Deck 4: The Domain of Assessment: Clients Symptoms, Stages of Change, Needs, Strengths, and Resources

Question 1

Paradoxical interventions, at their most effective, are able to replace the necessity of "working through" issues that a client brings to therapy.

Answer 1

False

Question 2

What is the term used to describe an encouraging, stimulating, and motivating paradoxical intervention intended to have a client walk a therapist through the processes and the logic underlying what others have often defined as problematic?

A) the Columbo approach
B) naïve collaboration
C) pedagogism
D) pattern identification

Answer 2

C

Question 3

What is the term used to describe an encouraging, stimulating, and motivating paradoxical intervention intended to dislodge a client from counterproductive activity by encouraging them to practice it and become better at it but for benign purposes?

A) practice
B) homework
C) benign redirection
D) injunctive encouragement

Answer 3

A

Question 4

Which of the following situations is not ideal for using the paradoxical intervention designed to reconstruct and "reframe" problematic behavior in a way that reveals its prosocial dimension?

A) making sense of negative emotions
B) redefining problematic behavior
C) working with reluctant and resigned precontemplators
D) when change produces fear and reversion to "old ways"
E) none of the above

Question 5

What is the term used for the kind of encouraging, stimulating, and motivating paradoxical intervention designed to reconstruct and "reframe" problematic behavior in a way that reveals its prosocial dimension?

A) prosocial reiteration
B) prosocial deconstruction
C) prosocial redefinition
D) prosocial reconstruction

Question 6

The nonlinear component of using an encouraging, stimulating, and motivating paradoxical intervention, is that it alters a symptom or complaint so that it no longer __________________.

A) presents a significant impact on client functioning
B) depresses or discourages clients
C) remains a focal point for treatment
D) has the negative impact on treatment it previously had

Question 7

When a paradoxical intervention is presented to a client, the presence of two contradictory statements, combined with an element of truth, can produce ______________.

A) frustration
B) first order change
C) bewilderment
D) second order of change

Question 8

Practitioners in the earlier stages of development (stages 1 and 2) frequently encounter difficulty with encouraging, stimulating, and motivating paradoxical interventions because they often contravene _________________.

A) the client's perceptions of how a therapist should be
B) more linear notions of what it means to be a "helper"
C) the client-centered approaches typically taught in schools
D) the demands of modern brief therapies

Question 9

The paradox of Schrödinger's cat involves the possibility that the cat in the sealed box is both alive and dead at the same time; any conclusions made at that moment are based on ________________.

A) whichever reality you choose at that moment
B) deductive reasoning
C) inductive reasoning
D) the reality that a specific state exists whether you realize it or not

Question 10

Using an encouraging, stimulating, and motivating paradoxical intervention represents the therapist's attempts to ____________ the client's defensive and rigid perception of the situation and their behavior, in order to _________________.

A) "subvert"; trick them into action
B) "disturb"; mobilize un-accessed resources
C) "assuage"; find unexplored solution
D) "highlight"; make the unconscious, conscious

Question 11

___________ represent a class of nonlinear paradoxical interventions designed to encourage, stimulate, and mobilize clients who, as a result of their experience of ambivalence (i.e. dilemma), have either become immobilized or are endlessly vacillating despite their best efforts.

A) Motivators
B) Pushers
C) Energizers
D) Mobilizers

Question 12

Inviting a client to practice a problematic behavior encourages them to practice under the direction of the therapist, which makes it a cooperative act and in harmony with the therapist; refusal results in relinquishing some of the maladaptive symptoms.

Question 13

Nonlinear listening for congruence is a key factor in identifying client situations that would most benefit from a an encouraging, stimulating, and motivating paradoxical intervention.

Question 14

Because the client determines what is useful to him/her, it is important to solicit feedback from them about the impact and success of treatment - or the lack of it.

Question 15

Which of the following situations is not ideal for using the paradoxical intervention designed to have a client walk a therapist through the processes and the logic underlying what others have often defined as problematic?

A) defiant clients
B) victims of difficult life circumstances
C) adolescents
D) contemplators
E) mandated clients