Theories Of Counseling & Relationship Flashcards
A counselor is running a psycho-educational group in an addiction treatment center. Psycho-educational groups can also be called guidance groups on your exam. The leader keeps using the term “stinking-thinking.” She is obviously operating out of:
a) a Rogerian model also known as the non-directive, client-centered, person-centered counseling or self-theory.
b) a gestalt perspective created by Fritz Perls, classified as an experiential approach.
c) CBT which stands for cognitive behavioral therapy.
d) a strict narrative therapy paradigm classified as a postmodern theory.
c) CBT which stands for cognitive behavioral therapy.
You suspect a client is contemplating suicide. In situations such as this you should ask the client if he is thinking of killing himself. If the client says yes you should inquire about the client’s suicide plan. This is part of your lethality assessment. You decide to use a no-suicide contract with this client. Based on recent research:
a) you should use a safety plan instead because it is even more effective.
b) the no-suicide plan would be the best course of action.
c) a no-suicide contract and a safety plan are equally effective.
d) you should never use a no-suicide contract or a safety plan.
a) you should use a safety plan instead because it is even more effective.
A client comes to the session intoxicated. She is very docile. You should:
a) confront her with her intoxication and then deal with her internal verbalizations.
b) relax her using the Jacobson Method.
c) make plans to get her home safely such as taking a taxi home or having a friend drive her home.
d) do therapy as usual. A client often makes the best progress when she is intoxicated.
c) make plans to get her home safely such as taking a taxi home or having a friend drive her home.
The “splitting in the patient’s soup” technique is used in:
a) Alfred Adler’s individual psychology, a theory that emphasizes birth order and the inferiority complex.
b) Psychiatrist William Glasser’s reality therapy with choice theory.
c) Wolpe’s systematic desensitization, an excellent paradigm for dealing with phobic behavior.
d) There is no technique known as “spit in the soup.” That’s ridiculous.
a) Alfred Adler’s individual psychology, a theory that emphasizes birth order and the inferiority complex.
A client comes to your alcohol treatment center. His blood alcohol concentration/content (BAC) is .91:
a) there is no worry as this is in the normal range.
b) this is very low; he probably hasn’t even had a drink.
c) this is a bit over normal. Perhaps he used an alcohol-based mouth wash before the session.
d) he is legally drunk.
d) he is legally drunk.
You refer an alcoholic client of yours to an addiction treatment agency. Because of state funding regulations the center must provide medical assisted treatment (MAT) in addition to counseling, psycho-educational and 12-step approaches. The center will most likely prescribe ___________ for your client:
a) vivitrol.
b) suboxone.
c) lithium carbonate.
d) only an SSRI medication.
a) vivitrol.
A client is taking an injectable form of Naltexone since he received a DUI. He claims he is extremely depressed and suicidal since he began this new form of treatment. You know that:
a) this is purely psychological since the medicine cannot cause this.
b) most clients use this as a bogus excuse since this medicine reduces their craving for alcohol and most clients who received DUI’s don’t want to give up drinking.
c) this is serious and must be investigated because Vivitrol can cause serious side effects including depression and suicidal feelings.
d) alcoholics lie (it is part of their disease).
c) this is serious and must be investigated because Vivitrol can cause serious side effects including depression and suicidal feelings.
A client leaves your recovery center AMA. He goes drinking on the way home. He is subsequently stopped by a law enforcement officer who finds that his BAC is .09. Nevertheless, since his driving was not impaired or impacted in any way:
a) the police officer would not give your client a DUI.
b) the police officer would still give your client a DUI.
c) it is the officer’s judgement call whether to give your client a DUI or not.
d) the police officer might give him a DUI, but your client could fight the change in court and might win since his BAC level - although it was very high - was not truly impacting his driving.
b) the police officer would still give your client a DUI.
A client who is heroin addict has been in a medical assisted recovery program for a while now. The psychiatrist at the center will most likely prescribe __________ for your client:
a) Vivitrol with counseling and support groups.
b) Suboxone Film with counseling and support groups.
c) only Suboxone sublingual tablets, psychiatrist don’t recommend counseling.
d) only an SNRI medication.
b) Suboxone Film with counseling and support groups.
Your client is clinically depressed. According to recent research using brain scans:
a) the hippocampus, the amygdala, and the thalamus all influence mood.
b) only the hippocampus is involved.
c) only the thalamus is involved.
d) only the amygdala.
a) the hippocampus, the amygdala, and the thalamus all influence mood.
