Deck 9: Family Systems Theory

Question 1

Addiction is a disease that effects:

A) Adolescents
B) Emerging Adults
C) Adults
D) People of all ages

Answer 1

People of all ages

Question 2

Approximately how many households in the U.S. are impacted by addiction?

A) One-third
B) One-half
C) Three-quarters
D) One-fifth

Answer 2

One-third

Question 3

According to Family Systems Theory, all of the following influence family functioning except:

A) Interactions
B) Behaviors
C) Communication
D) Goals

Answer 3

Goals

Question 4

Within a family addiction systemic approach, what is key in treatment?

A) Illustrating how the addiction affects the family
B) Understanding the root of the addiction
C) Providing treatment first to the individual and then to the family
D) Identifying and changing interactions that sustain the addiction

Question 5

According to FST, _____________ and ____________ approaches in working with families have demonstrated to effectively engage the person with the addiction in treatment and improve outcomes.

A) Behavioral and systemic
B) Behavioral and cognitive
C) Familial and relational
D) Psychodynamic and developmental

Question 6

What is circular causality?

A) The belief that addiction is generational
B) When a family member changes their behavior, it causes others in the same system to change their behavior
C) The external variables that maintain addiction
D) The internal variables that maintain addiction

Question 7

What does homeostasis refer to in terms of FST and addiction?

A) The balance of complex sets of behaviors
B) The balance of verbal and nonverbal behavior
C) The balance of boundaries
D) The balance of communication and predictability of family roles

Question 8

________ assist(s) families in differentiating roles and functions of family members, which allows families to function effectively.

A) Boundaries
B) Enmeshment
C) Disengagement
D) Subsystems

Question 9

_____________ occurs when boundaries are too close.

A) Homeostasis
B) Disengagement
C) Engagement
D) Enmeshment

Question 10

_____________ occurs when boundaries are too distant.

A) Engagement
B) Disengagement
C) Enmeshment
D) Discord

Question 11

What is codependence?

A) Over-involvement of the individual with an addiction on their family for support
B) Blaming others for the addiction
C) Over-involvement of a partner who is in a relationship with someone with an addiction
D) Form of accommodation that protects the individual with an addiction from fully experiencing the consequences of their addiction

Question 12

What is enabling?

A) Form of accommodation that protects the individual with an addiction from fully experiencing the consequences of their addiction
B) Over-involvement of the individual with an addiction on their family for support
C) Form of accommodation that protects the family of the individual with an addiction from fully experiencing the consequences of the addiction
D) Over-involvement of a partner who is in a relationship with someone with an addiction

Question 13

Which of the following is not one of the family stages of recovery?

A) Maintenance of family change
B) Apologizing to family and friends impacted by substance abuse disorder
C) Making initial systemic changes
D) Adjusting to early recovery

Question 14

In regards to stages of family recovery, when friends, family, and allies come together to present the individual with addiction detailed documentation of how the substance abuse affected their lives, it is called:

A) Confrontation
B) Conception
C) Disengagement
D) Intervention

Question 15

In regards to stages of family recovery, when family members increase their own self-care by eradicating the negative interactional patterns around the individual with the addiction, it is called:

A) Enmeshment
B) Disengagement
C) Confrontation
D) Boundary repair

Question 16

ACA is the acronym for:

A) Association for Caring for Alcoholics
B) Adults, Children, and Alcohol
C) Association Council for American
D) American Counseling Association

Question 17

Who proposed four transdisciplinary foundations that underlie all addictions counseling interventions?

A) ACA
B) SAMHSA
C) CSAT
D) APA

Question 18

How many transdisciplinary foundations are there?

A) 4
B) 10
C) 15
D) 12

Question 19

How many practice domains have been developed by SAMHSA's Center for Substance Abuse Treatment?

A) 2
B) 4
C) 8
D) 15

Question 20

Which practice domain includes reviewing the immediate issue, symptoms, and other relevant information to determine the best course of treatment?

A) Clinical evaluation
B) Treatment planning
C) Documentation
D) Counseling

Question 21

Which practice domain includes a comprehensive written document that identifies treatment goals in measurable, attainable, and time-sensitive steps that have written expected outcomes?

A) Service coordination
B) Clinical evaluation
C) Treatment planning
D) Documentation

Question 22

Counselors utilize the natural support systems and community resources to accomplish therapeutic goals set in the treatment plan. What practice domain does this describe?

A) Referral service coordination
B) Service coordination
C) Counseling
D) Client, family, and community education

Question 23

When counselors coordinate services provided to the clients and families who are impacted by substance abuse disorders, what practice domain are they engaging in?

A) Family service coordination
B) Referral service coordination
C) Service coordination
D) Client, family, and community education

Question 24

What practice domain includes the evidence-based, theory-driven process that drives the client's progress toward their treatment goals?

A) Counseling
B) Clinical evaluation
C) Service coordination
D) Treatment planning

Question 25

The process of providing families and significant others with information on the risk factors related to their loved one's substance abuse, as well as resources to aid in their own recovery, is best described by what practice domain?

A) Counseling
B) Family service coordination
C) Service coordination
D) Client, family, and community education

Question 26

Recording treatment from the time of intake to discharge along with a client's treatment goals and progress notes are what practice domain?

A) Documentation
B) Clinical evaluation
C) Service coordination
D) Client, family, and community education

Question 27

Children who grow up in households where addiction is present have relatively few intrapersonal and interpersonal challenges later in life.

Question 28

Including families in the treatment process for addiction is critical.

Question 29

There are a wide variety of systemic approaches that stem from FST that can be utilized in addictions counseling.

Question 30

An advantage of systems theory is the ability to conceptualize a multidisciplinary framework for individualized and normative exploration of the relationship between the systems and the behaviors they represent.

Question 31

Positive by-products of being in a relationship with an individual who has an addiction include enabling and codependence.

Question 32

The goal of community reinforcement and family training (CRAFT) is to work with the family of the individual with addiction first in order to increase the likelihood of the individual with the addiction to enter treatment.

Question 33

When a family is adjusting to early recovery with their family member with an addiction, it is usually easy obtain a new homeostasis.

Question 34

Children who grow up in a family where a parent had a substance abuse disorder is more likely to develop a substance abuse disorder, given the transgenerational effect.

Question 35

The way a counselor works with an adolescent within family systems therapy is dependent on whether it is the adolescent or the parent that is experiencing the addiction.

Question 36

Trauma rarely accompanies addictions.

Question 37

Describe Family Systems Theory (FST).

Question 38

What are the stages of family recovery? Provide a brief description of each.

Question 39

SAMHSA proposed four transdisciplinary foundations that underlie all addictions counseling interventions. List and explain each foundation.

Question 40

What are the practice dimensions that have been developed by SAMHSA's Center for Substance Abuse Treatment?

Question 41

What are the strengths and weaknesses of Family Systems Theory?