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Integrative psychotherapies focus on three approaches: theoretical integration, technical eclecticism, and a common factors orientation. Select the correct choice for the theorists for the above three in sequential order.
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Prochaska, Lazarus, Wachtel
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Lazarus, Wachtel, Prochaska
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Prochaska, Wachtel, Lazarus
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Wachtel, Lazarus, Prochaska
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All of the following are goals for Gestalt therapy except:
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acceptance of personal responsibility
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awareness of the “here and now”
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movement from external to internal locus of control
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dealing with unfinished business
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insight into the unconscious motivation
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A basic assumption of Rational-Emotional Behavior therapy is that humans:
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think without emoting.
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emote without thinking.
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behave and then emote.
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behave without thinking or emoting.
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think, emote, and behave simultaneously.
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In Reality therapy, insight is:
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necessary for behavior change to occur.
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not necessary for behavior change to occur.
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the end result of the teachings of the therapist.
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something only the client can discover for himself or herself.
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something that follows changed attitudes.
Frage 5
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Which of the following statements is not true according to the tenets of Adlerian therapy?
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Social forces impact behavior more than biological forces.
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A person’s lifestyle changes throughout the life span as his or her goals change.
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Consciousness, rather than unconscious, is the center of the personality.
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Childhood experiences in themselves are not as important.
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Feelings of inferiority can be a wellspring of creativity.
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To conceptualize a client’s presenting issue and to customize a therapy relationship, client characteristics are essential. Clients who have little support from other people are likely to benefit from:
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short-term, brief therapies.
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lengthier psychotherapy creating social support.
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lengthier psychotherapy and psychoactive medication.
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shorter psychotherapy creating social support.
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Theoretically and clinically consultation is what type of relationship?
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collateral
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linear
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causality
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triadic
Frage 8
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Clients and counselors interact with computers and software technology to track changes during therapy. All of the following are benefits of this self-help monitoring technology except:
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Clients lacking funds or who choose to avoid counseling centers choosing instead session-to-session on- site counseling for depression, generalized anxiety disorder, panic disorder, agoraphobic disorder, and social anxiety disorder can access:
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Internet-based self-help programs.
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self-help manuals for the specific disorder.
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practice yoga and calming exercises.
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the assistance of a physician.
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Eels et al. (2014) identified eight reasons to consider computer assistance in psychotherapy. Five of eight reasons include cost, efficiency, increase access to treatment, suited for delivery of psychoeducation, and delivery of technical components of evidence-based therapies. Which one of the four is not one of the remaining three reasons?
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facilitates recording, collecting, and management of information
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offers unique learning opportunities
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particularly useful for depression
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patient preference
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Counselor characteristics that cut across all therapies are referred to as common factors. Although there are several specific factors several of them fall into a larger category. All of the following are common categories for those common factors except:
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learning factors.
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commitment factors.
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support factors.
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action factors.
Frage 12
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The interview strategy that uses the acronym OARS is:
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A 52-year-old male presented with a marital issue. He expressed that he is no longer a good spouse. When asked to provide some examples he was unable to provide any detail or example of behaviors that were out of the normal for couple’s interactions. Adjustment disorder was the diagnosis, and the counselor recommended six sessions of cognitive behavioral therapy. What intervention from the limited information would be appropriate for session work?
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relaxation exercise
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muscle relaxation
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cognitive restructuring
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in-vivo
Frage 14
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One way in which a counselor can assess client improvement is to:
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Evidence-based practices suggest that clients demonstrating low resistance tend to get better when there are signs of:
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therapist directiveness and guidance.
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self-control methods.
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minimal therapist directiveness.
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paradoxical interventions.
Frage 16
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Which technique(s) is most often used in person-centered therapy?
Frage 17
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Treatment of suicide ideation and attempts as well as self-injurious behaviors has shifted from a negative framework (desire to die) to a positive framework (desire to live). The positive framework is a protective- based intervention. This approach interviews the client for all of the following except:
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Considering the survivor is safe after a disaster there are psychological tasks to be performed by the first responder. Reports from several disaster follow-ups highlight for a responder which psychological task is considered to be the most important for survivors?
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comforting and consoling a distressed person.
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providing goal orientation and support for specific reality-based tasks.
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sharing the experience.
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facilitating a beginning of some sense of mastery.
Frage 19
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The therapist expects which one of the following to take place in the initial phase of counseling?
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development of the working alliance
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working through transference
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flight into health
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working through of the problem
Frage 20
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In psychoanalysis, Freud utilized which technique to explore the unconscious minds of his patients?
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free association
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interpretation
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catharsis
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Freudian slips
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Unconsciously exhibiting overly nice behavior to conceal hostile feelings:
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Reaction Formation
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Projection
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Repression
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Compensation
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Pushing unacceptable reality or painful material into unconscious:
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Repression
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Displacement
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Introjection
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Sublimation
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Reverting to a less-mature state:
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Projection
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Compensation
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Regression
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Reaction Formation
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attributing to others qualities or traits that are unacceptable to his/her own ego
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Sublimation
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Denial
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Reaction Formation
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Projection
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deal with anxiety by closing his/her eyes
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Denial
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Reaction Formation
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Projection
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Repression
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directing energy toward another
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Rationalization
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Denial
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Displacement
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Introjection
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manufacturing "good" reasons to explain a bruised ego
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Displacement
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Rationalization
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Projection
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Denial
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assuming abusing parents' way of handling
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Displacement
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Reaction Formation
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Projection
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Introjection
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masking perceived weakness or developing positive traits to make up for limitations
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Regression
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Projection
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Compensation
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Sublimation
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redirecting sexual energy into creative behaviors
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Sublimation
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Projection
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Reaction Formation
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Compensation
Frage 31
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The following communication takes place between a 14-year-old female and her mother. The 14-year-old indicated she would like to join a volunteer organization such as Habitat. The mother replied that the daughter does not do enough work around the home and doesn’t know how to work. This is an example of:
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an injunction.
