Ch 6 Group Flashcards

1
Q

Practice Exam 1

You are working as a group counselor. You prefer a laissez-faire leadership style. After a few sessions, the group starts exhibiting tension and dissent. What should you do:
Select one:

A. have the group members work out the problems themselves

B. become more directive

C. take control of the group

D. tell the group what they need to be doing

A

The Correct Answer is: B

A laissez-faire group leader might prefer to let group members work out problems themselves. However, if there’s tension and dissent in the group, such a leader would have to take on a larger role in order to manage the overall group process. Becoming more directive is a good idea. Choices “C” and “D” give the leader too much power and may lead group members to not feel responsible for their own group behavior.
The correct answer is: become more directive

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2
Q

One group member remarks to another group member “I enjoyed watching you interact today, you taught me a lot of good techniques.” This is an example of:
Select one:

A. hope

B. information

C. universality

D. imitation

A

The Correct Answer is: B

The group member has received information from the other group member. This would only be imitation if the group member quoted in the question actually performed the techniques.
The correct answer is: information

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3
Q

According to the Johari window, in a group setting, it is desirable to move information from the blind and secret quadrants to the _______ quadrant:
Select one:

A. open quadrant

B. unconscious quadrant

C. growth quadrant

D. open and growth quadrants

A

The Correct Answer is: A

According to the Johari window, in a group setting, it is desirable to move information from the blind and secret quadrants to the open quadrant. It is not desirable to move information into the unconscious quadrant. There is no such thing as a growth quadrant.
The correct answer is: open quadrant

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4
Q

You are a group counselor beginning therapy with a new group. During the earliest sessions of group therapy, it is not uncommon for group members to be somewhat uneasy about the process of group therapy. Which of the following is least likely to be displayed in the early sessions of group therapy:
Select one:

A. group members tend to focus on their own problems

B. group members talk to the group leader, rather than other members

C. members hope to find acceptance and approval

D. factions may develop as group members begin to turn toward one another

A

The Correct Answer is: D

Answers “A” and “B” describe things that happen during the first stage of group therapy (orientation and affiliation). “C” - members hoping to find acceptance and approval - happens during the first stage and the later stages. The development of factions (“D”) happens during the second (power and control) stage and thus occurs after the earliest sessions of group therapy.
The correct answer is: factions may develop as group members begin to turn toward one another

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5
Q

Which of the following promotes cohesion in a therapy group:
Select one:

A. heterogeneity of conflict

B. an unstable group

C. homogeneity of goals

D. an open group

A

The Correct Answer is: C

Having homogeneous, or similar, goals promotes group cohesion. Having an unstable group, an open group, or group members with heterogenerous, or dissimilar, problems for which they are seeking counseling do not promote group cohesion.
The correct answer is: homogeneity of goals

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6
Q

Universality is best described by which of the following statements:
Select one:

A. I guess we all feel frustrated at times

B. I understand how you’re feeling

C. No one can help me

D. Maybe I can help you

A

The Correct Answer is: A

Universality one of Yalom’s curative factors in group therapy, refers to the idea that group members have shared, or similar, experiences. Answer “A” is the only one that fits this definition.
The correct answer is: I guess we all feel frustrated at times

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7
Q

You are a group counselor utilizing the technique of psychodrama in your work. Who is the “father” of psychodrama:
Select one:

A. Yalom

B. Freud

C. Moreno

D. Sullivan

A

The Correct Answer is: C

Moreno is considered the originator of psychodrama in a group setting and is often called the “father” of psychodrama.
The correct answer is: Moreno

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8
Q

Which of the following group types is more of a product-oriented group, rather than a process-oriented group:
Select one:

A. client-centered

B. psychoanalytic

C. behavioral

D. cognitive-behaviora

A

The Correct Answer is: C

Behavioral groups are considered product-oriented because they focus on an end-product or goal. Client-centered and psychoanalytic groups tend to emphasize the process of group therapy. Cognitive-behavioral groups are a combination of the two (product-oriented and process-oriented).
The correct answer is: behavioral

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9
Q

Members of an outpatient therapy group are likely to rank which of Yalom’s therapeutic factors as most important:
Select one:

