Question 1

All of the following EXCEPT which statement are accurate with respect to relationship ruptures?

Accepted Answer

In a withdrawal rupture, the client typically avoids or withdraws from addressing concerns directly, rather than confronting the helper. This is opposite to the confrontational approach described in option B.

Question 2

Comas-Diaz (2014) discussed all the following aspects of ethnocultural countertransferential reactions in inter- ethnic helping dyads EXCEPT:

Accepted Answer

Comas-Diaz (2014) did discuss cultural ambivalence, excessive curiosity of the helper about some aspect of the client's culture, and feelings of guilt as aspects of ethnocultural countertransferential reactions. However, awareness and acceptance of cultural differences are not discussed as a countertransferential reaction but rather as a goal or positive outcome of managing such reactions effectively.

Question 3

Transference involves the client ________old patterns or template of relating to others.

Accepted Answer

Transference involves the client reenacting old patterns or templates of relating to others, often unconsciously projecting these onto the therapist or the therapeutic relationship.

Question 4

A statement such as "It appears that you are feeling really angry with me right now and I wonder what is happening between us," suggests helper intent to address client transference via________ .

Accepted Answer

This statement is an example of focusing on the immediate relationship between the helper and the client, aiming to explore and understand the client's current feelings and perceptions towards the helper. It does not interpret, self-disclose, or teach about transference, but rather seeks to address and understand what is happening in the here-and-now of the relationship.

Question 5

Jessica, thirty-three, has been experiencing symptoms of post-traumatic stress. During a recent robbery attempt at the bank where she is employed, Jessica's life was threatened and she was held at gunpoint. Jessica's strong feelings and crying spells are overwhelming to the helper who focuses on Jessica's "survival" and ways to make her feel better. Jessica does not return for her next appointment. She is undecided if she wants to return for therapy but is willing to meet with the helper one more time. Please identify which relationship rupture may have occurred and what steps you could take to heal the relationship.

Accepted Answer

The answer of Jessica, thirty-three, has been experiencing symptoms of...

Question 6

A client enters therapy due to her increased level of anxiety after her recent engagement to her boyfriend of two years. She has not been sleeping, complains of feeling "jittery," and has been having difficulty in concentrating at work. The client does not have a history of anxiety but reveals that she had been previously engaged "to the man of my dreams" before he left her a week before they were to be married several years ago. She expresses concern that "history will repeat itself" because her fiancé has not been participating in the wedding plans. In your own words, write one validating statement to the client based on the following validation levels (Neacsiu & Linehan, 2014 p. 415).
Level Two: Accurate Reflection
Level Three: Articulating the Unverbalized
Level Four: Validation in Terms of Past Learning Level Five: Validation in Present Context

Accepted Answer

The answer of A client enters therapy due to her...

Question 7

Compare and contrast Carl Rogers' and Heinz Kohut's theories on empathy in the therapeutic process.

Accepted Answer

The answer of Compare and contrast Carl Rogers' and Heinz...

Question 8

As a helper, what can you do to foster a working alliance with a client? Please include the three components of the working alliance in your response.

Accepted Answer

The answer of As a helper, what can you do...

Question 9

A client unconsciously believes that if he expresses feelings of anger during his therapy, the helper will withdraw and reject him. The client tests the helper by disagreeing with her on small misinterpretations. The disagreements escalate in intensity over a few sessions until the client angrily confronts the helper. In working with this client's "tests," the helper would respond by:

Accepted Answer

C) not confirming the client's belief through showing acceptance.

Question 10

Tommy, a seven year-old, has been seeing you for anger issues that intensified after his parents' divorce approximately nine months ago. He lives with his father and his mother has weekend visitation rights which she frequently misses or reschedules. Tommy has made significant progress and his angry outbursts have diminished in frequency and duration since he began therapy. You have a good therapeutic relationship with Tommy until you tell him that you can no longer see him on Tuesdays and schedule him for Thursday. Tommy becomes angry and screams, "You don't care about me. I hate you!" How would you respond to Tommy by using the following transference responses?
Focusing on the immediate relationship:
Interpreting the meaning of the transference:
Using questions to promote insight:
Self-disclosing:

Accepted Answer

The answer of Tommy, a seven year-old, has been seeing...

Quiz 3: Ingredients of an Effective Helping Relationship