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Family Counselling (ECG20803)

Total questions: 81

Worksheet time: 41mins

Name
Class
Date
1.

During the 1950s–1960s, systemic thinking in family therapy emerged to emphasize that problems are best understood within ________.

a)

Patterns of family interactions

b)

An individual’s personality traits

c)

Political and cultural influences

d)

The socioeconomic status of the client

2.

In Malaysia, family therapy began gaining recognition in the 1980s due to ________.

a)

The influence of Western media

b)

The rise of private counselling centres

c)

Government policy on mental health

d)

Increased divorce rates and family issues

3.

Which statement best describes the shift in family therapy from 1940 to 2009?

a)

Focused solely on individual pathology

b)

Ignored cultural influences on family dynamics

c)

Promoted medication as the primary treatment

d)

Emphasized systemic interactions within families

4.

Who is considered a pioneer in the development of family therapy?

a)

Albert Ellis

b)

Carl Rogers

c)

Erik Erikson

d)

Virginia Satir

5.

The early development of family therapy in the mid-20th century was significantly influenced by the study of communication patterns in families with a member diagnosed with schizophrenia. Which pioneer is most closely associated with this research?

a)

Virginia Satir

b)

Carl Whitaker

c)

Gregory Bateson

d)

Salvador Minuchin

6.

A psychology student cites a pioneer in her assignment who concentrated on family congruence and communication patterns, which became extremely pertinent in multicultural counselling settings in Malaysia. Who is this pioneer?

a)

Carl Rogers

b)

Virginia Satir

c)

Carl Whitaker

d)

Murray Bowen

7.

The fundamental premise that shifted counselling from an individual to a family focus was the idea that a person's symptoms could be a manifestation of dysfunction within the entire family unit. What is this individual referred to as?

a)

The Scapegoat

b)

The Primary Client

c)

The Problem Holder

d)

The Identified Patient

8.

A key paradigm shift in the history of family therapy was the move from linear causality to circular causality. Which of the following statements best describes circular causality?

a)

A mother’s anxiety directly causes her child’s misbehaviour.

b)

A father's past trauma is the single reason for his current anger.

c)

An individual's behaviour is caused by unconscious and unresolved internal conflicts.

d)

A child’s tantrum and a parent’s harsh response mutually influence each other in a recurring loop.

9.

Family therapy in its early development focused on shifting the perspective from the individual to ________.

a)

The family system

b)

The school context

10.

In contemporary family therapy practice in Malaysia (post-2010), there is a greater emphasis on integrating various therapeutic models and considering sociocultural contexts. This approach is best described as ________.

a)

Structural

b)

Behavioural

c)

Psychoanalytic

d)

Integrative and multicultural

11.

The evolution of family therapy post-2010 includes ________.

a)

A return to Freudian psychoanalysis

b)

Rejection of multicultural perspectives

c)

Exclusive use of behavioural techniques

d)

Integration of neuroscience and attachment theory

12.

Which of the following best explains why the 2010s marked a turning point in family therapy?

a)

The dominance of psychoanalysis

b)

The abandonment of multicultural considerations

c)

The removal of systemic perspectives from practice

d)

The shift from structural models to integrative approaches

13.

According to the normative stages of the individual life cycle, what is the primary psychosocial crisis that an adolescent must resolve?

a)

Trust vs. Mistrust

b)

Initiative vs. Guilt

c)

Intimacy vs. Isolation

d)

Identity vs. Role Confusion

14.

Which of the following is a key characteristic of early family therapy models?

a)

Use of hypnosis

b)

Individual diagnosis

c)

Focus on medication

d)

Emphasis on communication patterns

15.

According to Carter & McGoldrick’s family life cycle model, the launching stage involves ________.

a)

Couple formation

b)

Adolescents leaving home

c)

Parenting young children

d)

Retirement and aging

16.

The family life cycle includes which of the following stages?

a)

Launching children

b)

Retirement planning

c)

Career development

d)

Academic achievement

17.

