Mastering competencies in family therapy a practical approach to theory and clinical case documentat

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Mastering Competencies in Family Therapy Chapter 10: Collaborative and Narrative Therapies 1. Much like solution-based therapists, postmodern therapists optimistically focus on which of the following? a. Problem solving b. Facilitating hope c. Family relationships d. Client strengths and abilities ANS: REF:

D Lay of the Land (p. 377)

2. Which of the following statements most accurately fits for collaborative therapy? a. It is based on Foucault’s philosophical writings. b. The therapist facilitates a dialogical process. c. The interventions used are very structured. d. Social justice issues are regularly included in therapy conversations.

ANS: REF:

B Collaborative Therapy and Reflecting Teams (p. 380)

3. What is meant by collaborative therapy as a two-way dialogical process? a. The therapist and client co-explore and co-create new understanding related to the problem. b. Therapists use scripted techniques to facilitate change. c. Therapists interpret what the client is saying and reflect the interpretations back to the client. d. The therapist directs the meaning-making process in therapy.

ANS: REF:

A Collaborative Therapy and Reflecting Teams (p. 380)

4. In collaborative therapy, therapists take a not knowing stance. What does this mean? a. The therapist does not prepare for the session prior to meeting the client. b. The therapist does not assume they understand the client’s experience before the client tells them about it.

c. The therapist does not know how to make a diagnosis. d. The therapist does not know what the outcome of therapy will be.

ANS: REF:

B Collaborative Therapy and Reflecting Teams (p. 381)

5. Which of the following would NOT be considered collaborative in collaborative therapy? a. A monologue b. Using pejorative descriptions of clients c. Offering opinions d. All of the above ANS: REF:

D Collaborative Therapy and Reflecting Teams (p. 383-384)

6. When a collaborative therapist asks the client questions to better understand the client’s perspective, or inquires whether the client believes the therapist is understanding what the client is saying, what type of stance is the therapist taking? a. An impasse stance b. A directive stance c. A curious stance d. A guiding stance ANS: REF:

C Collaborative Therapy and Reflecting Teams (p. 384)

7. Which of the following statements would best describe the therapeutic relationship in collaborative therapy? a. A conversational partnership b. A directive relationship c. An empathic relationship d. A loving partnership ANS: REF:

A Collaborative Therapy and Reflecting Teams (p. 384)

8. When Andserson and Goolishian radically proposed the client as the expert, what did they mean? a. The therapist has no opinion of the client. b. The therapist does not have a role in the therapeutic process. c. The client’s thoughts, ideas, and opinions are valued. d. The client knows in which direction therapy should move and dictates when.

ANS: REF:

C Collaborative Therapy and Reflecting Teams (p. 384-385)

9. When thinking of the client as expert in collaborative therapy, it may be helpful to think of the client as holding more expertise in the area of __________and the therapist as holding more expertise in the area of __________. a. process; content b. content; process c. stories; interventions d. interventions; stories ANS: REF:

B Collaborative Therapy and Reflecting Teams (p. 384-385)

10. Collaborative therapists invite clients to provide feedback about the therapeutic process.

Which of the following does process NOT refer to? a. Who is in the therapy session b. The pacing of therapy c. The types of questions asked d. What needs to be talked about ANS: REF:

D Collaborative Therapy and Reflecting Teams (p. 384-385)

11. In collaborative therapy, outer talk refers to which of the following? a. Negative self talk b. Positive self talk c. The verbally spoken conversation between the participants in therapy d. The verbal sharing of conversations in therapy with people outside of therapy ANS: REF:

C Collaborative Therapy and Reflecting Teams (p. 385-386)

12. In collaborative therapy, inner talk refers to which of the following? a. The thoughts a client is afraid to share with the therapist b. Talk among members of the inner circle of the family c. The internal conversation each individual is having during a conversation d. Recurring self talk ANS: REF:

C Collaborative Therapy and Reflecting Teams (p. 385-386)

13. In collaborative therapy, it is said that problems dissolve. What does this mean? a. Participants in therapy find traditional solutions to their problems or issues during the course of therapy b. Participants’ understandings of their problems or issues evolve through the dialogue of therapy. c. Participants no longer have problems or issues to discuss in therapy. d. Participants do not hold on tightly to their problems or issues.

