Question 1

To "resolve shame dynamics," therapists should: ​

Accepted Answer

A)  unambiguously provide kind and accepting responses to clients as they experience feelings of shame.
B)  work (over time)  to help the client internalize the therapist's compassion for their shame.
C)  help their clients to break the identification with the attachment figure who was rejecting.
D)  All of the answer choices are correct. D

Question 2

When a therapist makes a process comment by acknowledging a discrepancy between what a client has said and the feeling or affect that accompanied the statement, the therapist is: ​

Accepted Answer

A)  addressing an incongruence.
B)  attempting a "personalization" response.
C)  being reflective.
D)  providing a restorative experience. A

Question 3

The greatest opportunity to help clients change occurs: ​

Accepted Answer

A)  at the moment clients are experiencing the full emotional impact of their problems.
B)  when the client follows through with the therapist's concrete suggestions for change.
C)  during the final session prior to termination of therapy.
D)  there is no greatest opportunity to help clients change. A

Question 4

One way in which therapist's countertransference reactions are revealed in therapy is by the therapist: ​

Accepted Answer

A)  becomes personally invested in the way the client handles a certain issue.
B)  approaches the central conflict or issue.
C)  can successfully differentiate their own similar feelings from their clients'.
D)  accurately identifies the client's feelings.

Question 5

Clients frequently talk about their feelings without actually experiencing them. How can therapists help clients experience their feelings more fully and why could this be helpful? ​

Accepted Answer

The answer of Clients frequently talk about their feelings without...

Question 6

​ Reasons clients do not like to explore difficult feelings include their:

Accepted Answer

A)  belief that the work "it's too hard."
B)  belief that "it won't do any good."
C)  belief that exploring their feelings in depth "will be overwhelming."
D)  belief that they will be ridiculed and judged.

Question 7

According to Beck's "hot cognitions," it is when______that clients are most apt to distort or misperceive the therapist's response and slot it to fit old expectations. ​

Accepted Answer

A)  a client has a significant lack of trust in the therapist
B)  strong feelings have been triggered
C)  a client perceives an inauthentic connection with the therapist
D)  a client feels sequestered in their own experiences

Question 8

One of the most important ways to help clients achieve a greater sense of adequacy and mastery in their lives is to: ​

Accepted Answer

A)  give them concrete suggestions for change.
B)  summarize each session thoroughly.
C)  allow them to take full responsibility for the therapeutic process.
D)  help them make sense of their emotional reactions.

Question 9

Discuss personal factors that may stimulate countertransference reactions, and discuss effective and ineffective ways to manage these responses. ​

Accepted Answer

The answer of Discuss personal factors that may stimulate countertransference...

Question 10

Match between columns
                        Premises:  Affective Constellations
 An old wound
 Compacted phrase
 A corrective emotional occurs when the therapist experience
 Characterological affect
 Most productive response
 An open-ended bid

Accepted Answer

The Answer of aroused unresolved feelings from significant losses from is...

Question 11

Discuss the concept of affective constellations. Illustrate one potential triad of interrelated feelings, and describe how they would play out in treatment. ​

Accepted Answer

The answer of Discuss the concept of affective constellations. Illustrate...

Question 12

When therapists minimize, reassure, explain, or simply move away from a client's painful feelings, it is often because: ​

Accepted Answer

A)  they feel responsible for causing the client's painful expressions.
B)  their reaction evokes a countertransference response.
C)  they feel responsible for alleviating their pain, but don't quite know how.
D)  both they feel responsible for causing the client's painful expressions and they feel responsible for alleviating their pain, but don't quite know how are correct.

Question 13

Describe a therapeutic "holding environment." How can therapists facilitate this and explain why it is important to the therapeutic process. ​

Accepted Answer

The answer of Describe a therapeutic "holding environment." How can...

Question 14

Often, clients are unable to make sense out of their feelings or overreactions to a current situation. How can the therapist empower clients or help them with this? ​

Accepted Answer

The answer of Often, clients are unable to make sense...

Question 15

Explain the roles that shame and guilt have in maintaining client conflicts. Discuss effective and ineffective responses to shame. ​

Accepted Answer

The answer of Explain the roles that shame and guilt...

Question 16

Discuss and compare effective and ineffective ways therapists can respond to defenses against or resistance toward painful feelings. ​

Accepted Answer

The answer of Discuss and compare effective and ineffective ways...

Question 17

The best way for a therapist to manage their own reactions to evocative material that clients present is to: ​

Accepted Answer

A)  remain expressionless so as not to alert or distress the client.
B)  ignore their own emotional reaction.
C)  learn how to recognize and anticipate their own Countertransference propensities, and know what to do when they are evoked.
D)  respond politely, but defensively.

Question 18

Discuss different ways in which family rules about emotional expression can affect how the therapist and client work together. ​

Accepted Answer

The answer of Discuss different ways in which family rules...

Question 19

To provide a "holding environment" for clients to explore their distress, therapists: ​

Accepted Answer

A)  maintain a steady presence.
B)  educate the client on the dynamics of therapy.
C)  clarify what the therapist is thinking and feeling as clients share conflicted feelings.
D)  Both maintain a steady presence and clarify what the therapist is thinking and feeling as clients share conflicted feelings are correct.

Question 20

Explain what is meant by the phrase "change from the inside out," and suggest what therapists can do to assist or impede this process. ​

Accepted Answer

The answer of Explain what is meant by the phrase...

Exam 5: Helping Clients With Their Feelings

To "resolve shame dynamics," therapists should:

When a therapist makes a process comment by acknowledging a discrepancy between what a client has said and the feeling or affect that accompanied the statement, the therapist is:

The greatest opportunity to help clients change occurs:

One way in which therapist's countertransference reactions are revealed in therapy is by the therapist:

Clients frequently talk about their feelings without actually experiencing them. How can therapists help clients experience their feelings more fully and why could this be helpful?

Reasons clients do not like to explore difficult feelings include their:

According to Beck's "hot cognitions," it is when______that clients are most apt to distort or misperceive the therapist's response and slot it to fit old expectations.

One of the most important ways to help clients achieve a greater sense of adequacy and mastery in their lives is to:

Discuss personal factors that may stimulate countertransference reactions, and discuss effective and ineffective ways to manage these responses.

MATCHING

Discuss the concept of affective constellations. Illustrate one potential triad of interrelated feelings, and describe how they would play out in treatment.

When therapists minimize, reassure, explain, or simply move away from a client's painful feelings, it is often because:

Describe a therapeutic "holding environment." How can therapists facilitate this and explain why it is important to the therapeutic process.

Often, clients are unable to make sense out of their feelings or overreactions to a current situation. How can the therapist empower clients or help them with this?

Explain the roles that shame and guilt have in maintaining client conflicts. Discuss effective and ineffective responses to shame.

Discuss and compare effective and ineffective ways therapists can respond to defenses against or resistance toward painful feelings.

The best way for a therapist to manage their own reactions to evocative material that clients present is to:

Discuss different ways in which family rules about emotional expression can affect how the therapist and client work together.

To provide a "holding environment" for clients to explore their distress, therapists:

Explain what is meant by the phrase "change from the inside out," and suggest what therapists can do to assist or impede this process.