Deck 12: Children and Families

Question 1

According to the text,impaired mourning often occurs in alcoholic families.Impaired mourning refers to the family's preoccupation with:

A)separation and rebirth
B)death and restoration
C)loss and attachment
D)attachment and separation

Answer 1

D

Question 2

One of the basic principles of family homeostasis is:

A)unity and acceptance
B)predictable family roles
C)high self-esteem
D)stability

Answer 2

B

Question 3

The label best describing the mischievous child who defuses the tension is:

A)lost child
B)mascot
C)enabler
D)hero

Answer 3

B

Question 4

Who first used the term "family homeostasis" to describe the natural tendency of families to behave in such a manner so as to maintain a sense of balance,structure and stability in the face of change?

A)Jackson
B)Wegscheider
C)Kaufman and Kaufman
D)McGoldrick

Question 5

Kaufman and Kaufman view the alcoholic family as:

A)dysfunctional
B)enmeshed
C)codependent
D)aggressive

Question 6

What are the three imperatives that govern alcoholic families?

A)don't talk too much,don't trust,don't feel
B)don't talk,trust a few,feel only good feelings
C)don't talk,trust,feel unpleasant feelings only
D)don't talk,don't trust,don't feel

Question 7

Which of the following roles will all family members likely undertake,to varying degrees?

A)child
B)worker
C)citizen
D)all the above

Question 8

In the research on childhood roles in dysfunctional families,the most commonly reported role combination was:

A)scapegoat and lost child
B)hero and enabler
C)lost child and hero
D)scapegoat and mascot

Question 9

Research investigations into the field of alcohol or other drugs and families suggest that these families often feel __________ and project the cause of family problems to outside influences.

A)hopeless
B)powerful
C)trapped
D)powerless

Question 10

In alcoholic homes,which of the following labels best describes the role of the over-achiever?

A)scapegoat
B)hero
C)lost child
D)mascot

Question 11

What happens when a family resists change?

A)it remains in neutral zone
B)it becomes rigid and unable to adjust adequately and family dysfunction can follow
C)family anxiety is heightened
D)there is an increase in individual self-esteem

Question 12

Children who are awaiting adoption

A)have many legal challenges
B)have already faced numerous biological and environmental risk factors
C)have a likely history of abuse or neglect
D)have likely had numerous placements
E)All the above are true

Question 13

In alcoholic families,communication is most often characterized by:

A)silence
B)criticism
C)body language
D)yelling

Question 14

Children in alcoholic families,when compared to children from families with no known history of drug abuse have been shown to demonstrate more:

A)depression and anti-social behaviors
B)depression and aggression
C)aggression and anti-social behaviors
D)aggression and fear

Question 15

Acting out the family problem through defiance and irresponsibility best describes:

A)scapegoat
B)enabler
C)lost child
D)mascot

Question 16

Families are dynamic systems and are influenced by __________ which occur both within and outside of the family system.

A)fears
B)acceptance
C)changes
D)denial

Question 17

Significant to the concept of family homeostasis is the notion that:

A)as one family member experiences change in his/her life,the entire family will not necessarily be affected
B)as one family member experiences change in his/her life,the entire family will be affected,but will not likely adjust in any fashion
C)as one family member experiences change in his/her life,the entire family will not be affected,but will adjust in some fashion
D)as one family member experiences change in his/her life,the entire family will be affected and will adjust in some fashion.

Question 18

What often occurs when alcohol is removed from the family system?

A)the family is thrown into chaos
B)nothing happens
C)there is physical abuse
D)there is verbal abuse

Question 19

Which label best describes the child in an alcoholic home who requires very little attention,and who is shy,and often isolated from life?

A)enabler
B)hero
C)lost child
D)scapegoat

Question 20

Who described the dysfunctional family roles of hero,scapegoat,lost child,mascot and enabler?

A)Jackson
B)Satir
C)Wegscheider
D)Jenkins

Question 21

According to the text,there are three pathways of sibling influence that tend to lead to sibling drug abuse.Which is not one of the three?

A)personality mechanism
B)environmental mechanism
C)conflicting mechanism
D)genetic temperamental connection

Question 22

What are the three essential family subsystems in the Euro-American family?

