Chapter 14- Family Systems Therapy

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a. Adler
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Who was the first person of the modern era to do family therapy?
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c. Satir
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Which family therapist made use of innovative interventions such as metaphor, reframing, rules for interaction, parts party, family reconstructions, family sculpting, and family maps?
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e. Presenting problems are viewed as being symptomatic of a dysfunction within the system.
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Which of the following statements about strategic family therapy is not true?
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e. birth order.
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Alfred Adler was the first to notice that the development of children within family constellations was heavily influenced by:
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b. promoting the therapist’s view of clients as the experts on their own lives.
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Postmodern thought has contributed to family therapy by:
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e. Rudolf Dreikurs
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Who was the person who refined Adler’s concepts into a typology of mistaken goals and an organized approach to family therapy?
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b. Murray Bowen.
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The concept of triangulation is most associated with:
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a. an expression of a set of habits and patterns within a family.
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From the family systems perspective, symptoms are often viewed as:
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d. reframing
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What is the technique in family therapy that casts a new light on a problem and provides a different interpretation for a problematic situation?
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b. differentiation of the self.
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A major contribution of Bowen’s theory is the notion of
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c. individuals are best understood through the context of their role in their family.
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The systems perspective implies:
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e. all of these
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Which is(are) a key role (or roles) of most family therapists?
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c. family sculpting
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Which of the following techniques is a strategic family therapist least likely to use?
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c. genogram.
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A tool for collecting and organizing key relationships in a three-generational extended family is a:
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b. giving voice to the therapist’s own impulses and fantasies
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Which of the following roles and functions would be least interesting to a structural family therapist?
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d. storied lives and narratives
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Which of the following is least associated with Satir’s human validation process model?
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a. the client is connected to living systems.
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The one central principle agreed upon by family therapy practitioners, regardless of their particular approach, is that
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a. Bowenian family therapy
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Which approach to family therapy contends that one’s current family problems will not significantly change until relationship patterns in one’s family of origin are understood and directly challenged?
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c. structural family therapy
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The techniques of joining, accommodating, unbalancing, tracking, and boundary making are most likely to be part of which approach to family therapy?
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d. spontaneity, creativity, and play as therapeutic factors in family therapy.
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A major contribution of Whitaker’s approach to family therapy is:
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a. help to modify the family’s transactional rules and develop more appropriate boundaries.
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Roger and his wife are experiencing tension in their relationship because he believes she is far too lenient with their children when they misbehave. This forces him to play the role of “bad cop” as a parent, which makes him angry. A family therapist working with Roger and his family might:
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a. First-order cybernetics
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____________________ views the counselor and therapist as an observer who is outside of the system, can assess what is going on, and can promote change—all without ever becoming part of the system
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b. would be very interested in how her depression affects others in the family and how it influences family process.
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Chun Hei is a Korean immigrant who has been separated from her family and friends for over a year since she came to the U.S. with her husband. She spends her days taking care of their two young children while he goes to work, and feels increasingly depressed without her support system. It is likely that a family therapist who meets Chun Hei:
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a. Bowenian family therapy
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Which approach assumes that a family can best be understood when it is analyzed from at least a three-generational perspective?
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a. Bowenian family therapy
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Which approach asserts that emotional fusion to one’s family must be addressed if one hopes to achieve a mature and unique personality?
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d. triangulation.
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A couple directs the focus of their energy toward a problematic son as a way to avoid facing or dealing with their own conflicts. This is an example of:
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c. maintaining a stance of neutrality.
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In working with a triangulated relationship, Bowen would be inclined to place primary emphasis on:
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e. the therapist taking a not-knowing stance with a family.
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Structural family therapy includes all of the following goals except for bringing about structural change by:
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a. emotional reactivity.
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The opposite of a differentiated self is experienced as:
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c. help Miguel’s parents to develop differentiated selves.
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To prevent his parents from leaving the house, Miguel throws temper tantrums. His parents have given in to his demands and never go out to dinner or to movies anymore. A structural/strategic therapist working with Miguel and his parents will most likely:
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c. Albert Ellis
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Which of the following individuals is not associated with family therapy?
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c. structural family therapy
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Which approach would be most interested in the appropriateness of hierarchical structure in the family?
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a. blaming
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Jean-Pierre told the family therapist that his wife loses control of her temper with their children because of his demanding work schedule and his inability to be there to support her. Which communication stance has he adopted?
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a. Adlerian family therapy.
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Family atmosphere, family constellation, and mistaken goals are key concepts of:
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d. irrelevant
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Yelina seems to ignore the major marital problems that she and her husband Carlos are having as a result of sharp differences in their viewpoints on political and social issues that are affecting their native country, Cuba. Whenever a friend points out the tension she observes, Yelina changes the subject and talks about the weather forecast. Yelina is adopting which of the following communication stances?
