Question 1

The pretreatment state of DBT consists of ______________________________.

Accepted Answer

B

Question 2

Max,a borderline client who professes to believe that all people are untrustworthy,is seeing a DBT therapist who is working to address this belief and help Max see that this expectation is not always accurate.From a DBT perspective,what is the counselor doing?

Accepted Answer

The therapist is working to engage dialectic tension - the tension between Max's belief that all people are untrustworthy and the reality that this is not always accurate. By exploring both sides of this tension, the therapist is striving to achieve synthesis and help Max move beyond his rigid belief. This approach is a fundamental aspect of dialectical behavior therapy.

Question 3

The dialectical world view is made up of three primary characteristics: interrelatedness or wholeness,polarity,and ____________________.

Accepted Answer

The third primary characteristic of the dialectical world view is continuous change, as everything is in a constant state of flux and development.

Question 4

_____________________ is delivered through a comprehensive program of individual and group treatment modalities,including phone support and case consultation.

Accepted Answer

The delivery of treatment through a comprehensive program of individual and group treatment modalities, including phone support and case consultation is a defining characteristic of dialectical behavior therapy (DBT). The other options listed do not necessarily have this same level of programmatic structure.

Question 5

The dialect between acceptance and change involves ____________________________.

Accepted Answer

The answer of The dialect between acceptance and change involves...

Question 6

In CBT,rigid goals are not the purpose,but rather compassionate responsiveness that allows for flexibility while maintaining unwavering clearness of purpose.This is referred to as ______________________.

Accepted Answer

The statement describes the dialectic of unwavering centeredness and compassionate flexibility, where clearness of purpose is maintained while allowing for flexibility and understanding towards the client.

Question 7

In addition to individual sessions and group skills training,DBT may utilize all of the following ancillary treatments EXCEPT:

Accepted Answer

DBT does not utilize surgical intervention as an ancillary treatment. The other options listed, such as psychopharmacology, substance abuse treatment, and vocational counseling are often used in conjunction with individual and group DBT sessions to provide comprehensive care.

Question 8

RBT counseling includes _______________,which are a developed hierarchy to structure treatment,and assessment for _______________,which are necessary for the client to achieve primary goals.

Accepted Answer

RBT counseling includes primary behavioral targets, which are the main goals of treatment, and secondary behavioral targets, which are related goals that must be achieved in order for the primary targets to be met. Assessment for these targets helps the therapist to determine where the client needs the most assistance and to develop a plan for treatment. The other options listed are not part of the RBT counseling framework.

Question 9

Monique is growing quite emotional in session as she relays the details her fears of a new relationship to her counselor.The counselor responds,"Given your history of abuse,it makes sense that you would be afraid to try a relationship again." This is an example of which intervention?

Accepted Answer

The counselor's response of acknowledging and validating Monique's fears based on her history of abuse is an example of a validating intervention.

Question 10

Regarding interventions,DBT counselors teach all of the following skills EXCEPT:

Accepted Answer

DBT counselors teach mindfulness and wise mind, emotional regulation, distress tolerance, and interpersonal effectiveness. Psychological regulation is not a specific skill taught in DBT.

Question 11

One of the most basic assumptions of the DBT approach is that clients ______________ ______________________________.

Accepted Answer

DBT (Dialectical Behavior Therapy) operates on the understanding that clients are seeking change but often struggle with letting go of their old behaviors or ways of thinking, which can be maladaptive but familiar and comforting. This creates a tension or dialectic that the therapy aims to address.

Question 12

The DBT relationship in counseling is characterized by ____________________.

Accepted Answer

The DBT (Dialectical Behavior Therapy) relationship in counseling is characterized by three sets of dialectic tensions, which include balancing acceptance and change, balancing the therapeutic relationship and the client's own individuality, and balancing the therapist's expertise and the client's knowledge and skills.

