AMFTRB Practice Questions Pt 6 Flashcards
The MRI model does not focus on:
A. examining the sequences of behavior involved in the attempted solution.
B. the continued application of the wrong solution is seen as maintaining the problem.
C. functional nature of the problem.
D. interactional level.
D. interactional level.
A family comes to therapy presenting with what they state is a problem with their middle daughter. After speaking with the parents in the first session, the therapist assesses that this is actually a marital problem. The theorist least likely to focus on the marital problem early on in therapy is:
a. Insoo Kim Berg.
b. Bowen.
c. Haley.
d. DeShazer
c. Haley.
One of the defining characteristics of the therapist’s techniques in Narrative Therapy is its emphasis on:
a. circular questioning.
b. mapping the relative influence of the problem.
c. Neutrality.
d. creating social justice and a voice for all.
b. mapping the relative influence of the problem.
Which of the following therapists believe that when treating alcoholics, the goal of reduced drinking is only an appropriate goal, if it is also a goal of the clients? This therapist may also state that the more traditional concepts of the disease model may, in fact, be counterproductive for many alcoholic clients.
A. T. J. O’Farrell
B. David Treadway
C. Insoo Berg
D. Michael Elkin
C. Insoo Berg
All of the following are similarities between Structural and Strategic except:
a. consideration of the family life cycle.
b. utilization of therapeutic contracts and behavioral tasks.
c. concern with the subsequent organizational structure of the family system.
d. view of families as rule-governing systems.
c. concern with the subsequent organizational structure of the family system.
A technique developed by the Milan Model that utilizes a third person’s perspective on a subsystem or other dyads within the system is known as:
a. externalizing.
b. joining.
c. circular questioning.
d. highlighting.
c. circular questioning.
A couple comes in for therapy. The husband complains his wife is too close to her family and she has trouble separating from them. In fact, he states that his wife is in constant contact with her mother and looks to her mother constantly to help her make decisions. Often these decisions are in opposition to decisions made previously by he and his wife.
After hearing the husband’s statement, the therapist says, “You really care about your wife and don’t want to lose the relationship you have.” Which model is this therapist most likely following?
A. Solution-Focused
B. Behavioral
C. Collaborative
D. Strategic
D. Strategic
A same sex couple comes to therapy because they are having problems regarding their parenting of their ten year old son. In the course of the first interview, it is clear that each parent has very different expectations for their son’s behavior. A family therapist should treat the couple:
a. the same as a heterosexuaul couple.
b. different than a heterosexual couple.
c. the same as a heterosexual couples if the couple are both women, but differently if the couple are both men.
d. according to the problem being presented.
d. according to the problem being presented.
The husband says that he is angry at his wife. The therapist says, “Look at your wife and tell her why you are angry?” What technique would the therapist be using?
a. accommodating.
b. joining.
c. enactment.
d. directing.
c. enactment.
The stance of the therapist is that of coach for all of the following models EXCEPT:
a. Psychodynamic.
b. Psychoeducational.
c. Intergenerational.
d. Behavioral.
a. Psychodynamic.
All of the following variables are measured by the GARF except:
a. subscales of Emotional climate.
b. subscales of Problem Solving/Interactional.
c. subscales of Interactional Competence Scale.
d. subscales of Organization.
c. subscales of Interactional Competence Scale.
In a therapy session a husband implies that his wife appears to get her own way most of the time. The therapist then suggests that the husband say ‘no’ to the wife once during the following week. In initially assessing this client, a Strategic therapist would do all of the following except:
A. define the problem.
B. take a family history.
C. develop a plan for the problem.
D. think of the problem that simultaneously offers a solution to the problem and is a problem itself.
B. take a family history.
According to the HIPAA Privacy and Security Rules, when treating families, it is important to keep in mind:
a. Every individual in therapy must be given full disclosure of how you handle PHI and must sign a notice stating they received this information.
b. It is the therapist’s responsibility to explain her/his PHI policies and ensure they are understood by all family members.
c. The therapist must allow all family members access to their medical records.
d. None of the above.
d. None of the above.
Mr. & Mrs. Doherty present for family therapy complaining that their son Jon will not listen to them and is acting out.
In assessing this family a Structural therapist would:
A. assess information about each person’s willingness to be part of the therapeutic joining process.
B. listen to each family member’s story of the problem, casting it into a framework of obligations and entitlements to determine levels of trustworthiness in the family.
