R. Ch 11 – Families – Flashcards
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901. A married couple brings their two children to counseling for behavioral problems. The 14-year-old daughter stays out late and their 17-year-old son is using drugs. According to most marriage and family therapists the identified patient would be a. the 17-year-old son. b. the 14-year old-daughter. c. the family. d. both children.
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C
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902. You are seeing a husband and wife for marriage counseling. During one of the sessions you decide to see them separately. The husband tells you he has seen an attorney because he is filing for divorce. He has not told his wife and indicates that he will not do so. You feel the wife has a right to know this because it will help her plan for the future. You should a. only tell his wife if he gives you permission. b. communicate his intent to his wife since ethics guidelines state you may do so when a member of the couple is contemplating divorce. c. not tell the wife since research indicates that women respond more positively to divorce when they have less time to think about it. d. terminate the husband unless he tells her.
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A
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903. You are supervising a licensing candidate who is primarily interested in marriage and family counseling. You are very attracted to her and have sex with her. According to ethics guidelines a. this is perfectly ethical, since this is a student and not a client. b. this is unethical. c. this is perfectly ethical, since this is a supervisee and not a client. d. a and c are both correct.
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B
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904. The fastest growing clientele for professional counselors are persons a. experiencing bipolar disorder. b. experiencing suicidal ideation. c. experiencing marriage and family problems. d. who abuse their children.
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C
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905. Family counselors generally believe in a. circular/reciprocal causality (e.g., dynamics of family members). b. linear causality. c. random causality. d. dream analysis.
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A
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906. Cybernetics is a concept used by family therapists. It is usually associated with the work of a. Freud and Ellis. b. Norbert Wiener. c. Virginia Satir. d. behavioral family therapists and cognitive family therapists.
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B
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907. A family that is stable and reaches an equilibrium is in a state of a. adaptability. b. enmeshment. c. Nonsummativity. d. homeostasis.
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D
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908. Adaptability is the ability of the family to balance a. ego strength. b. stability and change. c. morphostasis and morphogenesis. d. b and c.
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D
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909. A family wants to see you for counseling; however, they have a very limited income and can't afford to pay. You therefore agree to see the family for free (i.e., pro bono). The term that best describes your actions would be a. aspirational ethics. b. mandatory ethics. c. empathy. d. all of the above.
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A
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910. Experiential conjoint family therapy is closely related to the work of a. Virginia Satir. b. Albert Ellis. c. Jay Haley. d. Salvador Minuchin, the father of structural family therapy.
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A
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911. Virginia Satir felt that a major goal of therapy was to improve intrafamily communication (i.e., communication between family members). According to Satir, four basic patterns prevented good communication under stress. These defensive postures or stress positions are: placating, blaming, being overly reasonable, and being irrelevant. Placating means a. you disagree with all the other family members. b. you pick a favorite family member and agree with him or her. c. you ignore the other family members. d. you try to please everybody out of a fear of rejection.
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D
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912. The placater is a people pleaser under stress while the blamer a. will sacrifice others to feel good about himself. b. will often say "if it weren't for you...." c. will point the finger at others to avoid dealing with his or her own issues. d. all of the above are typical behaviors of the blamer.
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D
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913. The person who becomes overly reasonable a. practices excitation. b. cries a lot during therapy sessions. c. is likely to engage in the defense mechanism of intellectualization. d. has a high degree of emotion.
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C
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914. According to Satir, the individual displaying an irrelevant style a. will distract the family from the problem via constantly talking about irrelevant topics. b. will become a people pleaser. c. will analyze the situation more than most. d. all of the above.
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A
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915. Virginia Satir is considered a leading figure in experiential family therapy. _______ is sometimes called the dean of experiential family therapy. a. Ludwig von Bertalanffy. b. Gregory Bateson. c. Carl Whitaker. d. Murray Bowen.
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C
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916. Carl Whitaker's interaction with the family could best be described as a. quiet and empathic. b. joining the family and experiencing it as if he were a family member. c. a reality therapist. d. a cognitive behavior therapist.
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B
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917. According to Whitaker, a. a cotherapist is helpful. b. a cotherapist should never be used. c. a cotherapist should be used only with blended families. d. all of the above could be true.
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A
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918. Psychotherapy of the absurd is primarily related to the work of a. Virginia Satir. b. Carl Whitaker. c. Maxie C. Maultsby, Jr. d. William Glasser.