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an egogram.
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a victim.
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a stroke.
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A counseling agency was experiencing some employees experiencing physical and emotional stress and statements of over-burdened work. The workers have had an unusual number of sick days, requests for vacations, health problems such as high blood pressure, and conflicts with other employees. The manager is considering bringing in a consultant and should consider which type of intervention?
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primary
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secondary
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tertiary
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entry
Frage 33
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The literature indicates that greater than 50% of the clients who are likely to benefit from counseling avoid seeking mental health services. In many of those instances of individuals avoiding counseling might be explained by:
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approach/avoidance conflict
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unexplained reasons
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client’s belief they can resolve the issue without counseling
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there is a poor match between counselor and client especially with majority-minority
Frage 34
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Which one of the counselor responses is an example of empathy?
Client: I am so tired of his nagging and telling me I am a selfish person. It makes me so upset when he compares me to women he says are more mature.
Counselor: You ____________________
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don’t know what to make of this statement. You are not those other women.
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think he is so angry and comparing you to other women is unfair.
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are distraught with how he views you in the negative.
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cannot figure out how he can be so down on you.
Frage 35
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The study of nonverbal behavior that relates to the personal space in which an individual feels comfortable speaking to others is called:
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paralanguage.
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kinesis.
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proxemics.
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synergetic.
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Discrepancy is one of the four guiding principles for effective interviewing and treatment. The counselor attempts to develop discrepancy through?
Frage 37
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Motivational interviewing rolls with resistance and does not confront the client. A technique that MI interviewers use to roll resistance and to avoid an argument is?
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empathy.
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support self-efficacy.
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ignore the resistance.
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reflective listening.
Frage 38
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All are strategies to roll with resistance when the intervention suggested by the counselor is incompatible with the client’s level of recognition except to:
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avoid recommending change and advocate for the client to recommend a change.
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negotiate with the client to identify a first target to change among several targets.
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recognize that motivation to change is permanent.
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state reasons to change and not to change in the same sentence.
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All of the following treatment modalities for children and adolescents met ‘probably efficacious’ treatments for self-injurious thoughts and behaviors (SITBs) except:
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interpersonal psychological therapy.
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cognitive behavioral therapy.
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dialectic behavior therapy.
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family-based therapy.
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To ensure that counselors may hospitalize a client with suicide ideation and those who have attempted suicide, without securing the cooperation of other mental health providers, counselors need access to what commitment document?
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In planning a treatment program for a family, a system-oriented counselor would use an intervention that focuses on:
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linear causality
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circular causality
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hexagonal causality
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member causality
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A structural family therapist’s task is to join the family. There are four ways to join the family. In addition to tracking, accommodating, and mimesis. What is the other method?
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alignment
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confirmation
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coalition
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complementarity
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A family of four requested family counseling at a local counseling agency. The parents’ presenting concern is the well-being of their adolescent daughter who is failing in school. The family composition is a father, stepmother, nine-year-old daughter, and 16-year-old daughter. First, one of the co-therapists completes a genogram. During this process, it becomes evident that there are no clear boundaries between family members and that the father allies with his daughter whenever there is a conflict with his wife. In this stepfamily, who is most likely the scapegoat?
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father
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stepmother
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children
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none of the above
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A male, 17-year-old student, and a community counselor met for an evaluation. A faxed report was placed in the prospective client’s folder and presented to the counselor. The report included reports from two instructors who shared similar stories suspecting that the student was overly anxious. The student did not desire recognition of any form, rarely if ever would raise his hand to answer or ask a question. When he was called on his face would redden or flush and he made obvious attempts to swallow. On one occasion he became upset and left the classroom. His parents, when contacted by the school counseling center, signed a release-of-information form and were provided the client rights form. This form indicated that the center might find it necessary, at times, to include personality tests. The counselor decided it was important to administer a personality test to determine if personality features might exist. When it became known a personality test was to be administered, the parents immediately called the counseling center demanding to see the test results. The appropriate action by the center or counselor is to:
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provide the results as requested.
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inform the parents the counselor is not required to release the test results because in doing so would violate the rights of the youth.
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inform the parents the counselor will meet with them after he/she has notified the client (student) that his parents desire the results.
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immediately destroy the results, as test results are only good at the time administered.
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A family of four self-referred because the parents felt that they may have caused some harm to their five- year-old son who has been striking matches, hurting the family pets, and often is found awakening the newborn baby. He is doing this with sharp objects and pinching, causing the baby pain and crying. The counselor might consider which of the following to address the stated concern:
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counsel the entire family
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counsel and observe the five-year-old, even though the counselor is not specially trained in very young children
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refer the family to a family center for group therapy
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refer the boy for assessment
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A clergy member referred a church couple for marital counseling. The stated concern quickly expanded beyond a lack of patience for each other to spending little time together and blaming (selfish behaviors). The female reported that they feel taken advantage of by the demands placed on them by the husband’s siblings. It seems that the husband will not stand up to his brothers and demand that they take equal responsibility in caring for their parents. The parents call the husband frequently and he will drop whatever he is doing and respond to their call. His wife does not appreciate this intrusion and it has caused friction and a lack of intimacy to the point they have neglected to respond to each other with tenderness in the form of hugs, holding hands, and loving affirmations. The counselor’s best course of action would be to:
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counsel the couple for intimacy and familial issues.
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request the parents attend counseling with this couple.
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counsel the parents for independent living.
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request the brothers and spouses meet with this couple for communication issues and clarification of direction.