Question 13

Trauma-focused cognitive-behavioral therapy (TF-CBT)is an evidence-based short term,strengths based approach which resolves trauma and increases self-efficacy.It integrates all of the following elements EXCEPT:

Accepted Answer

Trauma-focused cognitive-behavioral therapy (TF-CBT) integrates elements from family systems theory, humanistic approaches, and child development theory, but it does not specifically integrate the diagnosis and the medical model as a core component. TF-CBT focuses on addressing the psychological aspects of trauma rather than emphasizing medical diagnoses.

Question 14

DBT uses contingency management procedures to make interactions between client and counselor a learning opportunity.The observing limits procedure,a specific application of contingency management,is used to _____________________________________.

Accepted Answer

The observing limits procedure is used to set and maintain appropriate limits and boundaries, such as not extending sessions if the client is late, not accepting phone calls at home, and not sharing personal information. It aims to reinforce appropriate behaviors and promote a sense of safety for the client.

Question 15

After the pretreatment phase,DBT consist of which of the following three stages?

Accepted Answer

The three stages of DBT after the pretreatment phase are 1) reducing crisis behaviors and increasing coping skills, 2) reducing trauma-related symptoms, and 3) increasing life-enriching behaviors. Option B accurately reflects these phases. Option A includes assessing client resources, which is not one of the three stages after the pretreatment phase. Option C includes increasing psychological independence, which is not one of the three stages after the pretreatment phase. Option D includes referring for medical evaluation, which is not necessarily a standard part of DBT after the pretreatment phase.

Question 16

DBT also utilizes practitioner agreements which include: every reasonable effort,ethical conduct,personal contact,respect,confidentiality,and consultation.

Accepted Answer

DBT does utilize practitioner agreements which include the six principles mentioned, making sure to prioritize ethical and respectful conduct.

Question 17

Dialectical conceptualization is about finding balance between polar opposites.In the psychological realm opposites take the form of ____________,____________,or _____________.

Accepted Answer

In the psychological realm, opposites often refer to thoughts, emotions, and behaviors. While consciousness and the self are important concepts in psychology, they are not typically considered polar opposites in the same way as thoughts, emotions, and behaviors. The id, ego, and superego are specific concepts within the psychoanalytic framework and do not capture the broader idea of dialectical conceptualization. Similarly, psychoeducation, acceptance, and transformation are not polar opposites, but rather represent different approaches or goals within therapy.

Question 18

Regarding interventions,the two core strategies of DBT are _____________ and ______________________.

Accepted Answer

The two core strategies of DBT are validation and problem solving. Validation involves accepting and acknowledging a client's emotions, thoughts, and behaviors as valid, while problem solving focuses on helping the client change maladaptive behaviors and learn new coping skills.

Question 19

DBT counselors use all of the following types of client agreements EXCEPT _____________________ to help manage the type of problems that arise working with clients diagnosed with borderline personality disorder.

Accepted Answer

While DBT counselors may address substance abuse treatment with their clients, it is not one of the types of client agreements specifically used to manage the challenges of working with individuals with borderline personality disorder. The other options, including committing to a year of attendance, addressing circumstances of unilateral termination, and managing behaviors such as suicide attempts, self-harm, and interference with treatment, are all common agreements used in DBT treatment.

Question 20

Which of the following statements best characterizes the nature of individual sessions in DBT?

Accepted Answer

Individual sessions in DBT aim to establish a therapeutic relationship that is validating and nurturing while also emphasizing the need for behavioral change. This involves a balance between validation and challenge, with the therapist providing understanding and empathy while also encouraging the client to shift maladaptive patterns of thinking and behaviour. The therapist also teaches specific skills for coping with intense emotions, interpersonal difficulties, and mindfulness. Therefore, Option B best characterizes the nature of individual sessions in DBT.

Quiz 10: Evidence-Based Cognitive-Behavioral Approaches: Dialectic Behavior Therapy and Trauma-Focused Cognitive-Behavioral Therapy