Deck 14: Integrative Psychotherapies John C Norcross and Larry E Beutler

Question 1

Based on research and clinical experience, a therapist chooses a collection of techniques from several theoretical models. This approach shows adherence to

A) technical eclecticism.
B) theoretical integration.
C) common factors.
D) assimilative integration.

Answer 1

A

Question 2

James Prochaska and Carlo DiClemente created an approach delineating stages of change that is

A) transtheoretical in nature.
B) most applicable to lifestyle changes.
C) most applicable to mental disorders.
D) biased toward the use of behavioral approaches.

Answer 2

A

Question 3

A clinician integrates two or more therapies into a conceptual framework that synthesizes the best elements of the therapies. This approach is consistent with

A) technical eclecticism.
B) theoretical integration.
C) common factors.
D) assimilative integration.

Answer 3

B

Question 4

Which of the following therapies inspired a generation of mental-health professionals to think and behave more broadly?

A) Psychodynamic therapy
B) Behavioral therapy
C) Multimodal therapy
D) Eclectic psychotherapy

Question 5

The concept of integration psychotherapy has received the most endorsement in the

A) United States and Western Europe.
B) Middle East.
C) Third World countries.
D) Asian region.

Question 6

More training directors (of both graduate and internship training programs) believe trainees are best served by a model that

A) provides proficiency in one therapeutic system.
B) creates trainees that are minimally competent in a variety of systems.
C) starts as integrative from the onset and remains so.
D) is all inclusive regardless of whether an approach has empirical validation.

Question 7

Which of the following seeks to improve our ability to select the best treatment techniques or procedures for the person and the problem?

A) Theoretical integration
B) Assimilative integration
C) Integration
D) Technical eclecticism

Question 8

Generally, a clinician conceptualizes cases from a cognitive theoretical framework and uses cognitive and behavioral techniques. However, in a therapy session, an empty chair technique was used. This decision is consistent with

A) technical eclecticism.
B) theoretical integration.
C) common factors.
D) assimilative integration.

Question 9

A client-centered therapist is most likely to use an integrative approach based on

A) technical eclecticism.
B) theoretical integration.
C) common factors.
D) assimilative integration.

Question 10

The most extensively researched integrative therapy is

A) technical eclecticism.
B) new wave.
C) stages of change.
D) systematic eclectic.

Question 11

Intentionally blending concepts of technical eclecticism, theoretical integration, common factors, and assimilative integration yields an approach known as

A) syncretism.
B) systematic treatment selection.
C) biased treatment selection.
D) new wave.

Question 12

One criticism integrative therapists might make of someone who adhered solely to one theoretical model is that

A) their theory is more empirical-driven than based on rationality.
B) the theory tends to be overly influenced by the theory's originator.
C) they recommend different approaches for every problem encountered.
D) focus is too much on mechanisms that promote change.

Question 13

Integrative psychotherapy is based on

A) eclecticism.
B) ideological superiority.
C) syncretism.
D) pharmacotherapy.

Question 14

In Persuasion and Healing, Jerome Frank (1973) argued which of the following factors was important to the process of change?

A) An authoritative therapist
B) A distressed patient willing to accept advice
C) Therapeutic debating with the patient
D) A therapeutic ritual

Question 15

Individuals with a high level of resistance tend to respond best to techniques that are

A) nondirective, self-directed, or paradoxical.
B) focused on advice and suggestion.
C) delivered in an authoritarian manner.
D) directive and structural.

Question 16

A therapist using an arbitrary blend of methods without a rationale or empirical verification of those methods is engaging in

A) deception.
B) technical eclecticism.
C) syncretism.
D) assimilative integration.

Question 17

The personality theory that best fits with integrative psychotherapy is

A) psychoanalytic.
B) cognitive.
C) broad and inclusive.
D) client-centered.

Question 18

Integrative psychotherapy uses psychological assessment in a traditional manner with the exception that

A) projective techniques are never used due to their lack of empirical validation in the literature.
B) therapists collect information on multiple patient dimensions that guide treatment selection.
C) psychological assessment measures are used at intake and not at other points of therapy.
D) assessment techniques are only utilized if the patient preferences include it as part of treatment.

Question 19

The grandfather of eclecticism in psychotherapy in the modern era is

A) Frederick Thorne.
B) Carl Rogers.
C) John Norcross.
D) Arnold Lazarus.

Question 20

Symptom-focused and skill-building techniques are more effective for individuals who have a coping style that is

A) passive.
B) internalizing.
C) externalizing.
D) aggressive.

Question 21

An individual who is in the preparation stage of change is

A) unaware that he or she has a problem.
B) aware of a problem and considering change.
C) intending to make changes in the near future.
D) working on modifying his or her behavior.

