Marriage and Family Counseling Midtern

A typical sign of a kitchen sink couple includes:

(Answer C) a. They both like to cook and entertain their families b. Neither of the partners like to do household chores, such as doing dishes or cleaning c. They will likely have issues in many areas of their relationship d. Their relationship will likely have only minor issues, such as division of household chores

A couple who has strong core virtues would likely be missing:

(Answer: A) a. A warm bond b. Mutual understanding c. Shared values d. Common goals e. All of the above

The first stage of treatment for a couple who has many wounds but does not believe that their relationship can improve should include:

(Answer: A) a. Increasing their hope quickly b. Decreasing their fights c. Improving their intimacy and closeness d. Increasing their faith in God e. All of the above f. None of the above

Which of the following would not be an example of a counselor using a technique that counteracts social cognition problems and that makes counseling more memorable?

(Answer: A) a. Making the couple memorize most common cognitive attributions b. Providing a couple with a written feedback report c. Using interventions that involve couple sculpting d. Utilizing interventions that include acronyms such as LOVE, TANGO or CLEAVE

If a counselor were to use religion-accommodative version of the hope-focused couple approach with a couple who identified themselves as devout Christians, he or she would expect their relationship outcomes to be

(Answer: A) a. Roughly the same as compared to the outcomes this couple would have if the counselor used the standard hope-focused couple approach b. Significantly better than the outcomes the couple would have if the counselor used the standard hope-focused couple approach c. Significantly worse than the outcomes the couple would have if the counselor used the standard hope-focused couple approach a. None of the above

Maya has been feeling a lot of anger recently, and she has been lashing out verbally at her husband and children during stressful times. She would like to improve her ability to control her emotions in difficult situations. How can she measure whether or not she is meeting her goals in this area?

(Answer: A) a. She can keep track of when she "edits" hurtful statements said in anger or even create a chart to see if the number of intentional "edits" per day or per week is increasing. b. She can take a psychological assessment measuring her anxiety and anger on a weekly basis. c. She can track her biological responses during arguments, such as measuring pulse or taking blood pressure. All of the above.

According to the book, if spouses learn to treat each other with selflessness and altruism, it is likely that which aspect of their relationship will improve first?

(Answer: A) a. Their bond and attachment b. Their communication c. Their conflict resolution d. None of the above

According to the concepts described in chapter 1, one of the main reasons why many couples seek couple counseling is

(Answer: A) a. They do not want to lose each other b. They want to save their relationship for the children c. They don't love each other any more d. They want to give their relationship one final chance before splitting up

According to the book, extensive use of pornography may lead to:

(Answer: A) a. Tolerance b. Withdrawal c. Physical sexual dysfunction d. Improved sexual functioning e. All of the above

According to the book, ________________ is reestablishing a trusting relationship between the partners, whereas ____________ _________________ means acting in mutually trustworthy ways across a period of time.

(Answer: A) a. reconciliation; rebuilding trust b. trust; peaceful reconciliation c. reconciliation; respectful relationship d. trustworthiness; establishing respect

According to the research, when both partners come home after a long, exhausting and stressful day, they are more likely to get in a fight with each other, because their ______ "muscle" is worn down

(Answer: A) a. self-control b. self-esteem c. patience d. energy

According to the classical virtue theory, the main cardinal virtues are:

(Answer: B) a. Justice, grace, trust and honesty b. Fortitude, justice, temperance and prudence c. Prudence, modesty, justice and grace d. Temperance, fortitude, humility and fortitude

According to the book, which of the following virtues/emotions can be especially helpful when a couple wants to increase motivation for trust building?

(Answer: B) a. Compassion b. Gratitude c. Grace d. Justice

Counseling that accommodates religion has been found to be

(Answer: B) a. Generally less effective than standard counseling b. Generally as effective as standard counseling c. Generally more effective than standard counseling d. No studies that compare religion-accommodative counseling and standard counseling e. have been conducted to date

Which of the following virtues is considered to be of primary importance for building a healthy longterm relationship?

