Final Exam

Question 1

Postmodern therapy

Answer 1

Collaborated with family members with self creating independent participants

Shared expertise, not just therapist

Concerned with how a family constructs their reality

Question 2

Characteristics of social constructionist

Answer 2

Egalitarian

Mutual inquiry

Client is expert in their lives

Assumptions are explored

Focus is cognition not behavior

Beliefs shape action
Culture shapes beliefs
Help clients explore Meanjbgs

Question 3

Solution focused brief therapy

Answer 3

Focused on change rather than finding it why the family has problems

Question 4

Skeleton keys

Answer 4

Interventions, that work with a variety of locks (don’t need to know why they door is locked or won’t open just need a key)

In sfbt

De shazer

Observe what works

Read write and burn thoughts

Question 5

Types of therapeutic questions

Answer 5

1st session change questions

Miracle question

Exception question

Scaling question

Question 6

1st session formula question

Answer 6

What is happening in your family that would want to continue? Have the explain Good hinges they want more of

Question 7

Miracle question

Answer 7

What would tj be like if a miracle happens and the problems you have are solved?

Question 8

Exception questions

Answer 8

When are there times that pieces of this miracle happen just a little? What’s the exceptions?

Question 9

Scaling questions

Answer 9

Develop solutions based off the exceptions

Assess clients viewpoint and gauge perceptions

Question 10

SfBT three types of client therapist relationships

Answer 10

Visitor host

Complainer listener

Customer seller

Question 11

Visitor/host relationship

Answer 11

Client is the visitor who does have a problem and may be there against their will, don’t expect anything

Counselor is the host, sympathize with clients plight, compliment when possible, hosting activities make them comfortable, look for complainants

Question 12

Complainant/listener

Answer 12

Client is the complainant, can describe the problem or goal, see the solution as external to their control and can overwhelmed with info and complaining

Counselor is he listener, listens and is accepting, accepts the clients world view, gives noticing or observing tasks at the end of session

Question 13

Customer/seller relationship

Answer 13

Customer is the client, there’s a problem and the client states or understand that he/she is the one who has to do something, are ready to buy and do whatever is possible

Counselor is the seller, agreeing to work on the clients goal or problem, is active and more directive, may give a behavioral task, when helpers responses match client motivation and cooperation are enhanced

Question 14

Solution oriented brief family therapy figures

Answer 14

O’hanlon and wiener-davis

Question 15

Narrative family therapy founder

Answer 15

Michael white

Question 16

Role of narrative therapists

Answer 16

Collaborating partners with clients

Honor the stories

Help clients re-examine the so called truths about themselves, imposed by others and culture

Help clients reconstruct a new narrative

Question 17

Goals of narrative therapy

Answer 17

For families to create and internalize new stories

Make new assumptions

Open themselves to new views and future possibilities

Rewrite their future story lines

Actively changes or reshapes their lives

Question 18

Thin descriptions

Answer 18

Problem stories are based on thin descriptions, using labels such as bad, selfish

Lead to thin conclusions, fail to remember times when these labels didn’t occur

Question 19

Thick descriptions

Answer 19

Help clients talk about their life in rich, retelling of stories of ones history or identity

Not a replacement if stoy with a mother but help them view life as multistorued with options

Question 20

Deconstruction

Answer 20

The dominance of one meaning or one set of assumptions is an illusion

It’s possible to apply multiple meanings to understand the same event or experience

Help clients examine so called truths

Question 21

Externalizing

Answer 21

Person isn’t the problem, problem is the problem

Question 22

Unique outcomes

Answer 22

Search for instances events or thoughts contradicting their dominant problem saturated story, opens doors to explore alternative narratives

Question 23

Ceremonies

Answer 23

Tell or perform stories of their lives with outside witnesses, witnesses respond to provide thickening

Question 24

Therapeutic letters

Answer 24

Variety of types, between sessions as summaries, ticked alternative story lines

Question 25

Gender sensitive family therapy

Answer 25

Regardless of theoretical approach, attempts to overcome confining sex role stereotyping by therapists in any clinical intervention efforts

