STUDY-MODE - Practice Exam 7 Flashcards
A Jungian “archetype” is best described as:
Select one:
A. an organized constellation of feelings, thoughts, and perceptions.
B. a structural component of the collective unconscious.
C. the “mask” adopted by a person in response to social demands.
D. a significant event that occurred during childhood.
According to Carl Jung, the psyche consists of a number of different, but interrelated, elements. For Jung, the major division in the psyche is between the personal unconscious and the collective (transpersonal) unconscious, with each containing unique elements.
a. Incorrect This better describes Jung’s notion of “complexes” (e.g., mother complex), which exist in the personal unconscious.
b. CORRECT An archetype is a universal thought form that is deposited in the mind when an experience has been constantly repeated for many generations. Numerous archetypes reside in the collective unconscious, including the archetypes of birth, death, the earth mother, and the wise old man.
c. Incorrect This best describes the “persona,” which is acquired in response to social demands as well as archetypal needs.
d. Incorrect This is not an accurate description of archetypes.
The correct answer is: a structural component of the collective unconscious.
When working with Native American/Alaskan Native clients, an effective intervention would involve coordination with traditional healers (if appropriate), incorporation of members of the extended family, and a(n):
Select one:
A. insight-oriented approach.
B. reality therapy or a solution-focused approach.
C. combination of client-centered and behavioral approaches.
D. combination of Adlerian and rational-emotive approaches.
Answer C is correct. There is some disagreement among the experts about the optimal therapeutic approach for members of this population; however, it depends on several factors including the client’s level of acculturation. D. W. Sue and D. Sue (Counseling the culturally different, New York, John Wiley & Sons, 1999) recommend a combination of client-centered and behavioral approaches.
The correct answer is: combination of client-centered and behavioral approaches.
The primary target of “advocacy consultation” is best described as:
Select one:
A. worker well-being.
B. the child’s best interests.
C. interpersonal conflicts.
D. social change.
Advocacy consultation, unlike other consultation modes, focuses on social systems rather than individuals or small groups.
a. Incorrect See explanation for response d.
b. Incorrect See explanation for response d.
c. Incorrect See explanation for response d.
d. CORRECT As noted by J. C. Conoley (Consultation in schools: Theory, research, procedures, Academic Press, New York, 1981), a distinctive characteristic of advocacy consultation is that it is based on an “explicit value orientation that targets social change in the direction of power equalization” (p. 162).
The correct answer is: social change.
A practitioner of nonsexist therapy:
Select one:
A. interprets a client’s behavior in terms of social, political, and cultural forces.
B. stresses the egalitarian nature of the therapeutic relationship.
C. views gender as a key determinant of behavior.
D. uses non-biased techniques designed to promote personal growth.
Nonsexist therapy and feminist therapy share several characteristics. For the exam, you want to be familiar with their major similarities and differences, which are described in the Clinical Psychology chapter of the written study materials.
a. Incorrect This is characteristic of feminist therapy but not nonsexist therapy.
b. Incorrect A nonsexist therapist may or may not emphasize an egalitarian relationship depending on his/her theoretical orientation. Therefore, this is not the best answer.
c. Incorrect For nonsexist therapists, gender is only one of many personal characteristics that affect behavior and are relevant to counseling.
d. CORRECT Of the answers given, this is the best one. As its name implies, nonsexist therapy involves using nonsexist (unbiased) techniques. In addition, its focus is on personal growth.
The correct answer is: uses non-biased techniques designed to promote personal growth.
Among the groups listed below, admission rates for psychiatric hospitalization are highest for which of the following?
Select one:
A. never married men
B. married men
C. divorced men
D. widowers
Of the choices given, never married men have the highest rate of psychiatric hospitalization for both men and women. Other factors to consider for admission rates include age (with the highest proportion between age 25 to 44) and race (with whites representing the largest number of psychiatric inpatients).
a. CORRECT This is the correct response. See the Clinical Psychology chapter for additional information on psychiatric hospitalization rates.
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: never married men
A family therapist using Minuchin’s structural approach is most likely to be interested in which of the following?
