Deck 9: An Interpersonal Solution

Question 1

The primary role for a therapist is to: ​

A)encourage the client to take ownership of the treatment process.
B)explain and interpret the client's most pressing issue right now.
C)actively direct a treatment focus.
D)All of the choices are correct.

Answer 1

A

Question 2

The process dimension in therapeutic relationships can best be utilized with: ​

A)a psychoanalytic-object relationship orientation.
B)an interpersonal-dynamic orientation.
C)longer term therapy modalities.
D)any theoretical orientation.

Answer 2

D

Question 3

A common reason beginning therapists may find it anxiety inducing to directly address the current interaction between them and their clients are: ​

A)it does not facilitate immediacy.
B)a history of depression in their family of origin.
C)fear of trespassing social norms and cultural expectations.
D)a pattern of permissive parenting.

Answer 3

C

Question 4

When is it useful for therapists to give interpretations, facilitate client insights about historical roots, train clients about more adaptive responses, and use cognitive-behavioral interventions? ​

A)Just preceding a corrective emotional experience
B)At any time during therapy
C)After the client has experienced a meaningful change within the immediate relationship
D)They are never useful.

Question 5

Change is likely to occur whenever the therapist and client interaction provides a/an______ of the client's conflicts rather than a/an______  of them. ​

A)resolution; repetition
B)repetition; resolution
C)awareness; resolution
D)awareness; growth

Question 6

Being direct in therapy can arouse feelings in therapists about issues of______                and______. ​

A)self-involvement; self-disclosure
B)depression; safety
C)therapist hostility; client vulnerability
D)Both self-involvement; self-disclosure and therapist hostility; client vulnerability are correct.

Question 7

To work effectively with the process dimension, therapists also must balance the challenge of______with being supportive and protective of clients' self esteem.

A)overt questioning
B)metacommunication
C)painful prodding
D)feedback looping

Question 8

When treatment fails, what usually happens is that: ​

A)the eliciting maneuvers or transference reactions of the client has tapped into the therapist's own personal issues and created a shared conflict for both of them.
B)the treatment process has repeated some of the same relationship dynamics the client has been struggling with in other relationships.
C)the working alliance has been ruptured.
D)All of the choices are correct.

Question 9

When the client's conflict begins to be replayed in the therapeutic relationship, and the therapist accepts the validity of that concern and helps the client to explore and understand it more fully: ​

A)the therapist offers the opportunity to negotiate a new type of relationship and resolve the conflict in the current interaction.
B)the therapist strengthens the client's reliance on that interpersonal relational pattern.
C)the client will become anxious and defensive.
D)the therapist encourages the client to reenact the conflict.

Question 10

Process comments are used to: ​

A)address how the therapist and client are responding to each other.
B)focus on the content of the conversation between the therapist and client.
C)advocate an action to help the client change.
D)focus on immediate, meaningful existential issues.

Question 11

One of the most common reason intervention techniques often fail is: ​

A)therapists don't know which techniques to use with a new client.
B)therapists haven't learned how to integrate theory and technique.
C)therapists have not conceptualized what has gone awry for the client in other relationships and considered how these relational themes could be reenacted in their therapeutic process.
D)None of the choices are correct.

Question 12

Because the interpersonal process has such a strong impact on clients, beginning therapists should use supervision to learn to do the following: ​

A)disengage their feelings in the therapeutic relationship.
B)resolve problems in the same way as their supervisor.
C)manage their anxiety over having personal power.
D)maintain responsibility for client change.

Question 13

When a therapist first introduces process comments in an initial session, clients are often: ​

A)surprised.
B)taken off-guard.
C)may feel defensive.
D)All the choices are correct.

Question 14

Which of the following is NOT a process response/comment to clients' conflict? ​

A)"Let's talk about what is going on between us and see if we can understand what is happening in our relationship."
B)"Exercise and journal writing can be extremely helpful in lifting your depression."
C)"It seems to me that you keep asking me for help, and keep saying 'yes, but...' and don't ever allow me to help you. What do you see going on between us?"
D)"You seem to be very quiet this session, it appears I am doing all of the talking. Can you tell me what might be going on between us?"

Question 15

By encouraging clients to discuss and address conflicts with the therapist as they occur in their interaction: ​

A)control battles are always provoked.
B)an opportunity is provided for real life experience of change.
C)anxiety is aroused.
D)both an opportunity is provided for real life experience of change and anxiety is aroused are correct.

Question 16

All of the following are ways of working on the client's issues within the context of the therapist-client relationship EXCEPT : ​

A)speaking directly to clients about the current interaction.
B)taking an internal focus.
C)encouraging expression of client affect in the here-and-now.
D)suggesting alternative ways to act with others.

Question 17

"Let's talk about what is going on between us right now, and see if we can understand what's happening in our relationship" is an example of a: ​

A)process comment.
B)prodding statement.
C)tentative inquiry.
D)prodding overture.

Question 18

When therapists step out of their "roles" and become more present with clients, the potential for greater emotional contact is possible as well as: ​

A)stopping the therapeutic process.
B)arousing countertransference issues.
C)easily finding optimum interpersonal connectedness.
D)having little difficulty differentiating personal issues of the therapist from the client.

Question 19

Therapists can help clients become aware of their underlying conflicts and the maladaptive ways they have learned to cope with them by: ​

A)pointing out when and how clients employ their coping strategies.
B)helping clients become aware of how they block their own needs and feelings.
C)helping clients explore why they become anxious at a particular time.
D)All of the choices are correct.

Question 20

When client conflicts are replayed in the therapeutic relationship, and are consequently made overt, beginning therapists commonly feel         . ​

A)inadequate
B)enlivened
C)powerful
D)prepared

Question 21

What are the challenges in providing useful interpersonal feedback to clients? ​

Question 22

When therapists employ different theoretical modalities, how should they evaluate their effectiveness, and decide whether to modify their intervention strategy? ​

Question 23

How should a beginning therapist deal with feelings of inadequacy when clients share strong feelings? ​

Question 24

Explain the difference between self-disclosing and self-involving statements. Why should therapists focus on using only self-involving statements? ​

Question 25

Why should beginning therapists avoid using process comments in their personal lives? ​

Question 26

Explain the current belief of many clients that it is important to "figure this out on their own". Discuss how a therapist addresses this belief and subsequently helps a client have a "paradigm shift" of valuing the process of therapy, and learn healthy relational themes. ​

Question 27

Explain what is meant by a "Corrective Emotional Experience"? What does it demand of the therapist and what can it provide to the client? ​

Question 28

An overarching therapeutic goal is to ensure that the client's maladaptive relational patterns are not reenacted again with the therapist. How can process comments keep recapitulations from occurring? ​

Question 29

When the client's conflicts with others is being replayed between the therapist and the client right now, what are effective and ineffective ways to respond? ​

Question 30

Explain the phrase, "The process must be congruent with the content." ​