ANS: REF:

B Collaborative Therapy and Reflecting Teams (p. 386)

14. Collaborative therapists work from a social constructionist, postmodern perspective, which maintains that our realities are constructed in __________ and through relationships. a. language b. congruence c. dreams d. collaboration ANS: REF:

A Collaborative Therapy and Reflecting Teams (p. 387)

15. The overall goal of collaborative therapy is to increase the clients’ sense of __________ in their lives: the sense that they are competent and able to take meaningful action. a. strength b. agency c. power d. self-esteem ANS: REF:

B Collaborative Therapy and Reflecting Teams (p. 388)

16. The process of transformation through dialogue is inherently and inescapably __________. This means that the therapist risks being changed themselves in the context of therapy with the client. a. positive b. collaborative c. satisfying d. mutual ANS: REF:

D Collaborative Therapy and Reflecting Teams (p. 388)

17. Which of the following best describes appropriately unusual comments? a. They disorient the person’s traditional form of thought. b. They clearly fit within the client’s worldview while offering a new perspective. c. They point out the obvious. d. They passively disrupt a person’s worldview.

ANS: REF:

B Collaborative Therapy and Reflecting Teams (p. 389)

18. Which of the following types of questions, used in collaborative therapy, come naturally from the dialogue of therapy rather than from professional theory? a. Conversational questions b. Unusual questions c. Contagious questions d. Conditional questions ANS: REF:

A Collaborative Therapy and Reflecting Teams (p. 389)

19. A client lives in daily fear of having another psychotic episode after not having one for over 10 years. She says that it is her illness that keeps her from moving forward in life.

The therapist says, “That’s interesting. You say you haven’t had an episode in 10 years, so hallucinations don’t seem to be plaguing you these days. It sounds like the worry about hallucinations is the problem at this point. Do you think of this as part of the original problem, or is it a new problem that only developed after the first was resolved?” What is the therapist doing with the client? a. Mutual puzzling b. Sharing inner dialogue c. Making an appropriately unusual comment d. Being public ANS: REF:

A Collaborative Therapy and Reflecting Teams (p. 390)

20. Collaborative therapists handle professional matters — such as consulting with a psychiatrist, speaking with a social worker, or filing papers with the court — by discussing it first with the client. What is another way a collaborative therapist might say this? a. Being open b. Being public c. Being supportive d. Being professional ANS: REF:

B Collaborative Therapy and Reflecting Teams (p. 391)

21. In the process of collaborative reflecting teams, the goal is to develop diverse strands of conversations so the client can choose those that resonate and those that do not. This is achieved by having the reflecting team do which of the following? a. The team observes the client behind a one-way mirror and consults only with the therapist. b. The team discusses the client while offering multiple perspectives as the client listens. c. The team sits in the therapy room with the therapist and client throughout the session.

d. The team offers their evaluation and diagnosis of the client while the client is listening.

ANS: REF:

B Collaborative Therapy and Reflecting Teams (p. 392)

22. Anderson offered several guidelines for the use of reflecting teams with clients. Which of the following is NOT one of these guidelines? a. Only use with the client’s permission. b. Give the client permission to listen or not to listen. c. Comment on what is seen or heard, not what is observed. d. Talk from an expert perspective.

ANS: REF:

D Collaborative Therapy and Reflecting Teams (p. 393)

23. Because collaborative therapy is more a way of talking and being in the world, the collaborative conversational process has been applied to numerous other contexts. Which of the following is NOT one of these contexts? a. In prison settings b. In educational settings c. In therapeutic research d. In business consultations ANS: REF:

A Collaborative Therapy and Reflecting Teams (p. 398-399)

24. Narrative therapy is based on what premise? a. We live in our dreams as if they are reality. b. We get “stuck” in the past. c. We project our past onto our future. d. We “story” and create meaning of life events.

ANS: REF:

D Narrative Therapy (p. 399)

25. Philosopher Michel Foucault described a central concept for narrative therapy: culturallygenerated stories about how life should go that are used to coordinate social behavior, such as how married people should act, what happiness looks like, and how to be successful. What did Foucault call these stories? a. Dominant discourses b. Local discourses c. Oppressive discourses d. Supportive discourses ANS:

A

REF:

Narrative Therapy (p. 399-400)

26. From the narrative perspective, which of the following is TRUE about the view of problems? a. Problems are integrated into the person. b. Problems are separate from the person. c. Problems require reframing of their context. d. Problems allow the person to fully experience personal awareness.

