Diagnostic Assessment Flashcards
(160 cards)
- As a communications theorist and therapist, Haley deals
with the concepts of the double-bind, setting conditions, and
what else?
a. family blueprint
b. paradoxical interventions
c. i-messages
d. prejudicial scapegoating
b.
Jay Haley, a communications theorist, is associated with
strategic family therapy and is well known for his use of
paradoxical interventions (e.g., instructing a patient to
purposefully engage in the symptomatic behavior).
- According to psychoanalytic theory, the ego defense
mechanisms fucntion to:
a. keep unacceptable impulses from reaching consciousness.
b. ensure socially appropriate behavior
c. signal the emergence of anxiety
d. reduce conflict between the ego and the superego
a.
The function of ego defense mechanisms is to keep
unacceptable impulses from reaching consciousness. Anxiety
results when the defense mechanisms fail to control “psychic
excitation” (i.e., the entry of unconscious impulses into
consciousness).
- A recent Latino immigrant to the United States would
probably have the most difficulty adjusting to a
psychotherapist who displays:
a. an eclectic orientation
b. a focus on individualism.
c. an informal personal style.
d. a focus on the client’s level of acculturation
b.
As compared to American culture, Latino culture is generally
characterized by a greater emphasis on the immediate
extended family unit and less emphasis on individualism.
- Which of the following is least descriptive of the hypnotic
state? It involves:
a. induction of a “trance state” which, in its deepest form,
may be associated with induced visual or auditory
experiences.
b. a heightened state of concentration and increased
receptivity to the suggestions of another person.
c. a loss of control over one’s actions from oneself to the
hypnotist.
d. an ability to recall memories that are not available to the
conscious mind during the non-hypnotic state.
c.
People under hypnosis report that they never feel as though
they are not in control of their actions when they are in a
hypnotic trance.
Choices A and B have been used in various contexts as
working definitions of hypnosis.
5. Which of the following is the strongest indicator of suicide risk? a. depression b. family history of suicide c. hopelessness d. alcoholism
c.
A number of studies has identified hopelessness as the aspect
of depressive symptomatology associated with the greatest
suicide risk.
- From the perspective of Gestalt therapy, the term
“introjection” refers to:
a. adopting the values and behaviors of others without fully
assimilating them into the personality structure.
b. directing unacceptable anger and aggression inward.
c. being oriented toward self rather than oriented toward
others.
d. attributing one’s own unacceptable beliefs and impulses to
others.
- A
According to the theory that underlies Gestalt therapy,
introjection is a boundary disturbance that involves
assimilating information, beliefs, and values without really
understanding them.
7. Which of the following clinical tests was developed on the basis of emperical criterion keying? a. Rorschach b. 16PF c. WAIS-III d. MMPI-2
- D
Empirical criterion keying is a method of choosing items for
a test on the basis of the items’ ability to distinguish between
groups. Of the choices listed, only the MMPI-2 was
developed on the basis of empirical criterion keying.
- A feminist therapist would:
a. focus on innate, biological differences between men and
women.
b. believe that there are no inherent differences in power
between a psychotherapist and a client.
c. focus on social and political factors that underlie a
woman’s so called psychopathology.
d. argue that only highly trained professionals are capable of
understanding and treating female clients in psychotherapy.
- C
Feminist therapy approaches assume that sexism and
oppressive social roles underlie the reported problems of
women who seek therapy.
- Which of the following statements regarding
client-therapist ethnic matching is most consistent with the
overall body of research on the issue?
a. Clients who receive therapy from racially and ethnically
similar therapists are likely to show greater progress than
those who have ethnically different therapists.
b. Client-therapist ethnic similarity has not been
demonstrated to have any significant effect on therapy
outcome.
c. The race of the client and therapist are variables that
interact with a number of client and therapist variables in
exerting their effects on therapy outcome.
d. Client-therapist ethnic similarity has been shown to have
an impact on therapy outcome for only African-American
clients
- C
Though this is a controversial issue in the literature, the
generally accepted consensus is that ethnic matching per se
is not related to therapy outcome. However, variables such as
therapist sensitivity to cultural variable and the client’s level
of identification with their ethnic groups influence the way in
which ethnic similarity affects outcome.
10. Which of the following terms is not associated with Minuchin's structural family therapy? a. enmeshment b. disengagement c. boundaries d. congruence
- D
The term congruence is associated with Roger’s
client-centered therapy. It refers to genuineness and
consistency between the therapist’s words and behaviors
11. A therapist that focuses on a client's basic needs for power, affiliation, and fun is likely a: a. reality therapist b. Gestalt therapist c. transactional therapist d. person-centered therapist
- A
According to the theory underlying reality therapy,
psychological problems are due to an inability to responsibly
and adequately meet one’s basic needs. These needs include
those for survival, belonging, power, fun, and freedom.
- According to psychoanalytic theory, a patiente with an
obsessive-compulsive neurosis is likely to strongly rely on
which of the following sets of defenses:
a. reaction formation, isolation of affect, and undoing
b. projection, displacement, and denial
c. somatization, introjection, and reaction formation
d. isolation, denial, and repression
- A
Reaction formation involves dealing with unacceptable
impulses by substituting their opposite. The OCD personality
is often overly rigid in matters of morality and ethics.