Select one:
A. communication styles
B. transgenerational processes
C. boundaries
D. exceptions
As its name implies, Minuchin’s structural family therapy focuses on the structural characteristics of the family.
a. Incorrect Although communication patterns provide clues about family structure, this is not the best response of those given.
b. Incorrect This sounds more like Bowenian family therapy.
c. CORRECT Minuchin considered maladaptive behavior to be the result of overly rigid or permeable boundaries between family members.
d. Incorrect Exceptions are of interest to solution-focused therapists.
The correct answer is: boundaries
In structural family therapy, “joining” depends on:
Select one:
A. the motivation of family members to change.
B. the permeability of the boundaries between family members.
C. the therapist’s ability to remain neutral.
D. the therapist’s ability to adapt to the family.
As described by Minuchin, joining is both a diagnostic and restructuring technique. It involves relating to family members and the family system by, for example, adopting its communication style.
a. Incorrect See explanation for response d.
b. Incorrect See explanation for response d.
c. Incorrect See explanation for response d.
d. CORRECT In order to join the family, the therapist must be able to adapt or accommodate to its style.
The correct answer is: the therapist’s ability to adapt to the family.
As defined by Carl Jung, individuation refers to:
Select one:
A. being able to separate one’s intellectual and emotional functioning.
B. differentiating between self and object.
C. experiencing a state of anonymity.
D. integrating parts of the self to create a unique identity.
For the exam, you want to be familiar with all of the terms that are referred to in the four answers to this question.
a. Incorrect This answer describes Bowen’s concept of differentiation. According to Bowen, the greater a person’s differentiation, the better able he/she is to resist becoming emotionally fused with other family members.
b. Incorrect This answer refers to Mahler’s separation-individuation phase of early development.
c. Incorrect This describes deindividuation which is used to explain why a person may be more willing to act aggressively or in other uncharacteristic ways when acting as a member of a group than when acting alone.
d. CORRECT As defined by Jung, individuation is the goal of psychological development and involves integrating the conscious and the unconscious elements of the psyche.
The correct answer is: integrating parts of the self to create a unique identity.
William Cross (1971, 1991) used which of the following terms to describe the transformational process that involves a shift from a non-Afrocentric to an Afrocentric identity? Select one:
A. Afrocentrism
B. nigrescence
C. integrative awareness
D. racination
Knowing the original name of Cross’s Black Racial Identity Development Model - i.e., the Nigrescence Identity Development Model - would have helped you identify the correct answer to this question.
a. Incorrect Afrocentrism refers to a worldview that emphasizes Africa and African people, especially in terms of their influence on culture and history.
b. CORRECT Cross (1971) originally used the French term for “turning black” (i.e., nigrescence) as the name for his identity development model, and he described Black identity development as involving a transformation from a pre-existing non-Afrocentric identity to an Afrocentric identity.
c. Incorrect Integrative awareness is the final stage in Atkinson, Morten, and Sue’s (1998) Racial/Cultural Identity Development Model.
d. Incorrect The term racination is sometimes used to describe the reverse of deracination, which refers to removing or displacing someone or something from its natural environment.
The correct answer is: nigrescence
The most common informal caregivers for older adults with chronic health conditions are family members. More specifically, the most common primary caregiver is:
Select one:
A. the spouse or adult daughter.
B. the adult daughter or son.
C. a same-gender sibling.
D. another relative.
The most common informal caregiver depends on the availability of family members and the gender of the individual requiring caregiving. However, some generalizations can be drawn from the research.
a. CORRECT The research has found that the spouse is the most common primary caregiver, with the children adopting a secondary role. However, when there is no spouse, a daughter is most likely to assume the role of primary caregiver. See, e.g., S. H. Zarit and D. J. Eggebeen, Parent-child relationships in adulthood and later years, in M. H. Bornstein (Ed.), Handbook of parenting: Children and parenting (Vol. 1, pp. 135-164), Hillsdale, NJ, Lawrence Erlbaum, 2002.
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 spouse or adult daughter.
Which of the following would probably be LEAST useful when a therapist is working with an Asian or Asian American client?
