Counseling Families, Diagnosis, and Advanced Concepts Flashcards Preview

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Flashcards in Counseling Families, Diagnosis, and Advanced Concepts Deck (156)
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1

A married couple brings their two children to counseling for behavioral problems. The 14-year-old daughter stays out late and their 17 year old son is using drugs. According to most marriage and family therapists the identified patient would be
a. the 17-year old son
b. the 14-year-old daughter
c. the family
d. both children

c

2

You are seeing a husband and wife for marriage counseling. During one of the sessions you decide to see them separately. The husband tells you he has seen an attorney because he is filing for divorce. He has not told his wife and indicates that he will not do so. You feel the wife has a right to know this because it will help her plan for the future. You should
a. only tell his wife if he gives you permission
b. communicate his intent to his wife since ethics guidelines state you may do so when a member of the couple is contemplating divorce
c. not tell the wife since research indicates that women respond more positively to divorce when they have less time to think about it
d. terminate the husband unless he tells her

a.

3

You are supervising a licensing candidate who is primarily interested in marriage and family counseling. You are very attracted to her and have sex with her. According to ethics guidelines
a. this is perfectly ethical, since this is a student and not a client
b. this is unethical
c. this is perfectly ethical, since this is a supervisee and not a client
d. a and c are both correct

b.

4

The fastest growing clientele for professional counselors are persons
a. experiencing bipolar disorder
b. experiencing suicidal ideation
c. experiencing marriage and family problems
d. who abuse their children

c.

5

Family counselors generally believe in
a. circular/reciprocal causality (e.g., dynamics of family members)
b. linear causality
c. random causality
d. dream analysis

a.

6

Cybernetics is a concept used by family therapists. It is usually associated with the work of
a. Freud and Ellis
b. Norbert Wiener
c. Virginia Satir
d. behavioral family therapists and cognitive family therapists

b. Wiener - family has feedback loops to self-correct a family system

7

A family that is stable and reaches an equilibrium is in a state of
a. adaptability
b. enmeshment
c. nonsummativity
d. homeostatsis

d. homeostatsis - maintaining a balanced state

8

This concept suggests that any system including the family is greater than the sum of its parts (the individuals in it) and therefore it is necessary to examine patterns rather than merely each individual's behavior.

nonsummativity

9

Adaptability is the ability of the family to balance
a. ego strength
b. stability and change
c. morphostasis and morphogenesis
d. b and c

d. morphostasis is the ability of the family to balance stability while morphogenesis refers to the family's ability to change

10

A family wants to see you for counseling; however, they have a very limited income and can't afford to pay. You therefore agree to see the family for free (i.e., pro bono). The term that best describes your actions would be
a. aspirational ethics
b. mandatory ethics
c. empathy
d. all of the above

a. mandatory - rigid and clear cut
aspirational - describe ideal

11

Experiential conjoint family therapy is closely related to the work of
a. Virginia Satir
b. Albert Ellis
c. Jay Haley
d. Salvador Minuchin, the father of structural family therapy

a. Satir - family could be healed via love - clashed with Minuchin who advocated scientific interventions

12

Virginia Satir felt that a major goal of therapy was to improve intrafamily communication (i.e., communication between family members). According to Satir, four basic patterns prevented good communication under stress. These defensive postures or stress positions are: placating, blaming, being overly reasonable, and being irrelevant. Placating means
a. you disagree with all the other family members
b. you pick a favorite family member and agree with him or her
c. you ignore the other family members
d. you try to please everybody out of a fear of rejection

d. placating style causes the individual to sacrifice his or her own needs as a way of dealing with stress

13

The placater is a people pleaser under stress while the blamer
a. will sacrifice others to feel good about himself
b. will often say, "if it weren't for you..."
c. will point the finger at others to avoid dealing with his or her own issues
d. all of the above are typical bx of the blamer

d.

14

The person who becomes overly reasonable
a. practices excitation
b. cries a lot during therapy session
c. is likely to engage in the defense mechanism of intellectualization
d. has a high degree of emotion

c. emotionally detached

15

According to Satir, the individual displaying an irrelevant style
a. will distract the family from the problem via constantly talking about irrelevant topics
b. will become a people pleaser
c. will analyze the situation more than most
d. all of the above

a.

