In a Nutshell
Key Terms/Interventions
Process of Change
This Theorist
Exam Practice Question
(double points!)
100

Psychodynamic wok emphasizes the here and now, using language games and role playing to elicit insight. 

Um, actually, Gestalt work is being described here. 

100

Bowenian work utilizes projective methods such as sand tray and interpretation of drawings in addition to genograms in order to detriangulate enmeshed systems. 

Um, actually, Bownian work does not use projective methods. 

100
The process of change in CBT is insight. 

Um, actually, CBT is not insight oriented. Change is achieved through altering dysfunctional thought patterns. 

100

Fritz Perls and the Polsters created PCT together, agreeing that an aggressive stance towards clients was the best way to change their perspective and elicit change.

Bonus 50 points if you catch both errors. 

Um, actually none of these folks created PCT.

The Polsters didn't agree with Perls' approach to therapy; they only agreed on the theory itself. 

100

When would a psychodynamic therapist use cognitive behavioral interventions?

a. When the client has a personality disorder

b. In the early stage of therapy to create a holding environment

c. In the middle stage to teach a client how to get in touch with their thoughts and feelings

d. When the therapist detects resistance

Option B: In the early stage of therapy to create a holding environment

Psychodynamic can feel unstructured to clients who are new to therapy

Providing more structure, through CBT techniques like the holding environment can be beneficial.

200

SFBT emphasizes brief depth psychology means for rapid solution finding based on historical insights. 

Um actually, SFBT is not focused on past events at all. 

200

Key terms for Narrative work include: problem saturated stories, reauthoring, externalizing, and exception questions. 

Um actually, exception questions are not part of narrative work. 

200

The process of change in psychodynamic work is behavioral activation, enacting on knowledge gained from projective methods and depth work. 

Um, actually, the process of change is insight. 
200

Sigmund Freud's complicated history and hypersexualized views of human functioning resulted in a fissure between him and his colleagues, as well as him and most of psychological society. As a result, hardly anyone practices "pure" reality/choice therapy these days.

Bonus 50 points if you can make a case for Freud's work. 

Um, actually, Freud has nothing to do with reality/choice therapy.

200

How is DBT different than CBT?                                A. DBT is a type of CBT

B. DBT therapy is a type of CBT, but CBT is more thought focused

C. DBT is a type of CBT, but focuses more on emotional and social aspects

D.The relationship between therapist and client is more important than in CBT

Option C is correct. 

  • Wait...didn’t Corey put this under “Behavioral Therapy”?
    Yes, but remember that DBT and EMDR are integrative behavioral therapies, thus, they’re often considered to be a type of CBT which is innately integrated. 

  • DBT also focuses on thoughts, what makes it unique is the emotional and social aspects. 

300

Family systems work in general can only be done with the nuclear family present in session. 

Um actually, a systems perspective can be utilized in individual therapy effectively. 

300

Existential work includes: acceptance, mortality, empty chair, and unconditional positive regard. 

Um actually, empty chair and unconditional positive regard are not affiliated with existential work. 

300

SFBT asserts that change happens when clients are appropriately connected to local resources and that they need to acquire more knowledge, skill, and support in order to maintain change. 

Um, actually, in SFBT, its believed that the client has all of the resources and strengths they need to achieve their goals. Change is gained through small efforts.

300

Epston and White created SFBT with contributions from White's experience in working with Maori people.

Um, actually, they created narrative therapy. 

300

 In psychodynamic psychotherapy, ________ allows a client to move from gaining insight to engaging in new behaviors.

a. direct confrontation

b. working through

c. transference analysis

d. clarification



Correct answer: B) Working Through

"Working through" is the final and longest stage of psychoanalysis. It allows clients to gradually assimilate new insights about their behavior into their personality which, in turn, leads to changes in behavior. Improvement in psychoanalyses is often attributed to a combination of catharsis, insight, and working through.

400

All behavioral therapies utilize objective means to assess the impact of thoughts and feelings on a person's actions. 

Um actually, CBT & REBT do this, but not all behavioral therapies do. 

400

These are all Gestalt experiments and exercises: making the rounds, empty chair, exaggeration, reversal, rehearsal, persona, dreamwork, games of dialogue. 

Um actually, persona is a psychodynamic concept, not a Gestalt intervention. 

400

All humanistic therapies assert that change is achieved through sustained achievement of self actualization.

Um, actually, not all of the humanistic theories subscribe to the notion of self actualization. Even the one that does makes no claims of sustainability, teaching instead moments of self actualization. 

400

De Shazer and Adler are credit with founding expressive arts therapy.

Bonus 10: De Shazer is credited with which theory?
Bonus 10: Adler is credited with which theory?
Bonus 20: Who is credit with expressive arts therapy?

Um, actually, neither De Shazer nor Adler are credit with expressive arts.

De Shazer is SFBT
Adler is Adlerian
Natalie Rogers is credited with expressive arts therapy.

400

Therapies based on systems theory take the emphasis off the identified patient. This is accomplished by:

Select one:

a. looking at how the system affects the individual.

b. looking at how the individual affects the system.

c. assessing how society affects the individuals within a system.

d. emphasizing the dysfunction of the entire system rather than any one individual. 




Of the answers given, C is most consistent with systems theory, which views family problems as the result of the entire system.

Answers A & B are incorrect: Systems theory does consider how the system affects the individual, but it also considers how the individual affects the system. Consequently, answer D is a better description of systems theory.

Answer C is incorrect: This answer is more consistent with sociology and social psychology.



500

CBT utilizes the cognitive triad to identify problem saturated stories. 

Um actually, CBT uses the cognitive triad to change thoughts, which can change feelings and behaviors. 

500

Person Centered work values the client's unique experience and seeks to express this through whatever means are relevant to the client, including expressive arts, story reauthoring, and reinforcing the new story. 

Um actually, reauthoring and reinforcing new stories is Narrative work. 

Bonus for 40: how could PCT use stories?

500

Experiential/communications family therapy relies on restructuring the family through means such as family sculpting exercises in order to enact change. 

Um, actually, experiential/comm. looks for congruence between the self as it is, and how it's communicated/expressed in the family system. 

500

Michenbaum, Rogers, Beck, and Ellis are all credited with elements of therapy that are today considered CBT.

Um, actually, Rogers doesn't get any credit for CBT.

Some people lump Ellis into CBT since REBT is so similar, while other folks keep them separate. 

500

During a therapy session with parents and their three children, the 13-year-old son sits by himself and is totally quiet. The therapist talks directly to the boy and says, "Your silence shows how sensitive you are to the chaos in the family." This therapist is using which of the following techniques?

a. enactment

b. symptom prescription

c. reframing 

d. mimesis



C is correct. Reframing involves changing the meaning of a symptomatic behavior so that it can be understood in a new way.

Answer A is incorrect: When using enactment, the therapist instructs family members to role-play a conflict or other interaction in order to observe and modify the interaction.

Answer B is incorrect: Symptom prescription is also known as prescribing the symptom and involves instructing the client to engage in the symptomatic behavior, often in an exaggerated way.

Answer D is incorrect: Mimesis is a process by which a therapist adopts a family's mannerisms and style of talking in order to join with the family.



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