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B
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919. A behavioristic marriage and family therapist is counseling the entire family together. She turns to the 18-year-old son who is attending community college and says, "You must complete your sociology essay before you can use the family car and go out with your friends." Which theorist is primarily guiding her intervention strategy? a. David Premack's principle or law. b. Ivan Pavlov and John B. Watson c. B. F. Skinner d. all of the above
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A
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920. A behavioristic marriage and family counselor is counseling the entire family together. She turns to the 18-year-old son who is attending community college and says, "I know you like to play golf. Therefore, every time you cut the grass your father will take you to play golf. I am going to have you and your dad sign a contract that you agree with this policy." Which principle is primarily guiding her strategy? a. negative reinforcement. b. thought stopping. c. shaping with successive approximations. d. quid pro quo.
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D
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921. A male is supervising a female counselor for state licensing. He tells her that he will continue to supervise her as long as she has sex with him. This is an example of a. quid pro quo. b. a legal but not an ethical violation. c. a and b. d. none of the above.
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A
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922. A behavioristic family counselor suggests that the family chart the number of times that 6-year-old Billy says "no" when he is told to do something. The baseline of the chart would refer to a. the period when positive reinforcement is being implemented. b. the period when negative reinforcement is being implemented. c. the period when quid pro quo is being implemented. d. the period before the behavior modification begins.
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D
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923. The family counselor explains to Mrs. Smith that the next time that 9-year-old Sally hits her little brother she must sit in the family room by herself. The counselor is using a. shaping. b. shaping with successive approximations. c. reciprocity. d. time-out, a procedure that most behaviorists feel is a form of extinction.
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D
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924. Mrs. Chance tells a family therapist that she pays all the bills, does all the cleaning, and brings in 90% of the family's income. Moreover, Mrs. Chance is convinced that her husband does not appreciate her or show her affection. According to the behavioristic principle of family therapy known as reciprocity a. there is a good chance that Mrs. Chance will consider leaving the marriage. b. it may seem paradoxical; nevertheless, Mrs. Chance will be more committed to making the marriage work. c. it may seem paradoxical; nevertheless, Mr. Chance will consider leaving the marriage. d. this situation will have virtually no impact on this couple's marriage.
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A
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925. A couple is having sexual problems that stem from anxiety. A marriage counselor who is a strict behaviorist would most likely a. dispute the couple's irrational thinking. b. prescribe thought stopping. c. rely on systematic desensitization procedures. d. rely primarily on paraphrasing and reflection.
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C
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926. A family counselor notices that the husband in a blended family is having obsessive sexual thoughts about a woman living down the street. A strict behaviorist would most likely a. analyze the man's dreams. b. have him chart the incidence of the behavior, but do little else. c. practice thought stopping. d. rely primarily on Joseph Wolpe's systematic desensitization.
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C
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927. You secure a job as the executive director of a family counseling agency. As you go through your files you discover that five years before you took the job the agency selected 100 families and counseled them using a strict behaviorist model. The agency took the next group of 100 families and counseled them using Satir's experiential conjoint family therapy model. Each family received 12 sessions of therapy and each family took a before- and after-assessment that accurately depicted how well the family was functioning. You decide to run a t test to examine whether or not a statistically significant difference is evident between the two approaches. This is a. an ex post facto (i.e., after the fact) correlation study. b. causal-comparative or ex post facto (i.e., after the fact) research. c. a true experiment. d. simple survey research.
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B
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928. All of the techniques listed below would be used by a behavioristic family therapist except a. family sculpting. b. a functional analysis of behavior followed by operant conditioning. c. modeling. d. chaining and extinction.
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A
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929. Which statement is true of families? a. The divorce rate has decreased markedly in the last several years. b. Remarriage today is uncommon. c. Remarriage today is common. d. The divorce rate in the United States hovers at about 10%.
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C
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930. Which statement is true? a. Single life is short-lived for divorced persons. About 30% of all divorced persons are remarried within 12 months of being divorced. b. Most persons who are divorced do not remarry. c. Most persons who are divorced wait a minimum of five years to remarry. d. Women remarry quickly, however, men do not.
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A
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931. The theory of psychodynamic family counseling is primarily associated with a. William Glasser. b. Sigmund Freud. c. Virginia Satir and Carl Whitaker. d. Nathan Ackerman.
