Question 1

Lazarus' view about the therapeutic relationship includes all of the following EXCEPT:

Accepted Answer

A) flexible relational styles. 
B) unconditional positive regard. 
C) thoughtful crossing of some formal boundaries. 
D) being directive when necessary.

Question 2

Which of the following is most descriptive of integration (as opposed to eclecticism)?

Accepted Answer

A) Applying what is 
B) More theoretical than empirical 
C) Realistic 
D) Sum of parts

Question 3

According to the textbook,the five most common contemporary combinations of theoretical orientations each included which of the following?

Accepted Answer

A) Behavioral therapy 
B) Cognitive therapy 
C) Humanistic therapy 
D) Psychoanalytic therapy

Question 4

Which of the following statements is inconsistent with a multimodal therapeutic relationship?

Accepted Answer

A) A warm caring relationship is typically the central process of change. 
B) Empathy,congruence,and positive regard are rarely the necessary and sufficient conditions for constructive personality change. 
C) The therapeutic relationship is a precondition of change in practically all cases. 
D) The therapeutic relationship is a content to be changed in specific cases.

Question 5

In the vignette presented in the textbook,Lazarus' second response to the patient's question "Why do you have graves outside your office?" was:

Accepted Answer

A) "How does it make you feel that I have graves outside my office?" 
B) "I don't have graves outside my office." 
C) "One grave is earmarked for you if you turn out to be an uncooperative client." 
D) "You may have a preoccupation with death if you see my flower beds as graves."

Question 6

The notion of an "authentic chameleon" is most likely to be criticized as equivalent to saying one should be a genuine phony by:

Accepted Answer

A) behavioral therapies. 
B) cognitive therapies. 
C) humanistic therapies. 
D) psychoanalysis.

Question 7

Like other forms of technical eclecticism,Lazarus' multimodal therapy is most concerned with:

Accepted Answer

A) a broad-based theoretical integration of psychotherapy systems. 
B) a syncretic approach to applying only the most evidence-based therapy techniques. 
C) reducing psychopathology,not explaining it. 
D) refining understandings of the multi-influences on how psychopathology develops.

Question 8

The Unified Protocol focuses on four core strategies,including each of the following EXCEPT:

Accepted Answer

A) fostering the therapeutic relationship. 
B) enhancing awareness of emotional experience. 
C) preventing emotional and behavioral avoidance. 
D) reappraising of rigid emotion-laden cognitions.

Question 9

Recent reviews of outcome research on integrative psychotherapies have concluded that:

Accepted Answer

A) they have limited empirical support. 
B) they have mixed empirical support. 
C) they have substantial empirical support. 
D) there are not enough studies to derive a conclusion about effectiveness one way or another.

Question 10

The Unified Protocol is most associated with:

Accepted Answer

A) Arnold Lazarus. 
B) Paul Wachtel. 
C) Larry Beutler. 
D) David Barlow.

Question 11

In Wachtel's system,the "woolly mammoth" refers to:

Accepted Answer

A) exhibiting a pattern of aggressive or "neanderthal-like" behaviors toward others. 
B) freezing of a co-dependent relationship behavior pattern in adulthood. 
C) inherent biological drives toward extinction. 
D) the persisting influence of certain childhood wishes and fears despite later experiences that might be expected to alter them.

Question 12

Lazarus' methods are too active,too technical,and too dismissive of inner conflicts and insight-oriented contributions.This criticism of integrative therapies would probably be leveled by:

Accepted Answer

A) behavior therapies. 
B) cognitive therapies. 
C) contextual therapies. 
D) psychoanalysis.

Question 13

Controlled and comparative outcome research on Wachtel's cyclical psychodynamic therapy is:

Accepted Answer

A) missing. 
B) partially supportive. 
C) supportive of only the action-based behavioral interventions. 
D) very supportive.

Question 14

Wachtel's phrase,"You can't go far in neutral," refers to:

Accepted Answer

A) the limitations of the psychoanalytic therapy relationship. 
B) the client's tendency to resist action in favor of insight. 
C) the pervasive role of vicious cycles in maintaining anxiety problems. 
D) the dangers of interfering with the transference relationship.

Question 15

In multimodal therapy,a BASIC I.D.chart listing the patient's problems is called a:

Accepted Answer

A) structural profile. 
B) therapy process profile. 
C) modality profile. 
D) eclectic profile of needs.

Question 16

Of the following statements,which would be LEAST consistent with the probable future direction of integrative therapies?

Accepted Answer

A) Increased attention will be given to individualizing therapy relationship stances. 
B) Psychological therapies will be matched increasingly with clinical diagnoses and client styles. 
C) External forces will apply pressure toward intertheoretical cooperation and cost-efficient treatment. 
D) They will slowly decrease in popularity with the growth of evidence-based methods.

Question 17

Paul Wachtel is characterized by the text authors as an initially reluctant integrationist who,upon beginning to write a critical article of behavioral therapy,found several strengths of the behavioral perspective.These strengths included all of the following EXCEPT:

Accepted Answer

A) the possibility of active intervention. 
B) the causal role of early experiences. 
C) an emphasis on empirical validation of procedures. 
D) an emphasis on context in shaping behavior.

Question 18

Although integrative therapists are proficient technique thieves,they have performed little controlled outcome research on their grand integrative creations.This criticism of integrative therapies would probably be leveled by:

Accepted Answer

A) behavioral therapies. 
B) cognitive therapies. 
C) contextual therapies. 
D) psychoanalysis.

Question 19

For Wachtel,since interpersonal events perpetuate neurosis,the psychotherapist must:

Accepted Answer

A) abandon interpretive interventions in favor of action-based interventions. 
B) favor use of interpretive interventions until a person is ready for action. 
C) synergistically combine insight-oriented and action-based interventions. 
D) must time the use of action and insight to be simultaneous.

Question 20

Advocates of common factors,such as Bruce Wampold,argue that research supporting the differential effectiveness of certain psychotherapies is misleading for all of the following reasons EXCEPT:

Accepted Answer

A) treatment differences ignore therapist effects resulting in overestimation of treatment effects. 
B) comparison therapies used in randomized clinical trials are barely therapies at all. 
C) researcher allegiance effects are larger than differences among treatment effects. 
D) client selection biases in randomized controlled studies inflate treatment effects.

Exam 16: Integrative Therapies