STUDY-MODE - Practice Exam 5 Flashcards
A structural family therapist would use a family map to:
Select one:
A. facilitate interactions between family members during a therapy session.
B. help family members recognize differences in their perceptions.
C. identify family values, life themes, and significant life events.
D. clarify the nature of the boundaries between family subsystems.
Knowing that boundaries are a key focus of Minuchin’s structural family therapy would have helped you identify the correct answer to this question.
a. Incorrect This describes the goal of enactment.
b. Incorrect This is a goal of circular questions, which are used by Milan systematic family therapists.
c. Incorrect Identifying and using family values, life themes, and significant life events in conversations during therapy is referred to as tracking.
d. CORRECT A family map is used to help make a structural diagnosis of a family by clarifying its boundaries, coalitions, alignments, etc.
The correct answer is: clarify the nature of the boundaries between family subsystems.
From a “control systems” perspective, when established control mechanisms are no longer effective due to radical changes in the environment, new mechanisms must be sought or developed. These new mechanisms will help the system adapt to environmental changes by providing:
Select one:
A. negative feedback.
B. positive feedback.
C. formative evaluations.
D. summative evaluations.
Although it’s probably not clear because of the way this question is worded, this information is relevant to family therapy, which incorporates the principles of cybernetics.
a. Incorrect From a control systems (cybernetics) perspective, negative feedback maintains a system in a steady state. Negative feedback is not useful, however, when the system is faced with extreme changes in the environment.
b. CORRECT Although, under normal circumstances, positive feedback induces change and can result in “runaways,” when the system must adapt to radical changes in the environment, it is positive feedback that makes adaptation possible.
c. Incorrect Formative evaluation is not relevant to control systems.
d. Incorrect Summative evaluation is not relevant to control systems.
The correct answer is: positive feedback.
Experts on cross-cultural counseling note that, when working with African American clients, it is important to recognize that their past experiences in a racist society are likely to have fostered feelings of powerlessness. Consequently, a good strategy for a therapist is to adopt a:
Select one:
A. non-directive, less active approach.
B. problem-solving, time-limited approach.
C. color-blind approach.
D. neutral, educative approach.
In general, experts in the field of cross-cultural counseling agree that goal-directed therapies are most effective with members of most minority groups.
a. Incorrect See explanation for response b.
b. CORRECT According to M. K. Ho, “Regardless of the nature of the family’s problem(s), Black families are likely to be most responsive to problem-solving, time-limited family therapy approaches” (Family therapy with ethnic minorities, Newbury Park, Sage Publications, 1987).
c. Incorrect See explanation for response b.
d. Incorrect See explanation for response b.
The correct answer is: problem-solving, time-limited approach.
From the perspective of Freudian psychoanalytic theory, the defense mechanism of _______________ is viewed as underlying all other defense mechanisms.
Select one:
A. regression
B. repression
C. sublimation
D. projection
The goal of all of the defense mechanisms can be said to be keeping unwanted thoughts and impulses out of consciousness.
a. Incorrect Regression occurs when an individual reverts to behaviors characteristic of an earlier stage in life in order to avoid anxiety-producing impulses.
b. CORRECT Repression involves pushing unacceptable id impulses into the unconscious. Repression can be viewed as the most “basic” of the defense mechanisms since the goal of all defense mechanisms is to make unwanted impulses unconscious.
c. Incorrect Sublimation involves channeling unwanted impulses into socially-acceptable endeavors. It is considered the most “advanced” of the defense mechanisms.
d. Incorrect Projection occurs when an individual attributes his/her unwanted impulses to other people.
The correct answer is: repression
Prochaska, Norcross, and DiClemente’s (1994) transtheoretical model distinguishes between 10 different change processes and proposes that the most effective combination of processes depends on a client’s stage of change. For example, they recommend consciousness raising, dramatic relief, and environmental re-evaluation as useful strategies for helping clients transition into the __________ stage.
Select one:
A. maintenance
B. conformity
C. action
D. contemplation
The transtheoretical model distinguishes between six stages of change:
Precontemplation Contemplation Preparation Action Maintenance Termination.
a. Incorrect The optimal combination of change processes for clients in the maintenance stage is supportive (helpful) relationships, commitment, countering, environmental control, and social liberation.
b. Incorrect Conformity is not one of the stages of change identified by Prochaska, Norcross, and DiClemente.
c. Incorrect The most effective change processes for clients in the action stage are the same as those for clients in the maintenance stage (answer a).
d. CORRECT Prochaska, Norcross, and DiClemente recommend this combination of change processes for helping clients transition from the precontemplation to the contemplation stage.
