseling

Answer 24

Group setting encourages members to take an active stance in attaining change in their lives

Question 25

Strengths from a Diversity Perspective

Answer 25

Therapists demonstrate their respect for their clients’ cultural values by helping them explore how satisfying their current behavior is to themselves and others

Question 26

Strengths from a Diversity Perspective

Answer 26

It is a sign of respect that the reality therapist refrains from deciding what behaviors should be changed

Question 27

Strengths from a Diversity Perspective

Answer 27

With a focus on thinking and acting rather than on feelings, many clients are less likely to display resistance

Question 28

Strengths from a Diversity Perspective

Answer 28

The principles underlying choice theory are universal, which makes choice theory applicable to all people

Question 29

Strengths from a Diversity Perspective

Answer 29

Reality therapy is an open system that allows for flexibility in application based on the needs of culturally diverse individuals

Question 30

Limitations from a Diversity Perspective

Answer 30

Reality therapy gives only limited attention to helping people address environmental and social problems

Question 31

Limitations from a Diversity Perspective

Answer 31

Some reality therapists may not pay enough attention to systemic and environmental factors that can limit the potential for choice

Question 32

Limitations from a Diversity Perspective

Answer 32

Some clients are very reluctant to directly verbally express what they need

Question 33

Contributions of Reality Therapy

Answer 33

RT has a relatively short-term focus and deals with conscious behavioral problems

Question 34

Contributions of Reality Therapy

Answer 34

The existential underpinnings of choice theory are a major strength of this approach, which accentuates taking responsibility for what we are doing

Question 35

Contributions of Reality Therapy

Answer 35

With the emphasis on responsibility and choice, individuals can acquire a sense of self-direction and empowerment

Question 36

Contributions of Reality Therapy

Answer 36

RT can be effectively used with individuals who manifest reluctance and who are highly resistant

Question 37

Contributions of Reality Therapy

Answer 37

RT has been effectively used in addiction treatment and recovery programs for over 30 years

Question 38

Limitations of Reality Therapy

Answer 38

Some feel RT does not adequately address important psychological concepts such as insight, the unconscious, dreams and transference

Question 39

Limitations of Reality Therapy

Answer 39

Clinicians may have trouble viewing all psychological disorders (including serious mental illness) as behavioral choices

Question 40

Limitations of Reality Therapy

Answer 40

More empirical support of RT is needed

Question 41

Limitations of Reality Therapy

Answer 41

Some therapists may impose personal views on clients by deciding for them what constitutes responsible behavior

Question 42

Limitations of Reality Therapy

Answer 42

RT is often construed as simple and easy to master when in fact it requires much training to implement properly