Deck 10: Interpersonal Psychotherapy Helen Verdeli and Myrna M Weissman

Question 1

The evidence for the efficacy of IPT remains varied for other adaptations but is strongest for

A) substance abuse.
B) dysthymic disorder.
C) mood disorders.
D) eating disorders.

Answer 1

C

Question 2

Interpersonal therapists prescribe a "sick role" to patients. This means that

A) depressed patients are not expected to engage in homework.
B) family members must take over their responsibilities while they are in treatment.
C) prescription medications must be a core part of the treatment.
D) depression is a treatable medical problem, not a personal failing.

Answer 2

D

Question 3

Interpersonal therapy developed as part of a

A) research study evaluating the effects of depression on cardiac patients.
B) political movement to demystify psychotherapy.
C) a therapy arm for a clinical trial evaluating antidepressant efficacy.
D) feministic movement to infuse interpersonal issues in therapy.

Answer 3

C

Question 4

For which minorities in the United States has the most efficacy been in clinical trials of IPT?

A) Southwest Ugandan immigrants
B) German and Danish ethnic groups
C) Displaced persons
D) Black and Hispanic groups

Question 5

Which of the following statements is true about affectional bonds, as described by John Bowlby?

A) Humans have an innate need for affectional bonds.
B) Affectional bonds are destructive and should not be fostered.
C) Affectional bonds develop only in congruence with pathology.
D) Higher functioning individuals have no need for affectional bonds.

Question 6

In response to an insensitive or unavailable caregiver, an individual might develop which type of attachment style according to Mary Ainsworth's theory?

A) Affectionate
B) Ambivalent-insecure
C) Secure
D) Bidirectional

Question 7

The goal of prescribing a "sick role" to a patient in interpersonal therapy is to

A) allow the patient to be passive to get the help he or she needs.
B) insure that insurance benefits will cover treatment.
C) demystify the symptoms and engage the patient.
D) secure a leave of absence from responsibilities.

Question 8

Who has been an important figure in a 1978 study to measure of relative risk to examine the impact of stressful life events on depression?

A) Eugene Paykel
B) Ainsworth
C) John Bowlby
D) Adolph Meyer

Question 9

In describing depression to a patient, an interpersonal therapist would explain that

A) psychosocial triggers cause depression but medications can help.
B) genetic, personality, and early childhood factors contribute to depression, but symptoms are be triggered by stress, usually of an interpersonal nature.
C) unconscious factors related to childhood will be the treatment focus.
D) dysfunctional thoughts and maladaptive core beliefs create depression.

Question 10

In which phase of interpersonal therapy would the clinician focus on helping the patient identify ways that depression has affected his or her interpersonal relationships as well as how his or her interpersonal relationships have impacted his or her depression?

A) Initial
B) Middle
C) Family
D) Termination

Question 11

If a patient was in a depressive phase of his or her bipolar disorder, an interpersonal therapist would

A) treat the depressive phase in a similar manner to unipolar depression.
B) not prescribe the patient a "sick role" as in unipolar depression.
C) not treat the patient because interpersonal therapy is not appropriate.
D) treat the patient with a nonstandardized interpersonal approach to therapy.

Question 12

In the Uganda culture, it is highly likely that a depressed individual would

A) seek help readily from individuals from a different culture.
B) feel stigmatized by interpersonal therapy's focus on relationship disputes.
C) not appreciate assistance for depression when it was provided.
D) respond when greeted to cover up that they were experiencing depression.

Question 13

Interpersonal therapy-evaluation, support, triage (IPT-EST) is designed to

A) provide long-term, ongoing services to severely depressed patients.
B) offer a three-session intervention based on rapid diagnosis and treatment.
C) augment IPT's focus on interpersonal issues with thought monitoring.
D) specifically target the special needs of geriatric patients with depression.

Question 14

Which statement accurately describes the theory of personality that drives interpersonal therapy?

