MFT Exam PDF

## Assumptions about Systemic Functioning 1. Which of the following assumptions about systemic functioning is not accepted as valid and useful? - Assessment focuses on linear vs. circular causality. - Families who are having problems are stuck in a phase of the family development life cycle...

## Assumptions about Systemic Functioning 1. Which of the following assumptions about systemic functioning is not accepted as valid and useful? - Assessment focuses on linear vs. circular causality. - Families who are having problems are stuck in a phase of the family development life cycle. - Problems are the result of ineffective interactional and organizational rules in the family rather than the result of individual pathology. - _The presenting problems are a result of family rules, which are an ineffective way of dealing with stress._ ## Contextual Family Therapy 2. According to Contextual family therapists, the four important dimensions of a family are: - trustworthiness, ledger, merit and multidirectional partiality. - facts, individual psychology, family or systemic interactions, relational ethics. - _justice, balance between give and take, trustworthiness, horizontal and vertical relationships._ - destructive entitlement, personal interests, revolving slate, facts. ## Sensate Focus Homework 3. A couple comes to therapy because the woman is having problems "being sexual". The therapist gives a sensate focus homework assignment. During the next session, the woman comments that she couldn't allow her partner to touch her. What did the therapist fail to do? - take an adequate sexual history from the couple. - _acknowledge the partner's ambivalence._ - send the woman for a medical examination. - start off with a stop-start technique. ## Homosexuality in Therapy 4. Mrs. A. spoke with Dr. Smith prior to the initial session stating that Mr. A was having an extramarital affair and the affair had become an explosive issue between them. Shortly into the first session Dr. Smith learned that Mr. A's affair was with a homosexual partner. After several sessions it became obvious that Mr. A had no intention of stopping the affair. Dr. Smith stated that homosexual relationships were personally offensive and that therapy could not continue with him and he referred the couple. Ethically, Dr. Smith: - was well within his rights and did not have to see the couple on the grounds that he found the homosexual relationship offensive. - _should have sought consultation and dealt with the discriminatory bias._ - should have continued to see the couple and kept his discriminatory bias to himself. - should have brought the homosexual partner into couple therapy and dealt with the triangle. ## Milan Systemic Therapy 5. Which of the following would be a response by a Milan Systemic therapist? - "When has this acting out behavior not been a problem?" - "As a child, what was your relationship with your parents?" - _"Observe Jon listening and being cooperative and respond with positive feedback at those times."_ - "Who in the family is most upset when Jon acts out?" ## Structural Therapy 6. In assessing this family a Structural therapist would: - listen to each family member's story of the problem, casting it into a framework of obligations and entitlements to determine levels of trustworthiness in the family. - _focus on current interactional patterns between family members._ - assess information about each person's willingness to be part of the therapeutic joining process. - operationally define the problem behavior including duration, frequency, and intensity. ## Bowenian Family Therapy 7. A Bowenian family therapist would: - congratulate Jon for his role in reducing tension between his parents. - instruct Jon to sit next to the therapist and have the parents sit together on the couch. - ask the parents if they acted out when they were younger and if so, how their parents responded. - _have the mother face Jon and tell him how his acting out makes her feel._ ## Contextual Family Therapy Treatment Plan 8. In designing a treatment plan, a Contextual family therapist would: - track disabling sequences. - _assess the credits and debits._ - establish long and short-term goals. - map the system. ## Strategic Family Therapy Treatment Plan 9. In implementing a treatment plan, a Strategic therapist would: - re-establish cut-offs. - track disabling sequences. - _establish a clear boundary between Jon and his parents._ - hypothesize about the family's epistemology. ## Strategic Family Therapy Techniques 10. Specific techniques used by a Strategic therapist would include all of the following except: - ordeals, which make it difficult for the symptom to be maintained. - an authoritarian approach that returns parents to the appropriate position in the hierarchy. - _reinforcing of gradual behavioral changes that will ultimately lead to the goal of therapy._ - treating the child first and then the relationship difficulties between the