Second Forty

The Rodriguez family has been run like clockwork for the last 12 years. Mother and father both agree that it is important to have clear rules in the family but the oldest daughter is not following them. An MRI therapist asks the family what they have done to solve the problem and father explains they have increased the daughters curfew from 9 to 10. This is an example of: A. 1st order change B. 2nd order change C. 3rd order change D. None of the above

A. 1st order change

Crisis management is: A. A short term treatment designed the help the client to achieve new adaptations to changed life circumstances B. Short term treatment designed to help the client distinguish between successful versus failed adaptations C. Short term treatment designed to promote personal growth and teach the basics of the family dynamics D. Short term treatment designed to eliminate dysfunctional patterns that interfere with adapting changed life circumstances

A. A short term treatment designed the help the client to achieve new adaptations to changed life circumstances

Beth and Paul come to counseling because Beth feels that after two years of marriage she and Paul have nothing in common. She complains that for the past six months she has been complaining to Paul that there are problems with their relationship. Paul states that he doesn't feel there are problems, he thinks she is overreacting. A strategic family therapist would: A. Assess Beth and Paul's attempts to solve the problem B. Affirm all efforts at positive structural changes C. Strengthen the marital subsystem D. use a genogram

A. Asses Beth and Paul's attempts to solve the problem

Greenberg and Johnson's emotionally focused couples therapy draws on A. Attachment theory B. Conjoint Family Therapy C. Rational Emotive Therapy D. EMDR

A. Attachment theory

A characteristic that distinguishes one particular approach from others is its emphasis on the self development of the therapist. The belief that is hard for the patient to mature beyond the maturity level of the therapist, no matter how good his or her technique is. This approach is: A. Bownian B. Experiential C. Object relations D. Constructivist

A. Bowenian

According to research conducted by Beavers-Timberlawn, which family type is most at risk for DV? A. Centripetal B. Cohesive and adaptable C. Rigid and explosive D. Centrifugal

A. Centripetal

One of the methods used by LoPiccolo when treating an inorgasmic dysfunction is: A. Directed Masturbation training B. Sensate focus C. Systematic desensitization D. Spectatoring

A. Directed masturbation training

Abe comes to therapy because he is depressed and is out of work. Six months later he has anew job and feels happier. He terminates therapy, but calls his therapist a few months later saying that although he feels fines his wife is now depressed and won't leave the house. The therapist would see this as an example of A. First order change B. Third order change C. No change D. Second order change

A. First order change

Family therapy with young children diagnosed with bipolar disorder has demonstrated good results compared to control groups using medication or receiving no treatment at all. The most complete list of questions we should ask about this research is: A. How was bipolar defined, how was "good results" defined, how large was the sample size, what was the correlation, what was the statistical significance? B. How was bi-polar defined, how was "good results" defined, how large was the sample size, what was the correlation, what was the statistical significance, was it a qualitative study? C. How was bi-polar defined, how was "good results" defined, how large was the sample size, what was the correlation, what was the statistical significance, was the null hypothesis present? D. How was bi-polar defined, how was "good results" defined, how large was the sample size, what was the correlation, what was the statistical significance, was the mean at least half the mode?

A. How was bipolar defined, how was "good results" defined, how large was the sample size, what was the correlation, what was the statistical significance?

A contextual therapist views family dysfunction as caused by A. Lack of justice and trust B. Multidirectional partiality C. Destructive family patterns D. Imbalance in the hierarchy

A. Lack of justice and trust

Research has demonstrated that children with autism have improved child-parent interactions and improved diversity of play activities when: A. Parent-mediated interventions are used, compared to professionally delivered interventions alone B. A well defined and implemented combination of individual counseling and medication is offered along with psychoeducation C. The school is included in an eco-friendly therapy model D. A well defined and implemented eclectic very of SFT is applied over 12 sessions

A. Parent-mediated interventions are used compared to professionally delivered interventions alone

Beth and Paul come to counseling because Beth feels that after two years of marriage she and Paul have nothing in common. She complains that for the past six months she has been complaining to Paul that there are problems with their relationship. Paul states that he doesn't feel there are problems; he feels his wife is just overreacting. The therapist turns to Paul and states, "You care enough to take the back seat and give the spotlight to Beth." This therapist is utilizing a technique known as: A. Reframing B. Positive connotation C. Circular Questioning D. Therapeutic Paradox

A. Reframing

A mother, father, two daughters, and a son enter therapy complain that their 15yo daughter is coming in drunk every night and is abusive to the family. If this family was diagnosed as enmeshed, a family therapists goal would be: A. To help each of the family members to differentiate while making boundaries less permeable B. Interrupt rigid patterns of conflict-avoidance through minuchin's famous mimesis technique C. To create a spontaneous subsystem exchange which creates a second order change D. To form a coalition between the between the mother and daughter to increase a sense of closeness by having the mother meet the daughter for lunch

A. To help each of the family members to differentiate while making boundaries less permeable

In one study, OCD patients and their families were give psyched. The results were positive but the same was small. Therefore: A. We cannot generalize to the broader population B. The small sample size indicates a high significance C. Thanks to the small sample, it's easier to identify the positive effects D. We need to know the mean and standard deviation

A. We cannot generalize to the broader population

A 29 year old man is referred for having made threats against the new boy friend of his previous girl friend. The clinician sets an appointment for the client and his two parents for early the next morning. During the initial interview, the client repeats the threat, making explicit statements about the steps he plans to take to harm or kill the other man, and states that he has access to a weapon. The clinician is alarmed but the parents state that they are not overly concerned because the client has made numerous threats in the past and has never acted on them. Taking more family history, the clinician learns that the client is still dependent on his parents financially and often returns home for meals and to get his laundry done by his mother. He attended two colleges but never graduated. He has a part-time job and is in touch with some high school friends. The clinician: A. has a clear "duty to warn" because the threat appears specific and credible B. Has no "duty to warn" because the parents say the threat is not credible and there's no history C. Has no definite duty to warn because his systemic training enables him to make good use of family dynamics D. Made an error by including the parents in an adult's emergency interview

A. has a clear "duty to warn" because the threat appears specific and credible

Your focus of practice is with 'gamers' and internet game addiction. Naturally, you reach out to your clientele through the internet and make yourself available for video therapy sessions. You notice that your practice is expanding when your first client from out of state asks for your services. Your first response to the potential client is to A. Assume that you and your client understand the risks B. Check with your state licensure and licensing regulations of the state the client lives in to determine the limits of your practice C. Refuse the client because they fall out of your jurisdiction D. Explain to the client that by using video the client is transporting themselves to your state

B. Check with your state licensure and licensing regulations of the state the client lives in to determine the limits of your practice

A family consisting of a mother, father, two daughters age 13 and age 15, and a son age 17 enter therapy. The parents are complaining that their 15-year old daughter is coming in drunk every night and is very abusive to the family. The therapist learns that the only reason the family has come for therapy is due to the daughter's probation which stemmed from an incident where she was intoxicated and resisted arrest. Hence, they are mandated to come. Both parents are angry about this, since they are both, as they each state with a wry smile, "professionals who have high-level careers". They see their daughters acting out as an annoyance rather than a concern. The therapist notes that the boundaries within the family appear overly rigid and that the family pattern of family organization is: A. Enmeshed B. Disengaged C. Diffuse D. Cut-Off

B. Disengaged

Normal family have an evolutionary sense of time with emphasis on the process of becoming. This statement is descriptive of which model? A. Psychodynamic B. Experiential C. Structural D. Strategic

B. Experiential

A tool which Bowenian therapists use in order to reduce anxiety level in a highly charged session would be: A. Therapeutic triangle B. Genogram C. Making "I" statements D. Disable the family projections process

