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MFT Licensing Exam > Theory > Flashcards

Theory Flashcards

1
Q

According to Minuchin, the therapist’s methods for creating a therapeutic system with a family and of positioning himself/herself as its leader are known as:

A

joining

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2
Q

A therapist working with a couple gives the following instructions:

Get ready for bed; then I want you [the wife] to lie on your belly; then you [the husband] caress her back as gently and sensitively as you can; move your hands very slowly; do no more. In the meantime, I want you [the wife] to be “selfish” and just concentrate.

The therapist is here using a technique developed by Masters and Johnson and known as:

A

sensate focus

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3
Q

A family is referred for therapy to a family therapist in private practice. The son, age 17, has recently been discharged from a psychiatric hospital but has remained in individual therapy with a psychiatrist. He has a history of alcoholism and since his discharge has two charges pending against him for driving while intoxicated. The parents convey to the family therapist their concern that the psychiatrist is unaware of their son’s recent alcohol abuse or of the pending charges. In this situation, the most appropriate initial approach for the family therapist would be to:

A

encourage the son to talk to his therapist and ask the family members to sign a release of information form to facilitate coordination of treatment

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4
Q

may involve hidden payoffs for the resistant family

A

system maintenance

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5
Q

In the use of videotape in working with families, the most essential condition is that:

A

all those to be taped agree to its use

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6
Q

FamilySystemsTheoryviewsthefamilyaswhattypeofunit.

a. physiological
b. psychological
c. emotional
d. anatomical

A

C:“emotional:”Dr.MurrayBowen,apsychiatrist,istheoriginatoroftheFamilySystemsTheory.Thebasicideaofthetheoryassertsthatfamiliesareconnectedstronglyinanemotionalmanner.Evenwhenpeoplemayfeelemotionallydistantfromthefamilyunit,oftenthisfeelingofdistanceisaperceptionratherthanareality,asanemotionalinterdependenceexistswithinthefamilyunit.

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7
Q

FamilySystemsTheoryconsistsofwhat eightinterlockingconcepts?

A
  1. Triangles
  2. Differentiation of Self
  3. Nuclear Family Emotional System
  4. Family Projection Process
  5. Multigenerational Transmission Process
  6. Emotional Cutoff
  7. Sibling Position
  8. Societal Emotional Process
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8
Q

Ifoneunitofthefamilyisabletochangehis/herindividualdysfunctionalbehavior,thenotherfamilyunitmembersalsocanchangeproductively.Towhichofthefollowingchoicesdoesthisstatementmostcloselyrelate?

a. maritaldiscordtheory
b. Ericksonianfamilytheory
c. Freudianpsychoanalytictheory
d. systemiccoaching

A

D:“systemiccoaching:”Systemiccoachinganalyzesrelationshipswiththeeventualpurposeofalteringdysfunctionalbehavior.Thissystemicapproachviewshumansas“systems”ratherthanseparateindividuals(separatefromtheenvironmentinwhichtheyreside).Systemiccoachingseekstoassistthepatientinsettinggoalsandconsistentlymovingtowardthosegoals.

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9
Q

Whattypeofapproachisalsoknownas“realitytherapy”?

a. Humanistictherapy
b. Cognitive-Behavioral
c. Behavioral
d. Somatictherapy

A

B:“cognitive-behavioral:”Realitytherapyisacognitive-behavioralapproach(developedbyWilliamGlasser).Thistypeoftherapyfocusesonwhatishappeninginthepatient’scurrentlifeandalsolookstothepatient’sfuture.Unlikemanytypesoftherapythatlookfortherootcauseoftheproblem,RealityTherapyemploysaproblem-solvingapproachinordertoaddressthecurrentchoicesofbehaviorandhowthosechoicescanaffectfutureoutcomesinthepatient’slife.

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10
Q

InPsychoeducation,familymembersare:

a. includedwiththepatientinthetraining.
b. discouragedfromtakingpart.
c. neverpresent.
d. partoftheteachingteam.

A

A:“includedwiththepatientinthetraining:”ThedevelopmentofPsychoeducationgenerallyisattributedtoC.M.Andersonandhisworkinthetreatmentofschizophrenia.ThebasicideaofPsychoeducationiseducatingthepatientandfamilysotheparticularsoftheconditionaremadeclearer,andthereforemoreeasilymanaged.

