Family Therapy Final – Flashcards
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parentification
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As a therapist, you notice that an individual expects to to receive from their spouse what they failed to receive from their parents. In Contextual Therapy this is called:
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pseudomutuality
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Lyman Wynne's term for the facade of family harmony that characterized many schizophrenic families is:
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John Elderkind Bell
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The first therapist to apply group concept to family therapy was
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The Child Guidance Movement
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The idea that treating children's problems was the best way to prevent mental illness was a contribution to family therapy from
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Parents are noxious agents for children-illness is heredity
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The Child Guidance Movement of the 1940's and 1950's held to all of the following except
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double-bind
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Gregory Bateson and colleagues in Palo Alto introduced this concept to describe patterns of disturbed family communication which causes schizophrenia
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restructuring techniques
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The techniques of structural family therapy fall into two general categories: Joining and
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rubber fence
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Lyman Wynne used this term to describe the rigid boundary he observed surrounding many schizophrenic families which limit contact outside the family.
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psuedomutuality
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Lyman Wynne coined this term by watching schizophrenic families construct a facade of family harmony
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general systems theory
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Ludwig von Bertalanffy was a pioneer in
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feedback
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____________ is that systemic function which gathers information from its own output and incorporates this into its ongoing functioning
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second order change
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Johnny, who takes piano lessons, has hated to practice and has complained about his lessons for four years. At age twelve, he discovers that a girl he likes enjoys the piano and wants to listen to him play. SUddenly, his mother is concerned. His usual 10 minutes of practice has suddenly escalated to an hour or more each night. She must threaten punishment to make him stop playing each evening. His piano skills have escalated dramatically in the past six weeks, and his parents are confused now that they no longer have to threaten or bribe him to practice. This kind of change is called:
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communications theory
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The early family therapy theory which treated families as rule-governed, error-activated, goal directed systems was
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Watzlawick and the MRI group
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The admonition, "One cannot NOT behave and all behavior is communicative" is a rule established by
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contains the content of the informational exchange
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According to Communications Theory, the report dimension of any exchange
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tells the receiving person how to accept the exchange
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According to Communications Theory, the command dimension of any exchange
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punctuate
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According to Communications Theory, human interactions will be organized and will establish relative value and meaning in communicational exchanges. Observers can recognize these in relationships by noting how participants ____________ the interactions.
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metacommunications
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The Bateson group (early MRI) might best be remembered for the concepts of the double-bind and
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report and command
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One of the major propositions of Watzlawick et al's (1967) Pragmatics Human Communication was that all messages have a ____________ function.
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rigid roles which forced interactions into a narrow, stereotyped range
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Early group theory impacted the development of family therapy. Early family group theorists believed that pathology was a result of
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Gregory Bateson and Jay Haley
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The therapeutic "double bind" was a product of this theorist's work: (You may choose more than one answer)
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form a hypothesis about the family and their problem
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In the first session or two of therapy, family therapists ask family members how they have tried to solve problems and watch how they interact as they discuss the problem among themselves in order to
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first stage of therapy
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Defining a therapeutic hypothesis about a family and their problem is part of the
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this reflects the early stage of therapy, preparing the family for change
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Sidney is seeing a family for therapy. In one session, he carefully challenges a family to evaluate their assumption about 12 year old Jane's rebellious behavior. Most likely,
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listen to families fight without becoming personally reactive or inferring
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When therapists help family members address their conflicts directly, it is necessary for the therapist
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in the middle phase of treatment
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Therapists might use techniques meant to produce intensity in the family to challenge family members
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to begin therapy without adequate family assessment
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One mistake that family therapists often make in planning a course of treatment is
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Jay Haley
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The concept of family life cycle was first introduced by:
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undifferentiated ego mass
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Bowen's term for the family "stuck-togetherness" that he observed in poorly functioning families was
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unbalanced troubling family structures
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Goals of therapy for a Bowenian therapist would include all of the following except
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asking Joe to bring in the rest of his family
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As a Bowenian therapist working with Joe Smith, your usual repertoire of therapeutic interventions would include all of the following except
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emotional attachments to family of origin
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The central premise of Bowen's therapy is that for persons to be mature and healthy, they must
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triangulation
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Sharon Brown has trouble controlling her daughter Jody. She comes to you for help and asks you to teach her how better to control her out-of-control daughter. As a Bowenian therapist you refuse this and tell her that teaching this skill is unlikely to resolve her problem. You then look at her genogram and suggest that she may be over-involved with her daughter as a result of her husband's emotional distance. This intervention is designed to respond to
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a behavioral therapist
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A family therapist trained in what model is most likely to use standardized tests is assessment and treatment?