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D
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932. In psychoanalytic family therapy the word object means a. a dream. b. a significant other with whom a child wishes to bond. c. transference. d. countertransference.
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B
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933. In psychoanalytic family therapy the term introjects really means that the client a. internalizes the positive and negative characteristics of the objects within themselves. b. possesses internal verbalizations. c. possesses a finite number of problem solving options. d. possesses the internal motivation to solve his or her own difficulties.
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A
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934. Pick the best example(s) of the psychoanalytic concept of splitting. a. A client who realistically perceives her therapist as a very empathic person. b. A client who realistically perceives her therapist as only having good qualities. c. A client who sees her therapist as all bad. d. b and c.
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D
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935. A 72-year-old woman you are counseling in a family reminds you of your mother and this is bringing up unresolved childhood issues for you as the counselor. This is an example of a. positive transference. b. negative transference. c. countertransference. d. ambivalent transference.
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C
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936. A family actually changes the structure of their family system. According to Watzlawick, Weakland, and Fisch, the family has achieved a. second-order change that is more desirable than first-order change. b. first-order change that is more desirable than second-order change. c. mediation. d. a Greek chorus.
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A
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937. A woman sees her husband as all good sometimes and all bad at others. An analytically trained family therapist who believes in object relations would see this as a. ambivalent transference. b. splitting. c. dysthymia. d. psychotic behavior.
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B
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938. Nathan Ackerman is considered a famous psychoanalytic family therapist; So are a. Carl Rogers and Albert Ellis. b. Arnold Lazarus and Joseph Wolpe. c. William Glasser and Robert Wubbolding. d. James Framo and Robin Skynner.
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D
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939. Cloe Madanes and Jay Haley are associated with the _______ school of family counseling. a. strategic. b. behavioral. c. psychodynamic. d. object relations.
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A
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940. When Haley began investigating psychotherapy he a. was already trained as a Freudian analyst like so many other pioneers in the field. b. was already trained as a behaviorist. c. had studied REBT with Ellis. d. had a degree in the arts and communication rather than the helping professions.
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D
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941. Jay Haley believes in giving clients directives. You are counseling a family and during the session the 14-year-old daughter exclaims that she is suicidal. The best example of a directive would be a. You turn to the 14-year-old daughter and say, "You seem to be saying that living is too painful." b. You turn to the 14-year-old daughter and say, "Could it be that you want to hurt yourself because your boyfriend no longer wishes to see you?" c. You turn to the family and say, "If your daughter threatens suicide this week I want the entire family—including your daughter—to stay home and nobody leaves for the day." d. You turn to the family and say, "Could this be a family problem rather than a difficulty for your daughter?"
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C
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942. Which of these responses is the best example of the doublebind concept used in Jay Haley's strategic therapy? You are trying to help a client stop smoking: a. You hypnotize her and tell her she will never smoke another cigarette again. After you awaken her you admonish her to smoke as many cigarettes as she can for the first three days. b. You recommend that the client chart the number of cigarettes she smokes. c. You tell her to mentally visualize herself as a nonsmoker whenever she has the desire to smoke. d. All of the above.
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A
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943. The directive or prescription given to the smoker in the previous question could best be described as a. a paradoxical intervention. b. a cognitive intervention. c. an object relations intervention. d. a behavioristic intervention.
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A
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944. A couple tells a therapist using strategic family therapy that they have a quarrel at least once every evening. The therapist says, "Between now and the next time I see you I want you to have a serious quarrel at least twice every evening." This is an example of a. relabeling, which is commonly used in this form of therapy. b. refraining, which is commonly used in this form of therapy. c. prescribing the symptom. d. a directive that is not paradoxical or a double bind.
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C
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945. Strategic family counselors often rely on relabeling or reframing. A client says his girlfriend yells at him every time he engages in a certain behavior. The best example of reframing or relabeling would be a. a counselor who remarks, "Research seems to show that when she yells at you it is because she loves you so much. A woman often feels foolish if she hugs or kisses you in a situation like that." b. a counselor who remarks, "Can you tell me about it in the present moment, as if she is yelling at you this very minute?" c. a counselor who remarks, "You are upset by her verbal assaults." d. a counselor who remarks, "Are you really hurt by your girlfriend's remarks or is it the fact that you are telling yourself how catastrophic it is that she said these things?"