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11
Q

Whichofthefollowingismostwidelyknownforbeingafamilytherapypioneer?

a. JayHaley
b. CarlRogers
c. SigmundFreud
d. JeanPiaget

A

A:“JayHaley:”JayHaleyisoneofthemostwidelyknownprofessionalsinthefieldoffamilytherapy.Hewasnotonlyapioneerinfamilytherapy,buthewasalsoastrongadvocateoffamilytherapyinbothlayandprofessionalsettings.Hisbooksonstrategicfamilytherapystresstherolesofpowerandhierarchyinthefamilystructure.

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12
Q

StrategicFamilyTherapyoftenisreferredtoas:

a. anteractivetherapy.
b. relationshiptherapy.
c. brieftherapy.
d. psychotherapy.

A

C:“brieftherapy:”Strategictherapiesfocusonneededchangesratherthanlengthoftimeofinvolvementintherapy.Oftenthesekindsoftherapiesconsistofapproximatelytentherapysessions.Assuch,thiskindoftherapyemploysaverygoal-
directedapproach,evaluateswhatalreadyhasbeentried,andincorporatesnewstrategiestoaffectchangeinatime-efficientmanner.

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13
Q

Towhichofthefollowingdoestheterm“family-of-origin”workrefer?

a. Examininggenealogicallinkstoancestry
b. examiningand/orchangingpatternsofinteractionthatformedinanindividual’sfamilyupbringing c. somethingthatonlyappliestothetherapist
d. somethingthatonlyappliestopatients

A

B:“examiningand/orchangingpatternsofinteractionthatformedinanindividual’sfamilyupbringing:”Family-of-originworkappliesbothtothetherapistandtothetherapist’sworkwithpatients.Thetherapistmustresolvehis/herownlearnedpatternsofinteractioninordertoworkeffectivelyinthetherapysettingwithpatientswiththeirownfamily-of-originissues.

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14
Q

Strategicfamilytherapysometimesiscalled

a. goal-activatedtherapy.
b. psychotherapy.
c. problemsolvingtherapy.
d. theMilanModel.

A

C:“problemsolvingtherapy:”Accordingly,Strategicfamilytherapyfocusesonworkingwiththefamilymemberstodefinetheproblem,aidingthefamilyinunderstandingtheproblem,andthenworkingwiththefamilymemberstosolvetheproblem.DuetoStrategicfamilytherapy’sstrongproblemsolvingapproach,oftenthetherapyisnamedaccordingtoitsprevailingcharacteristic.

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15
Q

WhichofthefollowingisamajorstrengthofBowenfamilytheory?

a. itsattentionuponpastfamilyinteractionasameansbywhichtoavoidfutureproblems
b. alonghistoryofstatisticaldatatobackupitstheory
c. itsfocusonthe“quickfix”
d. thefocusonpresentissuesratherthanlookingtothepastforanswers

A

A:“itsattentionuponpastfamilyinteractionasameansbywhichtoavoidfutureproblems:”Helpingthepatientinidentifyingandunderstandingthereasonsforpastfamilybehavioroffersanaidindealingwithpresentandfutureproblemsandisatime-efficientapproach,aswell.

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16
Q

Systemicfamilytherapyofteniscalled

a. theMilanModel.
b. Ericksoniantherapy.
c. traditionalpsychotherapy.
d. rational-emotivetherapy.

A

A:“theMilanModel:”SystemicfamilytherapyofteniscalledtheMilanmodelbecauseitwasdevelopedinMilan,ItalybyMaraSalviniPalazzoliandseveralothers.Thistherapeuticapproachdoesnotconcernitselfwithpastcausesordiagnosis;rather,itfocusesonhelpingdevelopnewpatternstoreplaceproblematicones.

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17
Q

Bowenfamilytherapyusesgenogramsas

a. awaytolengthenthetherapeuticprocess.
b. ameansbywhichtosetstandardsfortherapy
c. amethodtodeterminegeneticheredity.
d. avisualrepresentationofafamily.

