MFT Exam

A couple comes in for therapy. The husband complains his wife is too close to her family and she has trouble separating from them. In fact, he states that his wife is in constant contact with her mother and looks to her mother constantly to help her make decisions. Often these decisions are in opposition to decisions made previously by the husband and his wife. Which of the following questions would a Bowenian therapist ask the husband?

"What was your mother's relationship with her mother and family?"

After a HIPAA audit from the US Dept. of Health & Human Services, an MFT receives a letter informing him that 16 specific violations were identified. One of the more important violations was the lack of documentation of his security review. Others included no documentation of training of his part-time adminstrative assistant, no record of the security procedures used by his billing service, inadequate computer back-up procedures and a missing disclosure information on his client contracting forms. The penalties he would not be subiect to are:

$50,000 and up to 1 year in prison if significant harm was caused to a client by neglecting the Security Rule

The Rodriquez 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 since the oldest daughter has turned 14, the rules are no longer working. An MRI therapist asks the family what they have done to solve the problem thus far. Father explains that they have increased the daughter's curfew from 9 to 10pm on weekends. This is an example of a:

1st order change

When working with couples, Satir was not interested in:

A change in or removal of the presenting problem

Vignette: A family enters therapy, having a 21 year old son who lives in the basement. He dropped out of college 2 years ago and is currently not working or going to school. He has refused all counseling. The father states he found evidence of marijuana smoking in his son's room. The mother states that the father and son arque and sometimes push each other. A 16 year old daughter is in high school but increasingly avoiding coming home. 'Non-summativity' applies to this situation as follows:

A system has been created when the family was formed, but is now maintained by a pattern of inadequate communication and conflict

The Object Relations approach to treatment of bulimia does NOT suggest which of the following? A. All of the choices. B. The well-being of the family group is at least as important as the needs of the individual member. C. There is a bio-psychological thrust toward individuation and creative self-expression. D. Families are organized around specific developmental issues and the systemic dynamics tend to be translated intergenerationallv.

A. All of the choices

A couple comes to therapy because they feel their sex life is not satisfying. The female reports that she is always anxious and is unable to reach orgasm and feels that her husband thinks she is an inadequate sex partner. In the first session, a Bowenian therapist would do all of the following EXCEPT: A. assess the inequality of power in the couple system and the extended family. B. assess the family life cycle phase. C. assess the level of anxietv/stress in the couole svstem and the extended familv. D. assess the level of differentiation of the couple, in relation to their extended families.

A. Assess the inequality of power in the couple system and the extended family

All of the following emphasize the Triadic process EXCEPT: A. Nagy B. Haley C. Minuchin D. Bowen

A. Nagy

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

A. Strategic

A fundamental tenant of a Constructivist perspective is that language shapes reality. In Solution-Focused Therapy this notion was...

Accentuated to stating that language creates reality

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 our network, and there is our Linkedln professional page. As a family therapist. what would be the appropriate stance for vou to work with this client.

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

A family enters therapy, having a 21 year old son who lives in the basement. He dropped out of college 2 years ago and is currently not working or going to school. He has refused all counseling. The father states he found evidence of marijuana smoking in his son's room. The mother states that the father and son arque and sometimes push each other. A 16 ear old daughter is in high school but is increasingly avoiding coming home.During the second family session the boy becomes enraged at his parents, blaming them for his failures and declaring that he'll never set foot outside the house again. The clinician next step should be:

Address him directly, telling him you want to hear whatever he has to say

Maturano speaks of systems that can be controlled from the outside, similar to machines, as being:

Allopoietic systems

The philosopher Foucault exposed how various discourses with a society

Are dehumanized, objectified, and marginalized by various social groups who are in power over the other groups

A couple comes in for therapy. The husband complains his wife is too close to her family and she has trouble separating from them. In fact. he states that his wife is in constant contact with her mother and looks to her mother constantly to help her make decisions. Often these decisions are in opposition to decisions made previously by he and his wife. A Structural therapist in assessing this couple would:

Assess boundaries between the wife and her family.

A 42 year-old woman reports panic attacks most nights. Her recent history includes the breakup of her engagement to be married. Her father died when she was 9 and she has lived alone with her mother throughout most of her childhood and adult life. The clinician's next steps should be:

Assess her impulse control to rule out the possibility of harming herself or anyone else.

