Deck 12: Solution-Based Therapies

Question 1

When using scaling questions, it is up to the therapist and the client to identify realistic expectations and to develop specific homework tasks to move the client toward goals.

Answer 1

True

Question 2

When successfully delivered, the miracle question allows clients to do all of the following EXCEPT:

A) generate hope and motivation.
B) envision the future without the problem.
C) generate resolutions for their problem.
D) reconnect with their spirituality.

Answer 2

D

Question 3

Assessing ______________________ is one of the key practices in solution-based therapies.

A) symptoms
B) family history
C) client strengths
D) client dysfunction

Answer 3

C

Question 4

Steve de Shazer assessed client motivation for change using which three categories?

A) visitors, complainants, and customers
B) visitors, rejecters, and customers
C) travelers, complainants, and customers
D) visitors, complainants, and regulars

Question 5

Solution-based therapies can often be time-limited with as few as 1 to 10 sessions.

Question 6

Solution-based therapists believe _____________ cannot be avoided in therapy, however, they are not considered curative.

A) strengths
B) solutions
C) problems
D) emotions

Question 7

Sara is a solution-based therapist who is working with Tim and Tania (parents) and their two children, Jake (age 15) and Madison (age 9). The parents state that Jake is increasingly hostile, that he won't listen to them, and that they feel like their family is falling apart. Jake refuses to participate in therapy, stating that his parents are the ones with the problem and that he doesn't think anything is wrong. Bill and Gina want Sarah to have some individual sessions with Jake, stating that they just can't make a difference and that she needs to "fix him". What category describes Tim and Tania's motivation for change?

A) Customers
B) Complainants
C) Visionaries
D) Visitors

Question 8

Bryan, a solution-based therapist, asks his client Cynthia about the areas of her life that are going well during a session. Cynthia struggles to answer the question and instead answers that she is frustrated with herself for always giving in to her husband's demands. She feels like she lets him walk all over her. Bryan asks Cynthia to think of a time when she stood up for her wants with her husband. This is an example of:

A) identifying weaknesses.
B) assessing strengths.
C) joining with the client.
D) exploring alternative options.

Question 9

When a therapist uses the client's own language, such as "feeling blue" or "schizos" to make problems seem more solvable and engender greater hope, the therapist is ______________________.

A) attending to client word choice
B) utilizing empathy
C) mirroring the client
D) downplaying their professional expertise

Question 10

The question "Are there any times when the problem is less likely to occur or be less severe?" is an example of _______________________.

A) assessing strengths
B) exception questions
C) assumption of solution and possibilities
D) optimism and hope

Question 11

In solution-based therapy, ______________ is cultivated early in therapy to develop motivation and momentum.

A) hope
B) happiness
C) helpfulness
D) advice

Question 12

Solution-based therapists solve problems and offer solutions to clients.

Question 13

Solution-based therapists spend a minimum amount of time talking about ______________ and instead focus on moving the client toward enacting solutions.

A) family
B) sadness
C) problems
D) dreams

Question 14

All of the following are examples of a solution-based therapist using reflection to delimit difficult feelings, behaviors, or thoughts EXCEPT:

A) "You were feeling down yesterday."
B) "Your partner sometimes does things that annoy you."
C) "There does not seem to be anybody you are interested in right now."
D) "You aren't feeling understood."

Question 15

Solution-based goals should have the following qualities EXCEPT:

A) be meaningful to clients.
B) be interactional.
C) be situational.
D) take large steps.

Question 16

"Client will increase periods of enjoyable activity, social interaction, and hope for the future" is an example of a _______________________________.

A) symptom-reducing goal
B) positive, observable goal
C) nonobservable goal
D) negative goal

Question 17

When a therapist assumes the position of the ____________, the therapist is listening to the client's story for the first time, not filling in blanks with personal or professional information.

A) expert
B) expert's mind
C) beginner
D) beginner's mind

Question 18

The key to successfully assessing strengths no matter how dire and severe a client's situation appears is what?