Select one:
A. identifying therapy goals during the initial session
B. establishing an egalitarian relationship with the client early in therapy
C. making use of “relationship questions” that elicit information about the client’s interactions with others
D. asking the client to try to identify exceptions to the presenting problem
It is “dangerous” to make generalizations about the best treatment approach for any group of clients, but the licensing exam may include a question that requires you to do so.
a. Incorrect A direct approach that focuses on specific goals is considered useful for Asian American clients.
b. CORRECT An egalitarian relationship is usually contraindicated because of “the Asian norms of deference to authority and modesty in the presence of superiors” (H. Kitano and M. Maki, Continuity, change, and diversity, in P. B. Pedersen, et al., Counseling across cultures, Thousand Oaks, Sage Publ., 1995).
c. Incorrect Focusing on relationships is a good approach.
d. Incorrect Identifying strengths is also useful.
The correct answer is: establishing an egalitarian relationship with the client early in therapy
First-and second-grade children who have been identified as being at risk for academic underachievement are provided with a special after-school program. This is an example of:
Select one:
A. primary prevention.
B. secondary prevention.
C. tertiary prevention.
D. crisis intervention.
Interventions aimed at identified individuals that have as their goal the reduction of the severity and/or prevalence of a disorder are categorized as secondary preventions.
a. Incorrect As defined by many authorities, primary preventions are aimed at populations rather than at specific individuals who have been identified as being at-risk.
b. CORRECT Since the school program is being given to identified individuals (children who have been identified as being at risk for academic problems), this qualifies as a form of secondary prevention.
c. Incorrect Tertiary preventions are more rehabilitative in nature.
d. Incorrect Clearly, this program is not a form of crisis intervention.
The correct answer is: secondary prevention.
Polly Pathos is seeing Dr. Genial for her depressive symptoms. As a practitioner of Interpersonal Therapy (IPT), Dr. Genial will most likely:
Select one:
A. help Polly gain insight into how interpersonal experiences during childhood are contributing to Polly’s problems in the present.
B. focus on clarifying how Polly’s current relationships and her expectations about them are contributing to her symptoms.
C. have Polly participate in a family therapy group that targets the dysfunctional interaction patterns that contribute to symptoms.
D. help Polly identify and understand how interpersonal “schemas” are inhibiting her ability to actualize her full potential.
Interpersonal Therapy is a brief form of therapy that was originally developed as a treatment for depression but has since been applied to other disorders.
a. Incorrect See explanation for response b.
b. CORRECT The focus of interpersonal therapy is on the link between current interpersonal problems and depressive symptoms. Interpersonal therapy targets one or more of the following areas: grief, interpersonal role disputes, role transitions, interpersonal deficits.
c. Incorrect See explanation for response b.
d. Incorrect See explanation for response b.
The correct answer is: focus on clarifying how Polly’s current relationships and her expectations about them are contributing to her symptoms.
Research on the use of hypnosis to recover repressed memories suggests that:
Select one:
A. memories recalled under hypnosis are both more accurate and more detailed than other memories.
B. memories recalled under hypnosis are about as reliable as other memories.
C. memories recalled under hypnosis are less reliable than other memories and may be more susceptible to distortion.
D. memories recalled under hypnosis are almost always confabulated.
It has been difficult to check the accuracy of “repressed memories” that have been retrieved under hypnosis, and there is not a great deal of empirical research on this topic. However, the research on memory suggests that memories are often constructed (or reconstructed) to some degree rather than simply recalled and that hypnosis can exacerbate this process.
a. Incorrect See explanation for response c.
b. Incorrect See explanation for response c.
c. CORRECT This is the best conclusion that can be drawn about repressed memories retrieved under hypnosis. While some memories may be accurate, care must be taken in accepting memories retrieved under hypnosis since hypnosis seems to make people particularly susceptible to suggestion and to believing that false memories are, in fact, true.
d. Incorrect See explanation for response c.
The correct answer is: memories recalled under hypnosis are less reliable than other memories and may be more susceptible to distortion.
From the perspective of Gestalt therapy, an optimal “contact boundary” is semipermeable and coterminous with the actual self. Introjection is one type of boundary disturbance. It occurs when:
Select one:
A. the contact boundary is located far in the environment.
B. the contact boundary is located deep within the self.
C. the contact boundary is turned back against the self.
D. the contact boundary is extremely rigid.
Introjection occurs when a person incorporates aspects of another person into him/herself.
a. Incorrect This is projection.
b. CORRECT The boundary is located inside one, thereby allowing others to be incorporated into the self.
c. Incorrect This is retroflection.
d. Incorrect This is deflection.
The correct answer is: the contact boundary is located deep within the self.