You are consulting with a colleague who is working in therapy with a 2nd grade child who has been referred by his school counselor for bullying other children. She has been both verbally and physically aggressive towards other children. Using Dreikur's concept of Mistaken Goals, you might suggest she respond to this child by...

Assessing for and showing empathy towards the ways in which the child herself has been hurt.

Which of the following assumptions about systemic functioning is not accepted as valid and useful? A. Families who are having problems are stuck in a phase of the family development life cycle. B. The presenting problems are a result of family rules which are an ineffective way of dealing with stress. C. Problems are the result of ineffective interactional and organizational rules in the family rather than the result of individual pathology. D. Assessment focuses on linear vs. circular causality

Assessment focuses on linear vs. circular causality

Greenberg and Johnson's EFCT draws on

Attachment theory

All of the following are examples of insider models of assessment except: A. SAFE B. GARF C. FES D. FACES III

B. GARF

AAMFT's code of ethics covers all of the following EXCEPT: A. Responsibility to clients B. Licensure as a MFT C. Confidentiality D. Financial arrangements

B. Licensure as a MFT

According to a Behavioral Therapist, a therapeutic intervention might be designed to do all of the following EXCEPT: A. have each member write self-report logs listing complete records of daily dysfunction thoughts, upsetting marital/family interaction. etc. B. looking at the ways the family will resist change and the ways the family will take charge of their own growth. C. encourage the spouses to interact during the session. D. probe for stream-of-consciousness thoughts and visual images held by each member of the couple or family system when describing past events that elicit negative affect.

B. Looking at the ways the family will resist change and the ways the family will take charge of their own growth.

Managed care finds all of the following family therapy models acceptable, except for: A. Structural B. Object relations C. Strategic D. Solution-focused

B. Object relations (b/c it's a long term model)

A family comes to therapy and during the first session, the therapist observes that the 7-year-old daughter sits between her parents and looks toward her mother before answering any questions. The father appears bored during the session and constantly looks up toward the ceiling whenever the daughter looks toward the mother. The 5-year-old son and 9-year-old daughter are sitting opposite the parents and appear distracted and uninvolved. Which of the following family therapists would see all family members as part of the problem and reformulate symptoms into concrete observable behaviors?

Behavioral

The AAMFT Code of Ethics for Technology-Assisted Professional Services includes these following subsets, excluding: A. Documentation of therapy B. Use of internet for delivering services C. Signs of internet addiction D. Communication with client via any electronic means

C. Signs of internet addiction

Your client of 9 months has been making slow progress after a major depressive episode. She reports that she is suddenly feeling better than she can remember, so good in fact that she has thrown out her old clothes and purchased a completely new wardrobe and feels like a new person. She further reports that she has quit her job and is soon planning a vacation to Hawaii and that this will be her last session with you. You should:

Change your diagnosis and refer this client for a medication evaluation with a psychiatrist.

A family therapist is working with a family with a large extended family. Boundaries have been very diffuse between the family and some of the younger cousins. The therapist tells a story about her own family, specifically noting a time during adolescence when a cousin dropped by unannounced and how it threw the family into a small crisis. This therapist is most likely working from:

Collaborative

The DSM-5 defines Internet Gaming Disorder as

Compulsive playing to the exclusion of other interests and withdrawal symptoms when not playing. Endangerment of academic or job functioning because of the amount of time spent playing. As well as, persistent and recurrent online activity that results in clinically significant impairment or distress

A family comes to therapy because their 16-year-old daughter is diabetic and has recently stopped taking her insulin on a regular basis. During the session the therapist learns that their 19-year-old son, who is Mom's favorite child, has just gone into the army. A Structural therapist would make the following therapeutic intervention:

Congratulate the daughter for distracting the mother from feeling sad over her son's leaving.

A therapist who has an ongoing and increasing sexual attraction to a client should

Contact and discuss feelings with a supervisor

A therapist is working with a family, and hypothesizes that a scapegoated child's behavior may be his/her means of loyally acting out his/her parents' need for expressing anger (a cycle that may have connections to behavioral sequences begun generations before). This therapist is most likely assessing from the..

