Deck 10: Collaborative and Narrative Therapies

Question 1

A client lives in daily fear of having another psychotic episode after not having one for over 10 years. She says that it is her illness that keeps her from moving forward in life. The therapist says, "That's interesting. You say you haven't had an episode in 10 years, so hallucinations don't seem to be plaguing you these days. It sounds like the worry about hallucinations is the problem at this point. Do you think of this as part of the original problem, or is it a new problem that only developed after the first was resolved?" What is the therapist doing with the client?

A) Mutual puzzling
B) Sharing inner dialogue
C) Making an appropriately unusual comment
D) Being public

Answer 1

A

Question 2

When Anderson and Goolishian radically proposed the client as the expert, what did they mean?

A) The therapist has no opinion of the client
B) The therapist does not have a role in the therapeutic process
C) The client's thoughts, ideas, and opinions are valued
D) The client knows in which direction therapy should move and dictates when

Answer 2

C

Question 3

Collaborative therapists invite clients to provide feedback about the therapeutic process. Which of the following does process NOT refer to?

A) Who is in the therapy session
B) The pacing of therapy
C) The types of questions asked
D) What needs to be talked about

Answer 3

D

Question 4

In collaborative therapy, outer talk refers to:

A) negative self talk.
B) positive self talk.
C) the verbally spoken conversation between the participants in therapy.
D) the verbal sharing of conversations in therapy with people outside of therapy.

Question 5

The process of transformation through dialogue is inherently and inescapably __________ . This means that the therapist risks being changed themselves in the context of therapy with the client.

A) positive
B) collaborative
C) satisfying
D) mutual

Question 6

Which of the following statements would best describe the therapeutic relationship in collaborative therapy?

A) A conversational partnership
B) A directive relationship
C) An empathic relationship
D) A loving partnership

Question 7

Which of the following statements most accurately describes collaborative therapy?

A) It is based on Foucault's philosophical writings.
B) The therapist facilitates a dialogical process.
C) The interventions used are very structured.
D) Social justice issues are regularly included in therapy conversations.

Question 8

Collaborative therapists handle professional matters-such as consulting with a psychiatrist, speaking with a social worker, or filing papers with the court-by discussing it first with the client. What is another way a collaborative therapist might say this?

A) Being open
B) Being public
C) Being supportive
D) Being professional

Question 9

Much like solution-based therapists, postmodern therapists optimistically focus on:

A) problem solving.
B) facilitating hope.
C) family relationships.
D) client strengths and abilities.

Question 10

In collaborative therapy, inner talk refers to:

A) the thoughts a client is afraid to share with the therapist.
B) talk among members of the inner circle of the family.
C) the internal conversation each individual is having during a conversation.
D) recurring self talk.

Question 11

When a collaborative therapist asks the client questions to better understand the client's perspective, or inquires whether the client believes the therapist is understanding what the client is saying, what type of stance is the therapist taking?

A) An impasse stance
B) A directive stance
C) A curious stance
D) A guiding stance

Question 12

The overall goal of collaborative therapy is to increase clients' sense of __________ in their lives: the sense that they are competent and able to take meaningful action.

A) strength
B) agency
C) power
D) self-esteem

Question 13

When thinking of the client as expert in collaborative therapy, it may be helpful to think of the client as holding more expertise in the area of __________and the therapist as holding more expertise in the area of __________.

A) process; content
B) content; process
C) stories; interventions
D) interventions; stories

Question 14

Collaborative therapists work from a social constructionist, postmodern perspective, which maintains that our realities are constructed in __________ and through relationships.

A) language
B) congruence
C) dreams
D) collaboration

Question 15

In collaborative therapy, therapists take a not knowing stance. What does this mean?

A) The therapist does not prepare for the session prior to meeting the client
B) The therapist does not assume they understand the client's experience before the client tells them about it
C) The therapist does not know how to make a diagnosis
D) The therapist does not know what the outcome of therapy will be

Question 16

Which of the following would NOT be considered collaborative in collaborative therapy?

