Deck 5: Helping Clients With Their Feelings

Question 1

The best way for a therapist to manage their own reactions to evocative material that clients present is to: ​

A)remain expressionless so as not to alert or distress the client.
B)ignore their own emotional reaction.
C)learn how to recognize and anticipate their own Countertransference propensities, and know what to do when they are evoked.
D)respond politely, but defensively.

Answer 1

C

Question 2

One way in which therapist's countertransference reactions are revealed in therapy is by the therapist: ​

A)becomes personally invested in the way the client handles a certain issue.
B)approaches the central conflict or issue.
C)can successfully differentiate their own similar feelings from their clients'.
D)accurately identifies the client's feelings.

Answer 2

A

Question 3

The greatest opportunity to help clients change occurs: ​

A)at the moment clients are experiencing the full emotional impact of their problems.
B)when the client follows through with the therapist's concrete suggestions for change.
C)during the final session prior to termination of therapy.
D)there is no greatest opportunity to help clients change.

Answer 3

A

Question 4

To provide a "holding environment" for clients to explore their distress, therapists: ​

A)maintain a steady presence.
B)educate the client on the dynamics of therapy.
C)clarify what the therapist is thinking and feeling as clients share conflicted feelings.
D)Both maintain a steady presence and clarify what the therapist is thinking and feeling as clients share conflicted feelings are correct.

Question 5

When therapists minimize, reassure, explain, or simply move away from a client's painful feelings, it is often because: ​

A)they feel responsible for causing the client's painful expressions.
B)their reaction evokes a countertransference response.
C)they feel responsible for alleviating their pain, but don't quite know how.
D)both they feel responsible for causing the client's painful expressions and they feel responsible for alleviating their pain, but don't quite know how are correct.

Question 6

Discuss and compare effective and ineffective ways therapists can respond to defenses against or resistance toward painful feelings. ​

Question 7

Discuss characterological affects. How do they develop and how can therapists respond to them? ​

Question 8

According to Beck's "hot cognitions," it is when______that clients are most apt to distort or misperceive the therapist's response and slot it to fit old expectations. ​

A)a client has a significant lack of trust in the therapist
B)strong feelings have been triggered
C)a client perceives an inauthentic connection with the therapist
D)a client feels sequestered in their own experiences

Question 9

One of the most important ways to help clients achieve a greater sense of adequacy and mastery in their lives is to: ​

A)give them concrete suggestions for change.
B)summarize each session thoroughly.
C)allow them to take full responsibility for the therapeutic process.
D)help them make sense of their emotional reactions.

Question 10

Explain the roles that shame and guilt have in maintaining client conflicts. Discuss effective and ineffective responses to shame. ​

Question 11

​ Reasons clients do not like to explore difficult feelings include their:

A)belief that the work "it's too hard."
B)belief that "it won't do any good."
C)belief that exploring their feelings in depth "will be overwhelming."
D)belief that they will be ridiculed and judged.

Question 12

Clients who do not experience or express anger, avoid interpersonal conflict, and tend to respond to others' needs at the expense of their own is said to be experiencing the______ affective constellation. ​

A)Anger-Sadness-Shame
B)Guilt-Anger-Shame
C)Sadness-Anger-Guilt
D)Anger-Guilt-Sadness

Question 13

Discuss the concept of affective constellations. Illustrate one potential triad of interrelated feelings, and describe how they would play out in treatment. ​

Question 14

Clients frequently talk about their feelings without actually experiencing them. How can therapists help clients experience their feelings more fully and why could this be helpful? ​

Question 15

Describe a therapeutic "holding environment." How can therapists facilitate this and explain why it is important to the therapeutic process. ​

Question 16

Although different sequences occur for each client, the therapist can often identify a(n)     of interrelated feelings that cycle repeatedly when clients are distressed. ​

A)undifferentiated set
B)dyad
C)trigger
D)triad

Question 17

When a therapist makes a process comment by acknowledging a discrepancy between what a client has said and the feeling or affect that accompanied the statement, the therapist is: ​

A)addressing an incongruence.
B)attempting a "personalization" response.
C)being reflective.
D)providing a restorative experience.

Question 18

When clients risk exposing their pain, vulnerability, or shame and the therapist responds with kindness and understanding, clients . ​

A)are personally empowered
B)become too dependent on the therapist
C)experience their original shame again
D)generally terminate treatment

Question 19

To "resolve shame dynamics," therapists should: ​

A)unambiguously provide kind and accepting responses to clients as they experience feelings of shame.
B)work (over time) to help the client internalize the therapist's compassion for their shame.
C)help their clients to break the identification with the attachment figure who was rejecting.
D)All of the answer choices are correct.

Question 20

Often, clients are unable to make sense out of their feelings or overreactions to a current situation. How can the therapist empower clients or help them with this? ​

Question 21

Discuss different ways in which family rules about emotional expression can affect how the therapist and client work together. ​

Question 22

Discuss personal factors that may stimulate countertransference reactions, and discuss effective and ineffective ways to manage these responses. ​

Question 24

Explain what is meant by the phrase "change from the inside out," and suggest what therapists can do to assist or impede this process. ​