Advanced Counseling Techniques
Midterm Exam
Course Introduction
Advanced Counseling Techniques delves into the specialized methods and approaches used by professional counselors to address complex client needs. This course covers the theoretical foundations and practical application of advanced interventions, including cognitive-behavioral strategies, solution-focused techniques, multicultural counseling, and crisis intervention. Emphasis is placed on developing critical skills in assessment, treatment planning, and therapeutic communication. Students will engage in role-playing, case studies, and supervised practice to refine their ability to integrate advanced techniques ethically and effectively in diverse clinical settings.
Recommended Textbook
Theory and Treatment Planning in Counseling and Psychotherapy 2nd Edition by
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16 Chapters
479 Verified Questions
479 Flashcards
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Diane R. Gehart
Chapter 1: Counseling Theory, Competency, Research, and
You: Connecting the Dots
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25 Verified Questions
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Sample Questions
Q1) Common factors research reflects the importance of the counseling relationship in predicting therapeutic outcomes as evidenced by the strong correlation of _______________ evaluation with positive outcomes.
A) client
B) therapist
C) standardized
D) mental health
Answer: A
Q2) Of importance to the impact of counseling is the placebo effect,which refers to which of the following?
A) The therapist's hope that change can be made.
B) The client's belief that counseling will help them resolve their problem.
C) The client's belief that the therapist can fix their problem.
D) The family's support of the client during counseling.
Answer: B
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Page 3
Chapter 2: Treatment Planning
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Sample Questions
Q1) Once the counselor has conceptualized a treatment plan and identified counseling tasks and client goals,the counselor then ______________________________.
A) identifies useful interventions
B) identifies client actions that lead to the problem
C) determines if working with client is within the scope of practice
D) writes an assessment for submission to the third party payer
Answer: A
Q2) Which of the following statements best describes closing phase client goals?
A) Closing phase goals address issues of safety, welfare, and support.
B) Closing phase goals address the issue of moving of the client toward greater "health" as defined by the client.
C) Closing phase goals address more global issues and moving the client toward greater health.
D) Closing phase goals address more global issues and assess client experience in therapy and the willingness to return to therapy in the future.
Answer: C
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4
Chapter 3: Psychoanalytic and Psychodynamic Counseling and Psychotherapy
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Sample Questions
Q1) Psychoanalytic and psychodynamic approaches in counseling are considered depth psychologies because they explore __________________________________.
A) interpersonal relationships
B) the unconscious mind
C) the blank slate
D) the here and now
Answer: B
Q2) Newer forms of psychodynamic practice emphasize __________,while more traditionally oriented and analytical forms of practice emphasize __________.
A) drive theory; ego psychology
B) two-person psychology; one-person psychology
C) the client; the counselor
D) fewer sessions; more sessions
Answer: B
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Chapter 4: Jungian Analytic Psychology
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Sample Questions
Q1) Jungian analysis is one of the more influential approaches in Japan,in part because the concept of the ______________________,which acknowledges the role of the community in Japanese culture.
A) persona
B) Self
C) collective unconscious
D) archetype
Q2) Briefly explain what Myers-Briggs is.
Q3) Which of the following statements is most true?
A) Jung's goal was to help relieve client suffering by adhering to a strict set of interventions.
B) Jung's goal was to help relieve client suffering and saw himself as an expert in the process.
C) Jung's goal was to relieve client suffering by separating the inner polarities of the unconscious and conscious for examination.
D) Jung's goal was to help relieve client suffering by functioning as a guide to move clients toward greater integration of the unconscious and conscious.
Q4) Describe the relationship between the ego and the Self?
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Chapter 5: Adlerian Individual Counseling
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Sample Questions
Q1) The goal: develop more realistic expectations of performance at work is an example of ______________________.
A) an initial phase goal
B) a working phase goal
C) a closing phase goal
D) a non-Adlerian goal
Q2) The counselor's primary role in this approach is __________________,helping the client to understand mistaken beliefs and improve social relatedness.
A) expert
B) educator
C) partner
D) objective witness.
Q3) Explain the role of psychoeducation in Adlerian counseling.
Q4) Numerous approaches have been developed from the Adlerian approach,including work with children,work with families,work with couples,and an evidence-based parent education program.
A)True
B)False
Q5) What is meant by "private logic"?
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Chapter 6: Person-Centered Counseling and Psychotherapy
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Q1) In person-centered counseling the focus of the approach is on ______________.