A) Psychoanalytic theory forms the foundation for interpersonal therapy.
B) Interpersonal therapy is guided by multiple personality theories.
C) Cognitive theory forms the foundation for interpersonal therapy.
D) A theory of personality is not directly relevant to interpersonal therapy.

Question 15

In contrast to the homework given in a cognitive therapy session, an interpersonal therapist will

A) utilize more forms to maintain standardization.
B) establish the homework for the patient.
C) be less prescriptive overall across therapy.
D) not utilize homework given the patient's sick role.

Question 16

A group of four interpersonal problem areas that has become the focus of IPT is known as

A) PTSD.
B) depressogenic triggers.
C) personality disorders.
D) grief modulators.

Question 17

What type of therapy focuses heavily on early childhood experiences as determinants of unconscious mental processes and intrapsychic conflict?

A) Emotive-behavior therapy
B) Cognitive-behavioral therapy
C) PTSD therapy
D) Psychodynamic psychotherapy

Question 18

The typical length of interpersonal therapy for depression for an adult would be

A) 8 sessions.
B) 16 sessions.
C) 24 sessions.
D) 48 sessions.

Question 19

The developers of interpersonal therapy were

A) Myrna Weissman and Helen Verdeli.
B) John Bowlby and Mary Ainsworth.
C) Gerald Klerman and Myrna Weissman.
D) Gerald Klerman and Adolph Meyer.

Question 20

In the early 20th century, Adolph Meyer recommended the use of a life chart with patients. A life chart

A) estimated how long a patient would live depending on his or her level of depression.
B) recorded the physical health problems a person developed over the course of his or her depressive illness.
C) tracked the relationships between life history, physical and psychological illnesses, and stressful events.
D) diagramed an individual's family history of depression so he or she could see the biological nature of the illness.

Question 21

During which phase of treatment does the majority of the interpersonal work take place?

A) Middle phase
B) Initial phase
C) Therapeutic relationship building phase
D) Termination phase

Question 22

Okwekubagiza, a term from Uganda, refers to

A) self-pity.
B) self-esteem.
C) self-loathing.
D) selflessness.

Question 23

Commenting on how _________ is communicated (verbally and nonverbally) is the "bread and butter" of interpersonal therapy.

Question 24

The World Health Organizations task shifting model refers to

A) the importance of collaboratively engaging patients into treatment.
B) task sharing among interdisciplinary teams to create better outcomes.
C) delegating tasks to less specialized local health workers.
D) shifting resources from a national to an international level.

Question 25

A(n) _____________________ is a research investigation that includes a broad range of participants conducted in a real-life setting by community clinicians.

Question 26

Which studies have helped clarify the role of life events in the complex matrix of factors that coincide in the development of psychiatric disorders?

A) Psychopathology
B) Epidemiological studies
C) Methodological studies
D) Genetic studies

Question 27

Interpersonal therapy asserts that depression is _______________, but symptoms are triggered by ____________.

Question 28

Research studies that evaluate the effects of a treatment within a relatively homogenous group, under optimal clinical circumstances, and with the therapy performed by highly trained experts are called

A) efficacy testing.
B) effectiveness studies.
C) expert-led research.
D) none of these are correct.

Question 29

Which study showed the 5-HTT genotype moderated the depressogenic influence of adverse life events?

A) Psychopathology
B) Epidemiological studies
C) Gene X environment interaction
D) Phenotype

Question 30

During which phase of treatment do therapists evaluate patients' depressive symptoms with them to determine if they are full or partial responders?

A) Middle phase
B) Initial phase
C) Therapeutic relationship building phase
D) Termination phase

Question 31

Conjoint interpersonal psychotherapy for depression has demonstrated that

A) treating a couple when both spouses are depressed is not beneficial.
B) conjoint interpersonal therapy leads to greater marital satisfaction.
C) less gains are made in treatment by both spouses if treated together.
D) conflicts in therapy arise as both patients want to assume a "sick role."

Question 32

In interpersonal therapy, depression is conceptualized as having three components: _______________, ___________________, and _______________.