A

D:“avisualrepresentationofafamily:”Usinggeometricfigures,thegenogramshowsapatient’sfamilytree.Thisvisualdetailingoftencoversoverthreegenerationsandisatimesavingapproachthathelpsbothpatientandtherapistreviewpatternsandotherusefulinformation.

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18
Q

InBowentheory,trianglesonewayto

a. minimizemalingering.
b. understandfamilyrelationships.
c. specificallyaddresshostiletherapypatients.
d. dealwithspecificchildhoodissues.

A

B:“understandfamilyrelationships:”A“triangle”existsbetweentwopeopleandanoutsider,anditisconsideredanemotionalbuildingblockandthesmalleststablerelationshipsystem.Anxietyexistswithinthetriangle,withonepersonsometimesfeelingliketheodd-person-outandseekingchange.Trianglescanbeeitherhealthyorunhealthy.

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19
Q

Regardingsiblingpositionsasrelatingtomarriage,ayoungestsonwoulddobestto

a. marryaneldestdaughter.
b. nevermarry.
c. marryayoungestdaughter.
d. marryamiddledaughter.

A

A:“marryaneldestdaughter:”Boweniantherapistsbelievethatpersonalitycharacteristicscandevelopbecauseoftheorderinwhichanindividualisbornintoafamily.Inthiscase,forexample,ayoungestsonmaybeaccustomedtobeingdoteduponandcaredfor.Bycontrast,theeldestdaughterisaccustomedtotakingcareofothers.Therefore,theyoungestsonandeldestdaughtermaycomplimenteachother’sneedswell.

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20
Q

InBowenianfamilytherapy,whatdoesdetriangulationallowapatienttodo?

a. itallowsapatientleavetherapyearly
b. itallowsapatienttoremainemotionallypresent,ratherthanrelyingonintellect. c. itallowsthepatienttobeincontactwhileremainingemotionallyseparate
d. allowsthepatienttooverlookintellectualconfusionuntilalaterpointintherapy

A

C:“itallowsthepatienttobeincontactwhileremainingemotionallyseparate:”Indetriangulation,patientslearntocommunicatebyrespondingratherthanbyreactingonanemotionallevel.

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21
Q

Towhichofthefollowingdoesthephrase“differentiationofself”refer?

a. atypeofself-helpstrategy
b. awaytohelpchildrenovercomeparentseparationissues
c. apsychotictherapeuticgoal
d. theabilitytoseparatethoughtsandfeelings

A

D:“theabilitytoseparatethoughtsandfeelings:”Differentiationofselfistheabilitytothinklogicallywithoutone’sfeelingsbeingengaged.Inthefamilytherapysetting
,thisabilityalsoprovesusefulinhelpingthepatientthinkaboutthingsapartfromtheinfluenceofthefamilystructure.

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22
Q

Askingthefamilytodevelopafamilycrestorfinishsentencessuchas“beingcloseinthisfamilyis”arewaystogaininsightinto

a. familygenograms.
b. familymyths.
c. Somatictherapy.
d. theMilanModel.

A

B:“familymyths:”Familymythsareessentiallytheideologyofthefamily.Theyarethecommonwaysofinteractingwithinaparticularfamilyunit,uponwhichthefamilymembersagree.Whiletheytendtobedistortionsofreality,theygenerallyareunderstoodwithinthefamilyunit.Rolesareoftenassignedtomembersofthefamilybasedonthesemyths.

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23
Q

Theabandonmentofafamilyritualisoftenrelatedto

a. thelossofabelovedpet.
b. familymembersmovingawayfromhome.
c. theonsetofdysfunctionwithinthefamilystructure.
d. anewmemberenteringthefamily.

A

C:“theonsetofdysfunctionwithinthefamilystructure:”Afamilyidentityisoftenlackingwhenthefamilymemberscannotdescribefamilyritualsthattheypractice.Likewise,whenapatientmakesstatementssuchas,“weusedtoalwayshaveabirthdaydinner,butdon’tanymore,”oneoftencannotetheonsetofdysfunctionpriortotheabandonmentofthatfamilyritual.

