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This resource provides a comprehensive collection of multiple-choice questions and answers covering key concepts and theories in marriage and family therapy (MFT). It explores a wide range of topics, including emotionally focused therapy, structural therapy, forgiveness, HIPAA privacy, externalizing, differentiation, psychoeducational therapy, sensate focus, managed care, sparking events, developmental tasks, non-summativity, HIPAA compliance, ethnic groups, divorce, DSM, family rituals, cognitive-behavioral therapy, Beavers model, circular causality, Adlerian therapy, sex therapy, feminist model of family therapy, strategic therapy, DSM-5, transgenerational themes, MRI model, Beavers-Timberlawn competence dimension, insider models of assessment, Adlerian concept of family atmosphere, anorexia nervosa, contextual family therapy, mistaken goals, family preservation model, self, contextual therapy, negative feedback, allopoietic systems, couples therapy, solution-focused therapy, and mor
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the above (trust, depression, intimacy)" "A family therapist begins to map the various ways in which a family is organized. This technique
"The clinical use of forgiveness improves both depression and marital satisfaction for devout Christians with increased results over other groups. The key components of forgiveness sessions
forgiveness means, confessing one's own wrongful actions and planning a process of corrective action" "An MFT routinely discusses some of her clinical work with her husband. She can avoid violations
"Epston and White regard problems as something which influence or operate on people, rather
"According to the HIPAA Privacy and Security Rules, when treating families, it is important to keep
"The type of therapy that seems to delay schizophrenic relapse and readmission to a hospital is:
"An MFT is using a differentiation approach in treating an internet affair. After completing an
"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
"What is the term that explains this definition: those events that exemplify the clients preferred
events"
individuation." "Vignette: A family enters therapy, having a 21 year old son who lives in the basement. He dropped out of college 2 years ago and is currently not working or going to school. He has refused all counseling. The father states he found evidence of marijuana smoking in his son's room. The mother states that the father and son argue and sometimes push each other. A 16 year old daughter is in high school but increasingly avoiding coming home.'Non-summativity' applies to
formed, but is now maintained by a pattern of inadequate communication and conflict. (Non- summativity is a concept that describes the foundation and formation of systems.)"
The clinician is still in violation of HIPPA unless she has documented the security measures she has taken to prevent unauthorized access to her files and her computer." "When viewed from the wide lens of an ethnic group, which families might one expect to have
Italian Americans." "Research found one year following divorce to be the peak of maximum negative behaviors for
girls" "Prior to the DSM, the 'Statistical Manual for the Use of Institutions for the Insane' was developed
"One of the changes from the DSM-IV TR to the DSM-5 is how a disorder is named and classified.
Onset Fluency Disorder (Stuttering) F80.81" "The Structural School of family therapy utilizes a model of "normal family functioning" based
disabling sequences." "Which one of the following therapists would emphasize that difficulties are turned into chronic problems by the persistence of misguided attempted solutions, forming positive feedback
with energy depletion and lack of privacy." "A family whose members are constantly struggling while battling over control issues, would fall
"Which of the following questions is intended to gather information assessing the Adlerian
parenting style?" "Studies involving family therapy vs. individual therapy in the treatment of anorexia nervosa have
therapy when age of onset is less than 18 years."
ethics." "A child has been both verbally and physically aggressive towards other children. Using Dreikur's
been hurt."