A)marital,parental and sibling
B)nuclear,extended and blended
C)marital,significant individual and parental
D)significant individual,nuclear and extended

Question 23

According to many researchers,family collusion results from a break in:

A)the grieving process and how it reinforces the interactive patterns of families with alcohol/drug abuse
B)family relations
C)subsystems
D)boundaries

Question 24

According to the U.S.Census Bureau (2010)

A)10% of the U.S.population is adopted
B)less than 1% of the U.S.population is adopted
C)approximately 8% of the U.S.population is adopted
D)2-4% of the U.S.population is adopted

Question 25

Kaufman and Kaufman outline four family types who will present themselves for treatment.One of the family types will come for therapy after an individual family member has undergone treatment and is clean and sober.The task for the mental health professional,when working with this families type,is:

A)to get others to admit,as early as possible,how they behaved as enablers
B)to focus upon the identified patient
C)helping to re-balance the system while focusing upon the likelihood of "slips"
D)all of the above

Question 26

The loss of autonomy occurring in some Euro-American families is seen as resulting from their:

A)launching family members
B)enmeshed relationships
C)restrictive approach to problem-solving
D)paranoid ideation

Question 27

Stepfamilies are:

A)seen as being at the highest risk for development of an alcohol or other drug abuse problem
B)essentially no different from other family types across cultural groups
C)at low risk for developing AOD problems
D)have some protective factors and some risk factors regarding AOD abuse

Question 28

According to Kaufman and Kaufman,regardless of which type of family present themselves for help,the mental health professional:

A)should avoid addressing the parental subsystem
B)should focus only upon the parental subsystem
C)focus upon the sibling subsystem
D)focus upon all of the various family subsystems

Question 29

In Asian American,Native American,African American and Latino/Hispanic American families,the family subsystem would include:

A)parental only
B)sibling only
C)extended only
D)nuclear and extended

Question 30

According to the research,

A)women drink more because of multiple roles
B)women drink more because of the conflict experienced when they enter the workforce
C)women drink more because when they enter the workplace,there is more opportunity to drink
D)All are true

Question 31

According to a study conducted by Kaufman and Kaufman,it was found that of the 75 culturally diverse families in their sample,_____% had enmeshed mother-child relationships.

A)40%
B)23%
C)88%
D)72%

Question 32

According to the text,Orford and Guthrie claim that the non-drinking spouse in an alcoholic couple will often:

A)report the drinking spouse to authorities
B)leave the spouse immediately upon finding out about a drinking problem
C)attempt to protect the alcoholic
D)begin to uncover the alcoholic's pain

Question 33

According to the text,what percentage of American children,born in the 1980s,will experience divorce?

A)35%
B)25%
C)75%
D)45%

Question 34

What situations do Kaufman and Kaufman recommend for individual therapy,as opposed to family therapy?

A)when family therapy is seen as potentially being misused to deny personal responsibility
B)when there is the likelihood of preventing psychopathology in one of the family members
C)when a family member is deceitful
D)all the above

Question 35

Codependency originally referred to the:

A)wife whose father was an alcoholic
B)sibling of an alcoholic
C)child of an alcoholic
D)co-alcoholic

Question 36

According to Shields,symbiotic relationships,often found in alcoholic families,are characterized by:

A)love,"formal" psychological boundaries and projection
B)frequent use of projection,poor psychological boundaries and intense feelings of love and hate
C)blame,a moderate amount of pain,and love
D)resentment,ambivalence and intense feelings of love and hate

Question 37

Regarding methamphetamine use

A)its increase has had no significant impact on child abuse
B)its increase has had an effect on child abuse
C)it cannot be determined if its increase has had an effect on child abuse
D)none of the above is true

Question 38

Parent-child coalitions may create:

A)developmental ties
B)tension for the other parent/spouse
C)dependency
D)family dysfunction

Question 39

According to the text,a marital relationship in which alcoholism is found usually reflects a communication style characterized by

A)resentment
B)a lack of pain
C)conditional approval
D)constructive criticism

Question 40

Psychic and physical boundaries are more permeable in:

A)nuclear families
B)stepfamilies
C)extended families
D)stepfamilies with a history of substance abuse

Question 41

cc
CHAPTER 13: ADULT CHILDREN AND CODEPENDENCY

Question 42

Which of the following is not true about codependency?

A)there are no assessment instruments for codependency
B)assessment for codependency is relatively informal
C)it is important to combine formal and informal assessment
D)clients and therapists should engage in mutual identification of problematic areas in the client's life

Question 43

According to some popular authors,_____ % of the population is considered to be codependent.

A)100%
B)45%
C)95%
D)50%

Question 44

Research suggests that the third and fourth phases of co-dependency may also be referred to as

A)rescuing and hatred
B)rescuing
C)hatred
D)honeymoon and reconciliation
However,Rusnáková believes that rescuing is the third phases and hatred and the creation of distancing in the relationship is the fourth phase.

Question 45

Which are criticisms of codependency?

A)the concept is too watered down to mean much of anything
B)codependent characteristics are not present across all populations
C)characteristics lack identifiable behaviors that can be used to diagnose individuals
D)all are criticisms

Question 46

From a systems perspective,codependency is

A)family problem
B)individual problem
C)parental problem
D)not really an issue according to most people

Question 47

ACOAs:

A)may not be different from other adults raised in dysfunctional families
B)are vastly different from other populations
C)are not a viable research population
D)are a very special group

Question 48

Potter-Efron and Potter-Efron identified 8 characteristics of codependent individuals.Which of the following are included in their list of codependent characteristics?

