Therapy Mid-Term – Flashcards
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Which one of the following is not considered an experiential and relationship-oriented therapy?
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Family systems therapy
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Which one of the following is not associated with the cognitive-behavioral action oriented therapies?
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Existential Therapy
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Which humanistic approach emphasizes the basic attitudes of the therapist as the core of the therapeutic process?
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Person-Centered therapy
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Presenting one model to which all trainees subscribe
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is dangerous in that it can limit their effectiveness in working with a diverse range of future clients.
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The author makes a case for:
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initially getting an overview of the major theoretical orientations, and then delving more deeply into each approach.
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Which of the following statements about theories or models of counseling/psychotherapy is true?
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There is a clear place for theoretical pluralism in our society.
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What type of factors oftentimes limit our freedom of choice?
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social environmental cultural biological
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Which of these statements about intervention is true?
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During the course of an individual's therapy, different interventions may be needed at different times.
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Which approach was developed during the 1940s as a non-directive reactions against psychoanalysis?
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Person-centered therapy
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Francesca, a cognitive behavioral therapist, likes to give homework assignments to her clients. What might her rationale be for doing this?
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Homework can be a vehicle for assisting her clients in putting into action what they are learning in therapy.
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Which of the following statements best describes the author's point of view of the medical model?
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A focus on the medical model restricts therapeutic practice because it stresses deficits rather than strengths.
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A comprehensive approach to counseling:
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Goes beyond focusing on our internal dynamics and addresses those environmental and systematic realities that influence us.
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It is espiecially important for counselors who work with culturally diverse client populations to:
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Be aware of their own cultural heritage have a broad base of counseling techniques that can be employed with flexibility consider the cultural context of their clients in determining what interventions are appropriate examine their own assumptions about cultural values
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According to the text, research shows that counselor values influence:
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Therapy goals assessment strategies treatment outcome
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Clients place more value on ___ than on ___
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the personality of the therapist; the specific techniques being used.
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With regard to the role of counselor's personal values in therapy, it is appropriate for counselors to:
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avoid imposition of their values, yet expose their values to clients.
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During an initial session, an adolescent girl tells you that she is pregnant and is considering an abortion. Which of the following would be the most ethical and professional course for you to follow?
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Help her clarify the range of her choices in light of her own values.
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Culturally encapsulated counselors would be most likely to:
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Depend entirely on their own internalized value assumptions about what is good for people.
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You are working with an ethnic minority client who is silent during the initial phase of counseling. This silence is probably best interpreted as:
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a response consistent with his/her cultural context.
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Which of the following is not considered essential knowledge for a culturally competent counselor?
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Knowing how to analyze transference reactions.
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Essential components of effective multicultural counseling include all of the following except for:
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Counselors avoid becoming involved in out of the office interventions.
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In working with culturally diverse clients, it helps to understand and assess:
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what these clients expect from counseling the degree of acculturation that has taken place the attitude these clients have about seeking counseling for their personal problems the messages they received from their culture about asking for professional help
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Which of the following is not a method of increasing effectiveness in working with diverse client populations?
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Realize that practicing from a multicultural perspective will probably make your job very difficult.
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The ___ factors- the alliance, the relationship, the personal and interpersonal skills of the therapist, client, and extra- therapeutic factors- are the primary determinants of therapeutic outcome.
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Contextual.
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In becoming an ethical practitioner, a crucial task is to:
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learn how to interpret and apply ethical codes to an ethical dilemma.
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According to the text, the challenge of providing informed consent consists of:
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Striking a balance between giving clients too much and too little information about the therapeutic process.
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Many ethical codes states that dual/ multiple relationships:
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Should be avoided whenever possible.
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Privileged communication does not apply to:
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group counseling couples counseling family counseling child and adolescent therapy
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Confidentiality must be breached and information must be reported by practitioners when:
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clients pose a danger to others a child under the age of 16 is the victim of incest, rape, or child abuse an older adult is being abused the therapist determines that the client needs, immediate, involuntary hospitalization
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Under what circumstances should a therapist consult with colleagues or specialists?
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when a client complains about physical symptoms when facing an ethical problem when working with a client for an extended period of time and losing objectivity
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Both feminist therapists and postmodern therapists tend to view diagnosis as it's traditionally done:
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as often oppressive and ignoring societal contexts.
