STUDY-MODE - Practice Exam 6 Flashcards
Some research suggests that racial identity has a greater impact than race itself on the therapeutic process. For instance, studies on African American therapy clients suggest they are most likely to prefer an African American therapist when they are in which stage of identity development?
Select one:
A. pre-encounter
B. immersion
C. internalization
D. autonomy
The stages listed in responses a, b, and c are included in Cross’s Black Racial Identity Development Model.
a. Incorrect During the pre-encounter stage, race has low salience.
b. CORRECT The first half of the immersion-emersion phase is characterized by immersion in African American (ethnic) culture. Not surprisingly, people in this phase usually prefer a therapist of their own ethnicity.
c. Incorrect Internalization-commitment is the final stage of identity development. During this phase, other factors in addition to ethnicity are considered when choosing a therapist.
d. Incorrect Autonomy is not a stage in Cross’s model and, in other models, is most similar to Cross’s internalization phase.
The correct answer is: immersion
Freud argued that the “work of the mental apparatus is directed toward keeping the quantity of excitation low.” If the mental apparatus is unsuccessful in doing so, the result is likely to be which of the following?
Select one:
A. anxiety
B. ego decompensation
C. psychosis
D. object-cathexis
Excessive excitation by the id’s impulses, according to Freud, leads to anxiety.
a. CORRECT The function of the ego’s defense mechanisms, for example, is to keep the conflicts that produce anxiety out of consciousness.
b. Incorrect This is a “made up” term.
c. Incorrect While unresolved anxiety can, from a Freudian perspective, lead to psychosis, this is not necessarily the case and, therefore, is not the best answer.
d. Incorrect Although object cathexis is a psychoanalytic term, it refers to the id’s investment of energy into an object that will satisfy an instinctual need and is not the correct answer to this question.
The correct answer is: anxiety
Sue and his colleagues (2007) distinguish between three forms of racial microaggression. As described by these investigators, __________ is occurring when a White person says to an African-American individual, “When I look at you, I don’t see color” or “There’s only one race, the human race.”
Select one:
A. microassault
B. microinsult
C. microinvalidation
D. microinequity
Microassault, microinsult, and microinvalidation are the three forms of microaggression described by D. W. Sue et al. (Racial microaggressions in everyday life: Implications for clinical practice, American Psychologist, 62, 271-286, 2007).
a. Incorrect Microassaults are “explicit racial derogations characterized primarily by a violent verbal or nonverbal attack meant to hurt the intended victim through name-calling, avoidant behavior or purposeful discriminatory actions” (p. 278).
b. Incorrect Microinsults are “remarks or comments that convey rudeness, insensitivity and demean a person’s racial heritage or identity” (p. 278).
c. CORRECT Microinvalidation refers to “verbal comments or behaviors that exclude, negate, or nullify the psychological thoughts, feelings, or experiential reality of a person of color” (p. 278). “Color blindness” is a type of microinvalidation.
d. Incorrect Microinequity is not one of the three forms of microaggression described by Sue et al.
The correct answer is: microinvalidation
When conducting Seligman’s Positive Psychotherapy (PPT), a client is asked to keep a daily journal in which he/she lists:
Select one:
A. three good things that happened each day.
B. three good and three bad things that happened each day.
C. his/her thoughts about the good and bad things that happened each day.
D. at least one positive activity that he/she will engage in the following day.
Knowing that the name of the daily journal is the blessings (gratitude) journal may have helped you identify the correct answer to this question. See, e.g., M. E. P. Seligman, T. Rashid, and A. C. Parks, Positive psychotherapy, American Psychologist, 61, 774-788, 2006.
a. CORRECT Although Positive Psychotherapy does not entirely ignore negative events, as its name implies, it focuses primarily on positive events.
b. Incorrect See explanation above.
c. Incorrect See explanation above.
d. Incorrect See explanation above.
The correct answer is: three good things that happened each day.
