STUDY-MODE - Practice Exam 4 Flashcards
(225 cards)
Carl Jung identified which of the following as the source of psychic energy?
Select one:
A. libido
B. archetypes
C. persona
D. personal unconscious
Jung believed that all psychic phenomena are manifestations of energy.
a. CORRECT In contrast to Freud, Jung described libido as the source of all psychic energy (rather than as the source of sexual energy only).
b. Incorrect Archetypes are inherited images, ideas, and emotions that reside in the collective unconscious and predispose us to view the world in certain ways.
c. Incorrect As defined by Jung, the persona refers to the aspects of oneself (usually the ideal aspects of oneself) that are presented to others.
d. Incorrect Jung distinguished between the collective and the personal unconscious and defined the latter as the aspect of the unconscious that contains lost or repressed perceptions of personally experienced events.
The correct answer is: libido
When working with an African American family, the best approach is likely to be which of the following?
Select one:
A. focusing initially on parent-child subsystems
B. relying on nondirective, nonstructured techniques
C. adopting a multisystems approach
D. working initially with the parents only
Because of the impact of environmental factors on African Americans, therapy is usually most effective when it takes into account social, political, socioeconomic, and other contextual factors.
a. Incorrect See explanation for response c.
b. Incorrect See explanation for response c.
c. CORRECT A multisystems (ecostructural) approach has been recommended by several experts for therapists working with African American families (e.g., Aponte, 1994; Boyd-Franklin, 1989). Information about this approach is provided in the Clinical Psychology chapter of the written study materials.
d. Incorrect See explanation for response c.
The correct answer is: adopting a multisystems approach
Role disputes, role transitions, unresolved grief, and interpersonal deficits are the primary targets of:
Select one:
A. interpersonal therapy.
B. reality therapy.
C. solution-focused therapy.
D. narrative therapy.
Of the therapies listed in the answers, only one explicitly targets the problem areas listed in the question.
a. CORRECT Interpersonal therapy (IPT) is a brief structured manual-based therapy that was originally developed as a treatment for depression but has since been applied to other disorders. Its primary targets are the four problem areas listed in this question.
b. Incorrect See explanation for response a.
c. Incorrect See explanation for response a.
d. Incorrect See explanation for response a.
The correct answer is: interpersonal therapy.
From the perspective of structural family therapy, a therapist’s failure to __________ is likely to produce resistance among family members.
Select one:
A. form a therapeutic triangle
B. join the family
C. act as a “blank screen”
D. remain disengaged from the family’s emotional system
Familiarity with Minuchin’s terminology would have helped you choose the correct answer to this question.
a. Incorrect Bowen (not Minuchin) forms a therapeutic triangle with two family members in therapy.
b. CORRECT Minuchin considers joining to be a prerequisite for restructuring the family.
c. Incorrect Minuchin does not view the therapist’s role to be that of a “blank screen.”
d. Incorrect The “family emotional system” is a term most associated with Bowen.
The correct answer is: join the family
During your first session with a Japanese client, you decide that your primary goals are to normalize the client’s problems and instill a sense of hope. According to Sue and Zane (1987), these goals are:
Select one:
A. examples of “gift-giving.”
B. ways of establishing ascribed credibility.
C. ways of fostering “amae.”
D. manifestations of “cultural expressiveness.”
Sue and Zane argue that therapy outcome for members of minority groups is enhanced by two factors – credibility and giving [S. Sue and N. Zane, The role of culture and cultural techniques in psychotherapy: A critique and reformulation, American Psychologist, 42(1), 37-45, 1987].
Answer A is correct. Gift-giving is an important ritual in interpersonal relations in Asian cultures, but Sue and Zane feel that, in therapy, it is useful for other minority clients as well, especially for reducing premature termination from treatment. In therapy, giving can take several forms including the normalization of the client’s problems and installation of hope.
The correct answer is: examples of “gift-giving.”