ANS: REF:

B Narrative Therapy (p. 401)

27. Instead of replacing the problem story with a problem-free story, narrative therapists help their clients do which of the following? a. Redefine the client’s problems as opportunities b. Help the client realize how others have “wronged” them c. Find new ways to view, interact with, and respond to problems in their lives by redefining the role of problems d. Speak their beliefs about the problem out loud, therefore realizing how absurd they are ANS: REF:

C Narrative Therapy (p. 401)

28. Which of the following does NOT allow the therapists to meet the problem, keeping the problem separate from the person? a. “When did the problem first enter your life?” b. “Tell me about your impressions of your problem.” c. “How has your relationship with the problem evolved over time?” d. “Who else has been affected by the problem?”

ANS: REF:

B Narrative Therapy (p. 402)

29. The role of the therapist in narrative therapy is often described as which of the following? a. Director b. Coach c. Guide d. Co-author ANS: REF:

D Narrative Therapy (p. 402)

30. A narrative therapist is working with a client. If the problem-saturated story does not play out in its typical way, it is noted by the therapist as which of the following? a. Unique outcomes

b. Sparkling events c. Both A and B d. Neither A nor B ANS: REF:

C Narrative Therapy (p. 403)

31. A group of teenagers creates a subculture with different beauty standards, sexual norms, vocabulary and friendship rules than are found in the adult culture. This would be known as what type of discourse? a. Dominant discourse b. Local discourse c. Oppressive discourse d. Supportive discourse ANS: REF:

B Narrative Therapy (p. 403-404)

32. Because narrative therapy is a post modern approach, it does not include a set of predefined goals that can be used with all clients. It could be said, however, that the broad goal of narrative therapy is which of the following? a. To help clients enact their preferred realities and identities b. To help clients reduce the symptoms of their presenting problem c. To help clients find ways to communicate congruently d. To help clients increase their sense of agency in their lives ANS: REF:

A Narrative Therapy (p. 404)

33. A narrative therapist is working with a 17-year-old client, Alexa, and her mother regarding Alexa’s struggles with an eating disorder. As therapy has progressed, and the therapist has worked with Alexa to separate her from her problem, the therapist might phrase a middle-phase goal in therapy in which of the following ways? a. Increase instances of defiance in response to anorexia’s directions to not eat. b. Increase food intake from less than one time daily to three times daily in six weeks. c. Reduce the rigid patterns that fuel the anorexic behavior. d. Reduce the negative contact between Alexa and the anorexia.

ANS: REF:

A Narrative Therapy (p. 404)

34. In narrative therapy, the process or intervention of separating the person from the problem is known as which of the following? a. Deconstruction b. Mapping

c. Externalization d. Scaffolding ANS: REF:

C Narrative Therapy (p. 405)

35. Externalization can have which of the following beneficial effects? a. It increases unproductive conflict and blame between family members. b. It highlights the times problems have had influence over the clients or family. c. It invites people to unite in a struggle against the problem to reduce its negative influence. d. It encourages constant, unhelpful interaction with the problem.

ANS: REF:

C Narrative Therapy (p. 406)

36. In narrative therapy, letters are used for each of the following purposes EXCEPT? a. To solidify preferred narratives b. To scrutinize the problem story c. To emphasize client agency d. To consolidate gains in therapy ANS: REF:

B Narrative Therapy (p. 412)

37. When working with perpetrators of domestic violence, Jenkins uses a nine step model that requires the client do which of the following? a. Take full responsibility for the violence and for ending it. b. Externalize the violence and attack it. c. Identify powerlessness against violence and succumb to it. d. Identify the cause of the violence and reduce it.

ANS: REF:

A Narrative Therapy (p. 414)

38. Which of the following statements is TRUE about postmodern therapies? a. Postmodern therapies integrate consideration of cultural issues at the most fundamental level of their method. b. They are often considered the quintessential approach for diverse populations. c. Postmodern therapies are particularly suitable for clients from marginalized groups. d. All of the above.

ANS: REF:

D Tapestry Weaving: Working with Diverse Populations (p. 418-419)