A) A monologue
B) Using pejorative descriptions of clients
C) Offering opinions
D) All of these are correct

Question 17

What is meant by collaborative therapy as a two-way dialogical process?

A) The therapist and client co-explore and co-create new understanding related to the problem
B) Therapists use scripted techniques to facilitate change
C) Therapists interpret what the client is saying and reflect the interpretations back to the client
D) The therapist directs the meaning-making process in therapy

Question 18

Which of the following best describes appropriately unusual comments?

A) They disorient the person's traditional form of thought.
B) They clearly fit within the client's worldview while offering a new perspective.
C) They point out the obvious.
D) They passively disrupt a person's worldview.

Question 19

In collaborative therapy, it is said that problems dissolve. What does this mean?

A) Participants in therapy find traditional solutions to their problems or issues during the course of therapy
B) Participants' understandings of their problems or issues evolve through the dialogue of therapy
C) Participants no longer have problems or issues to discuss in therapy
D) Participants do not hold on tightly to their problems or issues

Question 20

Which of the following types of questions, used in collaborative therapy, comes naturally from the dialogue of therapy rather than from professional theory?

A) Conversational questions
B) Unusual questions
C) Contagious questions
D) Conditional questions

Question 21

Narrative therapy is based on what premise?

A) We live in our dreams as if they are reality.
B) We get "stuck" in the past.
C) We project our past onto our future.
D) We "story" and create meaning from life events.

Question 22

In narrative therapy, the process or intervention of separating the person from the problem is known as:

A) deconstruction.
B) mapping.
C) externalization.
D) scaffolding.

Question 23

Instead of replacing the problem story with a problem-free story, narrative therapists help their clients do which of the following?

A) Redefine the client's problems as opportunities.
B) Help the client realize how others have "wronged" them.
C) Find new ways to view, interact with, and respond to problems in their lives by redefining the role of problems.
D) Speak their beliefs about the problem out loud, therefore realizing how absurd they are.

Question 24

Consistent with their philosophical underpinnings, narrative and collaborative therapists have conducted more _____ than _______ investigations about their approaches to therapy.

A) qualitative; quantitative
B) quantitative; qualitative
C) process research; narrative
D) clinical trials; qualitative

Question 25

Philosopher Michel Foucault described a central concept for narrative therapy: culturally-generated stories about how life should go that are used to coordinate social behavior, such as how married people should act, what happiness looks like, and how to be successful. What did Foucault call these stories?

A) Dominant discourses
B) Local discourses
C) Oppressive discourses
D) Supportive discourses

Question 26

In the CBFT approach, how does the therapist identify the pathologizing interpersonal pattern (PIP) to resolve issues among families?

A) Therapists identify PIPs by tracking both the behaviors and the cognitions in the PIP
B) They will have only minimal conversations about PIPs and will carefully assess it only if it seems necessary for a particular client
C) Therapists identify PIPs by mapping the influence of the problem and using a statement position map
D) Therapists would conceptualize not just the PIPs the couple presents as a problem, but also the PIPs in each family of origin

Question 27

A group of teenagers creates a subculture with different beauty standards, sexual norms, vocabulary, and friendship rules than are found in the adult culture. This would be known as:

A) dominant discourse.
B) local discourse.
C) oppressive discourse.
D) supportive discourse.

Question 28

Which of the following statements is TRUE about postmodern therapies?

A) They integrate consideration of cultural issues at the most fundamental level of their method.
B) They are often considered the quintessential approach for diverse populations.
C) They are particularly suitable for clients from marginalized groups.
D) All of these are correct.

Question 29

A narrative therapist is working with a 17-year-old client, Alexa, and her mother regarding Alexa's struggles with an eating disorder. As therapy has progressed, and the therapist has worked with Alexa to separate her from her problem, the therapist might phrase a middle-phase goal in therapy in which of the following ways?

