Deck 6: Familial and Developmental Factors

Question 1

The most significant way to achieve a flexible interpersonal range that will allow therapists to respond to the diversity of problems that clients present, therapists must: ​

A)train for many hours under direct supervision.
B)remain empathetic and non-directive.
C)appear confident to their clients.
D)do their own family of origin work.

Answer 1

D

Question 2

Rogers' "conditions of worth" are: ​

A)what children have to do to maintain their parent's approval.
B)what permissive parents struggle with in their marriage.
C)those beliefs by children of authoritative parents.
D)None of the choices are correct.

Answer 2

A

Question 3

Attachment theory researchers measure adult attachment styles along the following two orthogonal dimensions: ​

A)anxiety and preoccupation.
B)avoidance and dismissing.
C)anxiety and avoidance.
D)dismissing and avoidance.

Answer 3

C

Question 4

When therapists evoke in their clients unacceptable feelings about themselves, they are: ​

A)able to avoid their own disavowed feelings.
B)do not have to remember feeling badly about themselves.
C)avoiding shame about themselves.
D)All of the choices are correct.

Question 5

An effective way for therapists to teach clients that hurtful interactions can be talked about and relationships can be restored is to: ​

A) name, make overt, and talk about hurtful interactions between therapist and client. ​
B)always make sure conversations between therapist and client are not hurtful or confusing.
C)give their client bibliotherapy literature about healing from hurtful interactions from the client's childhood.
D)teach their client to simply not take things personally.

Question 6

When families have cross-generational alliances, children may: ​

A)learn to be responsible and individuate.
B)associate anxiety and guilt with achievements and outside commitments.
C)gain an exaggerated sense of their own importance.
D)Both associate anxiety and guilt with achievements and outside commitments and gain an exaggerated sense of their own importance are correct.

Question 7

​ It is necessary for a therapist to draw out the full range of emotions a client has toward a therapist:

A)to address the belief by a client that he/she does not deserve the attention they receive from the therapist.
B)to address the belief that the client has manipulated positive feelings from therapist.
C)to work at figuring out the parenting style of the client.
D)Both to address the belief by a client that he/she does not deserve the attention they receive from the therapist and to address the belief that the client has manipulated positive feelings from therapist are correct.

Question 8

​ Especially in response to point of entry bids regarding developmental experiences, many clients will:

A)resort to self-protective narratives.
B)use avoidance strategies.
C)relay narratives of troubling parent-child interactions.
D)not remember painful experiences.

Question 9

As children develop and grow older, families face the developmental task of having to shift from a primary focus of providing security to promoting______. ​

A)happiness
B)responsibility
C)individuation
D)intimacy

Question 10

Children of authoritarian parents tend to have lower critical thinking abilities than children of authoritative parents because: ​

A)authoritarian parents have a lower IQ than authoritative parents.
B)authoritarian parents' high expectations of their children lead to children's poor school and testing performance.
C)authoritarian parents give their children less of an opportunity to interact over rules than do authoritative parents.
D)All of the choices are correct.

Question 11

When children are allowed to play one parent against the other, they: ​

A)learn that rules do not apply to them.
B)learn that rules always apply to them.
C)are rarely viewed as manipulative by others.
D)tend to become extremely high achievers.

Question 12

Someone who has a preoccupied attachment style is: ​

A)high in anxiety and low in avoidance.
B)high in anxiety and high in avoidance.
C)low in anxiety and low in avoidance.
D)None of the choices are correct.

Question 13

The preoccupied client: ​

A)most worries about losing a relationship.
B)most worries about other's dependency on them.
C)has de-activating and hyperactivating coping strategies that allow many of them to function with only modest symptomatology.
D)most worries about losing a relationship and has de-activating and hyperactivating coping strategies that allow many of them to function with only modest symptomatology.

Question 14

Healthy families______ between the poles of separateness and relatedness. ​

A)are consistent in one position
B)range flexibly along the continuum
C)range the continuum without regard for the demands of the situation
D)choose one end or the other

Question 15

Beginning therapists will find that most of their clients have been reared in one of the following parenting styles: ​

A)authoritative.
B)abusive.
C)authoritarian.
D)passive.

Question 16

​ Therapists can explore and assess parenting styles with their clients by:

A)asking directly about them.
B)using attachment theory assessments.
C)guessing the type of parenting style from the narratives the client gives.
D)None of the choices are correct.

Question 17

At-risk youth who bring schemas for rejection and distrust to the therapeutic relationship are typically raised by: ​

A)authoritative parents.
B)authoritarian parents.
C)permissive parents.
D)disengaged parents.

Question 18

Permissive parents are unable to take charge and discipline effectively because: ​

A)they believe if they are firm they are acting too harshly.
B)they are insecure and fear their children will not love them if they say "no."
C)they don't believe they have the right to be in charge or instill their own values in their children.
D)All of the choices are correct.

Question 19

The dismissive client: ​

A)elicits boredom in a therapist.
B)avoids relationships.
C)will focus on other's problems.
D)All of the choices are correct.

Question 20

Clients who have been parentified as children may: ​

A)avoid any situations requiring them to act responsibly.
B)grow up to become care-giving professionals who are at risk of early professional "burnout."
C)relinquish control easily and are comfortable in mutually reciprocal relationships.
D)will be inattentive and unresponsive to the therapist.

Question 21

Discuss how the structure of family relationships can help therapists understand the client's presenting issues. How does this understanding enable therapists to develop effective treatment plans? ​

Question 22

How does "mystification" through parental disavowing of their own behavior lead to amplification of the child's long term problems? ​

Question 23

Discuss how a family's position along the separateness-relatedness continuum affects the child's development and what types of counseling issues are created as a result. ​

Question 24

Discuss the effects of different types of parental coalition on childhood adjustment. How might this vary in different cultural settings? ​

Question 25

What are the consequences for children who are raised by disengaged or neglectful parents? ​

Question 26

Explain why authoritative parenting is most likely to produce well-adjusted children. ​

Question 27

What are the implications for therapy when working with clients who have had authoritarian backgrounds, or who have experienced significant love withdrawal in their development? ​

Question 28

Discuss the immediate and long term emotional distress which may result for the child when parents withdraw or cut off their emotional connection. Discuss effective therapist interventions for these emotional consequences. ​

Question 29

Discuss how cross-generational alliances and lack of a clear intergenerational boundary may shape a client's presenting problems. ​

Question 30

What are the likely precursors that result in parents having disengaged or neglectful parenting styles? ​