Deck 9: Empathic Confrontation: Supporting While Addressing Client Conflict

Question 1

Imagine that you are talking with a client about emotional child abuse. You have just confronted the client with the following statement:
"On one hand, you say you love your child, but on the other hand, you continue to put her out in the hall of your apartment, where you force her to stand for three hours in the dark. How do you put that together?"
The client's responses appear below. Which response is denial? Which is partial examination? Which is full examination, but no change? Which is a decision to live with incongruity? Which is development of newer constructs, patterns, or behaviors?
"I understand what you are saying; it just doesn't make sense what I'm doing. I seem to be saying one thing but doing another."

A) denial
B) partial examination
C) full examination, no change
D) development of new constructs, patterns, or behaviors

Answer 1

C

Question 2

Imagine that you are talking with a client about emotional child abuse. You have just confronted the client with the following statement:
"On one hand, you say you love your child, but on the other hand, you continue to put her out in the hall of your apartment, where you force her to stand for three hours in the dark. How do you put that together?"
The client's responses appear below. Which response is denial? Which is partial examination? Which is full examination, but no change? Which is a decision to live with incongruity? Which is development of newer constructs, patterns, or behaviors?
"I don't understand what you are saying. There's no need to put it together. There's no problem. That's the way I do it."

A) denial
B) partial examination
C) decision to live with incongruity
D) development of new constructs, patterns, or behaviors

Answer 2

A

Question 3

Most clients come to the interview feeling

A) stuck.
B) ambivalent.
C) torn between competing options.
D) all of these.

Answer 3

D

Question 4

Which of the following steps of empathic confrontation includes the Confrontation Client Change Scale (CCS)?

A) listening and observing
B) providing feedback on internal and external conflict
C) evaluating how the client received the confrontation and whether it led to change
D) all of these

Question 5

Empathic confrontation is divided into ____ steps

A) 1
B) 2
C) 3
D) 4

Question 6

Which of the following is correct regarding the sequence of the steps of empathic confrontation?

A) listening and observing; providing feedback on internal and external conflict; evaluating how the client received the confrontation
B) providing feedback on internal and external conflict; listening and observing; evaluating whether it led to change
C) listening and observing; evaluating how the client received the confrontation; providing feedback on internal and external conflict
D) all of these

Question 7

Mediation and conflict resolution combine the five stages of the interview and empathic confrontation. Imagine you are working with a couple arguing over child custody. How could you use the mediation model to assist in this process?

Question 8

Imagine that you are talking with a client about emotional child abuse. You have just confronted the client with the following statement:
"On one hand, you say you love your child, but on the other hand, you continue to put her out in the hall of your apartment, where you force her to stand for three hours in the dark. How do you put that together?"
The client's responses appear below. Which response is denial? Which is partial examination? Which is full examination, but no change? Which is a decision to live with incongruity? Which is development of newer constructs, patterns, or behaviors?
"I think I see what you're saying. There is a big incongruity there. I want to stop, but I was abused and hit by my parents. I think I'm doing better than they did-at least I don't strike Amie. But perhaps I can do something different next week. I'll try your new idea about disciplining her."

A) partial examination
B) full examination, no change
C) decision to live with incongruity
D) development of new constructs, patterns, or behaviors

Question 9

Empathic confrontation is

A) a direct challenge.
B) a harsh action.
C) going against the client.
D) a gentle skill.

Question 10

Discuss some of the key multicultural issues in the use of empathic confrontation.

Question 11

Imagine that you are talking with a client about emotional child abuse. You have just confronted the client with the following statement:
"On one hand, you say you love your child, but on the other hand, you continue to put her out in the hall of your apartment, where you force her to stand for three hours in the dark. How do you put that together?"
The client's responses appear below. Which response is denial? Which is partial examination? Which is full examination, but no change? Which is a decision to live with incongruity? Which is development of newer constructs, patterns, or behaviors?
"Yes, I do love her. I care for her very much. She is extremely important to me. We do everything together. We really do so many things that work out OK."

A) denial
B) partial examination
C) full examination, no change
D) decision to live with incongruity

Question 12

The first step in empathic confrontation is

A) identifying a contradiction or discrepancy.
B) asking questions to clarify discrepancies.
C) checking out incongruity.
D) establishing rapport.

Question 13

Incongruities and discrepancies of the interviewee to be identified include all but one of the following:

A) between two statements
B) between statements and nonverbal behavior
C) between the influencing skill used by the interviewer and the interviewee response
D) between what one says and what one does

Question 14

A client comes to you saying the following: ""I have no problems in stopping smoking; I've stopped ten times in the last year."  a. identify the incongruity in the statement; b. write an  empathic confrontation, which you might say to the client, including the important check-out; c. follow this by writing client statements that would represent denial, partial examination, full examination, decision to live with the incongruity, and the development of new patterns, constructs, or behaviors.

Question 15

Imagine that you are talking with a client about emotional child abuse. You have just confronted the client with the following statement:
"On one hand, you say you love your child, but on the other hand, you continue to put her out in the hall of your apartment, where you force her to stand for three hours in the dark. How do you put that together?"
The client's responses appear below. Which response is denial? Which is partial examination? Which is full examination, but no change? Which is a decision to live with incongruity? Which is development of newer constructs, patterns, or behaviors?
"I heard what you are saying. I want to change, but right at the moment I just can't do what I want. I tried last week; it didn't work. The divorce is getting to me. I'll do the best I can to change, but it is so hard."

A) partial examination
B) full examination, no change
C) decision to live with incongruity
D) development of new larger and more inclusive constructs, patterns, behaviors

Question 16

Telling the client what the issue is and how to resolve it is an effective counseling method.

Question 17

Which of the following is a behavior to avoid in interviewing and counseling?

A) blaming
B) assuming
C) pushing
D) All of these

Question 18

Confrontation is a combination of skills.

Question 19

Mediation may be used with children who are in conflict. Discuss how the five-stage model of the interview and mediation and empathic confrontation may be combined to assist in conflict resolution.

Question 20

Nonempathic confrontation includes

A) coercive confrontation.
B) aggressive confrontation.
C) challenging the client too quickly.
D) All of these.

Question 22

Explain the different stages of change model and indicate how you would use this model to guide empathic confrontation.