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According to the text, positive ethics is a practice in which counselors:
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base their ethical decisions on what is best for their clients rather than minimum standards of care.
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During her sessions, Justine questions whether she is trying to meet her client's needs or her own needs. Justine is:
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engaging in meaningful self-reflection and self-abasement as a professional.
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Assessment is a useful method of:
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evaluating a client's current level of functioning forming a case conceptualization involving the client as an active participant in treatment. gaining insight into the client' s subjective world.
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Evidence-based practices are not:
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based on psychodynamics principles
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___ is the view of ethical practice that deals with the minimum level of professional practice.
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Mandatory Ethics
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Evidence suggesting the concept of the unconscious includes:
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dreams free association post hypnotic suggestions
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A person who unconsciously exhibits overly nice behavior to cancel hostile feelings is probably using which ego defense?
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Reaction Formation
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One of the most important Freudian concepts, which consists of pushing unacceptable life events and painful feelings in the unconscious, is:
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repression
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The ego defense mechanism in which a person exhibits behavior that clearly shows signs of reverting to less mature stages is:
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regression
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Attributing to others the qualities or traits that are unacceptable to our own ego is best described as:
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projection
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The technique whereby the analyst explains the meaning of certain behavior is known as:
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interpretation
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A person who manages their anxiety by distorting reality and failing to acknowledge painful events is most likely using:
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denial
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Directing energy toward another object or a person (when anxiety is reduced by focusing on a "safer target") is known as:
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displacement
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Manufacturing "good" reasons to explain away a bruised ego, or to explain away failures or losses, is known as:
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rationalization
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The young adult who adopts his parent's outdated political beliefs to avoid unpleasant feelings of anxiety is an example of:
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introjection
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The ego defense mechanism that consists of masking perceived weaknesses or developing certain positive traits to make up for limitations is known as:
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compensation
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The electra complex and Oedipus complex are associated with what psychosexual stage of development?
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Phallic stage
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Freud used the term libido in which of the following ways?
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to refer to the energy of all the life instincts.
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In Ericsson's view, the major developmental task in adolescence is:
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identity v. role confusion
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The main function of the ego is:
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to mediate between the instincts and the surrounding environment.
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If a person becomes fixated in the oral stage of development, later personality problems may include:
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rejecting others' love fear of intimate relationships mistrust of others
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According to Erickson, the basic struggle of early childhood involves:
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automony v. shame and doubt
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From a multicultural perspective, classical analysis may:
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discourage clients who do not hold upper middle class values be problematic for clients from cultures that prefer a directive approach underscore the role of important cultural and political factor in the client's world
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All of the following are a part of Jung's view of development except for:
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symbiosis
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All of the following are true about a therapist's countertransference reactions except:
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they should be avoided
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Individuals who display exhibitionistic traits, seek attention and admiration from others, and are extremely self-absorbed might have which of the following personality disorders?
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narcissistic
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A person with a ___ personality disorder is characterized by instability, irritability, self-destructive acts, impulsive anger, and extreme mood shifts. This person is lacking a clear sense of identity, has poor impulse control, and an inability to tolerate anxiety.
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borderline
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It's of paramount that therapists develop some level of objectivity and not react defensively and subjectively in the face of:
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anger love adulation criticism
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As a result of the client/therapist relationship in psychoanalytic therapy:
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clients acquire insights into their own unconscious psychodynamics clients are better able to understand the association between their past experiences and their current behavior awareness is increased on the client's part
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Adler taught that we must successfully master three universal tasks. Which of the following is not one of these tasks?
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Enhancing wellness
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Which is/are true concerning one's style of life?
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All people have a lifestyle, but no two people develop exactly the same style. the lifestyle is largely set by the age of 6. one's style of life is a reaction to perceived inferiority. one's style of life is a learned from early interactions in the family.
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The purpose of examining a client's family constellation is
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to get a picture of the individual's early social world.
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The term "social interest" refers to:
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a sense of identification and empathy with others.