Question 26

Impact of multiculturalism on family therapy

Answer 26

Avoid pathological assumptions of ethnic minority families whose behavior is unfamiliar, avoid ethnocentric views

Question 27

Gender schema

Answer 27

What is considered masculine and feminine is developed early in childhood, this is reinforced and hamper both sexes

Question 28

The women’s project

Answer 28

Marriane Walters,Betty carter, Peggy Pap, Olga silverstei 1977-recently Ongoing examination of gender patterns in family relationships as well as patriarchal assumptions underlying classic classic family therapy approaches. Thru workshops these family therapists offered female informed clinical perspective The invisible web Argued that family therapy relies on me dominant gender defined functions Gender analysis.

Question 29

Gender sensitive family therapy

Answer 29

Intended to liberate and empower both male and female clients, enabling them to move beyond prescribed roles determined by their biological status to ones in which they can exercise choice Built upon feminist therapy Attempts to overcoming confining sex role stereotypes Therapist is attuned to common gender roles clients absorbed Help confront sexist messages Jean baker Miller and Sandra Ben

Question 30

Cultural sensitive therapy

Answer 30

Recognizes that the whole middle class cultural outlook most therapies operate from (prizing individual choice, self sufficiency, independence)

Question 31

Issues in family violence

Answer 31

Gender, asymmetrical power and control are used in family violence Physical and Sexual violence ``` Using coercion and threats intimidation Emotional abuse Isolation Minimizing, denying, blaming Use children Make privilege Economic abuse ```

Question 32

Ethnicity

Answer 32

Unique characteristics of a social grouping sharing national origin and linguistic/cultural traditions

Question 33

Informed consent

Answer 33

Document outlining risks and benefits of counseling Session structure, costs, assessment, treatment approach, confidentiality, policy on providing legal testimony, information on insurance/diagnosis

Question 34

Confidentiality

Answer 34

Protecting a clients privacy Ensuring that info shared in therapy isn’t shared outside without clients prior consent

Question 35

Limits on confidentiality

Answer 35

Client signs disclose agreement to talk with attorneys doctors etc Therapist acts in court appointed capacity Suicide or homocide Mandated reporter, child abuse elder abuse Therapist defendant or insurance billing

Question 36

Under supervising confidentiality

Answer 36

Must inform you’re an intern and will share with supervisor Supervisor info make and number Indicate if you will record

Question 37

Family and minor confidentiality

Answer 37

You lay out with family who is the client and then talk about their confidentiality If you don’t come to an agreement, the whole family or couple is the client

Question 38

Confidentiality with minors

Answer 38

Counselor informs parents and legal guardians about role of counselor and the confidential nature of counseling relationship Collaborate relationship with parent but trust with client Safety issues parents should be told, first session decide what will be shared and not shared with both

Question 39

Advantages of licensure

Answer 39

Establishes minimum standards of service Holds professionals accountable, protects the public Increases likelihood that practitioners will be competent (ceu requirements) Gather practitioners together, maintains commitment to high standards Professional identity

Question 40

Managed care

Answer 40

Benefits dependent upon in network vs out of network Preauthorization often required Treatment plans may be shared Progress may be shared Additional sessions must be approved Only individual sessions, not family or couples Generally requires diagnoses from DSM 5

Question 41

Challeges with insurance

Answer 41

Often want short term problem solving therapy Return clients to previous level of functioning vs optimum level Clients must sign release to insurance company

Question 42

Malpractice

Answer 42

Therapist fails to render services as a competent provider (standard of care generally accepted by other professionals and within the ethical standards of professionals How to avoid malpractice, informed consent, diagnose correctly, practice within competence, don’t abandon instead refer, no sexual contact, protect clients and others, document)

Question 43

Components of competent family therapy

Answer 43

Continuing education Ethical code

Question 44

Core components of competent family therapy

Answer 44

Admission to treatment Clinical treatment and diagnosis Treatment plan and case management Therapeutic interventions Legal issues ethics and standards Research program evaluation Conceptual skills, perceptual skills,executive skills, evaluative skills, professional skills