A) what happens
B) diagnosis
C) how things happen
D) symptoms
Q2) Immediacy is used _____________________________________________________.
A) when a client's verbalizations do not match their presenting emotion
B) to prompt the client to identify what they are feeling in the moment
C) to normalize the client's experiences
D) to help clients clarify what is vaguely expressed
Q3) All of the following are examples of process oriented goals EXCEPT:
A) increase ability to identify emotions in present moment.
B) increase sense of agency and proactive behavior in work life.
C) increase sense of responsibility for own problems and their resolution.
D) increase problem solving abilities.
Q4) Person-centered counseling was developed by ______________________________.
A) Rogers
B) Whitaker
C) Gestalt
D) Satir Page 8
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Page 9
Chapter 7: Existential Counseling and Psychotherapy
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Q1) Which of the following statements is the best example of a goal in existential counseling?
A) Develop a sense of identity that is less dependent on financial status.
B) Reduce depressed mood.
C) Create greater acceptance of change.
D) Reduce existential anxiety and/or fear of being alone.
Q2) Describe the I-Thou relationship.
Q3) Existential counselors rely most heavily on ______________ to promote change for their clients.
A) the counseling relationship
B) a special agent
C) the counselor's interventions
D) the counselor's interpretation
Q4) Which of the following characteristics best describes the stance of existential counselors?
A) promoting responsibility and independence
B) a blank slate
C) reassuring and supportive
D) stating: "I'm right there with you."
Q5) What do existential counselors believe about the purpose of life?
Page 10
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Chapter 8: Gestalt Counseling and Psychotherapy
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Q1) What are the strengths and weaknesses of Gestalt counseling in working with diverse populations?
Q2) Responsible vs.carefree is an example of a problematic _________________.
A) act
B) polarity
C) opposition
D) counterbalance
Q3) Gestalt counselors offer clients their presence in __________ experiences in the counseling session.
A) emotional
B) unhampered
C) unconscious
D) here-and-now
Q4) When a Gestalt counselor is "assessing the field," the counselor will likely ask the client all of the following questions EXCEPT:
A) What was your experience?
B) How did others experience you?
C) How did you contribute to creating your experience?
D) How did you contribute to the experience of others?
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Chapter 9: Foundational Cognitive-Behavioral Approaches
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Q1) Cognitive-behavioral counselors frequently use _______________ to spell out goals and expectations and to increase motivation and dedication with clients.
A) standardized assessment tools
B) the client's own words
C) goal forms
D) written contracts
Q2) Mark,a cognitive-behavioral counselor remains neutral and uses open-ended questions to help his client discover the illogical nature of her beliefs and to use her own logic to convince her of needed change.This intervention is called
A) empathy
B) socratic method or guided discovery
C) psychoeducation
D) self-talk
Q3) How does a person's thoughts shape emotional and behavioral responses?
Q4) How/why does cognitive-behavioral counseling align more closely with DSM diagnosis than other approaches?
Q5) Explain Beck's concept of distorted cognitions and identify at least one common distortion.
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Chapter 10: Evidence-Based Cognitive-Behavioral
Approaches: Dialectic Behavior Therapy and
Trauma-Focused Cognitive-Behavioral Therapy
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Sample Questions
Q1) What is the cognitive triangle and what is it used for?
Q2) Which of the following statements best characterizes the nature of individual sessions in DBT?
A) In individual sessions, clients are taught a standard curriculum of psychosocial skills.
B) In individual sessions a relationship is established that validates and nurtures the client while demanding behavioral change.
C) In individual sessions, techniques such as mindfulness are avoided so that the client does not become stuck on emotions rather than behavior.
D) In individual sessions, clients are faced with making behavioral change because the counselor withholds empathy in order to focus on behavior rather than symptoms.
Q3) The DBT relationship in counseling is characterized by ____________________.
A) three sets of dialectic tensions
B) personality traits that get magnified or minimized
C) a loose set of rules applied by the counselor in an unplanned way
D) a rigid set of goals
Q4) Explain why the use of validation is important to the client.
Q5) What is synthesis?
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Chapter 11: Systemic Family Counseling and Therapy
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Q1) ___________________ refers to shifts in family structure during the early stages of counseling,which seem like radical change,but the underlying family rules remain the same.
A) Self-correcting
B) Cybernetics
C) First-order change
D) Second-order change
Q2) Systemic approaches are a set of theories that conceptualize an individual's symptoms as arising ______________________________.