For Irvin Yalom (1985), seeing a client in both individual therapy and group therapy is inadvisable because:
Select one:
A. the client will spend too much time in individual therapy discussing problems that arise during the group.
B. the client will terminate individual therapy prematurely because of the benefits he/she is deriving from the group.
C. participation in individual therapy may decrease the client’s involvement and participation in the group.
D. participation in both individual and group therapy is likely to be too anxiety-evoking for most clients.
Yalom (1985), an expert on group therapy, has explicitly addressed this issue.
a. Incorrect See explanation for response c.
b. Incorrect See explanation for response c.
c. CORRECT Yalom generally discourages seeing a client in both individual and group therapy because he feels that the client’s participation in individual therapy will detract from his participation in the group.
d. Incorrect While this may be true for some clients, it is not the primary objection of Yalom and other experts.
The correct answer is: participation in individual therapy may decrease the client’s involvement and participation in the group.
During the first therapy session with a husband and wife who are experiencing marital problems, a therapist requests that, during the next week, they identify things in their relationship that they want to continue. Most likely, this therapist is a practitioner of:
Select one:
A. psychoeducational family therapy.
B. behavioral marital therapy.
C. interpersonal therapy.
D. solution-focused therapy.
The therapist has given the couple a task that will help them focus on the positive aspects of their relationship.
a. Incorrect See explanation for response d.
b. Incorrect See explanation for response d.
c. Incorrect See explanation for response d.
d. CORRECT In the context of solution-focused therapy, this assignment is an example of a “formula task.” Its purpose is to help the couple identify positive aspects of their relationship that, in turn, can lead to solutions to their marital difficulties.
The correct answer is: solution-focused therapy.
In her discussion of African American middle-class families, Boyd-Franklin (1989) notes that, in terms of family roles, these families tend to be: Select one:
A. patriarchal.
B. matriarchal.
C. egalitarian.
D. linear.
Nancy Boyd-Franklin discusses this issue in her book Black Families in Therapy: A Multisystems Approach, New York, Guilford Press, 1989.
a. Incorrect See explanation for response c.
b. Incorrect See explanation for response c.
c. CORRECT The structure of the African American middle-class family often reflects equal sharing of power by the spouses as well as more permeable boundaries in general. For example, these families are open to influences from the extended family and the African American community.
d. Incorrect See explanation for response c.
The correct answer is: egalitarian.
Which of the following illustrates “diagnostic overshadowing”?
Select one:
A. A therapist lists an inaccurate diagnosis on an insurance form because she knows the insurance company will be unwilling to pay for therapy for the correct diagnosis.
B. A therapist does not recognize a co-existing clinical disorder in an intellectually disabled patient because of the salience of the intellectual disability.
C. A therapist misdiagnoses a patient because the salience of an atypical symptom causes her to overlook the patient’s other symptoms.
D. A therapist’s own cultural beliefs and values impede her ability to recognize how cultural differences impact diagnosis and treatment.
Diagnostic overshadowing was originally described by S. Reiss and colleagues in connection with the assessment of people with an intellectual disability (Emotional disturbance and mental retardation: Diagnostic overshadowing, American Journal on Mental Deficiency, 87, 396-402, 1982). It has since been applied to other situations and diagnoses.
a. Incorrect See explanation for response b.
b. CORRECT Overshadowing occurs when the salience of one disorder or condition “overshadows” consideration or recognition of another disorder.
c. Incorrect See explanation for response b.
d. Incorrect See explanation for response b.
The correct answer is: A therapist does not recognize a co-existing clinical disorder in an intellectually disabled patient because of the salience of the intellectual disability.
According to Sue and Zane (1987), in terms of ensuring good treatment outcomes, the most important factor in culturally sensitive therapy is:
Select one:
A. demonstrating cultural knowledge.
B. using culture-specific techniques.
C. using techniques that establish credibility.
D. being authentic and empathic.
Sue and Zane note that, when discussing cross-cultural counseling, most authors focus on cultural knowledge and the use of culture-specific techniques. These investigators argue, however, that these factors are only the means to an end, which is establishing credibility [S. Sue and N. Zane, The role of culture and cultural techniques in psychotherapy: A critique and reformulation, American Psychologist, 42(1), 37-45, 1987].
a. Incorrect Sue and Zane recognize the importance of cultural knowledge but argue that it is not sufficient to ensure positive outcomes in cross-cultural counseling.
b. Incorrect These authors also recognize the usefulness of culture-specific techniques but, again, view them as insufficient by themselves.
c. CORRECT According to Sue and Zane, the therapist’s credibility is a key determinant of therapy outcome. Cultural knowledge and the use of culture-specific techniques are beneficial only to the extent that they contribute to the therapist’s credibility.
d. Incorrect Sue and Zane don’t address the issues of authenticity and empathy.