Contextual model

A therapist is seeing a 7-vear-old girl who reported that when her daddy kisses her, he puts his tongue in her mouth. An ethical therapist would err if he:

Contracted with the father to not kiss his daughter this way.

Feminists have faulted other family therapist models as: A. Favoring masculine views B. Devaluing mother-child nuturance C. Being primarily based on male development D. All of the above

D. All of above

Which of the following are similarities between strategic and structural model? A. They both consider the impact of the life-cycle stage B. They use in-session interactions to assess the family and emphasize process over content C. The treatment is symptom oriented D. All of the above

D. All of the above

Internal Family Systems believes all of the following EXCEPT: A. There are no "bad" parts and the goal of therapy is not to eliminate parts but instead to help them find their non-extreme roles. B. Systems theory can be applied to the internal system. C. Changes in the internal system will affect changes in the external system and vice versa. D. Communication theory can be applied to the internal system and with the ultimate goal of a "parts party" as a means of integrating the four parts.

D. Communication theory can be applied to the internal system and with the ultimate goal of a "parts party" as a means of integrating the four parts

A family consisting of a mother, father, two daughters ages 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. A family therapist first observes the family over the course of a session and then intervenes to change the dysfunctional transaction patterns. This technique is known as a(an): A. Paradox B. Positive connotation C. Reframe D. Enactment

D. Enactment

The DSM-5 now uses a 'spectra' approach. Which of the following might now be classified on a spectrum? A. Eating disorders B. Sociopathic disorders C. Obsessive compulsive disorders D. Schizophrenia disorders

D. Schizophrenia disorders

A feminist approach to family therapy includes all EXCEPT: A. A recognition of women's subordination and inferior social position B. An awareness of attempts to counteract the ways in which family therapy may reinforce women's subordinate position C. The idea that family therapists often have stereotypical expectations of men and women D. The idea that family therapy attempts to empower and stregthen all family members

D. The idea that family therapy attempts to empower and strengthen all family members

The husband says that he is angry at his wife. The therapist says, "Look at your wife and tell her why you are angry?" What technique would the therapist be using?

Enactment

During an emergency interview the clinician uses humor, direct conversation and personal respect to bring the client back into a calmer more communicative state. A good next step would be:

Encourage the client to plan a healthy and safe evening, and then call the next day to describe how it went.

When a Structural therapist assesses a family and notes that boundaries are weak and there is excessive proximity among members, the therapist is suggesting:

Enmeshment

A couple presents in crisis after the wife discovers her husband has been involved with multiple women on the internet for 5 ears and has come to realize that his lack of interest in their relationship may have less to do with work-related stress and subsequent disinterest in intimacy. A family therapist believes that there is really only one way to intervene with this couple, given their current volatility. This therapist does not seem to subscribe to the concept of:

Equipoteniality

When a Solution-Focused therapist working with a client presenting with issues around alcohol abuse asks "What needs to be different with your drinking?" they are beginning to negotiate the:

Exceptions to the problem

During the process of treatment, Mr. Medieros recognized how he was victimized by his parents, and that past generations were also victimized by their parents. In recognizing this, he began to see his parents less as monsters and more as struggling human beings, themselves acting out invisible loyalties. Therefore, he was able to block the transgenerational pattern of destructive entitlement and allowed the positive transmission of relational resources. The process by which he earned entitlement by dealing with issues with his own parents is called:

Exoneration

Co-therapists serve a variety of functions in family systems therapy as does the use of teams. Use of co-therapy is an important component of which of the following MFT models?

Experiential, Milan systemic, and Internal family systems

Beth and Paul come to counseling because Beth feels that after two years of marriage she and Paul have nothing in common. She said 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 think there are problems; he feels his wife is just overreacting. Which therapeutic model would directly confront Paul's pathologizing of Beth as problematic?