Mainstream psychiatry has not accepted brain scans as a legitimate diagnostic tool yet. All of the following are brain scans except:
a) SPECT
b) PET
c) CT
d) SNRI
d) SNRI
The argument/arguments against using brain scans (also called brain imagining or neuro-imaging) would be:
a) insurance doesn’t pay for them.
b) even though the radiation levels are low, some medical experts feel the radiation could be harmful.
c) the cost can be very expensive if you pay for them out of pocket; several thousand dollars in some cases.
d) all of the above.
d) all of the above.
Which theorist has postulated that neuroplasticity occurs in counseling?
a) Michael White
b) Carl R. Rogers.
c) Carl Whitaker.
d) Allen Ivey.
d) Allen Ivey.
Syncretism can best be defined by:
a) an unsystematic process of putting together various psychotherapy modaliites to treat a client.
b) the first step in learning to be eclectic.
c) choices a and b.
d) none of the above.
c) choices a and b.
The limbic system can best be defined as:
a) a technique in narrative therapy.
b) a popular technique in career construction theory created by Mark Savickas.
c) a physiological entity which is involved in emotions and drives (e.g. sex).
d) the seat of Freud’s preconscious mind.
c) a physiological entity which is involved in emotions and drives (e.g. sex).
Motivational interviewing (MI) is:
a) based on gestalt because you need a confrontation style when working with addicts and this approach is popular in addiction recovery centers.
b) based on William Glasser’s reality therapy with choice theory.
c) Alfred Adler’s individual psychology, an approach which emphasizes birth order and the inferiority complex.
d) Carl Ransom Rogers’s person-centered therapy; it puts a premium on empathy.
d) Carl Ransom Rogers’s person-centered therapy; it puts a premium on empathy.
Eric Berne’s transactional analysis (TA) posits three ego states; the Child, the Adult, and the Parent. These roughly correspond to Freud’s structural theory that includes:
a) oral, anal, phallic.
b) unconscious, preconscious, and conscious.
c) a and b.
d) id, ego, and superego.
d) id, ego, and superego.
Freud’s theory speaks of Eros and Thanatos. A client who threatens a self-destructive act is being ruled primarily by:
a) eros.
b) eros and the id.
c) thanatos.
d) both eros an thanatos.
c) thanatos.
Most scholars would assert that Freud’s 1900 work entitled The Interpretation of Dreams was his most influential work. Dream have:
a) manifest and latent content.
b) preconscious and unconscious factors.
c) id and ego.
d) superego and id.
a) manifest and latent content.
Talking about difficulties in order to purge emotions and feelings is a curative process known as:
a) catharsis and/or abreaction.
b) resistance.
c) accurate empathy.
d) reflection of emotional content.
a) catharsis and/or abreaction.
In a counseling session, a counselor asked a patient to recall what transpired three months ago to trigger her depression. There was silence for about two and one-half minutes. the client then began to remember. This exchange most likely illustrates the function of the:
a) preconscious mind.
b) ego ideal.
c) conscious mind.
d) unconscious mind.
a) preconscious mind.
A student tells a college counselor that he is not upset by a grade of “F” in physical education that marred his fourth year perfect 4.0 average, inasmuch as “straight-A students are eggheads.” This demonstrates:
a) introjection.
b) reaction formation.
c) sour grapes rationalization.
d) sweet lemon rationalization.
d) sweet lemon rationalization.
Mark is obsessed with stamping out pornography. He is unconsciously involved in this cause so that he can view the material. This is:
a) reaction formation.
b) introjection.
c) projection.
d) rationalization.
a) reaction formation.
The client’s tendency to inhibit or fight against the therapeutic process is known as;
a) resistance.
b) sublimation.
c) projections.
d) individuation.
a) resistance.
C.G. Jung, the founder of analytic psychology, said men operate on logic or the ______________ principle, while women are intuitive, operating on the ________ principle:
a) eros; thanatos.
b) logos; eros.
c) reality; pleasure.
d) transference; countertransference.
b) logos; eros.
Jung used drawings balanced around a center point to analyze himself, his clients, and dreams. He called them:
a) mandalas.
b) projective drawings.
c) unconscious automatic writing.
d) eidetic imagery.
a) mandalas.
The personality types of the Myers-Briggs Type Indicator (MBTI) are associated with the work of:
a) psychoanalysis.
b) Freud.
c) Adler.
d) Jung.
d) Jung.
