family therapy
Which of the following models of family interaction is based largely on the psychoanalytic model? (173) a. psychodynamic b. communication c. structural d. behavioral
*a. psychodynamic
A young adult's primary developmental task is: (41) a. separating from one's parents without cutting off from them b. finding a suitable mate c. realigning relationships with extended families d. becoming a parent
*a. separating from one's parents without cutting off from them
Which group of family therapists is most apt to study family transitions? (35) a. structuralists b. behaviorists c. social constructionists d. cognitive-behaviorists
*a. structuralists
Family Sculpting is a: (241) a. frequently used Gestalt technique b. a nonverbal communication method c. a family vacation project d. a form of co-therapy
*b. a nonverbal communication method
Behavior is best understood by examining its interactional context, according to: (22) a. linear causality b. circular causality c. symptom appearance d. resiliency
*b. circular causality
Narrative therapists believe our current lives are directed by the ___________ we have woven together about ourselves. (395) a. self-commands b. dominant stories c. self-reflections d. subjugated stories
*b. dominant stories
Three subsystems are most important in Minuchin's system. Which of the following is not one of these? (242) a. spousal b. extended c. parental d. sibling
*b. extended
Satir called her approach: (258) a. humanistic psychotherapy b. neo-communication family therapy c. the human validation process d. growth-enhancing therapy
*c. the human validation process
Prescribing the symptom" is a form of: (310) a. paradoxical intervention b. non-paradoxical communication c. therapeutic double-bind d. none of the above
*c. therapeutic double-bind
Family therapy's interest in schizophrenia: (419) a. was strong during the 1980s b. grew out of confirmation of the schizophrenogenic mother c. was reestablished by the 1990s d. once psychoeducational practitioners could prescribe psychopharmacological drugs
*c. was reestablished by the 1990s
Protecting a client from unauthorized disclosures by the therapist without prior consent is called: (155) a. information disclosure b. communication privileges c. right to silence d. Confidentiality
*d. Confidentiality
The double-bind concept was first introduced to account for the development of: (115) a. anorexia nervosa b. both anxiety and depression c. substance abuse d. Schizophrenia
*d. Schizophrenia
Which of the following does not characterize a double-bind situation? (116) a. an ongoing relationship involving at least two people b. contradictory injunctions c. an inability to escape the situation d. parental yielding to infantile demands
*d. parental yielding to infantile demands
Which of the following does not characterize a symptom according to Satir? (259) a. signal growth blockage b. have a homeostatic function c. represent destructive family transactions d. unconscious conflict
*d. unconscious conflict
Family stage markers are events in a family's life that: a. demand a new adaptation b. differentiate one stage of life from the next c. mark the close of the childbearing years d. none of the above
a. demand a new adaptation
The consultant who takes the interaction of two systems into account is using which approach? (104) a. ecosystemic b. interactional c. relational d. none of the above
a. ecosystemic
The view that multiple systems in which families are embedded require attention is: (104) a. ecosystemic analysis b. systems integration c. existentialism d. none of the above
a. ecosystemic analysis
One goal of gender-sensitive family therapy is to a. enable clients to move beyond prescribed sex roles b. empower women but not men c. eliminate all differences between men and women d. reduce nonsexist thinking
a. enable clients to move beyond prescribed sex roles
The textbook authors contend that systems theory: a. encompasses cybernetics and general systems theory b. replaces cybernetics and general systems theory c. is another name for cybernetics only d. is another name for general systems theory but not cybernetic
a. encompasses cybernetics and general systems theory
Closed systems tend to become disorganized and go into disorder. This is known as: (103) a. entropy b. negentropy c. homeostasis d. cybernetics
a. entropy
5.8 One criticism of the double-bind concept is its: (117) a. linear outlook b. circular outlook c. paradoxical outlook d. psychodynamic outlook
a. linear outlook
The "miracle question" allows clients to: (379) a. speculate on their future once the problem is gone b. put their faith in the therapeutic process c. seek a religious experience d. theoretically integrate spirituality within solution-focused therapy
a. speculate on their future once the problem is gone
According to the text, which subsystem is most basic in a family? (100) a. spousal b. parental c. sibling d. all equally basic
a. spousal
Systems-oriented clinicians are most interested in: (22) a. the process that is taking place within a family b. the content of the family's problems c. why problematic behavior has arisen d. family history
a. the process that is taking place within a family
Cultural specificity refers to: a. knowledge about who makes up a society b. detailed knowledge regarding unfamiliar groups c. appreciation of the immigrant experience d. therapist self-awareness of cultural influences
