WorksheetsFamily Counselling (ECG20803)
Total questions: 81
Worksheet time: 41mins
During the 1950s–1960s, systemic thinking in family therapy emerged to emphasize that problems are best understood within ________.
Patterns of family interactions
An individual’s personality traits
Political and cultural influences
The socioeconomic status of the client
In Malaysia, family therapy began gaining recognition in the 1980s due to ________.
The influence of Western media
The rise of private counselling centres
Government policy on mental health
Increased divorce rates and family issues
Which statement best describes the shift in family therapy from 1940 to 2009?
Focused solely on individual pathology
Ignored cultural influences on family dynamics
Promoted medication as the primary treatment
Emphasized systemic interactions within families
Who is considered a pioneer in the development of family therapy?
Albert Ellis
Carl Rogers
Erik Erikson
Virginia Satir
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?
Virginia Satir
Carl Whitaker
Gregory Bateson
Salvador Minuchin
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?
Carl Rogers
Virginia Satir
Carl Whitaker
Murray Bowen
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?
The Scapegoat
The Primary Client
The Problem Holder
The Identified Patient
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 mother’s anxiety directly causes her child’s misbehaviour.
A father's past trauma is the single reason for his current anger.
An individual's behaviour is caused by unconscious and unresolved internal conflicts.
A child’s tantrum and a parent’s harsh response mutually influence each other in a recurring loop.
Family therapy in its early development focused on shifting the perspective from the individual to ________.
The family system
The school context
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 ________.
Structural
Behavioural
Psychoanalytic
Integrative and multicultural
The evolution of family therapy post-2010 includes ________.
A return to Freudian psychoanalysis
Rejection of multicultural perspectives
Exclusive use of behavioural techniques
Integration of neuroscience and attachment theory
Which of the following best explains why the 2010s marked a turning point in family therapy?
The dominance of psychoanalysis
The abandonment of multicultural considerations
The removal of systemic perspectives from practice
The shift from structural models to integrative approaches
According to the normative stages of the individual life cycle, what is the primary psychosocial crisis that an adolescent must resolve?
Trust vs. Mistrust
Initiative vs. Guilt
Intimacy vs. Isolation
Identity vs. Role Confusion
Which of the following is a key characteristic of early family therapy models?
Use of hypnosis
Individual diagnosis
Focus on medication
Emphasis on communication patterns
According to Carter & McGoldrick’s family life cycle model, the launching stage involves ________.
Couple formation
Adolescents leaving home
Parenting young children
Retirement and aging
The family life cycle includes which of the following stages?
Launching children
Retirement planning
Career development
Academic achievement
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 ________.
Retirement
Launching children
Parenting adolescents
New couple / joining of families
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 ________.
The new couple
Families in later life
Families with young children
Launching children and moving on
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 ________.
Dysfunctional family communication
A failure to launch a single young adult
A family crisis caused by a single event
The convergence of multiple family life cycle transitions
In the Malaysian context, extended families often play a role in ________.
Reducing family conflict
Promoting individualism
Supporting child-rearing
Increasing financial burden
In individual life cycle development, Erikson’s stage relevant to young adulthood is ________.
Trust vs. Mistrust
Integrity vs. Despair
Intimacy vs. Isolation
Autonomy vs. Shame
Family transitions such as divorce or remarriage can lead to ________.
Increased family cohesion
Role ambiguity and stress
Improved communication
Reduced emotional expression
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?
To re-establish financial stability
To launch the child into their own life
To disengage from the extended family
To accept new members into the system
When a Malaysian family transitions from empty nest to retirement, which challenge is most likely?
Raising toddlers
Negotiating new roles with adult children
Experiencing separation anxiety from peers
Establishing intimacy for the first time
Which concept refers to predictable changes in family structure over time?
Family roles
Family life cycle
Family dynamics
Family boundaries
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 45-year-old father is promoted at work while his children are in primary school.
A 25-year-old son decides to move back home after university, just as his parents were preparing to downsize their home for retirement.
A couple gets married in their late twenties and decides to have children a few years later.
A teenager develops close friendships at school, which is a normal part of adolescence.
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 ________.
Adaptation
Equilibrium
Homeostasis
Morphogenesis
Which concept explains how behaviour of one family member affects others?
Linear causality
Circular causality
Cognitive distortion
Individual pathology
A father’s strict parenting leads to the child’s rebellion, which then causes more strictness from the father. This describes ________.