parents. ## Solution-Focused Therapy 11. During a session a Solution-Focused therapist with a depressed client asks the client, "on a scale of zero to ten, with zero being how depressed you felt when you called me and ten being how you feel the day after the miracle, how do you feel right now?" This is a good example of a/an: - _miracle question_ - exception question - scaling question - formula task ## LoPiccolo's Treatment for Inorgasmic Dysfunction 12. One of the methods used by LoPiccolo when treating an inorgasmic dysfunction is: - _sensate focus._ - systematic desensitization. - directed masturbation training. - spectatoring. ## Feedback Loops 13. Which one of the following statements is true? - Feedback loops refer to escalating quarrel patterns between spouses - _Negative feedback is corrective, adjusting the input and returning the system to a steady state._ - Positive feedback is corrective, adjusting the input and returning the system to a steady state. - Information processing refers to the set of family rules developed through the life cycle. ## Contextual Therapy 14. A Contextual therapist views family dysfunction as caused by: - imbalance in the hierarchy. - _lack of justice and trust._ - destructive family patterns. - multidirectional partiality. ## Assessing a Couple, Strategic Family Therapist 15. In assessing this couple, a strategic family therapist would: - assess Beth and Paul's attempts to solve the problem. - affirm all efforts at positive structural changes. - use a genogram construction to help the couple identify family of origin patterns. - _strengthen the marital subsystem._ ## Reframing 16. The therapist turns to Paul and states, "You care enough to take the back seat and give the spotlight to Beth." This therapist is utilizing a technique known as: - circular questioning. - _therapeutic paradox._ - reframing. - positive connotation. ## Types of Therapists 17. The therapist asks himself: "How can I bring about change with this couple?" This question would most likely be asked by a: - Solution-Focused therapist. - Transgenerational therapist. - Structural therapist. - _Strategic therapist._ ## Confronting Pathologizing 18. Which therapeutic model would directly confront Paul's pathologizing of Beth as problematic: - _Structural model._ - Feminist model. - Milan-Systemic model. - Narrative model. ## Getting a Couple to Identify a Disabling Structure 19. The therapist asks, "How does over-reaction affect the relationship?" This type of question is a good example of getting the couple to: - _identify a disabling structure._ - assess who really has the problem. - externalize the problem. - chart the relative influence of the problem. ## Enactment Technique 20. The therapist asks Beth to complain to Paul about the problems in their relationship and for Paul to respond. This is a structural technique called: - enactment. - _joining._ - intensity. - mimesis. ## Developmental Tasks of Adolescence 21. The key developmental tasks during adolescence are: - attachment and separation. - individuation and diffusion. - _separation and individuation._ - all of the above. ## Presenting Problem 22. Heather, a 16 year old was caught at school with marijuana and has been expelled. She comes to therapy with her father, Mike. Mike is divorced from Heather's mother and has custody of her and her two siblings. He owns slot machines and is out all day servicing them and collecting money. He smokes marijuana around his children. From a Solution-Focused model, the presenting problem around which a goal is to be created is: - Heather's expulsion. - unknown. - _Mike's behavior around his children._ - the responsibility of the therapist. ## Bowenian Therapy Session 23. The therapist suggested that Mr. & Mrs. J. come for their first visit without Mary because: - he was protecting Mary from being triangulated. - he felt Mary was too young for therapy. - _including Mary in the session could possibly detract from his desired focus._ - he was protecting Mary from becoming the IP. ## Behavioral Family Therapy Treatment Plan 24. In designing a treatment plan a Behavioral family therapist would: - track disabling sequences. - hypothesize about the problem. - _establish long and short-term goals._ - map the system. ## Milton Ericson's Influence on Strategic Family Therapy 25. Milton Erickson's influence on Strategic family therapy included all of the following **except**: - emphasis on brief therapy. - client change being the responsibility of the therapist. - _organizing the family hierarchically._ - utilizing therapeutic paradox. ## First-order Intervention 26. Greg argued with his parents about his curfew and his parents then grounded him. Greg then ran away and stayed with a friend. A first-order intervention at this point might be: - to explain that this is a developmental crisis and negotiation is in order. - to help the parents find a more effective punishment to tame this out-of-control child. - _to help Greg and