b. detailed knowledge regarding unfamiliar groups
According to the textbook, the trend in family therapy today is toward: (165) a. psychoanalytic approaches b. eclecticism c. psychodynamic interpretations d. evidence-based practice
b. eclecticism
Which of the following refers to a series of linked behavioral transactions occurring over a particular period of time? (19) a. family structure b. family process c. family interaction d. family transaction
b. family process
A legal exception to confidentiality maintenance occurs in the case of: (158) a. clients telling therapists secrets b. husbands and wives divulging secrets in individual sessions c. divulging information to third-party payors d. client admits to a fantasy of killing someone
c. divulging information to third-party payors
Research with schizophrenics and their families was carried out during the 1950s in all but one of the following places. Which one does not fit? (127) a. National Institute of Mental Health b. Palo Alto Veterans Hospital c. Yale Psychiatric Institute d. Ackerman Institute
d. Ackerman Institute
23 Each family system: (100) a. contains a number of co-existing subsystems b. carries out its functions through subsystems c. may include subsystems formed by sex, by generation, etc. d. all of the above
d. all of the above
Family therapists have sought licensing because: (142) a. they want legal recognition b. the public equates licensing with professionalism c. reimbursements from health plans require licensing d. all of the above
d. all of the above
Which of the following is considered a gender issue? (65) • a. patriarchal behavior • b. sexist attitudes • c. sex-based role assignments • d. all of the above
d. all of the above
2.16 An example of a vertical stressor is (37): a. a family coping with changes over time b. dealing with family transitions c. precocious physical development in a child d. attitudes passing down over generations
d. attitudes passing down over generations
Which of the following are not addressed by psychoeducational? (415) a. troubled marriages b. schizophrenics c. substance abusers d. deep seated characterological issues
d. deep seated characterological issues
Which of the following is not a factor in understanding the cultural background of client families? • a. kinship networks • b. communication styles • c. the role of extended family • d. feedback loops
d. feedback loops
White's narrative approach encourages families to: (404) a. create alternative accounts of their lives b. gain awareness of the origins of their problem c. attend to reflecting team observations d. develop a problem-saturated perspective
*a. create alternative accounts of their lives
Cognitive-behavioral family therapists rely, for assessment purposes, on: (344) a. observable behavior b. underlying causal agents inside family members c. projective techniques d. all of the above
*a. observable behavior
The major characteristic of strategic family therapy is that the therapist: (312) a. plans a strategy for solving the presenting problems b. remains neutral and passive throughout treatment c. follows the family's leads, since they know what's best for them d. commands the family to change targeted behaviors
*a. plans a strategy for solving the presenting problems
An enduring set of beliefs that organizes subsequent perceptions is known as: (338) a. schemas b. automatic thoughts c. rituals d. automatic writin
*a. schemas
Communication nonverbal : gesture body language tone of voice posture and intensity All communication takes place at two levels - the surface level of content and the level which qualifies what was said on the surface level. The second level is called: (305) a. communication b. metacommunication c. qualifying communication d. non-communication
*b. metacommunicatio
The belief that our view of reality is based on the stories by which we circulate knowledge about ourselves is called: (395) a. redundancy metaphor b. narrative metaphor c. narrative imperative d. redundancy imperative
*b. narrative metaphor
Psychoeducational programs emphasize all but one of the following. Which does not belong? (416) a. skills-building b. psychotherapy c. stress management d. informational programs
*b. psychotherapy
Psychoeducational programs are most highly developed to help: (420) a. alcoholics b. schizophrenics c. anorectics d. all equally
*b. schizophrenics
Narrative therapists believe we attempt to make sense of our lives through: (400) a. group membership b. self-narratives c. spirituality d. dormant stories
*b. self-narratives
Bowen studied families with schizophrenic members, especially their: a. marital disharmony b. symbiotic mother/child interactions c. neurotic parents d. psychotic parent
*b. symbiotic mother/child interactions
According to Bowen, the basic building block in a family's emotional system is the: (212) a. ego mass b. triangle c. reinforcement sets d. all of the above
*b. triangle
Which of the following statements is true? (400) a. Narrative therapists re-author people's lives b. The main thrust of narrative therapists is in working with anorexics c. Cultural stories often provide dominant narratives to a family d. Narrative therapists act as "editors" who work on people's self-narratives.
