Chapter 1 5 An Integrative Perspective Flashcards
Selectively incorporating
a variety of interventions from other
therapeutic approaches, but grounded in a single
coherent theoretical system.
Assimilative integration
A search for common
elements across different theoretical systems.
Common factors approach
The shift toward
adopting therapeutic practices that are grounded
in empirical evidence refl ects a commitment to
“what works, not on what theory applies.”
Evidence-based practice
Looks beyond and
across the confi nes of single-school approaches to
see what can be learned from other perspectives.
Psychotherapy integration
These play a major
part in the lives and struggles of many people.
Exploring spiritual/religious values, when
deemed important by the client, can enhance the
therapy process.
Spiritual/religious values
A practitioner, lacking in knowledge
and skill in selecting interventions, grabs
for anything that seems to work, often making
no attempt to determine whether the therapeutic
procedures are indeed effective.
Syncretism
A focus on selecting the best treatment techniques
for the individual and the problem. It
tends to focus on differences, chooses from many
approaches, and is a collection of techniques.
Technical integration (technical eclecticism)
A conceptual or theoretical
creation beyond a mere blending of techniques
with the goal of producing a synthesis of
the best aspects of two or more theoretical approaches;
assumes that the combined creation
will be richer than either theory alone
Theoretical integration
T F 1. For decades, counselors were resistant
to integration, often to the
point of denying the validity of alternative
theories and of ignoring
effective methods from other theoretical
schools.
t
T F 2. As the field of psychotherapy has
matured, the concept of integration
has emerged as a mainstay.
t
T F 3. Syncretism occurs when a practitioner,
lacking in knowledge and skill
in selecting interventions, looks for
anything that seems to work.
t
T F 4. One of the best known forms of
technical integration is multidimensional
therapy created by Arnold
Lazarus.
f
T F 5. Psychotherapy integration stresses
tailoring of interventions to the individual
client, rather than to an
overarching theory.
t
T F 6. Although clients’ spiritual and religious beliefs may be important to them, it is ethically inappropriate for clinicians to address these beliefs in the context of therapy.
f
T F 7. Most forms of short-term psychotherapy
are active in nature, collaborative
in relationship, and
integrative in orientation.
t
T F 8. Therapeutic goals should always be
specifi c, concrete, and short term.
f
T F 9. Evaluating how well psychotherapy
works is relatively simple.
f
T F 10. Significant empirical research on
effectiveness has been produced for
all of the major models covered in
this book.
f
11. is best characterized by attempts to look beyond and across the confines of single-school approaches to see what can be learned from other perspectives. a. Psychotherapy integration b. Person-centered integration c. Syncretistic confusion d. Syncretism
a
12. Which of the following is NOT one of the four most common pathways toward the integration of psychotherapies? a. technical integration b. symbolic integration c. assimilative integration d. common factors approach
b
13. Which path calls for using techniques from different schools without necessarily subscribing to the theoretical positions that spawned them? a. technical integration b. symbolic integration c. assimilative integration d. common factors approach
a
14. Which of the following therapies synthesize the best aspects of two or more theoretical approaches? a. Dialectical behavior therapy (DBT) b. Acceptance and commitment therapy c. Emotion-focused therapy d. All of these
d
15. The approach is grounded in a particular school of psychotherapy, along with an openness to selectively incorporate practices from other therapeutic approaches. a. technical integration b. symbolic integration c. assimilative integration d. common factors approach
c
16. Support, warmth, feedback, reassurance, and credibility are considered that have empirically shown to be curative. a. common factors b. techniques c. theoretical factors d. symbolic factors
a
17. will increasingly become the organizing force for integration. a. Practice-based evidence b. Evidence-based practice c. Theory-based practice d. Theory-based evidence
b
18. One aspect of integration that is particularly well-suited to taking cultural factors into account is a. syncretism. b. symbolism. c. therapeutic fl exibility. d. transference.
c
19. Sydney, a grief counselor, mentioned to his colleagues in a peer supervision group that he is open to discussing his clients’ spiritual and religious beliefs with them. What should he say to his colleagues who are skeptical about this practice? a. “My clients’ spiritual and religious beliefs are a major sustaining power that supports them when all else fails. I think it would be unethical for me to overlook this.” b. “I know it is unethical for me to raise these issues during sessions, but my clients don’t seem to mind.” c. “Who are you to question my practices? You are being completely negligent and unethical by not discussing religion with your clients.” d. None of these.
a
20. Which of the following is NOT a defi ning characteristic of brief therapy? a. clear specifi cation of achievable treatment goals b. emphasis on client’s defi cits and unconscious dynamics c. here-and-now orientation with a primary focus on current functioning in thinking, feeling, and behaving d. clear division of responsibilities between client and therapist
b
21. What would both cognitive behavior therapists and reality therapists be inclined to say to their clients? a. “I think you are projecting anger on to me that belongs with your mother. Let’s explore that.” b. “Tell me about every part of your dream that you can recall. What do you think your dream is trying to tell you?” c. “What do you think about trying out the new behaviors we discussed today during the week? Can you think of opportunities you may have this week to practice being assertive?” d. “Why don’t you tell your mother that she has a toxic effect on you every time she compares you to your sister. And feel free to tell her that your therapist thinks so too!”
c
22. Which of the following approaches does NOT emphasize the personal relationship as the crucial determinant of treatment outcomes? a. The existential approach b. The person-centered approach c. The Gestalt approach d. The behavioral approach
d
23. Eliza considers herself an Adlerian therapist, Julie regards herself as a feminist therapist, and Kyle specializes in cognitive behavioral therapy. What must all three therapists do regardless of their theoretical orientation? a. They must decide what relationship style to adopt with each client. b. They must decide what techniques, procedures, or intervention methods to use in each case. c. They must decide when to use certain techniques, procedures, or intervention methods, and with which clients. d. All of these.
d
24. Most outcome studies in counseling have been conducted by researchers affi liated with a. behavior and cognitive therapy and person-centered therapy b. narrative therapy c. psychodrama d. gestalt therapy
a
25. Research evidence from meta-analyses has demonstrated that psychotherapy is a. not effective at all. b. somewhat effective. c. moderately effective. d. remarkably effective.
d