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c. Satir
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Which of the following theorists emphasized the development of a nurturing triad?
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b. establish and support parents as effective leaders of the family
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Adlerian family therapy strives to______ as its goal.
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d. Adlerian family therapy.
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Problem descriptions and goal identification, typical day, the child interview and goal disclosure are techniques used in:
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a. a particular family member’s needs may be overshadowed by the needs of the system.
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A potential limitation of the family systems model is:
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b. Satir’s human validation process model
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The therapy goals of promoting growth, self-esteem, and connection, and helping family members achieve congruent communication and interaction are most associated with which theory of family therapy?
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False
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1. Bowen’s multigenerational approach stresses techniques more than it does theory.
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True
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2. Family systems therapy represents a paradigm shift that is sometimes called “the fourth force”
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True
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3. Many of the most prominent structural family therapists have dedicated their efforts to working predominantly with African American and Hispanic families.
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True
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4. The focus of Bowen’s multigenerational approach is on dealing with family of origin issues and detriangulating relationships.
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True
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5. The cornerstone of Bowen’s theory is differentiation of self.
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True
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6. Carl Whitaker’s style focuses on his own spontaneous reactions and craziness as a way to tap material that a family keeps secret.
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False
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7. Whitaker’s experiential/symbolic approach is based on a well-developed theory of how a family changes.
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True
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8. Satir’s human validation model focuses on functional versus dysfunctional communication in families.
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False
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9. Because Bowen’s multigenerational approach looks at families from a three-generational perspective, the therapist is mainly interested in past happenings and does not pay much attention to present issues.
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True
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10. Minuchin’s structural therapy is based on the notion that an individual’s symptoms are best understood from the vantage point of interactional patterns within a family, and that structural changes must occur in a family before an individual’s symptoms can be resolved.
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True
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11. Structural family therapy deals with boundaries.
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False
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12. The goal of structural family therapy is to break down any hierarchical structure and replace it with equal relationships among all family members.
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False
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13. Structural family therapists limit their interventions to families alone
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False
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14. Minuchin’s approach to therapy is geared more toward insight, rather than taking action
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True
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15. Strategic family therapy has its foundation in communications theory.
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False
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16. Strategic family therapists do not generally deal with the presenting problem; rather, they focus on the underlying symptom of a dysfunctional system.
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False
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17. The focus of strategic family therapy is on growth and resolving historical conflicts in a family rather than on dealing with present problems of a family.
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True
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18. Strategic family therapy stresses some of the same basic concepts as the structural approach to family therapy.
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True
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19. The role of the strategic therapist involves being in charge of the session.
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False
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20. Strategic therapists do not rely on therapy techniques to bring about change but instead give more stress to the therapist’s relationship with a family.
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False
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21. Minuchin and other structural family therapists initiated their work with wealthy suburban clients.
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False
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22. Feminist, multicultural, and postmodern therapists are extremely aware of the power they have entering into already established systems, and they work to promote understanding through curiosity and interest rather than through formal assessments.
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True
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23. Understanding family process is almost always facilitated by “how” questions.
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False
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24. Assessment is not considered useful in the family systems perspective.
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False
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25. Family therapists are wise to consider Western models of family functioning universal.
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True
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26. Families are multilayered systems that both affect and are affected by the larger systems in which they are embedded.
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True
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27. Family systems therapy can be used when working with individual clients.
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True
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28. From a family systems perspective, an individual’s dysfunctional behavior grows out of the interactional unit of the family as well as the larger community and societal systems.
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False
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29. There is a trend in the field of family therapy toward rejecting an integrative model of practice
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False
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30. Bowenian therapists function in ways to bring about change through action-oriented directives and paradoxical interventions.
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False
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31. Given the complexity of the multilayered approach to family therapy, the therapist must adopt the role of “expert.”
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True
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32. According to Haley, who the therapist is as a person is far more important than specific intervention techniques.
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False
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33. In Whitaker’s experiential therapy, there is a greater focus on exploring past experiences than on here-and-now interaction between the family and the therapist.
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True
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34. In experiential therapy, techniques are secondary to the relationship that the therapist is able to establish with the family.
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True
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35. Joining, accommodation, and boundary making are techniques likely to be used by structural family therapists.
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False
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36. Strategic therapists emphasiz e the value of therapist interpretation, exploring unresolved issues from the past, and insight.
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False
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37. Within the field of family therapy, Virginia Satir has been the most influential leader in the development of both gender and cultural perspectives and frameworks in family practice
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False
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38. Cloé Madanes developed conjoint family therapy.
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True
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39. Because an individual is connected to a living system, change in one part of that system will result in change in the other parts.
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False
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40. The main focus of family therapy is on past interactions and past conflicts as the best way to understand the dynamics of the family system.

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