Question 1

Using Schwitzer's inverted pyramid method of case conceptualization, narrowing theoretical inferences to the deepest difficulties in development or adjustment is

Accepted Answer

A)  Step 1 
B)  Step 2 
C)  Step 3 
D)  Step 4 D

Question 2

Which of the following is most accurate?

Accepted Answer

A)  Diagnosis is descriptive; case conceptualization is explanatory. 
B)  Diagnosis is explanatory; case conceptualization is descriptive. 
C)  Both diagnosis and case conceptualization are descriptive. 
D)  Both diagnosis and case conceptualization are explanatory. A

Question 3

"Etiology" refers to:

Accepted Answer

A)  features keeping the problem going. 
B)  underlying or root causes. 
C)  main symptomotology. 
D)  primary treatment goals. 
E)  measurable outcomes. B

Question 4

Step 3 of the Inverted Pyramid involves narrowing clinical thinking to a smaller number of client themes that are:

Accepted Answer

A)  unifying. 
B)  central. 
C)  explanatory. 
D)  Two of the above 
E)  All of the above

Question 5

The following client information is provided: "Undeveloped self-worth/Fatal Flaw." This information most likely appears in which step of the Inverted Pyramid?

Accepted Answer

A)  Step 1 
B)  Step 2 
C)  Step 3 
D)  Step 4

Question 6

"Sustaining factors" refers to:

Accepted Answer

A)  features keeping the problem going. 
B)  underlying or root causes. 
C)  main symptomotology. 
D)  primary treatment goals. 
E)  measurable outcomes.

Question 7

Self-statements, ruminations, and fantasies are examples of:

Accepted Answer

A)  client behaviors. 
B)  client thoughts. 
C)  client affect. 
D)  client physiology.

Question 8

The following client information is provided: "1) Moderate Depression, 2) Relationship Dependency, 3) Identity Confusion." This information most likely appears in which step of the Inverted Pyramid?

Accepted Answer

A)  Step 1 
B)  Step 2 
C)  Step 3 
D)  Step 4

Question 9

Problematic relationships and eating difficulties are examples of:

Accepted Answer

A)  client behaviors. 
B)  client thoughts. 
C)  client affect. 
D)  client physiology.

Question 10

The following client information is provided: "Low mood, obsessive worry, sleep trouble, poor appetite, conflicts with mother, unassertive..." This information most likely appears in which step of the Inverted Pyramid?

Accepted Answer

A)  Step 1 
B)  Step 2 
C)  Step 3 
D)  Step 4

Question 11

Practicing case conceptualization skills with fictional "clients":

Accepted Answer

A)  is a good replacement for working with actual clients. 
B)  is a good step in the learning process. 
C)  is a good replacement for working with a supervisor. 
D)  may be unethical.

Question 12

Which of the following is true?

Accepted Answer

A)  Today's students and newly training clinicians typically are more confident about case conceptualization than those who have been in practice for awhile. 
B)  Those who have been in practice for awhile typically are more confident about case conceptualization than recently training clinicians. 
C)  There is not much difference in confidence about case conceptualization between the two. 
D)  Newly trained males tend to feel more confident.

Question 13

Inquiries about the client's medical problems, prescriptions, previous therapy, or substance use:

Accepted Answer

A)  should be postponed until a good working relationship has been established over time. 
B)  should be referred to the client's primary case physician. 
C)  should be a routine part of Problem Identification in the case conceptualization process. 
D)  should be a part of the Problem Identification process if no psychological assessment are used.

Question 14

Step 4 of the Inverted Pyramid involves narrowing clinical thinking to:

Accepted Answer

A)  still-deeper, more central, causal themes. 
B)  existential questions. 
C)  a focus on solutions. 
D)  Two of the above 
E)  All of the above

Question 15

Steps 3 and 4 of the Inverted Pyramid are:

Accepted Answer

A)  intuitive. 
B)  logical. 
C)  theoretical. 
D)  Two of the above 
E)  All of the above

Question 16

Using Schwitzer's inverted pyramid method of case conceptualization, broadly identifying client difficulties and symptomatic behavior is:

Accepted Answer

A)  Step 1 
B)  Step 2 
C)  Step 3 
D)  Step 4

Question 17

Issues of deep-rooted shame or rage, extreme loss of identity, or fragile personality structures are recorded on which Step of the Inverted Pyramid?

Accepted Answer

A)  Step 1 
B)  Step 2 
C)  Step 3 
D)  Step 4

Question 18

When the Inverted Pyramid is complete, the counselor should be able to see:

Accepted Answer

A)  how the diagnosis was derived. 
B)  how behaviors lead to thoughts. 
C)  how surface issues are related to deep dynamics. 
D)  how thoughts lead to behaviors.

Question 19

The following client information is provided: "Fragile self esteem." This information most likely appears in which step of the Inverted Pyramid?

Accepted Answer

A)  Step 1 
B)  Step 2 
C)  Step 3 
D)  Step 4

Question 20

Using Schwitzer's inverted pyramid method of case conceptualization, organizing client difficulties into intuitive or logical groupings is:

Accepted Answer

A)  Step 1 
B)  Step 2 
C)  Step 3 
D)  Step 4

Exam 9: Case Conceptualization: Understanding the Clients Concerns

Using Schwitzer's inverted pyramid method of case conceptualization, narrowing theoretical inferences to the deepest difficulties in development or adjustment is

Which of the following is most accurate?

"Etiology" refers to:

Step 3 of the Inverted Pyramid involves narrowing clinical thinking to a smaller number of client themes that are:

The following client information is provided: "Undeveloped self-worth/Fatal Flaw." This information most likely appears in which step of the Inverted Pyramid?

"Sustaining factors" refers to:

Self-statements, ruminations, and fantasies are examples of:

The following client information is provided: "1) Moderate Depression, 2) Relationship Dependency, 3) Identity Confusion." This information most likely appears in which step of the Inverted Pyramid?

Problematic relationships and eating difficulties are examples of:

The following client information is provided: "Low mood, obsessive worry, sleep trouble, poor appetite, conflicts with mother, unassertive..." This information most likely appears in which step of the Inverted Pyramid?

Practicing case conceptualization skills with fictional "clients":

Which of the following is true?

Inquiries about the client's medical problems, prescriptions, previous therapy, or substance use:

Step 4 of the Inverted Pyramid involves narrowing clinical thinking to:

Steps 3 and 4 of the Inverted Pyramid are:

Using Schwitzer's inverted pyramid method of case conceptualization, broadly identifying client difficulties and symptomatic behavior is:

Issues of deep-rooted shame or rage, extreme loss of identity, or fragile personality structures are recorded on which Step of the Inverted Pyramid?

When the Inverted Pyramid is complete, the counselor should be able to see:

The following client information is provided: "Fragile self esteem." This information most likely appears in which step of the Inverted Pyramid?

Using Schwitzer's inverted pyramid method of case conceptualization, organizing client difficulties into intuitive or logical groupings is: