According to recent research, the prognosis for couples to work on
infidelity issues is much better for which of the following couples?
✔️Ans - Younger couples. They tend to exhibit more flexibility in their
couple relationships, whereas older and middle age couples can often be
locked into more rigid structures that do not allow for forgiveness.
A strategic therapist response to a woman whose spouse has had multiple
affairs but wants to stay married would be: ✔️Ans - I understand why
you want to stay with him. A strategic technique is restraining change
through therapeutic paradox.
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 escalation? ✔️Ans - Watzlawick.
Among the strategic and systemic models there are three basic
explanations for the way problems develop. The first, described earlier, is
cybernetic: difficulties are turned into chronic problems by the persistence
of misguided attempted solutions, forming positive feedback escalations
(Watzlawick, Weakland, and Fisch). The second is structural: problems are
the result of flaws in a family's hierarchy or boundaries. The third is
functional: problems result when people try to protect or control one
another indirectly, such that their problems come to serve a function for
the system. The MRI group limits itself to the first explanation, while the
other strategic or systemic models embrace all three, although each model
emphasizes one explanation over the others.
According to the communication theorists the content aspect of
communication is known as: ✔️Ans - Report. All communications have
a report and command elements. The report element refers to the content,
while the command element refers to the relationship between the sender
and receiver. Metacommunication is communication about communication.
This term usually refers to the covert, nonverbal message (e.g., tone of
voice, inflection, body language) that gives additional meaning to an overt,
verbal message.
,Research has demonstrated that children with autism have improved child-
parent interactions and improved diversity of play activities when:
✔️Ans - Parent-mediated interventions are used, compared to
professionally delivered interventions alone.
In working with a divorced couple, the focus of attention should be:
✔️Ans - The couple. Since there is research evidence that children's post-
divorce adjustment is directly related to the parents' own adjustment, a
therapist may gain leverage to encourage partners to continue working on
their own emotional issues by informing them of the benefits for the
children. The form of intervention most directly related to restructuring is
divorce mediation.
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: ✔️Ans - Systematic desensitization is a step-wise and gradual
behavioral procedure, utilizing a hierarchy of anxiety provoking situations
to be overcome, one at a time. Other answers can be eliminated as follows:
Orgasmic reconditioning - a process in which therapists direct clients'
fantasies in connection with masturbation in order to modify the types of
stimuli that are associated with arousal (Leiblum & Roen, 1989, Piercy &
Sprenkle, 2nd. ed.). It has been used to treat fetishes and used to enhance
attraction in heterosexual relations (e.g. thinking about one's partner prior
to orgasm). A classical conditioning paradigm is often used to explain the
results. Problem solving & teasing technique are too general and not
relevant answers.
After completing an intake with a new client family, the MFT searches a
variety of resources to determine if there is research available to help guide
her decision making. The family has a 16 year old boy who has not been to
school in over 3 weeks. The MFT's search turns up a study from the
American Psychologist stating that a combination of supportive therapy
and anti-depressant medication has been demonstrated to be efficacious in
the treatment of adolescents who are "school refusers." The study was a
double blind design with a sample size of 55 with a correlation of .68 and
92% confidence level. A correct statement about this research is:
✔️Ans - The independent and dependent variables tend to occur together
about 68% of the time. This is greater then what we'd expect by chance, so
, it seems likely that there is a causal relationship between the two. However,
the mechanism linking the two variables still needs to be understood by
the MFT before she would implement the study findings.
"John, we are impressed with your selfless gifts to your family and are
inclined to suggest no changes at this time. Your soiled pants give your
father a reason to be involved in your family." This message might be one
given by: ✔️Ans - Watzlawick from the MRI school would emphasize
2nd order change and this reframe is an example of such. This is not a
positive connotation (Palazzoli), as only one member of the family systems
behavior is being reframed. Andersen would likely use a reflecting team,
Madanes an ordeal or hierarchy-fixing intervention.
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 by: ✔️Ans - 2nd order
cybernetics. This is a classic definition for an an autopoietic system which
can often be described by second order cybernetics.
Blended families present unique circumstances for a therapist. Which of
the following would be helpful to a family therapist in facilitating
discussion: ✔️Ans - Addressing the boundary ambiguity often found
when merging families. Children have simultaneous membership in two
families, which can lead to loyalty conflicts and guilt, especially when the
relationship between ex-spouses is hostile. The couples need to establish
clear executive subsystem boundaries, which can be complicated by
differences in the rules that each spouse prefers and the movement of the
stepparent from an outside position to inside the family.
Studies show that children of gay and lesbian couples compared with
straight couples have: ✔️Ans - Same problems. Although many of the
problems will be the same, some problems would be different, for example,
having two same sex parents, prejudice toward gay and lesbians, possible
lack of support from extended family, friends, etc.
A tool which Bowenian therapist use in order to reduce the anxiety level in
a highly charged session would be: ✔️Ans - Genogram. A Bowenian
therapist would use a genogram in order to create a therapeutic triangle. In
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