Question 1

Countertransference (CT) management refers to:

Accepted Answer

Countertransference management refers to clinicians' efforts to recognize, understand, and manage their own emotional reactions to clients in order to provide the most effective treatment. Option A is incorrect as it is not related to CT management. Option C is incorrect as it refers to transference, not CT. Option D is incorrect as it includes option A which is inaccurate. Option E is incorrect as there is a correct answer.

Question 2

Research on the relationship ruptures has shown:

Accepted Answer

Research has shown that rupture repair can sometimes be achieved through effective communication and exploration of the ruptured relationship. It is not best practice to ignore ruptures and hope they will resolve spontaneously, as this can damage the therapeutic alliance and hinder progress in therapy. A strong clinician-client goal consensus has been found to be related to better treatment outcomes. While spontaneous rupture resolution can occur, it is not consistently supported by empirical research.

Question 3

Bordin's model of the working alliance consists of which of the following dimensions?

Accepted Answer

Bordin's model of the working alliance consists of all three dimensions: goal consensus or agreement, collaborative engagement in mutual tasks, and development of a relational bond.

Question 4

Research on countertransference (CT) has shown:

Accepted Answer

All of the options are supported by research on countertransference. Unaddressed CT can have a negative impact on treatment outcomes, CT reactions can be informative for therapists, and CT is a natural phenomenon that can be useful in therapy.

Question 5

Therapeutic modeling works through which of the following mechanisms?

Accepted Answer

The answer of Therapeutic modeling works through which of the...

Question 6

Richard comes to a second interview session and tells you he has failed to complete the homework assignment you gave him. This reminds you of the same trouble you're having with your son. You begin feeling very impatient and disappointed in Richard and scold him. What label is usually given to describe the feelings you feel toward Richard?

Accepted Answer

Countertransference occurs when a therapist projects their own feelings, issues, and biases onto their client. In this scenario, the interviewer is projecting their feelings of impatience and disappointment from their personal life onto Richard, which is an example of countertransference.

Question 7

Therapeutic modeling might also be considered as involving:

Accepted Answer

Therapeutic modeling involves both identification and internalization. Identification refers to the process of a client identifying with a therapist's behavior, attitudes or values. Internalization is the process of the client taking in and adopting these behaviors, attitudes or values as their own. Therefore, both option A and C are correct. Interpersonal mirroring and processing are not typically considered part of therapeutic modeling.

Question 8

Contemporary definitions of countertransference have been divided into categories; which of the following is NOT one of those categories?

Accepted Answer

Interpersonal is not a recognized category in contemporary definitions of countertransference. The categories typically include Classical, Totalistic, Complementary, and Relational.

Question 9

In addition to Bordin's three dimensions that help create a strong working alliance, which of the following can also contribute to positive outcomes?

Accepted Answer

Progress monitoring has been shown to be an important factor in creating positive outcomes in therapy. While physical touch and humor may also contribute to a positive experience, they are not necessary components and may not always be appropriate or desired by the client.

Question 10

Maria attends her first therapy session and brings drawings for her therapist to view. When the therapist acts neutral she gets angry and demands that the therapist tell her what he thinks. Maria is most likely experiencing:

Accepted Answer

Maria is likely experiencing transference, which is when a client projects emotions or attitudes onto the therapist that are based on past experiences with others. Maria may be used to getting a certain response from others when she shares her drawings, and when the therapist responds neutrally, she becomes angry and demands a different response. This is likely a reflection of her past experiences with others, and she is projecting those feelings onto the therapist.

Question 11

Regardless of the theoretical orientation, length of treatment, and type of problem, what does research suggest that all therapists should try to maintain with their clients?

Accepted Answer

Research consistently shows that a strong therapeutic alliance or positive working relationship between the therapist and the client is one of the most important factors in successful therapy outcomes. This includes elements such as empathy, rapport, trust, and collaboration. While factors such as corrective emotional experience and having clear treatment goals can also contribute to success, a positive therapeutic relationship is crucial regardless of other variables.

Question 12

As a beginning therapist dealing with transference the authors suggest you keep in mind which of the following principles?

Accepted Answer

All of the options are important principles to keep in mind when dealing with transference as a beginning therapist. Being aware of potential inappropriate transference reactions allows for preparation and management of the situation. Noticing and addressing repeating patterns helps to bring them into conscious awareness for exploration and understanding with the client. Collaboratively exploring repeating patterns is essential to understanding the underlying issues and providing effective therapy.

Question 13

Research on transference has shown:

Accepted Answer

Research has demonstrated that transference reactions during sessions can be reliably and validly measured, and that transference in therapy tends to be highly similar to contemporary relationship patterns observed outside therapy. Therefore, both A and B are supported by the research on transference.

Question 14

Research on the working alliance has shown:

Accepted Answer

Research on the working alliance consistently shows that higher alliance ratings are related to better treatment outcomes. Goal consensus between clinician and client is also an important aspect of the working alliance, and has been found to be related to better outcomes. However, there is no evidence to support choice B or C.

Question 15

Which of the following is true regarding countertransference (CT) management?

Accepted Answer

Research has suggested that regularly practicing meditation can help decrease reactivity to clients, and therefore improve CT management. Option A is incorrect as countertransference can be managed, although it can be challenging. Option C is incorrect as personal psychotherapy has been shown to be effective in managing CT reactions. Option D is incorrect as discussing CT reactions with colleagues or supervisors can help with managing it. Option E is incorrect as CT reactions are normal and do not necessarily mean that someone is in the wrong profession.

Question 16

What are the two types of relationship ruptures?

Accepted Answer

The two types of relationship ruptures are withdrawal and confrontation. Withdrawal refers to when one or both partners disengage from the relationship, either by physically or emotionally distancing themselves. Confrontation refers to when there is conflict or disagreement that is not resolved in a healthy way and can lead to a breakdown in communication and trust. Pressure and input, collaborative and mismatch, and mental and physical are not recognized as the two types of relationship ruptures. Stress and strain are also not recognized as specific types of relationship ruptures, although they could be used to describe the impact of the ruptures on the individuals involved.

Question 17

Which of the following is NOT RECOMMENDED as a rupture repair strategy?

Accepted Answer

Counter-confrontation is not recommended as a rupture repair strategy because it can escalate the conflict and damage the therapeutic relationship. The other options (A, B, C, and E) are all recommended strategies for repairing ruptures in the therapeutic relationship.

Question 18

Everett has a client who is expressing discontent during his initial session. His client has questioned Everett's competence. This may be a rupture that can be classified as:

Accepted Answer

The client's questioning of Everett's competence is a direct challenge to the therapist, which aligns with the concept of a "confrontation" rupture, where the client openly expresses dissatisfaction or disagreement.

Question 19

Which of the following strategies were recommended for developing a positive working alliance?

Accepted Answer

Collaborative goal-setting and role induction are both recommended strategies for developing a positive working alliance, while clinicians keeping separate goals from clients can undermine the alliance. Therefore, the best choice is E, which includes both collaborative goal-setting and role induction as recommended strategies.

Question 20

Relationship ruptures are defined as:

Accepted Answer

Relationship ruptures are typically defined as strains or tensions that occur between the clinician and the client in therapy. These types of ruptures may occur due to a variety of reasons, including differences in expectations, misunderstandings or missed communication, or other issues that arise during the therapeutic process. While inadequate role induction or issues in the clinician-supervisor relationship may also play a role in these ruptures, the primary emphasis is on the therapist-client relationship. Psychoanalytic concepts may be related to ruptures, but are not typically defined as such.

Quiz 7: Evidence-Based Relationships