A Malaysian couple in their late 20s just got married and are adjusting to living together. According to the family life cycle, they are in the stage of ________.

a)

Retirement

b)

Launching children

c)

Parenting adolescents

d)

New couple / joining of families

18.

Carter and McGoldrick’s Family Life Cycle model outlines several stages of development. The stage characterized by negotiating a new family system, realigning relationships with extended families, and making space for a spouse is known as ________.

a)

The new couple

b)

Families in later life

c)

Families with young children

d)

Launching children and moving on

19.

The Kumar family is experiencing significant stress. Their eldest child is preparing for SPM examinations, their youngest has just started primary school, and Mrs. Kumar is now caring for her aging mother who has moved in. This situation best illustrates the concept of ________.

a)

Dysfunctional family communication

b)

A failure to launch a single young adult

c)

A family crisis caused by a single event

d)

The convergence of multiple family life cycle transitions

20.

In the Malaysian context, extended families often play a role in ________.

a)

Reducing family conflict

b)

Promoting individualism

c)

Supporting child-rearing

d)

Increasing financial burden

21.

In individual life cycle development, Erikson’s stage relevant to young adulthood is ________.

a)

Trust vs. Mistrust

b)

Integrity vs. Despair

c)

Intimacy vs. Isolation

d)

Autonomy vs. Shame

22.

Family transitions such as divorce or remarriage can lead to ________.

a)

Increased family cohesion

b)

Role ambiguity and stress

c)

Improved communication

d)

Reduced emotional expression

23.

A family transition, such as the birth of a first child, requires the family system to adapt. What is the primary developmental task for the couple during this transition?

a)

To re-establish financial stability

b)

To launch the child into their own life

c)

To disengage from the extended family

d)

To accept new members into the system

24.

When a Malaysian family transitions from empty nest to retirement, which challenge is most likely?

a)

Raising toddlers

b)

Negotiating new roles with adult children

c)

Experiencing separation anxiety from peers

d)

Establishing intimacy for the first time

25.

Which concept refers to predictable changes in family structure over time?

a)

Family roles

b)

Family life cycle

c)

Family dynamics

d)

Family boundaries

26.

The individual life cycle and the family life cycle are interconnected. When an individual's developmental needs are out of sync with the family's stage, it can create tension. Which scenario best exemplifies this?

a)

A 45-year-old father is promoted at work while his children are in primary school.

b)

A 25-year-old son decides to move back home after university, just as his parents were preparing to downsize their home for retirement.

c)

A couple gets married in their late twenties and decides to have children a few years later.

d)

A teenager develops close friendships at school, which is a normal part of adolescence.

27.

In family systems theory, the term used to describe a family's tendency to maintain stability and resist change, even if the patterns are dysfunctional is ________.

a)

Adaptation

b)

Equilibrium

c)

Homeostasis

d)

Morphogenesis

28.

Which concept explains how behaviour of one family member affects others?

a)

Linear causality

b)

Circular causality

c)

Cognitive distortion

d)

Individual pathology

29.

A father’s strict parenting leads to the child’s rebellion, which then causes more strictness from the father. This describes ________.

a)

Circular causality

b)

Linear causality

c)

Differentiation

d)

Triangulation

30.

According to Murray Bowen, the ability of an individual to separate their emotional and intellectual functioning from that of the family is known as ________.

a)

Triangulation

b)

Emotional Cutoff

c)

Differentiation of Self

d)

Family Projection Process

31.

Which of the following is a characteristic of a healthy family system?

a)

Enmeshed roles

b)

Rigid boundaries

c)

Clear communication

d)

Suppressed emotions

32.

The term homeostasis in family systems refers to ________.

a)

A family’s ability to maintain balance and stability

b)

The process of moving from adolescence to adulthood

c)

The hierarchy between parents and children

d)

The conflict resolution style

33.

A subsystem in family therapy refers to ________.

a)

A diagnostic tool

b)

A group of therapists

c)

A government agency

d)

A smaller unit within the family

34.