A)shame and guilt
B)fear and preoccupation with others
C)denial and rigidity
D)all are characteristics

Question 49

College recovery programs

A)are an innovative approach to helping this population
B)these programs are aimed to serve as a protective factor for recovering students
C)usually offer onsite sober housing,self-help meetings,and counseling
D)All the above are true

Question 50

The dynamics that transpire between a client and a codependent mental professional may result in:

A)enabling
B)independence
C)attachment
D)acknowledgment

Question 51

Concerning phases of co-dependency

A)the first phase is denial of the other's drinking
B)anger is the second phase
C)reconciliation with the reality as the third phase
D)All the above are true

Question 52

Kitchens identifies seven subjective indicators of codependency.Which of the following is not an indicator according to Kitchens?

A)the extent to which clients feel helpless to control events in their lives
B)the extent to which clients are alcoholic
C)the extent to which clients ruminate about the dysfunctional behavior which occurred in their families of origin
D)the extent to which clients continue to deny and/or defend themselves against criticism of the client's parents

Question 53

The paranoid codependent personality is seen as having difficulties

A)trusting
B)loving
C)communicating
D)working

Question 54

Research on Adult Children of Alcoholics (ACOAs)has focused on all of the following with the exception of:

A)qualitative and quantitative risk factors
B)identifying the clinical characteristics which correlate ACOAs to alcoholism
C)attempts at validating the clinical characteristics of ACOAs
D)all of the above have been the subject of research efforts

Question 55

Kitchens identifies three types of family interventions.Which of the following is not an intervention recommended by Kitchens?

A)information-oriented interventions
B)cognitive-oriented interventions
C)action-oriented interventions
D)affective-oriented interventions

Question 56

What is an example of a mental health professional's codependency?

A)rigid adherence to one theoretical orientation
B)over-preoccupation with the problems of others
C)needing to have clients tell therapists how the sessions are going
D)all are examples

Question 57

Codependency is a(n)_____ problem.

A)individual
B)family
C)spouse
D)children

Question 58

Which is/are not indicator(s)that can help determine the severity of codependency,according to Kitchens?

A)the extent to which the client equates performance with self-value
B)the extent to which client experiences unexplained anger
C)the extent to which the client feels stuck in his/her relationship
D)all are indicators

Question 59

Regarding ACOA risk factors

A)ACOAs report initiating substance use earlier than non-ACOAs with respect to alcohol as well as tobacco,cannabis,and other illicit drugs
B)this group has greater risk factors in developing adolescent problems
C)this group had greater risk factors for developing adult alcohol problems
D)All the above are true

Question 60

Kitchens focuses on three domains when describing codependent personality disorders.The three domains are:

A)normal traits,over-responsible behaviors,outward manifestations
B)internal feelings,outward manifestations,normal traits
C)paranoid,histrionic,and internal feelings
D)internal feelings,antisocial,and schizoid

Question 61

The schizoid/avoidant personality disorder is based upon one's excessive need for:

A)attention
B)interaction
C)privacy
D)love

Question 62

Messner's (1996)three-step rebirthing method,based on Melody Beattie's treatment for codependency recovery,includes

A)recognition that codependency exists within
B)engaging in purification through mortification
C)movement towards redemption
D)all the above

Question 63

Criticisms of codependency include:

A)the term has not been applied across genders evenly
B)women may have higher rates of alcoholism and the term is seen as a barrier to assessment
C)the concept keeps men from developing important characteristics of helping and caregiving

Question 64

The Korean concept of "subjugated dependency" means that

A)oppression does not exist
B)codependency results from Confucian patriarchal values
C)there is no relationship that can be described as codependent
D)none of the above are true

Question 65

According to the research,which of the following is true for ACOAs?

A)ACOAs have more relationship troubles than other groups
B)There is an association between ACOAs and the development of problems later in life
C)ACOAs are less likely to marry
D)All are true

Question 66

Recent studies on ACOAs have included new populations that were not included in previous research efforts.The two new groups include

A)Latinos and Latinas
B)women and youth
C)African Americans and women
D)Asians and Native Americans

Question 67

A review of the literature on gender bias and codependency reveals:

A)the very construct of gender is questionable
B)there is little gender bias
C)if any,codependency is biased towards children
D)parents are the source of the gender bias

Question 68

In collective cultures,codependency

A)is not an issue
B)is seen as a relational problem
C)differs from the western concept because of different views of the self
D)has more serious implications than for any other culture