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AMFTRB Comprehensive Exam Graded A+
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AMFTRB Comprehensive Exam Graded A+
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AMFTRB Comprehensive Exam Graded A+"Family process" (peer-reviewed journal) - ANSWER-Founded by Don Jackson and
Nathan Ackerman, edited by Jay Haley (1962)
"flight into health" - ANSWER-When a previously depressed or suicidal patient suddenly
stops stating suicidal intention and/or appears calm and happy in a very quick time
period. This may be a warning sign that the patient has decided to complete suicide.
Defense against lessening/lifting repression. Client states they are "all better."
"stuck family" (Adlerian) - ANSWER-parents assume roles based on their expectations
of the children
(Kaplan) A sexual disorder that is NOT considered a disturbance in the genital-
vascongestive phase is... - ANSWER-premature ejaculation
2 Essential Theme's of Bowen's theory - ANSWER-1) Individuality
2) Togetherness
4 interlocking dimensions of relationships developed by Nagy, Contextual Family
Therapy - ANSWER-1) Facts - those that are unavoidable, such as ethnicity, gender,
illness, etc, and those that are avoidable, such as the family's "created reality,"
understanding and choices;
2) Psychology - each individual's emotional development, cognitions and meanings;
3) Transactions - communication sequences, roles, structure and power alignments
between individuals and
4) Relational Ethics - fairness, trust, reliability, loyalty and reciprocity (the "ledger").
4 main components of Rogerian technique - ANSWER-1) empathy
2) congruence
3) acceptance
4) concreteness
5 steps to motivational interviewing - ANSWER-1. Expressing empathy for the client;
2. Developing discrepancy between where the client is at in his/her life and where they
would like to be in their lives-and how substances interfere with them moving forward.
3. Avoiding argument about the addict's possible lack of readiness for change.
4. Rolling with the resistance, which is accepting and understanding the client's fear to
change.
5. Supporting self-efficacy by trying to instill hope that the client can make positive
changes in his/her life.
6 characteristic of a double bind - ANSWER-1) Communication involves 2 or more
people who are involved in an important emotional relationship.
2) The pattern of communication and the relationship is a repeated experience.
,3) The communication involves a primary negative injunction--or a command not to do
(some act) or not to NOT do (some act), either of which come with a threat of
punishment.
4) A second abstract injunction is given that contradicts the primary injunction but at a
more abstract level and is usually nonverbal. This also occurs under the threat of
punishment.
5) A third negative injunction both demands a response and prevents escape,
effectively binding the recipient to the environment in which these patterns exist.
6) When the above double bind messages have been communicated enough times, the
individual has become conditioned which no longer requires all of the above mentioned
criteria to be present in order to elicit the same intensity in response (panic, rage,
schizophrenia).
A CBT assumption regarding couple's therapy is... - ANSWER-The initial focus of tx is
on partners' behaviors, with little explicit attention to their cognitive beliefs/emotions.
A cognitive-behavioral assumption is that if partners begin to behave more positively
towards each other, then they will begin to think and feel differently towards each other.
A child is using the same toy in play therapy. What might this suggest? - ANSWER-The
play therapy is working.
A client is disheveled, hearing voices, and hasn't slept in 48 hours. What should the
therapist do? - ANSWER-Have the client hospitalized.
A Multigenerational Family Therapist working with a couple and domestic violence -
ANSWER-assess for DV and reduce emotional reactivity
A therapist is treating a client who suspects that he may have HIV. He hasn't been
feeling well lately, reports engaging in frequent unprotected sex, and avoids testing
because it is "too scary". He asks you, "why bother talking about a disease when there
is no cure"? What would be the next step in your treatment planning with this client? -
ANSWER-Begin the process of pre-test counseling.
You need to adjust your treatment plan to where the client is currently.
According to communications theory, there is no such thing as a simple message.
Instead, communication commonly consists of two levels. These are: - ANSWER-
surface and metacommunication
The surface level contains overt content and the metacommunication represents the
context in which the overt message is delivered (e.g., the voice tone, gesturing, body
language). It qualifies, contradicts, or comments on the surface level. When a
metacommunication contradicts the surface level (as in a double-bind), interpersonal
distress may result.