According to Helms’s White Identity Development Model, the reintegration stage is characterized by:
Select one:
A. a realization that whites have a responsibility for racism.
B. adoption of a “culture-blind” perspective.
C. embracing white identity while rejecting racist views of minorities.
D. adopting a belief in white superiority and minority inferiority.
Helms’s model of White identity development includes six statuses:
CDRPIA
- contact
- disintegration
- reintegration (Adopting a belief in white superiority and minority inferiority.)
- pseudo-independence
- immersion-emersion (A realization that whites have a responsibility for racism.) (Embracing white identity while rejecting racist views of minorities.)
- autonomy.
a. Incorrect This is more characteristic of immersion-emersion and autonomy statuses.
b. Incorrect This is not characteristic of any of the stages described by Helms.
c. Incorrect This is characteristic of immersion-emersion status.
d. CORRECT The disintegration phase, which is marked by considerable conflict, may be resolved by adopting traditional racist views, which in turn characterizes the reintegration phase.
The correct answer is: adopting a belief in white superiority and minority inferiority.
According to Margaret Mahler’s object relations theory, the development of a sense of self is the result of a separation-individuation process that begins at about _____ months of age.
Select one:
A. 2 to 3
B. 4 to 5
C. 8 to 10
D. 12 to 14
Mahler distinguishes between two phases that contribute to the development of a unique sense of self: symbiosis and separation-individuation.
a. Incorrect An infant is in the symbiosis phase at this age.
b. CORRECT Separation-individuation is triggered by the child’s ability to separate from his/her primary caregiver. The process begins at about 4 to 5 months of age when a child who is being held by his/her caregiver is able to lean away to scan the environment.
c. Incorrect This age is very important for the separation-individuation process because the child is now able to crawl away from his/her caregiver. However, the process begins prior to 8 to 10 months of age.
d. Incorrect See explanation above.
The correct answer is: 4 to 5
When working with older adults, it is important to remember that:
Select one:
A. psychotherapy, especially insight-oriented therapy, is generally ineffective.
B. there is greater variability among older people than younger people on a range of characteristics.
C. a therapeutic alliance is particularly difficult to establish, especially when the therapist is young.
D. all of the above.
When working with older adults, it is important to remember that there is greater variability among older people than younger people on a range of characteristics (physical health, cognitive skills, income, etc.).
a. Incorrect See explanation above.
b. CORRECT See explanation above. Additional information about providing therapy to older adults is provided in the Clinical Psychology chapter of the written study materials.
c. Incorrect See explanation above.
d. Incorrect See explanation above.
The correct answer is: there is greater variability among older people than younger people on a range of characteristics.
George Kelly is associated with which of the following?
Select one:
A. Reality Therapy
B. Personal Construct Therapy
C. Existential Therapy
D. Solution Focused Therapy
George Kelly developed Personal Construct Therapy (PCT) in the 1950s as both a theory of personality and approach to therapy.
a. Incorrect See explanation for response b.
b. CORRECT Personal Construct Therapy (also known as “constructive alternativism”) is based on the premise that people construe (construct) their own experiences. His approach was very influential in the development of narrative-constructivist approaches to therapy. Additional information about Personal Construct Therapy is provided in the Clinical Psychology chapter of the written study materials.
c. Incorrect See explanation for response b.
d. Incorrect See explanation for response b.
The correct answer is: Personal Construct Therapy
Research comparing the use of mental health services by heterosexual adults and gay/lesbian adults has generally found that:
Select one:
A. gay men are more likely than heterosexual men to use mental health services, but lesbian women are less likely than heterosexual women to do so.
B. lesbian women are more likely than heterosexual women to use mental health services, but gay men are less likely than heterosexual men to do so.
C. gay men and lesbian women are more likely than their heterosexual counterparts to use mental health services.
D. gay men and lesbian women are less likely than their heterosexual counterparts to use mental health services.
A number of studies have confirmed a disparity in mental health service use by heterosexual adults and gay/lesbian adults.
a. Incorrect See explanation for response c.
b. Incorrect See explanation for response c.
c. CORRECT A frequently cited investigation of mental health service use by gay and lesbian adults was conducted by S. D. Cochran, J. G. Sullivan, and V. M. Mays [Presence of mental disorders, psychological distress, and mental health service use among lesbian, gay, and bisexual adults in the United States, Journal of Consulting and Clinical Psychology, 71(1), 53-64, 2003]. Their results (which have been subsequently replicated by several other researchers) indicated that gay and lesbian adults have higher levels of perceived need for mental health services and are more likely to use mental health services.
d. Incorrect See explanation for response c.
