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CBT/IPT
DBT
Psychodyn/Supportive
Other 1
Other 2
100
The main goal of group cognitive-behavioral therapy (CBT) for chronic pain treatment is to: a. Decrease individual members’ pain; b. Convince family members that chronic pain is real; c. Utilize the group process to avoid thinking about stress; d. Improve patient’s functioning despite the presence of pain; e. Reinforce distorted automatic thoughts about the pain experience
c. Utilize the group process to avoid thinking about stress
100
According to the standard dialectical behavioral therapy approach, which of the following skills should be taught to patients first and regularly practiced in order to facilitate learning of other skills? a. Mindfulness; b. Self-management; c. Distress tolerance; d. Interpersonal effectiveness; e. Emotional regulation
a. Mindfulness
100
A female patient engaged in twice-weekly psychodynamic psychotherapy with a male therapist for the last year begins to discuss sexual fantasies about the therapist. The therapist feels flattered by the sexual interest of this patient and notes his own feelings of attraction to her. The most appropriate next step for the therapist is to: a. Seek consultation with a colleague; b. End the treatment and refer the patient to another therapist; c. Explain to the patient that her feelings towards the therapist are not real; d. Pull back from close engagement with the patient to maintain more rigid boundaries; e. Encourage the patient’s discussion of her fantasies to deepen the erotic transfer
a. Seek consultation with a colleague
100
Which of the following is the principal behavioral technique used in the treatment of patients with obsessive-compulsive disorder: a. Flooding; b. Aversive conditioning; c. Systematic desensitization; d. Exposure and response prevention; e. Thought stopping
d. Exposure and response prevention
100
A patient with a cocaine addiction experiences cravings for cocaine whenever passing by a crack house. This reaction exemplifies: a. Operant conditioning; b. Classical conditioning; c. Drug-seeking behavior; d. Contingency management; e. Desire to socialize
b. Classical conditioning
200
A college student with anxiety is undergoing therapy. The student tells the psychiatrist, “I had an exam today, and I’m sure I failed it. Now I will never graduate from college.” Which of the following responses by the psychiatrist is most consistent with cognitive-behavioral therapy (CBT)? a. “You are tired, and you are not likely to fail out of college.”; b. “Tell me about experiences you had with failure as a child.”; c. “Do you also believe that you are ‘failing out’ of therapy?”; d. “How has this impacted your relationship with your friends and family?”; e. "Let’s make lists of the evidence for and against you failing out of college.”
e. “Let’s make lists of the evidence for and against you failing out of college.”
200
Which of the following psychotherapies for addiction uses a disease-model approach and emphasizes concepts such as acceptance of the disease and surrender to help beyond oneself? a. Twelve-step facilitation; b. Supportive-expressive therapy; c. Cognitive-behavioral therapy (CBT); d. Motivational enhancement therapy; e. Psychodynamic psychotherapy
a. Twelve-step facilitation
200
Supportive psychotherapy classically involves supporting and accepting the patient’s: a. Treatment goals; b. Relationship choices; c. Defense mechanisms; d. Understanding of the illness; e. Motives for seeking treatment
c. Defense mechanisms
200
A patient with murderous impulses towards a neighbor gives the neighbor a bouquet of flowers. This is an example of: a. Rationalization; b. Sublimation; c. Displacement; d. Repression; e. Reaction formation
e. Reaction formation
200
Which of the following practices is common to all couple and family therapies and contributes to a therapeutic outcome? a. Assessing couple or family psychopathology; b. Conceptualizing difficulties in relational terms; c. Gauging level of object relatedness among couple or family members; d. Formulating clinical problems in terms of boundaries, roles, and hierarchical decision-making; e. Discerning how a patient’s symptom represents a “solution” for a systemic problem
b. Conceptualizing difficulties in relational terms
300
Which of the following is more likely to be the focus of interpersonal psychotherapy (IPT) treatment? a. Role transitions; b. Unconscious conflicts; c. Automatic thoughts; d. Cognitive distortions; e. Repressed memories
a. Role transitions
300
Midway through a psychotherapy session with a patient, a psychiatrist’s mind repeatedly wanders, despite repeated attempts to refocus attention. Which of the following would be the best immediate action for the psychiatrist to take? a. Apologize to the patient for the inattention; b. Take detailed notes for use in supervision; c. Examine his or her own inner thoughts and feelings about the patient; d. Ask the patient if there might be some reason the patient avoids expressing feelings; e. End the session early and make up the time in the next appointment
c. Examine his or her own inner thoughts and feelings about the patient
300
A 42 year old patient in individual psychodynamic psychotherapy describes an angry confrontation with a friend. The therapist comments that although the patient describes anger, the patient actually seems very sad. This intervention is best described as: a. Confrontation; b. Clarification; c. Interpretation; d. Affirmation; e. Reframing
a. Confrontation
300
A patient with schizophrenia has recently been discharged from the hospital after a first psychotic episode. Family oriented therapy goals should include which of the following? a. Facilitating rapid return to the patient’s regular activities; b. Confronting the patient’s problems while avoiding a direct discussion of the episode; c. Encouraging the family to express their intense emotional reactions with the patient; d. Educating the patient’s family about the illness and providing support for immediate problems; e. Exploring connections between the patient’s psychotic reaction and the family’s maladaptive interpersonal patterns
d. Educating the patient’s family about the illness and providing support for immediate problems
