Deck 15: Evidence-Based Treatments in Couple

Question 1

Aileen is an EFT therapist working with a couple in therapy. Sue, one member of the couple describes her relationship with her wife like this: "All I want is some help around the house. I ask Katie almost everyday, several times a day to just help out a little-you know to put a load of laundry in the wash, to put the dishes in the dishwasher, to watch a show with me on television. But she never does any of those things! In fact, she often doesn't come home until dinner time, and then when I ask her to help me out or to join me for a show, she just goes upstairs to read or into the other room to play on her computer. I feel like I have to beg her for any kind of connection or work together. I feel frustrated with our relationship all the time." What kind of interaction cycle could this couple be in?

A) Withdraw/withdraw
B) Withdraw/attack
C) Pursue/withdraw
D) Attack/attack

Answer 1

C

Question 2

Which of the following statements about evidence-based treatments is true?

A) Therapists can bring their own personal style and philosophy to the evidence-base.
B) In the age of evidence, we do not need theory anymore.
C) Evidence-based treatments are less flexible than traditional approaches.
D) CBT is the only evidence-based treatment.

Answer 2

A

Question 3

The overarching goals of EFT are straightforward and focused, providing therapists with consistent direction during what is often a tumultuous adventure. EFT goals include all of the following EXCEPT:

A) creating secure attachment for both partners.
B) developing new interaction patterns that nurture and support each partner.
C) increasing direct expression of emotions.
D) decreasing expression of attachment needs.

Answer 3

D

Question 4

A hallmark EFT technique, softening of emotions, is used to create emotional bonding, change interactional positions, and redefine the relationship as safe and connected. Softening of emotions is accomplished with couples in therapy by all of the following EXCEPT:

A) when a previously blaming, critical partner asks a newly accessible partner to meet his/her attachment needs and longings from a position of emotional vulnerability.
B) the more critical partner softens his/her stance and words, allowing the more vulnerable or anxious partner to reduce emotional reactivity and defensiveness.
C) when partners learn to express their underlying attachment-based fears, including hurt and disappointment, when discussing conflict areas.
D) when a frustrated and angry wife indirectly asks her husband for comfort and connection.

Question 5

In couple's therapy, if a therapist says something such as: "So, on the surface you look angry and sure of yourself when you are arguing with him. But inside, something very different seems like it might be going on. Inside, it seems you feel more like a sad and lonely little girl who isn't too sure of herself … sure if she is good enough or worthy of his love. Is that what is going on here?" What intervention is the therapist employing?

A) evocative responding: reflections and questions
B) empathetic conjecture and interpretation
C) tracking interaction patterns and cycles
D) reflecting primary and secondary emotions

Question 6

Attachment needs are normative and universal across theory; thus EFT has elements that are applicable to diverse clients.

Question 7

A primary emotion is best defined as:

A) an emotion about the situation.
B) a reaction to avoid vulnerability.
C) an initial reactions in a given situation.
D) a conscious emotion.

Question 8

The three stages of treatment in EFT therapy include:

A) creation & maintenance of alliance, assessing & formulating emotion; restructuring interactions.
B) identifying the negative interaction cycle; restructuring interactions; creation of an alliance.
C) de-escalation of negative cycles; Change interactional patterns & creating engagement; consolidation & integration.
D) de-escalation of negative cycles, creation of alliances; reframing engagement.

Question 9

Emotionally focused therapy is a new paradigm for understanding adult love relationships. Which of the following statements best reflects that premise?

A) Humans have the need for secure attachment relationships especially, and most importantly, in infancy and childhood.
B) Humans have the need for secure attachment relationships especially, and most importantly, in adolescence.
C) Humans have the need for secure attachment relationships across the lifespan, not just in infancy and childhood.
D) Humans have the need for secure attachment relationships across adulthood.

Question 10

What is the role of the EFT therapist according to Johnson?

A) a coach
B) a "wise creator of insight"
C) a strategist
D) a collaborator

Question 11

Emotionally focused therapy (EFT), created by Sue Johnson and Les Greenberg, integrates all of the following theories EXCEPT?

A) constructivist theory
B) attachment theory
C) experiential theory
D) systems theory

Question 12

According to EFT, the therapist's ability to deeply __________ and attune is essential-without it, the therapy will be ineffective.

A) understand
B) empathize
C) critique
D) sympathize

Question 13

While EFT is an evidence-based practice, it is not for all couples or families. Which of the following would be a contraindication for EFT?

A) A couple or family that has the same agenda for the relationship.
B) When one or both members of the couple have an untreated addiction.
C) A couple who will do anything to prevent separation or divorce.
D) A couple in the early stages of their relationship.

Question 14

When an EFT therapist is in the assessment phase and discovers instances in which one partner was in a moment of high need or vulnerability and the other partner failed to offer the needed support or nurturance, the therapist might identify this as what?

