MCFT Practice Exam 100% Correct Answers Verified Latest 2024 Version
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MCFT Practice Exam | 100% Correct
Answers | Verified | Latest 2024 Version
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: -
Exceptions: Solution-Focus...
MCFT Practice Exam | 100% Correct
Answers | Verified | Latest 2024 Version
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: -
✔✔Exceptions: Solution-Focused therapists use questions that often center around making distinctions.
Here the therapist is beginning to look for when the drinking is or is not a problem and to tease out what
is working in the client's life.
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 differentiation. - ✔✔Object
Relations Family Therapy:
These are key constructs of the Object Relations model of Family Therapy. Note the distractor by the use
of Bowlby's Attachment Theory and the Emotionally Focused Therapy which also draws upon the
Bowlby's work as well as the Object Relations use of differentiation (separating from family of origin)
which is different than the Bowenian use of the construct.
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.
In assessing this family, a Structural Family Therapist would pay particular attention to the: -
✔✔organization of the family:
Structural therapists will always focus how a family is organized, believing that symptoms occur from
improperly organized families. Imbalance in the hierarchy is strategic, transgenerational history of
triangles is transgenerational, problem solving skills is strategic (Haley).
With regard to MFTs, licensed or certified, HIPAA states: - ✔✔Nothing specifically:
There is no specific reference to MFTs in the HIPAA regulations. However, HIPAA guidelines apply to MFTs
just as they do to all mental health and other healthcare providers who transmit PHI via any electronic
,means. Answer B: it's correct to say all individuals must be given full disclosure information, however
this is not stated in HIPAA specifically for MFTs, which is what the question is asking. Answer C: The
Security Rule is not applied to individuals in treatment. It is applied to the methods used by the clinician
to make all clients PHI secure. Answer D: MFTs are not specifically identified in HIPAA.
A Solution-focused therapist using the miracle question would start out in which of the following ways? -
✔✔Suppose one night you were asleep, a miracle happened and your problem was solved. How would
you know:
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 complete list of
questions we should ask about this research is: - ✔✔How was bi-polar defined, how was "good results"
defined, how large was the sample size, what was the correlation, what was the statistical significance?:
The statement that control groups were used, tells us it is a quantitative study. We don't need to ask this
question.
Feminists have faulted other family therapist models as: - ✔✔all of the above:
In critiquing the various existing practices of family therapy, the feminist model accuses the other models
of favoring masculine values, devaluing nurturance and of being based on male development. In order to
alter this imbalance, feminist family therapists advocate that therapists overtly align against this
tradition.
Sensate focus, a frequently used task in sexual therapy is used to: - ✔✔reduce performance anxiety:
Sensate focus is a procedure originally developed by Masters and Johnson to create an atmosphere
whereby performance anxiety and spectatoring can be minimized.
The Beavers Model integrates FST with developmental theory, classifying families on two axis. The first
identifies the stylistic quality of family interaction, the second axis classifies the family as: - ✔✔Optimal,
Adequate, Midrange, Borderline or Severely Disturbed:
,Olson's Circumplex model maps these dimensions. While both centripetal and centrifugal are
dimensions of Beaver's Model, they are the range on the first axis, not the second. The Optimal-Severely
Disturbed range is from the second axis. key: Beavers, centripetal, centrifugal, stylistic quality of family
interaction, family types
Bowen believed that functional shifts in differentiation often occurred during all of the following EXCEPT:
- ✔✔mishandling of attempted solutions:
This is an exception question. Look for the answer reflecting the situation Bowen would not likely
identify as an aid to differentiation. Mishandling of attempted solutions is associated with the MRI
model.
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 therapist working with this family would be: - ✔✔differentiation of family
members:
According to Bowen's (1978) theory, the more separate one's intellect is from automatic emotional
forces, the more differentiated one is (Piercy & Sprenkle, 2nd. ed.) Other answers can be eliminated as
follows: Align with the father - Structural; Effect family organizational change - Structural or Strategic;
Track the vicious cycle - Strategic.
Some research has demonstrated that there are certain 'common factors' in successful psychotherapy.
Which of the following statements is correct? - ✔✔It has been demonstrated that the common factor of
"systemic/dyadic reformulation of the presenting problem," can be as important or more important that
ideal choice of treatment model:
Some of the research about common factors in family therapy indicate that these components of
treatment can be as important as the choice of model or as therapist experience.
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:
A major element in many sexual treatment programs is the sexual history interview (which is not the
same as a family or individual history). Information gathering during sexual history -taking can be useful
in building rapport and in enabling the clinician to establish an initial working hypotheses about the
etiology and maintenance of the sexual problem in a particular case. (Gurman and Kniskern, Handbook
of Family Therapy, Vol. 1, p. 602). For example, in this case it is possible that the woman may have been
sexually abused. This is information that might be obtained in the course of taking a sexual history. While
most experienced marital and sex therapists would initially take a sexual history, the question does not
specify that one was taken. It therefore is possible that it was not taken, especially given the unexpected
result of the homework assignment. Further, "sexual history" is also the best answer because the
remaining answers can each be eliminated for the following reasons: "acknowledge the partner's
ambivalence" - It wasn't the partner who was having trouble being touched. "Send the woman for a
medical examination" - a medical exam was not indicated because there is no indication that she was
having pain or any organic problems. "Start off with a stop-start technique" - this is a technique used for
the treatment of premature ejaculation. It would not be used for a woman with problems participating
in sex.
White's use of questions, summaries and metaphor are effective in: - ✔✔externalizing and objectifying a
problem:
Michael White's model of Narrative family therapy takes the position that externalizing and objectifying
a problem allows the family to view the problem in a new way. Specifically, it helps to disassociate
themselves from the problem. All other answers are relevant don't highlight the most important aspect
of White's model.
According to research alcohol abuse is the most studied phenomenon in family therapy research.
According to some outcome studies which of the following approaches have been particularly useful in
dealing with substance abuse in families, especially for engaging young substance abusers? -
✔✔Psychoeducational approach:
Psychoeducation has proven to be the most effective in engaging adolescent substance abusers as it is
non-confrontational.
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