Deck 19: Integrative Therapies

Question 1

Which of the following statements best captures the essence of theoretical integration?

A)Change cannot occur in the past.
B)Mental health is affected more by attitude than interventions.
C)Creativity is the mother of invention.
D)The whole is greater than the sum of its parts.

Answer 1

The whole is greater than the sum of its parts.

Question 2

A scattered approach to treatment which is haphazard and inconsistent, having neither direction nor coherence, is called

A)syncretism.
B)nondirective eclecticism.
C)synergism.
D)critical eclecticism.

Answer 2

syncretism.

Question 3

Which of the following is true of atheoretical eclecticism?

A)It is likely to be confusing to clients.
B)It can contain incompatible elements.
C)It combines interventions without regard to an overriding theory of change or development.
D)All of the above.

Answer 3

All of the above.

Question 4

An approach which emphasizes the therapeutic alliance and other essential ingredients that have been found to characterize effective treatment is called

A)a common factors approach.
B)a technically eclectic approach.
C)atheoretical eclecticism.
D)integrative eclecticism.

Question 5

Which of the following is NOT true of Wachtel's integrated psychodynamic-behavior therapy?

A)It is relational-the therapeutic relationship becomes the vehicle of change.
B)It combines psychodynamic therapy with applied behavioral interventions.
C)It is an example of atheoretical eclecticism.
D)It assumes early childhood experiences trigger patterns of behavior in adults.

Question 6

Multimodal therapy is an example of

A)a common factors approach.
B)technical eclecticism.
C)atheoretical eclecticism
D)integrative eclecticism

Question 7

_______________ offer(s) conceptual guidelines for integrating two or more treatment systems.

A)Technical eclecticism
B)Common factors approaches
C)Multimodal therapy
D)Theoretical integration

Question 8

The acronym BASIC I.D. represents

A)a guideline for structuring multimodal therapy sessions.
B)categories of techniques from which multimodal therapists choose interventions.
C)a format for client assessment.
D)none of the above.

Question 9

Which of the following is not a characteristic of technical eclecticism?

A)Interventions used can be associated with any compatible treatment approaches.
B)A self-contained theoretical basis guides the selection of interventions.
C)The emphasis is on interventions that have been validated by research.
D)Interventions are matched to the client, the situation, and the problem.

Question 10

A client stated, "This relationship is nothing like I had pictured it to be. I had visualized us as 'two peas in a pod'-getting along so well that we could read each other's minds." It is likely that the client's preferred modality is

A)verbal.
B)affective.
C)sensory.
D)imagery.

Question 11

In multimodal therapy, the term "structural profile" refers to

A)the underlying theory which will guide a client's treatment.
B)the relative strengths of a person's seven modalities.
C)a bar graph representing relative emphases placed on affective, cognitive, and behavioral treatment components.
D)the overall treatment plan for a client.

Question 12

A multimodal therapist asked her client what changes he would like to make in the seven areas of the BASIC I.D. The therapist's primary goal was most likely to

A)build a therapeutic alliance.
B)conduct a second order analysis of the BASIC I.D.
C)establish her role as a consultant, not an authority.
D)determine the client's preferred modality.

Question 13

Madison was referred to an employee assistance counselor because of anger she had expressed in the workplace. Madison reported that before she stormed out of a recent staff meeting, she first thought about how her colleague's reasoning was incorrect, and then felt angry at the influence the person wielded. Madison's modality firing order is most likely

A)cognitive, affective, behavioral.
B)interpersonal, sensory.
C)evaluative, emotional, behavioral.
D)self-talk, action.

Question 14

To effectively use bridging with Madison (in the above question), a multimodal therapist would

A)first attempt to empathize with Madison's feelings.
B)teach Madison relaxation strategies.
C)refer Madison to an anger management support group.
D)first intervene with a cognitive approach.

Question 15

To effectively use tracking with Madison a multimodal therapist would

A)ask Madison to keep a journal of her progress in therapy.
B)plan interventions according to Madison's firing order.
C)determine if Madison's feelings and behaviors were congruent.
D)begin with a behavioral intervention.

Question 16

In the transtheoretical model of change, precontemplation is an example of a

A)stage of change.
B)level of change.
C)strategy to promote change.
D)change of perspective.

Question 17

The adaptive counseling and therapy/readiness model matches

A)treatment approach to clinician's personal style.
B)client to clinician.
C)clinical approach to client needs.
D)intervention style to client's level of change.

Question 18

Which of the following is not a stage in Clara Hill's three stage integrated model?

A)joining
B)action
C)exploration
D)insight and understanding

Question 19

Which of the following is not a strong influence on the development of Hill's model?

A)person-centered therapy
B)Bowlby's attachment theory
C)cognitive therapy
D)existential therapy

Question 20

How many sessions should clinicians usually allow for the process of terminating treatment?

A)one or two sessions
B)five to seven sessions
C)at least three sessions
D)varies; longer treatment relationships require less time for termination

Question 21

Discuss at least five factors that have resulted in the creation of integrated or eclectic approaches to psychotherapy.

Question 22

Choose two or more treatment approaches that you would combine to create an effective integrated or eclectic approach to treatment. Explain why you chose these approaches. Describe any disadvantages or pitfalls that you are likely to encounter in combining the approaches.

Question 23

Create an integrated or eclectic approach using the treatment approaches you identified in question 2 (above). Include the following elements:
●how your new treatment system builds on the strengths of existing approaches
●an underlying theory of human behavior and development
●a philosophy or theory of change
●logic, guidelines, and procedures for adapting the treatment system to a particular problem (you may choose any problem to illustrate this element)
●strategies and interventions which are important in implementation
●the nature of the therapeutic alliance

Question 24

Drawing on any of the treatment approaches that you have studied, describe an integrated or eclectic treatment system that you believe would be especially effective in addressing the needs of multicultural clients. Identify the basic goals, assumptions, and strategies of your new treatment system and explain the reasons for your choices.

Question 25

Identify your most preferred treatment approach and your least preferred treatment approach. Discuss whether they could productively be integrated. Explain why or why not.

Question 26

Identify the seven categories of functioning represented by the acronym BASIC I.D. What purpose does this acronym serve in multimodal therapy?

Question 27

Discuss the strengths and limitations of multimodal therapy.

Question 28

Describe the basic ideas underlying two of the following treatment approaches:
●Integrative Psychodynamic-Behavior Therapy
●Thinking-Feeling-Acting Model
●Adaptive Counseling and Therapy/Readiness Model
●Three-Dimensional Model of Multicultural Counseling
●Three-Stage Integrated Model
●REPLAN

Question 29

Describe the three ways in which treatment usually is terminated.

Question 30

Developing a list of future goals with people who are ending treatment can be beneficial. However, it also can lead people to believe that treatment has not been successful. What steps would you take in developing such a list with a client to make sure that the list is motivating rather than discouraging?