AMFTRB Exam 4 2024/2025 fully solved &
updated
A therapist works with a family in which he hypothesizes that a scapegoated
child's behavior may be his or her means of loyally acting out his or her parents'
need for expressing rage and that this is a cycle that may have connections to
behavioral sequences begun generations before. This therapist is most likely
assessing from: - ANSWER-a contextual model
Hint: "loyally acting out"
A therapist is working with a single-parent family, Jane, age 27, and her two
children, ages 5 and 3. Jane has just lost her job, and the family has moved back
in with her parents for financial reasons. They have come in to receive help
because Jane is feeling overwhelmed and depressed. If the therapist is working
from a systemic perspective, what would be the best structure for treatment? -
ANSWER-Jane, her parents, and the children, because they are currently living
together
A Strategic therapist's view of the family is: - ANSWER-circular.
Hint: Circular causality symptoms are not caused by any specific event, but are
maintained as a part of a vicious circle of interaction.
A five-year-old child is referred to you by his PCP. The parents have been
concerned that he seems anxious at home, and has wet his pants several times
during the day. You diagnosed him as having functional enuresis. Which of the
following is the treatment of choice? - ANSWER-Behavioral applications
,A young couple has been referred to you by a physician for treatment of a sexual
dysfunction. They have no medical problems. What is your primary responsibility
in this case? - ANSWER-To be a catalyst for communication
Hint: As a marital and family therapist, this would be your primary responsibility.
&
When a case involves sexual dysfunction with no evidence of a medical condition
or other physiological cause (i.e., when a medical exam has already been sought
by the couple), your first intervention should be to encourage the couple to
communicate.
A wornan ignores ner nusvanas gestures o anecuon, ana unen
complains that he is not loving toward her. What is this an example of? -
ANSWER-A double-bind
Hint: two conflicting messages, one
nonverbal and one verbal.
A woman is recently separated from her husband and having a lot of difficulty
coping. She uses "we" language a lot. What communication style is this? -
ANSWER-Mind-reading
Hint: takes place when a person makes assumptions about what another person
is thinking, or speaks for another person.
A woman and her husband come into a first session for marital therapy. You
notice that the woman is hugging herself and glancing at the thermostat on the
wall. To further communication, you should: - ANSWER-ask her husband to
interpret her posturing.
Hint: the goal of your intervention is "to further communication. Remember that
this is a first session and assessing how they communicate will be necessary
before you can "further communication."
A therapist is seeing a family for a variety of behavioral problems with the
children. Instead of exploring the problems in detail, the therapist asks, "When is
this problem not a problem?" What is the purpose of this intervention? -
ANSWER-Identify exceptions as a resource for positive change
, Hint: therapy. If the clients can identify and describe fully those times or
situations in which their problem is less severe or non-existent, this can suggest
certain things that the clients can do to create more of these "non-problem"
experiences.
Brian, a 6 year old, was placed in a children's rehabilitation center approximately
three months ago. His mother has a history of mental illness and has been in and
out of the county mental health center for the past five ears. A psychiatrist at
CMH has diagnosed the mother as having Paranoid Personality Disorder and
Major Depressive Disorder, recurrent. Brian's father shows no overt signs of
mental illness. Brian's parents have been separated for several months, and the
father is currently in therapy to learn how to deal with the mother's episodes.
What is your priority in dealing with Brian? - ANSWER-To work with the system
he is currently living in, for example, by using the center and his family to create
a safe and supportive environment
A woman, married for ten years, calls a shelter hotline afraid for her own life. Her
husband has beaten her many times over the years, and, earlier that
evening, he hit her repeatedly with his fists and threw objects at her. He then left
the house, and the woman is alone at the time of the call. She says she has a car,
wants to come to the shelter, and asks how to get there. The shelter staff member
directs her to drive immediately to a public pay phone and call the shelter back, at
which time she will be given directions to the shelter. The woman calls back two
hours later and says she has changed her mind and will not be coming to the
shelter after all. The woman's change of mind is MOST likely attributable to which
of the following: - ANSWER-during the initial phone call, the shelter worker
should have been more directive, giving the woman the directions.