degree of trust so the parts will provide input to the Self, but will respect the leadership and ultimate decision making of the Self ." "a role that would be labeled the 'well sibling' would be assigned by which of the following
"A term that Maturana used to describe systems that can be controlled from the outside, such as
"A couple both are experiencing depression at a level that is altering their lives. They have both experienced some improvement in depression and some improvement in their marital satisfaction. At their next session, they ask the MFT if they would be better off if they took time off of couples work and both entered separate individual therapies. From the perspective of current
couples therapy because there is research evidence that it is as effective or more effective in relieving symptoms of depression." "When a Solution-Focused therapist working with a client presenting with issues around alcohol abuse asks "What needs to be different with your drinking?", they are beginning to negotiate the:
- CORRECT ANSWER exceptions to the problem." "The therapist tells a story about her own family, specifically noting a time during adolescence when a cousin dropped by unannounced and how it threw the family into a small crisis. This
perspective but not a solution)"
subsystems-- this would be a goal, but not the primary goal)"
perspective is challenged i.e. work, friends, extended family. The therapist's questions questions are hoping to discover a pattern in the father's view of relationships when he is challenged. This is
"A client was unhappy when he discovered that his therapist had disclosed his town of residence to a colleague during a peer supervision meeting. The meeting included an administrative assistant who was not a licensed mental health professional and lived in the same town as the client. The therapist's response to the client was to engage him in a conversation about his concerns and then proposed a clinical hypothesis suggesting the client was excessively fearful. The client did not accept this, and instead insisted that he did not want this kind of information disclosed to anybody without his written authorization. He claimed the therapist had violated his confidentiality under the HIPAA policies given to him at the beginning of his treatment. Referring
allowed if he can demonstrate that it falls under the guidelines of 'Permitted Disclosures' clause of the Privacy Rule." "Mr. & Mrs. Kelly seek therapy from a behavioral family therapist because their 7 year old
"According to recent research, the prognosis for couples to work on infidelity issues is much
to understand their client's lifestyle." "Feminist family therapists are critical of the cybernetic concept of circular causality in male-
control."
White." "A family is referred to Kathy A. by the school for therapy because John, age12, is disruptive at school and has been diagnosed as having attention deficit disorder. The mother in her phone conversation with Kathy A. says how reluctant they are to start therapy again since the previous therapist had spent most of the time talking about the mother being too inconsistent and overprotective and the father being angry and uninvolved. They felt blamed and felt that the
therapy di not offer anything of use to address John's disruptive behavior at school or at home. After meeting with the family and reading the medical reports, Kathy A. agreed with the diagnosis and decided to help the family and John understand about ADD and to teach them how to cope
approach."
affect."
acting" "According to the HIPAA Privacy and Security Rules, when treating families, it is important to keep
"According to Jellinek's theory of Progressive Phases of Alcoholism, the phase associated with
Prodromal Phase." "A feminist critique of research into therapy outcomes would include all of the following EXCEPT:
- CORRECT ANSWER measures are based on male data." "Wynne labeled the strangely unreal qualities of both positive and negative emotions of disturbed families pseudomutuality and pseudohostility, and the nature of the boundaries
"Which of the following theorists, a pioneer in cognitive psychology strongly influenced the
Bruner"
"When working with a client, an Internal Family Systems therapist must be careful to avoid which
"One important way that a family systems therapist's crisis management work will differ from an
the possibility that other family members are also in crisis."
be resolved."
"The structural technique of locating areas of possible flexibility and change in the family is called:
- CORRECT ANSWER probing" "An MFT was contacted by the father of a 6 year-old boy requesting that she begin counseling to help the child adjust to the recent family divorce. Following the HIPAA Privacy Rule, the therapist
records." "Drawing from John Bowlby's work, this model emphasizes the importance of healthy attachment at the infant stage of development. It also addresses the need for individuation and
the couple is depressed and conflict is high." "A family therapist would label the type of relationship that demonstrates the exchange of
"Mary feels threatened by the arrival of her baby sister so she pouts and becomes temperamental. When Mary acts out this way, her father thinks she is regressing and tries to get her to act her age by punishing and criticizing her. Father's harshness confirms Mary's belief that her sister is displacing her. The therapist suggests that when Mary behaves this way, the father
"An MFT correctly remembers that HIPAA allows for keeping psychotherapy notes separate from PHI (Protected Health Information). However, the MFT also wants to document his review of relevant outcome research as part of this treatment planning. Where does the research review
the research review, however, because it's part of treatment planning, it most logically belongs in the official file along with PHI, and should be made available for review anytime authorization to release the file occurs."
