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WorksheetsMFT 523 Final Exam Study Guide
Total questions: 40
Worksheet time: 23mins
When doing family counseling, who is your client?
The relationship and the family as a whole
The oldest family member
The person who pays for the session
The youngest child
What are the barriers to effect family assessment? (List any one)
When the therapist is not involved in the scheduling of the initial session. OR When the dialogue is between one client and the therapist, excluding the other client in the room. OR Not including multiple family members in the first session and beyond.
Having all family members present and engaged in the session.
Ensuring open communication among all family members.
Scheduling sessions at convenient times for everyone.
You are doing therapy with a “nuclear family”. Name the “subsystems” within that system:
Spousal (husband, wife); Siblings; Parent-Child
Grandparent-Grandchild; Cousins; Neighbors
Teacher-Student; Employer-Employee; Friends
Coach-Athlete; Roommates; Classmates
What is the goal for hierarchy?
Shared power to the parents, who have greater power than the children
Equal power between parents and children
Children have more power than parents
No power structure in the family
What is a “poorly defined hierarchy”?
Unclear who has the power.
Everyone has equal power.
There are too many leaders.
Decisions are made quickly.
What is a “rigidly defined hierarchy”?
One or both of the parents have all the power giving none to the children.
Children have equal power as parents in all decisions.
All family members share power equally at all times.
Children have more power than parents in decision making.
What is an “incongruous hierarchy”?
Children have all the power
Parents have all the power
There is no hierarchy
Everyone has equal power
Name one of the two functions of a boundary:
They define the membership of the family OR They regulate emotional and physical distance
They determine the financial status of the family
They assign chores to family members
They decide the family's vacation destination
One treatment is as good as another: True or False?
True
False
It doesn’t matter what you do in therapy, as long as you have a good relationship with the client.
True
False
Models are unimportant.
True
False
Outcome based research is a waste of time.
True
False
You have to choose between a model based and common factor approach.
True
False
What are the 8 C’s of Couples’ Assessment?
Children, Contract, Culture, Commitment, Communication, Conflict Resolution, Caring and Cohesion
Children, Career, Culture, Communication, Conflict, Companionship, Caring and Cooperation
Children, Contract, Culture, Communication, Conflict, Creativity, Caring and Connection
Children, Contract, Culture, Communication, Conflict, Commitment, Caring and Compatibility
Four common factors unique to couple and family therapy:
Expanding the therapeutic alliance
Disrupting dysfunctional relational cycles
Conceptualizing relational terms
According to “Common Factors” the four common factors unique to couple and family therapy stand in contrast to the DSM view that mental disorders are conditions that occur:
within the person
between social groups
in the environment only
due to cultural differences
According to the PowerPoint the initial session begins with
When a potential client calls you should never ask them what issue is bringing them to therapy.
True
False
The PowerPoint identified 7 administrative issues:
Confidentiality/limits of confidentiality
Fees
Session structure
Technology Assisted Services
Therapeutic process
Who sets goals for therapy?
the client
the therapist
the client's family
the insurance company
The authors state that some of the earliest theorist actively worked against strategies that worked against common factors.
True
False
According to the author the early models emphasized social support and utilizing the family as the pathway to change.
family
community
school
workplace
The belief that all therapies have roughly equal outcomes is known by this imaginative name.
The Dodo Bird Effect
The Butterfly Effect
The Placebo Principle
The Chameleon Theory
Karasu stated that all psychotherapies impact the client by moving them to engage in one of three processes.
Thoughts, Feelings, and Actions
Beliefs, Values, and Attitudes
Habits, Skills, and Behaviors
Motivation, Intention, and Desire
When does the assessment process end?
It never ends.
It ends after the first test.
It ends after the final exam.
It ends after the feedback session.
Name the five things that assessment helps us to determine.
How are the problems manifesting themselves?
What do our clients expect from therapy?
Why does the problem exist?
What is the best form of therapy?
Is the therapy working?
Name the challenges of assessment.
Lack of clear criteria, subjectivity, time constraints, and resource limitations
Abundance of resources and time
No need for criteria or feedback
Assessment is always objective and easy
Complete this phrase…
Focus on process, not content.
Focus on results, not effort.
Focus on content, not process.
Focus on outcome, not method.
The content that the client brings will always be changing. The process never does so that’s where our focus needs to be. What remains constant according to the phrase?
The content
The process
The client
The change
Model of Assessment: Name the five factors in the model of assessment.
Biological factors, Psychological factors, Social factors, Spiritual factors, Systemic factors
Physical factors, Emotional factors, Economic factors, Cultural factors, Environmental factors
Cognitive factors, Emotional factors, Behavioral factors, Environmental factors, Genetic factors
Medical factors, Educational factors, Occupational factors, Recreational factors, Familial factors
What are two of the 5 basic skills you’ll be addressing in small group?
open-ended questions, rapport building, active/reflective listening, collaboration, non-anxious presence
time management, note-taking, summarizing, questioning, debating
public speaking, critical thinking, memorization, outlining, brainstorming
goal setting, scheduling, prioritizing, multitasking, decision making
Transference is when the client has an emotional reaction to their therapist because of their past.
Transference is when the client has an emotional reaction to their therapist because of their past.
Transference is when the therapist shares personal experiences with the client.
Transference is when the client avoids discussing their feelings in therapy.
Transference is when the therapist develops feelings for the client.
What is counter-transference?
Counter-transference is when a therapist has an emotional reaction to the client because of their past.
Counter-transference is when a client forgets their past experiences.
Counter-transference is when a therapist prescribes medication to a client.
Counter-transference is when a client analyzes the therapist's emotions.
Name 3 of the 10 ways to deal with difficult clients:
Listen actively, stay calm, set boundaries
Ignore the client, argue back, avoid communication
Complain to others, escalate immediately, refuse service
Delay responses, provide minimal help, avoid eye contact
Do not respond to sarcasm with sarcasm or hostility with hostility.
Do not respond to sarcasm with sarcasm or hostility with hostility.
Always respond to sarcasm with more sarcasm.
Respond to hostility by ignoring it completely.
Encourage sarcasm and hostility in conversations.
Be aware of your own counter-transference reactions and responses.
Be aware of your own counter-transference reactions and responses.
Ignore your own feelings during sessions.
Focus only on the client's transference.
Suppress any emotional reactions you experience.
Do not take your client’s responses personally.
Do not take your client’s responses personally.
Always react emotionally to your client’s responses.
Ignore your client’s responses completely.
Take your client’s responses as a personal attack.
When you feel stuck with a client the first thing you should do is refer them to another therapist.
True
False
Common factors focus on the superiority of one model as compared to another model.
True
False
Relational therapists tend to be more resistant to common factors than individual therapists.
True
False
