Marriage and Family Therapy
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Course Introduction
Marriage and Family Therapy is a course that explores the theories, principles, and techniques used in counseling couples and families. Students will examine the dynamics of family systems, communication patterns, and the impact of cultural, social, and psychological factors on relationships. The course covers various therapeutic models, ethical considerations, assessment strategies, and intervention methods used to address issues such as marital conflict, parenting challenges, and mental health disorders within the family context. Emphasis is placed on developing practical skills for engaging with families and couples, applying evidence-based practices, and fostering healthy relationship functioning.
Recommended Textbook
Theory and Treatment Planning in Counseling and Psychotherapy 2nd Edition by Diane
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16 Chapters
479 Verified Questions
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R. Gehart
Chapter 1: Counseling Theory, Competency, Research, and
You: Connecting the Dots
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Sample Questions
Q1) The mental health movement to become more evidence based involves using existing research to inform clinical decisions and treatment planning,and which of the following?
A) Learning evidence-based treatments that are specific for working with distinct populations and issues.
B) Focusing that research in one area to gain expertise and skimming other areas to ensure basic understanding.
C) Becoming well versed in one evidence-based theory, so that it can be applied efficiently and effectively.
D) Understanding that once you have practiced for some time, this will no longer be necessary.
Answer: A
Q2) Efficacious and specific treatments meet all of the same criteria as EST's and which of the following additional criteria?
A) Utilize only the unique components of a specific theory.
B) Reflect at least three of the common factors.
C) Prove superior to at least two other studies.
D) Be subjected to two independent investigations.
Answer: C
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Chapter 2: Treatment Planning
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Sample Questions
Q1) A good treatment plan will reflect a chosen theory by the ________________ used to write treatment tasks.
A) theory-based treatment plan
B) client goals
C) language and interventions
D) problem-focused approach
Answer: C
Q2) Clinical treatment plans _____________________________________________.
A) are the same as theory-based treatment plans
B) are based on the medical model
C) include therapeutic tasks, client goals, and interventions
D) provide a limited view of the client and system
Answer: C
Q3) The counselor need not address diversity issues with each treatment task,as long as diversity is addressed by some tasks in the working phase.
A)True
B)False
Answer: False
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Page 4
Chapter 3: Psychoanalytic and Psychodynamic Counseling and Psychotherapy
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Sample Questions
Q1) The ability to spontaneously express need and desire while maintaining a clear distinction between self and other is believed to be a result of
A) good enough mothering
B) distant mothering
C) chaotic mothering
D) perfectionist mothering
Answer: A
Q2) Susie reports that she perceives her brothers as being "all-good" and her sister as "all-bad" because her brothers took care of her and stuck up for her growing up while her sister often got all the attention at school and stole friends and boyfriends.This type of defense mechanism is called?
A) repression
B) projection
C) denial
D) splitting
Answer: C
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Page 5
Chapter 4: Jungian Analytic Psychology
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Sample Questions
Q1) Complexes are _______________________________.
A) an emotionally charged set of responses
B) personality traits that get magnified or minimized
C) the supraordinate organizing principles of the psyche
D) a representation of the self that has both conscious and unconscious elements
Q2) Martin appears to be deeply connected to the African-American community and expresses a sense of responsibility to uplift the community and undo past injustices.This can be explained to Martin by which concept?
A) archetypal and mythical themes
B) the ego identity
C) the shadow
D) the collective unconscious
Q3) One example of an initial phase counseling task in Jungian analysis might be to ________________________________________.
A) develop a working relationship by creating hierarchy in the relationship
B) develop a working relationship by creating a collaborative educator relationship
C) monitor the working alliance
D) educate client on the use of dreams and symbols
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6
Chapter 5: Adlerian Individual Counseling
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Sample Questions
Q1) Adlerian counseling can be well suited for work with diverse populations because it is rooted in all of the following concepts,EXCEPT:
A) social interest.
B) spirituality.
C) social factors.
D) individual development.
Q2) Before Adlerian counselors can move to working and closing phase goals,which focus mostly on increasing social interest,they must first address early phase goals which address crisis symptoms.
A)True
B)False
Q3) Which three general categories do Adlerian's use for psychodynamic formulation during assessment?
A) interpsychic, intrapsychic; extropsychic
B) social factors; social motivation; social status
C) neurotic symptoms; psychotic symptoms; personality disorders
D) ego identity; the Self; persona
Q4) What is the relationship of individual inferiority to social interest?
Q5) What is Adler's theory regarding social interest?