24
Q

Infamilytherapy,whichofthefollowingstatementsisdescribedbestbytheterm“disengagement”?

a. theemotional“disconnect”betweenadultandchild
b. anelevatedlevelofintimacybetweenfamilymembers
c. theendingofanengagementtomarry
d. thetraitsofafamily

A

D:“thetraitsofafamily:”Theterm“disengagement”oftendescribesthetraitsofafamilyorthecurrenttypeoffamilyinteractionorfunctioning.Disengagedfamilieslackintimacybetweenthemembers.Familymembersmayfeelisolated,havelimitedunderstandingofeachother,andhavelimitedcommoninterestsorinteraction.

25
Q

Aten year-olddirectshisyoungersiblingsintheirhouseholddutiesandhelpsthemwithhomework.
Whichofthefollowingtermsdescribethesetypesofactions?

a. inappropriatedirectiveness
b. excessiveresponsibility
c. parentification
d. parental-childdiscord

A

C:“parentification:”Parentificationisaconceptusedintheassessmentofthefamily.Itreferstoanon-parentindividualtakingontheparentrole.Thisroleconfusioncanbeproblematicforboththeindividualtakingontherole(astheymaynotbeequippedtodoso),andfortheindividualsbeingparented(asthe“parent”maynotbeabletomeettheneedsofthosepersonsbeingparented).

26
Q

21.Sexualproblemsbetweenparentsinthefamilystructureareoften

a. viewedasdysfunctionalrelationshipissuesandreferredelsewhere. b. addressedfirst,priortoanyfamilytherapybeinginitiated.
c. dismissedasunimportant.
d. includedinthefamilytherapyprocessasawhole.

A

A:“viewedasdysfunctionalrelationshipissuesandreferredelsewhere:”Sexualissuesareoftenviewedintermsofrelationshipissues,andnotaddressedasasignificantpartofthefamilytherapyprocess.However,variousassessmentmethodscanclarifythesexualdysfunction(suchasasexualgenogramandvariousquestionnaires).

27
Q

WhichofthefollowingissuesdoestheMcAndrewScaleassess?

a. psychoticsymptoms
b. paranoidtendencies
c. alcoholabuse
d. antisocialtraits

A

C:“alcoholabuse:”TheMcAndrewAlcoholismScalewasdevelopedin1965fromtheMMPI(MinnesotaMultiphasicPersonalityInventory).Thisassessmentisaforty-nineitemobjectivetestusedasameasureofsubstanceabuse(specificallyalcohol).

28
Q

Ifafamilymemberaccusesoneofyourpatientsashavinganalcoholproblem,whichofthefollowingtestswouldyoumostlikelyusetogainfurtherinsightintothesituation?

a. Rorschach
b. WISC-R
c. WPPSI
d. MAST

A

D:“MAST:”Developedin1971,theMichiganAlcoholismScreeningTest(MAST)consistsoftwenty-twoquestionsthataidtheclinicianindeterminingtheintensityofadrugproblem.Thisassessmentisconsideredoneofthemostaccuratescreeningtestsavailable.

29
Q

TheFILEscreeningtestmostcloselyrelatestowhichofthefollowing?

a. stress
b. childdisciplinaryproblems
c. maritaldiscord
d. substanceabuse

A

A:“stress:”FILE(FamilyInventoryofLifeEvents),isaquick-to-usemeasureoffamilystress.Thetestisaseventy-oneitemscreeningtoolthatrevealsthenumberofstressinglifeeventsthathaveoccurredinthefamily,andthisassessmentcanbecompletedbymorethanonefamilymember.Finally,itcanalsobeusedwithinanyfamilystructure.

30
Q

TheBeaversscalesI&II,primarilygiveanoverallindicationof

a. interactionstyleandfamilycompetence.
b. substanceabuseissuesanddependency.
c. neurologicaldeficits.
d. parent-childconflictandsibling-siblingconflict.

A

A:“interactionstyleandfamilycompetence:”TheBeaversSystemsModelofFamilyFunctioningisanoften-
usedmethodofassessment.Stylecanrangefromcentripetaltocentrifugal.Competencecanrangefromoptimaltodysfunctional.Inaddition,aself-reportinventory(SFI)measuresindividualfamilymembers’perceptionsoftheoverallleveloffamilyfunctioning.