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The statement "Only when I receive everyone's approval will I be whole" is an example of:
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a guiding of self-ideal
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An Adlerian therapist asks the client's earliest recollection in order to:
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discover goals and motivations reveal their beliefs and basic mistakes give clues as to the development of that individual's lifestyle
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According to Adlerians, inferiority feelings:
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create motivation to achieve mastery
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Adlerians view the use of techniques in counseling as:
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geared to the phase of therapy and the needs of the client.
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Adlerian therapy has a phenomenological orientation. Thus, the therapist attempts to view the world:
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from the client's frame of reference
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"Fictional finalism" is an Adlerian term meaning:
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an imagined central goal that guides our behavior
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In helping clients to examine their mistaken goals and faulty assumptions, an Adlerian therapist does not use:
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interpretation of the transference relationship
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Which of the following aspects are assessed when exploring a client's family constellation?
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birth order interaction between siblings and parents the child's psychological position in the family
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One contribution of Adlerian therapy is that:
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practitioners are given a great deal of freedom in working with their clients.
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Which child tends to feel squeezed out and may develop a conviction that life is unfair and a feeling of being cheated?
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the middle child
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All of the following are life tasks that Adler taught we must successfully master except for:
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achieving self-actualization
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The client's core experiences in Adlerian therapy consists of:
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discovering their basic mistakes and then learning how to correct them
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Which of the following would an Adlerian therapist particularly value?
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modeling communication and acting in socially minded ways
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The premise of Adlerian group work is that:
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client's problems are usually of a social nature.
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When counseling couples, Adlerian therapists strive to:
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create solutions for problems increase the couple's choices help the couple discover their collective resources enhance the couple's communication
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The Adlerian approach is well suited to multicultural counseling because:
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the approach encourages clients to define themselves within their social context.
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The basic goal of existential psychotherapy is:
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to expand self awareness to increase choice potentials to help clients accept responsibility of choosing to help the client experience authentic existence
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Finding the "courage to be" involves:
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developing a will to move forward despite fears
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Existential therapy is best considered as:
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an approach to understanding humans
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The central issue in existential therapy is:
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freedom and responsibility
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According to the existential viewpoint, death is:
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gives significance meaning to living
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Which technique is considered essential in existential therapy?
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none of these : free association analysis of resistance analysis of dysfunctional family patterns roles playing
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In a group based on existential principles, clients learn:
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that there are no ultimate answers for ultimate concerns. to view themselves thur other's eyes. to come in terms with the paradoxes of existence. the pain is a reality of the human experience...
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Expanding awareness is:
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a basic goal of existential therapy
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In existential therapy, the conception of the therapist is:
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a fully alive human companion for the client
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When is the counseling process at its best from an existential viewpoint?
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when the deepest self of the therapist meets the deepest part of the client
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Viktor Frankl's approach to existential therapy is known as:
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logotherapy
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Who was the Danish philosopher that addressed the role of anxiety and uncertainty in life ?
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Soren Kierkegaard
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Existentialists contend that the experience of relatedness to other human beings:
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is healthy if balanced with aloneness
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According to existentialists, our search for meaning involves all these except:
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exploring unfinished business
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The central theme running through the works of Viktor Frankl is:
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the will to meaning
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For Sartre, existential guilt is what we experience when:
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we allow others to define us or make our choices for us.
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Existential therapy is unlike many other therapies in that:
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it doesn't have a well defined set of techniques it stresses the I/Thou encounter in the therapy process it focuses on the use of the therapist's self as the core of therapy it allows for incorporation of techniques from many approaches
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Being alone is a process by which we do all of the following except:
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reject the social overtures of others...
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From a multicultural perspective, some clients may reject this approach because:
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their life circumstances provide them with truly limited choices.
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The existential approach is particularly well-suited to clients who:
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are dealing with grief and lost
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Ther person-centered view of human nature:
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affirms a person's capacity to direct his/her life
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Person-centered therapy is best described as:
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a philosophy of how the therapy process develops
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A self-actualized person:
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welcomes uncertainty in his or her life has capacity for deep and intense interpersonal realtionships doesn't have artificial dichotomies within him/herself is spontaneous and creative
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Person-centered therapy is:
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a humanistic approach to therapy
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What is the most important factor related to progress in person-centered therapy?