(Answer: B) a. Honesty b. Forgiveness c. Love d. Loyalty

According to information presented in chapter 14, after the "Cool Down Contract" and "Time-Out" interventions have been addressed with the high-conflict couple, the counselor should move into which types of interventions?

(Answer: B) a. Improving the couple's apologies and forgiveness skills b. Improving the couple's conflict-resolution skills c. Increasing the couple's emotional and physical intimacy d. All of the above

According to the book, problems with doing homework are most often related to which of the following factors?

(Answer: B) a. Lack of love b. Lack of willpower c. Lack of hope d. Lack of humility

Within the HFCA, components of a typical session can be summarized in a simple mnemonic device: RILY. The letter L in that mnemonic stands for:

(Answer: B) a. Listen and reflect b. Lack of fit c. Look for resistance and roadblocks d. Let the couple express their emotions

According to the book, acceptance of another spouse's personality, as well as their strengths and weaknesses, is a manifestation of which Christian virtue?

(Answer: B) a. Mercy b. Grace c. Forgiveness d. Atonement

Tiffany is noticing that she and her husband, Teo, have been fighting more often recently and that they don't understand each other as much as they used to. She went online and entered "couples counseling in Virginia Beach, VA" into Google search and clicked on the first webpage for a counseling center that popped up. Tiffany is likely to be in which of the following stages of change?

(Answer: B) a. Precontemplation stage b. Contemplation stage c. Preparation stage d. Action stage

Which of the following is not one of the options recommended by the hope-focused couple approach to be completed before the first session?

(Answer: B) a. Providing the couple with information about you, your practice and your approach to counseling b. Asking them about the history of their relationship and their main presenting concerns and processing this information with them over the phone c. Introducing the couple to general psychological terms and concepts, which is likely to make treatment more efficient a. Providing the couple with screening assessments that they can complete at home and a. bring to the intake session

Which of the following is not one of the "cool virtues"?

(Answer: B) a. Purity b. Compassion c. Perseverance d. Commitment e. Diligence

When locating warm virtues in one's relationships, the hope-focused approach states that it may be beneficial to explore the following three relationships:

(Answer: B) a. Relationship with yourself, with your spouse, and your children b. Relationship with God, with your partner and with another close person in your life c. Relationship with God the Father, Jesus and the Holy Spirit d. Relationship with your spouse, your parents and your close friends

According to the hope-focused couple approach, what is one of the reasons why it is important to capitalize on the time period between the couple's first contact and the first counseling appointment?

(Answer: B) a. Research suggests that most change in couple's interaction occurs in this time period. b. They are highly motivated for counseling at that point. c. Since the couple may not even come in for the first appointment, it is important to provide a. them with at least some degree of clinical care during this period. d. All of the above

If one or both partners in a couple use internet pornography or have romantic connections over the internet and neither partner sees it as a problem, and they do not believe that these behaviors cause any moral or relational concerns to them, the book recommends that the counselor should:

(Answer: B) a. Step in and explain to the couple that pornography use is morally unacceptable, and that it will certainly damage the couple's long-term relationship b. Avoid making it a concern for the couple, and rather focus on the goals that the couple wants to work on c. Describe to the couple in a warm and respectful manner that the use of pornography constitutes infidelity, and that couple therapy should work on minimizing these behaviors before they can work on anything else d. All of the above

According to the information presented in the book, all of the following is likely to interfere with treatment progress when it comes to the kitchen sink couple, except for:

(Answer: B) a. The couple may cancel or no-show to sessions quite frequently. b. The counselor may be at risk of "triangulating" or siding with one spouse over another. c. The couple may withdraw from treatment early (both physically and emotionally). d. The counselor may develop "counselor narcissism" and become discouraged with the couple's resistance.