As defined by Alfred Adler, __________ refers to a person’s goals and the ways in which he or she attempts to achieve those goals.
Select one:
A. homeostasis
B. success identity
C. self-actualization
D. style of life
When preparing for exam questions from the area of Clinical Psychology, a good strategy is to associate key concepts and terms with each of the major theories and theorists.
a. Incorrect Homeostasis refers to the tendency for a system (e.g., a family system) to maintain its current level of functioning.
b. Incorrect In reality therapy, a person has adopted a success identity when he or she fulfills his or her needs in responsible way.
c. Incorrect The term “self-actualization” is used by several theorists. As defined by Rogers, it refers to an internal biological force that serves as a major source of motivation and guides the individual toward positive, healthy growth.
d. CORRECT Adler believed that each person has a unique set of goals and ways for achieving goals, which he referred to as the person’s style of life. According to Adler, a person’s style of life is fairly well established by 4 or 5 years of age.
The correct answer is: style of life
With regard to power in the client-therapist relationship, a feminist therapist would most likely:
Select one:
A. recognize that her power stems primarily from her ability to serve as a role-model.
B. acknowledge the power differential inherent in the relationship but view it as a temporary condition.
C. initially foster her position of power so as to maximize her influence.
D. regard power a “non-issue” because feminist therapists consider the therapeutic relationship to be egalitarian.
A key feature of feminist therapy is its promotion of an egalitarian approach.
a. Incorrect Although the therapist is viewed as a role model by many feminist therapists (and their clients), feminist therapists attempt to minimize the power differential inherent in the therapeutic relationship.
b. CORRECT This issue is addressed by M. A. Douglas in her chapter entitled “The Role of Power in Feminist Therapy: A Reformulation” [in L. B. Rosewater and L. E. A. Walker (Eds.), Handbook of feminist therapy: Woman’s issues in psychotherapy, New York: Springer, 1985]. According to Douglas, the power differential inherent in the therapeutic relationship should, first of all, be acknowledged. It should also be viewed as temporary since the goal of therapy will be to terminate the relationship and/or to readjust the relationship so that it is more egalitarian. Douglas stresses the importance of minimizing the power differential inherent in the therapeutic relationship.
c. Incorrect See explanation for response b.
d. Incorrect Feminist therapists acknowledge the power differential inherent in the therapeutic relationship and view it as an issue that must be dealt with.
The correct answer is: acknowledge the power differential inherent in the relationship but view it as a temporary condition.
A therapist is most likely to say that which of the following is the most stressful type of client behavior?
Select one:
A. threats of a malpractice suit
B. demands for time and attention
C. suicidal statements
D. a lack of gratitude
Therapists experience stress and burnout for several reasons. Not surprisingly, the most difficult situation–i.e., the one requiring an immediate response–is the one that is associated with the greatest stress.
a. Incorrect See explanation for response c.
b. Incorrect See explanation for response c.
c. CORRECT Surveys of therapists have revealed that suicidal ideation and threats are considered the most stress-producing client behaviors.
d. Incorrect See explanation for response c.
The correct answer is: suicidal statements
Which of the following approaches in family therapy encourages the therapist to develop a “therapeutic triangle” with family members?
Select one:
A. extended family systems therapy
B. communication/interaction family therapy
C. adaptive family therapy
D. strategic family therapy
In extended family systems theory, one therapeutic technique involves creating a therapeutic triangle in which the therapist actively interacts with two family members during the treatment process. The goal is to shed light on and reduce the fusion that exists between family members.
a. CORRECT Bowen’s extended family systems therapy encourages the therapist to become a member in a therapeutic triangle with two family members (usually the spouses/partners).
b. Incorrect In communication/interaction family therapy, the therapist serves as a facilitator and teacher.
c. Incorrect Adaptive family therapy is a “made up” term.
d. Incorrect Although strategic family therapy involves an active therapist, the role of the therapist is to assess the problems, not to become a member of the family’s triangles.