A. interpersonal input, catharsis, cohesiveness, and self-understanding

B. self-understanding, universality, identification, and instillation of hope

C. family re-enactment, catharsis, altruism, and interpersonal input

D. interpersonal input, interpersonal output, universality, and identification

A

The Correct Answer is: A

In his book, The Theory and Practice of Group Therapy (1970), Irvin Yalom distinguishes between 12 therapeutic factors and discusses the results of research examining the importance of these factors for group therapists and for group therapy members. Although the results vary somewhat from study to study, the four factors listed in answer A are usually the most highly rated ones by group therapy members.
The correct answer is: interpersonal input, catharsis, cohesiveness, and self-understanding

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10
Q

Referral for group therapy would be indicated in all of the following situations except:
Select one:

A. a client wants to get involved in therapy quickly

B. a client’s problems are related to ineffective social skills

C. a client wants to develop a more positive self-concept

D. a client’s problem is related to difficulty expressing anger

A

The Correct Answer is: A

Remember – you are looking for the person you would not refer to group therapy. It is usually necessary to prepare group members individually before their participation in a group. Preparation involves instructions regarding such issues as payment, attendance, etc. as well as orientation to the purposes of the group. Thus, a person who wants to get involved in therapy quickly is not a great candidate for group therapy. The clients in the other three choices would be good candidates for group therapy.
The correct answer is: a client wants to get involved in therapy quickly

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11
Q

Alcoholics Anonymous groups help members to:
Select one:

A. stay sober

B. deal with anger

C. break through their denial

D. live life on life’s terms

A

The Correct Answer is: A

The only requirement for membership in AA is a desire to stop drinking. The primary purpose of AA is to stay sober and help other alcoholics to achieve sobriety. (b, c, and d) are means by which an individual can be assisted in his or her goal to stay sober.
The correct answer is: stay sober

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12
Q

You are beginning a therapy group for parents and their teen-age children. From your experiences with new groups, you know that there is an expected communication style among members in the early stages of group therapy. Typically, which of the following occurs:
Select one:

A. group members are hostile toward the authoritative therapist

B. group members interact with one another and more or less ignore the therapist

C. group members communicate through the therapist and seemingly ignore one another

D. cliques develop within the group

A

The Correct Answer is: C

Although all groups are unique, certain traits are typical of most groups. In the beginning stages of therapy, group members haven’t yet started to relate to one another or to form social relationships and, therefore, they typically communicate only with the therapist, as if other group members aren’t present. During this initial stage, the therapist should be prepared to play an active role. (b and d) are behaviors which are likely to be observed in the later stages of group therapy.
The correct answer is: group members communicate through the therapist and seemingly ignore one another

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13
Q

According to Yalom (1995), which of the following are two basic roles a group therapist may assume?
Select one:

A. technical expert and model-setting participant

B. technical expert and arbitrator

C. discloser and judge of competency

D. discloser and vehicle for empathy

A

The Correct Answer is: A

Yalom identified “the technical expert” and “the model-setting participant” as two basic roles a therapist may assume in a group. Each of these roles helps shape the norms of the group. (See Yalom, I. D. [1995]. The Theory and Practice of Group Psychotherapy, 4th Ed. New York: BasicBooks, pp. 112-118.)
A. CORRECT As a technical expert, a group therapist may supply explicit instructions and suggestions–particularly in early sessions–as well as subtle reinforcers for useful behavior. As a model-setting participant, a group therapist may engage freely and without adverse effects in behavior that may be new for clients, demonstrating the qualities and benefits of such behavior.

The correct answer is: technical expert and model-setting participant

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14
Q

Which of the following is NOT true about cohesiveness in group therapy?
Select one:

A. cohesiveness tends to lead to successful group therapy outcome

B. members of a cohesive group tend to disclose more

C. members of a cohesive group avoid trying to influence other group members

D. cohesive groups are less susceptible to disruption when a member leaves

A

The Correct Answer is: C

Yalom defined cohesiveness in group therapy as “the attraction that members have for their group and for the other members” (Yalom, I. D. [1995]. The Theory and Practice of Group Psychotherapy, 4th Ed. New York: Basic Books, p. 67). Research indicates that cohesiveness is associated with successful group therapy outcome, greater self-disclosure among participants, and less susceptibility to disruption when a member terminates.