his parents understand and rewrite the story of moving on._ - to have the parents act preoccupied and sad around Greg and imply that they have given up trying to control him. ## Ethical Responsibility 27. During a session a client stated that she had had it with a co-worker's verbal abuse, had bought a handgun and was developing a plan to kill him. The therapist although concerned about confidentiality called the police who said, "They would take care of it." The therapist: - _fulfilled his responsibility by calling the police._ - broke confidentiality and was vulnerable to a malpractice complaint. - duty to warn was not fulfilled because he did not contact the co-worker directly. - should have warned the client's family. ## Communication Theorists 28. All of the following are considered Communication Theorists **except**: - Haley. - Satir. - _White._ - Watzlawick. ## Coaching Therapists 29. The stance of the therapist is that of coach for all of the following **except**: - Intergenerational. - _Behavioral._ - Psychoeducational. - Psychodynamic ## Societal Regression 30. During the process of treatment Mr. Medeiros recognized how he was victimized by his parents, and that past generations were also victimized by their parents. In recognizing this, he began to see his parents less as monsters and more as struggling human beings, themselves acting out invisible loyalties. Therefore, he was able to block the transgenerational pattern of destructive entitlement and allowed the positive transmission of relational resources. The process by which he earned entitlement by dealing with issues with his own parents is called. - _Societal regression._ - Relational ethics. - Exoneration. - Family projection process. ## Structural Therapy Assessment 31. An assessment tool used by Structural therapists is: - FACES III. - _a family map._ - MBTI. - a genogram. ## Strategic Therapy 32. A Strategic (Haley) therapist would: - re-arrange family members to imply alliance shifts. - coach the family on improving problem-solving skills. - use genogram construction to help the family identify family of origin patterns consciously. - _externalize the problem._ ## Structural Therapy 33. A Structural family therapist would: - give assignments to the parents to begin changing the interaction patterns within the family of origin to adult-adult interactions. - _reduce anxiety about change by giving "go slow" directions._ - join effectively before beginning approaches to facilitate restructuring. - Reframe the motives of the interactional patterns as an attempt to make the structure more functional. ## Similarities Between Structural and Strategic Therapy 34. All of the following are similarities between Structural and Strategic **except**: - utilization of therapeutic contracts and behavioral tasks. - view of families as rule-governing systems. - _concern with the subsequent organizational structure of the family system._ - consideration of the family life cycle. ## Structural and MRI Strategic Differences 35. Structural and MRI Strategic differ in their orientation to all of the following **except**: - emphasis on process over content. - _negative- and positive-feedback view of symptom dysfunction._ - the punctuation of sequences. - therapist use of confrontation. ## Assessment of a Couple with Sexual Problems 36. In assessing a couple who present with a sexual problem a therapist would do all of the following **except**: - suggest a complete medical exam to rule out organic problems. - conduct an extensive interview to determine the nature of the dysfunction. - goals for treatment. - _get a complete family history._ ## Paradoxical Tasks 37. Paradoxical tasks given by the Strategic therapist are: - expected to be thought of as ridiculous. - expected to be resisted. - expected to provide insight. - _expected to be particularly helpful in child management._ ## Team Approach 38. A therapist talking to the family states, "As I explained to you earlier, the team is now going to have a discussion, and they are going to speak amongst themselves about the questions I have asked you here tonight. So, after we listen to the team, and if you find anything interesting in what they say, please comment." The therapist is using a: - Narrative approach. - _Circular questioning approach._ - Solution-Focused approach. - Boscolo and Cecchin approach. ## Origin of Solution-Focused Therapy 39. The Solution-Focused model grew out of: - _the Structural model._ - the Milan model. - the MRI model. - the Constructivist model. ## Network Therapy 40. A therapist may assign a group of friends to watch over a young adult who is abusing drugs and another group to arrange for him to move out of his parent's house. This therapist is most likely implementing a technique used in: - Structural therapy. - Social Constructivist therapy. - _Network therapy._ - Collaborative therapy. ## Strategic Technique 41. This Strategic technique is called a: - _directive._ - prescription. - paradox. - reframe. ## Strategic Assessment 42. In initially assessing this client, a Strategic therapist would do all of the following except: - define the problem. - take a family history. - _develop a plan for the problem._ - think of the problem that simultaneously offers a solution to the problem and is a problem itself. ## Emphasizing Expectations Formed By Early Experience 43. The model which emphasizes expectations formed by early experience is: - Intergenerational. - _Psychodynamic._ - Contextual. - Behavioral. ## Bowenian Questioning 44. Which of the following questions would a Bowenian therapist ask the husband: - "What was your mother's relationship with her family?" - "What effect does your wife's closeness have on your relationship?" - "How many times per day does your wife contact her family?" - _"How have you tried to solve this problem in the past?"_ ## Structural Therapy Assessment 45. A Structural therapist in assessing this couple would: - assess the couple's flexibility. - assess patterns of couple functioning. - _assess boundaries between the wife and her family._ - assess the level of differentiation within the couple system. ## Structural Map 46. A structural map of this family would look like the following: * _husband & his family} wife & her family_ ## Strategic Therapist Intervention 47. After hearing the husband's statement, the therapist says, "You really care about your wife and don't want to lose the relationship you have." Which model is this therapist most likely following? - Behavioral. - Collaborative. - Solution-Focused. - _Strategic._ ## Haley's First Session 48. In the first session, Haley would: - help the couple to define the problem to be resolved. - _track a disabling pattern._ - establish a hierarchy. - help the couple understand each other's perception of the problem. ## Behavioral Intervention 49. An intervention made by a Behavioral therapist would be: - to bring in the mother-in-law and work on the husband, wife, mother triad. - _ask the wife to record how many times a day she speaks with her mother._ - tell the wife to make sure she speaks with her mother at least once each hour. - ask the husband to call the wife once each hour and remind his wife to call her mother. ## Family Rituals 50. Therapeutically, family rituals are designed to: - address a family conflict. - intervene in established family patterns. - change behavior. - _all of the above._ ## Strategic Therapist Intervention 51. A family comes to therapy because the 30-year-old son, who is an Iraqi war veteran, guards the perimeters of the house during the middle of the night. This behavior is upsetting to the parents and they want the son's behavior to stop. A Strategic therapist suggests that the parents plan times throughout the night with the son to make sure the house is secure. Within two weeks, the son no longer gets up to check the house. The family stops coming to therapy. What statement might a strategic therapist make about the family terminating therapy? - _"The therapy was successful."_ ## Behavioral Problem at Home vs School 52. Mr. and Mrs. A report that the school has called and informed them that their fifth grader has been disruptive and inattentive in class. The teacher has called on a number of occasions saying they could not control the son's behavior. The parents had a meeting with the school and the school suggested family therapy. In questioning the parents, the therapist found out the child has had difficulty in school from first grade, but is not a behavioral problem at home. The therapist should: - _Work with the couple system._ ## Goals of Treating Alcoholics 53. Which of the following therapists believes that when treating alcoholics, the goal of reduced drinking is only an appropriate goal, if it is also goal of the clients? This therapist may also state that the more traditional concepts of the disease model may, in fact, be counterproductive for many alcoholic clients. - _T. J. O'Farrell._ ## LoPiccolo's Work 54. LoPiccolo is a well-known sex therapist who is known for: - the triphasic model of sexual response. - differential diagnosis of psychogenic and organic etiology. - _a sexual growth program for women who have problems in experiencing orgasm._ - dysfunctional regulation of sexual motivation. ## Anorexia Nervosa Treatment 55. Studies involving family therapy vs. individual therapy in the treatment of anorexia nervosa have suggested: - _both were equally effective no matter what the age of onset._ ## Central Dimension in Family Relations 56. The Contextual model regards which the following dimensions as the most essential and powerful in family relations? - _relational ethics_ ## Relationship Types 57. Watzlawick would describe couples who are free to pursue careers and share childrearing and household chores as having a: - _a postmodern relationship._ ## Initial Stage of Therapy 58. All of the following are examples of the initial stage of therapy** except**: - keeping the focus of treatment on the primary problem regardless of other issues that arise during the course of treatment. ## Bowenian and Experiential Therapy 59. Bowenian and Experiential therapists are concerned with all of the following **except**: - anxiety. ## Structural Therapy with Anorexics 60. When initially working with anorexics and their families, a Structural therapist would: - _use a paradoxical intervention._ ## Olson's Circumplex Model 61. Olson's Circumplex Model of family functioning is based on the intersection of two basic family dimensions. They are: - _cohesion and adaptability._ ## Sensate Focus Homework 62. The therapist prescribes a sensate focus exercise. During the next visit the female partner reports crying when touched. What is the most useful next step in treatment? - _Question the female partner about the nature of her crying during the sensate focus exercise._ ## Sex Therapy 63. The female partner feels that her male partner is more experienced about sex; therefore, the therapist would: - _assess where she feels that she has a deficit about sexuality._ ## Bowenian First Session 64. In the first session, a Bowenian therapist would do all of the following **except**: - _assess the level of anxiety/stress in the couple system and the extended family._ ## Circular Questioning 65. A Milan-Systemic therapist would define the purpose of circular questioning as: - _used to learn more about differences in family members perceptions of their relationships._ ## Structural Therapist Intervention 66. A family comes to therapy because their 16-year-old daughter is diabetic and has recently stopped taking her insulin on a regular basis. During the session the therapist learns that their 19-year-old son who is Mom's favorite child has just gone into the army. A Structural therapist would make the following therapeutic intervention: - _track what parent's do when daughter doesn't take her medication._ ## Brief-Prescriptive Therapy Termination 67. In brief-prescriptive therapy, termination is: - _determined by the therapist and is open-ended._ ## The Beavers-Timberlawn System 68. The Beavers-Timberlawn System approach to family assessment includes: - _interactional competence scales and interactional style scales._ ## Tracking 69. During the initial session with a family, a Structural therapist discovers that the father is an avid golfer. The therapist begins talking with the father about golf and about her own interest in the game. In having this conversation with the father she is using a technique known as: - _tracking._ ## Communication Theorists 70. Whose clinical model uses the following terms: placater, blamer, and avoider? - _Communication - Satir_ ## Strategic Therapist Intervention 71. A Strategic therapist would: - _wonder with the family if the treatment had reached the point of diminishing returns._ ## Collaborative Therapy 72. A Collaborative therapist would: - _maintain input from all members of the system, including him/her self and mutually determine if therapy should end._ ## Physiological Sexual Dysfunctions 73. All of the following are examples of physiologically based sexual dysfunction** except**: - _hypoactive sexual desire._ ## Multidirectional Partiality 74. In Contextual therapy the intent of multidirectional partiality is to: - _give due consideration to each individual's interests in the various relational dimensions._ ## Relationship Types 75. A relationship in which one person is assertive and the other submissive, with each mutually reinforcing and sustaining each other's position is known as: - _a complementary relationship._ ## Bowen's Work 76. Bowen was concerned with all of the following **except**: - _content_. ## Feminist Family Therapy 77. Feminists have faulted other family therapist models as: - _all of the above._ ## Transgenerational and Experiential Therapy 78. In comparing Transgenerational with Experiential models, the one concept that both models have in common is: - _the attention to the impact of past generations on the present._ ## Research on Abuse 79. Which of the following research groups attempted to look at the underlying structures inherent in an abusive relationship, and found that abuse co-exists with understanding and friendship in a unique and painful way: - _The Ackerman Institute._ ## Boundary Marking 80. According to Structural therapists, the process whereby the various stresses between spouses may be redirected through a child in a manner that creates the impression of harmony in the spousal subsystem is called: - _boundary marking._ ## Ethics 81. Mr. and Mrs. M. were in therapy with their minister, Rev. A. A colleague of the minister's reprimanded her, stating that Rev. A. was in a dual relationship with the couple. Rev. A. replied that she was well within the AAMFT code of ethics because she was getting supervision for this case. The minister was correct because: - _since they were not paying her, there were no financial