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couples therapy is usually an effective treatment for depression and anxiety
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Research in family therapy suggests all of the following except:
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an individual psychological embededness in a relationship context
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By fusion, a Bowenian family therapist is referring primarily to
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through understanding, then behavior follows
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According to Bowenian therapy, change occurs
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unexpressed emotion
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According to Experiential Therapists, the primary cause of family dysfunction is
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restructuring the family system
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The goals of experiential therapy would not include
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structural therapy for children under 18
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In studies of family treatment of anorexia, research is showing that the treatment of choice is
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refer for educational testing and evaluation of a learning disorder
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Mr. and Mrs. Edwards bring 7 year old Sam to therapy because his teacher has complained that he cannot sit still in class, is disruptive, and non-compliant with class instructions. She has suggested psychiatric evaluation. In your history, you note that Mr. and Mrs. Edwards feel that Sam is quite well behaved at home and are confused about his behavior school. Your first task in therapy will most likely include:
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win the battle for iniative
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Whitaker suggested that families must
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mystification
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The experiential concept that families may distort their children's experiences by denying or relabeling it is known as:
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family connectedness
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Both Bowen and Whitaker believed that personal growth requires:
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open, spontaneous experiencing
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The most important element for healthy family functioning, according to experiential therapists, is:
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object relations
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Internalized images of self and others based on early parent-child interactions which determine a person's mode of relationship with other people is called:
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trustworthiness
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For Boszormeni-Nagy, families had problems due to:
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are inconclusive about the effectiveness of couple or family therapy as treatment for these disorders
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Research studies on alcoholism and substance abuse
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lack of justice and trust
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The cause of dysfunction in Contextual therapy is
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psychoanalytic therapy
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Bonnie Jones is a family therapist. Early in her work with a couple, she suggests that their choice to marry was based on a mutual desire to find someone with complimentary needs who would fulfill unconscious and unmet fantasies. Ms. Jones is most likely practicing
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a circular rather than linear way of seeing people and problems
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Historically, family therapy moved away from a medical model of understanding human persons by moving towards
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psychodrama
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The lively enactments of this form of group therapy was a precursor to family sculpting and choreography
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content and process
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Group theories tended to be ahistorical. Their focus on the "here and now" helped family therapy make a distinction between
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schizophrenogenic
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According to Freida Fromm-Reichmann, a mother who is domineering and insecure was
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Milton Erickson
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Which of the following pioneers of family therapy was not engaged in early schizophrenic studies
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1920s
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The first documented professional marriage counseling programs were developed in New York and LA in
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Murray Bowen
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This family therapist's personal resolution of emotional reactivity in his family was as significant to his approach to family therapy as Freud's self-analysis had been for psychoanalysis
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acts to maintain no change "in a system"
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negative feedback
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paradox
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Jay Haley, a communications theorist, favored the use of _______ in altering self-reinforcing and destructive patterns of interaction
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they tended to forget the "self" is involved in the system who must act to bring about change
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Communications and cybernetic theory provided powerful ways to understand family behavior and symptoms. At their most extreme, however, these theoretical paradigm provided a significant problem:
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they can test family flexibility and new ways of relating
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Homework assignments can be very helpful in early stages of therapy because
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the early phase of treatment
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Families should first be challenged to see their own role in the problems that distress them during
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narrative therapy
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Which model of family therapy is most likely to use a reflecting team?