C. CORRECT Contrary to this statement, members of a cohesive group try harder than members of a noncohesive group to influence other group members.

The correct answer is: members of a cohesive group avoid trying to influence other group members

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15
Q

Which of the following would be an example of therapeutic confrontation in group therapy?
Select one:

A. a group leader berates a group member for antisocial behavior

B. a group member berates another group member for antisocial behavior

C. a group leader points out an inconsistency between a group member’s verbal and non-verbal behavior

D. any of the above

A

The Correct Answer is: C

Therapeutic confrontation is an honest or constructive reaction by a therapist to an element of a client’s behavior. It is intended to constructively provoke or provide insight to the client.
A. Incorrect Therapeutic confrontation does not involve “berating” or other types of harsh treatment.
B. Incorrect Therapeutic confrontation does not involve “berating” or other types of harsh treatment.
C. CORRECT See above.
D. Incorrect Only C is correct.
The correct answer is: a group leader points out an inconsistency between a group member’s verbal and non-verbal behavior

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16
Q

Which of the following terms is LEAST likely to characterize a cult leader?
Select one:

A. authoritarian

B. authoritative

C. charismatic

D. narcissistic

A

The Correct Answer is: A

To answer this question correctly you must understand the difference between the terms “authoritarian” and “authoritative.” A leader who is authoritarian requires blind submission to his/her authority; by contrast, the term authoritative usually connotes the possession of earned, worthy, and non-destructive authority.

Answer C - In addition to authoritarian, cult leaders tend to be charismatic.

Answer D - In addition to authoritarian, cult leaders tend to be narcissistic.
The correct answer is: authoritarian

17
Q

As you lead a therapy group, a patient offers constructive feedback to another patient in the group. However, the first patient is visibly irritated and agitated as he voices his feedback. The rest of the group is now angry at the first patient. You should:
Select one:

A. see the first patient in an individual session to give him feedback

B. ask the group to point out what the first patient has done wrong

C. point out what the first patient did well and then offer constructive criticism

D. focus on the second patient, who has just received negative feedback

A

The Correct Answer is: C

Choice C describes the proper action in this situation because the question indicates that the first patient was trying to be helpful (he was offering “constructive feedback”), but nonetheless interfered with the group’s processes by angering the other members. When managing an event that has interfered with the group’s processes, a group leader often must intervene actively and sometimes it is effective to use the technique of positive reframing, as in this case. If you waited to handle this matter later, in an individual session with the first member, you would neglect to address how this event has affected the other group members.
The correct answer is: point out what the first patient did well and then offer constructive criticism

18
Q

A counseling group is led by co-leaders. In the initial stages of the group, it would be most damaging to the group if the co-leaders:
Select one:

A. engage in open conflict during a group meeting

B. subscribe to different theoretical perspectives

C. give each other feedback during a group meeting and the group members can hear what they say

D. have an ongoing conflict with each other outside the group

A

The Correct Answer is: A

According to Yalom and other experts, open conflict between the co-leaders of a therapy group in the initial sessions can create anxiety in the members and interfere with group cohesion by causing the group to divide into factions. On the other hand, Yalom also believes that, later in the life of the group, conflict between the co-leaders can provide an opportunity for them to model conflict resolution.
The correct answer is: engage in open conflict during a group meeting

19
Q

A counselor is forming a therapy group for the first time. She is deciding how she will select members for her group. She wants them to be compatible. In terms of matching the group members, which variable is most important for the counselor to consider:
Select one:

A. SES

B. presenting problem

C. IQ level

D. age

A

The Correct Answer is: C

Overall researchers agree that it is important to choose members who have similar levels of intelligence when forming a therapy group.
The correct answer is: IQ level

20
Q

A consistently high level of cohesiveness in a group is associated with all of the following except:
Select one:

A. better attendance

B. lower dropout rates

C. enhanced growth of individual group members

D. punctuality

A

The Correct Answer is: C

Since this question includes the word “except,” you had to select the “wrong” answer. Although group cohesion is associated with several benefits (e.g., better attendance, lower dropout rates), it also, if too strong, can limit individual growth. GC / GW
The correct answer is: enhanced growth of individual group members