Such diversity factors as ethnicity and culture have the following impact on couple counseling:

(Answer: B) a. They really don't matter that much, because interventions that are effective for couples of certain cultural backgrounds will be effective to couples with all ethnic and cultural backgrounds. b. These factors are of essential importance when treating couples, because they deal with such important dynamics as couple's communication, their expression of emotions, gender roles, etc. c. Considering these factors in couples counseling is irrelevant, because research shows that cultural background has not been found to be an important factor in couple counseling outcomes. d. It's up to the counselor to decide whether to consider these factors or not when creating a treatment plan for a couple.

A couple is most likely to break rules for effective communication in which of the following scenarios?

(Answer: B) a. When they are discussing a small and trivial situation b. When they are having a difficult conversation that is likely to become heated c. When they are both calm and relaxed d. All of the above

Which question is not a factor that the counselor needs to consider when deciding which interventions to use, according to the hope-focused couple approach?

(Answer: B) a. Will this intervention be effective for this couple? b. Will this intervention help the couple solve all their problems? c. What is the foundation for the theory behind the intervention? d. Has this intervention been found to be effective?

According to research on self-control discussed in chapter 3, all of the following factors are likely to increase the number of a couple's day-to-day arguments, except for

(Answer: B) a. a wife going on a diet to lose weight b. one partner having a vegan diet and another partner preferring meat c. a husband getting a new job where he is expected to "hold his tongue" most of the day d. both partners not getting enough sleep

The goal of a "Time-Out" intervention is to prevent all of the following except for

(Answer: B) a. flooding b. frustration c. flying d. fighting

Results of the study by Lambert et al. (2012) indicate that couples who pray together

(Answer: B) a. have the same relationship outcomes as do couples who spend the same amount of time a. discussing positive topics with each other b. report increased trust and bonding as compared to the couples who discussed positive c. topics for the same amount of time d. start attending church more regularly together as well e. None of the above

In the "Leveling and Editing" intervention, ___________ stands for holding back and adjusting one's thoughts into words for respectful and valuing communication, while ___________ stands for sharing and disclosing what is on one's mind.

(Answer: B) a. leveling; editing b. editing; leveling c. speaking; listening d. reflecting; paraphrasing

Each spouse's memories of different events in their marriage often depend on

(Answer: B) a. their level of alertness and attention when the event occurred b. their current mood when recalling events c. their working memory capacity d. all of the above

According to research cited in the book, how long does it take on average for a couple to return to a precombat level of functioning?

(Answer: C) a. 1-3 months b. 3-6 months c. 6-12 months d. 1-2 years

The hope-focused couple approach will be most helpful for which of the following couples

(Answer: C) a. A couple with children from previous relationships who are looking for advice on how to parent their children b. A couple with multiple serious issues (such as a history of mutual hurts and current infidelity) who seek counseling to decide whether or not they should get a divorce c. A couple that is seeking brief counseling for their problems with communication and conflict resolution d. A couple with good communication skills, but with long-standing issues related to their intimacy and sexual functioning

If a couple is lacking a warm bond within their relationship, the counselor could:

(Answer: C) a. Address that aspect of the relationship directly with the couple b. Avoid bringing up this aspect with the couple, because they may not have a capacity to develop it due to their interpersonal styles c. Start with communication exercises and then introduce the idea of forgiveness or grace, while "meeting the couple where they are" d. All of the above

According to research cited in the book, pornography use is correlated with all of the following mental health concerns, except for:

(Answer: C) a. Depression b. Sleep disturbances c. Personality disorders d. Family and relational issues

Cool virtues are based on which of the following personal qualities?

(Answer: C) a. Kindness b. Warmth c. Conscientiousness d. Humility

Most high-functioning couples who seek relationship enrichment are likely to be low in:

(Answer: C) a. Love b. Faith c. Work d. All of the above

When working with wounded couples, it is important to keep in mind that:

(Answer: C) a. Most couples never get over the offenses they caused each other b. Forgiveness usually happens very fast, and the counselor needs to pace the couple c. It may take some time for forgiveness interventions to fully work d. Forgiveness interventions are effective only for religious couples

The name of the theory that suggests that humans must rely on the brains of others to operate adaptively is:

(Answer: C) a. Social Attachment Theory b. Personal Attachment Theory c. Social Baseline Theory d. Relational Baseline Theory

Walter and Tyra have been married for over twenty years. When they came in for couple counseling, it became apparent that Walter is struggling with depression, and Tyra has recently been feeling more anxious and overwhelmed than usual. It is important that the counselor utilizes which element(s) in creating a treatment plan for this couple?