C. focus on current interactional patterns between family members.
D. operationally define the problem behavior including duration, frequency, and intensity.
C. focus on current interactional patterns between family members.
The Beavers System approach to family assessment includes:
A. tracking interactional patterns that maintain the problem.
B. defining how the family structure maintains ineffective patterns.
C. family reports on cohesion and adaptability.
D. interactional competence scales and interactional style scales.
D. interactional competence scales and interactional style scales.
In working with a divorced couple, the focus of attention should be:
A. children.
B. the mother and oldest child.
C. the couple.
D. a residential parent.
C. the couple.
A family presents with a 7-year old child who seems to look for his parent’s acceptance and reassurance while answering every question the family therapist puts to her. When her parents express disagreement to what she has just expressed, she quickly adapts her position to that of her parents. This might be best described by of the following models:
a. Bowen’s Model
b. Minuchin’s concept of enmeshment
c. Framo’s Object Relations Model
d. Bowlby’s Attachment Theory
c. Framo’s Object Relations Model
Questions are a fundamental tool used by all therapists. When a Solution Focused therapist, working with a client presenting with issues around overeating, asks “What would you not want to change regarding the way you eat?”, they are beginning to negotiate the:
a. solution talk of the therapy.
b. first-formular task.
c. exceptions to the problem.
d. miracle question.
b. first-formular task.
Drawing from John Bowlby’s work, this model emphasizes the importance of healthy attachment at the infant stage of development. It also addresses the need for individuation and differentiation.
a. Erickson’s Developmental Model
b. Object Relations Family Therapy
c. Bowenian Family Therapy
d. Emotionally Focused Therapy
b. Object Relations Family Therapy
Questions that provide information about how a problem has managed to disrupt a family versus how much they have been able to control it are referred to as:
a. Relative Influence questions.
b. the First Formular Task questions.
c. Mapping the System questions.
d. Scaling Questions.
a. Relative Influence questions.
A similarity between Structural and Haley Strategic therapies is:
A. therapeutic paradox is employed.
B. straightforward and confrontive.
C. emphasis on importance of maladaptive behavioral sequences in dysfunction.
D. emphasis on negative-feedback cycles.
A. therapeutic paradox is employed.
A couple presents in crisis after the wife discovers her husband has been involved with multiple women on the internet for 5 years and has come to realize that his lack of interest in their relationship may have less to do with work-related stress and subsequent disinterest in intimacy. A family therapist believes that there is really only one way to intervene with this couple, given their current volatility. This therapist does not seem to subscribe to the concept of:
a. Equipoteniatility.
b. Multidirectional Partiality.
c. Equifinality.
d. Circularity.
c. Equifinality.
A family consisting of a lesbian couple and a 9 yr. old son who has been school refusing for the past year has asked for family therapy. In the first session, you notice that whenever the son speaks, one of his mothers is quick to finish his sentence. You adjust your chair as therapist to block the mother and her attempt to speak for her son. You do this in order to address which of the following Bowenian concepts:
a. undifferentiated ego mass.
b. enmeshment.
c. triangle.
d. fusion.
d. fusion.
A couple comes to therapy because their three-year-old daughter is “out of control”. During the session the wife begins complaining that her husband is never home and she is left to deal with her daughter’s behavior.
During the first interview with this family, the first priority of a Strategic Family therapist would be to:
a. focus on the child.
b. set goals.
c. focus on the couple interaction.
d. improve communication.
b. set goals.
Olson’s Circumplex Model refers to specific levels of flexibility which include all of the following except:
a. rigid.
b. disengaged.
c. chaotic.
d. structured.
b. disengaged.
The Object Relations approach to treatment of bulimia does NOT suggest which of the following?
a. The well-being of the family group is at least as important as the needs of the individual member.
b. There is a bio-psychological thrust toward individuation and creative self-expression.
c. Families are organized around specific developmental issues and the systemic dynamics tend to be translated intergenerationally.
d. All of the choices.
d. All of the choices.
A twelve-year-old boy was brought to therapy because he wet the bed almost every night. The mother had been hospitalized at one time for depression. The father worked long hours, and the mother complained about his lack of interest in her and his attraction to other women. The therapist hypothesized that the bed-wetting was both a metaphorical expression of the father’s improper behavior and an attempt to help the parents by eliciting their concern and distracting them from their other problems. This assessment of the problem is associated with:
A. Strategic.
B. Solution-focused.
C. Structural.
D. Object-relations.
A. Strategic.
The essential feature of Anorexia Nervosa is:
A. refusal to maintain body weight.
B. frequent weight fluctuations.
C. disturbed sense of self.
D. recurrent episodes of binge eating.
A. refusal to maintain body weight.
