FT Chapter 7 Review Questions

Integration represents a paradigm shift and calls for an extensive combining of discrete parts of theories and treatment processes into a higher-level model that crosses theoretical boundaries and uses intervention techniques in a unified fashion. Lebow notes four types of integration, including _____, which reflects the absorption of other models into a host model. a. assimilation b. theoretical integration c. common factors d. technical eclecticism

a. assimilation

A dynamic psychological system made up of the reciprocally interacting and differently organized subjective worlds of parent and child (or client and therapist) is called a(n) _____. a. intersubjective field b. interactive matrix c. system of projective identification d. conflict between drive and object

a. intersubjective field

Which psychoanalytic perspective on therapy rejects classical drive theory and replaces it with a relational conceptualization of personality formulation? a. self psychology b. object relations theory c. intersubjective theory d. relational theory

a. self psychology

Ackerman was among the first family therapists to appreciate the _____. a. unconscious interactions among family members in therapy b. inapplicability of psychoanalysis to family therapy c. value of object relations theory in determining the identified patient in the family d. relative unimportance of the individual family member when conducting family therapy

a. unconscious interactions among family members in therapy

Melanie hypothesizes that Clarissa's accusations about Elden's behavior may be the result of projective identification, which means that _____. a. Clarissa's father left her family and she worries this pattern will be repeated in her own relationship b. Clarissa is actually thinking of leaving Elden in pursuit of someone better c. Elden is thinking of ending their relationship but is unable to consciously admit it d. Elden's mother was overbearing and critical of his behavior

b. Clarissa is actually thinking of leaving Elden in pursuit of someone better

Freud's therapeutic efforts concentrated on the family of origin as the client unconsciously internalized it and stressed restructuring _____ phenomena. a. interpersonal b. intrapsychic c. transactional d. divisional

b. intrapsychic

Chapter 7 Case Study Elden and Clarissa Strand have entered marital therapy because they want to "get along better, argue less, and avoid splitting up." Clarissa complains that Elden is constantly flirting with and staring at other women. She believes that he wants to leave her and sees other women as smarter, sexier, and prettier than her. Elden denies her accusations and says that he loves Clarissa and wants only to be with her. However, he has his own complaints, namely, that Clarissa is way too overbearing and suspicious of everything that he does. He adds that she has not said one positive thing about him in over a month. The Strand's therapist, Melanie, practices psychodynamic therapy with an object relations approach. What is Melanie likely to believe is the most influential factor on the couple's relationship? a. impermeable boundaries b. past experiences from childhood c. fantasies about love d. a failure of complementarity

b. past experiences from childhood

Defending against anxiety by externalizing unwanted parts of oneself onto others is called _____. a. rationalization b. projective identification c. mutual introspection d. splitting

b. projective identification

During the second session, Clarissa suddenly gets upset and accuses Melanie of not liking her, and proposes that the couple should go to another therapist. Melanie recognizes this behavior as a sign of _____. a. interpretation b. transference c. internalizing d. countertransference

b. transference

A sound theory is _____, which means that it generates predictions about behavior that can be confirmed when the relevant empirical data have been collected. a. stimulating b. verifiable c. parsimonious d. empirically valid

b. verifiable

Kohut viewed narcissism as _____. a. a pathological condition of self-absorption b. disappearing after adolescence c. a normal stage of development d. concern for the welfare of others

c. a normal stage of development

In object relations theory, the term "object" refers to _____. a. instinctual drives b. the therapist in a therapeutic situation c. an internalized representation of another person d. a person's self-perception

c. an internalized representation of another person

By "tickling the defenses," Ackerman referred to _____. a. exposing dysfunction in a family's interactions with the social world b. stripping members of all their defenses against anxiety c. catching members off guard and exposing their self-justifying rationalizations d. forcing members to expose their defensiveness

c. catching members off guard and exposing their self-justifying rationalizations

Cynthia is an adult client who finds herself wishing that she could rest her head on her female therapist's lap while she discusses the stressful events from her day. This is an example of _____. a. interpretation b. resistance c. transference d. countertransference

c. transference

Which theorist is known for his development of familial concepts such as sibling rivalry, family constellation, and birth order? a. Freud b. Sullivan c. Bowen d. Adler

d. Adler

In relational psychoanalysis, the analyst is seen as _____. a. the interpreter of the client's inner object world b. the object of projective identifications c. an outside authority on the client d. an equal participant in the client-therapist interaction

d. an equal participant in the client-therapist interaction

Melanie's focus during treatment will be on _____. a. the couple's communication patterns b. each individual's story about their relationships c. the couple's thoughts about their current relationship d. each individual's internalized representations

d. each individual's internalized representations

A concept that originated in object relations theory, the _____ environment, refers to the safe and nurturing environment provided by the mother to her infant that supports good-enough psychological development. a. relational b. feedback c. emotional d. holding

d. holding

A premise of attachment theory that relates to couples therapy is that in their personal relationships, people tend to _____. a. reject the type of attachment relationships that they had with their parents b. mimic the attachment relationships that they are exposed to socially and culturally c. take on new roles in order to explore the self through relationship d. maintain the type of attachment relationship to which they are accustomed

d. maintain the type of attachment relationship to which they are accustomed