(Answer: C) a. The counselor should encourage the couple to spend most of the time in sessions talking about their feelings without much structure or guidance. b. The counselor should add elements of narrative therapy into the treatment plan to help both spouses with developing their identities. c. The counselor may include elements of cognitive-behavioral therapy to help Walter and d. Tyra handle their irrational thinking patterns and identify links between their thoughts, feelings and behaviors..

In helping the enrichment couple improve their relationship, which course of action is not recommended?

(Answer: C) a. The counselor should help the couple come up with strategies to improve work in their relationship. b. The counselor should use the couple's strengths as the foundation for relationship improvement. c. The counselor should focus on the couple's weaknesses and help them overcome these weaknesses through discussion and conflict resolution. d. All of the above

Depression in one partner is likely to have all of the following effects on the relationship and on couple counseling, except for:

(Answer: C) a. The partner with depression may be less motivated to attend sessions. b. The partner without depression may be experiencing anxiety and/or frustration in relation to their partner's depression. c. The partner with depression may be more motivated to attend couple counseling due to the distress that he or she is experiencing. d. If depression is not addressed, it may lead to such problems within the relationship as spouses ignoring each other or fighting more than usual.

According to the material presented in this book, spouses with military background who are adjusting to civilian life after a long military career are likely to face all of the following issues, except for:

(Answer: C) a. They may miss the character and leadership development that military structure provided for them. b. They may develop an adjustment disorder due to significant life changes after deployment. c. Their marriage is likely to improve dramatically on its own without any counseling support, because they are now home full time. d. They may lack social support that they used to have in the military.

According to application of acceptance theory in couple therapy, the partners should

(Answer: C) a. Try to change each other b. Try to change the issue at hand c. Try to accept the other spouse's personality and interpersonal issues, such as introversion or social avoidance d. Try to accept offenses they endure from another partner, such as mild violence or occasional sexual infidelity

Rules for effective communication include all but which of the following?

(Answer: C) a. Use statements that start with "I" rather than "You." b. Use statements that are direct and respectful. c. Use statements that address several major problems in a relationship at a time. d. Take turns speaking and reflect back what you heard the other person say.

Which of the following is not one of the goals for couple counseling, according to the hope-focused approach?

(Answer: C) a. Warmth b. Health c. Fairness d. Happiness

A distressed couple whose relationship difficulties have been going on for months (or even years) is likely to expect couple counseling to last for (

(Answer: C) a. approximately one month b. one meeting c. approximately two to three months d. three months or longer

Jose and Hannah are complete opposites when it comes to social activities. Hannah likes to stay at home and watch TV, while Jose likes to go out with his friends. He often invites Hannah to join him, but she does not want to go. If their counseling focuses on strengths and virtues, they are likely to achieve most of the following goals, except for

(Answer: C) a. both Jose and Hannah may start viewing each other as virtuous life partners, rather than villains and offenders. b. they may both build hope that their relationship will improve. c. they will be able to avoid conflicts and they will not have any arguments, disagreements or misunderstandings from now on. d. they will be able to uncover each other's buried and overlooked strengths, skills, and virtues.

According to the hope-focused couple approach, at the beginning of counseling it is important to

(Answer: C) a. help the couple identify and describe all their major problems and hurts from the time they met and till the time they came into counseling b. help each partner talk freely without interrupting them or asking them any specific questions, in order to build rapport with the couple a. help the couple see that it is possible for their relationship to change b. ask the couple many specific and detailed close-ended questions in order to get as much information about them as possible

Rebuilding trust involves demonstrating trust _______________.