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symptom relief
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The primary goals of experiential family therapy would include all of the following except
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maintaining analytic neutrality
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Psychoanalytic family therapy consists of four basic techniques: listening, empathy, interpretation, and
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projective identity
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While structural therapists would locate family dysfunction in boundaries between subsystems, psychoanalytic clinicians would attribute pathology in families to all the following except:
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an enactment
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During a family therapy session, you notice that seven year old Melissa sits between her father and mother, while 12 year old Johnny and 14 year old Sarah sit in chairs off to themselves. During the session, Melissa and her father frequently look at each other. Melissa holds dad's hand, and when asked a question, she looks to her father before answering. Mother looks bored during the session and stares at the ceiling when either Melissa or dad are answering questions. You decide to ask Melissa to go sit by her brother and sister, and for mom to sit next to dad. As a structural therapist, you have just intervened with
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will be unique for each family
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Structural family therapists believes that organizational change that allows families to solve problems
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a combination of stress and and inadequate family flexibility
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Structural family therapists believe that family dysfunction arises from
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rigid boundaries
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Disengaged family subsystems are characterized by
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diffuse boundaries
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Enmeshed family subsystems are characterized by
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disengagement
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Minuchin's term for the psychological isolation that results from overly rigid boundaries around individuals and subsystems in a family is called
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Haley's strategic approach to therapy
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In the 1970s, Minuchin's structural work was heavily influenced by
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functionalists
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Because they believe that symptoms in one family member are expressive of the entire family structure, structural family therapists might be seen as
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detouring
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You notice that seven year old Melissa sits between her father and mother, while 12 year old Johnny and 14 year old Sarah sit in chairs off to themselves. During the session, Melissa and her father frequently look at each other. Melissa holds dad's hand, and when asked a question, she looks to her father before answering. During the session, mother becomes angry when Melissa fidgets and demands that she sits on her lap. Dad then becomes quiet and withdrawn. This may be an example of
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diagnosing
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During the first phase of therapy, the structural family therapist interviews the family, constructs a structural map, and assesses the family's resources. This process is called
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intensity
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A structural technique often used to highlight family interactions and thereby interrupt rigid patterns of conflict-avoidance, break families loose from their patterns of equilibrium, and extend interactional sequences beyond the point where dysfunctional homeostasis is reinstated is
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child psychiatrist
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Minuchin, by career was a
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aneorexia
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Research suggests that family therapy can be very effective in the treatment of
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individual differientiation
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Members of disengaged families run the risk of overemphasizing:
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extinction
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As a cognitive-behavioral therapist, you are seeing the Jones family. Mr. and Mrs. Jones complain that Jeff, their five year old son throws tantrums and it bothers them. As part of your first session, you ask them to record the number of tantrums Jeff throws per day and report it to you. The following week, the Jones report that Jeff has had three tantrums per day. You explore the circumstances around these episodes and then instruct Mrs. Jones to avoid eye contact and leaves the room when Jeff begins his tantrum. This technique is called
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supports the parent's view that the child is the problem
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As a behavioral family therapist, you might hesitate to use a behavioral training model because it
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projective tests
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Behavioral therapists use all of the following assessment procedures except
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their capacity for whole object relationships
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Behavioral therapists are likely to assess a family or couple in each of the following areas except
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a contingency contract
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As a part of therapy, Dr. Steinholtz works with Mr. and Mrs. Walters to form a written agreement with their son, Jeb. If Jeb turns in all his homework assignments for one week, he will be allowed to attend a professional wrestling match on Saturday. This technique is known as:
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modeling
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The most powerful form of reinforcement, according to behavioral theory is
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shaping
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Mr. and Mrs. Speck's daughter Sarah is having difficulty potty training. On the advice of their therapist, they begin a new program. During her first step, they reward with M&Ms each time she tells them she needs to tinkle before she wets her pants. In two weeks, she does this consistently. Her parents then change the pattern and reward Sarah when she calls from the bathroom that she has to tinkle. Three weeks later, Sarah's parents' pattern changes again. She is rewarded only when she calls them from the bathroom when she is tinkling on the potty. Three weeks later, Sarah no longer wets her pants. In this case, the therapist used a technique called
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reciprocal inhibition
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Systematic desensitization is a form of
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the postmodern movement in family therapy
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The erosion of boundaries between discrete schools of family therapy is generally seen as a result of
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psychoanalytic family therapy
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Which of the following therapy models is likely to view families as basically flawed and in need of fundamental reorganization and change?
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constructivism
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The idea that reality doesn't exist as a world out there but as a mental creation of the observer, is called
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Anderson, Lynn, Goolishian
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Which of the following therapists used a linguistic, philosophical approach which seeks to empower families to join with the therapist is a mutual search for understanding and new options?
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to help organize what is salient and meaningful for a family
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Hermeneutics is used in postmodern therapy to
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psychoeducation
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A one-day survival skills workshop is most representative of which therapy modality
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psychoeducational family therapy
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This form of therapy has focused on the harmful effects of uncaring professionals, and had demonstrated good ability in preventing rehospitalization of schizophrenic patients
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Bowenian family therapy
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Of the therapy models listed below, which is most likely to focus on process at the expense of content in intervening with families?
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restraining technique
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MRI brief therapy and strategic therapy (Jay Haley) share all of the following except:
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limited contact with the therapist
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By brief therapy, most postmodern approaches mean
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a formulated plan for therapy
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Which of the following do MRI brief therapy and Strategic therapy share?
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reframing
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Milton Erickson contributed all except the following to strategic therapy
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expose the family's "dirty game"
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One goal in therapy for the Milan team was to
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none of the above
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Both strategic and Milan systemic therapies achieve personality change through
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strategic therapy and Chloe Madanes
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The pretend technique in which a client family is asked to engage in a symptomatic behavior is associated with
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solution-focused therapy
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Which of the following approaches to family therapy views client resistance as an active, protective mechanism of family members?