Circular causality
Linear causality
Differentiation
Triangulation
According to Murray Bowen, the ability of an individual to separate their emotional and intellectual functioning from that of the family is known as ________.
Triangulation
Emotional Cutoff
Differentiation of Self
Family Projection Process
Which of the following is a characteristic of a healthy family system?
Enmeshed roles
Rigid boundaries
Clear communication
Suppressed emotions
The term homeostasis in family systems refers to ________.
A family’s ability to maintain balance and stability
The process of moving from adolescence to adulthood
The hierarchy between parents and children
The conflict resolution style
A subsystem in family therapy refers to ________.
A diagnostic tool
A group of therapists
A government agency
A smaller unit within the family
Differentiation of self, introduced by Murray Bowen, refers to ________.
The ability to maintain personal identity while remaining emotionally connected
The separation of nuclear family units
The process of therapy termination
The development of ego boundaries
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 ________.
Triangulation
Differentiation
Emotional cutoff
Family projection process
Boundaries in family systems are important because they _________.
Promote secrecy
Encourage dependency
Prevent emotional expression
Define roles and responsibilities
The concept of family rules in systems theory refers to the _________.
Written list of household chores posted on the refrigerator.
Legal statutes governing family conduct in Malaysia.
Explicit government policies on family welfare.
Unspoken patterns of interaction that govern family members' behaviour.
A Malaysian university student resists family pressure to follow traditional career paths yet remains emotionally close to his parents. This best reflects _________.
Cut-off
Differentiation
Enmeshment
Homeostasis
In family systems theory, the term homeostasis refers to _________.
Role confusion
Conflict escalation
Emotional suppression
Stability and resistance to change
A family has extremely rigid boundaries. What is a likely characteristic of this family?
Members are overly involved in each other's lives and lack autonomy.
There is a high degree of emotional exchange with the outside community.
Family members operate in isolation and have limited emotional connection to one another.
The family adapts easily to new situations and external stressors.
If a teenage son confides more in his mother during parental conflict, creating tension between mother and father, this demonstrates _________.
Boundaries
Triangulation
Homeostasis
Differentiation
The DSM-5 is primarily used in counselling to _________.
Measure life satisfaction
Classify mental disorders
Diagnose family dynamics
Provide career assessment tools
The Mental Status Examination (MSE) assesses _________.
Family roles
Parenting styles
Emotional bonding
Cognitive and psychological functioning
In family counselling, the DSM is used to _________.
Evaluate parenting skills
Assess family communication
Measure emotional intelligence
Diagnose individual mental disorders
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?
Family history
Presenting problem
Family resources and strengths
Communication patterns
The standard manual used by mental health professionals in Malaysia and worldwide for the classification of mental disorders is the _________.
Mental Status Examination (MSE)
International Classification of Diseases (ICD)
Diagnostic and Statistical Manual of Mental Disorders (DSM)
Family Adaptability and Cohesion Evaluation Scale (FACES)
When a counsellor in Malaysia conducts a Mental Status Examination (MSE), they are assessing ____________.
Social background and career interests
Client’s cultural values and beliefs
Psychological functioning such as mood, thought, and cognition
Financial stressors
Which of the following is NOT typically part of the MSE?
Mood
Appearance
Family history
Thought process
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 _________.
Mood
Affect
Insight
Cognition
Which of the following is NOT a domain of the Mental Status Examination (MSE)?
Appearance
Mood
Thought process
Career preference
A family counsellor creates a genogram during an assessment with the Abdullah family. What is the primary purpose of this tool?
To determine a formal psychiatric diagnosis for each family member.
To map the family's interactional patterns and history across generations.
To measure the family's overall level of satisfaction and happiness.
To outline a specific treatment plan with behavioural goals.
Assessment in family counselling helps counsellors to _________.
Prescribe medication
Avoid cultural considerations
Replace therapy with diagnosis
Understand family dynamics and issues
A genogram is commonly used to assess _________.
Family communication skills
Family structure and intergenerational patterns
Personality traits
Career aspirations
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 _________.
Memory
Judgment
Orientation
Thought content
Which tool is commonly used to assess family structure and relationships?
EEG
MRI
IQ test
Genogram
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 _________.
Measuring coping skills
Identifying organic disorders
Diagnosing anxiety disorders
Mapping systemic family patterns
Individual life cycle development affects family functioning by _________.