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Chapter 6: Person-Centered Counseling and Psychotherapy
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Sample Questions
Q1) Maslow,an early humanist,believed in four areas of the most basic needs that must be in place for a person to self-actualize.The four areas are:
A) physiological, mental, love/belonging, esteem.
B) physiological, mental, love/belonging, emotional.
C) physiological, safety, love/belonging, emotional.
D) physiological, safety, love/belonging, esteem.
Q2) According to person-centered counseling,all of the following are necessary and sufficient elements for therapeutic change EXCEPT:
A) unconditional positive regard.
B) counselor congruence or genuineness.
C) accurate empathetic understanding.
D) insight.
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) What is self-actualization?
Q5) List and describe 3 interventions utilized in person-centered counseling.
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Chapter 7: Existential Counseling and Psychotherapy
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Sample Questions
Q1) 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
Q2) Existential counseling requires facing the reality of death,loneliness,and responsibility for one's life.This requires the counselor to promote __________ in the client.
A) answers
B) courage
C) self-centeredness
D) affirmation
Q3) Describe the I-Thou relationship.
Q4) What are three interventions that existential counselors utilize in session? Describe each.
Q5) Describe the concept of death anxiety from an existential counseling perspective.
Q6) What do existential counselors believe about the purpose of life?
Q7) How do existential counselors view the goals of therapy?
Page 9
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Chapter 8: Gestalt Counseling and Psychotherapy
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Sample Questions
Q1) What is meant by the statement,"The more one tries to change (and be who one is not),the more one stays the same."
Q2) The idea that Gestalt counselors use their whole personhood to make real authentic contact with clients is best explained as counselors
A) expressing few emotions to protect the client
B) avoiding making or admitting mistakes in session
C) freely sharing their thoughts and feelings as they occur in session
D) employing confrontation frequently in session
Q3) In what way do Gestalt counselors differ from other counselors?
A) They avoid empathy as they believe it hinders therapeutic progress.
B) They do not condone self-disclosure.
C) They are willing to be imperfect role models and do not hide behind a professional veneer.
D) They believe that it is important to strive for a problem-free lifestyle.
Q4) When a person has integrated polarities,they have
A) accepted more aspects of the self
B) made peace with who and what one is
C) a responsive relationship with the environment
D) trust in the self and life itself
Page 10
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Chapter 9: Foundational Cognitive-Behavioral Approaches
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Sample Questions
Q1) Aaron Beck used a cognitive approach which identifies schemas and core beliefs that ______________________________________,and changes them using thought records.
A) cause problems
B) solve problems
C) fuel and maintain problems
D) open up and resolve problems
Q2) In the case of Maria,the 34 year old woman suffering from bi-polar disorder,the core/basic belief which supports the clients' symptoms can best be described by which of the following?
A) She must be treated fairly at all times in order to reduce her depressed mood.
B) She believes it is better to just watch television to avoid potential problems.
C) She needs to reach out more to others in order to improve the situation but does not know how to do so.
D) The intensity of her emotions result from the bi-polar disorder.
Q3) Explain Beck's concept of distorted cognitions and identify at least one common distortion.
Q4) What is meant by the terms in-vivo and flooding?
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Page 11
Chapter 10: Evidence-Based Cognitive-Behavioral
Approaches: Dialectic Behavior Therapy and
Trauma-Focused Cognitive-Behavioral Therapy
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Q1) TF-CBT utilizes ____________________ as an intervention in order to normalize trauma responses,develop realistic expectations,beliefs,and cognitions,and inspire hope.
A) psychoeducation
B) parenting skills training
C) relaxation techniques
D) affect expression and modulation
Q2) Max,a borderline client who professes to believe that all people are untrustworthy,is seeing a DBT therapist who is working to address this belief and help Max see that this expectation is not always accurate.From a DBT perspective,what is the counselor doing?
A) Attempting to relieve client suffering by applying a a strict set of interventions.
B) Providing empathy in order to encourage change.
C) Educating the client on the way the world really is.
D) Working to engage dialectic tension in order achieve synthesis and transcend the tensions.
Q3) What is the role of the counselor in DBT?
Q4) What is the cognitive triangle and what is it used for?
Q5) Explain why the use of validation is important to the client.
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Chapter 11: Systemic Family Counseling and Therapy
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Q1) What are the benefits of using systemic therapy with diverse client populations?
Q2) How does homeostasis play a role in the family structure and system?
Q3) Behavioral difference questions allow the counselor to ___________________________.
A) trace the entire sequence of behaviors that constitute the problem
B) shatter the illusion a particular behavior is part of a person's inherent personality
C) reduce labeling and other rigid descriptions of self and others
D) help illuminate problem interaction patterns
Q4) Which of the following statements is TRUE when viewing the family as a system?
