Question 1

The single most important guideline for negotiating a successful termination to therapy is for the therapist to: ​

Accepted Answer

A) wait until the last session to approach the subject of ending. 
B) unambiguously acknowledge the reality of ending and establish a final date for termination. 
C) accept the client's wishes to discontinue the impending termination. 
D) address termination carefully and indirectly to prevent the client from becoming angry. 
A) wait until the last session to approach the subject of ending. 
B) unambiguously acknowledge the reality of ending and establish a final date for termination. 
C) accept the client's wishes to discontinue the impending termination. 
D) address termination carefully and indirectly to prevent the client from becoming angry. B

Question 2

An important goal for clients in the working through phase of therapy is: ​

Accepted Answer

A) develop intellectual distance from the current, hurtful relationships. 
B) the integration of what was good as well as what was problematic in the client's development. 
C) intense analysis of the client's developmental history. 
D) breaking off relationships with problematic familial members. 
A) develop intellectual distance from the current, hurtful relationships. 
B) the integration of what was good as well as what was problematic in the client's development. 
C) intense analysis of the client's developmental history. 
D) breaking off relationships with problematic familial members. B

Question 3

The "working-through" is about: ​

Accepted Answer

A) gaining insight. 
B) discovering changes within the self. 
C) reflecting on the difficult moments in therapy. 
D) linking the changes that have occurred with the therapist to significant others in the client's life. 
A) gaining insight. 
B) discovering changes within the self. 
C) reflecting on the difficult moments in therapy. 
D) linking the changes that have occurred with the therapist to significant others in the client's life. D

Question 4

Research has shown that about______  percent of clients terminate therapy after completing the intake process. ​

Accepted Answer

A) 10 
B)  ​20 
C)  ​30 
D)  ​40 
A) 10 
B)  ​20 
C)  ​30 
D)  ​40

Question 5

For adult clients, the process of experiencing the sadness of hurtful parent-child interactions and coming to terms with these developmental losses is called: ​

Accepted Answer

A)  grief work. ​ 
B) neurotic resolution. 
C) early childhood development. 
D) personal growth. 
A)  grief work. ​ 
B) neurotic resolution. 
C) early childhood development. 
D) personal growth.

Question 6

Family of origin exploration in the working through phase of therapy can be very meaningful when: ​

Accepted Answer

A) the therapist carefully points out the connections between past and current relationships. 
B) clients spontaneously make links between formative and current relationships. 
C) therapists interpret developmental deficits. 
D) therapists patiently explain the relational connections to the client. 
A) the therapist carefully points out the connections between past and current relationships. 
B) clients spontaneously make links between formative and current relationships. 
C) therapists interpret developmental deficits. 
D) therapists patiently explain the relational connections to the client.

Question 7

When therapists and clients collude to deny or avoid the impending separation: ​

Accepted Answer

A) clients' fears of abandonment are healed. 
B) therapists may be acting out their own separation anxieties. 
C) therapists are eliminating the problem of reenacting the client's generic conflict. 
D) clients' initial presenting symptoms may return. 
A) clients' fears of abandonment are healed. 
B) therapists may be acting out their own separation anxieties. 
C) therapists are eliminating the problem of reenacting the client's generic conflict. 
D) clients' initial presenting symptoms may return.

Question 8

Resolving conflicts over separation/termination in the therapeutic setting is: ​

Accepted Answer

A) the prototype for clients in mastering future conflicts. 
B) impossible to accomplish prior to termination. 
C) immobilizing of the therapist's ability to help clients change. 
D) discouraging to the client who does not want any more losses or endings. 
A) the prototype for clients in mastering future conflicts. 
B) impossible to accomplish prior to termination. 
C) immobilizing of the therapist's ability to help clients change. 
D) discouraging to the client who does not want any more losses or endings.

Question 9

Despite continuous discussion in therapy, when clients do not assimilate or attempt new, adaptive responses: ​

Accepted Answer

A) the therapist and client are most likely recapitulating the generic conflict. 
B) the client is simply not ready to change. 
C) the therapist must remain vigilant in guiding the client towards making new responses. 
D) the client is probably currently in an abusive relationship where they feel unable to respond assertively. 
A) the therapist and client are most likely recapitulating the generic conflict. 
B) the client is simply not ready to change. 
C) the therapist must remain vigilant in guiding the client towards making new responses. 
D) the client is probably currently in an abusive relationship where they feel unable to respond assertively.

Question 10

Explain the importance of the articulation of the client's Dreams. How can the therapist facilitate client's definitions of their personal vision for their lives? ​

Accepted Answer

The articulation of the client's dreams

Question 11

Describe the sequence of steps that often occurs in the working through process. Be sure to explain how the corrective emotional experience is utilized and detail the additional tasks for both therapist and client. ​

Accepted Answer

The working through process in therapy o

Question 12

In order to help clients discover their feelings, preferences, interests, values, and their "Dreams," they should repeatedly do which of the following: ​

Accepted Answer

A) ask clients to attend to what they are experiencing right now. 
B) remain interested in and continue entering into the client's subjective experience. 
C) acknowledge what clients do well. 
D) All of the choices are helpful. 
A) ask clients to attend to what they are experiencing right now. 
B) remain interested in and continue entering into the client's subjective experience. 
C) acknowledge what clients do well. 
D) All of the choices are helpful.

