Advanced Psychotherapy Techniques
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Course Introduction
Advanced Psychotherapy Techniques is an in-depth course designed for students and professionals seeking to enhance their clinical skills and understanding of contemporary therapeutic modalities. The course covers a range of evidence-based interventions, including cognitive-behavioral, psychodynamic, humanistic, and integrative approaches, with an emphasis on practical application, case conceptualization, and treatment planning for complex clinical presentations. Students will critically analyze recent research, engage in experiential learning exercises, and gain proficiency in adapting techniques to diverse populations and settings. Ethical considerations and the development of a reflective therapeutic stance are emphasized throughout to ensure culturally competent and effective practice.
Recommended Textbook
Current Psychotherapies 10th Edition by Danny Wedding
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Chapter 1: Introduction to 21st Century Psychotherapies
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Q1) For the coding of mental illnesses for the purposes of reimbursement, as of October 2014, U.S.clinicians will need to use the:
A)DSM-5.
B)MMPI-2-RF.
C)ICD-10-CM.
D)PAI.
Answer: C
Q2) The psychotherapeutic term "dynamic" was first used by: A)Sigmund Freud.
B)Gottfried Wilhelm Leibniz.
C)Hippocrates.
D)Franz Anton Mesmer.
Answer: B
Q3) Neurosciences suggest elective psychotherapy leads to changes at the: A)cognitive level.
B)behavioral level.
C)neuronal level.
D)interpersonal level.
Answer: C
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Chapter 2: Psychoanalytic Psychotherapies
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Q1) Psychoanalytic therapists view the therapeutic relationship as: A)the vehicle for change.
B)irrelevant to the process.
C)secondary to the theory.
D)solely defined by the patient.
Answer: A
Q2) Secondary process refers to thinking that is:
A)logical.
B)verbal.
C)primitive.
D)visual.
Answer: A
Q3) The most rigorous evidence supporting psychoanalytical therapies comes from randomized clinical trials examining the efficacy of ________________________.
Answer: Short-term dynamic psychotherapy (STDP)
Q4) If a therapist finds himself/herself reacting to a patient in a manner similar to a previous person in their life, this is known as _________.
Answer: Countertransference
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4
Chapter 3: Adlerian Psychotherapy
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Q1) Both Adler and Freud believed that women often perceive themselves as inferior to men.Adler believed this resulted from _______, while Freud believed it resulted from _______.
Answer: Cultural messages; penis envy
Q2) Adler viewed the primary influence on an individual as:
A)genetic predispositions.
B)intrapsychic conflicts.
C)social context.
D)behavioral reinforcers.
Answer: C
Q3) The individual with "psychopathology," according to Adler, would be described most accurately as:
A)incapable of social interest.
B)suffering from biologically-based problems.
C)void of inferiority feelings.
D)discouraged rather than sick.
Answer: D
Q4) The fundamental question in Adlerian psychotherapy is "how does the individual use _______ and _______."
Answer: Hereditary and environment
Page 5
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Chapter 4: Client-Centered Therapy
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Q1) When a therapist is able to maintain an unaltered attitude about a patient, regardless of the patient's comments or choices, this is referred to as _______.
Q2) When a client is able to experience something without barriers, this is termed a __________.
Q3) The client-centered therapist strives to use an approach that is best described as:
A)medical.
B)instrumental.
C)directive.
D)expressive.
Q4) According to Rogers, psychological maladjustment occurs when an individual:
A)denies significant sensory and visceral experiences.
B)obtains insight regarding current and past experiences.
C)relies on internal resources to define self-concept.
D)accepts organic experiences into the self-structure.
Q5) For Carl Rogers, _______, _______, and _______ were the three basic requirements to create a therapeutic environment.
Q6) Carl Rogers would view neurosis as the result of incongruence between the _________ and the _________.
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Chapter 5: Rational Emotive Behavior Therapy
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Q1) In the REBT chain (A B C D), C refers to:
A)classical and operant conditioning.
B)circular reasoning.
C)emotional/behavioral consequences.
D)countertransference.
Q2) Research supporting REBT hypotheses suggests that _______ are more important than the events themselves
Q3) The letters REBT refer to the fact that the therapy approach focuses on _______, _______, and _______.
Q4) In the REBT chain (A B C D), A refers to:
A)antagonistic thoughts.
B)actualizing tendency.
C)aggressive instincts.
D)activating event.
Q5) The most salient similarity between REBT and Adlerian psychotherapy is the emphasis on:
A)birth order.
B)childhood memories.
C)confrontation.
D)basic mistakes.
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Chapter 6: Behavior Therapy
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Q1) When the Society of Clinical Psychology of the American Psychological Association developed a list of the most efficacious, empirically based treatment approaches, which therapy approach dominated the list?