complications._ ## Narrative Therapy 82. A doctoral candidate had difficulties meeting his deadlines due to procrastination. He reports to his therapist his fear of doing a poor job. The therapist responds by telling him to write one chapter in his usual way, and in writing the next to use only a quick first draft. The quick draft chapter received praise and acceptance and the problem maintaining sequence was broken. This therapist most likely was trained in the: - _Narrative approach_ . ## Feminist Therapy 83. During a session with a couple, a husband states to the therapist that his wife often nags and belittles him. The therapist's intervention is to give the wife homework in which she is to only say positive things to her husband and abstain from any negative comments. When she appears to be negative or belittling to her husband he is to put his hand up and say "stop". A feminist therapist would be critical of the above technique because it: - _all of the above_ ## Structural Therapist Intervention 84. As a Structural therapist you most likely would: - _instruct the 7 year old to sit next to her siblings and ask the parents to sit next to each other._ ## Bowenian Goal of Therapy 85. A primary goal of a Bowenian therapist working with this family would be: - _the differentiation of family members_. ## Observable Behaviors 86. Which of the following family therapists would see all family members as part of the problem and reformulate symptoms into concrete observable behaviors? - _Behavioral_. ## Contextual Family Therapy 87. A Contextual family therapist interviews a family and discovers that Mr. Medeiros, the father, comes from a family in which his father was irresponsible and unavailable. Mr. Medeiros reports that as the eldest son, he took responsibility along with his mother for the well being of the family. Mrs. Medeiros smirks and states how ironic it is that her husband withdraws from her and her children. In obtaining this information, the therapist is able to see: - _the level of differentiation from both his family of origin and his nucleus family._ ## Behavioral Therapy Intervention 88. According to a Behavioral therapist, a therapeutic intervention might be designed to do all of the following **except**: - _have each member write self-report logs listing complete records of daily dysfunction thoughts, upsetting marital/family interaction, etc._ ## Collaborative Therapy 89. "Conversational questions come from a position of not knowing and are the therapist's primary tool." This statement would most likely be made by a: - _Collaborative therapist._ ## Systematic Desensitization 90. A couple is seen by a Behavioral therapist for sexual problems. He instructs the couple to engage in a series of progressively more intimate encounters, avoiding all thoughts about erection or orgasm. This technique is referred to as: - _systematic desensitization._ ## Constructivist and Milan Systemic Therapy 91. Both the Constructivist and Milan Systemic therapists agree that: - _living systems are characterized by "loop formations" rather than linear cause-effect._ ## White's Approach 92. White's use of questions, summaries and metaphor are effective in: - _externalizing and objectifying a problem_. ## Reality Testing 93. When seeing a couple, a behavioral therapist asks the wife what her worst fear would be if she were to assert herself regarding her career. She responds, "If I assert myself about my career goals, my husband will leave me." The therapist does some reality testing using logical analysis and available data. This technique is known as: - _de-catastrophizing_ . ## Ethical Responsibility 94. When having discovered that a client is HIV positive and has withheld this information from his spouse, the therapist's ethical responsibility is: - _to protect client confidentiality unless mandated by state law to do so._ ## Feminist Therapy 95. Some Feminist family therapists are critical of Minuchin's emphasis on family hierarchies because they believe: - _It reinforces gender stereotypes_ ## Differentiation Shifts 96. Bowen believed that functional shifts in differentiation often occurred during all of the following **except**: - _inability to allow for individual differences._ ## Ethical Concerns 97. Ethical Concerns about offering 'telephone therapy' does not include: - _standard ethical prohibition against having dual relationships with clients._ ## Feminist Family Therapy 98. Feminists family therapists are critical of the cybernetic concept of circular causality in male-female relationships because of the implication of: - _none of the above. They support the concept._ ## Brief Therapy 99. Historically the theory most associated with brief therapy is: - _Erickson._ ## Ethics 100. A therapist is seeing a 7-year-old girl and she reports that when daddy kisses her he puts his tongue in her mouth. An ethical therapist would err by: - _file a written report to the proper authorities._ ==End of OCR for page 27==