31
Q

WhichofthefollowingsometimesisconsideredadownsideoftheMaritalSatisfactionInventory(MSI-R)?

a. easeofadministration
b. reliability
c. validity
d. theamountoftimeneededforadministration

A

D:“theamountoftimeneededforadministration:”DevelopedbyDouglasSnyder,theMaritalSatisfactionInventory(MSI-R)isconsideredareliableandvalidindicatorofacouple’soverallmaritalsituation.Itconsistsof150true-falsequestions(foreachpartner)andrevealsbothstrengthsandareasinneedofchange.Theassessmenttendstotakeatleastthirtyminutestocomplete,sometimesconsideredadownsideoftheinventory.

32
Q

Whenyouaskyourpatient,“ifyourbrotherwon’tpickuphistoys,whatwillyourmotherdo?”Whattherapeutictechniqueareyouusing?

a. interrogativequestioning
b. circularquestioning
c. intuitivereasoning
d. free-association

A

B:“circularquestioning:”Circularquestioningisanon-threateningtherapeutictechniqueespeciallyusefulforclientswhomayhavedifficultyexpressionthemselves.Thistypeofquestioningisusefulingaininginsightintotheperspectiveoftheindividualbeingaskedthequestionsandalsoactsasapromptforthepersonwhoisbeingspokenabout.

33
Q

Whatmustatherapistpresenttothepatientbeforeaneffectiveteachingmomentcanoccur?

a. feedbackonthedesiredskill
b. ademonstrationofthedesiredskill
c. therationaleforlearningtheskill
d. statisticaldata

A

C:“therationaleforlearningtheskill:”Thefirststepinasystematictrainingprocedureistoprovidearationaleforthedesiredskill.Thepatientneedstounderstandhowtheskillwillbeofbenefittohimorher.Followingprovidingtherationale,thetherapistcanfacilitateskillsdemonstrationandpractice,andthenprovideappropriatefeedback.

34
Q

Reflectivelisteningisausefultoolinmaritalcounseling.WhatarethefourmaincomponentsofthisRogeriantechnique?

a. empathy,congruence,analysis,concreteness
b. empathy,congruence,acceptance,concreteness
c. empathy,congruence,definition,evaluation
d. empathy,congruence,differentiation,variability

A

B:“empathy,congruence,acceptance,concreteness:”Empathyreflectsthetherapist’sdesireto“getinside”thespeaker’sthoughts,andcongruencerelatestothetherapist’sopenness.Acceptanceimpliesrespectforthespeaker,andconcretenessindicatestheneedtokeepthingsspecificratherthanvagueandunfocused.Allfourcomponentsarenecessaryforsuccessfulreflectivelisting.

35
Q

Acommondifficultywhenteachingself-disclosureis.

a. limitedtimetoteachtheneededskills.
b. theneedtoplacelimitsonwhatcanbedisclosed.
c. individualmonetaryconsiderations.
d. thatthepatientmaynotunderstandthedifferencebetweenthoughtsandfeelings.

A

D:“thatthepatientmaynotunderstandthedifferencebetweenthoughtsandfeelings:”Teachingapatienteffectiveself-disclosureincludesanunderstandingofthedifferencebetweenthoughtsandfeelings.Urgingpatientstotalkabouthowtheycontributetotherelationshipandaboutthemselvesingeneralmayalsonaturallyleadtodisclosuresaboutfeelings.

36
Q

“Time-out”is

a. achildmanagementtechnique.
b. abriefrespitefromtheprimaryrelationship.
c. ameansbywhichtoendsituationalmaritaldiscord.
d. awaytodenoteatemporarybreakfromtherapy.

A

A:“achildmanagementtechnique:”Time-outisatechniquetaughttoparentstohelpwithdisciplineissues.Itisoftenusedasasubstituteforcorporalpunishment,anditisgenerallyeasyforparentstouse.Quitesimply,time-outinvolvesmovingthechildawayfromthehigh-stimulationsituationforasetperiodoftime.

37
Q

Iftherapysessionsarepassingwithlittlechangeandlethargyseemstohavesetin,thetherapistmaychooseto

a. refundaportionofthepatient’smoney.
b. promoteacrisis.
c. seektoendtherapyearly.
d. schedulemoreandlongersessions.

A

B:“promoteacrisis:”Whenlethargyhassetin,andlittleornochangeisapparent,thenitmaybeprudentforthetherapisttoinduceacrisisintothetherapysession.

