Brief Therapies Flashcards
According to the transtheoretical model, factors that contribute to a person’s motivation to change an undesirable behavior include all of the following except:
A. self-efficacy.
B. temptation.
C. insight.
D. decisional balance.
Answer C is correct. The transtheoretical model assumes that a person’s motivation to change is affected by three factors – decisional balance, self-efficacy, and temptation.
During her initial therapy session, a client with an alcohol use disorder tells her therapist that drinking helps her relax and makes it easier for her to talk to people. The therapist, a practitioner of motivational interviewing, will most likely view the client’s statement as:
A. change talk.
B. sustain talk.
C. discord.
D. introjection.
Answer B is correct. For practitioners of motivational interviewing, sustain talk is the opposite of change talk and consists of statements that support maintaining the status quo. (Introjection is a defense mechanism and is not relevant to MI.)
A 58-year-old man comes to therapy at the insistence of his wife who is threatening to leave him if he doesn’t stop drinking. The man says he’s been drinking alcohol since he was in his late 20s, has tried stopping when family members have asked him to, but doesn’t see why his drinking bothers other people so much. He says he doesn’t really want to stop and has only come to therapy to make his wife happy. According to Prochaska and DiClemente’s transtheoretical model, this man is in which stage of change?
A. denial
B. acceptance
C. precontemplation
D. contemplation
Answer C is correct. Individuals in the precontemplation stage have no intention of taking action to change their behaviors in the next six months and may be in denial about their problems or may have made multiple unsuccessful attempts to change and believe that change is impossible.
Motivational interviewing incorporates concepts and procedures from which of the following?
A. Jung’s analytical psychotherapy
B. Adler’s individual psychology
C. Skinner’s operant conditioning
D. Rogers’s person-centered therapy
Answer D is correct. Motivational interviewing incorporates concepts and principles of Rogers’s person-centered therapy and Prochaska and DiClemente’s transtheoretical model as well as Bandura’s concept of self-efficacy and Festinger’s notion of cognitive dissonance.
A solution-focused therapist would most likely ask a client the “miracle question” to:
A. evaluate the client’s progress in therapy.
B. help the client identify treatment goals.
C. identify the client’s strengths and resources.
D. identify the causes of the client’s presenting problem.
Answer B is correct. Solution-focused therapists ask clients the miracle question in order to help establish the focus of treatment as the future (rather than the past or present) and identify treatment goals.
Which of the following is not one of the four problem areas that are targeted by practitioners of interpersonal psychotherapy when working with clients who are depressed?
A. grief
B. role disputes
C. intimacy
D. role transitions
Answer C is correct. Interpersonal psychotherapy distinguishes between four interpersonal problem areas: interpersonal role disputes, interpersonal role transitions, interpersonal deficits, and grief.