16

Virginia Satir is considered a leading figure in experiential family therapy. _________ is sometimes called the dean of experiential family therapy.
a. Ludwig von Bertalanffy
b. Gregory Bateson
c. Carl Whitaker
d. Murray Bowen

c. Whitaker - experience, not education, changes families - experiential symbolic family therapy

17

Who developed the systems theory model?
a. Ludwig von Bertalanffy
b. Gregory Bateson
c. Carl Whitaker
d. Murray Bowen

a. a biologist

18

Carl Whitaker's interaction with the family could best be described as
a. quiet and empathic
b. joining the family and experiencing it as if he were a family member
c. a reality therapist
d. a cognitive behavior therapist

b.

19

According to Whitaker,
a. a cotherapist is helpful
b. a cotherapist should never be used
c. a cotherapist should be used only with blended families
d. all of the above could be true

a. cotherapist could provide meaninful feedback

20

Psychotherapy of the absurd is primarily related to the work of
a. Virginia Satir
b. Carl Whitaker
c. Maxie C. Maultsby, Jr.
d. William Glasser

b.

21

Psychiatrist noted for creating rational self-counseling that is similar to Ellis's REBT is
a. Virginia Satir
b. Carl Whitaker
c. Maxie C. Maultsby, Jr.
d. William Glasser

c.

22

A behavioristic marriage and family therapist is counseling the entire family together. She turns to the 18 year old son who is attending community college and says, "You must complete your sociology essay before you can use the family car and go out with your friends." Which theorist is primarily guiding her intervention strategy?
a. David Premack's principle or law
b. Ivan Pavlov and John B. Watson
c. B. F Skinner
d. all of the above

a. Premack's work suggests that a family member must complete an unpleasant task (LPB) before he or she would be allowed to engage in a pleasant task (HPB)

23

A behavioristic marriage and family therapist is counseling the entire family together. She turns to the 18 year old son who is attending community college and says, "I know you like to play golf. Therefore, every time you cut the grass your father will take you to play golf. I am going to have you and your dad sign a contract that you agree with this policy." Which principle is primarily guiding her strategy?
a. negative reinforcement
b. thought stopping
c. shaping with successive approximations
d. quid pro quo

d. quid pro quo - latin for "one thing for another"

24

A male is supervising a female counselor for state licensing. He tells her that he will continue to supervise her as long as she has sex with him. This is an example of
a. quid pro quo
b. a legal but not an ethical violation
c. a and b
d. none of the above

a.

25

A behavioristic family counselor suggests that the family chart the number of times that 6-year-old Billy says, "no" when he is told to do something. The baseline of the chart would refer to
a. the period when positive reinforcement is being implemented
b. the period when negative reinforcement is being implemented
c. the period when quid pro quo is being implemented
d. the period before the behavior modification begins

d.

26

The family counselor explains to Mrs. Smith that the next time that 9 year old Sally hits her little brother she must sit in the family room by herself. The counselor is using
a. shaping
b. shaping with successive approximations
c. reciprocity
d. time-out, a procedure that most behaviorists feel is a form of extinction

d.

27

Mrs. Chance tells a family therapist that she pays all the bills, does all the cleaning, and brings in 90% of the family's income. Moreover, Mrs Chance is convinced that her husband does not appreciate her or show her affection. According to the behavioristic principle of family therapy known as reciprocity
a. there is a good chance that Mrs Chance will consider leaving the marriage
b. it may seem paradoxical; nevertheless, Mrs Chance will be more committed to making the marriage work
c. it may seem paradoxical; nevertheless, Mr. Chance will consider leaving the marriage
d. this situation will have virtually no impact on this couple's marriage.

a.

28

A couple is having sexual problems that stem from anxiety. A marriage counselor who is a strict behaviorist would most likely
a. dispute the couple's irrational thinking
b. prescribe thought stopping
c. rely on systematic desensitization procedures
d. rely primarily on paraphrasing and reflection

c. Wolpe's systematic desensitization

29

A family counselor notices that the husband in a blended family is having obsessive sexual thoughts about a women living down the street. A strict behaviorist would most likely
a. analyze the man's dreams
b. have him chart the incidence of the bx, but do little else
c. practice thought stopping
d. rely primarily on Joseph Wolpe's systematic desensitization

c.

30

You secure a job as the executive director of a family counseling agency. As you go through your files you discover that five years before you took the job the agency selected 100 families and counseled them using strict behavioristic model. The agency took next group of 100 families and counseled them using Satir's experiential conjoint family therapy model. Each family received 12 sessions of therapy and each family took a before/after assessment that accurately depicted how well the families were functioning. You decide to run a t test to examine whether or not a statistically significant difference is evident between the two approaches. This is
a. an ex post facto correlation study
b. causal-comparative or ex post facto research
c. a true experiment
d. simple survey research

b. occurred in past, researcher did no have control over independent variable, t test eliminates correlation