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A
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946. In strategic family counseling the person with the power in the family a. has the authority to make rules and enforce them. b. is usually extremely aggressive. c. is usually not willing to follow a family therapist's prescriptions or directives. d. is the one who talks the most. Haley believes you enhance the power of a family member within the context of therapy by speaking to him or her first during the initial session of therapy.
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A
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947. Psychoanalytic practitioners do not attack symptoms directly. Strategic therapy a. does not attack the symptoms directly either. b. is pragmatic and often focuses on abating symptoms. c. does not take a position on whether a counselor should attempt to ameliorate symptoms or not. d. takes the position that if you can change each family member's unconscious, then symptoms will gradually disappear.
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B
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948. Cloe Madanes insists that symptoms serve a function. A child, for example, sees that her mother is depressed. The daughter throws a glass cup to the floor to break it. This brings her mother out of the depressed state and makes her mother angry and powerful. This is known as a. symptom substitution. b. the perverse triangle. c. incongruous hierarchy. d. latency.
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C
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949. Madanes advocates pretend techniques that are somewhat paradoxical. An example might be a. a child who has panic attacks pretends he has a mental bullhorn in his head and shouts "stop." b. a child who has panic attacks pretends in his mind that a therapist is counseling him. c. a child who has panic attacks pretends his dad is a therapist during the actual family therapy session. d. a child who has panic attacks pretends to have one during the session and the parents pretend to help him.
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D
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950. A strategic family therapist says to a family, "I don't know what else you can do to stop the bickering and fighting in your house." This is an example of a. restraining. b. quid pro quo. c. pretending. d. interpretation.
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A
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951. A client remarks that her depression is extremely intense. Her strategic counselor remarks, "It is very possible your depression is hopeless. It is possible you will never get over it." Her comment is an example of a. a blatant ethical violation. b. positioning. c. cohesion. d. behavioral disputation.
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B
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952. A family counselor treats an Asian-American family exactly like he treats the Hispanic families in his caseload. He also imposes values from his own culture on them. This counselor has been described in the literature as a. culturally sensitive. b. lacking cultural sensitivity. c. culturally encapsulated, a term suggested by counseling pioneer Gilbert Wrenn. d. b and c.
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D
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953. Which statement is true of African-American families? a. They are the largest minority in the United States. b. Fewer African Americans are getting married than at any time in history and out-of wedlock births account for two out of three first births to African-American women under the age of 35. c. African Americans are less likely to be concerned about gender roles (e.g., men and women can cook meals or work outside of the home). d. b and c.
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D
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954. When working with an African-American family the best approach would probably be a. Bowen's family therapy; Minuchin's structural family therapy; or Jay Haley's strategic family therapy. b. cognitive family therapy. c. Ackerman's psychoanalytic approach to family therapy. d. a strict reality therapy approach based on the work of psychiatrist William Glasser.
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A
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955. When counseling Asian-American families the best approach would most likely be a. Nathan Ackerman's psychoanalytic approach. b. behavioral family therapy. c. solution focused/problem focused modalities. d. a, b, and c.
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C
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956. Which statement is true of Hispanic families? a. They have a high unemployment rate, often live in poverty, and rarely earn high school diplomas or college degrees. b. They have higher than average incomes but usually don't finish high school or college. c. They have college degrees, but still generally live in poverty. d. They prefer long-term treatment in therapy.
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A
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957. A model by Olson, Sprenkle, and Russell suggests that family functioning can be described in two dimensions—cohesion and adaptability. The family therapy term cohesion refers to the level of emotional bonding between family members. Adaptability refers to a. a family's level of enmeshment or disengagement. b. a family's ability to adapt to the therapist's personality. c. a family's ability to adapt to the theoretical persuasion of the therapist. d. how rigid, structured, flexible or chaotic the family is.
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D
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958. Which statement is true regarding Native-American families? a. They are a very diverse group as they belong to over 500 state-recognized tribes. b. Extended family and the tribe are very significant. c. A high percentage of children have been placed in foster care homes, residential facilities, or adoption homes that are non-Native American. d. All of the above are true.