*c. Cultural stories often provide dominant narratives to a family
With his concept of self-differentiation, Bowen argues for: (205) a. emotional detachment b. objectivity c. balance d. rationality
*c. balance
Psychoeducators tend to view schizophrenia as a: (419) a. result of family dysfunction b. result of a schizophrenogenic mother and passive father c. biological disease d. defuser of family conflict
*c. biological disease
Exception-finding questions: (382) a. are efforts to manipulate clients b. are rarely used by solution-focused therapists c. build on past successes in dealing with a problem d. are part of reflecting team strategies
*c. build on past successes in dealing with a problem
Solution-focused brief therapy argues that: (377) a. determining why and how a particular problem arose is the first order of business in working with families b. insight provides the basic tool for change c. client families have run out of ways of dealing with their problems d. functional family therapy is the most practical approach
*c. client families have run out of ways of dealing with their problems
Solution-oriented therapists: (387) a. offer insights through their interpretations b. provide families with solutions to their problems c. create a collaborative dialogue with families d. rely on reflecting teams to offer solutions
*c. create a collaborative dialogue with families
A common goal of narrative therapy is: (396) a. self-actualization b. anger management c. creating and internalizing new stories d. using myths and other powerful stories to impart meaning to our lives
*c. creating and internalizing new stories
research efforts in family therapy over the last two decades have been directed at: (439) a. social construction therapies b. symbolic-experiential therapies c. empirically-validated therapies d. clinically based therapies
*c. empirically-validated therapies
Feminists are critical of the cybernetic concept of circular causality in male-female relationships because of the implication of: (69) a. flawed family structures b. family dysfunction c. equal power and control d. unequal power and control
*c. equal power and control
Narrative therapy was developed to: (398) a. help clients articulate their problems b. help clients gain insight c. help clients reexamine the stories that have shaped their lives d. help clients reconstruct early trauma
*c. help clients reexamine the stories that have shaped their lives
Family narratives: (5) a. negate family myths b. challenge family stories c. help explain and justify family patterns d. none of the abov
*c. help explain and justify family patterns
In solution-focused brief therapy, "skeleton keys" refer to: (378) a. reconstructing old repressed memories b. paring down problems to their basic elements c. interventions that work for a variety of "locks" d. all of the above
*c. interventions that work for a variety of "locks"
Quantitative research emphasizes: (441) a. case studies b. audio and video tapes c. large samples d. open-ended inquiries
*c. large samples
A _______________ law regulates who may practice in a state. (142) a. credentialing b. certification c. licensing d. accreditation
*c. licensing
Gender-sensitive family therapy emphasizes: (65) a. blurring differences between men and women b. multicultural considerations c. overcoming sex-role stereotyping d. all of the above
*c. overcoming sex-role stereotyping
Cognitive-behavioral therapists traditionally work at three related levels. Which is not one of these levels? (342) a. underlying assumptions b. automatic thoughts c. schemas d. affect
*d. affect
Supervisees should inform clients that: (160) a. they are being supervised b. they can not guarantee complete confidentiality c. the session may be recorded d. all of the above
*d. all of the above
Structural Family Therapy is: (285) a. geared to past obligations b. based on insight preceding action c. primarily concerned with pathological families d. concerned with the context of family structures
*d. concerned with the context of family structures
As children grow up and leave home, the family's developmental task involves: (46) a. focusing attention on career development b. considering retirement shortly c. dealing with disabilities and death of grandparents d. creating adult-to-adult relationships between parents and children
*d. creating adult-to-adult relationships between parents and children
Which of the following is not relevant with respect to informed consent before commencing therapy: (159) a. describing procedures b. describing the limits of confidentiality c. risks of possible negative outcomes d. describing the techniques the therapist plans to use in treatment
*d. describing the techniques the therapist plans to use in treatment
Research on stress in families with schizophrenic members emphasizes the relationship between _______________ and relapse. (385) a. anxiety b. depression c. phobias d. expressed emotion
*d. expressed emotion
Transgenerational approaches are: (204) a. ahistorical b. cross-sectional c. here and now d. historical
*d. historical
One goal in Family Systems Therapy is for each family member to: a. minimize future contact with each other b. maximize attachments to the family of origin c. maximize fusion d. maximize self-differentiation
*d. maximize self-differentiation*
Which of the following is a school-related intervention program based upon a social-ecological viewpoint? (108) a multisystemic therapy b. multiphasic therapy c. psychosocial therapy d. family-school therapy
a multisystemic therapy
A family stage marker refers to: a particular life event b. a stage of life c. the final decade of life d. all of the above
a particular life event
The more open a family, the more: (102) a. adaptable to rule change b. resistant to changing customary interactive patterns c. the risk of eventual dysfunction d. boundaries are difficult to cross
a. adaptable to rule change
Reciprocal determinism refers to: (21) a. adopting a relationship outlook b. attending to content rather than process c. linear causality d. none of the