(Answer: C) a. occasionally b. in big decisions and important actions c. on a regular basis, in everyday, small actions d. when another partner has doubts

A good strategy in deciding what to include in a treatment plan when using the hope-focused couple approach would be for a counselor

(Answer: C) a. to consult with a trusted friend or colleague b. to use a treatment plan that worked well for a recently treated couple c. to ask what will be effective in meeting this couple's needs d. to copy a treatment plan from a book by a well-known author who writes on family systems or discusses Bowenian theory

Pick an acronym that does not define one of the major categories of interventions within the hope-focused approach.

(Answer: D) a. Handling Our Problems Effectively b. Bind Our Nurturing Devotion c. Handling Unacceptable Relationship Tears d. Forgiving Respectfully with Eagerness and Enjoyment

The role of the counselor within the hope-focused approach involves all of the following, except

(Answer: D) a. Develop strategies that will help the couple reach their goals b. Create an environment where couples can strengthen their love and act out of their virtues c. Help couples develop new, healthy and functional habits and skills d. Help couples solve all the problems in their relationship that they have been struggling a. with for years

According to the material presented in the book, before the issues of unforgiveness between spouses can be addressed, it is important that they:

(Answer: D) a. Engage in emotional softening toward each other b. Go through an intervention similar to an empty-chair technique c. Increase their emotional closeness d. All of the above e. None of the above

During the review component of a typical session, the counselor would be expected to do all but which of the following?

(Answer: D) a. Follow up with couple on how their week has been since the last session b. Decide whether it is appropriate to proceed with the planned intervention or whether any adjustments need to be made to the treatment plan c. Evaluate whether the couple did their homework and what obstacles get in the way of doing their homework d. Plan homework for the next week

If at least one of the partners in a couple presenting for couple therapy is struggling with a psychological disorder, he or she is may be experiencing which of the following symptoms?

(Answer: D) a. Generalized anxiety or social anxiety b. Depressed mood, sleep problems and decreased interest in pleasurable activities c. Substance abuse or dependence d. All of the above

When using the hope-focused couple approach (HFCA), a counselor would be expected to do which of the following during the first two to three sessions of counseling?

(Answer: D) a. Get to know the couple better by meeting with both of them two to three times and by discussing their childhood experiences b. Allow the couple to talk about their major concerns and presenting issues in a free, nonstructured environment with minimal guidance and a lot of active listening c. Encourage the couple to express their feelings and emotions about their past relationships and explore how their past hurts are affecting their relationship now d. Gather information about the couple through dyadic intake, individual intakes, as well as written assessments and provide them with a written feedback report

According to the book, wounded couples often need:

(Answer: D) a. Intentional interventions aimed at developing faith that their relationship can improve b. Memorable forgiveness interventions c. Interventions that would help them gain hope d. All of the above

When working with an enrichment couple, it is important to follow which of the following principles?

(Answer: D) a. Making sure that the couple is not minimizing their relationship issues b. Keeping the couple motivated to continue treatment and finding creative ways to accommodate their busy schedules c. Focusing on several important areas that the couple can improve and not overloading them with unnecessary information and techniques d. All of the above

When helping a high-conflict religious couple to avoid escalation of emotions, the counselor may recommend which of the following strategies to the couple?

(Answer: D) a. Put the argument in perspective and consider its importance a year, two years, five years or a. ten years down the road. Will it matter then? b. Take a slow and deep breath to reduce anxiety and frustration c. Stop and pray together asking for wisdom d. All of the above

What types of problems are a counselor likely to face when working with a kitchen sink couple?

(Answer: D) a. Roadblocks b. Early dropouts c. Resistances d. All of the above

Which screening(s) may be recommended for an enrichment couple to ensure that the counselor is not missing important problematic areas?