A therapist tells a client who wants to quit smoking that he should keep his only
pack of cigarettes in a place that is accessible only by walking for more than one
mile. This is an example of which of the following paradoxical techniques? -
ANSWER-Ordeal
Hint: Haley (1984) described several types of ordeals. One type involves having
the individual perform an unpleasant or inconvenient act in order to engage in the
target behavior
Brief therapy is a time-limited, pragmatic, non-historical strategic approach to
difficulties in a person's life. Brief therapy models focus primarily on: - ANSWER-
First order change.
updated
A therapist works with a family in which he hypothesizes that a scapegoated
child's behavior may be his or her means of loyally acting out his or her parents'
need for expressing rage and that this is a cycle that may have connections to
behavioral sequences begun generations before. This therapist is most likely
assessing from: - ANSWER-a contextual model
Hint: "loyally acting out"
A therapist is working with a single-parent family, Jane, age 27, and her two
children, ages 5 and 3. Jane has just lost her job, and the family has moved back
in with her parents for financial reasons. They have come in to receive help
because Jane is feeling overwhelmed and depressed. If the therapist is working
from a systemic perspective, what would be the best structure for treatment? -
ANSWER-Jane, her parents, and the children, because they are currently living
together
A Strategic therapist's view of the family is: - ANSWER-circular.
Hint: Circular causality symptoms are not caused by any specific event, but are
maintained as a part of a vicious circle of interaction.
A five-year-old child is referred to you by his PCP. The parents have been
concerned that he seems anxious at home, and has wet his pants several times
during the day. You diagnosed him as having functional enuresis. Which of the
following is the treatment of choice? - ANSWER-Behavioral applications
,A young couple has been referred to you by a physician for treatment of a sexual
dysfunction. They have no medical problems. What is your primary responsibility
in this case? - ANSWER-To be a catalyst for communication
Hint: As a marital and family therapist, this would be your primary responsibility.
&
When a case involves sexual dysfunction with no evidence of a medical condition
or other physiological cause (i.e., when a medical exam has already been sought
by the couple), your first intervention should be to encourage the couple to
communicate.
A wornan ignores ner nusvanas gestures o anecuon, ana unen
complains that he is not loving toward her. What is this an example of? -
ANSWER-A double-bind
Hint: two conflicting messages, one
nonverbal and one verbal.
A woman is recently separated from her husband and having a lot of difficulty
coping. She uses "we" language a lot. What communication style is this? -
ANSWER-Mind-reading
Hint: takes place when a person makes assumptions about what another person
is thinking, or speaks for another person.
A woman and her husband come into a first session for marital therapy. You
notice that the woman is hugging herself and glancing at the thermostat on the
wall. To further communication, you should: - ANSWER-ask her husband to
interpret her posturing.
Hint: the goal of your intervention is "to further communication. Remember that
this is a first session and assessing how they communicate will be necessary
before you can "further communication."
A therapist is seeing a family for a variety of behavioral problems with the
children. Instead of exploring the problems in detail, the therapist asks, "When is
this problem not a problem?" What is the purpose of this intervention? -
ANSWER-Identify exceptions as a resource for positive change
, Hint: therapy. If the clients can identify and describe fully those times or
situations in which their problem is less severe or non-existent, this can suggest
certain things that the clients can do to create more of these "non-problem"
experiences.
Brian, a 6 year old, was placed in a children's rehabilitation center approximately
three months ago. His mother has a history of mental illness and has been in and
out of the county mental health center for the past five ears. A psychiatrist at
CMH has diagnosed the mother as having Paranoid Personality Disorder and
Major Depressive Disorder, recurrent. Brian's father shows no overt signs of
mental illness. Brian's parents have been separated for several months, and the
father is currently in therapy to learn how to deal with the mother's episodes.
What is your priority in dealing with Brian? - ANSWER-To work with the system
he is currently living in, for example, by using the center and his family to create
a safe and supportive environment
A woman, married for ten years, calls a shelter hotline afraid for her own life. Her
husband has beaten her many times over the years, and, earlier that
evening, he hit her repeatedly with his fists and threw objects at her. He then left
the house, and the woman is alone at the time of the call. She says she has a car,
wants to come to the shelter, and asks how to get there. The shelter staff member
directs her to drive immediately to a public pay phone and call the shelter back, at
which time she will be given directions to the shelter. The woman calls back two
hours later and says she has changed her mind and will not be coming to the
shelter after all. The woman's change of mind is MOST likely attributable to which
of the following: - ANSWER-during the initial phone call, the shelter worker
should have been more directive, giving the woman the directions.
A therapist tells a client who wants to quit smoking that he should keep his only
pack of cigarettes in a place that is accessible only by walking for more than one
mile. This is an example of which of the following paradoxical techniques? -
ANSWER-Ordeal
Hint: Haley (1984) described several types of ordeals. One type involves having
the individual perform an unpleasant or inconvenient act in order to engage in the
target behavior
Brief therapy is a time-limited, pragmatic, non-historical strategic approach to
difficulties in a person's life. Brief therapy models focus primarily on: - ANSWER-
First order change.
