Clinical Interview Quiz Questions

Read the following client quotation and write a reflection-of-feeling intervention that could be made by the therapist. Client: "I don't want to be here. My boyfriend told me to come to this appointment- if I didn't come see you, he said he would break up with me."

"I can see that you're upset. I hear you saying you're upset that your boyfriend gave you an ultimatum"

Give an example of an emblem, illustrator, regulator and adaptor.

-emblem: non verbal communication illustrator: using nonverbal to tell a story -regulator: nodding head (regulating the conversation) adaptor: fighting, no meaning

Name, or briefly define a CBT technique to induce the above mentioned unpleasant state.

-socratic questioning -reframing -humor -reattribution -decatastrophize

What are the three main elements of the therapeutic alliance?

1. agreement on goals 2. connection to the therapist 3. agreement on the tasks

Name, or briefly define the 4 core irrational beliefs as outlined by Albert Ellis.

1. awfulization 2. damnation 3. demanding 4. low frustration tolerance

Briefly define and give short examples of the 4 types of immediacy.

1. make cover to overt 2. open ended questions in the moment 3. statement about the relationship 4. noticing parallels

What ways can a client/therapist rupture the relationship?

1. miscommunication or misunderstanding 2. therapist says something offensive

Please state and briefly explain the 5 stages in the Trans-theoretical model of Change as outlined by Prochaska, Norcross, & DiClemente (1992).

1. pre-contemplation 2. contemplation 3. preparation 4. action 5. maintenance

What are the 6 factors that are common across all psychotherapies as outlined by Frank & Frank (1991)

1. therapeutic relationship 2. instillation of hope 3. arousal of emotion

Please state the six conditions Rogers (1957) considered to be necessary and sufficient for change to occur. (Hill, p.. 113-114)

1. therapeutic relationship 2. positive regard 3. congruence 4. empathy 5. incongruence 6. client sees therapist as genuine

What are the four stages of resolution?

1. therapist recognizes behavior associated with the rupture. 2. therapist and client explore their perceptions of the rupture. 3. therapist and client overcome their avoidant feelings of the rupture. 4. therapist and client clarify the wish/need that underlies the rupture

What are the two ways of rupture?

1. withdrawal 2. confrontation

Briefly describe and give an example of the Double Approach-Avoidance conflict.

2 choices: equally enticing and equally negative

Your new therapy client is seeking services due to several failed relationships. She admits being described by her past partners as "overbearing" and "jealous." She reports feeling anxious with the thought of being single and her attempts to stay in a relationship typically lead to arguments and break ups. Which attachment pattern as proposed by Ainsworth would provide insight into your client's current problem?

Anxious/ambivalent

Which oil company was responsible for the largest marine oil spill in history?

BP's oil

What profession did the judge for Jeffee v. Redmond (1996) compare a clinician's obligation to protect confidentiality?

Bartender

What are the 4 essential legal elements in establishing negligence?

Dereliction of, Duty, Directly causing, Damages

Briefly explain how distortions (incongruence) of the self-concept occur according to Roger's Theory of Personality Development (Hill, p. 106).

Distortions occur when there are conditions of worth placed on the person. This causes their reality to become distorted and leads them feeling vulnerable and anxious

Briefly define metacommunication.

Talking about the communication in the therapeutic relationship

Briefly describe the ethical principal(s) that a therapist would be in violation if he or she were to conduct Conversion Therapy (treatment designed to change a person's sexual orientation).

To do no harm

According to Freud, which part of awareness contains the largest percentage of mental activity, such as memories, motivations, and conflicts?

Unconscious

Why do we need research and science to do therapy?

We need to know what we're doing is accurate; best help we can give

Name a philosopher or philosophical movement that influenced CBT.

a. Stocisim b. Zeno c. Lao-Tse d. Confucius e. Marcus Aurelius

List and briefly describe the Categories of Acculturation as proposed by Berry (1987).

a. assimmulate: become a part of a new culture b. integration: maintain your own culture while not leaving the dominant culture c. separate: withdraw from dominate culture d. marginalization: do not identify as either

What are at least two ways you can become a more effective, ethical, and culturally sensitive clinician?

a. be aware of own biases b. effort to gain knowledge c. ask client questions d. exposure

What are some cultural considerations you should contemplate prior to using immediacy or challenges?

a. commenting on symptoms that are different in each culture b. culture is receptive or not c. gender roles d. culturally accepted scripts e. generational concept

What are the main ethical concerns to be considered prior to starting work with a client?

a. dual relationships b. consent to receiving therapy/confidentiality c. supervisors license number d. finances

Under what conditions can you violate the client's expectation of privacy?

a. if someone poses an imminent risk to themselves or others b. known child/elder abuse c. consent for finances d. certain limitations when working w/court order

What are three types or ways a therapist can disclose their feelings to a client? Give a brief example of each.

a. in the moment b. hypothetical c. disclosing personal information (ex. I went through a divorce too.)

What are some barriers to effective treatment with ethnic minority populations according to Sue & Sue (2003)?

a. separation/culture b. cultural bias c. language d. presentation of symptoms e. stigma

What are the three levels of cognitions? Either name or give examples.

a. surface: automatic thought b. deep: schema c. core: core beliefs

What are some in the moment events that can happen in your therapy session that you can bring up and discuss with the client?

a. transference (anger) b. anxious movements with a change in topic c. demeanor changes d. nonverbal cues

What is a hot cognition?

something is happening right now

Hill points out 9 different types of challenges to discrepancies. Describe at least 2.

state/mood and affect is different

Using the "Two-Chair" technique in Gestalt Therapy, Fritz Perlz labeled this side the controlling, dominant, critical side __________, and this side the passive, helpless side ____________.

top dog; under dog

Who created the cognitive triad?

Aaron Beck

Briefly define and give short examples of the ABC's of REBT as outlined by Albert Ellis.

Activating event, Belief about the event, Consequence of belief

At what age does Dr. Batty recommend asthma cigarettes for children?

Ages 6 and above

Once defined as when a therapist projects their own unresolved conflicts onto the client. What is the term used to describe non-therapeutic feelings a clinician has for their patient?

Countertransference, or non-therapeutic feeling toward patience

What is the unpleasant state that occurs when we notice that attitudes we hold are inconsistent with reality, or there is an inconsistency between our attitudes and behavior?

Cognitive dissonance (discrepancy with what you believe and what is reality)

What population did Carl Rogers treat and use to formulate his theories?

College students

This Gestalt therapy technique is especially useful for addressing or processing a patient's "Unfinished business" toward a significant other.

Empty Chair

What is the term often used in substance abuse treatment that refers to the person who helps maintain, reinforces, or contributes to the client's problem.

Enabler

What technological advancement influenced Freud's Theory of Personality Development?

Hydraulics

According to existentialism as proposed by Frankle (1959), what is the greatest human need?

Meaning and purpose

What is the term used to describe the power dynamics in interactions in cross-cultural encounters that convey attitudes of dominance, superiority and denigration? Please give an example of this.

Microaggression "He speaks good English"

The findings from Smith, Glass & Miller (1980) were summarized using the dodo bird verdict from Alice in Wonderland. Briefly explain how the dodo bird verdict applies to psychotherapy.

Most therapies are effective "no matter how you run, you'll get a trophy"

Briefly describe the "cognitive triad".

Self, others, future -people view the world as hostile, see themself as incapable, and future devoid of hope

Briefly describe what Hill means by "attending" (p. 128).

Showing client non-verbal and verbal cues to show you're paying attention