The correct answer is: extended family systems therapy
According to Atkinson, Morten, and Sue’s (1993) Racial/Cultural Identity Development Model, the resistance and immersion stage is characterized by:
Select one:
A. a preference for the dominant group and resistance to being considered a member of a minority group.
B. conflicting attitudes toward both the dominant group and one’s own group.
C. rejection of the dominant group and preference for one’s own group.
D. active participation in efforts to promote social change that will benefit one’s group.
The Racial/Cultural Identity Development Model distinguishes between five stages of identity development: conformity, dissonance, resistance and immersion, introspection, and integrative awareness.
a. Incorrect Preference for the dominant group is characteristic of the conformity stage.
b. Incorrect This best describes the dissonance stage.
c. CORRECT During the resistance and immersion stage, the individual actively resists the dominant cultural group and becomes immersed in his/her own culture.
d. Incorrect This describes the internalization stage of Cross’s Nigrescence model.
The correct answer is: rejection of the dominant group and preference for one’s own group.
Research on the use of cognitive-behavioral therapy with older adults has found that it is:
Select one:
A. less effective than cognitive-behavioral therapy for younger adults and, consequently, is generally contraindicated.
B. usually most effective when it is conducted at a slower pace and at higher levels of abstraction.
C. usually most effective when it is short- (versus long) term and conducted at lower levels of abstraction.
D. usually most effective when it focuses on replacing negative cognitions with positive ones and on the present rather than on the past.
The research has generally found that older adults benefit from cognitive-behavioral therapies and other forms of therapy to the same degree as do younger adults. However, the effectiveness of therapy with older adults may be enhanced when certain modifications to therapy are made. See, e.g., B. G. Knight and D. Satre, Cognitive behavioral therapy with older adults, Clinical Psychology: Science & Practice, 62(2), 188-203, 1999.
a. Incorrect Cognitive-behavioral therapy has been found to be an effective treatment for older adults for a variety of disorders including depression, anxiety, and insomnia and for coping with physical disability, chronic pain, and grief.
b. CORRECT Knight and Satre note that older adults generally benefit most from cognitive-behavior therapies when therapy is presented at a slower pace and is conducted at an abstract level (i.e., at a level that focuses on schemas and relationship scripts rather than on simple cognitions).
c. Incorrect This is the opposite of what is true. Because many of the problems faced by older adults are chronic, they are more likely to benefit from long-term interventions.
d. Incorrect This is also the opposite of what is true. The emotions of older adults are generally more complex than those of younger adults, and emotional reactions to events often consist of a mixture of positive and negative emotions. Consequently, it is usually best to focus on both the positive and negative connotations of emotions in therapy. In addition, allotting some time in therapy for older adults to reminisce about the past (rather than focusing only on the present) is beneficial.
The correct answer is: usually most effective when it is conducted at a slower pace and at higher levels of abstraction.
From the perspective of Prochaska and DiClemente’s (1984) transtheoretical model of change, the failures of treatment programs for cigarette smoking are often due to the fact that:
Select one:
A. the majority of smokers are not ready to change.
B. cigarette-smoking is self-reinforcing and difficult to extinguish.
C. nicotine addiction has a genetic component.
D. interventions do not address the environmental cues that trigger relapse.
The Prochaska and DiClemente model describes six stages of change: precontemplation, contemplation, preparation, action, maintenance, and termination. Additional information about these stages is provided in the Clinical Psychology chapter of the written study materials.
a. CORRECT Research by Prochaska and colleagues has shown that a majority of individuals with addictions are in the precontemplation or contemplation stage and, therefore, are ambivalent about change. For these individuals, most interventions will be unsuccessful.
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: the majority of smokers are not ready to change.
According to Cross (2001), an African American adult in which of the following stages of identity development is likely to say that racial discrimination is not a contributor to his problems and that he prefers to see a White therapist?