Question 33

According to interpersonal therapy, triggers of depressive episodes involve disruptions of significant attachments and social roles generally related to _______________, __________________, and __________________.

Question 34

The data on baseline depressive severity as a moderator of treatment suggest that

A) depression severity has not been accurately measured in treatment.
B) treatment benefits emerge best in relation to less depressed individuals.
C) depressive severity does not moderate treatment outcomes.
D) the research is equivocal on baseline levels of depression as moderators.

Question 35

In the randomized clinical trial evaluating modified interpersonal group psychotherapy (IPT-G) for depression in Southwest Uganda,

A) the treatment was not well received by the community.
B) IPT-G was more effective than the control condition.
C) valid assessment measures to use could not be identified.
D) direct forms of communication had to offset some cultural norms.

Question 36

In a study using interpersonal psychotherapy (IPT) for treating depression in adolescents living in internally displaced persons (IDP) camps in Northern Uganda,

A) IPT performed poorer than creative play but better than a wait list.
B) IDP adolescents were too anxious to discuss interpersonal conflicts.
C) IPT performed better than both the creative play and wait list control.
D) grief was so dominant that IPT could not be used effectively.

Question 37

Patients with high attachment avoidance and depression

A) tend to fare better in cognitive therapy.
B) tend to fare better in interpersonal therapy.
C) show similar outcomes in cognitive and interpersonal therapy.
D) have poor responses in all forms of therapy.

Question 38

In 2013, who proposed four specific mechanisms for changes in IPT?

A) Eugene Paykel
B) Lipsitz and Markowitz
C) John Bowlby
D) Adolph Meyer

Question 39

In contrast to interpersonal therapy for adults, interpersonal therapy for adolescents

A) lasts longer (20 or more sessions).
B) uses telephone contacts more frequently.
C) does not focus on interpersonal conflicts.
D) avoids defining a "sick role" in depression.

Question 40

An interpersonal therapist and patient should collaboratively identify how many problem areas to address over the course of treatment?

A) One to two (to stay focused)
B) Four to five (to learn to generalize skills)
C) Sixteen (one per session)
D) Varies depending on patient's presenting issues

Question 41

Interpersonal therapy merges well with theories of attachment that focus on how an individual conceptualizes internal working models of the self and others. Describe Mary Ainsworth's theory of attachment styles and describe the relevance to interpersonal therapy.

Question 42

Adapting IPT for _____________ has necessitated some important theoretical modifications that identify and target an interpersonal problem as a trigger of the current depressive episode.

Question 43

Ainsworth originally identified three major attachment styles, which she labeled ______________, ______________, and ____________. A forth attachment style known as ____________________ was added later.

Question 44

In interpersonal therapy, a depressed patient is prescribed a "sick role." Explain what that means and how this "sick role" is used therapeutically.

Question 45

Key components of interpersonal therapy are its ____________ nature, focus on _____________ problems, use of a _________ to standardize the procedure, and _____________ assessment.

Question 46

ITP works by providing clients with an understanding of their symptoms and their origin, then helping clients to change the context, make symptoms manageable, and discover ways to resolve problems to generate mastery. Discuss three specific clinical techniques that an ITP therapist would use to help clients progress through ITP therapy.

Question 47

Bowlby's _______________ provides the theoretical basis for the interpersonal context of depression and the mechanisms underpinning the therapy.

Question 48

One of interpersonal therapy's most important and distinctive features is conducting a(n) __________________ of important people currently in the patient's life.

Question 49

Although interpersonal therapy (IPT) in its original form explicitly addressed only Axis I disorders, Markowitz and colleagues have a strong rationale for treating borderline personality disorder (BPD) with IPT. Describe their rational for why IPT might be a helpful intervention for BPD.

Question 50

In the middle phase of interpersonal therapy, the majority of the focus is on assisting patients in clarifying how they are affected by and affect their interpersonal environment to build antidepressant relational skills. Describe the problem areas to be addressed.