Isolation of affect involves separation of thoughts from
feelings associated with them. The OCD personality, while
able to describe affectively charged events, prefers to avoid
discussing feelings about them. Undoing involves behaviors
designed to symbolically negate unacceptable thoughts or
actions. OCD often involves ritualistic compulsions in
response to obsessions.
13 Unconscious mental processing is called primary process
thinking. This primary process functions according to the:
a. pleasure principle
b. reality principle
c. free association principle
d. transference between client and therapist
- A
Freud described the primary process thinking as governed by
the id and functioning according to the pleasure principle.
14. Jung believed that people turn from an extroverted process to an introverted one: a. in early adolescence b. toward the end of life c. around age 40 d. depending on the social situation
- C
Carl Jung described extroversion as the disposition to find
pleasure in external things. Introversion reflected a turning
inward of the libido. He believed that we turned from the
extroversion of youth to the introversion of adulthood
somewhere near the midpoint of life - around 40.
- Adler termed the concept the “masculine protest” to refer
to:
a. a child’s awareness that he is not female
b. the pre-feminist movement
c. Neo-Freudians
d. inferiority complex
- D
The masculine protest came from Adler’s idea that every
child experiences feelings of inferiority which supply the
motivation to grow, dominate, and be supportive.
16. Harry Stack Sullivan believed that neurotic behavior is often caused by: a. syntaxic modes b. prototaxic modes c. parataxic modes d. Neo-Freudians
- C
Harry Stack Sullivan believed that parataxic distortions -
delaing with current acquaintances as if they were significant
persons from early life - caused neuroticism.
He also described syntaxic mode experiences (symbols with
shared meanings) and prototaxic mode experiences (involve
discrete unconnected momentary states)
- Existential psychotherapy focuses on:
a. the individual and his community
b. the individual and the ultimate concerns of existence
c. the existence of our species
d. congruence
- B
Existential psychotherapy holds that personality is an
outgrowth of the struggle between the individual and
ultimate concerns of existence, such as death, isolation,
meaninglessness, and the ultimate responsibility for our own
lives.
- Fritz Perl’s Gestalt therapy and theory of personality
emphasizes:
a. style of life
b. boundary disturbances
c. an understanding of maladaptive interactions
d. psychoanalysis
- B
Fritz Perl’s theory of personality viewed it as consistency of
the self and the self-image. A person’s interaction with the
environment determines which part of the personality exerts
the most control. A “boundary disturbance” such as
introjection, deflection, confluence, results in a person who
is less controlled by the self and more controlled by the
self-image.
19. A feminist therapist would often have as a primary goal for her clients: a. an understanding of sexism b. reducing crossed transactions c. empowerment d. group therapy
- C
The emphasis of feminist therapy is to show clients
alternative social roles and options. One of the primary goals
is empowerment.
- The primary difference between object relations family
therapy, and most system based models is:
a. the development of a supportive therapeutic environment.
b. active listening
c. communication is needed for effective family change.
d. insight is a core requirement for family change.
- D
A core tenet of object relations family therapy is that insight
is a care requirement for family change. Another major tenet
of this form of therapy is that problems in current
relationships between family members can be interpretted in
terms of transferences resulting from the early mother-child
relationship.
- According to Yalom, if a therapist is criticized by the
group for not disclosing personal information, the therapist
should:
a. interpret the behavior as resistance
b. consider it a normal stage in the development of the group
and ignore it
c. ask the group more questions about why they feel that way
d. exhibit more control
- C
This question is really asking about transference. Answer B
is only partially correct. Transference is a normal stage in
group development; however, it should not be ignored.
Yalom believes that transference can be beneficial if it is
managed effectively. The only answer that allows for further
investigation and management of transference is C.
- A disadvantage of concurrent participation in individual
and group therapy is that:
a. the patient is likely to rely on group therapy rather than
individual therapy for support.
b. the patient may save all of his personal self-disclosures for
individual therapy, leaving nothing for the group.
c. the patient may bring material from the group into
individual therapy.
d. it is not useful for patients with a Personality Disorder
(PD).
- B
According to Yalom, a disadvantage of concurrent
participation in individual and group therapy is that the
patient may be more inclined to self-disclosure in individual
therapy, where he or she receives more individual attention.
As a consequence, self-disclosure in group therapy is
reduced or lost.
- The MMPI-2, the most widely used clinical personality
test, contains the following clinical scales:
a. Schizophreniform (SF), Gender Identity (GI), Narcissism
(N), Social Extroverson (SE)
b. Bipolar I (Bi), Personality Disorder (PD), Axis I (A1),
Axis II (A2)
c. Hypochondriasis (HS), Hysteria (HY), Paranoia (Pa),
Hypomania (Ma)
d. Location, Determinants, Content, Populars
- C
Choice C are clinical scales from the MMPI-2. Choice D is a
list of different scoring categories from Exner’s
Comprehensive Scoring System for the Rorschach. Choices
A and B are made up.
24. Most of the variance in treatment outcome is accounted for by: a. the working alliance b. the specific treatment intervention c. the fee d. the initial impression
- A
The working alliance accounts for most of the variance in
treatment outcome and it has been found to be more
important than the specific treatment intervention.