"The DSM-5 has replaced important language as required by what is commonly known as Rosa's
term 'mental retardation'."
states." "Greg argued with his parents about his curfew so his parents grounded him. Greg then ran away
to help the parents find a more effective punishment to tame this out-of-control child." "An MFT in private practice keeps some of her clinical records on her laptop computer, which she carries back and forth to work every day. One evening after work she stopped to meet a friend for dinner before going home. When she returned to her car she noticed the trunk was open and then found that her computer had been stolen. The clinician kept only her psychotherapy notes on her laptop. All client-identifying information (PHI) was kept in her office in locked file cabinets.
specific PHI identifiers are not covered by the Privacy and Security rules."
the family equilibrium and re-aligning boundaries."
subscales of Interactional Competence Scale."
externalizing and objectifying a problem."
interview." "Studies have found that 76% of bulimics were at least much improved using the following
more. The girl being terrorized by Guillermo has bright blue eyes and curly blond hair. "She gets everything!", Guillermo protests.
family." "Family therapy with young children diagnosed with bi-polar disorder has demonstrated good results compared to control groups using medication or receiving no treatment at all. The most
bi-polar defined, how was "good results" defined, how large was the sample size, what was the correlation, what was the statistical significance?" "Questions that provide information about how a problem has managed to disrupt a family
Relative Influence questions." "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
prohibited." "David Olson's Family Circumplex Model maps the dynamic relationships within families; identifying the following dimensions as critical to show how all family members and their
"A parent in your Adlerian parenting class reports that her son earned a B in his math class in which the semester earlier he had a C. Utilizing the Adlerian concept of encouragement, members of the class brainstorm ways the mother might respond to her son. Which of the
The parent telling the child how proud she is of his grade." "A mother calls the therapist sounding very panicky, wanting an immediate appointment. At the first session, the mother states that her 12-year old son Sam has just been caught in the bathroom of a neighbor's home with a 6-year old boy. The 6-year old says that Sam was playing with his "bum" and kissing his penis. When confronted by his mother, Sam admitted to having "played" with the boy on 4 previous occasions. The neighbor boy's parents have banned Sam from their
home and informed other parents and the school about his "perversion". Sam's mother called a psychiatrist prior to calling you who she says stated, "You can put him into therapy and give him drugs, but it's probably already too late." You begin seeing Sam and his family. In your first meeting with this family, you begin by speaking for a time with each member of the family, asking
"Which of the following therapists believe that when treating alcoholics, the goal of reduced drinking is only an appropriate goal, if it is also a goal of the clients? This therapist may also state that the more traditional concepts of the disease model may, in fact, be counterproductive for
"Originated by postmodern Chilean biologist, Maturana, systems that are self-organizing and self-maintaining, such as biological and human systems. Autopoietic Systems can be described
"A family consisting of a lesbian couple and a 9 yr. old son who has been school refusing for the past year has asked for family therapy. In the first session, you notice that whenever the son speaks, one of his mothers is quick to finish his sentence. You adjust your chair as therapist to block the mother and her attempt to speak for her son. You do this in order to address which of
"Mary is a 15-year-old who has been truant for 31 days. In addition her parents report that she sleeps all day and stays up most of the night. She has gained 30 pounds over the past six months. She looks sad and has isolated herself from all her friends.A Strategic family therapist treating
behavior as stubbornness or laziness."
positive family environment—having positive feelings about one's family—will ameliorate the detrimental effects of divorce. Boys with positive family feelings lived longer lives, as it turns out not to be especially traumatic to have a seemingly positive, functional home change its parental structure."
therapeutic paradox is employed." "Mr. Oesco comes to therapy with his son Josh. Mr. Oesco and his wife are divorced. He and Josh live together and Mrs. Oesco and her daughter Jessica live in another state. The presenting problem appears to be Josh's anger at his mother and his refusal to conform to the visitation arrangement set up by the court when the Oesco's divorced. Josh appears to have a good relationship with his sister which at times presents a problem to his father and mother.
Communication theory can be applied to the internal system and with the ultimate goal of a "parts party" as a means of integrating the four parts."
"Olson's Circumplex Model refers to specific levels of flexibility which include all of the following
communication is protest." "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
"A statement such as "Men only do anger" might be used as an example in which of the following
power over the other groups."
systems are characterized by "loop formations" rather than linear cause-effect."
"A couple comes in for therapy. The husband complains his wife is too close to her family and she has trouble separating from them. In fact, he states that his wife is in constant contact with her mother and looks to her mother constantly to help her make decisions. Often these decisions are in opposition to decisions made previously by he and his wife. 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?