38
Q

Whichofthefollowingchoicesisthepurposeofreframingsymptoms?

a. toeliminatethemfromthetherapyprocess
b. tochangethetherapist’sperspectiveoftheproblem
c. tochangeapatient’sperspectiveoftheproblem
d. tomaintaintherapeuticcontinuity

A

C:“tochangeapatient’sperspectiveoftheproblem:”Reframingproblemsandperspectivescanleadtonewpossiblesolutions.Avarietyofwaysexiststoreframeasymptom.Oneexamplemightbetocastapositivelightonapreviouslynegativelyviewedbehavior.Viewingthenegativeaspotentiallypositivecanopenthepatientuptonewdiscussionandpossiblesolutions.

39
Q

Externalizingtheproblemofanalcoholaddictionmeans

a. placingthefocusonthepatient’sbehavior.
b. focusingontheaddiction.
c. keepingthefocusonthefamily’sreactiontotheaddiction. d. discussingonlythenegativeeffectsofthedrinking.

A

B:“focusingontheaddiction:”Familiesoftenwillvilifythealcoholicinthefamily,causingmoreshameandlesslikelihoodofthepatientrespondingtohelpfulefforts.Externalizingtheproblemtoafocusonthe“addiction”canaidineveryoneattackingtheproblemratherthanattackingtheindividual.

40
Q

Whenchildrenareadisruptioninafamilysession,whichofthefollowingactionslikelywouldallowthetherapistthemosttherapeuticinformation?

a. immediatelyterminatethesession
b. thetherapistinterveneswiththechildren
c. donothinginitiallyandletthesituationplayout
d. asktheparentstointervene

A

C:“donothinginitially,andletthesituationplayout:”Whenchildrenaredisruptiveduringafamilysession,therapistscanmanagethesituationinseveralways.Commonlyusedoptionsincludeallowingthesituationtoplayout(givingthetherapisttheopportunitytoobservetheparentingstyle),requestingthattheparentsintervene,orforthetherapisttointervene(modelingappropriateintervention).

41
Q

Whenpatientsdon’tcompleteorinaccuratelycompleteout of sessionworkassignedbythetherapist,this situation is usually.

a. thetherapist’sfault.
b. becausethepatient’sdon’tliketheassignment.
c. duetolosingtheassignment.
d. becauseofpsychologicalpathology.

A

A:“thetherapist’sfault:”Whenpatientsdonotcompleteassignments,itisoftenthetherapist’sfault.Commonreasonsforthisfailuretocompleteincludeassignmentsthatareunreasonableinlightofthepatient’scapabilities.Sometimestherapistshavenotexplainedassignmentsproperly,ortheassignmentsrequiremoretimetocompletethanthepatienthasavailable.Therapistsshouldconsiderthesefactorsandotherfactorsbeforeassigningout-of-sessionworkinordertomanagesuchworkinasuccessfulmanner.

42
Q

Afamilyyouaretreatingmustrelocatetoanotherstate.Whatactionareyoulikelytotake?

a. escalatethetreatmentmodalityinordertoachievegoalsmorequickly
b. terminatetreatment
c. referthefamilytoatherapistintheirstate
d. noactionneedstobetaken

A

C:“referthefamilytoatherapistintheirstate:”Whenafamilyinformsthetherapistoftheirimpendingrelocation,itiscommontomakeareferraltoanothertherapist.A“releaseofinformation”alsoshouldbeobtainedatthistimesothetherapistcansendhisorherclinicalnotestothenewtherapist,whichwillaidinthecontinuityofcare.

43
Q

Determiningwhentoterminatefamilytherapyisdifferentfromdeterminingwhentoterminateindividualtherapybecause

a. thetherapeutictrainingoffamilytherapistsisdifferent.
b. infamilytherapyitismoredifficulttoknowwhengoalsaremet.
c. the“problems”dealtwitharefarmorecomplex.
d. familiesarealwaysevolving.

