Deck 4: An Internal Focus for Change

Question 1

​ Clients develop complex interpersonal coping strategies and defense mechanisms to ward off the______associated with the______   .

A)depression; client's current life situation
B)fear; client's uncontrollable circumstances
C)therapist's demands; client's feelings of vulnerability
D)anxiety; client's generic conflicts

Answer 1

D

Question 2

"Other focused" clients: ​

A)tend to feel anxious, depressed and helpless.
B)can resolve their problems by changing their way of responding in conflicted relationships.
C)can resolve their problems by assertion training.
D)tend to feel anxious, depressed and helpless and can resolve their problems by changing their way of responding in conflicted relationships.

Answer 2

D

Question 3

In the beginning stage of therapy, most clients see the source of their problems as: ​

A)residing "out there" with someone else.
B)their own fault.
C)financial.
D)their Mother's fault.

Answer 3

A

Question 4

The factor most responsible for the fostering of dependence of a client is: ​

A)the length of time of therapy.
B)the theoretical model used by the therapist.
C)the repeated directing of the course of therapy by the therapist.
D)All of the answer choices are correct.

Question 5

When the client reenacts a central conflict in therapy: ​

A)it is always damaging to him/her.
B)the therapist should encourage transference to better understand the client.
C)it is an opportunity to resolve the problem in the therapeutic relationship.
D)the therapist and client should focus away from the current interpersonal conflict and developmental sources of it.

Question 6

When the therapist helps the client to clarify the thoughts and feelings that are associated with anxiety, the client's vague discomfort will usually: ​

A)offer the therapist a new issue for the working hypothesis.
B)become more specific.
C)increase substantially.
D)subside dramatically.

Question 7

Attachment theorists believe that "joining" a client where they are: ​

A)is a type of effective sensitive attunement.
B)is more important to the client than giving an intelligent solution to their problem.
C)translates into resistance of advice giving by the therapist.
D)All of the answer choices are correct.

Question 8

Beginning a session by telling the client that, "I would like you to begin each session by bringing up what you want to talk about. I'd like to work on what is most important to you," is an example of: ​

A)Nondirective Therapy.
B)Empathic Connection.
C)Interpersonal Feedback.
D)Shared Control.

Question 9

A common reason therapists resist focusing the client inward is: ​

A)some clients will become angry as they are encouraged to explore conflicts.
B)they want to maintain client approval.
C)that they confuse being direct with being critical, blaming, or non-supportive.
D)All of the answer choices are correct.

Question 10

The locus of change in the therapeutic setting must remain  ______. ​

A)entirely with the therapist
B)entirely with the client
C)entirely with the supervisor
D)a shared control or collaborative alliance between therapist and client

Question 11

One reason why clients are often ambivalent about exploring their anxiety is: ​

A)the therapist is leading the client closer to the conflict that is the source of their problems.
B)all clients are resistant to feeling anxiety.
C)clients are not truly motivated to change.
D)anxiety can cause the client to regress.

Question 12

When a client becomes noticeably more anxious, the therapist's aim should be to: ​

A)engage the client in a different topic.
B)identify the issue that has just precipitated the anxiety.
C)engage the client about the anxiety to collaboratively discern the triggering event.
D)Both identify the issue that has just precipitated the anxiety and engage the client about the anxiety to collaboratively discern the triggering event are correct.

Question 13

​ When the dependent client acts assertively in the session, the therapist provides a corrective emotional experience by:

A)explaining why the client has been dependent in the past.
B)expressing pleasure in the client's stronger stance.
C)suggesting further reading about assertiveness training.
D)counter-asserting their opinion.

Question 14

Supporting the client's own autonomy and initiative is found in a/an______  rather than a(n)______. ​

A)independence-fostering; dependence-fostering approach
B)dependence-fostering; independence-fostering approach
C)neutral, dispassionate relationship; active, close relationship
D)teacher-student role; helper-helpee dynamic

Question 15

Before clients can adopt new, more effective responses to old problems, they must: ​

A)decrease their attempts to change others.
B)exert more control over others' behaviors.
C)gain more understanding and control of their reactions.
D)decrease their attempts to change others and gain more understanding and control of their reactions.

Question 16

When clients begin therapy by externalizing their problems, the therapist must first: ​

A)direct clients toward an internal focus.
B)acknowledge the complaints as valid concerns.
C)give clients several solution options.
D)find the repetitive relational conflict involved in their interactions.

Question 17

In order to focus clients inward, a therapist should: ​

A)self-disclose.
B)encourage the client not to feel sorry for him/herself.
C)encourage the client to expand and elaborate their fears and concerns.
D)join the client in complaining about others.

Question 18

Therapists can develop credibility when working with diverse clients by: ​

A)responding in a manner that is congruent with the client's worldview.
B)show they are trustworthy by setting therapeutic goals in a knowledgeable way for the client.
C)show they are trustworthy by collaborating with clients on therapeutic goal setting.
D)Both responding in a manner that is congruent with the client's worldview and show they are trustworthy by collaborating with clients on therapeutic goal setting are correct.

Question 19

To identify patterns and themes that cause problems in clients' lives, the therapist: ​

A)tracks their depression to their childhood.
B)tracks their anxiety.
C)asks the client what they think their patterns and themes are.
D)tracks their depression to their childhood and tracks their anxiety.

Question 20

​ A hierarchical helper-helpee mode of therapy:

A)is an effective mode.
B)shifts responsibility away from the client and onto the therapist.
C)validates the client's concerns.
D)reflects the client's need for help.

Question 21

Discuss the ways in which the therapeutic relationship can be used to foster or discourage the client's self-efficacy. ​

Question 22

Discuss the common misconception that the therapist is overly responsible for figuring out what is wrong for the client and changing it. Discuss how a therapist can address this misconception with a dependent client who buys into this misconception. ​

Question 23

What are the dangers in trying to refocus a seemingly meandering or "wandering" client during a therapeutic session? What should be the therapist's focus in this situation? ​

Question 24

Discuss how therapists can utilize the client's relational reenactments with them in treatment to resolve the client's problems. ​

Question 25

What are the benefits of using "personalizing" when the therapist aims to help the client recognize their shared responsibility for creating and maintaining their problems? What is the danger in avoiding the use of personalizing comments? ​

Question 26

​ How might a client's anxiety signal that the interpersonal process between themselves and the therapist may be reenacting a developmental problem or cyclical relational pattern for the client?

Question 27

Why do clients resist an internal focus? Discuss the best response by the therapist to this resistance, and suggest several different ways in which the therapist can guide the client from an external to an internal focus. ​

Question 28

Why is it important for the therapist to support the client's own self-direction within the therapeutic process? What, specifically, does the client gain? ​

Question 29

Discuss how the therapist can use the client's anxiety as a signal or ally to help understand and resolve the client's problem/s. ​

Question 30

Discuss the importance of the collaborative partnership in helping clients enact real change. What are the two keys to real change? ​