The correct answer is: contemplation
An African American therapy client exhibiting the “split-self syndrome” as a response to racial oppression will most likely:
Select one:
A. exhibit a high degree of detachment from his family and neighborhood.
B. avoid contacts with Whites.
C. evaluate himself against White standards.
D. exhibit a high degree of “functional paranoia.”
Chronic exposure to racial oppression can have several consequences, one of which is the development of the “split-self syndrome” (see, e.g., J. Landrum-Brown, Black mental health and racial oppression, in D. S. Ruiz and J. P. Comer, Handbook of mental health and mental disorder among Black Americans, Greenwood Press, NY, 1990).
a. Incorrect See explanation for response c.
b. Incorrect See explanation for response c.
c. CORRECT According to Landrum-Brown, the split-self syndrome “is a result of accepting a polarized, hierarchical manner of thinking and accepting negative racial messages.” For African Americans, one manifestation of this syndrome is evaluating oneself against White standards.
d. Incorrect See explanation for response c.
The correct answer is: evaluate himself against White standards.
Cultural universalism is to cultural relativism as:
Select one:
A. emic is to etic.
B. etic is to emic.
C. alloplastic is to autoplastic.
D. autoplastic is to alloplastic.
An ongoing debate in the literature is about the degree to which psychological principles are universal versus specific in terms of their application to individuals from different cultures.
a. Incorrect See explanation for response b.
b. CORRECT An etic approach is based on the assumption that universal principles apply across cultures while an emic approach is based on the assumption that cultures vary and, consequently, cannot always be understood from the perspective of universal principles. In other words, the etic approach is universalistic, while an emic approach is relativistic.
c. Incorrect The terms alloplastic and autoplastic are used to describe different types of interventions: Alloplastic interventions focus on changing the individual’s situation, while autoplastic interventions focus on changing the individual.
d. Incorrect See explanation for response c.
The correct answer is: etic is to emic.
In the context of Freudian psychoanalysis, the goal of confrontation is to:
Select one:
A. reduce the client’s resistance.
B. clarify a client’s statements.
C. help the client see a behavior in a new way.
D. foster the development of transference.
Freudian psychoanalysis can be conceptualized as involving four processes:
Confrontation
Clarification
Interpretation
Working through.
a. Incorrect See explanation for response c.
b. Incorrect This sounds more like the goal of clarification.
c. CORRECT When using confrontation, the therapist makes a statement or asks a question that connects the client’s behavior to an unconscious motivation or conflict.
d. Incorrect This is not the goal of confrontation.
The correct answer is: help the client see a behavior in a new way.
A parent complains that her 11-year old seems motivated primarily by his strong needs for attention and power and desire to get even with anyone who he thinks has wronged him. Therapy based on the work of which of the following individuals would be best suited to this boy’s problems?
Select one:
A. Carl Jung
B. Fritz Perls
C. Heinz Kohut
D. Alfred Adler
Although the boy’s problems would probably be helped by a number of different types of therapy, the approach of only one of the individuals listed is directly associated with the specific issues described in the question.
a. Incorrect See explanation for response d.
b. Incorrect See explanation for response d.
c. Incorrect See explanation for response d.
d. CORRECT According to Adler, people are motivated primarily by the need to belong (i.e., by social interest). However, this need may be misdirected into one of four goals – attention, power, revenge, or to display inadequacy.
The correct answer is: Alfred Adler
According to Helms (1990), the ability of Whites to develop a healthy racial identity is most closely related to:
Select one:
A. identification with a particular White culture (e.g., Irish, Swedish, French).
B. stage of ego-identity development.
C. level of self-monitoring.
D. the extent of racism in the society.
Each of the stages of Helms’s White Racial Identity Development reflects a different position with regard to acceptance or rejection of racism.
a. Incorrect See explanation for response d.
b. Incorrect See explanation for response d.
c. Incorrect See explanation for response d.
d. CORRECT J. Helms’s model reflects her belief that “the development of white identity in the United States is closely intertwined with the development and progress of racism in this country” (Black and White racial identity: Theory, research, and practice, Westport, CT, Greenwood, 1990, p. 49).
The correct answer is: the extent of racism in the society.
Penny Pallid is an Anglo American teacher and Cameron Chroma, her student, is African American. According to Helms’s interaction model, Ms. Pallid will be LEAST effective in teaching Cameron if she is in the __________ stage of racial identity development and Cameron is in the __________ stage.
