Question 1

You are working with a client who presents with symptoms of paranoia, but does not present with issues surrounding hallucinations or delusions. As an Adlerian therapist, it is more difficult to deal with these clients because of the Adlerian definition of neuroses. Neurosis is defined as:

Accepted Answer

Neuroses, according to Adler, are attempts at seeking to excuse oneself from his or her obligations. There is no distinction as to which pieces are included or excluded. The therapist is given an understanding of the neuroses through the client's presentation. While it seems to be a bit callous, Adler gives much personal attachment to disorders and sees them as serving a purpose specifically for the client, imagined or otherwise.

Question 2

According to Adlerian practice, when a second child is born and brought into the family mix, what is the name of the process that occurs for the first-born child?

Accepted Answer

Dethronement refers to the removal of the first child from the throne of attention, expectation, and expectations. When a second child arrives, the second child is given the privilege of having more attention and privilege given her. The inner appreciation does not really change from one to another, but emotional connections may begin to form more precisely at this point with more than one child to impact the system.

Question 3

A client presents in your office as petrified of authority figures. Your work with children has taught you that he could benefit from some work in attachment. But before doing that, you decide to explore with him the narrative concept of:

Accepted Answer

The idea behind gaze is that those in constant observance of their behavior could very well be in that position because they believe that their behaviors are being watched and can be addressed with specific, individual consequences. Other pieces of narrative therapy have more to do with the story that is told, in which the gaze may play a part.

Question 4

Since graduating from college, Nick has felt that his parents never really understood how successful he was or how his career path contributed to his happiness. As a result, Nick hasn't spoken to his parents in two years. When sitting in therapy, the therapist pushes him to wonder if this is actually real. The narrative therapist is encouraging the client to practice:

Accepted Answer

By deconstructing his beliefs, Nick will be able to find examples that would support whether or not his assumptions have been true. The landscape of action refers more accurately to the action that Nick could take if he found that he wanted to change his beliefs or their outcomes. Nick is clearly no longer concerned about gaze, since he has been able to study independently for himself.

Question 5

If you have a client who no longer wants to be known as the rich, wealthy businessman, but instead wants to be known as the caring, compassionate activist, your psychoanalytic process would encourage the client to examine:

Accepted Answer

The ego refers to what is known as the "true self." Defense mechanisms would only be at play if perhaps he were trying to hide his true self from his conscious mind. His living situation may or may not be impacting his choices, but overall, it is his definition of his true self that will drive him forward and continue to let him know whether or not he is achieving nearer to his true self.

Question 6

In order to determine what brings a family into therapy, the emotionally-focused therapist might be interested in the family's degree of:

Accepted Answer

Connectedness is a definition of how close a family is. That closeness is almost always a positive trait, but can have some negative issues, such as enmeshment or cutoff. The family's level of honesty with the therapist would not necessarily be of interest, as he would examine this as therapy moved forward. When it comes to any abstraction, the therapist will likely bring it into the present moment before exploring it with the client.

Question 7

Cotherapy, or having more than one therapist for a family session, has proven effective because:

Accepted Answer

The family could challenge any opinion they chose, therapists supposedly leave their egos at the door, and families are not usually more willing to trust two people than they are one person. However, the number of perspectives cannot be argued, especially with the number of family members and subsystems that may be involved in therapy at any given time.

Question 8

Some individuals may have a hard time believing that they would be happier if they were married. It would be helpful to point them to which of the following ideas?

Accepted Answer

According to Bateson, relational reality points to the fact that each individual is at his or her happiest when he or she has found the person with whom one wishes to spend the rest of his life. The goal of continuing to look for that person is a goal that tends to serve each person individually, seeking qualities that are most likely to complete them.

Question 9

As a narrative therapist, you have encountered a client who believes that his colleagues at work have it out for him. He would rather not go to work anymore and telecommute. You might help him explore his fear by encouraging:

Accepted Answer

Discursive presence will encourage your client to examine the social norms in his place of work so that he can watch how others interact with one another to gauge whether or not the actions taken against him are actually out of dislike or out of workplace social habit. Your client is not especially ready for permission for things to be different. He may see this as encouragement to telecommute. And his contentedness is obviously at low levels at the moment; examining it would only reinforce its negative aspects.

Question 10

You are working with a client who has relocated as a refugee from a war-torn area of a third-world country. In order to encourage them to take back much of their own identity, you decide to use each of the following therapies, except:

Accepted Answer

Motivational interviewing is primarily used with individuals who are recovering from substance abuse. The other therapies give the opportunity for refugees to explore their histories and also have the opportunity to rewrite them from the perspective of more powerful, empowered individuals and cultural groups.