Differentiation of self, introduced by Murray Bowen, refers to ________.

a)

The ability to maintain personal identity while remaining emotionally connected

b)

The separation of nuclear family units

c)

The process of therapy termination

d)

The development of ego boundaries

35.

Mrs. Sarah often complains to her eldest daughter about her marital problems with Mr. Kamal, instead of addressing the issues with him directly. This diverts the marital stress and involves the daughter in their conflict. This is a classic example of ________.

a)

Triangulation

b)

Differentiation

c)

Emotional cutoff

d)

Family projection process

36.

Boundaries in family systems are important because they _________.

a)

Promote secrecy

b)

Encourage dependency

c)

Prevent emotional expression

d)

Define roles and responsibilities

37.

The concept of family rules in systems theory refers to the _________.

a)

Written list of household chores posted on the refrigerator.

b)

Legal statutes governing family conduct in Malaysia.

c)

Explicit government policies on family welfare.

d)

Unspoken patterns of interaction that govern family members' behaviour.

38.

A Malaysian university student resists family pressure to follow traditional career paths yet remains emotionally close to his parents. This best reflects _________.

a)

Cut-off

b)

Differentiation

c)

Enmeshment

d)

Homeostasis

39.

In family systems theory, the term homeostasis refers to _________.

a)

Role confusion

b)

Conflict escalation

c)

Emotional suppression

d)

Stability and resistance to change

40.

A family has extremely rigid boundaries. What is a likely characteristic of this family?

a)

Members are overly involved in each other's lives and lack autonomy.

b)

There is a high degree of emotional exchange with the outside community.

c)

Family members operate in isolation and have limited emotional connection to one another.

d)

The family adapts easily to new situations and external stressors.

41.

If a teenage son confides more in his mother during parental conflict, creating tension between mother and father, this demonstrates _________.

a)

Boundaries

b)

Triangulation

c)

Homeostasis

d)

Differentiation

42.

The DSM-5 is primarily used in counselling to _________.

a)

Measure life satisfaction

b)

Classify mental disorders

c)

Diagnose family dynamics

d)

Provide career assessment tools

43.

The Mental Status Examination (MSE) assesses _________.

a)

Family roles

b)

Parenting styles

c)

Emotional bonding

d)

Cognitive and psychological functioning

44.

In family counselling, the DSM is used to _________.

a)

Evaluate parenting skills

b)

Assess family communication

c)

Measure emotional intelligence

d)

Diagnose individual mental disorders

45.

A counsellor is conducting an initial assessment with a family and asks about their jobs, education levels, and social support network. Which component of the assessment is being explored?

a)

Family history

b)

Presenting problem

c)

Family resources and strengths

d)

Communication patterns

46.

The standard manual used by mental health professionals in Malaysia and worldwide for the classification of mental disorders is the _________.

a)

Mental Status Examination (MSE)

b)

International Classification of Diseases (ICD)

c)

Diagnostic and Statistical Manual of Mental Disorders (DSM)

d)

Family Adaptability and Cohesion Evaluation Scale (FACES)

47.

When a counsellor in Malaysia conducts a Mental Status Examination (MSE), they are assessing ____________.

a)

Social background and career interests

b)

Client’s cultural values and beliefs

c)

Psychological functioning such as mood, thought, and cognition

d)

Financial stressors

48.

Which of the following is NOT typically part of the MSE?

a)

Mood

b)

Appearance

c)

Family history

d)

Thought process

49.

A Mental Status Examination (MSE) is a systematic appraisal of a client's psychological functioning. If a counsellor notes that a client's emotional expression appears severely restricted, this observation relates to the client's _________.

a)

Mood

b)

Affect

c)

Insight

d)

Cognition

50.

Which of the following is NOT a domain of the Mental Status Examination (MSE)?

a)

Appearance

b)

Mood

c)

Thought process

d)

Career preference

51.

A family counsellor creates a genogram during an assessment with the Abdullah family. What is the primary purpose of this tool?

a)

To determine a formal psychiatric diagnosis for each family member.

b)

To map the family's interactional patterns and history across generations.

c)

To measure the family's overall level of satisfaction and happiness.

d)

To outline a specific treatment plan with behavioural goals.