A) in the unconscious mind
B) from social oppression
C) when a person is not self-actualized
D) within family and relational dynamics
Q3) Systemic counselors view ______________ as playing a role in maintaining relational homeostasis and a sense of normalcy.
A) dysfunction
B) symptoms
C) defenses
D) parents
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Page 14
Chapter 12: Solution-Based Approaches
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Q1) How is the Beginner's Mind used in solution-focused counseling?
Q2) Solution-focused school counseling is based on which one of the five assumptions?
A) Big problems require big solutions.
B) If is works, do more of it.
C) Clients need resources to make changes.
D) Cooperative relationships are necessary for solutions.
Q3) The process of solution-based counseling is described as
rather than ______________,highlighting that the problem is not necessarily related to the solution.
A) problem-focused; solution-focused
B) collaborative; individual
C) individual; collaborative
D) solution-building; problem-solving
Q4) Solution-based counselors believe that ______________ is inevitable and always possible.
A) happiness
B) satisfaction
C) hope
D) change
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Chapter 13: Narrative and Collaborative Approaches
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Q1) Goals in narrative counseling focus on clients enacting preferred narratives which involves increasing clients' sense of ______________,the sense that they influence in the direction of their lives.
A) happiness
B) independence
C) agency
D) responsibility
Q2) In narrative counseling,___________________ refers to separating people from their problems to create space for new identities and life stories to emerge.
A) listening
B) externalizing
C) enacting
D) solidifying
Q3) What is the philosophic stance of a collaborative counselor and how does it affect the therapeutic relationship?
Q4) In what ways is collaborative counseling ideal for working with diverse populations?
Q5) What is externalizing and how is it used in narrative counseling?
Q6) What role does curiosity play in collaborative counseling?
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Chapter 14: Feminist and Multicultural Counseling and Psychotherapy
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Sample Questions
Q1) In general,most schools of feminist and multicultural counseling will consider all of the following aspects of a person's experience EXCEPT:
A) effect of gender.
B) effect of irrational emotion.
C) effect of culture.
D) effect of relationship.
Q2) How do feminist counselors view diagnosis?
Q3) Feminists maintain that humans are primarily ________________; the desire for ____________ is the primary motivating force.
A) focused on themselves; independence
B) autonomous; control
C) relational; connection
D) selfish; autonomy.
Q4) How does connection play a role in feminist counseling?
Q5) When considering DSM diagnosis,feminist counselors __________________________.
A) refuse to utilize such classification systems
B) use diagnostic labels in ways that are normalizing
C) find diagnostic labels unhelpful at all times
D) do not consider the impact of labels in a client's view of him or her self
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Chapter 15: Introduction to Theoretical Integration
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Q1) The author identifies four philosophical schools.What are they?
A) Purism, phenomenological, systemic, postmodern
B) Psychodynamic, cognitive-behavioral, systemic, narrative
C) Modernism, phenomenological, systemic, postmodern
D) Theoretical, philosophical, behavioral, emotional
Q2) All of the following are types of integration EXCEPT:
A) common factors.
B) assimilative integration.
C) systemic treatment selection.
D) favorite intervention integration.
Q3) All of the following are schools with the post-modern philosophical approach EXCEPT:
A) constructivism.
B) social-constructivism.
C) structuralism/postconstructuralism.
D) individualism.
Q4) Discuss the difference between a theory and a philosophy.
Q5) Why might a counselor want to use integration?
Q6) Explain first-order and second-order cybernetics.
Q7) What qualities define good integration?
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Chapter 16: Integrative Case Conceptualization
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Sample Questions
Q1) How might a clinician excel in case conceptualization and assessment?
Q2) In family systemic conceptualization,which of the following is a stage of the family life cycle?
A) Intimacy vs. Isolation
B) Launching Children
C) Good Interpersonal Relationships
D) Latency
Q3) According to the author,what is one of the major problems with case conceptualization and assessments in general?
A) Healthy emotionally engaged boundaries look the same for everyone.
B) There is really only one set of ethnic norms.
C) The more similar clients are to us, the less we expect them to share our values and behavioral norms.
D) There are no objective standards against which a person can be measured.
Q4) How does a counselor utilize client strengths in the formation of a case conceptualization?
Q5) List and describe three elements of a case conceptualization.
Q6) How does obtaining background information further the therapeutic work?
Q7) What purpose do counseling theories serve?
Page 19
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