Feminist model

Mary feels threatened by the arrival of her baby sister so she pouts and becomes temperamental. When Mary acts out this way, her father thinks she is regressing and tries to get her to act her age by punishing and criticizing her. Father's harshness confirms Mary's belief that her sister is displacing her. The therapist suggests that when Mary behaves this way, the father should ignore her. If this suggestion worked, it would be a good example of:

First order change

An MFT is using a differentiation approach in treating an internet affair. After completing an assessment of the couple and the circumstances of the affair the therapist will

Focus on the healing and safety of the distressed spouse

You tell a pushy, domineering father to continue making all the family decisions. You are clearly influenced by:

Haley

A 29 ear 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:

Has a clear "duty to warn" b/c the threat appears specific and credible to him

Greg argued with his parents about his curfew so his parents grounded him. Greg then ran away and stayed with a friend. A first-order intervention at this point might be:

Help the parents to find a more effective punishment to tame this out-of-control child

According to Ackerman, families should be understood as having a fluid nature of family interaction influenced by addition or loss, individual developmental stages, socioeconomic factors and changes in health rather than seeing families in fixed, static state. The term he used to describe this phenomena is:

Homeodynamic (the fluid nature of family interaction, non static states)

A Mormon couple in Utah comes to therapy because they have become deeply committed to another partner and would like to add her as a wife. In the initial session it important to clarify

How the couple defines themselves as Mormons

The DSM-5 diagnostic categories pay special attention to development by

How they present in childhood and adolescence

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:

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

A therapist reports to her supervisor that a family she is seeing complains to her that she doesn't listen well to what they tell her. Her supervisor responds, "I'm sorry, what were you saying?" This is an example of a/an:

Isomorphism

A therapist seeing an extended family consisting of a grandmother, mother and 2 daughters, notices that the grandmother speaks to her daughter with a certain disdain. This seems similar to the way the older daughter speaks to her sister. This is an example of:

Isomorphism

A 12 year old boy told a friend in school that he was going to kill himself so that he didn't have to tell his parents about a recent poor test grade. The friend told a teacher who contacted the mother who became very upset over the phone. The teacher recommended an urgent appointment with a local family therapist. The boy has an older sister who has been in treatment for depression and a father who abuses alcohol. Before his initial interview with the boy, the clinician learns from the parents through a phone call, that although he did ultimately go home and tell his parents about the poor grade, he has repeated his suicide threat to other people. From this new information the clinician concludes:

It is not good practice to determine the risk level from this information alone.

A family consisting of a mother, father, two daughters ages 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. During the first interview the therapist begins the session by greeting each family member and asking each member to tell her a bit about themselves before asking for his/her view of the problem. The therapist would be:

Joining

A Milan Systemic therapist would define the purpose of circular questioning as:

Learning more about differences in family members' perceptions of their relationships

Both the Constructivist and Milan Systemic therapists agree that

Living systems are characterized by loop formations rather than linear cause-effect

This therapy works to frame change in ways that reduce resistance, decrease dependence on therapy and bypass the need for insight while removing the presenting problem and allowing families to take full credit for changes achieved in therapy. This approach was devised by:

Milton Erickson

One of the defining characteristics of the therapist's stance of the Narrative Therapy movement is its emphasis on...

Neutrality

With regard to MFTs, licensed or certified, HIPAA states:

Nothing specifically

Mr. & Mrs. W. were worried about their youngest daughter. They described her as isolating herself from her friends, acting somewhat listless, having a significant weight gain and not sleeping. These symptoms best describe:

Persistent Depressive Disorder

After returning from a tour in Afghanistan, an Army nurse reports having difficulty engaging with her friends and family, stating she no longer feels like herself and that activities that once gave her pleasure, no longer do. The therapist wonders if she may be suffering with PTSD. According to the DSM-5, in order to meet the criteria for a PTSD diagnosis, which of the following need to be met:

Persistent negative emotional state loss of interest in many life activities distorted cognitions

Autism Spectrum Disorder now encompasses which of the previous DSM-4 diagnostic categories

Pervasive developmental disorder, Asperger's disorder, and childhood disintegrative disorder

Which school of thought has recently emerged placing a renewed emphasis on language and meaning rather than a strict adherence to the more common theories of family therapy? This school of thought is more pluralistic, crossing disciplinary boundaries while breaking free of old paradigms. It views the therapist as part of the therapy process, rather than as an expert.