The correct answer is: gay men and lesbian women are more likely than their heterosexual counterparts to use mental health services.
When working with an African American client exhibiting “healthy cultural paranoia,” an Anglo therapist would be best advised to:
Select one:
A. refer the client to an African American therapist.
B. use a culturally sensitive approach that ameliorates the client’s paranoia.
C. help the client bring feelings of suspiciousness, frustration, and antipathy toward whites into conscious awareness.
D. help the client understand that his/her behavior is manifestation of resistance.
C. R. Ridley presents a “typology of black client self-disclosure,” which relates the willingness to self-disclose to four levels of “paranoia”: intercultural nonparanoic disclosure; functional paranoiac; healthy cultural paranoiac; and confluent paranoiac (Clinical assessment of the nondisclosure of the black client, American Psychologist, 39(11), 1234-1244, 1984).
a. Incorrect This is probably the best course of action, according to Ridley, for the confluent paranoiac but isn’t necessary for the individual experiencing healthy cultural paranoia.
b. Incorrect This isn’t the best response since healthy cultural paranoia may not need to be “ameliorated.”
c. CORRECT Ridley recommends that therapists confront the meaning of the client’s cultural paranoia by bringing his/her feelings into conscious awareness and then help the client clarify when it is appropriate or inappropriate to self-disclose.
d. Incorrect This is not the course of action recommended by Ridley.
The correct answer is: help the client bring feelings of suspiciousness, frustration, and antipathy toward whites into conscious awareness.
A psychotherapist is most likely to say that which of the following is the greatest source of stress in his or her work?
Select one:
A. isolation
B. overwork
C. the general passive nature of his/her work
D. the lack of therapeutic success
A survey of psychotherapists conducted in the early 1980s indicated that therapists expect their work to be stressful but also expect that their efforts will be appreciated and have positive results.
a. Incorrect In their survey of therapists, B. A. Farber and L. J. Helfetz (The process and dimensions of burnout in psychotherapists, Professional Psychology, 13(2), 293-301, 1982) found that isolation was cited by only 11.1% of their respondents as a major source of stress.
b. Incorrect Only 22.2% of respondents said that overwork was a major problem.
c. Incorrect About 13% of respondents cited this as a source of stress.
d. CORRECT The overwhelming majority of respondents (73.7%) said the major source of stress in their work was the lack of therapeutic success.
The correct answer is: the lack of therapeutic success
Freud (1984) introduced the concept of “defense” in his description of hysteria and attributed hysteria to which of the following defense mechanisms?
Select one:
A. projection
B. reaction formation
C. sublimation
D. repression
Freud’s initial explanation for hysteria was that it represents an attempt to eliminate memories related to early psychic trauma from consciousness.
a. Incorrect See explanation for response d.
b. Incorrect See explanation for response d.
c. Incorrect See explanation for response d.
d. CORRECT Repressions is considered the most basic defense mechanism because it underlies all others. It was the initial defense mechanism identified by Freud, and he used it to explain the etiology of hysteria.
The correct answer is: repression
In family therapy, the adolescent daughter complains that she doesn’t think she can change her attitudes toward school and feels that doing what the therapist has requested is pointless. The therapist responds by saying, “Well, in that case, I think you shouldn’t even try.” The therapist’s response is an example of which of the following?
Select one:
A. reactance
B. restraining
C. positioning
D. prescription
In the situation described in the question, the therapist is using a paradoxical technique.
a. Incorrect Reactance is not a paradoxical technique but refers to the tendency of people to do the opposite of what they are asked to do, especially when they feel their personal freedom is being threatened.
b. CORRECT This technique (telling a client not to change) is referred to as restraining.
c. Incorrect Positioning involves exaggerating the severity of the symptom.
d. Incorrect Prescription involves instructing the client to deliberately engage in the target behavior, usually in an exaggerated form (e.g., “nag your spouse for at least three hours each evening”).
The correct answer is: restraining