(Answer: D) a. Screening for individual psychopathology, such as depression, anxiety or substance abuse b. Screening for domestic violence and abuse c. Screening for infidelity d. All of the above

Mario and Maria both have Latin American roots: Maria immigrated to the United States with her parents from Colombia at the age of six, and Mario is a third-generation immigrant whose grandparents came to the United States from Cuba in the mid-1960s. Maria has a strong Catholic background, whereas Mario grew up in a Pentecostal church. In which of the following ways can a counselor explore the influence of context on their relationship problems?

(Answer: D) a. The counselor can explore gender roles with them and see if their views on gender roles within the family are similar. b. The counselor can encourage this couple to discuss differences and similarities in their faith backgrounds, and what their faith (as well as belonging to their respective denominations) means for them and how this affects their relationship. c. The counselor can help the couple explore their views of financial stability and economic security and how their views may impact their marriage. d. All of the above.

Which of the following factors need to be taken into account when designing a couple's treatment plan at the beginning of treatment, and when adjusting the treatment plan during the course of treatment?

(Answer: D) a. The couple's unique needs and experiences b. Each partner's personality traits, such as introversion, agreeableness, openness to new experiences, etc. c. Each partner's individual psychopathology, such as depression, anxiety or substance abuse d. All of the above

Since most cohabiting couples nowadays start the "relationship clock" before they get married, what types of difficulties do these couples usually face?

(Answer: D) a. Their difficulties are very different from those faced by married couples, since the relationships of cohabiting couples are not similar to marriages. b. Their problems are similar to those faced by married couples, but they face them later in the relationship than the married couples would, since cohabitation slows down the course of the relationship. c. They typically don't face as many difficulties as married couples do, because they can freely end the relationship at any time. d. They go through the same relationship trials as young married couples do, but they have lower

According to information presented in chapter 8, some of the common characteristics of wounded but hopeful couples include:

(Answer: D) a. They lack belief that their relationship will improve. b. Both partners experience anger and withdrawal. c. Both partners may have accumulated multiple hurts over the course of their relationship. d. All of the above.

When one or both spouses struggles with various chronic issues, which unhealthy coping strategies will they be likely to utilize, according to the book?

(Answer: D) a. They may attempt to "rescue" or "fix" the other spouse. b. They may attempt to use the other spouse as their "counselor" or "therapist." c. They may expect that their spouse will fulfill most or all of their interpersonal needs. d. All of the above

Counselors who make webpages that describe their services, qualifications and costs are trying to accomplish which of the following goals?

(Answer: D) a. To answer questions for the client b. Give the clients confidence that there is help for their problems c. Move the clients from contemplation stage of change to the action stage d. All of the above

A counselor who treats a couple with psychological disorders may need to make which of the following adjustments to the standard hope-focused treatment plan?

(Answer: D) a. Treatment may need to be extended for a couple of weeks in order to address individual psychopathology. b. A counselor may need to include several CBT- or DBT-focused interventions in the treatment plan, which would address irrational thoughts, cognitive distortions and dysfunctional behaviors. c. The partner with individual psychopathology may need to be referred to a physician or a psychiatrist for a medication evaluation. d. All of the above

Which of the following answers describes the truth(s) about couples, relationships and counseling that are presented in the last chapter of the book?

(Answer: D) a. Work is not easy, "sexy" or even immediately rewarding most of the time b. There is a distinct difference between real love and a "wish-dream" that many couples may have in regards to their relationship c. Having faith in the hope-focused approach is important for both the couple and the counselor alike d. All of the above

A counselor who is using the hope-focused couple approach will be most likely to tell which message to a couple?

(Answer: D) a. You have been together for a long time, and you have been using these dysfunctional patterns for years; thus, you cannot expect that your interactions will improve overnight. b. You both have contributed to the problems that you are having, and you can both be blamed for them. In the course of counseling we will discuss who is responsible for which part, and we will try to find justice. c. Your past has shaped who you are today. In the course of counseling we will focus on your previous relationships and your childhood experiences in order to assess which patterns you brought into this relationship and how they are affecting you now. d. You both have strengths and virtues. You may have not fully used them yet, but you both have them, and you can build on them to heal your relationship.