52.

Assessment in family counselling helps counsellors to _________.

a)

Prescribe medication

b)

Avoid cultural considerations

c)

Replace therapy with diagnosis

d)

Understand family dynamics and issues

53.

A genogram is commonly used to assess _________.

a)

Family communication skills

b)

Family structure and intergenerational patterns

c)

Personality traits

d)

Career aspirations

54.

During an MSE, a counsellor asks, "What would you do if you found a stamped, addressed envelope on the street?" This question is designed to assess the client's _________.

a)

Memory

b)

Judgment

c)

Orientation

d)

Thought content

55.

Which tool is commonly used to assess family structure and relationships?

a)

EEG

b)

MRI

c)

IQ test

d)

Genogram

56.

If a Malaysian counsellor notices that a client's depressive symptoms are linked to intergenerational conflict highlighted in a genogram, the tool has helped in _________.

a)

Measuring coping skills

b)

Identifying organic disorders

c)

Diagnosing anxiety disorders

d)

Mapping systemic family patterns

57.

Individual life cycle development affects family functioning by _________.

a)

Promoting sibling rivalry

b)

Reducing parental authority

c)

Creating financial independence

d)

Influencing emotional roles and responsibilities

58.

A counsellor observes that whenever the parents in a family begin to argue, their youngest child suddenly develops a stomachache, which effectively stops the argument as both parents turn their attention to the child. This sequence demonstrates _________.

a)

A clear and healthy parent-child boundary.

b)

The parents' lack of concern for their child's health.

c)

The function of a symptom in maintaining family homeostasis.

d)

The child's attempt to manipulate the parents for attention.

59.

A counsellor observes that a client speaks rapidly, jumps from topic to topic, and has pressured speech. This would be recorded under which MSE category?

a)

Judgment

b)

Cognition

c)

Perception

d)

Thought process

60.

Emotionally Focused Therapy (EFT) is theoretically grounded in which of the following theories?

a)

Cognitive Theory

b)

Attachment Theory

c)

Behavioural Theory

d)

Psychoanalytic Theory

61.

Emotionally Focused Therapy (EFT) focuses on _________.

a)

Cognitive restructuring

b)

Behavioural modification

c)

Role-playing techniques

d)

Emotional bonding and attachment

62.

The main goal of Emotionally Focused Therapy (EFT) is to _________.

a)

Reduce financial stress

b)

Teach academic coping skills

c)

Promote independence from family ties

d)

Restructure negative interaction patterns and enhance emotional bonds

63.

In the EFT model, which of the following is considered a primary emotion?

a)

Anger

b)

Irritation

c)

Sadness

d)

Frustration

64.

Which therapist is associated with the development of EFT?

a)

Virginia Satir

b)

Carl Whitaker

c)

Sue Johnson

d)

Salvador Minuchin

65.

A Malay couple frequently argues about finances. Through EFT, the counsellor helps them explore underlying feelings of insecurity and fear of abandonment. This demonstrates EFT's focus on _________.

a)

Parenting skills

b)

Financial literacy

c)

Work-life balance

d)

Attachment needs and emotions

66.

In an EFT session with a couple, Maria says to her husband, "You are always angry with me!" An EFT therapist would understand his anger as a _________.

a)

Primary emotion indicating his true feelings of hatred.

b)

Secondary emotion likely protecting a more vulnerable feeling, such as fear of rejection.

c)

Cognitive distortion that needs to be corrected immediately.

d)

Sign that the marital relationship is beyond repair.

67.

In EFT, emotional expression is encouraged to _________.

a)

Increase conflict

b)

Promote avoidance

c)

Reduce therapy sessions

d)

Strengthen relational bonds

68.

In EFT, the process of helping partners identify negative cycles of interaction is called _________.

a)

Validation

b)

Termination

c)

De-escalation

d)

Psychoeducation

69.