B. Genogram

The Johnson family first presents as with the middle child, an 8 year old boy, refusing school. Neither of his older and younger sibs is presenting with any apparent difficulties. It quickly becomes apparent that the couple is not living together and is in the process of a difficult divorce. The couple asks you about the long term effects of divorce, to which you respond: A. Studies have shown divorce as a predictor of many future difficulties for children including early mortality B. It has been shown in studies that when a divorce is traumatic, children will often exhibit symptoms such as school refusal C. Studies have shown that divorce not an accurate predictor of difficulties in the future for children D. Once your divorce is concluded, these symptoms will disappear

B. It has been shown in studies that when a divorce is traumatic, children will often exhibit symptoms such as school refusal

Randomized clinical trials of an eclectic family approach when working with adolescents diagnosed with schizophrenia has demonstrated: A. Identical recovery rates as when combining medication with community and family interventions B. Reduced hospital recidivism and improved compliance with medication when psychoeducation is consistently applied to family with a member with schizophrenia C. Improved recovery rates when including close friends in family treatment D. Vastly higher recovery rates when working with the adolescents individually

B. Reduced hospital recidivism and improved compliance with medication when psychoeducation is consistently applied to family with a member with schizophrenia

In working with a divorced couple, the focus of attention should be A. Children B. The couple C. Residential parent D. The mother and oldest child

B. The couple

A family comes to therapy because the 30-year-old son, who is a Gulf War veteran, guards the perimeters of the house during the middle of the night. This behavior is upsetting to the parents and they want the son's behavior to stop. A Strategic therapist suggests that the parents plan times throughout the night with the son to make sure the house is secure. Within two weeks, the son no longer gets up to check the house. The therapist then suggests the son begin looking for his own apartment. The family stops coming to therapy. What statement might a Strategic therapist make about the family terminating therapy? A. "I chose the incorrect core structure" B. The therapy was successful C. The family wasn't really ready for change D. The first stage of therapy, symptom relief, was completed successfully

B. The therapy was successful

Which stage of the Family Life Cycle is most conducive to immigrating to a new country? A. Adolescent Family Stage B. Young Adult Stage C. Families with school-age children stage D. Launching stage

B. Young adult stage

A new client comes into your office for intake with a number of pages printed from the internet. He goes on to explain that the papers all contain information about you that he has collected online. There is a story from your hometown newspaper from ten years ago that has a picture of your mom, there is your Facebook page that you have privatized but still identifies people in your network, and there is your LinkedIn professional page. As a family therapist,what would be the appropriate stance for you to work with this client. A. Ask the client if there is anything further he was curious about and answer truthfully B. Carefully contextualize the client's understanding of your web presence C. Acknowledge with the client that the advent of the internet that the tradition boundaries between therapist/client are easy to blur and explore with the client what they might have hoped regarding a response from you D. Immediately address with the client that they are crossing professional boundaries

C. Acknowledge with the client that the advent of the internet that the tradition boundaries between therapist/client are easy to blur and explore with the client what they might have hoped regarding a response from you

Which of the following questions is intended to gather information assessing the Adlerian concept of family atmosphere: A. What is your earliest memory of you mother? B. What is your sibling position? C. Can you tell me about your parent's parenting style? D. Who in your family was the peacemaker?

C. Can you tell me about your parent's parenting style?

The 12yo brother of an 8yo acting out girl was described by the parents as a symbol of family loyalty and proper behavior. He was a good student and an excellent athlete. The brother's role would be labeled the "well sibling" by which therapist? A. Experiential B. Solution-Focused C. Contextual D. Structural

C. Contextual

A couple presents in crisis after the wife discovers the husband has been involved with a woman on the internet for 2 years and has come to realize that his lack of interest in their marriage may have less to do with the stress he brings home from work and his subsequent lack of interest in intimacy. A family therapist believes that there many possible ways to intervene with this couple, given their current volatility. This therapist does not seem to subscribe to the concept of: A. Equifinality B. Multidirectional partiality C. Equipotentiality D. Circularity

C. Equipotentiality

White's use of questions, summaries and metaphor are effective in: A. Identifying the IP B. Establishing the goal C. Externalizing and objectifying a problem D. helping the family state the problem

