Chapter 10. Empathic Confrontation Flashcards
Empathic confrontation is
a. a direct, harsh challenge guiding clients to face hard issues. b. a gentle skill that includes listening. c. seeking clarification by "going against" client ideas. d. the primary skill used by counselors.
b. a gentle skill that includes listening.
Identify the step of empathic confrontation in which a counselor would most likely make this statement: “On the one hand . . ., and on the other hand . . .”
a. Step 1: Identify conflict b. Step 2: Point out and clarify issues of incongruity c. Step 3: Evaluate the change d. This statement is not included in supportive confrontation.
b. Step 2: Point out and clarify issues of incongruity
The client may distort his or her story and blame others unfairly in which level of the Client Change Scale (CCS)?
a. Level 1: Denial
b. Level 2: Partial examination
c. Level 3: Acceptance and recognition, but no change
d. Level 4: Generation of a new solution
e. Level 5: Development of new, larger, and more inclusive constructs, patterns, or behaviors—transcendence
a. Level 1: Denial
Discrepancies internal to the client include
a. mixed messages observed in nonverbal client behavior. b. incongruities between two verbal statements. c. differences between what the client says and what the client does. d. all of these. e. none of these.
d. all of these.
Which word is NOT interchangeable with all the others?
a. discrepancy b. incongruity c. conflict d. observation e. mixed message
d. observation
Which one of the following is NOT a technique of empathic confrontation?
a. Observe and note discrepancies and conflict. b. Feedback internal and external discrepancies to the client. c. Match tonal quality with the client during the feedback of discrepancies. d. Evaluate the client response and whether there is client change. e. If the client does not change, try another skill.
c. Match tonal quality with the client during the feedback of discrepancies.
Identify the step of empathic confrontation in which a counselor would most likely make this statement: “You really want to meet him, but you’re a little bit anxious.”
a. Step 1: Identify Conflict
b. Step 2: Point Out Issues of Incongruity
c. Step 3: Evaluating Change
d. This is not included in supportive confrontation.
a. Step 1: Identify Conflict
As a result of effective and empathic confrontation, a counselor or therapist can expect that the client will
a. resolve his or her issues. b. move to a more productive topic. c. come up with new ideas, thoughts, and feelings. d. become angry.
c. come up with new ideas, thoughts, and feelings.
Regarding discrepancies between you and your client, which of the following is NOT true?
a. You should never hide differences you may have with your client. b. If you sense differences, you should support the client by listening. c. It is important to note your own or the client's discomfort with possible differences. d. If you listen carefully, most discrepancies with your client will disappear.
a. You should never hide differences you may have with your client.
A counselor may hear, “Yes, I hurt, and perhaps I should be angry,” in which level of the Client Change Scale (CCS)?
a. Level 1: Denial
b. Level 2: Partial examination
c. Level 3: Acceptance and recognition, but no change
d. Level 4: Generation of a new solution
e. Level 5: Development of new, larger, and more inclusive constructs, patterns, or behaviors—transcendence
b. Level 2: Partial examination
“Mobility” is to “immobility” as cultural intentionality is to ____.
a. stuckness
b. impasse
c. blocked
d. all of the above
d. all of the above
According to the authors, an important goal of interviewing is to move clients from
a. ideas to feelings.
b. problem focus to person focus.
c. closed questions to open questions.
d. stuckness to intentionality.
d. stuckness to intentionality.
Uncontrollable conflict and discrepancy bring stress to the client resulting in ____.
a. active inhibition of neurons and damaging glucocorticoids and cortisol are released
b. gradual strengthening of an individual through development of protective neural structures
c. an ultimate challenge to the counselor
d. the need to refer the client to the emergency room for medication
a. active inhibition of neurons and damaging glucocorticoids and cortisol are released
Empathic confrontation is:
a. a direct, harsh challenge guiding clients to face hard issues.
b. a complex of skills requiring observation and listening.
c. seeking clarification by “going against” client idea.
d. the primary skill used by interviewers to cause clients to see their errors.
b. a complex of skills requiring observation and listening.
Careful listening is one of the most powerful influencing skills. Which one of the following statements about influencing is NOT true?
a. Paraphrasing is particularly useful when decisions need to be made.
b. Reflection of feeling is useful to feedback of mixed emotions.
c. Direct and firm confrontation helps clients identify their errors.
d. A good summary brings together many thoughts, feelings and behaviors.
c. Direct and firm confrontation helps clients identify their errors.
According to the authors, direct confrontation may be inappropriate for:
a. European-American clients.
b. African-American clients.
c. European-Canadian clients.
d. Native American clients.
d. Native American clients.