The correct answer is: using techniques that establish credibility.
Savin-Williams and Diamond (2000) investigated the sexual identity trajectories among sexual-minority youth and found that:
Select one:
A. adolescent females had an earlier onset of all milestones.
B. adolescent males had an earlier onset of all milestones.
C. adolescent females had an earlier onset of all milestones except first same-sex attraction.
D. adolescent males had an earlier onset of all milestone except first disclosure of sexual orientation to another person.
R. C. Savin-Williams and L. M. Diamond compared the sexual identity trajectories of male and female sexual-minority youth in terms of four milestones - first same-sex attraction, self-labeling, first same-sex sexual contact, and first disclosure [Sexual identity trajectories among sexual-minority youths: Gender comparisons, Archives of Sexual Behavior, 29(6), 607-627, 2000].
a. Incorrect See explanation for response d.
b. Incorrect See explanation for response d.
c. Incorrect See explanation for response d.
d. CORRECT Males had an earlier onset than females for all milestones except first disclosure of sexual orientation to another person (age at first disclosure was not significantly different for males and females).
The correct answer is: adolescent males had an earlier onset of all milestone except first disclosure of sexual orientation to another person.
A therapy client states that she believes she may have been sexually abused as a child but has no explicit memories of the abuse. She asks her therapist - who often uses hypnosis in his practice - to hypnotize her as a means of retrieving those memories. The psychologist is familiar with the statement issued by the APA’s Working Group on Investigation of Memories of Child Abuse. Consequently, the psychologist will:
Select one:
A. agree to hypnotize the woman but be careful not to ask leading questions.
B. agree to hypnotize the woman and then attempt to corroborate any memories of abuse the woman recalls while under hypnosis.
C. advise the woman that hypnosis is not an appropriate procedure for retrieving memories because it is likely to produce false recollections of abuse.
D. refer the woman to another psychologist who uses hypnosis but is unfamiliar with the woman’s suspicions so that the procedure will be more objective.
The use of hypnosis for the purpose of recalling repressed memories is addressed in the document titled Final conclusions of the American Psychological Association Working Group on Investigation of Memories in Childhood Abuse [Psychology, Public Policy, and Law, 4(4), 933-940, 2000].
a. Incorrect See explanation for response c.
b. Incorrect See explanation for response c.
c. CORRECT This response is most consistent with the conclusions drawn in the above-named document. (It is also consistent with research showing that hypnosis tends to elicit false memories.)
d. Incorrect See explanation for response c.
The correct answer is: advise the woman that hypnosis is not an appropriate procedure for retrieving memories because it is likely to produce false recollections of abuse.
Which of the following programs best exemplifies a primary prevention program?
Select one:
A. use of personality tests as screening devices to identify high-risk individuals so those individuals can be provided with appropriate treatment
B. use of public education programs to inform the public about the negative effects of alcohol abuse
C. training of primary school teachers to recognize early signs of behavior disorders
D. use of educational programs to improve community attitudes toward former mental patients
There are three types of prevention programs: Primary prevention programs are designed to prevent a mental disorder from occurring; secondary prevention programs are designed to detect disorders early so that appropriate treatments can be applied; and tertiary prevention programs are aimed at preventing the recurrence or worsening of existing disorders.
a. Incorrect When a program involves identifying high-risk individuals so that those individuals can be provided with an intervention, it is classified as a secondary prevention program.
b. CORRECT An educational program designed to prevent alcohol abuse before it occurs is an example of a primary prevention program.
c. Incorrect Prevention programs that involve the early identification of disorders are classified as secondary prevention programs.
d. Incorrect A program designed to improve community attitudes toward former mental patients (presumably to ensure that the patients remain in the community) is an example of a tertiary prevention program.
