Deck 10: Interpersonal Psychotherapy

Question 1

Which statement accurately describes the theory of personality that drives interpersonal therapy?

A)Psychoanalytic theory forms the foundation for interpersonal therapy.
B)Interpersonal therapy is guided by multiple personality theories.
C)Cognitive theory forms the foundation for interpersonal therapy.
D)A theory of personality is not directly relevant to interpersonal therapy.

Answer 1

D

Question 2

In response to an insensitive or unavailable caregiver, an individual might develop which type of attachment style according to Mary Ainsworth's theory?

A)Affectionate
B)Ambivalent
C)Secure
D)Bi-directional

Answer 2

B

Question 3

Interpersonal therapy has NOT been shown to be efficacious for which of the following conditions?

A)Substance abuse
B)Bulimia nervosa
C)PTSD
D)Unipolar depression

Answer 3

A

Question 4

Using Bartholomew's four category model of adult attachment, which of the following styles would leave an individual more protected against psychological distress?

A)Secure anxiety
B)Dismissing
C)Preoccupied
D)Fearful

Question 5

The developers of interpersonal therapy were:

A)Myrna Weissman and Helen Verdeli.
B)John Bowlby and Mary Ainsworth.
C)Gerald Klerman and Myrna Weissman.
D)Gerald Klerman and Adolf Meyer.

Question 6

Interpersonal therapists prescribe a "sick role" to patients.This means that:

A)depressed patients are not expected to engage in homework.
B)family members must take over their responsibilities while they are in treatment.
C)prescription medications must be a core part of the treatment.
D)depression is biological and it is not their fault they are ill.

Question 7

In contrast to the homework given in a cognitive therapy session, an interpersonal therapist will:

A)utilize more forms to maintain standardization.
B)establish the homework for the patient.
C)be less prescriptive overall across therapy.
D)not utilize homework given the patient's sick role.

Question 8

The typical length of interpersonal therapy for depression for an adult would be:

A)8 sessions.
B)16 sessions.
C)24 sessions.
D)48 sessions.

Question 9

Which of the following statements is true about affectional bonds, as described by John Bowlby?

A)Humans have a universal need for affectional bonds.
B)Affectional bonds are destructive and should not be fostered.
C)Affectional bonds only develop in congruence with pathology.
D)Higher functioning individuals have no need for affectional bonds.

Question 10

If a patient was in a depressive phase of their bipolar disorder, an interpersonal therapist would:

A)treat the depressive phase in a similar manner to unipolar depression.
B)not prescribe the patient a "sick role" as in unipolar depression.
C)not treat the patient because interpersonal therapy is not appropriate.
D)treat the patient with a non-standardized interpersonal approach to therapy.

Question 11

In which phase of interpersonal therapy would the clinician focus on helping the patient identify ways that depression has affected their interpersonal relationships as well as how their interpersonal relationships have impacted their depression?

A)Initial
B)Middle
C)Family
D)Termination

Question 12

In describing depression to a patient an interpersonal therapist would explain that:

A)psychosocial triggers cause depression but medications can help.
B)depression is biological but symptoms can be triggered by stress.
C)unconscious factors related to childhood will be the treatment focus.
D)dysfunctional thoughts and maladaptive core beliefs create depression.

Question 13

In the Uganda culture, it is highly likely that a depressed individual would:

A)seek help readily from individuals from a different culture.
B)feel stigmatized by interpersonal therapy's focus on relationship disputes.
C)not appreciate assistance for depression when it was provided.
D)respond when greeted to cover up that they were experiencing depression.

Question 14

The goal of prescribing a "sick role" to a patient in interpersonal therapy is to:

A)allow them to be passive to get the help they need.
B)insure that insurance benefits will cover treatment.
C)demystify the symptoms and engage the patient.
D)secure a leave of absence from responsibilities.

Question 15

Interpersonal therapy developed as part of a:

A)research study evaluating the effects of depression on cardiac patients.
B)political movement to demystify psychotherapy.
C)a therapy arm for a clinical trial evaluating anti-depressant efficacy.
D)feministic movement to infuse interpersonal issues in therapy.

Question 16

In adapting interpersonal therapy to a client from a Hispanic background a therapist should be aware of:

A)centrality of the family.
B)impact of machismo.
C)migration versus acculturation conflicts.
D)all of the above.

Question 17

In the early 20ᵗʰ century, Adolf Meyer recommended the use of a life chart with patients.A life chart:

A)estimated how long a patient would live depending on their level of depression.
B)recorded the physical health problems a person developed over the course of their depressive illness.
C)tracked the relationships between life history, physical and psychological illnesses, and stressful events.
D)diagramed an individual's family history of depression so they could see the biological nature of the illness.

Question 18

In contrast to dialectical behavior therapy for a patient with borderline personality disorder, in interpersonal therapy:

A)implementation of treatment techniques follows a preconceived order.
B)self-injurious or self-destructive behaviors would not be addressed.
C)therapy continues for years because of the chronic nature of the condition.
D)the patient is prescribed the "sick role" and allowed to be passive.

Question 19

Interpersonal therapy-evaluation, support, triage (IPT-EST) is designed to:

A)provide long-term, ongoing services to severely depressed patients.
B)offer a 3-session intervention based on rapid diagnosis and treatment.
C)augment IPT's focus on interpersonal issues with thought monitoring.
D) specifically target the special needs of geriatric patients with depression.

Question 20

According to the International Society for Interpersonal Psychotherapy, following didactic training an individual needs to complete how many supervised IPT cases before they are likely to perform IPT competently?