Postmodernism

A family is referred to Kathy A. By the school for therapy because John, age 12, is disruptive at school and has been diagnosed as having ADD. The mother in her phone conversation with Kathy says how reluctant they are to start therapy again since the previous therapist had spend most of the time talking about the mother being too inconsistent and overprotective and the father being angry and uninvolved. They felt blamed and that the therapist did not offer anything of use to address John's disruptive behavior at school or at home. After meeting with the family and reading the medical reports, Kathy agreed with the diagnosis and decided to help the family and John understand ADD and teach them how to cope with it. She decided to use what model?

Psychoeducational approach

A couple comes to therapy because they feel their sex life is not satisfying. The female reports that she is always anxious and is unable to reach orgasm and feels that her husband thinks she is an inadequate sex partner. The therapist prescribes a sensate focus exercise. During the next visit, the female partner reports crying when touched. What is the most useful next step in treatment?

Question the female partner about the nature of her crying during the sensation focus exercise

Randomized clinical trials of an eclectic family approach when working with adolescents diagnosed with schizophrenia has demonstrated:

Reduced hospital recividism and improved compliance with medication when psychoeducation is consistently applied to families with a member diagnosed with any variety of schizophrenia.

Randomized clinical trials of an eclectic family approach when working with adolescents diagnosed with schizophrenia has demonstrated:

Reduced hospital recividism and improved compliance with medication when psychoeducation is consistently applied to families with a member diagnosed with any variety of schizophrenia.

A Facebook friend asks you to be their therapist having heard from her many friends what a great and helpful therapist you are.The most ethical response is to:

Refer the client to a colleague

The Contextual model regards which of the following dimensions as the most essential and powerful in family relations?

Relational ethics

Rational/scientific, approval, worrier, protective all describe parts of:

Schwartz's parts of the therapist

After 9/11, the US responded to the attack with the invasion of both Afghanistan and Iraq. A systemic concept that addresses this knee jerk approach to solving a problem (9/11 attack) by offering a solution focused only on the symptom rather than the root cause of a much bigger issue in the world (effects of US colonialism) is:

Societal regression (bandaid solutions)

Mrs. S. came to therapy complaining that she has been unhappy and abnormal all her life. The therapist asked, "How do you know you are unhappy?" Mrs. S. expressed being unhappy with friendships and in her relationships with her family. The therapist then asked how Mrs. S. knew those unhappy feelings were not normal. Mrs. S. then mentioned some days in which she did feel happy. This attempt by the therapist to help Mrs. S. to identify exceptions is a technique used in:

Solution focused

A couple comes to therapy with their three children, two boys and a girl, ages 7, 9, and 13. The parents maintain that their 13-year-old son is the problem and contend that he doesn't get along with anyone. He is frequently involved in arguments and exhibits oppositional behavior. As a family therapist you are most likely to view the problem as:

Son's behavior is a symptom of a dysfunctional system

Ethical concerns about offering "telephone therapy" do not include:

Standard ethical prohibition against having dual relationships with clients

All of the following are true of the Behavioral Model, EXCEPT: A. Systems descriptions are inferred from observable and represent motor constructs B. the main interest is in observable, operationalizability and a molecular view C. Resistance is rejected, there is a concern with long-term maintenance D. Therapy is more likely to engage in subsystem analysis: causal factors that can be tested are hypothesized.

Systems descriptions are inferred from observable and represent motor constructs

A couple comes to therapy because the woman is having problems "being sexual". The therapist gives a sensate focus homework assignment. During the next session the woman comments that she couldn't allow her partner to touch her. What did the therapist fail to do?

Take an adequate sexual history from the couple.q

The Adlerian concept that behavior has a purpose and that an Adlerian theraoist should look to the purpose behind the behavior is:

Teleology (behavior has a purpose and is movement toward some goal)

An MFT in a 3-person group practice keeps her client PHI on her office computer. She uses clinical practice management software that keeps most information she needs conveniently organized. In addition to all insurance information, the software does her billing via direct internet connection to a payer clearinghouse, resulting in quick turnaround of payments, and also allows for email communications with the client, keeping the emails organized and associated with the client record. The software also provides a text entry area to record the session information. However, during her original clinical training, she developed the habit of scribbling a few notes on a pad next to her as she conducted her therapy sessions, which she still does. Her computer is password protected, she uses an encryption technology for all client and insurance company electronic/email transactions and her handwritten session notes are kept on paper and filed in a locked cabinet in her office. As stated, the clinician in this vignette is part of a 3-person group practice. The practice is organized as a Professional Corporation. Two of the 3 clinicians use the same practice software to bill insurance companies. The third clinician does no insurance billing and does not transfer any PHI through electronic means. All of her billing is done in person with each client or on paper bills mailed out or handed to the client. However, payments are deposited into the corporate bank account, just as the other clinicians. According to the HIPAA Security Rule, the following statement is true of the clinician who does no electronic transactions:

The 'covered entity' is actually the Professional Corporation, since clinical work is performed by and paid for by the corporation. All "workforce" workers must abide by the HIPAA Security Rule

After reviewing the Security Rule, an MFT in an individual, private practice renting space in a large office building, decided he had to be much more careful protecting confidential records. He purchased locking file cabinets, password protected his client files on his computer, and added a confidentiality notice to all work-related emails and faxes. However he did not communicate with the cleaning service that enters his office in the evenings unsupervised. The following statement about these precautions is correct according to the HIPAA Security Rule:

The MFT was not required to contract with the cleaning service directly b/c he is excepted from this requirement by the Scalability Principle

In working with a divorced couple, the focus of attention should be:

The couple

A family comes to therapy and during the first session, the therapist observes that the 7-year-old daughter sits between her parents and looks toward her mother before answering any questions. The father appears bored during the session and constantly looks up toward the ceiling whenever the daughter looks toward the mother. The 5-year-old son and 9-year-old daughter are sitting opposite the parents and appear distracted and uninvolved. A primary goal of a Bowenian therapist working with this family would be:

The differentiation of family members

Solution-focused therapists prefer to focus on:

The past and the future

Studies show that children of gay and lesbian couples compared with straight couples have:

The same problems

Systems trained clinicians will manage client crises similarly to individually trained clinicians, except:

The systems trained clinician will always consider the client's social context

Vignette: A family enters therapy, having a 21 year old son who lives in the basement. He dropped out of college 2 years ago and is currently not working or going to school. He has refused all counseling. The father states he found evidence of marijuana smoking in his son's room. The mother states that the father and son argue and sometimes push each other. A 16 year old daughter is in high school but increasingly avoiding coming home.The clinician would be correct in concluding:

This is a crisis, but not an emergency

The goal of EFT is

To foster the creation of a secure bond between partners. To create a shift in partner's interactional positions and initiate new cycles of interaction. To expand and re-organize key emotional responses- the music of the attachment dance.

What is the purpose of licensure for MFTs?

To maintain the integrity of the profession

A colleague listed in the phonebook advertises herself as a certified family therapist. She claims that her services to couples are the best in the city. According to AAMFT ethical guidelines this is:

Unethical since one-of-a-kind claims are clearly prohibited

A therapist on a reflecting team recognizes the parents of the family coming in for therapy as former college classmates. She should:

Withdraw from the reflecting team

A Saudi family who has been in the US for 7 years comes to your office for an initial session. They have come to family therapy because their eldest son who is 15, has become defiant, speaking back to both parents, and was recently caught cutting school. The father and mother are at odds around how to deal with the son. The mother states that this is normal for boys in the US to behave this way while the father wants impose much more stringent discipline and supervision of the boy, restricting him to the house when he is not in school. The initial goal of the therapy should be:

Working towards strengthening parental subsystem so that they might parent as a more unified front

An MET uses space in the basement of her home to see clients. From time to time, her husband and children see the clients coming for appointments. In this situation the HIPAA Security Rule:

Would indicate that no violation occurred b/c passing by residents of the MFT's home is considered part of a permitted disclosure

According to Schwartz, the role of the Self should be to:

generate a degree of trust so the parts will provide input to the Self, but will respect the leadership and ultimate decision making of the Self.

A family is seeking therapy because of their child's behavior. During the first interview the therapist asked the parents "to what extent they thought their son was presently under the influence of the problems that had plagued his life so." This question might be asked by a:

narrative therapist

According to Jellinek's theory of Progressive Phases of Alcoholism, the phase associated with gross drinking behavior, blackouts, gulping, and sneaking drinks is:

the Prodromal Phase