Second 32 Flashcards
Nathan Ackerman is considered a famous psychoanalytic family therapist; So are
a) Carl Rogers and Albert Ellis
b) Arnold Lazarus and Joseph Wolpe
c) William Glassier and Robert Qubbolding
d) James Framo and Robin Skynner
d) James Framo and Robin Skynner
Cloe Madanes and Jay Haley are associated with the BLANK school of family counseling
a) strategic
b) behavioral
c) psychodynamic
d) object relations
a) strategic
Based on Milton Erickson’s work
When Haley began investigating psychotherapy he
a) was already trained as a Freudian analyst like so many other pioneers in the field
b) was already trained as a behaviorist
c) had studied REBT with Ellis
d) had a degree in the arts and communication rather than the helping professions
d) had a degree in the arts and communication rather than the helping professions
Jay Haley believes in giving clients directives. You are counseling a family and during the session the 14-year-old daughter exclaims that she is suicidal. The best example of a directive would be
a) you turn to the 14-year-old daughter and say, “you seem to be saying that living is too painful”
b) You turn o the 14-year old daughter and say, “could it be that you want to hurt yourself because your boyfriend no longer wishes to see you?”
c) You turn to the family and say, “If your daughter threatens suicide this week I want the entire family - including your daughter - to stay home and nobody leaves for the day”
d) you turn to the family and say, “could this be a family problem rather than a difficulty for your daughter?”
c) you turn to the family and say, “if your daughter threatens suicide the week I want the entire family - including your daughter - to stay home and nobody leaves for the day”
Which of these responses is the best example of the double bind concept used in Jay Haley’s strategic therapy? You are trying to help a client stop smoking:
a) You hypnotize her and tell her she will never smoke another cigarette again. After you awaken her you admonish her to smoke as many cigarettes as she can for the first three days.
b) You recommend that the client chart the number of cigarettes she smokes.
c) You tell her to mentally visualize herself as a nonsmoker whenever she has the desire to smoke.
d) All of the above.
a) You hypnotize her and tell her she will never smoke another cigarette again. After you awaken her you admonish her to smoke as many cigarettes as she can for the first three days.
a double bind is a no-win situation characterized by contradictory messages such as never smoke again and then smoke as much as you want
The directive or prescription given to the smoker in the previous question (giving them a double bind) could be best described as
a) a paradoxical intervention
b) a cognitive intervention
c) an object relations intervention
d) a behavioristic intervention
a) a paradoxical intervention
A couple tells a therapist using strategic family therapy that they have a quarrel at least once every evening. The therapist says, “Between now and the next time I see you I want you to have a serious quarrel at least twice every evening.” This is an example of
a) relabeling, which is commonly used in this form of therapy
b) reframing, which is commonly used in this form of therapy
c) prescribing the symptom
d) a directive that is not paradoxical or a double bind.
c) prescribing the symptom
Strategic family counselors often rely on relabeling or reframing. A client says his girl friend yells at him every time he engages in a certain behavior. The best example of reframing or relabeling would be
a) a counselor who remarks, “research seems to show that when she yells at you it is because she loves you so much. A woman often feels foolish if she hugs or kisses you in a situation like that.”
b) a counselor who remarks, “can you tell me about it in the present moment, as if she is yelling at you this very minute?”
c) a counselor who remarks, “you are upset by her verbal assaults”
d) a counselor who remarks. “are you really hurt by your girlfriend’s remarks or is it the fact that you are telling yourself how catastrophic it is that she said these things.”
a) a counselor who remarks, “research seems to show that when she yells at you it is because she loves you so much. A woman often feels foolish if she hugs you in a situation like that.”
reframing occurs when you redefine a situation in a positive context
In strategic family counseling the person with the power in the family
a) has the authority to make rules and enforce them
b) is usually extremely aggressive
c) is usually not willing to follow family therapist’s prescriptions or directives
d) is the one who talks the most
a) has the authority to make rules and enforce them
Psychoanalytic practitioners do not attack symptoms directly. Strategic therapy
a) does not attack the symptoms directly either
b) is pragmatic and often focuses on abating symptoms
c) does not take a position on whether a counselor should attempt to ameliorate symptoms or not
d) takes the position that if you can change each family member’s unconscious, then symptoms will gradually disappear
b) is pragmatic and often focuses on abating symptoms
Haley’s therapy is a solution/symptom focused and very action oriented
Cloe Madanes insists that symptoms serve a function. A child, for example, sees that her mother is depressed. The daughter throws a glass cup to the floor to break it. This brings her mother out of the depressed state and makes her mother angry and powerful. This is known as
a) symptom substitution
b) the perverse triangle
c) incongruous hierarchy
d) latency
c) incongruous hierarchy
Maddens advocates pretend techniques that are somewhat paradoxical. An example might be
a) a child who has panic attacks pretends he has a mental bullhorn in his head and shouts “stop”.
b) a child who has panic attacks pretends in his mind that a therapist is counseling him
c) a child who has panic attacks pretends his dad is a therapist during the actual family therapy sessions
d) a child who has panic attacks pretends to have one during the session and the parents pretend to help him
d) a child who has panic attacks pretends to have one during the session and the parents pretend to help him
A strategic family therapist says to a family, “I don’t know what else you can do to stop the bickering and fighting in your house.” This is an example of
a) restraining
b) quid pro quo
c) pretending
d) interpretation
a) restraining
restraining helps overcome resistance by suggesting that it might be best if the family does not change
A client remarks that her depression is extremely intense. Her strategic counselor remarks, “It is very possible your depression is hopeless. It is possible you will never get over it.” Her comment is an example of
a) a blatant ethical violation
b) positioning
c) cohesion
d) behavioral disputation
b) positioning
positioning occurs when the practitioner accepts the client’s predicament and then exaggerates the condition
A model by Olson, Sprinkle, and Russell suggests that family functioning can be described in two dimensions-cohesion and adaptability. The family therapy term cohesion refers to the level of emotional bending between family members. Adaptability refers to
a) a family’s level of enmeshment or disengagement
b) a family’s ability to adapt to the therapist’s personality
c) a family’s ability to adapt to the theoretical persuasion of the therapist
d) how rigid, structured, flexible, or chaotic the family is
d) how rigid, structured, flexible, or chaotic the family is
