MFT National Licensing Exam- Solved Graded A+

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All of the following are considered communication theorists EXCEPT: A: Watzlawick B: Satir C: White D: Haley - ANSWER C: White White focused on meaning where communication therapists focused on b... ehavior. During a session with a couple a husband states to the therapist that his wife often nags and belittles him. The therapist's intervention is to give the wife homework in which she is to only say positive things to her husband and abstain from any negative comments. When she appears to be negative or belittling to her husband he is to put his hand up and say "Stop". A feminist therapist would be critical of the above technique because it: A: Gives the husband more power B: Appears to be hierarchical C: Is therapist driven D: All of the above - ANSWER D: All of the above Feminists draw techniques from other schools of family therapy such as the Narrative approach, with a sensitivity to those that are especially empowering and client driven. In this case, the therapist would work together to question imbalances of power between members and the effects these imbalances have on all family members. A feminist therapist might then work with the couple to develop new stories using a collaborative approach. Jose and Maria bring their son, Joe, to counseling because of poor academic performance and behavior. A: externalize the problem B: rearrange family members to imply alliance shifts. C: use genogram construction to help the family identify family-of-origins patterns consciously. D: coach the family on improving its problem-solving skills - ANSWER D: Coach the family on improving its problem solving skills. The strategic family therapist defines the focus of treatment as the family and its interactive process, paying particular attention to the family's process of problem solving. During the process of treatment, Mr. Medieros recognizes how he was victimized by his parents, and that past generations were also victimized by their parents. In recognizing this he began to see his parents less as monsters and more as struggling human beings, themselves acting out invisible loyalties. Therefore, he was able to block the trans-generational pattern of destructive entitlement and allowed the positive transmission of relational resources. The process by which he earned entitlement by dealing with his own issues with his own parents is called: A: A family projection process B: relational ethics C: societal regression D: exoneration - ANSWER D: exoneration Exoneration is a process by which the therapist attempts to help the client see the positive intent and inter-generational loyalty issues that motivate the behavior of members of previous generations. Harmonious relationships are more difficult to achieve for gay and lesbian couples because: A: they are more inherently pathological than straight couples B: of shame C: our society presents them with far more obstacles D: they have more individual problems. - ANSWER C: our society presents them with far more obstacles Mary feels threatened by the arrival of her baby sister so she pouts and becomes temperamental. When Mary acts out this way, her father thinks she is regressing and tries to get her to act her age by punishing and criticizing her. Father's harshness confirms Mary's belief that her sister is displacing her. The therapist suggests that when Mary behaves this way, the father should ignore her. If this suggestion worked, it would be a good example of: A: positive feedback B: first-order change C: second-order change D: negative feedback - ANSWER B: first order change when only the behaviors or interactions when a system change, this is first order change, as opposed to second order change, where the rule governing the behavior must change. A couple comes to therapy because their three-year-old daughter is "out of control". During the session the wife begins complaining that her husband is never homes and she is left to deal with her daughter's behavior. An initial goal that a Structural Family Therapist working with this family might set is to: A: inquire about inter-generational themes. B: help the couple function together as a cohesive executive subsystem C: hypothesize as to why the daughter is so "out of control". D: look for disabling international sequences. - ANSWER B: help the couple function together as a cohesive executive subsystem. Minuchin believes that the most important of all the general goals for families is the creation of an effective hierarchical structure. Inquiring about intergenerational themes is Trans-generational, look for disabling interactional sequences is Strategic, and hypothesize as to why the daughter is so "out of control" is Milan systemic. A Milan-Systemic therapist would define the purpose of circular questioning as: A: Learning more about differences in family members' perceptions of their relationships. B: expanding on the notion of a reframe. C: disrupting the multiple interactional sequences existing in the family. D: an individualized prescription of an action or series of actions designed to alter the family's roles. - ANSWER A: Learning more about differences in family members' perceptions of their relationships. Circular questioning is a series of questions asked of one family member about another or about the relationships within the family. Other answers can be eliminated as follows: Disrupting the multiple interactional sequences - invariant prescription; Expanding on the notion of a reframe - positive connotation; Individualized prescription of an action - rituals. According to the communication theorists, the content aspects of communication is known as: A: metacommunication. B: report C: request D: an analogical message - ANSWER C: report All communications have a report and command elements. The report element refers to the content, while the command element refers to the relationship between the sender and receiver. Meta-communication is communication about communication. This term usually refers to the covert, nonverbal message that gives additional meaning to an overt, verbal message. Examples of an analogical or symbolic message are certain behaviors that may have a metaphoric meaning for the couple. Some research