a. adopting a relationship outlook
Psychologist Mary Pipher has described ___________ as developing eating disorders in reaction to societal demands that emphasize physical appearance. a. boys below the age of puberty b. adolescent girls c. young adults d. middle-aged women
b. adolescent girls
2.15 Which of the following constitutes a horizontal stressor? (37) a. family expectations b. birth of a handicapped child c. ethnic loyalties d. family secrets
b. birth of a handicapped child
Which of the following is an example of a discontinuous life change? (34) a. death of a grandparent b. death of a young child c. becoming parents d. none of the above
b. death of a young child
The "undifferentiated family ego mass" refers to: (210) a. excessive narcissism within the family b. family symbiotic relationships c. enmeshment and disengagement occurring simultaneously d. pseudomutuality
b. family symbiotic relationships
The opposite of self-differentiation, in Bowen's view, is: (205) a. enmeshment b. fusion c. role complementarity d. family triangles
b. fusion
Which of the following is not considered to be an enduring subsystem? a. spousal b. gender c. sibling d. parental
b. gender
A schizophrenogenic mother is one who: (114) a. is simultaneously angry and guilty over her anger b. is possessive and guilt-producing c. marries a domineering husband d. becomes schizophrenic with the birth of her first child
b. is possessive and guilt-producing
"A disturbed mother produces disturbed children." This statement is offered by the authors as an example of: (22) a. epistemology b. linear causality c. circular causality d. a paradigmatic shift now accepted by most family therapists
b. linear causality
Families that live in relative isolation, communicating primarily among themselves, are apt to become: (103) a. disengaged systems b. relatively closed systems c. totally closed systems d. negentropic
b. relatively closed systems
The family therapist who joins a family and engages in a dialogue rather than observing from outside is probably an advocate of: (24) a. first-order cybernetics b. second-order cybernetics c. both of the above d. neither of the above
b. second-order cybernetics
Pseudomutuality refers to: (120) a. hostile exchanges between family members b. the appearance of an open relationship without really having one c. the development of strong personal identities among family members d. none of the above
b. the appearance of an open relationship without really having one
Family Systems Therapy attempts to modify the family's customary: a. defense mechanisms b. triangulated system c. resistances
b. triangulated system
In Bowen's Differentiation of Self Scale, people at the low end are apt to lead lives: (210) a. reflecting high self-esteem b. dominated by the thoughts of those around them c. dominated by the feelings of those around them d. none of the above
c. dominated by the feelings of those around them
The developmental framework for studying families was first proposed by: (34) a. family therapists b. family counselors c. family sociologists d. family social workers
c. family sociologists
In the view of second-order cyberneticists, which of the following is apt to see family systems as analogous to mechanical systems? (24) a. constructionists b. psychoanalysts c. first-order cyberneticists d. all of the above
c. first-order cyberneticists
Gender-sensitive family therapy: (76) a. tacitly accepts cultural stereotypes of men and women b. advocates therapist neutrality c. is built upon feminist family therapy d. increasingly is becoming unnecessary as parity between men and women continues
c. is built upon feminist family therapy
Family view point - According to the postmodern view: (7) a. most families lack resilience b. most families accurately perceive an objective reality c. most families collectively construct a sense of reality d. resilience is genetically based
c. most families collectively construct a sense of reality
Which of the following is not an example of a larger system with which problematic families may engage? (102) a. schools b. health care clinics c. open systems d. probation departments
c. open systems
Increased interest in cultural factors in family functioning has led to renewed interest in: (10) • a. genetic differences between men and women • b. medication to reduce symptomatology • c. spirituality in family life • d. none of the above
c. spirituality in family life
A general cultural sensitivity to families characterizes: a. the culture-specific approach b. the ethnicity approach c. the multicultural approach d. the family functioning approach
c. the multicultural approach
Families interact in repetitive behavioral sequences. This is known as: a. boundary rules b. homeostasis c. the redundancy principle d. the rule repetition phenomenon
c. the redundancy principle
Clients need to be told of the possible risks before commencing treatment. This is an example of: (150) a. peer review b. malpractice c. privileged communication d. informed consent
d. informed consent
11 How clients ____________________ is not a part of cognitive assessment (342) a. organize information b. store information c. process information d. process emotion
d. process emotion
Which of the following terms does not describe a structural therapeutic tactic? (286) a. joining b. accommodating c. restructuring d. reconsolidation
d. reconsolidation
Organizations and wholeness parts or elements of the system interact with each other in a predictable organized fashion and all elements once combined produce an entity-a whole. A systems perspective: (91) a. emphasizes S-R connections b. supports linear explanations of behavior c. views component parts as greater than the whole d. stresses wholeness or unity
d. stresses wholeness or unity
Structural therapists tend to focus on family: (286) a. triangulation b. "dirty games" c. introjects d. transactional pattern
d. transactional pattern
Cybernetics refers to a system's method of: a. linear causality b. feedback control c. therapeutic efficacy d. conceptualizing family dysfunction
feedback control