Deck 10: Cognitive Behaviour Therapy

Question 1

In the strengths-based CBT four-step model to build resilience, a key to the fourth stage of therapy is that the client:

A) sets a goal to 'be resilient in the face of challenges'.
B) avoids exploring possible high-risk stressful situations.
C) learns that a lapse in willpower will have catastrophic results.
D) will undergo hypnosis.

Answer 1

A

Question 2

The role of the client in rational emotive behaviour therapy is like that of a:

A) co-therapist.
B) passive observer.
C) student or learner.
D) partner.

Answer 2

C

Question 3

The use of constructive questions, the importance of identifying client imagery and metaphors for change, and an emphasis on client strengths are innovations that formed the foundation of which therapeutic approach?

A) Existential
B) Client centred
C) Psychoanalytic
D) Strengths-based cognitive behavioural

Answer 3

D

Question 4

A feature of REBT that distinguishes it from other cognitive-behavioural therapies is its:

A) use of the A-B-C theory in analysing the client.
B) use of behavioural techniques.
C) applicability to group work.
D) process to identify and dispute irrational beliefs that have been acquired and self-constructed and are now maintained by self-indoctrination.

Question 5

The four-step model of strengths-based CBT to build resilience includes all of the following, except:

A) search.
B) construct.
C) apply.
D) discover.

Question 6

Who embraces a cognitive narrative perspective on CBT?

A) Albert Ellis
B) Donald Meichenbaum
C) A. T. Beck
D) Judith Beck

Question 7

The main function of the rational emotive behaviour therapist is to:

A) become an 'existential partner' with the client.
B) create a climate of safety and freedom from threat.
C) reveal irrational disputes, and help clients change their thinking and philosophy of life.
D) encourage the client to experience fully the here-and-now.

Question 8

Which of the following statements does not reflect one of Ellis's three basic musts?

A) 'I must do well and be loved and approved by others.'
B) 'Other people must treat me fairly, kindly, and well.'
C) 'I must be kind to others or else I won't be a good person.'
D) 'The world and my living conditions must be comfortable, gratifying, and just, providing me with all that I want in life.'

Question 9

The main idea of is that active incorporation of client strengths encourages clients to engage more fully in therapy and often provides avenues for change that otherwise would be missed.

A) cognitive therapy
B) strengths-based CBT
C) Gestalt therapy
D) existential therapy

Question 10

The main therapeutic goal of REBT is to:

A) minimise clients' emotional disturbances and self-defeating behaviours.
B) make the unconscious conscious.
C) assist the client in becoming aware of his or her 'being in the world'.
D) challenge the client in making both a value judgment and moral decision about the quality of his or her behaviour.

Question 11

The correct components of the A-B-C theory of personality are:

A) antecedent, behaviour, consequences.
B) activating events, behaviours, cognitions.
C) antecedent, belief, cognitions.
D) activating event, belief, consequence.

Question 12

The founder of rational emotive behaviour therapy is:

A) William Glasser.
B) Frederick Perls.
C) Albert Ellis.
D) Joseph Wolpe.

Question 13

The four steps of the strengths-based CBT application of the NEW Paradigm for chronic issues and personality disorders include all of the following, except:

A) conceptualise the OLD system of operating and help clients understand they do things 'for good reasons'.
B) construct NEW systems of how clients would like to be.
C) strengthen the NEW using behavioural experiments to try on NEW ways of being and edit them as needed.
D) strength training.

Question 14

The cognitive behavioural approach to therapy stresses:

A) support, understanding, warmth, and empathy.
B) awareness, unfinished business, impasse, and experiencing.
C) thinking, assessing, deciding, analysing, and doing.
D) subjectivity, existential anxiety, self-actualisation, and being.

Question 15

In strengths-based CBT, identified in early therapy sessions can provide a wealth of information to help therapist and client collaboratively integrate strengths into case conceptualisation and treatment.

A) positive interests and weaknesses
B) obstacles and positive interests
C) negative interests and strengths
D) positive interests and strengths

Question 16

According to Ellis, emotional disturbances often result from:

A) taking ourselves too seriously.
B) living by the values our parents gave us.
C) refusing to deal with unfinished business.
D) having learned maladaptive behaviours.

Question 17

Strengths-based CBT therapists:

A) help clients with unresolved issues of the past.
B) attempt to reveal inadequate ego-defence mechanisms.
C) are collaborative, active, here-and-now focused, and client-centred.
D) are behaviourists and less active than most cognitive therapists.