John assumes that his girlfriend, Joanna, is just an inconsiderate and rude person when she is late for a date, but when John is running late somewhere, he blames it on traffic and always finds a good situational excuse for his lateness. John is

(Answer: D) a. a selfish person with little insight b. making poor judgments c. no longer in love with Joanna d. making a fundamental attribution error

Prayer in couple counseling

(Answer: D) a. can be an effective tool for couples interested in using their faith in counseling b. can be included as homework in the form of a prayer journal c. must be used ethically and appropriately d. All of the above

Ashley and Carlos understand that it is important for them to love each other, but their cultural backgrounds have different interpretations of how their love toward each other should be expressed. In this case, loving one another can be seen as a(n) ______________, whereas expression of this love is an example of ______________ that can be adjusted.

(Answer: D) a. cultural tradition; eternal truth b. master virtue; cultural context c. simple truth; habitual response d. eternal truth; cultural tradition

Enrichment couples will likely be high in ______ and low in ________.

(Answer: D) a. love; commitment b. faith; love c. work; conflict d. faith; work

Warm virtues are based on _______ and _______.

(Answer: D) a. responsibility; conscientiousness b. justice; purity c. warmth; kindness d. altruism; attachment

According to the hope-focused couple approach, a path to relationship warmth, compassion and understanding is built upon a couple's

(Answer: D) a. virtues b. character strengths c. positive personal qualities d. all of the above

According to research cited in the book, childhood sexual abuse may cause which of the following difficulties within the survivor's psychological and social functioning?

(Answer: E) a. Lack of trust b. Low self-esteem c. Fear or being retraumatized d. Decreased emotional intimacy e. All of the above

In the "Simple Listen and Repeat" intervention, the job of the listening party is to:

(Answer: E) a. Listen to their partner b. Reflect what they are hearing c. Provide their response in a nondefensive and valuing manner d. All of the above e. A and B only

According to the book, recent research indicates that behavior-oriented interventions are mainly effective because:

(Answer: E) a. They improve the couple's attachment b. They help the couple strengthen their bond c. They teach the couple something they did not know before d. All of the above e. A and B only f. B and C only

According to the book, warning signs that may suggest that an individual should seek professional treatment in regard to pornography use include:

(Answer: E) a. Using pornography as a coping strategy to deal with stress b. Increased risk-taking behaviors due to pornography c. Decreased or increased libido d. All of the above e. A and B only

If one partner in a couple grew up in a family with substantial financial limitations, his or her concerns will most likely include:

(Answer: F) a. Fear of having no retirement or college fund for the children b. Fear that their spouse will develop a substance use problem c. Fear of having financial difficulties in general d. All of the above e. A and B f. A and C

Eric and Ella have accumulated many offenses over the years they have been together. According to the book, one of the first things that the counselor can do with them is:

(Answer: F) a. Help them develop more intimacy and closeness b. Help the couple experience tangible and concrete changes in their relationship c. Present them with a miracle question and focus the couple on their goals for treatment d. Focus on their conflict resolution strategies e. A and B f. B and C g. C and D h. None of the above

Recent research cited in the book indicates that the neurobiological basis of pornography use is similar to which of the following processes?

(Answer: F) a. Playing a game of roulette or blackjack b. Betting a large sum of money on a sporting event c. Viewing an aesthetically pleasing object, such as art or nature d. All of the above e. None of the above f. A and B only

Interventions within the HOPE category (Handling Our Problems Effectively) of the HFCA are mainly focused on:

(Answer: G) a. Behaviors b. Skills c. Emotions d. Past relationships e. Family of origin f. All of the above g. A and B only

According to the book, high-conflict couples are characterized by which of the following?

(Answer: G) a. Both partners likely grew up in families with domestic violence, and they probably experienced emotional or physical violence in their families of origin b. Their conflicts involve emotional escalation and flooding c. The couple has a history of negative behaviors and mild to moderate violence d. All of the above e. A and B only f. A and C only g. B and C only

According to the material presented in the book, when working with a couple that has longstanding, perpetual problems that are not likely to change any time soon, it is important to promote which virtues in the couple's relationship?

