All Clinical questions Flashcards
The ADDRESSING model:
B.
provides a framework for addressing cultural complexities in clinical practice
The correct answer is B.
Pamela Hays is credited for developing the ADDRESSING framework, which provides a model for attending to cultural factors in therapy. Within this framework, culture is viewed as a multidimensional combination of Age, Developmental and acquired Disabilities, Religion, Ethnicity, Socioeconomic status, Sexual orientation, Indigenous heritage, National Origin, and Gender.
Answer A: This is not true. In fact, the ‘A’ in the ADDRESSING framework is for age and generational influences.
Answer C: The second ‘S’ in this acronym is for sexual orientation. The ‘E’ in the model is for ethnic/ racial identity.
Answer D: The ADDRESSING framework is a model for attending to cultural factors in therapy; not specifically for addressing cultural complexities.
During the first therapy session with a new client, a solution-focused therapist will:
Help the client identify and describe therapy goals in concrete, positive terms
The correct answer is B.
As its name implies, solution-focused therapy focuses on solutions to problems rather than on the problems themselves. Stating goals in positive concrete (behavioral) terms helps the client recognize when he/she is accomplishing his/her goals and has been found to be a good predictor of outcome in solution-focused therapy.
Answer A: This would occur during the intake session.
Answer C: Solution-focused therapists focus on solutions rather than problems.
Answer D: This sounds more like the transtheoretical model.
In schools, psychological consultants are often hired to help teachers or other school personnel resolve problems related to specific individual students. This is referred to as:
The correct answer is B.
B.
client-centered case consultation
The question describes client-centered case consultation, which is the most common form of consultation in schools and elsewhere. In this situation, a consultant is working with a consultee to resolve a problem with a particular client (case).
Answer A: In consultee-centered consultation, the focus is on the consultee’s skills, abilities, and objectivity so that he/she can work more effectively with a particular group of clients in the future.
Answer C: This type of consultation focuses on helping consultees (administrators) develop the skills they need to more effectively develop and implement programs.
Answer D: This made-up term is not part of Caplan’s model.
Although the various models of homosexual (gay/lesbian) identity development differ somewhat in terms of the number and nature of the stages they propose, most describe a person in the initial stage as:
recognizing that he/she is different from same-gender peers
The correct answer is C.
You will want to be familiar with Troiden’s (1988) homosexual identity development model for the exam. Troiden’s initial stage is the sensitization stage and occurs prior to puberty. During this stage, the individual feels socially different from same-gender peers. For example, a girl may say that, unlike her female friends, she’s not interested in boys or that she’s more independent or aggressive than other girls; while a boy might say that he’s less interested in sports and more interested in arts than his male peers.
Answer A: Most models do not describe this as occurring during stage one.
Answer B: This may occur during stage three.
Answer D: Troiden described this as occurring during stage two.
A client who is a member of a minority group expresses negative feelings about her own culture and positive feelings toward the dominant (Anglo) culture. The client is in which stage of Atkinson, Morten, and Sue’s (1993) Racial/Cultural Identity Development Mode
Conformity
The correct answer is A.
The Racial/Cultural Identity Development Model includes five stages: conformity; dissonance; resistance and immersion; introspection; and integrative awareness. Conformity is characterized by a preference for the dominant culture over one’s own culture.
Answer B: This stage is characterized by cultural conflict and confusion.
Answer C: The immersion stage is marked by an active rejection of the dominant culture and acceptance of one’s own culture.
Answer C: Denial is not one of the stages of this model.
Which of the following techniques would a psychologist most likely use to clarify the emotional distance or closeness between family members?
A.
sculpting
Feedback
The correct answer is A.
In family sculpting, family members position themselves (or objects that represent them) in physical space in a way that reflects their relations and roles within the family system. The process usually involves having each family member, one at a time, create his or her own sculpture. Sculpting can be useful for revealing family members differing perceptions and feelings, especially each member’s view of the emotional closeness or distance between them. Although sculpting is a very subjective technique, it often provides insight into how family members perceive their own and one another’s roles and positions within the family.
Answer B: Mimesis is associated with structural family therapy, in which the therapists first task is to develop a therapeutic system by joining the family in a position of leadership. Joining can be divided into three types: 1) Joining from a distant position: The therapist teaches and gives directive advice. 2) Joining from a median position (tracking): The therapist serves as an active, neutral listener, and uses techniques such as summarizing, observing, and commenting on processes. 3) Joining from a close position (mimesis): The therapist imitates (mimics) the affective range, style, and/or the content of the family’s communications in order to build kinship with them and solidify the therapeutic alliance.
Answer C: Role-reversal is a technique where clients are asked to act out past, present, or anticipated situations (usually socially stressful situations) and roles in order to gain new and deeper understanding to achieve catharsis.
Answer D: Reframing is a verbal technique used to help clients change the meaning they give to an event, behavior, or experience by gently persuading them that it can be viewed in a different and more positive light.