Promoting sibling rivalry
Reducing parental authority
Creating financial independence
Influencing emotional roles and responsibilities
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 clear and healthy parent-child boundary.
The parents' lack of concern for their child's health.
The function of a symptom in maintaining family homeostasis.
The child's attempt to manipulate the parents for attention.
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?
Judgment
Cognition
Perception
Thought process
Emotionally Focused Therapy (EFT) is theoretically grounded in which of the following theories?
Cognitive Theory
Attachment Theory
Behavioural Theory
Psychoanalytic Theory
Emotionally Focused Therapy (EFT) focuses on _________.
Cognitive restructuring
Behavioural modification
Role-playing techniques
Emotional bonding and attachment
The main goal of Emotionally Focused Therapy (EFT) is to _________.
Reduce financial stress
Teach academic coping skills
Promote independence from family ties
Restructure negative interaction patterns and enhance emotional bonds
In the EFT model, which of the following is considered a primary emotion?
Anger
Irritation
Sadness
Frustration
Which therapist is associated with the development of EFT?
Virginia Satir
Carl Whitaker
Sue Johnson
Salvador Minuchin
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 _________.
Parenting skills
Financial literacy
Work-life balance
Attachment needs and emotions
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 _________.
Primary emotion indicating his true feelings of hatred.
Secondary emotion likely protecting a more vulnerable feeling, such as fear of rejection.
Cognitive distortion that needs to be corrected immediately.
Sign that the marital relationship is beyond repair.
In EFT, emotional expression is encouraged to _________.
Increase conflict
Promote avoidance
Reduce therapy sessions
Strengthen relational bonds
In EFT, the process of helping partners identify negative cycles of interaction is called _________.
Validation
Termination
De-escalation
Psychoeducation
The first stage of Emotionally Focused Therapy, "Cycle De-escalation," primarily aims to _________.
Consolidate new patterns of connection and bonding.
Assign blame to the partner who is causing the most conflict.
Help the couple identify and step out of their negative interactional pattern.
Teach the couple practical communication skills and problem-solving techniques.
Which of the following is a technique used in EFT?
Attachment-based dialogue
Free association
Empty chair
Reframing
During EFT, a wife learns to express her sadness instead of anger towards her husband. This intervention is best described as ________.
Encouraging emotional expression and reprocessing
Avoiding confrontation
Applying behaviour modification
Engaging in psychoanalysis
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 ________.
Reframing the problem
Setting behavioural homework
Creating a structural enactment
Validating and reflecting a primary emotion
EFT is particularly effective for families experiencing ________.
Financial stress
Legal disputes
Academic failure
Communication breakdown due to emotional disconnection
The primary theoretical foundation of EFT is ________.
Behaviourism
Attachment theory
Structural family therapy
Cognitive behavioural theory
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 medical model focused on diagnosing individuals
A systemic counselling approach that aims to improve interaction patterns and functioning within the family unit
A legal process for resolving marital disputes
An educational programme for teaching parenting skills only
Recent trends (2010–present) in family therapy can be useful for Malaysian counsellors working with young married couples.
Teletherapy and digital tools to enhance access
Culturally responsive and indigenous-informed practice
Exclusive use of long-term inpatient treatment
Integration of attachment-based and emotion-focused methods
Eliminating assessment to shorten sessions
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.
Individual life cycle focuses on personal developmental tasks; family life cycle focuses on relational tasks across subsystems
Both cycles are identical in stages and tasks
Individual life cycle emphasizes biological maturation only; family life cycle emphasizes transitions triggered by relational events
Family life cycle ignores cultural context; individual life cycle centres on culture
Family life cycle includes tasks related to launching children and caregiving; individual life cycle does not
FIVE stages of the Family Life Cycle as proposed by Carter and McGoldrick.
Leaving home: single young adults
The joining of families through marriage
Families with young children
Families with adolescents
Launching children and moving on / families in later life
FIVE characteristics of a family system.
Boundaries
Roles
Rules
Communication patterns
Homeostasis
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.
Appearance and behaviour
Mood and affect
Thought process and thought content
Cognitive functions (orientation, attention, memory)
Insight and judgment
The purpose of DSM in counselling assessment.
Offer a common diagnostic language for identifying disorders and coordinating care
Determine school grades
Eliminate the need for clinical interviews
Provide financial counselling