Select one:
A. reintegration; pre-encounter
B. pseudo-independent; pre-encounter
C. contact; immersion
D. pseudo-independent; encounter
This question is asking about Helms’s proposal that outcomes in clinical and other relationships are affected by the stage of racial identity development of each participant. See J. Helms, Applying the interaction model to social dyads, in J. Helms (Ed.), Black and White racial identity: Theory, research and practice, New York, Greenwood Press, 1990.
a. Incorrect As defined by Helms, this is an example of a parallel relationship and is likely to result in a stable, harmonious interaction.
b. Incorrect This is an example of a progressive relationship. It provides the greatest opportunity for growth for the student.
c. CORRECT This is an example of a crossed relationship. It is the most conflicted type and is characterized by disharmony, fear, and “warfare.” It is least likely to promote the student’s growth.
d. Incorrect This is another example of a progressive relationship.
The correct answer is: contact; immersion
In the context of cognitive-behavioral family therapy (Schwebel and Fine, 1994), “family ___________” refers to a set of cognitions that family members possess and that shape how they understand and approach family life.
Select one:
A. prototype
B. map
C. script
D. schema
Even if you are unfamiliar with cognitive-behavioral family therapy, familiarity with cognitive-behavioral therapy in general should have helped you select the correct answer to this question
a. Incorrect See explanation for response d.
b. Incorrect See explanation for response d.
c. Incorrect See explanation for response d.
d. CORRECT Schemas are a key concept in cognitive-behavioral therapy and in cognitive-behavioral family therapy. However, in the latter, they are conceptualized more narrowly as the cognitive frameworks that family members have about family functioning. See A. Schwebel and M. Fine, Understanding and helping the family: A cognitive-behavioral model, Hillsdale, NJ, Erlbaum, 1994.
The correct answer is: schema
Gregory Herek (2000) proposes that the terms "sexual prejudice," "sexual stigma," and "heterosexism" be used as substitutes for: Select one:
A. heterosexual bias.
B. homophobia.
C. homosexism.
D. sexism.
For the exam, you want to be familiar with Herek’s definitions for the terms listed in this question. These are described in the Clinical Psychology chapter of the written study materials.
a. Incorrect See explanation for response b.
b. CORRECT Herek argues that the terms listed in this question are more useful than homophobia because homophobia is an ambiguous and imprecise term.
c. Incorrect See explanation for response b.
d. Incorrect See explanation for response b.
The correct answer is: homophobia.
As described by Sue and Zane (1987), when working with Asian American clients, “gift-giving”:
Select one:
A. is discouraged because it tends to foster dependency on the therapist.
B. is discouraged because it can create a harmful multiple relationship.
C. is encouraged during the final therapy sessions to help clients maintain therapeutic gains.
D. is encouraged during the initial therapy sessions to help reduce premature termination from therapy.
S. Sue and N. Zane point out that ethnic minority clients (especially Asian American clients) often expect to obtain some meaningful benefit early in therapy and tend to be skeptical about its long-term benefits. They recommend “gift-giving” during the initial therapy sessions as a useful strategy for increasing credibility and preventing premature termination [The role of culture and cultural techniques in psychotherapy: A critique and reformulation, American Psychologist, 42(1), 37-45, 1987].
a. Incorrect See explanation for answer d.
b. Incorrect See explanation for answer d.
c. Incorrect See explanation for answer d.
d. CORRECT Examples of “gifts” that can be given during initial therapy sessions include normalizing the client’s distress, instilling a sense of hopefulness, and identifying concrete and mutually agreed upon goals.
The correct answer is: is encouraged during the initial therapy sessions to help reduce premature termination from therapy.
An educational psychologist with expertise in the areas of intellectual and learning disabilities is hired by a school district to assist a teacher who is having difficulty working effectively with newly “mainstreamed” students. The psychologist will work directly with the teacher to help him acquire the skills he needs to work with these students but will have little or no direct contact with the students. This is best described as a type of:
Select one:
A. client-centered case consultation.
B. consultee-centered case consultation.
C. program-centered administrative consultation.
D. consultee-centered administrative consultation.
Gerald Kaplan distinguishes between the four types of consultation listed in the answers to this question. Additional information about the types is provided in the Clinical Psychology chapter of the written study materials.
a. Incorrect In client-centered case consultation, the consultant assists the consultee with a particular client or student.
b. CORRECT In consultee-centered case consultation, the focus is on the consultee, and the consultant helps the consultee acquire the knowledge or skills needed to work effectively with a particular type of clients or students.
c. Incorrect This type of consultation involves working with one or more administrators to resolve problems related to an existing program.
d. Incorrect This type of consultation involves assisting one or more administrators acquire the knowledge and skills they need to be more effective in developing, implementing, and/or evaluating future programs.