A) Increase instances of defiance in response to anorexia's directions to not eat.
B) Increase food intake from less than one time daily to three times daily in six weeks.
C) Reduce the rigid patterns that fuel the anorexic behavior.
D) Reduce the negative contact between Alexa and the anorexia.

Question 30

When working with perpetrators of domestic violence, Jenkins uses a nine-step model that requires the client to:

A) take full responsibility for the violence and for ending it.
B) externalize the violence and attack it.
C) identify powerlessness against violence and succumb to it.
D) identify the cause of the violence and reduce it.

Question 31

Because narrative therapy is a postmodern approach, it does not include a set of predefined goals that can be used with all clients. It could be said, however, that the broad goal of narrative therapy is:

A) to help clients enact their preferred realities and identities.
B) to help clients reduce the symptoms of their presenting problem.
C) to help clients find ways to communicate congruently.
D) to help clients increase their sense of agency in their lives.

Question 32

From the narrative perspective, which of the following is TRUE about the view of problems?

A) Problems are integrated into the person
B) Problems are separate from the person
C) Problems require reframing of their context
D) Problems allow the person to fully experience personal awareness

Question 33

According to Siegel (2012), processing experience using the bottom three layers of the prefrontal cortex to generate new understandings, categories, and stories for what is happening is known as:

A) not knowing position.
B) reflection.
C) top-down processing.
D) bottom-up processing.

Question 34

Which of the following does NOT allow the therapists to meet the problem, keeping the problem separate from the person?

A) "When did the problem first enter your life?"
B) "Tell me about your impressions of your problem."
C) "How has your relationship with the problem evolved over time?"
D) "Who else has been affected by the problem?"

Question 35

Anderson offered several guidelines for the use of reflecting teams with clients. Which of the following is NOT one of these guidelines?

A) Only use with the client's permission
B) Give the client permission to listen or not to listen
C) Comment on what is seen or heard, not what is observed
D) Talk from an expert perspective

Question 36

In narrative therapy, letters are used for each of the following purposes EXCEPT:

A) to solidify preferred narratives.
B) to scrutinize the problem story.
C) to emphasize client agency.
D) to consolidate gains in therapy.

Question 37

In the process of collaborative reflecting teams, the goal is to develop diverse strands of conversations so the client can choose those that resonate and those that do not. This is achieved by having the reflecting team:

A) observe the client behind a one-way mirror and consult only with the therapist.
B) discuss the client while offering multiple perspectives as the client listens.
C) sit in the therapy room with the therapist and client throughout the session.
D) offer their evaluation and diagnosis of the client while the client is listening.

Question 38

The role of the therapist in narrative therapy is often described as which of the following?

A) Director
B) Coach
C) Guide
D) Co-author

Question 39

Externalization can have which of the following beneficial effects?

A) It increases unproductive conflict and blame between family members
B) It highlights the times problems have had influence over the clients or family
C) It invites people to unite in a struggle against the problem to reduce its negative influence
D) It encourages constant, unhelpful interaction with the problem

Question 40

A narrative therapist is working with a client. If the problem-saturated story does not play out in its typical way, it is noted by the therapist as:

A) unique outcomes.
B) sparkling events.
C) unique outcomes and sparkling events.
D) none of these is correct.

Question 41

In dominant gendered discourses, that define how men and women should behave themselves, women are expected to:

A) sacrifice more for relationships and assert more personal needs.
B) sacrifice more for relationships and assert fewer personal needs.
C) form a collaborative relationship.
D) respect the cultural value of machismo.

Question 42

The open dialogue approach relies primarily on ______ and ____ when working with psychosis patients.

A) storytelling therapy; hero/heroine therapy
B) subtle eye contact; active listening
C) collaborative dialogue; reflecting practices
D) remembering practices; externalizing conversations

Question 43

In the 2010 census, more than ___ of opposite-sex households identified as multiracial or multi-ethnic.

A) 15%
B) 30%
C) 6%
D) 10%