A)Psychoanalytic
B)Analytical
C)Behavioral
D)Family systems
Q2) Which of the following is NOT a personality variable espoused by Costa and McCrae?
A)Agreeableness
B)Neuroticism
C)Conscientiousness
D)Expectancies
Q3) Which of the following assessment techniques would yield the best functional analysis for a behavioral therapist?
A)Direct behavioral observation
B)Minnesota Multiphasic Personality Inventory-2
C)Beck Depression Inventory-II
D)Projective tests
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8
Chapter 7: Cognitive Therapy
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Q1) According to cognitive theory, thoughts _________________ shifts in emotions.
Q2) Cognitive theory states that an individual's fundamental beliefs and assumptions are contained in structures termed __________________.
Q3) Studies comparing the efficacy of cognitive therapy versus medication for depression have found cognitive therapy:
A)is not as effective as medication.
B)is superior or equal to medication.
C)has lower long term effects.
D)does not reduce suicidal ideation.
Q4) In paranoia, an individual has an inflated sense of:
A)worthlessness.
B)grandiosity.
C)injustice.
D)responsibility.
Q5) A cognitive distortion refers to:
A)lying to protect one's self-image.
B)distortion of past memories.
C)a systematic error in reasoning.
D)drug induced shifts in beliefs.
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Chapter 8: Existential Psychotherapy
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Q1) Ultimate concerns create experiences, which force us to confront an existential situation called _______ situations.
Q2) Which of the following is NOT one of Yalom's identified ultimate concerns?
A)Death
B)Meaninglessness
C)Freedom
D)Integrity
Q3) Normal anxiety is seen as proportionate to the situation involved.When the anxiety exceeds the situation present, it is considered _______.
Q4) Yalom indicated that there are four ultimate concerns, which include _______, _______, _______, and _______.
Q5) An experience that forces an individual to confront an existential issue is known as a: A)boundary situation.
B)moment of insight.
C)therapeutic confrontation.
D)personal revelation.
Q6) Existentialists believe that _______ originates out of the awareness that one's being can end.
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Chapter 9: Gestalt Therapy
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Q1) A set of mutually interdependent elements is referred to as a: A)field.
B)gestalt.
C)whole.
D)context.
Q2) While receiving constructive criticism, Sally is able to accept the opinions of her mother that are helpful and discard those that are not beneficial.Sally is demonstrating: A)introjection.
B)assimilation.
C)projection.
D)retroflection.
Q3) _______ theory underlies the gestalt immunological perspective.
Q4) Gestalt therapists believe that it is important for human regulation to be _______ in order for the individual to become fully aware in a healthy manner.
Q5) Utilizing field theory, a person constitutes a _______.
Q6) Positive mental health is seen as the ability for an individual to shift between figure and ground; in other words, to be able to deal with competing concepts like life and death, which are considered _______.
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Chapter 10: Interpersonal Psychotherapy
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Q1) Which of the following statements is true about affectional bonds, as described by John Bowlby?
A)Humans have a universal need for affectional bonds.
B)Affectional bonds are destructive and should not be fostered.
C)Affectional bonds only develop in congruence with pathology.
D)Higher functioning individuals have no need for affectional bonds.
Q2) Interpersonal therapists prescribe a "sick role" to patients.This means that:
A)depressed patients are not expected to engage in homework.
B)family members must take over their responsibilities while they are in treatment.
C)prescription medications must be a core part of the treatment.
D)depression is biological and it is not their fault they are ill.
Q3) The rationale that Markowitz and others have used for adapting interpersonal psychotherapy to borderline personality disorder (BPD) is that:
A)BPD is a mood-inflected chronic illness.
B)the self-destructive nature of BPD is relationship driven.
C)using IPT avoids labeling the patient with an Axis II disorder.
D)early family relationship conflicts cause BPD.
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Page 12
Chapter 11: Family Therapy
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Q1) The family therapy approach most likely to focus on the multigenerational transmission of problems and each family member's ability to differentiate is:
A)object relations.
B)experiential.
C)structural.
D)transgenerational.
Q2) A family therapist interacts in a manner that is:
A)active, empathic and balanced.
B)nondirective and insight-oriented.
C)passive and nonjudgmental.
D)separately-oriented toward family members.
Q3) The individual identified with strategic family therapy is _______.
Q4) Effectiveness studies of family therapy focus primarily on:
A)whether a treatment works under ideal conditions.
B)the cost-benefit analysis of individual versus family therapy.
C)the risks of using solution-focused therapy in high risk situations.
D)whether a treatment works in real clinical situations.
Q5) The founder of structural family therapy is _______.