C. Externalizing and objectifying a problem

The belief that the complaint is the problem, not a symptom of an underlying disorder, is a therapeutic distinction made by which approach? A. Milan Systemic B. Constructivist C. MRI D. Strategic

C. MRI

Mrs. J. called a Bowenian therapist and told him she wanted to set up an appointment with her and her husband and their daughter Mary, age 3, who was a behavior problem. Milton Erickson's influence on strategic family therapy included all of the following except A. Client change being the responsibility of the therapist B. Utilizing therapeutic paradox C. Organizing the family hierarchy D. Emphasis on brief therapy

C. Organizing the family hierarchy

Susan, a 31 yr. old, African-American woman has begun therapy for the first time. Her therapist has explained to her how how important it is for her to come on a weekly basis, that this sort of continuity and regular meeting times is important to her feeling comfortable in therapy, allowing her to develop a sense of trust and safety so that she can express her most private thoughts without fear of consequence. This is an example of the therapist: A. Joining B. HIPPA Privacy Rule C. Setting the frame D. Battle for structure

C. Setting the frame

A colleague listed in the phonebook advertises herself as a certified family therapist. She claims that her services to couples are best in the city. According to AAFMT ethical guidelines this is: A. This issue is not addressed B. Ethical C. Unethical since one one a kind claims are clearly prohibited D. Unethical

C. Unethical since one of a kind claims are clearly prohibited

A Haitian family therapist has just been given a new case. The mandated family consists of a Dominican mother, 23, with a set of 2yo old twin girls. She has brought her "aunt and uncle" to the therapy, both of who seem cold and dismissive of the therapist. Over the course of the first session, it appears that aunt and uncle are not related to the mother at all. Which of the following would be most helpful in both joining and assessing this family? A. Extended and compound households are common in Dominican culture and the aunt and uncle should be treated as family B. Assessing how traditional this Dominican family is C. There is historical tension between Dominicans and Haitians and these cultural differences b/w therapist and clients may need to be addressed D. All of the above

D. All of the above

You are on the road when you call a client to make a scheduling change. You forget to hide your number and inadvertently your personal cell number is logged on your client's phone. A couple weeks later, this same client texts you with a couple of follow-up questions from your last session. The most ethical response is to: A. Your client is stable and professional so there is no harm in texting the client back to answer their questions B. Call the client about their questions C. Block the client D. In a supportive manner, inform the client that the answers he is looking for require more than a text and would be best to discuss in their next session

D. In a supportive manner, inform the client that the answers he is looking for require more than a text and would be best to discuss in their next session

The following are dimensions for conceptualizing a problem brought to strategic therapy A. Helplessness vs. power B. Emotionality vs. behavior C. Involuntary vs. voluntary D. Involuntary vs. involuntary behavior and helplessness vs. power

D. Involuntary vs. involuntary behavior and helplessness vs. power

A therapist instructs a family to comment on the teams comments about their family process after the team spends time discussing among themselves what they have observed over the first 10 minutes of a family session. The therapist is using a: A. Boscolo and Cecchin B. Circular Questioning C. Solutions Focused D. Narrative

D. Narrative

Which model is most closely affiliated with brief therapy? A. Milan B. Network C. Psycheducational D. Strategic

D. Strategic

A Parent in your adlerian parenting class reports that her son earned a B when he had a C the semester prior. utilizing adlerian concept of encouragement, members of the class brainstorm ways the mother might respond. Which does not fall under the concept of encouragement? A. The parent exploring what the son has learned in the process and help apply it B. The parent focusing on the son's internal sense of accomplishment C. The parent reflecting on how much hard work the son has invested D. The parent telling the child how proud she is of his grade

D. The parent telling the child how proud she is of his grade

Systemic couple therapy with patients suffering from depression is only indicated if: A. it is given together with antidepressant treatment B. Both partners are depressed C. Cognitive therapy has been tried D. The therapist has specialist training in systemic therapy

D. The therapist has specialist training in systemic therapy