Question 18

Beck's cognitive therapy involves all of the concepts below except:

A) negative cognitive triad.
B) generic cognitive model.
C) collaborative empiricism.
D) lifestyle assessment.

Question 19

Which of the following is not one of the three phases of Meichenbaum's stress inoculation programme?

A) The application and follow-through phase
B) The conceptual-educational phase
C) The skills acquisition and consolidation phase
D) The therapeutic role modelling phase

Question 20

According to REBT, what is the core of most emotional disturbance?

A) Blame
B) Resentment
C) Rage
D) Unfinished business

Question 21

Beck's cognitive therapy has been most widely applied to the treatment of:

A) stress symptoms.
B) anxiety reactions.
C) phobias.
D) depression.

Question 22

Which of the following is not true about role playing in REBT?

A) It is a way of surfacing unfinished business.
B) It involves emotional components.
C) It involves behavioural components.
D) It helps reveal irrational beliefs.

Question 23

are integrated into each phase of treatment in strengths-based CBT beginning with the intake interview.

A) Strengths
B) Weaknesses
C) Client beliefs
D) Client concerns

Question 24

All of the following are true as they apply to self-instructional training, except that:

A) it was developed by Meichenbaum.
B) it is a form of cognitive restructuring.
C) it is an outgrowth of an approach used widely by crisis intervention workers called self-induced change therapy.
D) it is also known as cognitive behaviour modification.

Question 25

All of the following are theoretical assumptions of Beck's CT, except:

A) people's thought processes are accessible to introspection.
B) people's beliefs have highly personal meanings.
C) people must re-experience the past and process their feelings before change can happen.
D) people can discover these meanings themselves rather than being taught or having them interpreted by the therapist.

Question 26

The cognitive distortion that consists of forming conclusions based on an isolated detail of an event is:

A) labelling and mislabelling.
B) overgeneralisation.
C) arbitrary inferences.
D) selective abstraction.

Question 27

Which of the following is not part of the five-step treatment procedure used in a coping skills programme?

A) Exposing clients to anxiety-provoking situations by means of role playing and imagery
B) Evaluating the anxiety level of the client by using both physiological and psychological tests
C) Teaching clients to become aware of the anxiety-provoking cognitions they experience in stressful situations
D) Helping clients examine their thoughts by reevaluating their self-statements

Question 28

In Meichenbaum's cognitive behaviour modification, what is given primary importance?

A) Using emotive techniques
B) Collaborative empiricism
C) Automatic thoughts
D) Inner speech

Question 29

The tendency for individuals to relate external events to themselves, even when there is no basis for making this connection, is known as:

A) labelling and mislabelling.
B) overgeneralisation.
C) arbitrary inferences.
D) personalisation.

Question 30

The type of cognitive error that involves thinking and interpreting in all-or-nothing terms, or in categorising experiences in either/or extremes, is known as:

A) magnification and exaggeration.
B) polarised thinking.
C) arbitrary inference.
D) over-generalisation.

Question 31

One strength of cognitive behavioural therapy group counselling is that:

A) clients learn to minimise symptoms through a profound change in philosophy.
B) clients can remain relatively emotionally disengaged.
C) leaders take a non-directive stance.
D) leaders believe that insight is necessary for behaviour change.

Question 32

Strengths-based CBT practitioners ask clients for to describe their experiences, both positive and negative.

A) imagery and dreams
B) imagery and metaphors
C) dreams and metaphors
D) metaphors and insight

Question 33

In cognitive therapy, techniques are designed to:

A) assist clients in substituting rational beliefs for irrational beliefs.
B) help clients experience their feelings more intensely.
C) assist individuals to end self-defeating cognitions and to teach people how to acquire a rational approach to living.
D) enable clients to deal with their existential loneliness.

Question 34

The process of holding extreme beliefs on the basis of a single incident and applying them inappropriately to dissimilar events or settings is known as:

A) labelling and mislabelling.
B) overgeneralisation.
C) arbitrary inferences.
D) selective abstraction.

Question 35

Which REBT technique involves having the client do the very thing they avoid because of 'what people might think?'

A) Role playing
B) Desensitisation
C) Cognitive homework
D) Shame-attacking exercises

Question 36

Which of the following REBT techniques helps a client become increasingly proficient at minimising irrational thinking and disturbances in feeling and behaving?