Question 13

Discuss the various guidelines for negotiating a successful termination. How are these significant to the client? ​

Accepted Answer

Negotiating a successful termination can

Question 14

The therapist's ability to address termination forthrightly will: ​

Accepted Answer

A) leave clients feeling powerless and out of control. 
B) reenact clients' past conflicted feelings over termination. 
C) give clients a mastery experience by allowing them to become active, informed participants in the termination. 
D) clients do not benefit by openly addressing termination. 
A) leave clients feeling powerless and out of control. 
B) reenact clients' past conflicted feelings over termination. 
C) give clients a mastery experience by allowing them to become active, informed participants in the termination. 
D) clients do not benefit by openly addressing termination.

Question 15

According to Levinson, the "Dream" refers to: ​

Accepted Answer

A) casual daydreams. 
B) night dreams. 
C) the kind of life one wants to lead. 
D) an unrealistic wish. 
A) casual daydreams. 
B) night dreams. 
C) the kind of life one wants to lead. 
D) an unrealistic wish.

Question 16

Describe ways in which the therapist can facilitate the client's family-of-origin work during the working through phase of therapy. Also, discuss how therapists are likely to impede the client's work in this area. ​

Accepted Answer

During the working through phase of ther

Question 17

What are the problems graduate students must face during termination with clients? How do they differ from other therapeutic settings? How can they be productively acknowledged? ​

Accepted Answer

Graduate students may face several chall

Question 18

The overreaching treatment goal is to assist clients in replacing defensive characterological coping strategies with the following: ​

Accepted Answer

A) attainable Dreams. 
B) ways to cognitively track anxiety. 
C) knowledge of defense mechanisms. 
D) insight. 
A) attainable Dreams. 
B) ways to cognitively track anxiety. 
C) knowledge of defense mechanisms. 
D) insight.

Question 19

The most challenging arena of change for the client is: ​

Accepted Answer

A) the relationship between client and therapist. 
B) relationships with developmental figures with whom the conflicts originally arose. 
C) relationships with primary others with whom conflict is currently being lived out. 
D) Both relationships with developmental figures with whom the conflicts originally arose and relationships with primary others with whom conflict is currently being lived out are correct. 
A) the relationship between client and therapist. 
B) relationships with developmental figures with whom the conflicts originally arose. 
C) relationships with primary others with whom conflict is currently being lived out. 
D) Both relationships with developmental figures with whom the conflicts originally arose and relationships with primary others with whom conflict is currently being lived out are correct.

Question 20

Two guidelines for helping clients work through family of origin issues are: ​

Accepted Answer

A) for clients to change how they respond to current interactions with family members and for clients to grieve what they have missed developmentally. 
B) for clients to get angry and blame their abusive parents and for clients to confront their parental figures directly. 
C) for clients to learn more assertive communication styles and for them to approach their parental figures directly in order to openly discuss their childhood issues. 
D) None of the choices are guidelines for helping clients. 
A) for clients to change how they respond to current interactions with family members and for clients to grieve what they have missed developmentally. 
B) for clients to get angry and blame their abusive parents and for clients to confront their parental figures directly. 
C) for clients to learn more assertive communication styles and for them to approach their parental figures directly in order to openly discuss their childhood issues. 
D) None of the choices are guidelines for helping clients.

The single most important guideline for negotiating a successful termination to therapy is for the therapist to:

An important goal for clients in the working through phase of therapy is:

The "working-through" is about:

Research has shown that about______ percent of clients terminate therapy after completing the intake process.

For adult clients, the process of experiencing the sadness of hurtful parent-child interactions and coming to terms with these developmental losses is called:

Family of origin exploration in the working through phase of therapy can be very meaningful when:

When therapists and clients collude to deny or avoid the impending separation:

Resolving conflicts over separation/termination in the therapeutic setting is:

Despite continuous discussion in therapy, when clients do not assimilate or attempt new, adaptive responses:

Explain the importance of the articulation of the client's Dreams. How can the therapist facilitate client's definitions of their personal vision for their lives?

Describe the sequence of steps that often occurs in the working through process. Be sure to explain how the corrective emotional experience is utilized and detail the additional tasks for both therapist and client.

In order to help clients discover their feelings, preferences, interests, values, and their "Dreams," they should repeatedly do which of the following:

Discuss the various guidelines for negotiating a successful termination. How are these significant to the client?

The therapist's ability to address termination forthrightly will:

According to Levinson, the "Dream" refers to:

Describe ways in which the therapist can facilitate the client's family-of-origin work during the working through phase of therapy. Also, discuss how therapists are likely to impede the client's work in this area.

What are the problems graduate students must face during termination with clients? How do they differ from other therapeutic settings? How can they be productively acknowledged?

The overreaching treatment goal is to assist clients in replacing defensive characterological coping strategies with the following:

The most challenging arena of change for the client is:

Two guidelines for helping clients work through family of origin issues are:

The Interpersonal Process Approach

Establishing a Working Alliance

Honoring the Clients Resistance

An Internal Focus for Change

Helping Clients With Their Feelings

Familial and Developmental Factors

Inflexible Interpersonal Coping Strategies

Relational Themes and Reparative Experiences

An Interpersonal Solution

Filters

Exam 10: Working-Through and Termination