A)1
B)3
C)10
D)25

Question 21

In contrast to interpersonal therapy for adults, interpersonal therapy for adolescents:

A)lasts longer (20 or more sessions).
B)uses telephone contacts more frequently.
C)does not focus on interpersonal conflicts.
D)avoids defining a "sick role" in depression.

Question 22

According to interpersonal therapy, triggers of depressive episodes involve disruptions of significant attachments and social roles generally related to _______________, __________________, and __________________.

Question 23

The rationale that Markowitz and others have used for adapting interpersonal psychotherapy to borderline personality disorder (BPD) is that:

A)BPD is a mood-inflected chronic illness.
B)the self-destructive nature of BPD is relationship driven.
C)using IPT avoids labeling the patient with an Axis II disorder.
D)early family relationship conflicts cause BPD.

Question 24

Using Bartholomew's four category model of adult attachment, which of the following styles is most consistently correlated with depression?

A)Secure anxiety
B)Dismissing
C)Preoccupied
D)Fearful

Question 25

Interpersonal psychotherapy originated as a treatment for:

A)schizophrenia.
B)unipolar depression.
C)social anxiety.
D)borderline personality disorder.

Question 26

Patients with high attachment avoidance and depression:

A)tend to fare better in cognitive therapy.
B)tend to fare better in interpersonal therapy.
C)show similar outcomes in cognitive and interpersonal therapy.
D)have poor responses in all forms of therapy.

Question 27

The data on baseline depressive severity as a moderator of treatment suggests:

A)depression severity has not been accurately measured in treatment.
B)treatment benefits emerge best in relation to less depressed individuals.
C)depressive severity does not moderate treatment outcomes.
D)the research is equivocal on baseline levels of depression as moderators.

Question 28

Which of the following statements accurately characterizes the research on the role of moderators comparing outcomes in interpersonal psychotherapy and cognitive therapy for depression?

A)Somatic anxiety appears to increase responsiveness to interpersonal therapy.
B)Patients with high baseline social dysfunction respond significantly better to interpersonal therapy.
C)High attachment avoidance leads to a better outcome in interpersonal therapy.
D)Evidence for baseline depressive severity as a moderator of treatment outcome is equivocal.

Question 29

The World Health Organizations task shifting model refers to:

A)the importance of collaboratively engaging patients into treatment.
B)task sharing among interdisciplinary teams to create better outcomes.
C)delegating tasks to less specialized local health workers.
D)shifting resources from a national to an international level.

Question 30

Commenting on how _________ is communicated (verbally and non-verbally) is the "bread and butter" of interpersonal therapy.

Question 31

In interpersonal therapy, depression is conceptualized as having three components: _______________, ___________________, and _______________.

Question 32

If a patient is deemed a partial responder during the termination phases of interpersonal therapy, the therapist will:

A)instill guilt to motivate the patient to be more compliant.
B)review which skills taught were useful and encourage their use.
C)encourage the patient to accept that their symptoms are chronic.
D)terminate treatment regardless because IPT only allows for 16 sessions.

Question 33

In a study using interpersonal psychotherapy (IPT) for treating depression in adolescents living in internally displaced persons (IDP) camps in Northern Uganda:

A)IPT performed poorer than creative play but better than a wait list.
B)IDP adolescents were too anxious to discuss interpersonal conflicts.
C)IPT performed better than both the Creative Play and wait list control.
D)Grief was so dominant that IPT could not be used effectively.

Question 34

An interpersonal therapist and patient should collaboratively identify how many problem areas to address over the course of treatment?

A)1-2 (to stay focused)
B)4-5 (to learn to generalize skills)
C)16 (one per session)
D)Varies depending on patient's presenting issues

Question 35

Conjoint interpersonal psychotherapy for depression has demonstrated that:

A)treating a couple when both spouses are depressed is not beneficial.
B)conjoint interpersonal therapy leads to greater marital satisfaction.
C)less gains are made in treatment by both spouses if treated together.
D)conflicts in therapy arise as both patients want to assume a "sick role."

Question 36

Okwekubagiza, a term from Uganda, refers to:

A)self-pity.
B)self-esteem.
C)self-loathing.
D)selflessness.

Question 37

Interpersonal therapy asserts depression is _______________, but symptoms are triggered by ____________.

Question 38

In the randomized clinical trial evaluating modified interpersonal group psychotherapy (IPT-G) for depression in Southwest Uganda:

A)the treatment was not well-received by the community.
B)IPT-G was more effective than the control condition.
C)valid assessment measures to use could not be identified.
D)direct forms of communication had to offset some cultural norms.

Question 39

Research studies that evaluate the effects of a treatment within a relatively homogenous group, under optimal clinical circumstances, and with the therapy performed by highly trained experts are called:

A)efficacy studies.
B)effectiveness studies.
C)expert-led research.
D)none of the above.

Question 40

A(n) _____________________ is a research investigation that includes a broad range of participants conducted in a real-life setting by community clinicians.

Question 41

The creators of interpersonal therapy state that it is difficult to view dysthymia as a disorder and therefore identify _____________ as a role transition itself.

Question 42

Ainsworth originally identified three major attachment styles which she labeled ______________, ______________, and ____________.A forth attachment style known as ____________________ was added later.

Question 43

Key components of interpersonal therapy are its ____________ nature, focus on _____________ problems, use of a _________ to standardize the procedure, and _____________ assessment.

Question 44

In Bartholomew's four-category model, ___________ refers to whether the individual has the inner resources for security and self-soothing vis-à-vis an important relationship.

Question 45

One of interpersonal therapy's most important and distinctive features is conducting a(n) __________________ of important people currently in the patient's life.