Deck 7: Inflexible Interpersonal Coping Strategies

Question 1

In the case study of Juan, in the face of Juan's overtly disrespectful and insulting behavior during sessions, the therapist is______and doesn't______his distain.

A)defensive; capitulate to
B)hurt; understand
C)non-defensive; personalize
D)reactive; acknowledge

Answer 1

C

Question 2

In the case study of Peter, Peter's core conflict was identified as being: ​

A)anxiety about receiving criticism and feeling rejected.
B)maladaptive neediness.
C)resentful anxieties.
D)too nice to his clients.

Answer 2

A

Question 3

According to Horney, a client who is always sensitive to the needs of others, committed to the ideals of peace and harmony, and wins, needed approval from others is defending against a blocked need by moving: ​

A)away adaptation.
B)against adaptation.
C)toward adaptation.
D)inward adaptation.

Answer 3

C

Question 4

​ Clients usually enter therapy when:

A)situational life stressors have caused their interpersonal coping strategies to fail.
B)stress due to developmental transition stressors in adulthood have caused their interpersonal coping strategies to fail.
C)an interpersonal conflict has evoked related developmental conflicts.
D)All of the choices are correct.

Question 5

Compromise solutions______and______. ​

A)always succeed; resolve conflicts
B)provide flexible alternatives; gratify needs
C)block needs; rise above needs
D)approach needs directly;boost self-esteem

Question 6

According to Horney, a client who rises above their needs through aloofness and glorifies this stance by feeling self-righteously self-sufficient has a characterological interpersonal style of moving: ​

A)away.
B)inward.
C)against.
D)toward.

Question 7

The struggle that comes from not having had a secure base to venture flexibly into new relationships is: ​

A)a symptom of life stressors.
B)typical of clients without a "safe haven."
C)palpable in clients severely bounds by "shoulds."
D)None of the choices are correct.

Question 8

By rising above their needs and feeling special, clients develop a sense of   ______. ​

A) self-esteem
B)mastery and control
C)self-efficacy
D)false pride and entitlement

Question 9

Which of the below choices IS NOT a part of the interpersonal framework for conceptualizing a client's problems? ​

A)The client's unmet attachment needs
B)Healthy coping strategies that have worked
C)The client's interpersonal strategy to manage or cope with anxiety
D)An interpersonal resolution of the core conflict

Question 10

Clients core conflicts arise from the combined effects of insecure attachments, problematic child-rearing practices, and: ​

A)ineffective coping strategies.
B)failure to be adaptive and flexible in handling conflict.
C)inability to remain "reality based."
D)faulty structural family relations.

Question 11

Therapists help clients resolve their core conflict by: ​

A)allowing clients to experience their core conflicts in a supportive relationship.
B)helping them to integrate other reactive feelings and alter faulty expectations about what may occur in relationships with others.
C)teaching clients how to question their pathogenic beliefs and faulty expectations.
D)All of the choices are correct.

Question 12

For many clients, symptoms that precipitate a crisis often: ​

A)are situational stressors that evoke painful developmental experiences.
B)confirm of pathogenic beliefs.
C)cause interpersonal coping strategies to fail.
D)All of the choices are correct.

Question 13

Often times the most difficult therapeutic intervention for therapists to provide is: ​

A)to interpret the original wound.
B)normative and educative information about the problem.
C)contain the client's affect by remaining emotionally connected to them as they experience painful feelings.
D)talk about child-rearing practices and parental influences.

Question 14

Karen Horney's interpersonal coping styles of moving toward, moving away, and moving against work for the client to: ​

A)reduce anxiety and provide partial, indirect gratification of unmet needs.
B)build the basis of relationships.
C)provide a foundation for intimacy.
D)give flexible behavioral responses.

Question 15

The core conflict which underlies and pervades the client's life and problems has its origins in: ​

A)a single traumatic experience.
B)repetitive relational patterns that block the child's developmental needs.
C)poor peer relations.
D)toxic parents.

Question 16

When a client presents a set of "shoulds" which include unrealistic demands on others and self, helpful interventions by a therapist include: ​

A)helping the client appreciate these interpersonal coping strategies.
B)helping the client see these coping strategies are unnecessary in many current situations.
C)helping the client see that this coping strategy is central to the clients' basic sense of self.
D)All of the choices are correct.

Question 17

In the case study of Maggie, her affective constellation emerged as being: ​

A)sadness, anger, anxiety.
B)ambivalence, sadness, anxiety.
C)irritability, anger, and ambivalence.
D)rejection, sadness, anxiety.

Question 18

According to Horney, clients who have angry behavior are: competitive, self-centered, and demanding, but see themselves as heroes or strong leaders. These clients have adopted an interpersonal coping style of moving: ​

A)away.
B)against.
C)toward.
D)inward.

Question 19

​ Defenses such as trying to be perfect, repeatedly taking charge, and avoiding all conflict:

A)are ineffective.
B)are defenses framed as virtues.
C)are evidence of psychotic personality.
D)None of the choices are correct.

Question 20

​ When a therapist and client collaborate to explore and clarify how completely a client's sense of self depends on their ability to achieve or please:

A)the therapist helps the client challenge their assumptions.
B)the therapist is cataloging inadequacies.
C)the therapist is revealing the anxious insecurities and emotional deprivations that originally led to the defensive coping strategy.
D)the therapist is enacting a countertransference issue.

Question 21

Describe how severe love withdrawal may shape the sense of self and interpersonal coping strategies. ​

Question 22

How does Horney describe the typical defense styles of "Move Away?" Why are these defenses often compensatory and what do they actually reflect? ​

Question 23

Explain how rigid coping strategies that have been learned in problematic caregiver-child and insecure attachment relationships may provide short- term benefits but long-term adjustment costs.

Question 24

​ Describe how a client's interpersonal coping style becomes their principal avenue to succeeding in life.

Question 25

In the case study of Peter, how did the therapist provide empathy and understanding while triggering Peter's core conflict? ​

Question 26

Describe the strategies used to cope with unmet developmental needs. In your answer, be sure to address how these coping strategies were originally adaptive, but become self- defeating. ​

Question 27

In the case study of Maggie, how did the therapist recognize her reoccurring dream as encapsulating her core conflict? How did the therapist "join" Maggie in her central feeling of aloneness? ​

Question 28

What is meant by the "tyranny of the shoulds"? ​

Question 29

​ How does Horney describe the "Moving-toward" client? What becomes their defensive Interpersonal Coping Style?

Question 30

How does a therapist move a client toward a less judgmental attitude towards the self and more patient with frustrating symptoms? ​