Select one:
A. disintegration
B. pre-encounter
C. emersion
D. pseudo-independence
Cross’s Black Racial (Nigrescence) Identity Development Model distinguishes between four stages: pre-encounter, encounter, immersion/emersion, and internalization.
a. Incorrect See explanation for response b.
b. CORRECT According to Cross, race has low salience for individuals in the pre-encounter phase. People in this stage are likely to deny the impact of racial oppression and prefer a White therapist.
c. Incorrect See explanation for response b.
d. Incorrect See explanation for response b.
The correct answer is: pre-encounter
A therapist relying on a solution-focused family therapy approach would be most interested in which of the following?
Select one:
A. miracle and scaling questions
B. boundary disturbances
C. joining and mimesis
D. schism and skew
If you are unfamiliar with solution-focused therapy, you may have been able to choose the correct answer to this question through the process of elimination.
a. CORRECT Solution-focused therapists use various types of questions to identify solutions to a client’s problems. The miracle question involves asking what the individual would notice first if, as the result of a miracle, his/her problem is suddenly gone. Scaling questions are used to determine how a client currently feels.
b. Incorrect Boundary disturbances are of concern to Gestalt psychologists.
c. Incorrect Joining and mimesis are techniques used by structural family therapists.
d. Incorrect Marital schism and skew are terms used by Theodore Lidz to describe dysfunctional marital relationships.
The correct answer is: miracle and scaling questio
A man who smokes two packs a day says he has decided to stop smoking the day after his birthday, which is two weeks away. According to Prochaska and DiClemente (1992), this man is in which of the following stages of the change process?
Select one:
A. precontemplation
B. contemplation
C. preparation
D. action
Prochaska and DiClemente (1992) distinguish between six stages in the change process. These include the four listed in the responses plus maintenance and termination stages.
a. Incorrect During this stage, the individual has little insight into the need for change.
b. Incorrect In the contemplation stage, the person is aware of the need for change and is considering change but has not yet committed to it.
c. CORRECT In the preparation stage, the person has a clear intent to take action in the near future.
d. Incorrect In the action stage, the person actually takes steps to bring about change. (In the maintenance stage, he/she consolidates the change and takes steps to prevent relapse.)
The correct answer is: preparation
In discussing a depressed client, a therapist says the client’s problems are due to the fact that she did not experience normal grief following the death of her mother three years ago. He says that the focus of treatment will be on helping the client go through the grieving process and restore her interests and friendships so that she can overcome her loss. Apparently, this therapist is a practitioner of:
Select one:
A. rational-emotive therapy.
B. interpersonal therapy.
C. object-relations therapy.
D. reality therapy.
Although a client’s unresolved grief would be a focus of many forms of treatment, only one of the therapies listed explicitly defines grief as a treatment target.
a. Incorrect See explanation for response b.
b. CORRECT Interpersonal therapy (IPT) defines four key problem areas presented by depressed patients:
grief
interpersonal role disputes
role transition and
interpersonal deficits.
These areas are the primary targets of therapy.
c. Incorrect See explanation for response b.
d. Incorrect See explanation for response b.
The correct answer is: interpersonal therapy.
For gay and lesbian adolescents, the primary presenting problem at social service agencies is:
Select one:
A. suicidal ideation.
B. drug or alcohol abuse.
C. social and emotional isolation.
D. academic problems.
Gay and lesbian adolescents face similar problems as their heterosexual peers. However, their identity development is also complicated by stigmatization and a lack of role models.
a. Incorrect See explanation for response c.
b. Incorrect See explanation for response c.
c. CORRECT Isolation is frequently cited as a primary problem for gay and lesbian adolescents, and one study found it to be the single-most frequent presenting problem (A. D. Martin and E. S. Hetrick, The stigmatization of the gay and lesbian adolescent, Journal of Homosexuality, 15(1-2), 163-183, 1988).
d. Incorrect See explanation for response c.