- CORRECT ANSWER Strategic" "A therapist reports to her supervisor that a family she is seeing complains to her that she doesn't listen well to what they tell her. Her supervisor responds, "I'm sorry, what were you saying?" This
"The DSM-5 now uses a 'spectra' approach. Which of the following might now be classified on a
"The Intergenerational and the Experiential therapists are concerned with all of the following
"A family comes to therapy and during the first session, the therapist observes that the 7-year-old daughter sits between her parents and looks toward her mother before answering any questions. The father appears bored during the session and constantly looks up toward the ceiling whenever the daughter looks toward the mother. The 5-year-old son and 9-year-old daughter are sitting opposite the parents and appear distracted and uninvolved. Which of the following family therapists would see all family members as part of the problem and
"An MFT is treating a family with a 12 year old girl who was experiencing intense crying spells, agitation, loss of appetite and was becoming increasingly argumentative at home. After 8 sessions applying Bowen's family therapy model in which the focus was reducing anxiety, increasing individuation and teaching the family projection process, she began to be concerned that her approach was not being successful. In her search of the literature for guidance she found:
- CORRECT ANSWER Research on depressed children being successfully treated with a family based "attachment" model similar to Structural Family Therapy." "After reviewing the Security Rule, an MFT in an individual, private practice renting space in a large office building, decided he had to be much more careful protecting confidential records. He purchased locking file cabinets, password protected his client files on his computer, and added a
"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
"One of the clinical areas with clearest outcome efficacy is with drug abusing youths. Which of the
demonstrated strong efficacy compared to drug counseling. This was true with African American and Latino youths, as well as with the majority white population." "Research has found that the most effective treatment of children with conduct disorders, both
"A family presents with a 7-year old child who seems to look for his parent's acceptance and reassurance while answering every question the family therapist puts to her. When her parents express disagreement to what she has just expressed, she quickly adapts her position to that of
Framo's Object Relations Model" "A family consisting of a mother, father, two daughters age 13 and age 15, and a son age 17 enter therapy. The parents are complaining that there 15-year old daughter is coming in drunk every night and is very abusive to the family. If this family was diagnosed as enmeshed, a family
differentiate while making the boundaries less permeable."
and re-organize key emotional responses - the music of the attachment dance, to create a shift in partner's interactional positions and initiate new cycles of interaction, to foster the creation of a secure bond between partners)." "Studies have shown a reported decrease in delinquent behavior and positive change in family process when the families were involved in family therapy. A few studies comparing types of
"A family comes to therapy and during the first session, the therapist observes that the 7-year-old daughter sits between her parents and looks toward her mother before answering any questions.
The father appears bored during the session and constantly looks up toward the ceiling whenever the daughter looks toward the mother. The 5-year-old son and 9-year-old daughter are sitting opposite the parents and appear distracted and uninvolved.A primary goal of a Bowenian
members." "Prior to the DSM, the 'Statistical Manual for the Use of Institutions for the Insane' was developed
"Multi-ethnic and multi-racial families often present with rich and complex histories and
"An MFT in a 3-person group practice keeps her client PHI on her office computer. She uses clinical practice management software that keeps most information she needs conveniently organized. In addition to all insurance information, the software does her billing via direct internet connection to a payer clearinghouse, resulting in quick turn-around of payments, and also allows for email communications with the client, keeping the emails organized and associated with the client record. The software also provides a text entry area to record the session information. However, during her original clinical training, she developed the habit of scribbling a few notes on a pad next to her as she conducted her therapy sessions, which she still does. Her computer is password protected, she uses an encryption technology for all client and
from either parent because they are within the same covered entity." "A twelve year old boy told a friend in school that he was going to kill himself so that he didn't have to tell his parents about a recent poor test grade. The friend told a teacher who contacted the mother who became very upset on the phone. The teacher recommended an urgent appointment with a local family therapist. The boy has an older sister who has been in treatment for depression and a father who abuses alcohol. Before his initial interview with the boy, the clinician learns from the parents through a phone call, that although he did ultimately go home and tell his parents about the poor grade, he has repeated his suicide threat to other people.
to determine the risk level from this information alone."