has demonstrated that there are certain common factors in successful psychotherapy. Which of the following statements is correct? A: Common factors in couple and family therapy are valuable, but not as valuable as selecting the best research supported treatment model. B: A common factor of at least .65 is necessary before we can conclude that an element of treatment is effective. C: It has been demonstrated that the common factor of 'systemic/dyadic reformulation of the presenting problem,' can be as important that ideal choice of treatment model. D: Common factors have been validated for general psychotherapy, but not for couples and family therapist as yet. - ANSWER C: It has been demonstrated that the common factor of 'systemic/dyadic reformulation of the presenting problem,' can be as important that ideal choice of treatment model. The common factor components of therapy can be as important or more important to successful outcomes, than other components such as experience of the therapist or choice of treatment model. Blended families present unique circumstances for a therapist. Which of the following would be helpful to a family therapist in facilitating discussion: A: offering clear rules around how each parent should parent their non-biological children. B: all of the above. C: a reflecting team utilizing each family as a team in a fishbowl dialogue. D: addressing the boundary ambiguity often found when merging families. - ANSWER D: addressing the boundary ambiguity often found when merging families. Boundary ambiguity: Children have simultaneous membership in two families, which can lead to loyalty conflicts and guilt, especially when the relationship between ex-spouses is hostile. The couples need to establish clear executive subsystem boundaries, which can be complicated by differences in the rules that each spouse prefers and the movement of the stepparent from an outside position to inside the family. Solution Focused therapist hold the following to be a primary therapeutic goal: A: Second order change B: Helping clients believe in miracles C: First order change D: Perceptual shift from talking about problems to talking about solutions. - ANSWER D: Perceptual shift from talking about problems to talking about solutions. While Second Order changes can certainly occur in Solution Focused therapies, changing how the client system uses language, effects its ability to create reality. Hence, this is the best answer. Multiethinic and multiracial families often present with rich and complex histories and dynamics. The best assessment tool for outlining the complexities of a multiracial family is a: A: Timber lawn Racial Dichotomy Scales. A genogram is useful for increasing understanding of family relationships and dynamics. Further identifying and exploring the multiracial heritages across the family generations can provide insight into isolation, bonds, beliefs, roles, and societal micro aggression. B: cultural genogram C: FACES III: Diversity Matrix D: DSM-5's GARF Ethnicity Relational Scales - ANSWER B: Cultural genogram A genogram is useful for increasing understanding of family relationships and dynamics. Further identifying and exploring the multiracial heritages across the family generations can provide insight into isolation, bonds, beliefs, roles and societal micro aggressions. 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 towards 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: A: to align with the father against he coalition of mother and daughter. B: to effect family organizational change. C: to track the vicious cycle. D: the differentiation of family members. - ANSWER D: The 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 the father - Structural; Effect family organizational change - Structural or Strategic; Track the vicious cycle - Strategic. A family is referred to Kathy A. by the school for therapy because John, age 12, is disruptive at school and has been diagnosed as having attention deficit disorder. The mother in her phone conversation with Kathy A. say how reluctant they are to start therapy again since the previous therapist had spent most of the times talking about the mother being too inconsistent and overprotective and the father being angry and uninvolved. They felt blamed and still found no relief for John. After meeting with the family and reading the medical reports, Kathy A. agreed with the diagnosis and decided to help the family and John understand about ADD and to teach them how to cope with it. She decided to use the following model: A: a Strategic approach B: a Psychoeducational approach C: a Behavioral approach D: an Experiential approach. - ANSWER B: a Psychoeducational approach Anderson and her associates describe the psychoeducational model as a directive approach intended to prove families with 'support, information, structure and specific coping mechanisms.' The assumptions on which the model is based are: that the identified patient is a true patient by virtue of having a core biological deficit to produce overtly disturbed behaviors and cognition. Key in all Psychoeducational approaches is the empowerment of the patient family system through increased knowledge around the illness and teaching skills in dealing with the medical and other social systems. Couple therapy has been shown to be effective when: A: one member of the couple is depressed and conflict is high. B: One member of the couple is anxious and conflict is high. C: There is minimal depression or anxiety, but the conflict is high. D: One member of the couple is depressed and conflict is low. - ANSWER A: One member of the couple is depressed and conflict is high. This is the correct finding. Couple therapy has also been found to be the best treatment for dealing with couple distress. However, the research finding is somewhat weakened by the lack of objective measures of depression. Most studies have used self-report only. When working with couples, Satir was not interested in: A: A change in his/her way of reacting to the stimulus and feedback of others. B: A change in or removal of the presenting problem. C: a change in his/her perception of him/herself and of others, which has both cognitive and affective parts. [Show More]

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