The correct answer is: social and emotional isolation.
Members of an outpatient therapy group are likely to rank which of Yalom’s therapeutic factors as most important?
Select one:
A. interpersonal input, catharsis, cohesiveness, and self-understanding
B. self-understanding, universality, identification, and instillation of hope
C. family re-enactment, catharsis, altruism, and interpersonal input
D. interpersonal input, interpersonal output, universality, and identification
In his book, The Theory and Practice of Group Therapy, Yalom (1970) distinguishes between 12 therapeutic (curative) factors and discusses the results of research examining the importance of these factors for group therapists and for group therapy members.
a. CORRECT Although the results vary somewhat from study to study, these four factors are usually the most highly rated ones by group therapy members.
b. Incorrect Identification is usually among the factors that are rated least important.
c. Incorrect Family re-enactment is also rated as less important by group members.
d. Incorrect As noted above, identification is not rated as being particularly important by group members.
The correct answer is: interpersonal input, catharsis, cohesiveness, and self-understanding
According to the Health Belief Model, health behavior is related to:
Select one:
A. a combination of information, motivation, and behavioral skills.
B. perceived severity, perceived susceptibility, and perceived benefits.
C. habit.
D. intentions and perceived norms.
Several models have been developed to predict when people will act in ways that benefit their health.
a. Incorrect These are components of the Information-Motivation-Behavioral Skills model of AIDS prevention.
b. CORRECT The Health Belief Model is based on the premise that perceived severity of consequences, perceived susceptibility to consequences, and perceived benefits of preventive behavior all contribute to health behavior.
c. Incorrect Habit is not a component of the Health Belief Model.
d. Incorrect This sounds more like the Theory of Reasoned Action.
The correct answer is: perceived severity, perceived susceptibility, and perceived benefits.
An existential therapist is most likely to describe “existential anxiety” as:
Select one:
A. the result of unresolved intrapsychic conflicts.
B. a potential stimulus for growth.
C. the result of a boundary disturbance.
D. a manifestation of incongruence between self and experience.
Existential therapists view anxiety as an inevitable condition of life and distinguish between normal and neurotic anxiety.
a. Incorrect This is more consistent with the Freudian view of anxiety.
b. CORRECT For existential therapists, neurotic anxiety is out of proportion to the situation and can be immobilizing. In contrast, normal (existential) anxiety can serve as a source of motivation to change.
c. Incorrect According to Gestalt psychologists, boundary disturbances are a source of neurotic behavior.
d. Incorrect This answer is consistent with Carl Rogers’s view of anxiety.
The correct answer is: a potential stimulus for growth.
A practitioner of Rogers’s client-centered therapy would use the Q-sort technique to:
Select one:
A. facilitate identifying a client’s diagnosis.
B. help the client identify specific therapy goals.
C. help identify solutions to a client’s presenting problems.
D. evaluate a clients progress in therapy.
The Q-sort technique involves rank-ordering descriptive statements that are printed on separate cards. It requires the sorter to distribute the cards into a fixed number of piles along a continuum (for example, a continuum ranging from “not at all characteristic of me” to “extremely characteristic of me”) and to do so in a way so that the piles create a normal distribution. In therapy, this technique is often used to evaluate a client’s self-perceptions.
a. Incorrect See explanation for response d.
b. Incorrect See explanation for response d.
c. Incorrect See explanation for response d.
d. CORRECT Rogers used the Q-sort technique to evaluate therapy progress by evaluating a client’s degree of congruence between his/her self and ideal self. This involved having the client first sort the cards in terms of how well they describe the client’s current self and then in terms of his/her ideal self. The more similar the two sorts, the greater the congruence between the self and ideal self.
The correct answer is: evaluate a clients progress in therapy.
In treating a client, a practitioner of Reality Therapy would most likely be interested in which of the following?