300
Intentionally assigning the sick role to the patient which serves to give the patient the permission and responsibility in order to recover, is a tenet of which of the following forms of psychotherapy: a. Rational emotive therapy; b. Interpersonal therapy; c. Psychodynamic psychotherapy; d. Cognitive behavioral therapy; e. Dialectical behavioral therapy
b. Interpersonal therapy
400
Elements common to both CBT and eye movement desensitization and reprocessing (EMDR) in the treatment of patients with PTSD include: a. Establishment of the patient in the “sick role”; b. Controlled exposure to trauma-related triggers; c. Raising awareness of stress responses through measurement and real-time communication of physiologic processes; d. A repeated sequence of dual attention and personal association utilizing external stimuli to reprocess traumatic memories; e. A focus on the meaning of the trauma for the individual in terms of prior psychological conflicts and developmental experiences
b. Controlled exposure to trauma-related triggers
400
Which of the following psychotherapies for addiction uses a disease-model approach and emphasizes concepts such as acceptance of the disease and surrender to help beyond oneself? a. Twelve-step facilitation; b. Supportive-expressive therapy; c. Cognitive-behavioral therapy (CBT); d. Motivational enhancement therapy; e. Psychodynamic psychotherapy
a. Twelve-step facilitation
400
An articulate, likable, and psychologically-minded 25-year-old medical student presents for evaluation due to mild chronic anxiety and a sense of inadequacy despite good performance in pre-clinical studies. The patient has several good friends from class and is in a long-term committed relationship with another medical student who is described by the patient as “intelligent and considerate.” Though their relationship appears mutually supportive and respectful, the patient is vaguely dissatisfied and considering initiating a break-up. The patient has no personal or familial history of mental illness, and has not experienced any significant trauma. The patient reports being very motivated to understand feelings and behavior. Due to insurance and scheduling constraints, the patient is only available for twelve sessions. Which of the following treatment modalities is most suitable? a. Cognitive therapy b. Behavioral therapy; c. Supportive therapy; d. Brief psychodynamic therapy; e. Interpersonal psychotherapy (IPT)
d. Brief psychodynamic therapy
400
Which of the following hypnotic techniques is used to most patients? a. Using persuasion to change the patient’s behavioral responses; b. Providing the patient with specific directions from an authoritative source; c. Utilizing metaphors to enhance the patient’s understanding of symptoms; d. Encouraging the patient to use inner resourced for adaptive coping strategies
d. Encouraging the patient to use inner resourced for adaptive coping strategies
400
Which of the following psychotherapies for alcoholism focuses on patient ambivalence as a key treatment target: a. 12-step facilitation; b. Contingency management; c. Relapse prevention therapy; d. Motivation enhancement therapy; e. Cognitive-behavioral therapy (CBT
d. Motivation enhancement therapy
500
A patient is engaged in interpersonal psychotherapy (IPT) for depression. In the first several sessions the patient and therapist identify unresolved grief after the death of the patient’s mother as the problem area, and relate these feelings to the patient’s current depression. Which of the following will be the focus of the middle of treatment? a. Resolving guilt about conflicted feelings towards the patient’s mother; b. Providing the patient with a corrective emotional experience in the treatment; c. Finding new activities and relationships to offset the patient’s loss; d. Deepening a maternal transference from the patient to the therapist; e. Identifying and testing the validity of the patient’s maladaptive assumptions
c. Finding new activities and relationships to offset the patient’s loss
500
Which of the following is target of dialectical behavioral therapy in older adults that is not otherwise included in the standard DBT protocol: a. Mindfulness; b. Distress tolerance; c. Emotional constriction; d. Interpersonal effectiveness
c. Emotional constriction
500
A 25 year-old single African-American man, who is a first-year law student at an Ivy League school, seeks psychotherapy for what he calls “academic paralysis”. He is falling behind as he spends more time brooding about the racial and socioeconomic differences between himself and his classmates. He feels comfortable with his African-American psychiatrist and speaks openly about the racial slights that he experiences every day. The most important goal of psychodynamic psychotherapy with this patient is to: a. Support the patient in a hostile environment; b. Determine whether the patient’s perceptions are correct or incorrect; c. Validate the patient’s experience of racism by having a therapist of the same race; d. Use the shared ethnic background to offer insight to explain how the patient’s may be rooted in something more than his current situation; e. Help the patient understand that the pain of racism is derived from narcissistic injury inflicted on one’s self concept
d. Use the shared ethnic background to offer insight to explain how the patient’s may be rooted in something more than his current situation
500
It is the most essential for the therapist practicing Davanloo’s short-term dynamic psychotherapy to consistently do which of the following? a. Focus on the patient’s well-defined Oedipal conflicts; b. Set a firm termination date at the outset and stick to it; c. Clarify and relentlessly confront the patient’s defenses; d. Interpret positive and negative transference dynamics; e. Take and interpersonal inventory and develop an interpersonal formulation
c. Clarify and relentlessly confront the patient’s defenses
500
A therapist conceptualizes patients’ depression as related to guilt at having acted harmfully towards loved ones. Which of the following theorists most likely influenced this therapist? a. Melanie Klein; b. Aaron Beck; c. Carl Rogers; d. Marsha Linehan; e. Carl Jung
a. Melanie Klein