The correct answer is: consultee-centered case consultation.
Surveys have found that women in which of the following groups report the highest lifetime rate of victimization by an intimate partner?
Select one:
A. White Americans
B. African Americans
C. Asians/Pacific Islanders
D. American Indians/Alaska Natives
Statistics on the lifetime rates of victimization by an intimate partner are reported by P. Tjaden and N. Thoennes in Extent, nature and consequences of intimate partner violence: Findings from the National Violence Against Women Study, U. S. Department of Justice, 2000.
a. Incorrect Tjaden and Thoennes report a lifetime rate of victimization by an intimate partner of 24.8% for White females (i.e., 24.8% of White females in their sample reported having been the victim of intimate partner rape, physical assault, or stalking).
b. Incorrect For African American females, these investigators obtained a rate of 29.1%.
c. Incorrect For Asian/Pacific Islander females, Tjaden and Thoennes obtained a rate of 15.0%.
d. CORRECT Tjaden and Thoennes report a lifetime rate for American Indians/Alaska Natives of 37.5%. They note that this higher rate for American Indian/Alaska Native women is consistent with previous research but state that it is not clear whether the rate is actually due to more violent experiences or an increased willingness to report them.
The correct answer is: American Indians/Alaska Natives
Smith, Glass, and Miller’s (1980) use of meta-analysis involved:
Select one:
A. counting the number of psychotherapy outcome studies that found a statistically significant difference between treatment and no-treatment groups.
B. statistically comparing the number of psychotherapy outcomes studies that did and did not find significant treatment effects.
C. determining the average magnitude of the outcome of psychotherapy across a large number of outcome studies.
D. using initial symptom severity and type and duration of treatment to predict average treatment outcome.
Smith et al. combined the results of 475 studies on the effectiveness of psychotherapy (Smith, M. L., Glass, G. V., & Miller, R. L., The benefits of psychotherapy, Baltimore, Johns Hopkins University Press, 1980).
a. Incorrect This response describes the “box score” method, not meta-analysis.
b. Incorrect This response describes using an inferential statistical test to compare outcome data for two groups.
c. CORRECT When using meta-analysis, the outcomes of each study are converted to a common metric - i.e., an effect size - and an average effect size is calculated.
d. Incorrect This response describes multiple regression.
The correct answer is: determining the average magnitude of the outcome of psychotherapy across a large number of outcome studies.
A therapist who believes the therapeutic change process should focus on altering the client’s environment is adopting which of the following approaches?
Select one:
A. alloplastic
B. autoplastic
C. emic
D. etic
To answer this question, you must be familiar with the definitions for the terms listed in the responses.
a. CORRECT Alloplastic refers to changing or adapting to the environment by effecting changes in the environment.
b. Incorrect Autoplastic (“self-change”) refers to changing or adapting to the environment by altering one’s own behaviors or responses.
c. Incorrect Adopting an emic perspective involves focusing on the intrinsic distinctions that are meaningful to members of a particular culture or society.
d. Incorrect Adopting an etic perspective involves focusing on extrinsic distinctions that have meaning for the observer of the culture or society.
The correct answer is: alloplastic
From the perspective of object-relations theory, projective identification is illustrated by which of the following?
Select one:
A. A woman who doesn’t want to own her feelings of love and hate manipulates another person into experiencing them.
B. A child kicks and pushes his mother away from him even though he actually longs for her attention.
C. A man continuously interprets his wife’s behavior as an attempt to “mother” him.
D. A therapist reacts to lower-SES clients in ways consistent with stereotypes she formed during her internship.
Klein introduced the notion of projective identification and defined it as a mechanism that is revealed in fantasies in which the subject inserts the self (in part or whole) into the object in order to possess or control the object. It can be considered a type of projection.
a. CORRECT Projective identification underlies a number of pathological conditions and is responsible for severe difficulties in establishing one’s own identity and in feeling secure enough to establish relationships with others. See, e.g., C. Cooper, Psychodynamic therapy: The Kleinian approach, in W. Dryden (Ed.), Handbook of individual therapy, London, Sage, 1996.
b. Incorrect This is an example of splitting.
c. Incorrect This sounds more like transference.
d. Incorrect This is an example of theme interference.