A) An attachment injury
B) An attack
C) A normal couple process
D) An impasse in therapy

Question 15

When an EFT therapist works with a couple, it is important for them to assess all of the following relationships in each person's attachment history EXCEPT:

A) relationships with parents or caregivers.
B) intimate relationships in adolescence
C) intimate relationships in adulthood
D) relationships with colleagues and co-workers

Question 16

When an EFT therapist is heightening in therapy, what is he or she doing?

A) Encouraging key emotions
B) Discouraging key emotions
C) Highlighting key emotions
D) Enacting key emotions

Question 17

The most common negative interaction cycle according to EFT is _______________.

A) withdraw/withdraw
B) attack/attack
C) pursue/withdraw
D) complex cycles

Question 18

Primary emotions refer to emotions that stem from attachment fears and needs while secondary emotions stem from _________________________________________.

A) the individuals own insecurities
B) the innate need of all individuals to feel a sense of belonging
C) poor attachment in previous influential relationships such as parents or siblings
D) unmet attachment needs such as anger, frustration and withdrawal

Question 19

In emotionally focused therapy, the therapist uses self-disclosure ___________________________.

A) to build rapport with the couple
B) every session to intensify the emotions in therapy
C) minimally to maintain focus on the couple
D) never. Self-disclosure is not used in emotionally focused therapy

Question 20

According to EFT, a therapist's work is not done with a client until they have at least one secure relationship in their life.

Question 21

In FFT, it in important for family members to see what in order for therapy to be successful?

A) the therapist has all the answers
B) the family is part of the solution
C) their child is the source of the problem
D) they must find someone to blame

Question 22

Describe the therapeutic relationship between therapist and client according to EFT.

Question 23

During the middle phases of FFT, the focus tends to be on which of the following?

A) sibling training
B) extended family training
C) community training
D) parent training

Question 24

In FFT, all behavior is viewed as adaptive to serve a particular __________ in the system.

A) process
B) function
C) solution
D) focus

Question 25

In FFT, the therapist works with the family to get what type of problem description?

A) blame focused problem understanding
B) child focused problem understanding
C) community focused problem understanding
D) family focused problem understanding

Question 26

How does EFT incorporate attachment theory into its philosophy and interventions?

Question 27

FFT therapists are quick to identify the various known risks and protective factors for troubled youth. All of the following would be considered protective factors EXCEPT:

A) strong bond between children and family.
B) parental involvement in child's life.
C) supportive parenting that meets financial, emotional, cognitive, and social needs of child.
D) high levels of family disruption.

Question 28

The key question in functional family therapy is:

A) What function does the family serve?
B) What function does the symptom serve?
C) What function does the child serve?
D) What function does the system serve?

Question 29

How might FFT be used with GLBTQ youth or families?

Question 30

A functional family therapist is working with a family who often yells. The therapist believes that yelling is unhealthy. However, the therapist first assesses how the yelling functions in the family-how it creates closeness and distance and determines hierarchy-before determining whether the yelling needs to change in the family. What is this therapist doing?

A) Reframing the problem
B) Communication skill building
C) Conflict management
D) Matching to fit the family

Question 31

How is softening of emotions utilized in EFT?

Question 32

FFT uses a multisystemic focus. What does this mean?

A) The therapists process addresses individual, family, peer, and community system dynamics.
B) The therapy process addresses individuals only while talking about multiple systems.
C) The therapy process addresses many family systems in one setting.
D) The therapy process addresses multiple systems in a group setting.

Question 33

Functional family therapy is an empirically validated family therapy treatment for working with which types of presenting problems?

A) Post- traumatic stress disorder
B) Major depressive disorder
C) Childhood disintegrative disorder
D) Conduct disorder and delinquency

Question 34

Because many youth and families are mandated clients who may have had painful and difficult experiences with previous clinical treatment, in school, or with the justice department, it is important for FFT therapists to have what kind of therapeutic stance with clients?

A) respect and collaboration
B) power and leadership
C) expertise and direction
D) kknowing and solution

Question 35

Functional family therapists base their work with parents on current scientific literature on parenting behaviors that are associated with risk factors and protective factors for youth behavior problems. FFT focuses on which three areas when working with parents?

A) Clear expectations and rules; active monitoring and supervision; consistent and enforcement of behavioral contingencies.
B) Regular revising expectations and rules; active monitoring and supervision; consistent and enforcement of behavioral contingencies.
C) Regular revising expectations and rules; child self- monitoring and self -supervision; forced behavioral contingencies.
D) Clear expectations and rules; child self monitoring and self supervision; consistent and enforcement of behavioral contingencies.

Question 36

Describe two interventions used in functional family therapy (FFT).

Question 37

During the early phases of treatment for FFT, the therapists must work to __________ _______________________________________.

A) transfer blame from the problem child to other systems
B) reduce parents' tendencies to blame the problem on negative child characteristics
C) transfer blame from the problem child to the parent or responsible caregiver
D) reduce the child's' tendencies to blame the problem on negative parent characteristics