A

D:“familiesarealwaysevolving:”Familytherapytendstobequiteproblem-focusedandevolving,sodeterminingtheendofthetherapyisnotalwayseasy.Sincethefamilyandthetherapistoftenagreeuponthenumberofsessionsatthebeginningoftherapy,theinvolvedpartiescanevaluategoalprogressneartheendoftheprescribednumberofsessions.Thenthefamilyandthetherapistcancollaborateanddecideregardingeitherterminationoradditionalsessions.

44
Q

WhatisanoverridingtechniqueusedrepeatedlyinBowenFamilyTheory?

a. givingtests
b. theuseofhomeworkorout-of-sessionassignments
c. askingquestions
d. takingsurveys

A

C:“askingquestions:”Askingquestionsisacriticaltoolinfamilytherapy,especiallyinBowenFamilySystemsTherapy.Theinformationderivedfromquestionsaidsthetherapist,aswellasenhancesfamilymembersinunderstandingthemotivationsandperceptionsofotherfamilymembers.

45
Q

Whenacouplewantstoterminatetherapyeventhoughthetherapistadvisesagainsttermination,whatactionisthetherapistlikelytotake?

a. pointoutthedireconsequencesofendingtherapy
b. respectthepatient’sdecision
c. seekacourtordertoforcethecontinuationoftherapy
d. chargethepatientsapenaltyfeeforearlyterminationoftherapy

A

B:“respectthepatient’sdecision:”Whenpatientswishtoterminatetherapyagainsttheadviceofthetherapist,thetherapistultimatelymustrespectthepatient’srighttodiscontinue.Thetherapistshouldreviewprogressmadeinrelationtogoalsset,makethenecessaryrecommendationsandsuggestions,butultimatelyrespectthepatient’sdecision.

46
Q

Atherapist’sstudentsharesconcernsaboutdysfunctionalbehaviorinthestudent’sfamily.Thestudentrequestsasessionwiththetherapist.Isitacceptableforthetherapisttoseethestudent(andhisfamily),inatherapysetting?

a. yes
b. no
c. yes,butonlyifallthefamilymembersareawareofthestudent/therapistrelationship
d. yes,butonlyifnofeesarecharged

A

B:“no:”Enteringintoatherapeuticrelationshipwithastudentisconsideredinappropriateandunethical.Theriskofpossibleexploitationandimpairedobjectivity(giventheinfluentialpositionofthetherapist/supervisoroverthestudent),presentsaninappropriatetherapeuticsetting.

47
Q

Yourpatienttellsyouthatshedoesnotmindifyousharedetailsofyoursessionswithothers.Isitacceptabletoshareyourpatient’sconfidentialinformation?

a. no
b. yes
c. yes,butonlyifshealsogiveswrittenconsent
d. yes,butonlyifshewascompetenttogiveherverbalconsentatthetimeshespokewithyou.

A

C:“yes,butonlyifshegiveswrittenconsent:”Sharingconfidentialinformationisinappropriateandunethicalunlessthetherapisthaswrittenconsentfromthepatient.Theonlytimeawrittenconsentisnotnecessaryisinthecaseofanemergency,andthetherapistdeemssuchdisclosurenecessary.

48
Q

Yourpatientwantstopayyouviaanexchangeofservicesratherthanmonetarily.Issuchanarrangementethicallyacceptable?

a. yes
b. no
c. yes,butonlyiftheservicesareofanappropriatevalue
d. yes,butonlyunderspecificcircumstances

A

D:“yes,butonlyunderspecificcircumstances:”Payingfortherapywithgoodsorservicesisacceptableifthepatientinitiatesthearrangement,andifthearrangementisnotexploitativeinanyway.Inaddition,theformofpaymentshouldnotnegativelyimpacttheintegrityofthetherapeuticrelationship.Further,aclearlywrittencontractshouldspecifythetermsofthearrangement.

49
Q

Youwerethefacultyadvisoronastudent’sresearchproject.Whentheprojectispublished,shouldyoureceiveauthorshipcredit?

a. yes,butonlyifyoumadesubstantialcontributionstotheprojectbeyondbeingsimplyanadvisor.
b. no
c. yes,always
d. yes,butonlyifmonetarypaymentisinvolved.

A

A:“yes,butonlyifyoumadesubstantialcontributionstotheprojectbeyondbeinganadvisor:”Receivingcreditforauthorshipofaresearchprojectonlyshouldhappeniftheadvising/supervisingindividualmadeasignificantcontributiontotheproject.Simplyactingasanadvisororcommitteememberdoesnotwarrantauthorshipcredit.

