Official AMFTRB Exam 4 | Questions & Answers (100 %Score) Latest Updated 2024/2025
Comprehensive Questions A+ Graded Answers | With Expert Solutions
A therapist works with a family in which he hypothesizes that a scapegoated child's behavior may be his
or her means of loyally acting out his or her parents' need for expressing rage and that this is a cycle that
may have connections to behavioral sequences begun generations before. This therapist is most likely
assessing from: - ✔✔a contextual model
Hint: "loyally acting out"
A therapist is working with a single-parent family, Jane, age 27, and her two children, ages 5 and 3. Jane
has just lost her job, and the family has moved back in with her parents for financial reasons. They have
come in to receive help because Jane is feeling overwhelmed and depressed. If the therapist is working
from a systemic perspective, what would be the best structure for treatment? - ✔✔Jane, her parents,
and the children, because they are currently living together
A Strategic therapist's view of the family is: - ✔✔circular.
Hint: Circular causality symptoms are not caused by any specific event, but are maintained as a part of a
vicious circle of interaction.
A five-year-old child is referred to you by his PCP. The parents have been concerned that he seems
anxious at home, and has wet his pants several times during the day. You diagnosed him as having
functional enuresis. Which of the following is the treatment of choice? - ✔✔Behavioral applications
A young couple has been referred to you by a physician for treatment of a sexual dysfunction. They have
no medical problems. What is your primary responsibility in this case? - ✔✔To be a catalyst for
communication
Hint: As a marital and family therapist, this would be your primary responsibility.
&
When a case involves sexual dysfunction with no evidence of a medical condition or other physiological
cause (i.e., when a medical exam has already been sought by the couple), your first intervention should
be to encourage the couple to communicate.
,A wornan ignores ner nusvanas gestures o anecuon, ana unen
complains that he is not loving toward her. What is this an example of? - ✔✔A double-bind
Hint: two conflicting messages, one
nonverbal and one verbal.
A woman is recently separated from her husband and having a lot of difficulty coping. She uses "we"
language a lot. What communication style is this? - ✔✔Mind-reading
Hint: takes place when a person makes assumptions about what another person is thinking, or speaks
for another person.
A woman and her husband come into a first session for marital therapy. You notice that the woman is
hugging herself and glancing at the thermostat on the wall. To further communication, you should: -
✔✔ask her husband to interpret her posturing.
Hint: the goal of your intervention is "to further communication. Remember that this is a first session
and assessing how they communicate will be necessary before you can "further communication."
A therapist is seeing a family for a variety of behavioral problems with the children. Instead of exploring
the problems in detail, the therapist asks, "When is this problem not a problem?" What is the purpose of
this intervention? - ✔✔Identify exceptions as a resource for positive change
Hint: therapy. If the clients can identify and describe fully those times or situations in which their
problem is less severe or non-existent, this can suggest certain things that the clients can do to create
more of these "non-problem" experiences.
Brian, a 6 year old, was placed in a children's rehabilitation center approximately three months ago. His
mother has a history of mental illness and has been in and out of the county mental health center for
the past five ears. A psychiatrist at CMH has diagnosed the mother as having Paranoid Personality
Disorder and Major Depressive Disorder, recurrent. Brian's father shows no overt signs of mental illness.
, Brian's parents have been separated for several months, and the father is currently in therapy to learn
how to deal with the mother's episodes. What is your priority in dealing with Brian? - ✔✔To work with
the system he is currently living in, for example, by using the center and his family to create a safe and
supportive environment
A woman, married for ten years, calls a shelter hotline afraid for her own life. Her husband has beaten
her many times over the years, and, earlier that
evening, he hit her repeatedly with his fists and threw objects at her. He then left the house, and the
woman is alone at the time of the call. She says she has a car, wants to come to the shelter, and asks
how to get there. The shelter staff member directs her to drive immediately to a public pay phone and
call the shelter back, at which time she will be given directions to the shelter. The woman calls back two
hours later and says she has changed her mind and will not be coming to the shelter after all. The
woman's change of mind is MOST likely attributable to which of the following: - ✔✔during the initial
phone call, the shelter worker should have been more directive, giving the woman the directions.
A therapist tells a client who wants to quit smoking that he should keep his only pack of cigarettes in a
place that is accessible only by walking for more than one mile. This is an example of which of the
following paradoxical techniques? - ✔✔Ordeal
Hint: Haley (1984) described several types of ordeals. One type involves having the individual perform
an unpleasant or inconvenient act in order to engage in the target behavior
Brief therapy is a time-limited, pragmatic, non-historical strategic approach to difficulties in a person's
life. Brief therapy models focus primarily on: - ✔✔First order change.
Hint: are symptomatic, not changes to the fundamental dynamics of the family system.
Ben, a successful stockbroker, has recently taken early retirement from his company. At age 45, he "still
feels young" and wants to be more involved with his children, ages 4 and 6. His wife, Laura, at first
appreciates the help, but now feels that Ben has completely taken over the house, supervising all the
chores, grocery shopping, and cooking. He has even begun meeting with the children's teachers to
"stay on top of things." When Laura confronts Ben regarding his behavior, he responds that he just
wants to help. How might a strategic therapist intervene? - ✔✔Tell the couple to continue to do what
they are doing. As a matter of fact, encourage Ben to take over the household more.