Question 22

An individual who is in the action stage of change is

A) unaware that he or she has a problem
B) aware of a problem and considering change
C) intending to make changes in the near future
D) working on modifying his or her behavior

Question 23

Technical eclecticism focuses on predicting for whom interventions will work by using a foundation that is ___________.

Question 24

An individual with alcohol dependence gets a DUI and is forced to attend counseling, although he or she does not intend to stop drinking. The therapist will likely accomplish more by using an approach that is

A) insight-oriented.
B) existential.
C) behavioral.
D) interpersonal.

Question 25

Through advocacy for integration and his development of multimodal therapy, ________________ is the most prominent and articulate advocate for eclecticism.

Question 26

A client is recording the number of cigarettes smoked daily and the therapist is teaching the client relaxation and distraction skills to use in the future instead of smoking. The client is likely in which of the following stages of change?

A) Precontemplation
B) Preparation
C) Action
D) Maintenance

Question 27

Insight-oriented techniques tend to be least useful during the stage of change known as

A) precontemplation.
B) preparation.
C) action.
D) maintenance.

Question 28

Directive and structural techniques are most likely to be effective with individuals who have

A) internalizing coping styles.
B) aggressive coping styles.
C) high levels of resistance.
D) low levels of resistance.

Question 29

The one patient characteristic with the least amount of evidence of differential treatment effects is

A) coping style.
B) diagnosis.
C) patient preferences.
D) resistance level.

Question 30

Psychoanalytical and insight-oriented therapies tend to be most useful with clients who are in which of the following stages of change?

A) Precontemplation
B) Preparation
C) Action
D) Maintenance

Question 31

Research on stages of change has found that

A) pretreatment stage of change is not related to amount of client progress.
B) therapy should be postponed for clients in precontemplation.
C) stage of change is correlated with short-term but not long-term progress.
D) tailoring treatments to stage of change significantly improves outcomes.

Question 32

A patient's ________ is defined by what one does when confronted with new experiences or sources of stress.

Question 33

Behavioral therapies tend to be most useful with clients who are in which of the following stages of change?

A) Precontemplation
B) Contemplation
C) Preparation
D) Action

Question 34

Four most popular routes in integrative psychotherapy are _____________, ____________, ______________, and ______________.

Question 35

Outcome research on integrative therapies has found strongest support for

A) acceptance and commitment therapy.
B) psychoanalytical therapy.
C) interpersonal therapy .
D) Gestalt therapy.

Question 36

In _______________, two or more therapies are united with the hope that the result will be better than the constituent therapies.

Question 37

An individual who is in the contemplation stage of change is

A) unaware that he or she has a problem.
B) aware of a problem and considering change.
C) intending to make changes in the near future.
D) working on modifying his or her behavior.

Question 38

An individual who is in the contemplation stage of change responds best to a therapist who is serving the role of a

A) nurturer.
B) Socratic teacher.
C) experienced coach.
D) consultant.

Question 39

The aspect of integrative therapy making it most applicable to many disorders is

A) reliance on behavioral techniques.
B) emphasis on insight.
C) flexibility/inclusion.
D) integration of family.

Question 40

An example of a disorder that might respond best to integrated treatment is

A) schizophrenia.
B) panic disorder.
C) tobacco dependence.
D) adjustment disorder.

Question 41

Describe five patient characteristics assessed in integrative psychotherapy that predict treatment outcome. Describe a patient with the highest probability of a successful treatment outcome.

Question 42

There are four main pathways to developing an integrative approach that are not mutually exclusive. Describe each pathway. How are the pathways different? Provide examples of each pathway and how one or more of the pathways could be integrated.

Question 43

Integrative therapists see their flexibility to incorporate culturally relevant evidence-based practices as an inherent strength in working with multicultural clients. What does it mean to augment an individualistic position with a collectivistic orientation to clinical work? What is cultural empathy?

Question 44

____________ is a change process focusing on policy interventions.

Question 45

The term ____________ refers typically to the synthesis of multiple systems of psychotherapy.

Question 46

The ¬¬¬¬¬¬________________________ of James Prochaska and Carlo DiClemente was introduced with the publication of one of the first integrative textbooks, Systems of Psychotherapy.

Question 47

The combination of medication and psychotherapy is known as _____________.

Question 48

_____________ entails a firm grounding in one system of psychotherapy but with a willingness to selectively incorporate practices from other systems.

Question 49

Some purists have accused therapists using eclectic approaches as simply guessing about what works for whom and randomly choosing techniques to treat a patient. Explain how an integrative psychotherapist would respond to this accusation.

Question 50

What is systematic eclectic or systematic treatment selection? What type of patient might benefit most from this approach?