Q6) When family boundaries are overly diffuse, they are described as representing
Page 13
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Chapter 12: Contemplative Psychotherapies
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Q1) Contemplative practices are primarily focused on the stage of development referred to as:
A)preconventional.
B)transpersonal.
C)postconventional.
D)personal.
Q2) In the developmental phase called _______ or __________, there is no coherent sense of self.
Q3) Contemplative therapists would say that the primary reason dysfunction goes unnoticed is because:
A)humans share it.
B)religion distorts our sense of reality.
C)stigmatization of mental illness.
D)humans are somatic not introspective.
Q4) _______ focuses on self-regulation practices but also incorporates ideas like lifestyle, body postures, diet, and breath control.
Q5) Buddhism's three poisons are ________, _______, and __________.
Q6) A technique called "exploring the experiences of craving" is a contemplative practice aimed at ______________, one of the seven qualities.
Page 14
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Chapter 13: Positive Psychotherapy
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Q1) In a study integrating positive psychotherapy with dialectical behavioral therapy (Rashid & Uliaszek, 2012) to treat borderline personality disorder, the intervention group:
A)showed comparable improvement to treatment as usual.
B)lead to a reduction in adherence to the DBT techniques.
C)showed more improvement than treatment as usual.
D)resulted in no changes, suggesting both approaches should be used separately.
Q2) Clients with symptoms of ___________ appear to benefit most from PPT exercises.
Q3) Melanie Bay conducted a study in 2012 evaluating the impact of group positive psychotherapy, cognitive behavioral therapy and medication on depressive symptoms in French patients.Bay found that:
A)French clients responded more to positive psychotherapy than American clients.
B)French clients responded less to positive psychotherapy than American clients.
C)clients fared equally with positive psychotherapy and cognitive behavioral therapy. D)clients receiving positive psychotherapy experienced greater therapeutic benefits.
Q4) In contrast to traditional psychotherapy, which has focused on client's troubles, positive psychology focuses on a client's six _____________.
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Page 15
Chapter 14: Integrative Psychotherapies
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Q1) If a patient puts money in a jar every time she exercises, she is using
Q2) Gordon Paul's famous questions ask: "______ treatment, by ________, is most effective for _______ individual with _________ specific problem, and under ________ set of circumstances?"
Q3) Integrative psychotherapy uses psychological assessment in a traditional manner with the exception that:
A)projective techniques are never used due to their lack of empirical validation in the literature.
B)therapists collect information on multiple patient dimensions that guide treatment selection.
C)psychological assessment measures are used at intake and not at other points of therapy.
D)assessment techniques are only utilized if the patient preferences include it as part of treatment.
Q4) Technical eclecticism focuses on predicting for whom interventions will work by using a foundation that is ___________.
Q5) ____________ is a change process focusing on policy interventions.
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Chapter 15: Multicultural Theories of Psychotherapy
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Q1) According to Atkinson, Morten and Sue, the identity development of ethnic minority groups follows which of the following patterns?
A)Conformity to introspection to dissonance
B)Dissonance to synergistic to conformity
C)Conformity to resistance to synergistic
D)Resistance to conformity to dissonance
Q2) In the final stage of the ethnocultural assessment, the _____________ stage, the therapist explores significant affiliations with the patient, including exploration of the therapist-client relationship.
Q3) ________________ refers to people's systemized ideas and beliefs about the universe.
Q4) ___________________ refer to assaults individuals receive on a regular basis solely because of their race, color, and or ethnicity.
Q5) According to Comas-Diaz and Jacobsen (1991), during intra-ethnic transference the therapist is often transformed into one of four roles which include __________,
Q6) Critical consciousness as a process of person and social liberation is known as
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Chapter 16: Contemporary Challenges and Controversies
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Q1) _______% of therapists feel that their training prepared them for a situation where they felt sexual attraction towards a client.
Q2) If a therapist rationalizes engaging in sexual behavior with a patient by stating that both have extremely strong romantic feelings towards one another, this is a scenario labeled _______ by Pope and Bouhoutsos.
Q3) More than 50% of all psychiatrists practice ______ psychiatry.
Q4) By 2012, approximately how many psychologists had completed Level 3 Clinical Pharmacotherapy training?
A)15
B)150
C)1,700
D)15,000
Q5) ___________ restricts the practice of a profession, whereas ___________ restricts the use of a profession's name.
Q6) Data regarding the sexual misconduct of therapists suggests:
A)female therapists report higher levels of sexual involvement with clients.
B)incidence rates for sexual misconduct are fairly similar across disciplines. C)therapists who have sexual relations with clients rarely repeat the offense. D)sexual misconduct is rare and patient reports are typically unfounded.
Page 18
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