Select one:
A. the client’s sense of responsibility and needs for power, freedom, and belongingness
B. the client’s cognitive distortions (e.g., selective inattention, misperceptions)
C. the nature of the client’s ego state pathology
D. the client’s level of “response-ability”
Reality Therapy emphasizes fulfilling one’s needs in a responsible way.
a. CORRECT For practitioners of Reality Therapy, behavior is motivated primary by biological and psychological needs (e.g., needs for belongingness, power, and freedom). The ability to fulfill one’s needs in a way that doesn’t deprive others of the ability to do the same (i.e., in a responsible way) is the goal of therapy.
b. Incorrect This sounds more like cognitive therapy.
c. Incorrect This sounds more like Transactional Analysis.
d. Incorrect This is a goal of Gestalt therapy. It refers to the ability to act, decide, choose, and otherwise respond.
The correct answer is: the client’s sense of responsibility and needs for power, freedom, and belongingness
Which of the following information-processing strategies is characteristic of the reintegration status of Helms’s (1995) White Racial Identity Development Model?
Select one:
A. suppression of information and ambivalence
B. obliviousness and denial
C. flexibility and complexity
D. selective perception and negative out-group distortion
Helms’s (1995) White Racial Identity Development Model distinguishes between six stages or statuses:
- contact (Obliviousness and denial are characteristic of the contact status.)
- disintegration (Suppression of information and ambivalence are characteristic of the disintegration status)
- reintegration (A combination of selective perception and negative out-group distortion is characteristic.)
- pseudo-independence
- immersion-emersion
- autonomy (Flexibility and complexity are characteristic of the autonomy status.)
Each status is characterized by a different information-processing strategy (IPS), which are the methods the individual uses to reduce discomfort related to racial issues.
a. Incorrect Suppression of information and ambivalence are characteristic of the disintegration status.
b. Incorrect Obliviousness and denial are characteristic of the contact status.
c. Incorrect Flexibility and complexity are characteristic of the autonomy status.
d. CORRECT The combination of selective perception and negative out-group distortion is characteristic of the reintegration status. A person in this stage attempts to resolve moral conflicts about racism by idealizing White society and denigrating members of minority groups.
The correct answer is: selective perception and negative out-group distortion
The traditional Hawaiian practice of ho’oponopono is best described as a:
Select one:
A. primary prevention.
B. family intervention.
C. type of individual psychotherapy.
D. method for promoting relaxation.
Being a culturally competent practitioner requires being familiar with indigenous healing practices that might be appropriate for culturally diverse clients.
a. Incorrect See explanation for response b.
b. CORRECT Ho’oponopono (“setting it right”) is a traditional Hawaiian spiritual healing ritual for restoring harmony among family members by resolving a current conflict or other interpersonal problem. It is a structured process that is led by a senior family member or other respected elder and incorporates prayer, discussions aimed at identifying and resolving the problem, and a closing ceremony.
c. Incorrect See explanation for response b.
d. Incorrect See explanation for response b.
The correct answer is: family intervention.
From the perspective of structural family therapy, triangulation, parent-child coalition, and detouring are:
Select one:
A. methods for establishing clearer boundaries.
B. methods for maintaining homeostasis.
C. types of positive feedback.
D. attempts to increase intimacy.
As its name implies, structural family therapy focuses on the family structure, especially its boundaries. Also, like many other forms of family therapy, it is based on systems theory.
a. Incorrect Although boundaries are important in structural family therapy, the phenomena listed in the question do not always create “clearer boundaries.”
b. CORRECT The function of these three processes is to reduce conflict or stress and thereby maintain the status quo.
c. Incorrect These phenomena are probably better conceptualized as sources of negative feedback since their function is to maintain a state of homeostasis.
d. Incorrect This is not the function of these processes as defined by Minuchin.
The correct answer is: methods for maintaining homeostasis.