50
Q

Therapistsinvolvedintreatmentofindividualsinvolvedincustodyissuesmaynotperformforensicevaluationsforcustodyofthoseindividualsdueto

a. safetyconsiderations.
b. monetaryconsiderations.
c. concernsregardingconfidentiality.
d. conflictofinterestissues.

A

D:“conflictofinterestissues:”Atherapistwhoisseeingapatientfortherapywouldexperienceconflictofinterestissuesifheorshealsowasinvolvedinaforensicevaluationtohelpdeterminecustodyissues.However,therapistscanprovideinformationtothecourtabouttheindividualinquestion,aslongasthetherapistmaintainspatientconfidentiality.

51
Q

Canatherapistwithholdapatient’srecordsifthatpatienthasnotpaidforservicesrendered?

a. yes
b. no
c. yes,butonlyifamountofnon-paymentisinexcessof$500
d. yes,ifpreviouslyexplainedtothepatient

A

B:“no:”Atherapistcannotwithholdapatient’srecordsimplyduetonon-paymentissues.Thewelfareofthepatientmustbeparamountoverotherconsiderations.

52
Q

Youareconductingaresearchstudy,havingrecruitedseveralvolunteerstoactasp
articipants.Oneofyourvolunteerswishestowithdrawfromthestudyhalfwaythrough,whichwillsignificantlyaffectyourstudyinanegativemanner.Doyouallowtheparticipanttowithdraw?

a. no,underanycircumstances
b. Iftheparticipantwasproperlybriefedpriortovolunteering,thenno
c. yes,butonlyifyoucaneasilyreplacetheparticipant
d. yes

A

D:“yes:”Researchersshouldbriefresearchparticipantsproperlybeforetheparticipanttakespartinanyresearch.Nonetheless,participantsmustbeallowedtoleaveatanytimeiftheysochoose.Particularly,researchersshouldbecognizantofanypossiblereasonsforvolunteerstofeelcoercedintostayingwithastudy,andthevolunteer’swishesalwaysshouldberespected.

53
Q

Youengageinsexualactivitywithsomeoneyouhavebeensupervising,andthispersonraisesacomplaint.Whichofthefollowingistrue?

a. Youareresponsibletoprovethatnoinjuryhasbeendonetothesupervisee.
b. Thesuperviseemustprovethatdamagewasdoneasaresultofthesexualencounter.
c. Thereisnoresponsibilitytodoanything,sincethematterisdecidedbytheethicscommittee.
d. Sincethisisapersonalmatter,nothingmoreneedstobedone.

A

A:“youareresponsibletoprovethatnoinjuryhasbeendonetothesupervisee:”Inasupervisionrelationship,itisinappropriateforasupervisortoengageasexualrelationshipwithasupervisee.However,ifasexualrelationshipdoesoccur,thesupervisorisresponsibletoprovethatthestudentexperiencednodamageduetotherelationship.

54
Q

Yourpatienthaschosentoendhismarriage,eventhoughyouhaveexploredthemanynegativeconsequencesofdoingso.Youshould

a. insistthatheremaininhismaritalrelationship.
b. guidehiminunderstandingthepossibleconsequencesofhisactions,butrespecthisdecision.
c. tellhimyouwillcontacthiswifeifheinsistsondivorce.
d. informfamilymembersofhisdecisionandseektheirhelp.

A

B:“guidehiminunderstandingthepossibleconsequencesofhisactions,butrespecthisdecision:”Thetherapistassiststhepatientinunderstandingtheconsequencesofchoicesandguidesthepatient,butthepatient’sdecisionsarehis/herownandmustberespected.

55
Q

Afamilythateffectivedealswithgrief,alsoisprobablyvery

a. open.
b. directive.
c. resistant.
d. closed.

A

A:“open:”Familiesthatareopenandspeakfreelyregardingissuesoflossaremorelikelytodealeffectivelywiththeirgrief.Likewise,adirect,openapproachisoftenbestwhenfacilitatingresolutionoflossissueswithinthefamilystructure.

MFT Licensing Exam (1 decks)

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