Question 11

Motivational interviewing has been made known by its consistent use with:

Accepted Answer

Motivational interviewing has been made known by its consistent use with substance abuse. Divorce, adoption, and domestic violence can usually be treated with more family therapies and have a variety of potential outcomes.

Question 12

A family is at risk of being expelled from their neighborhood homes and schools, where they have been a part of the community for twenty years. Recently, they have had some mishaps with close neighbors. In an attempt to save their space and save some face in the community, they are encouraged to explore:

Accepted Answer

Network therapy is a method by which families are encouraged to bring together as many groups of people as possible who might be contributing or who could offer a solution to their problem. Network therapy could involve sometimes as many as 40 people. The other types of therapy are more appropriate for small groups and individuals, particularly those that involve any type of hypnosis.

Question 13

When working with a client who exhibits high anxiety, it may serve you well to consider:

Accepted Answer

Getting the client to relax (A) requires coming into contact with all of the rest of the issues that were offered above. Assessing triggers can also be helpful when it comes to de-escalating anything that might come up during sessions. Current stressors, while they could be anything, may have specific causes.

Question 14

In order to expand your toolbox of effective practices, you begin to read more about Multimodal therapy. As you continue reading, you understand that there are a number of things that must be considered. Primary among the things that must be considered are:

Accepted Answer

The pneumonic device BASIC ID can sometimes assist in recalling the issues attached to multimodal therapy. In this case, behaviors and sensory reaction are the most integral pieces offered as responses here. Dual diagnosis clients can benefit, but it is not required to assess the degree of their diagnosis.

Question 15

You notice that individuals who are coming into your practice are spending an inordinate amount of time focusing on issues or objects that are especially important to them, but not influencing the outcome of therapy. Psychoanalytically, you begin pointing out the process to your clients as:

Accepted Answer

Displacement can best be defined as moving energy, often times for purposes of distraction, from one object to another. When individuals and families are especially in search of ways to deny what is presenting for them, it becomes a useful and necessary defense mechanism.

Question 16

Which of the following is not a CBT method of stress reduction?

Accepted Answer

MBSR (Mindfulness Based Stress Reduction) is the only option listed that does not find its origins in Cognitive Behavioral Therapy. One of the more effective CBT methods is muscle relaxation, which encourages the client to tense and release certain groups of muscles at a time in order to focus attention in only one area of the body at one time.

Question 17

When attempting to build a family consensus, you realize that the process is more difficult than you thought. However, rather than admit defeat, you turn to another method. You decide to get behind the parents, and what they are fighting for. This is known as:

Accepted Answer

Aligning is the term given when the therapist must align with only one side of the family dynamic. Rebalancing is the name given instead when the therapist needs to reassess who is on which side of a particular argument. In either case, the therapist is hopeful that he will disrupt things in order for a healthier family alliance.

Question 18

You begin to notice that no matter what gets pointed out to your client, she has a plausible reason why something occurred or why her behavior cannot or will not change. Eventually, you want to call her out on her rationalizations. If her rationalizations irritate you, you are likely what type of therapist?

Accepted Answer

Gestalt therapy has an emphasis on being based in authenticity and the ability to relate to others. If there is anything that gets in the way of that authentic reaction, it is said to be interrupting the importance of the whole of the therapeutic experience. The other modalities listed are particularly interested in what the therapist can offer via insight, not necessarily building relationships.

Question 19

When someone has too many painful memories and has a hard time recognizing them, a helpful therapist could lead the person away from ________ and toward _________.

Accepted Answer

Acting out, as defined psychoanalytically, is reserved for those situations and individuals who cannot face what has happened to them or cannot bring themselves to fully comprehend the impact of the situation. Bringing the issues into the conscious mind will help the client move toward resolution. While dissonance and resonance may seem like appropriate responses, they are internal measures of health, while acting out is by definition external.

Question 20

When Jackie points out that she has sometimes helped her mother to recover from blackout episodes that have to do with alcoholic tendencies, her therapist engages her in role play in order to demonstrate that her behaviors could be:

Accepted Answer

Codependent behaviors are those that are defined as helpful to the individual demonstrating the addiction, but harmful to the individual offering the assistance, since they are often unable to extricate themselves from more complicated situations later on. It is not possible to redirect behaviors that have already occurred and the importance to mom has already been established.

Quiz 5: Treatment