A) One single person in the family orchestrates the interactional patterns.
B) One single person can be blamed for family distress.
C) Personal characteristic are independent of the system.
D) All behavior makes sense in context.
Q5) The concept of "joining" a system is best described by which of the following statements?
A) The counselor verbally expresses empathy toward the client.
B) The client accommodates the counselor's position.
C) The client projects onto the counselor.
D) The counselor accommodates to the client.
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Chapter 12: Solution-Based Approaches
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Sample Questions
Q1) Solution-based counseling is appropriate for working with diverse populations because ___________________________________________________.
A) it uses a theory of health to predefine client goals
B) it focuses on identifying client's strengths
C) it uses an established set of values and meaning systems
D) all marginalized populations value problem-solving strategies
Q2) How is the Beginner's Mind used in solution-focused counseling?
Q3) Describe the miracle question and how it might be useful in a session with a client.
Q4) 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.
Q5) How do solution-focused counselors view problems?
Q6) How are strengths utilized in solution-focused counseling?
Q7) What is the role of the counselor in solution-focused counseling?
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Page 14
Chapter 13: Narrative and Collaborative Approaches
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Sample Questions
Q1) In what ways is collaborative counseling ideal for working with diverse populations?
Q2) What is the philosophic stance of a collaborative counselor and how does it affect the therapeutic relationship?
Q3) What is externalizing and how is it used in narrative counseling?
Q4) Which of the following is an example of an externalizing question?
A) If by some miracle you woke up some morning and were not anxious anymore, how, specifically, would your life be different?
B) Have there been times when you have been able to get the best of the anxiety?
C) What are the consequences for your life and relationships of being anxious?
D) What are you most anxious about?
Q5) Which of the following statement regarding narrative counseling approaches is most accurate?
A) The problem is separate from the person
B) People cause their problems.
C) People become their problems
D) Problems are intrinsic in the person
Q6) What is the nature of the relationship between counselor and client in narrative counseling?
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Chapter 14: Feminist and Multicultural Counseling and Psychotherapy
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Sample Questions
Q1) One of the foundational assumptions of feminist counseling is that the personal is political.This refers to the idea that
A) clients have difficulty making decisions because their perspectives are skewed by their emotions
B) counseling is a political process whereby the counselor and client are frequently at odds
C) a person's internal reality is inherently connected with political issues from the broader social context
D) the broader social context is affected by individual's internal reality
Q2) An appropriate goal for the initial phase of therapy with Jayla might include which of the following?
A) Increase empowerment and feelings of "mattering" to reduce feelings of depression.
B) Increasing awareness of politics-as personal to reduce specific symptoms.
C) Increasing advocacy and social justice efforts to reduce sense of disempowerment.
D) Assertiveness training to learn how to balance asserting her needs while respecting those of her boyfriend.
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16
Chapter 15: Introduction to Theoretical Integration
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Sample Questions
Q1) Maricella,a counselor for 15 years,has chosen to incorporate the core conditions of person-centered counseling to build relationships and solution-generating questions from solution-focused counseling to generate hope.This is an example of
A) Solution-focused counseling
B) common factors approach
C) assimilative integration
D) systemic treatment selection
Q2) Some counselors draw techniques from multiple approaches with more concern for identifying interventions likely to work for the client than concern for theoretical principles.This is referred to as _____________________________.
A) common factors
B) assimilative integration
C) systemic treatment selection
D) technical eclecticism
Q3) Explain first-order and second-order cybernetics.
Q4) Discuss briefly each of the following: constructivism,social-constructivism,structuralism/postconstructuralism.
Q5) What qualities define good integration?
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Chapter 16: Integrative Case Conceptualization
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Sample Questions
Q1) In behavioral counseling,assessment focuses on observable symptoms.In order to measure a client's progress in therapy it is first necessary to get
A) a sense of relationship patterns
B) an assessment of defense mechanisms
C) a baseline of symptomatic behavior
D) one's road map for life
Q2) All of the following are true about identifying client strengths during the conceptualization of the case EXCEPT:
A) assessing client strengths can give the counselor hope for the client
B) assessing client strengths can strengthen the counseling relationship
C) assessing for client strengths should be done at the end of the assessment
D) assessing for client strengths should be done at the beginning of the assessment
Q3) How might a clinician excel in case conceptualization and assessment?
Q4) List and describe three elements of a case conceptualization.
Q5) How does obtaining background information further the therapeutic work?
Q6) What purpose do counseling theories serve?
Q7) How does a counselor utilize client strengths in the formation of a case conceptualization?
Page 18
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