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MRI
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All of these models have as a goal both symptom resolution and transformation of the entire family system except
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circular questioning
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A method of interviewing developed by the Milan associates in which questions are asked to highlight differences among family member is known as
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strategic
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Which of the following models of family therapy emphasizes behavioral changes only and eschews insight as a medium for change?
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resistance
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While the Solution-focused model and the MRI model share a non-normative view of family functioning, the solution-focused approach diverges from the MRI in its view on
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all of the above
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Which of these interventions is meant to block or change dysfunctional behavior by using indirect, seemingly illogical means?
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strategic
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Of the following, identify the one model of therapy that assumes a normative model of family development is useful for treatment
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positive connotation
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The central intervention in the original Milan model consisted of either a ritual or
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a strategic therapist
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You are observing therapy through a one-way mirror. You notice the therapist progresses through a relatively orderly format in the first session of a social stage, a stage where the problem is defined, an interactional stage, and a goal setting stage. This therapist is most likely
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psychodynamic
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In which of the following therapy models is the therapist least likely to be a coach?
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strategic
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Which therapy model is most likely to believe that changes takes place when the family engages in a new sequence of behaviors that is incompatible with the one associated with the presenting problem?
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respondent conditioning
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Systemic desensitization and assertiveness training are both examples of
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a group of individuals, not a system
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Experiential therapists most often approach a family as
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respondent conditioning
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Systemic desentization and assertiveness training are both examples of
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an awareness of systemic and organic processes in families
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Constructionism requires all of the following except
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diathesis-stress
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This model of mental disorder, supported by Bowenian and psychoeducational therapy, proposes that an individual develops a disorder when a genetic weakness is sufficiently stressed by an event in the environment
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narrative therapy
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The form of family therapy based on the philosophy of Michel Foucault is
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the therapist's job is to gain a clearer picture of the client's story, and then guide the client through retelling difficult personal narratives
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Narrative therapists would make all of the following assumptions except
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an ethic of collaboration
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Both Milan systemic and Narrative therapy are characterized by an
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interaction with others
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According to Michael White, the "constitutional self" is a fluid and plastic version of the self and is affected by one's
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subjugated stories
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In their attempts to separate families from their problems, Narrative therapists will work with the family to find
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MRI model
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The narrative solutions approach to therapy combines the narrative techniques with
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integrative problem-centered therapy
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Rather than combining models, this integrative treatment approach leaves each intact and encourages therapists to shift from one model to another according to specific guidelines
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solution-focused
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All of these models of therapy seek both to change symptoms and to transform the whole family system except
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all of the above
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One striking difference between models of therapy which developed from communications theory and those which developed from psychoanalytic theory is
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strategic therapists
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Teams of observers positioned behind a one-way mirror are most commonly used by
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strategic family therapists
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Which of the following family therapy models is least likely to stress normal family development?
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Bowenian therapists
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The assertion that a symptom in one family member is likely to signal deeper problems, and that symptom function to maintain family stability would most likely be made by
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MRI brief therapy
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"Symptoms may serve a purpose, but there is no need to consider what purposes are when planning therapy" would be a statement consistent with
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MRI brief therapist
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"Symptoms are not a sign of underlying pathology; neither do they serve any important function. Instead they are deficiencies in skills or the result of faulty efforts to change behavior." This statement would most likely be made by
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all of the above
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When two people are in conflict, the one who experiences the most anxiety will triangle in another person." This concept is called
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interrupt dysfunctional feedback loops
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A primary goal in communications family therapy is to
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all of the above
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Though most family therapists invite the entire family to the first session, this model doesn't insist on seeing the entire family
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there is no evidence that families are harmed in joint therapy
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Research in couples and family therapy shows that
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family therapy had a smaller affect size than individual therapy
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Research in family therapy with adolescents diagnosed with conduct disorders (Chamberlain and Rosicky, 1995) found that
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have failed to show which therapeutic approaches work best
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In general, family therapy research
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parent training helps with child-noncompliance and aggression, but has no consistent effect on the core symptoms of ADHD
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According to the research in treatment of ADHD using marriage and family therapy
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Bowenian
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Which of the following family therapy models incorporated intrapsychic concepts into its description of behavior disorders?
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internal family systems theory
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One integrative approach to family therapy which explores intrapsychic processes is called
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help family members notice when their parts have taken over
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The essential role of an Internal Family Systems therapist is to
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integrative problem-centered therapy
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The form of post-modern therapy that is most likely to suggest that the simplest and least expensive intervention should be tried with families first is