The correct answer is: use of public education programs to inform the public about the negative effects of alcohol abuse
D. W. Sue (1978) describes “worldview” in terms of two independent dimensions – locus of control and locus of responsibility. From this perspective, an Anglo-American therapist with an internal locus of control and internal locus of responsibility is most likely to experience problems when working with an African American client who has an:
Select one:
A. external locus of control and internal locus of responsibility.
B. external locus of control and external locus of responsibility.
C. internal locus of control and external locus of responsibility.
D. internal locus of control and internal locus of responsibility.
Answer C is correct. Sue uses his model of worldview to describe issues and problems that Anglo-American therapists may face when working with clients from culturally diverse backgrounds. D. W. Sue and D. Sue discuss this issue in Counseling the culturally different, New York, John Wiley & Sons, 1999. They conclude that an IC-ER worldview is likely to “pose the most difficult problems for the IC-IR white therapist” (p. 180) because the client is likely to challenge the therapist’s authority, view the therapist as part of the “establishment that has oppressed minorities” (p. 181), be reluctant to self-disclose, and prefer adopting an active role in the therapy process.
The correct answer is: internal locus of control and external locus of responsibility.
Cross’s (1991, 2001) Black Racial Identity Development Model includes four stages, the last of which is:
Select one:
A. autonomy.
B. internalization.
C. incorporation.
D. integrative awareness.
The current version of Cross’s model includes the following four stages:
PRE-ENCOUNTER
ENCOUNTER
IMMERSION-EMMERSION INTERNALISATION
For additional information on this model, see the Clinical Psychology chapter of the written study materials.
a. Incorrect See explanation for response b.
b. CORRECT The final stage of Cross’s model - i.e., internalization - is characterized by the development of “inner security” as identity conflicts are resolved along with increasing biculturalism/multiculturalism.
c. Incorrect See explanation for response b.
d. Incorrect See explanation for response b.
The correct answer is: internalization.
A person-centered (Rogerian) therapist would most likely respond to a client’s transference by:
Select one:
A. interpreting it.
B. challenging it.
C. disregarding it.
D. reflecting it.
Transference is not expected to develop in person-centered therapy, at least not at the intense level that it does in psychodynamic therapy.
a. Incorrect See explanation for response c.
b. Incorrect See explanation for response c.
c. CORRECT Transference in person-centered therapy is essentially accepted and disregarded rather than interpreted as it is in many other forms of therapy. This is consistent with the here-and-now approach of person-centered therapy.
d. Incorrect See explanation for response c.
The correct answer is: disregarding it.
Under hypnosis, a person is LEAST likely to:
Select one:
A. experience alterations of memory, perception, and mood
B. believe just about anything, no matter how preposterous.
C. do things he/she is otherwise fundamentally opposed to doing.
D. stop feeling pain (even severe pain) to a greater degree than if he/she had been given a pain killer.
Hypnosis has been defined as a state of increased suggestibility brought about by certain procedures.
a. Incorrect Hypnosis may involve experiencing alterations of memory, perception, and mood in response to suggestions.
b. Incorrect Hypnotized people are typically willing to accept even absurd suggestions (e.g., the suggestion that there is a pink elephant in the room).
c. CORRECT Although hypnotized people are suggestible, they will not engage in behaviors that they would otherwise refuse to perform.
d. Incorrect This is true for at least some individuals. The research has found that hypnotism can be a very effective pain killer; sometimes even more effective than acupuncture, morphine, aspirin, and other pain relievers.
The correct answer is: do things he/she is otherwise fundamentally opposed to doing.
Which of the following minimizes deviation and thereby helps a family (or other system) maintain the status quo?
Select one:
A. negative feedback
B. positive feedback
C. joining
D. paradox
From a family systems perspective, feedback refers to the return or provision of information to the system about the consequences of an event or action.
a. CORRECT Negative feedback acts to maintain a system’s current level of functioning or homeostasis.
b. Incorrect Positive feedback produces a change in the system.
c. Incorrect Joining is a technique used by structural family therapists and involves blending with the family by, for example, adopting its communication and affective style.
d. Incorrect The question does not describe paradox.
The correct answer is: negative feedback
Cross’s (1991) Black Racial Identity Development Model predicts that an African American in the pre-encounter stage of identity development will:
Select one:
A. exhibit a great deal of confusion and turmoil related to race.
B. have adopted a mainstream (White) identity.
C. be hostile to members of all racial/ethnic minority groups.
D. exhibit “healthy cultural paranoia”.
Cross’s model divides the pre-encounter stage into two substages: assimilation and anti-Black.
a. See explanation for response b.
b. CORRECT Adoption of a mainstream identity is characteristic of the assimilation substage, which is the first substage in the pre-encounter stage.
c. Incorrect This is not predicted by Cross’s model.
d. Incorrect This is also not predicted by Cross’s model.