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D
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959. The statement, "Native Americans have a problem with alcoholism and suicide," is a. false. b. true as far as alcoholism is concerned, however, false where suicide is concerned. c. true. d. true regarding the suicide rate, however, false regarding their use of alcoholic beverages.
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C
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960. Murray Bowen is known for his work in intergenerational family therapy. When Bowen refers to triangulation he means a. that most people have three ego states (i.e., the Parent, the Adult, and the Child) in their personality. b. that most people have a personality structure composed of the id, the ego, and the superego. c. when a dyad (i.e., two individuals) is under stress a third person is recruited to help stabilize the difficulty between the original dyad. This could even be a child placed in the middle of the conflict. d. therapy has three distinct phases.
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C
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961. One of the primary goals of Bowen's intergenerational family therapy is differentiation. Differentiation is a. the extent that one can separate one's intellect from one's emotional self. b. the extent that one is different from one's peers. c. the extent that one is different from one's childhood. d. the same as fusion.
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A
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962. Bowen popularized a three-generational pictorial diagram as a therapy tool. This is known as a. an histogram. b. a sociogram. c. a genogram. d. family sculpting.
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C
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963. An intergenerational family therapist says she is concerned with the nuclear family emotional system. She is referring to a. the fact that although the current family in therapy has an emotional system, this emotional system is influenced by previous generations whether they are alive or dead. b. the fact that a genogram should depict a single generation. c. the fact that emotional discord is a function of the unconscious mind. d. the miracle question.
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A
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964. Albert Ellis is to REBT as Salvador Minuchin is to a. the MRI model. b. structural family therapy. c. intergenerational family counseling. d. behavioral family counseling.
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B
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965. An important technique in structural family therapy is joining. Which statement most accurately depicts this intervention? a. The therapist meets, greets, and attempts to bond with the family. The therapist will use language similar to that of the family and mimesis which means that he or she will mimic communication patterns. b. The therapist is professional but distant. c. The therapist joins the family and sympathizes with their difficulties. d. Joining is used during the final session of therapy.
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A
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966. A family is seeing a structural family therapist because there is a huge argument every time the subject of the 16-year-old daughter's boyfriend comes up. The therapist says, "Okay, I want you to play like you are at home and act out precisely what transpires when the subject of your daughter's boyfriend is mentioned." The structural family therapist is using a technique called a. joining. b. reframing (defined as an alternative way of describing or perceiving an event). c. enactment. d. cognitive disputation.
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C
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967. When a structural therapist uses the term boundaries he or she really means a. the limits of the human mind. b. the limits of behavior in the family. c. the separation of the family members from their family of origin. d. the physical and psychological entities that separate individuals and subsystems from others in the family.
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D
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968. In Minuchin's structural approach, clear boundaries are a. pathological. b. rigid. c. also called diffuse boundaries. d. ideal—firm yet flexible.
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D
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969. A woman is having difficulties at her place of employment. Her husband turns to her in a session and says, "You're on your own, I've got my own problems." A structural family therapist would assert that the boundaries between this couple are a. rigid. b. clear. c. diffuse. d. a combination of a and c.
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A
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970. A mother insists on accompanying her 20-year-old daughter on a date. A structural therapist would assume that a. the family has clear boundaries. b. the family has rigid boundaries. c. the family has diffuse boundaries. d. the family supports individuation.
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C
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971. Minuchin would often mimic the family's style. This is known as a. cognitive disputation. b. the structural map. c. permeable boundaries. d. none of the above.
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D
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972. Ackerman is psychodynamic. Haley is strategic. Minuchin is structural. Bowen is intergenerational. Another well-known intergenerational family therapist would be a. Alfred Adler. b. the Hungarian analytically trained psychiatrist Ivan Boszormenyi-Nagy (enunciated Naahge). c. Andrew Salter. d. Mara Selvini-Palazzoli.
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B
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973. A family member who is emotionally distant is a. disengaged. b. enmeshed. c. an example of equifinality. d. a placater.
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A
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974. During the course of a family session you discover that a man and his 14-year-old boy are putting pressure on mom to quit her job. Mom very much likes her work. In Haley's theory this set of dynamics would be called a. reframing. b. equifinality. c. the perverse triangle. d. paradox.
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C
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975. _______ was a pioneer in the early history of family therapy. a. Carl Jung. b. David Wechsler. c. Alfred Adler. d. Franz Anton Mesmer.
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C