A) Biofeedback
B) Homework
C) Dream analysis
D) Skill training

Question 37

Stress inoculation training consists of all of the following except:

A) behavioural rehearsals.
B) self-monitoring.
C) cognitive restructuring.
D) tapping into the unconscious realm.

Question 38

The cognitive distortion of making conclusions without supporting and relevant evidence is:

A) labelling and mislabelling.
B) overgeneralisation.
C) arbitrary inferences.
D) selective abstraction.

Question 39

The REBT technique that involves having clients vividly imagine one of the worst things that might happen to them and to describe their disturbing feelings is called:

A) cognitive homework.
B) disputing irrational beliefs.
C) role playing.
D) rational-emotive imagery.

Question 40

The cognitive distortion that involves portraying one's identity on the basis of imperfections and mistakes made in the past and allowing them to define one's true identity is:

A) labelling and mislabelling.
B) overgeneralisation.
C) arbitrary inferences.
D) personalisation.

Question 41

Cognitive behavioural group therapy stresses the importance of homework outside of the therapy session.

Question 42

Stress inoculation is a coping skills approach designed to change a person's self-statements.

Question 43

Rational emotive imagery involves behaviour change only.

Question 44

There is no concept in REBT that in any way agrees with Rogers's idea of unconditional positive regard.

Question 45

Beck's therapeutic approach originally focused on specific symptoms of depressed clients and the reasons they give for these symptoms.

Question 46

The cognitive behavioural therapies are largely based on the idea that the reorganisation of clients' self-statements is a key to changing their behaviour.

Question 47

During strengths-based CBT therapy, clients often discover that they use less resilient strategies when they encounter obstacles in areas of positive interest than they do in problem areas of their life.

Question 48

Bibliotherapeutic approaches have empirical support for the treatment of depression, for a variety of anxiety disorders, and for a range of clinical problems.

Question 49

Since humour shows the absurdity of some of a client's ideas, it is always inappropriate to use in sessions as it might be perceived as offensive.

Question 50

Ellis claims that his methods are applicable to individual therapy but that his approach does not work well in group therapy.

Question 51

Clients learn that 'musts', 'oughts' and absolute 'shoulds' can be replaced by preferences in REBT.

Question 52

One of Beck's early contributions was to recognise that regardless of the cause of depression, once people became depressed, their thinking reflected what Beck referred to as the negative cognitive triad: negative views of the self, the world, and the future.

Question 53

Cognitive therapy can be effectively employed in crisis intervention.

Question 54

Strengths-based CBT is a variant of Albert Ellis' REBT.

Question 55

According to Ellis, events themselves do not cause emotional disturbances; rather it is our evaluation of these events that causes the problem.

Question 56

REBT hypothesises that we keep ourselves emotionally disturbed by the process of self- indoctrination.

Question 57

Part of Ellis's motivation for developing REBT was to deal with his own problems.

Question 58

Like cognitive therapy, strengths-based CBT is empirically based.

Question 59

There is not a very good fit between cognitive behaviour therapy and multicultural therapy.

Question 60

Donald Meichenbaum's cognitive behaviour modification shares with REBT and Beck's cognitive therapy the assumption that distressing emotions are often the result of maladaptive thoughts.

Question 61

In family therapy contexts, cognitive behaviour therapists are particularly interested in family schema.

Question 62

A goal of REBT is to assist clients in the process of achieving conditional self-acceptance, conditional other-acceptance, and conditional life-acceptance.

Question 63

Magnification and minimisation consist of perceiving a case or situation in a greater or lesser light than it truly deserves.

Question 64

According to Beck, selective abstraction is clients taking all the details of an event and using this information to reinforce negative schemas and support their maladaptive core beliefs.

Question 65

According to the generic cognitive model, our beliefs do not play a major role in determining what type of psychological distress we will experience.

Question 66

Collaborative empiricism involves a cognitive therapist's collaboration with colleagues on a client's case.

Question 67

Meichenbaum's self-instructional training focuses on helping clients become aware of their self- talk and the stories they tell about themselves.

Question 68

All of the cognitive behavioural approaches share the same basic characteristics and assumptions as traditional behaviour therapy.

Question 69

Psychoeducational methods include materials such as books, DVDs, and articles.

Question 70

Donald Meichenbaum's cognitive behaviour modification focuses on changing a client's self-talk.