Deck 6: Basic Features of Clinical Interventions

Question 1

Which of the following dimensions are especially important to the therapeutic relationships?

A) the emotional bonds that develop between the therapist and client
B) the shared understanding of the task at hand
C) neither a nor b
D) both a and b

Answer 1

both a and b

Question 2

Which of the following individuals is likely to be a more effective therapist?

A) Sam, who is trained in all the most current evidence-based treatments.
B) Susan, who is very self-controlled, but conveys sympathy to her clients.
C) Mary, who is very self-controlled and rarely expresses emotions directly to her clients.
D) Andrew, who at times expresses his emotions very assertively.

Answer 2

Susan, who is very self-controlled, but conveys sympathy to her clients.

Question 3

A common technique for developing insight is

A) encouraging catharsis.
B) direct confrontation of the client's weaknesses.
C) interpretation of a client's behavior to foster an understanding of errors of the past.
D) administering self-report measurements often over the course of treatment.

Answer 3

interpretation of a client's behavior to foster an understanding of errors of the past.

Question 4

Which client variable is related to treatment outcome?

A) the match between presenting problem and treatment choice
B) the gender of the client
C) the client's openness and cooperation
D) the client's age

Question 5

A common, essential feature leading to an individual seeking psychotherapy occurs when

A) an employer directs the person to seek treatment.
B) the individual's usual coping strategies cease to provide sufficient support to deal with problems.
C) an individual finally gets insurance.
D) all of the above

Question 6

Clinical intervention

A) can be defined as a clinician attempting to change a client's behavior in a positive direction.
B) can refer to a professional trying to modify a client's emotional reactions or social circumstances in a desirable direction.
C) can take a variety of forms, including psychotherapy.
D) is all of the above.

Question 7

Which of the following lists the common mental disorders in order of occurrence in the United States?

A) schizophrenia, depression, substance abuse disorders
B) bipolar disorder, anxiety disorders, mental retardation
C) anxiety disorders, impulse control disorders, substance abuse disorders
D) autism, schizophrenia, anxiety disorders

Question 8

The atmosphere of the clinical setting should reflect

A) the needs of the client.
B) a safe and collaborative stance.
C) a sense of support for the client's work.
D) all of the above

Question 9

The placebo effect, where positive expectations lead to an improvement in a client's situation,

A) should be evidence that psychotherapy interventions really aren't all that beneficial.
B) are unique to psychotherapy, and should be capitalized upon.
C) highlights the role that faith, hope, and expectation for change contribute to therapeutic change.
D) cannot be manipulated, so they are not important to the therapeutic alliance.

Question 10

Which of the following is NOT a factor that contributes to the establishment of a flourishing therapeutic alliance?

A) the client and clinician sharing many personal similarities
B) a high amount of investment in the therapeutic effort by both parties
C) both parties being on the same wavelength
D) both parties caring for the well-being of one another

Question 11

Which of the following is true about mental disorders and their treatment?

A) If left untreated, many of the common disorders are likely to recur.
B) More serious disorders usually appear at younger ages.
C) Treatment utilization rates are relatively low.
D) all of the above are true

Question 12

One area that graduate programs may not address fully, according to many therapists, is

A) how to choose the correct assessment protocols.
B) how to conduct initial sessions to develop therapeutic alliances.
C) how to manage their own emotions and use them therapeutically.
D) knowing when to terminate treatment.

Question 13

Which of the following is an example of a competency-related difficulty that a clinician might experience?

A) A woman who has been seen regularly for outpatient treatment seeks help for her adolescent son who has just been arrested for underage drinking.
B) A clinician can't seem to like one of his clients, and has begun to dread his scheduled sessions.
C) A clinician who works in a hospice setting struggles with feelings of deep sadness.
D) all of the above

Question 14

The theorist and therapist who deserves the most credit for our understanding of the importance of the therapeutic alliance was

A) Sigmund Freud.
B) Carl Rogers.
C) Fritz Perls.
D) Erik Erikson.

Question 15

At a minimum, psychotherapy involves

A) treatment following psychological testing.
B) establishing a fee-for-service arrangement.
C) one client and one therapist.
D) a contract for a certain number of sessions.