A) Having an unshakable belief that all clients have significant and meaningful strengths.
B) Liking all clients in spite of their shortcomings.
C) Forgiving clients for their transgressions in order to see into their good side.
D) Finding a client's religious or spiritual beliefs and drawing on those.

Question 19

Contrary to common myths, talking about the ______________ is one of the most important means of identifying solutions according to solution-based therapies: looking at what has worked and what has not.

A) past
B) present
C) future
D) the unknown

Question 20

Counselors can use ______________ to assess strengths and solutions, set goals, design homework tasks, measure progress, and manage crises with safety plans.

A) miracle questions
B) scaling questions
C) crystal ball questions
D) time machine questions

Question 21

In solution-oriented therapy, the key with compliments is to compliment _________________________.

A) in order to get closer to the client
B) in order to help the client feel good about themselves
C) in order to acknowledge the client's personhood
D) in order to acknowledge a client's progress toward their goals

Question 22

Which of the following is an example of a request?

A) You don't do anything romantic anymore.
B) I would really enjoy adding some romance back into our relationship.
C) It would be nice if you would show me that you love me.
D) It would be nice if we went back to giving each other a kiss before we left the house.

Question 23

Which of the following statements most accurately reflects solution-focused therapy's empirical support as an evidenced-based practice?

A) Solution-based therapies cannot be measured because there are no predetermined goals.
B) Solution-based therapy's focus on the solutions makes it difficult for clients to remember their problems.
C) Solution-based therapies have a steadily growing foundation of empirical support.
D) Solution-based therapies have a steadily decreasing foundation of empirical support.

Question 24

List and describe two solution-generating questions utilized in solution-based therapies.

Question 25

_______________ is based on distinguishing between three levels of experience: facts, stories, and experience.

A) Complaints
B) Requests
C) Videotalk
D) Reflection

Question 26

Identify several reasons why solution-focused therapy is generally a good fit for diverse populations.

Question 27

What role do client-strengths play in solution-based therapies?

Question 28

A couple attends therapy with Amelia, a solution-oriented therapist. The couple reports a very difficult relationship, always arguing, disagreeing, and separating. After a very intense first session, Amelia says to the couple, "Between now and the next time we meet, I would like you to observe, so that you can describe to me next session, what happens in your relationship that you do not want to have changed by therapy." What kind of intervention is Julia using?

A) the miracle question
B) scaling questions
C) optimism and hope
D) a formula first session task

Question 29

In order to help survivors of sexual abuse, solution-based counselors identify clients' unique solutions using _________________________.

A) miracle questions
B) scaling questions
C) constructive questions
D) coping questions

Question 30

How are scaling questions used in solution-based therapies?

Question 31

In the beginning of therapy, what is the key to change for clients?

A) Doing something different every day
B) Planning for long term change
C) Doing one small thing differently
D) Setting goals that instill faith

Question 32

All of the following are included in the basic tenets of solution-focused intervention according to de Shazer EXCEPT:

A) if it isn't broken, don't fix it.
B) small steps can lead to big changes.
C) the solution is usually related to the problem.
D) no problem happens all of the time, there are always exceptions.

Question 33

In what way is solution-oriented hypnosis different than traditional hypnosis?

A) Solution-oriented hypnosis is hierarchical.
B) Solution-oriented hypnosis is permissive.
C) Solution-oriented hypnosis re-programs the client once they are in a trance.
D) The therapist runs the show.

Question 34

When working with survivors of sexual abuse and/or trauma, solution-based therapist honor the agency of the survivors. What does that mean?

A) Solution-based therapists allow the client to decide whether or when to tell their abuse story.
B) Solution-based therapists insist the survivor share the details of their abuse.
C) Solution-based therapists take a more directive role in working with the survivor.
D) Solution-based therapists determine the pacing of the therapy.

Question 35

What are some qualities that should be present in solution-based goals?

Question 36

Which of the following is an example of a pre-suppositional question?

A) What will you be doing differently once we resolve these issues?
B) What are you going to do to resolve this issue?
C) What do you do to contribute to the problem?
D) What will your life look like when you change problem?