(Answer: G) a. Forgiveness b. Justice c. Grace d. Commitment e. All of the above f. A and B g. A and C

Donna and Daniel have been together for over seven years, and they have two preschool-age children together. They have many hurts and lack of forgiveness in their relationship. They also have low faith that their relationship can improve. They want to repair the emotional bond between them, but they don't feel adequate to accomplish it. According to the book, the counselor's steps with this couple should primarily include

(Answer: G) a. Interventions aimed at improving their parenting skills b. Interventions aimed at emotional understanding c. Interventions aimed at developing apologies skills d. All of the above e. A and B f. A and C g. B and C

Couples in which at least one of the partners has been exposed to combat are at a higher risk for dealing with which of the following problems, according to the book

(Answer: G) a. PTSD symptoms b. Poor parenting c. Substance abuse d. Domestic violence e. All of the above f. A, B, and C only g. A, C and D only h. B, C and D only

When using interventions that are appropriate for cool virtues couples with clients who are not religious, the counselor can utilize psychological terms and concepts to reframe some of the interventions. Examples of such reframing may include:

(Answer: G) a. Personal and relational growth b. Grace, mercy, and atonement c. Relationship health d. All of the above e. A and B only f. B and C only g. A and C only

When working with couples where partners primarily let out their trauma symptoms within the relationship, counselors should promote which of the following strategies?

(Answer: G) a. Prioritizing self-care b. Increasing empathy between the partners c. Internalizing the problem d. Externalizing the problem e. All of the above f. A, B and C only g. A, B and D only h. B, C and D only

According to the book, the specific risk factors that should be assessed when treating a couple with a history of combat exposure include

(Answer: H) a. Emotional intimacy b. Physical intimacy c. Suicidality d. Domestic violence e. All of the above f. A and B only g. B and C only h. C and D only

year ago. They have been arguing more and more recently, they don't spend much quality time together, and they do not feel as close to each other as they used to. According to the materials discussed in chapter 11, what factor(s) may be of primary concern for this couple?

Answer: B) a. The hurts that they brought from their families of origin and from their previous relationships may be causing their problems. b. The level of commitment on the part of one or both partners is likely to be low. c. Their communication skills are not as good as they can be. d. None of the above

Tom and Trista are both highly religious Christians. They attend a Methodist church at least once a week, they are involved in their church activities, they regularly pray, and they read the Bible. They are both committed to their relationship and highly value such virtues as conscientiousness, commitment and justice. However, their marriage has not been as intimate, close, fulfilling or happy for both of them as it was ten years ago when they got married. They feel like they are doing all the right things but are distant. What is one of the central things that are likely to lack in a relationship like this?

Answer: B) a. They are probably fighting a lot and are lacking effective communication skills; therefore, the counselor should coach them through a TANGO exercise within one the of the first sessions. b. They may find it difficult to be warm in their relationship; the counselor's response should be empathic and he or she should model warm relational virtues for this couple. c. This couple is likely not praying enough together or they may not be studying the Scripture together as much as they should; the counselor should encourage the couple to join a Bible study group together in their church. d. All of the above

Contraindications for seeing a high-violence couple in a dyadic format include

Answer: D) a. One of the partners is afraid of the other b. Partners have physically hurt each other c. At least one of the partners engages in problematic controlling behaviors d. All of the above e. None of the above f. A and B only g. B and C only

Which one of these elements is not part of the three principles of couple therapy that helps counselors guide the couple through the process of hope-focused couple counseling?

a) Love b) Faith c) Hope (Answer: C) d) Work

The first axis in the attachment theory model is the self, which is characterized by________. The second axis is the other, which is characterized by _______.

a. dependence; avoidance b. pursuit; avoidance c. avoidance; dependence d. self-reflection; attachment (Answer: A)