According to family systems theory, wholeness refers to.... - ANSWER-the
interdependence between the parts of a system. Working on spousal problems will
,change a child's behavior because when the dyad begins to relate differently, the child's
role changes. Change in one part of the system affects all other parts.
According to Glasser, the founder of reality therapy, most mental disorders are the
result of irresponsibility, which leads to the development of: - ANSWER-"failure identity"
According to Margaret Mahler, "individuation" involves: - ANSWER-recognizing the
individual existence of self and others.
According to Mahler (1975), a child undergoing the process of moving from being a
member of a mother-child unit to becoming a family member goes through "separation"
and "individuation." Separation refers to the child's disengagement and differentiation
from the mother, while individuation involves the development of an inner representation
of the mother, a time sense, a capacity for testing reality, and an awareness of the
existence of others discrete from his/her own existence.
According to Masters and Johnson research, what percentage of couples experience
sexual dysfunction? - ANSWER-50%
According to structural family therapy, the structural requirements for a new union are: -
ANSWER-accommodation and boundary making
According to the DSM-5, the characteristic symptoms of Substance Use Disorder can
be categorized in terms of which of the following? - ANSWER-- Impaired control
- social impairment
- risky use
- pharmacological criteria (tolerance/withdrawal)
Accurate Empathy (Rogers) - ANSWER-therapist's ability to see the world as the client
does and to accurately convey that understanding to the client.
- a therapist communicates that he/she is paying attention and attempting to understand
the client (nodding, maintaining eye contact, and reflecting back to a client his/her
feelings, thoughts, and nonverbal behaviors)
acute stress disorder - ANSWER-An anxiety disorder in which fear and related
symptoms are experienced soon after a traumatic event and last less than a month
ADHD (Attention-Deficit Hyperactivity Disorder) onset - ANSWER-a psychological
disorder marked by the appearance before age 12 and symptoms present in at least 2
settings.
adjustment disorder - ANSWER-a disorder in which a person's response to a common
stressor is maladaptive and occurs within 3 months of the stressor
, Adlerian Family Therapy - ANSWER-An approach that is based on the premise that
parents and children often become locked in repetitive, negative interactions based on
mistaken goals that motivate all parties involved.
An MFT can seek consultation without the consent of the client when.... - ANSWER-
when the client's identity can be disguised.
Anorexia vs. Bulimia - ANSWER-share some features (e.g., disturbed body image), but
a person with Anorexia refuses to maintain weight over a minimal normal level for her
height and age.
antisocial personality disorder - ANSWER-involves a pervasive pattern of disregard for
and violation of the rights of others.
Asian culture role of the father - ANSWER-Authority figure
asking the family to develop a family crest or finish sentences such as "being close in
this family is" are ways to gain insight into... - ANSWER-family myths
Assessment & Diagnosis of Bowen's Family Systems - ANSWER-Genogram to assess
generational history
Dx: non pathologizing, systemic focus on the presenting problem
Assimilation - ANSWER-the social process of absorbing one cultural group into
harmony with another
Assimilation - ANSWER-the social process of absorbing one cultural group into
harmony with another. One has given up their own culture and identifies with the
dominant culture.
automatic thoughts (CBT) - ANSWER-spontaneous thoughts that are situation-bound
and most readily addressed in the early stage of therapy
Bandler and Grinder's inquiry was based on neurolinguistic programming (NLP) -
ANSWER-Studied linguistic patterns of Perls, Satir, Erickson
NLP hypothesizes that all behavior results from neurological processes ("neuro"); that
these processes are ordered, sequenced, and represented into strategies and models
through language ("linguistic"); and that the process of organizing a system's
components determines specific outcomes ("programming").
Battle for Initiative (Whitaker; symbolic-experiential therapy) - ANSWER-It follows the
battle for structure. In this second battle, the family takes back from the therapist its
authority to make choices about what is discussed and about decisions that affect their
lives.
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