The correct answer is: have adopted a mainstream (White) identity.
Issues related to attachment, safety, and security would be of most interest to a practitioner of:
Select one:
A. object relations family therapy.
B. Milan systemic family therapy.
C. reality therapy.
D. Adlerian therapy.
Of the therapeutic approaches listed, only one prioritizes the importance of attachment, safety, and security.
a. CORRECT Early attachment and issues related to safety and security are key concerns for practitioners of object relations psychotherapy.
b. Incorrect See explanation above.
c. Incorrect See explanation above.
d. Incorrect See explanation above.
The correct answer is: object relations family therapy.
A client describes a recurring dream of his to his therapist in which the client’s parents are standing on top of a stairway and refuse to let him climb up to the bedroom. If the therapist is a practitioner of Gestalt Therapy, she will probably:
Select one:
A. analyze the content of the dream.
B. ask the client to discuss his relationship with his parents.
C. see the dream as indicative of the client’s current progress in therapy.
D. see the dream as representing parts of the client’s personality that need to be integrated.
The major goals of Gestalt Therapy are to help a client achieve self-responsibility and function as a systematic whole. Dream work is one of the many techniques Gestaltians use.
a. Incorrect See explanation for response d.
b. Incorrect See explanation for response d.
c. Incorrect See explanation for response d.
d. CORRECT A goal of Gestalt Therapy is to integrate the separate, fragmented parts of a client’s personality into a unified whole. In line with this goal, Gestaltians see elements of recurring dreams as representations of parts of the self that have not been fully accepted and integrated.
The correct answer is: see the dream as representing parts of the client’s personality that need to be integrated.
What are the three approaches to healthcare?
Select one:
A. The Group Model, Open Model, and Regency Model.
B. The Stanford Model, Dual Model, and House Model.
C. The Open Model, Bismarck Model, and Balanced Model.
D. The Private Model, Beveridge Model, and Bismarck Model.
The correct answer is D. There are three approaches to healthcare: the private model, the Beveridge model (public funds), and the Bismarck model (mix of public and private funds). Answers A, B and C are incorrect as they do not relate to healthcare approaches.
The correct answer is: The Private Model, Beveridge Model, and Bismarck Model.
Ridley (1984) addressed the distrust that often exists between African American clients and their therapists and proposed that the therapist’s ethnicity is the MOST important factor for:
Select one:
A. a confluent paranoiac.
B. a cultural paranoiac.
C. a nonparanoiac.
D. a dissonant paranoiac.
Ridley’s model distinguishes between:
nonparanoics
functional paranoics
healthy cultural paranoics and
confluent paranoics.
a. CORRECT A confluent paranoiac exhibits high cultural and functional paranoia, and his or her nondisclosure in therapy is due to a combination of pathology and the effects of racism. According to Ridley, these clients do better with a therapist of the same racial/ethnic group.
b. Incorrect A cultural paranoiac does not possess views as extreme as a confluent paranoiac and may benefit from a White or African American therapist.
c. Incorrect See explanation for response a.
d. Incorrect See explanation for response a.
The correct answer is: a confluent paranoiac.
For Minuchin, scapegoating and overprotection of a child by the child’s mother and father are both forms of:
Select one:
A. triangulation.
B. detouring.
C. a stable coalition.
D. marital skew.
Minuchin describes three types of “rigid triangles” that all involve boundary disturbances.
a. Incorrect Minuchin uses the term triangulation to refer to the situation in which the child’s loyalty to one parent means rejection of the other parent.
b. CORRECT As defined by Minuchin, detouring occurs when the tension between husband and wife is reduced through the attention they pay to the child. This attention can involve either blaming the child for the family’s problems (scapegoating) or overprotection of the child who is identified by them as ill or weak.
c. Incorrect A stable coalition occurs when the child and a parent consistently “gang up” against the other parent.
d. Incorrect Marital skew is a term used by Lidz to describe situations in which a dominant partner has serious pathology, while the other partner is dependent and provides support.
The correct answer is: detouring.