The correct answer is: A woman who doesn’t want to own her feelings of love and hate manipulates another person into experiencing them.
Ho (1987) and others have recommended the use of a(n) __________ approach when working with African American therapy clients.
Select one:
A. ecostructural
B. solution-focused
C. narrative
D. ethnographic
Ho, Boyd-Franklin, and others recommend that interventions with African-American clients (especially those from low-income backgrounds) incorporate multiple systems including the immediate family, extended family, social service agencies, and church.
a. CORRECT While Boyd-Franklin refers to this approach as a “multisystems model,” Ho uses the term “ecostructural.” See, e.g., M. K. Ho, Family therapy with ethnic minorities, Newbury Park, Sage, 1987.
b. Incorrect See explanation above.
c. Incorrect See explanation above.
d. Incorrect See explanation above.
The correct answer is: ecostructural
A therapist instructs a client who suffers from insomnia to polish his hardwood floors for at least two hours whenever he wakes up during the night. Apparently this therapist is familiar with the work of:
Select one:
A. Luigi Boscolo.
B. Milton Erickson.
C. Salvador Minuchin.
D. Marquis de Sade.
The task described in the question is an example of an “ordeal.”
a. Incorrect Luigi Boscolo is affiliated with the Milan systemic school of family therapy, which is not associated with the use of ordeals.
b. CORRECT For the exam, you should have paradoxical techniques and ordeals associated with Milton Erickson and Jay Haley (who was strongly influenced by Erickson).
c. Incorrect The use of ordeals is more associated with Erickson and Haley than with Minuchin.
d. Incorrect See explanation for response b.
The correct answer is: Milton Erickson.
Melanie Klein considered the actions of children during play therapy to be equivalent to an adult client’s free associations. Anna Freud, in commenting on Klein’s conclusions:
Select one:
A. agreed that play therapy could be used as a substitute for free association.
B. argued that the actions of children during play therapy are better considered a form of “acting out.”
C. argued that the actions of children during play therapy are better interpreted as a form of resistance.
D. concluded that play therapy is counterproductive in the analysis of children.
Anna Freud regarded play therapy as a useful tool in the analysis of children but rejected Klein”s use of play therapy as a substitute for free association.
a. Incorrect See explanation for response b.
b. CORRECT In her paper “Acting Out” (The Writings of Anna Freud, Volume IX), Freud notes that, in pre-latency children, motor actions are the legitimate media of expression and communication of impulses; and, consequently, during that period, play is a form of “acting out.”
c. Incorrect See explanation for response b.
d. Incorrect See explanation for response b.
The correct answer is: argued that the actions of children during play therapy are better considered a form of “acting out.”
As defined in Atkinson, Morten, and Sue’s (1993) Racial/Cultural Identity Development Model, a person who has contradictory appreciating and depreciating attitudes toward both his/her own culture and the dominant (majority) culture is in which of the following stages?
Select one:
A. resistance
B. dissonance
C. conformity
D. disintegration
The stages of Atkinson, Morten, and Sue’s Racial/Cultural Identity Development Model are characterized by different combinations of attitudes toward oneself, one’s own racial/cultural minority group, other minority groups, and the dominant (majority) group.
a. Incorrect The resistance/immersion stage is characterized by a preference for one’s own group.
b. CORRECT The dissonance stage is characterized by conflicting attitudes toward one’s own group and the majority group.
c. Incorrect A person in the conformity stage prefers the dominant group.
d. Incorrect Disintegration is not one of the stages in the Atkinson, Morten, and Sue model.
The correct answer is: dissonance
The various approaches to behavior family therapy differ with regard to goals and strategies but most share a focus on which of the following?
Select one:
A. helping family members develop new meanings for problematic behaviors.
B. using resistance and paradox to alter maladaptive behaviors.
C. altering transactional patterns as a means of fostering insight.
D. enhancing problem-solving and communication skills.
Behavioral approaches to family therapy combine principles of operant conditioning, social learning theory, and social exchange theory.
a. Incorrect See explanation for response d.
b. Incorrect See explanation for response d.
c. Incorrect See explanation for response d.
d. CORRECT Behavioral family therapies focus on observable behaviors and use contingent reinforcement and other behavioral techniques to modify behaviors, especially those related to problem-solving and communication.
The correct answer is: enhancing problem-solving and communication skills.