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the relationship between client and therapist
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The person-centered therapist is best described as a:
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facilitator
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In order for a therapist to communicate "accurate empathic understanding" the counselor must:
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connect emotionally to the client's subjective experience.
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The technique of reflection involves the therapist:
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mirroring the client's emotional experience of a particular situation.
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Arguably, the most central limitation of the person centered approach is:
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the therapist's limitation as a person.
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In applying the person-centered approach to crisis intervention, therapists:
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communicate a deep sense of understanding provide genuine support and warmth use a more structured approach and provide clients with some direction.
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According to Rogerian therapy, an "internal source of evaluation" is defined as:
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looking more to oneself for the answers to the problems of existence
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Which of the following personal characteristics of the therapist is most important, according to Carl Rogers?
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genuineness
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Carl Roger's position on confronting the client is that:
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caring confrontations can be beneficial
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A consistent theme that underlies most of Carl Roger's writing is:
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a faith in the capacity of individuals to develop in a constructive manner if a climate of trust is established.
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The person-centered therapist's most important function is:
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to be his or her real self in this relationship with the client
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From Carl Roger's perspective the client/therapist relationship is characterized by:
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a sense of equality
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One of the limitations of the person-centered approach is that:
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there can be a tendency to give too much support and not enough challenge.
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In person-centered group therapy, the leader:
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displays a sense of trust in the members.
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Accurate empathic understanding helps clients to:
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notice and value their experiences reconceptualize earlier experiences modify their perceptions of themselves, others, and the world increase their confidence in making choices and in pursing a course of action
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A factor that distinguishes the person-centered approach to group counseling from other approaches is:
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the therapist's role as facilitator
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Gestalt therapy is a form of:
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existential therapy
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Field theory suggests that
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everything in human experience is relational and in constant flux
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Erv Polster believes that storytelling
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can be the heart of the therapeutic process since people are storytelling beings.
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The Gestalt therapist:
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pays attention to the client's nonverbal language
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In Gestalt theory, the experiment is considered:
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a theoretical proposition crafted to fit the client's unique needs
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When a person experiences an internal conflict (namely a conflict between top dog and underdog) which of the following techniques would be most appropriate?
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the internal dialogue exercise
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Often Greta, who struggles to feel good about herself, comes to sessions with slouched posture. In order to help Greta gain a clearer understanding of the inner meaning of her slouched posture a Gestalt therapist might:
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ask greta to exaggerate her poor posture, which is likely to intensify her feelings attached to it.
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A Gestalt technique that is most useful when a person attempts to deny an aspect of his/her personality (such as tenderness) is
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the reversal exercise
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Mariah tells her therapist, a gestaltist, that she dreamt she got married to a pitiful and felt uneasy about telling her parents that she married a dog. When her parents discovered that their son in law was a pitiful, they disowned her and suddenly became dogs themselves. In response to the dream, Mariah's therapist:
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should assist her client in reliving the dream as though it was happening in the now and have her become each part of the dream.
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The paradoxical theory of behavior change suggest:
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we change through becoming aware of who we currently are
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The basic goal of Gestalt theory is
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attaining awareness, and with greater choice
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According to Gestalt perspective, if people do not remember their dreams:
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they may be refusing to face what is wrong with their lives
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According to Gestalt theory, people use avoidance in order to:
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keep themselves from facing unfinished business keep from feeling uncomfortable emotions keep from having to change
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Gestalt therapist say that clients resist contact by means of:
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Retroflection Projection introjection
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Which of the following Gestalt techniques involves asking one person in a group to speak to each of the other group members?
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making the rounds
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The empty chair technique:
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assists clients in re-owning parts of the personality balances internal polarities allows clients to externalize an introject helps resolve unfinished business
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A teenage girl is angry with her parents and cuts on her arms. In Gestalt terms, she most likely engaging in:
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retroflection
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Because of his need to be liked, Jose makes careful efforts to get along with everyone and minimize interpersonal conflicts. Which boundary disturbance is Jose exhibiting ?
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confluence
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Without proper training, Gestalt therapists may:
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evoke catharsis without having the ability to work through with their client design faulty experiments may use ready made technique inappropriately may damage the therapeutic relationship with the client
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Contemporary Gestalt therapists view clients resistance as
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an element of therapy that needs to be respected.