Question 16

Which of the following is NOT likely to be taught directly in clinical training programs?

A) how to administer projective techniques
B) how to establish initial rapport with clients
C) how to monitor and regulate one's own internal states
D) effective communication skills

Question 17

Psychotherapy

A) is the activity by which clinical psychologists are best known.
B) refers to any form of intervention that occurs within a professional relationship.
C) must always be long term, so is out of reach for most people.
D) is gradually giving way to the self-help movement.

Question 18

Why is it important for a therapist to have good relationship-building skills?

A) Psychotherapy outcome is strongly affected by the relationship that develops between client and therapist.
B) It is important for clinicians to have many friends and colleagues to mitigate the stress of doing therapy.
C) It is important for a therapist to be likable so others keep referring clients to him or her.
D) Having good relationship skills makes it possible to model those skills to clients.

Question 19

Which of the following is true about treatment utilization in the United States?

A) Utilization rates are quite similar across cultural and ethnic groups.
B) The median delay for seeking treatment for bipolar disorder is about one year.
C) Many individuals go without treatment in any given year.
D) Mental health parity laws have improved utilization rates tremendously.

Question 20

Two tasks that many clinicians and college professors share are

A) providing information and giving homework.
B) giving tests and assigning grades.
C) being available 24/7 for their students/clients.
D) all of the above

Question 21

Which of the following are in the correct order?

A) case formulation, assessment, treatment planning
B) assessment, case formulation, treatment planning
C) assessment, case formulation, additional assessment
D) treatment planning, assessment, case formulation

Question 22

It is important for clients to experience some small successes early in the treatment process because

A) even small changes help reinforce their confidence in their ability to change.
B) then clients can believe that the therapist is all-powerful and therefore will stick with therapy.
C) if the successes are too large in the beginning, clients might get discouraged if things slow down later in the process.
D) all of the above

Question 23

Because the U.S.populace tends to be well-informed, mental health treatment utilization rates tend to be quite high.

Question 24

While homework is a useful educational tool, it is rarely helpful in the psychotherapeutic setting.

Question 25

Discuss the roles the media have played in creating public perceptions of psychotherapy.

Question 26

Explain Messer's (2006) contention that it is more important to know what type of patient is seeking therapy than knowing what disorder the patient has.

Question 27

Therapist self-disclosure

A) can be a helpful tool in establishing a therapeutic alliance.
B) must be undertaken carefully so that it is appropriate to the therapeutic situation.
C) is appropriate as long as it serves the client's needs.
D) all of the above

Question 28

Which of the following is not one of the "four horsemen" of professional ethics?

A) confidentiality
B) competency
C) conflict of interest
D) caring coherence

Question 29

There may be as many as 400 "brand name" therapies, but only about 100 or so "essential" psychotherapies that form the core of modern clinical practice.

Question 30

The concept of "macroskills" helps explain why effective psychotherapists are more similar to each other than one might expect based on their varying theoretical orientations.

Question 31

Describe the term macroskill. Discuss two macroskills and their importance to the effectiveness of psychotherapy.

Question 32

When psychotherapy occurs in a library setting, it is called bibliotherapy.

Question 33

Mental disorders are found in all segments of U.S.society.

Question 34

The sole purpose of ethical guidelines is to protect the client and therapist from legal hazards.

Question 35

Discuss the relationship between the therapist's self-awareness, the influence of values, and ethics in psychotherapy.

Question 36

Which of the following is displaying an adherence to the ethical responsibility of competency?

A) A therapist who declines to accept a client because he is not well-versed in the client's presenting problem.
B) A therapist accepts a lower fee in order to see a client whom he is likely to be able to help.
C) A therapist who refers a client to another therapist because their children attend school together.
D) all of the above

Question 37

There is clear research evidence that undergoing their own personal therapy enhances a clinician's effectiveness.

Question 38

Identify the three conditions Carl Roger's considered essential to developing a therapeutic alliance.Discuss the relationship he posited between the therapeutic alliance and treatment.

Question 39

For the most part, the media have portrayed psychotherapy accurately and therefore have contributed to the public's mental health literacy.

Question 40

According to the text, the "third participant" in a psychotherapeutic endeavor is the relationship that develops between the therapist and the client.