The first stage of Emotionally Focused Therapy, "Cycle De-escalation," primarily aims to _________.

a)

Consolidate new patterns of connection and bonding.

b)

Assign blame to the partner who is causing the most conflict.

c)

Help the couple identify and step out of their negative interactional pattern.

d)

Teach the couple practical communication skills and problem-solving techniques.

70.

Which of the following is a technique used in EFT?

a)

Attachment-based dialogue

b)

Free association

c)

Empty chair

d)

Reframing

71.

During EFT, a wife learns to express her sadness instead of anger towards her husband. This intervention is best described as ________.

a)

Encouraging emotional expression and reprocessing

b)

Avoiding confrontation

c)

Applying behaviour modification

d)

Engaging in psychoanalysis

72.

An EFT counsellor says to a wife, "So, underneath all that frustration, it sounds like you feel really alone in this relationship, and you are longing for him to show you that you matter." This intervention is an example of ________.

a)

Reframing the problem

b)

Setting behavioural homework

c)

Creating a structural enactment

d)

Validating and reflecting a primary emotion

73.

EFT is particularly effective for families experiencing ________.

a)

Financial stress

b)

Legal disputes

c)

Academic failure

d)

Communication breakdown due to emotional disconnection

74.

The primary theoretical foundation of EFT is ________.

a)

Behaviourism

b)

Attachment theory

c)

Structural family therapy

d)

Cognitive behavioural theory

75.

In Malaysia, family counselling services have expanded in response to rising divorce rates and changing family structures. Understanding the history of family therapy helps counsellors appreciate how different theories and practices evolved to address these challenges. Define FAMILY THERAPY and explain its purpose.

a)

A medical model focused on diagnosing individuals

b)

A systemic counselling approach that aims to improve interaction patterns and functioning within the family unit

c)

A legal process for resolving marital disputes

d)

An educational programme for teaching parenting skills only

76.

Recent trends (2010–present) in family therapy can be useful for Malaysian counsellors working with young married couples.

a)

Teletherapy and digital tools to enhance access

b)

Culturally responsive and indigenous-informed practice

c)

Exclusive use of long-term inpatient treatment

d)

Integration of attachment-based and emotion-focused methods

e)

Eliminating assessment to shorten sessions

77.

The Tan family, a Chinese Malaysian family living in Penang, is facing challenges related to the "sandwich generation." Mr. and Mrs. Tan are in their early 50s, caring for their elderly parents while also supporting their youngest child who is still in university. Their eldest son recently got married and moved out, which has shifted the family dynamics. State TWO key differences between the individual life cycle and the family life cycle.

a)

Individual life cycle focuses on personal developmental tasks; family life cycle focuses on relational tasks across subsystems

b)

Both cycles are identical in stages and tasks

c)

Individual life cycle emphasizes biological maturation only; family life cycle emphasizes transitions triggered by relational events

d)

Family life cycle ignores cultural context; individual life cycle centres on culture

e)

Family life cycle includes tasks related to launching children and caregiving; individual life cycle does not

78.

FIVE stages of the Family Life Cycle as proposed by Carter and McGoldrick.

a)

Leaving home: single young adults

b)

The joining of families through marriage

c)

Families with young children

d)

Families with adolescents

e)

Launching children and moving on / families in later life

79.

FIVE characteristics of a family system.

a)

Boundaries

b)

Roles

c)

Rules

d)

Communication patterns

e)

Homeostasis

80.

A school counsellor in a secondary school in Johor Bahru is working with a 15-year-old student, Devi, who has been referred for disruptive behaviour in class and social withdrawal. The counsellor suspects that family issues may be contributing to Devi's problems and decides to conduct a family assessment. List FIVE main components of MSE.

a)

Appearance and behaviour

b)

Mood and affect

c)

Thought process and thought content

d)

Cognitive functions (orientation, attention, memory)

e)

Insight and judgment

81.

The purpose of DSM in counselling assessment.

a)

Offer a common diagnostic language for identifying disorders and coordinating care

b)

Determine school grades

c)

Eliminate the need for clinical interviews

d)

Provide financial counselling