ADCS: 2120 Group Counselling Exam #2
UPDATED ACTUAL Questions and
CORRECT Answers
What is unique about forming a group of addicted sufferers? - CORRECT ANSWER - 1.
Propensity to rely on chemical use if their anxiety, shame, anger and guilt is not modulated
carefully.
2. This is especially true in the early stages of treatment
3. The development of optimal frustration can be particularly challenging with addicted sufferers
4. Often have character pathology
Intake and first few sessions - CORRECT ANSWER - 1. Establish a preliminary alliance
between patient and clinician;
2. Gain a clear consensus about the patient's therapeutic hopes;
3. Offer information and instruction about group psychotherapy;
4. Deal with the initial anxiety about joining a group;
5. Present and gain acceptance of a contract.
Four common fears - CORRECT ANSWER - 1. Confidentiality of personal information.
2. Rejection by the group.
,3. Embarrassment over revealing intimate information to other group members.
4. Pathology of others.
Establish a Preliminary Alliance - CORRECT ANSWER - They must adapt to the
unknown demands of the group and learn which behaviors will lead to acceptance and which
behaviors will lead to rejection.
Awkwardness of the management of the early hours of treatment was the most significant factor
contributing to premature dropouts and treatment failures
Alcoholics and addicts handle stress poorly-window of tolerance (WOT) minimal
Curative Forces: - CORRECT ANSWER - -Clients need positive peer support and
pressure for abstinence from substances
-Mutual identification and the opportunity for individuals to learn they are not alone or unique
must be provided
-The opportunity is provided to better understand their own attitudes and denial of addiction by
confronting similar attitudes and defenses in other substance abusers
-learning and exchange of information conveys that abstinence is always accorded priority
(encouraging client's acceptance of their identity as a Substance Abuser)
-Identification, cohesiveness, hope, and support are provided in a setting that is also structured
and disciplined to help clients make the proper distinction between what they are or not are
responsible for
-Opportunity to become more aware of how their interpersonal characterological style interferes
with their ability to establish gratifying, health, and intimate relationships with others
, Pitfalls For Therapists (working with shame) - CORRECT ANSWER - 1. Assuming that
the joining techniques used for non-shamed clients in the first sessions of therapy are appropriate
for shame-prone clients.
2. Being careless and miscalculating what the trust issues are.
3. Ignoring or misinterpreting shame-prone typical information-seeking interventions.
Guidelines For Therapist - CORRECT ANSWER - 1. Expect that clients have no reason to
trust therapists and that very likely they have trust issues with everyone.
2. Acknowledge to clients that they have no reason to trust you, but that you are willing to earn
their trust.
3. Be patient and give information to clients about your behaviour.
4. Encourage clients to ask about anything that you do or say.
5. Give normalcy and credibility to anything that clients do in the sessions.
6. Acknowledge that clients have reasons to believe that they are bad.
7. Match humorous comments with your client's style of humour.
Interpersonal Neurobiology & Addiction - CORRECT ANSWER - Framework for both
substances and process addictions:
-must understand why some individuals become addicted & others use recreationally
UPDATED ACTUAL Questions and
CORRECT Answers
What is unique about forming a group of addicted sufferers? - CORRECT ANSWER - 1.
Propensity to rely on chemical use if their anxiety, shame, anger and guilt is not modulated
carefully.
2. This is especially true in the early stages of treatment
3. The development of optimal frustration can be particularly challenging with addicted sufferers
4. Often have character pathology
Intake and first few sessions - CORRECT ANSWER - 1. Establish a preliminary alliance
between patient and clinician;
2. Gain a clear consensus about the patient's therapeutic hopes;
3. Offer information and instruction about group psychotherapy;
4. Deal with the initial anxiety about joining a group;
5. Present and gain acceptance of a contract.
Four common fears - CORRECT ANSWER - 1. Confidentiality of personal information.
2. Rejection by the group.
,3. Embarrassment over revealing intimate information to other group members.
4. Pathology of others.
Establish a Preliminary Alliance - CORRECT ANSWER - They must adapt to the
unknown demands of the group and learn which behaviors will lead to acceptance and which
behaviors will lead to rejection.
Awkwardness of the management of the early hours of treatment was the most significant factor
contributing to premature dropouts and treatment failures
Alcoholics and addicts handle stress poorly-window of tolerance (WOT) minimal
Curative Forces: - CORRECT ANSWER - -Clients need positive peer support and
pressure for abstinence from substances
-Mutual identification and the opportunity for individuals to learn they are not alone or unique
must be provided
-The opportunity is provided to better understand their own attitudes and denial of addiction by
confronting similar attitudes and defenses in other substance abusers
-learning and exchange of information conveys that abstinence is always accorded priority
(encouraging client's acceptance of their identity as a Substance Abuser)
-Identification, cohesiveness, hope, and support are provided in a setting that is also structured
and disciplined to help clients make the proper distinction between what they are or not are
responsible for
-Opportunity to become more aware of how their interpersonal characterological style interferes
with their ability to establish gratifying, health, and intimate relationships with others
, Pitfalls For Therapists (working with shame) - CORRECT ANSWER - 1. Assuming that
the joining techniques used for non-shamed clients in the first sessions of therapy are appropriate
for shame-prone clients.
2. Being careless and miscalculating what the trust issues are.
3. Ignoring or misinterpreting shame-prone typical information-seeking interventions.
Guidelines For Therapist - CORRECT ANSWER - 1. Expect that clients have no reason to
trust therapists and that very likely they have trust issues with everyone.
2. Acknowledge to clients that they have no reason to trust you, but that you are willing to earn
their trust.
3. Be patient and give information to clients about your behaviour.
4. Encourage clients to ask about anything that you do or say.
5. Give normalcy and credibility to anything that clients do in the sessions.
6. Acknowledge that clients have reasons to believe that they are bad.
7. Match humorous comments with your client's style of humour.
Interpersonal Neurobiology & Addiction - CORRECT ANSWER - Framework for both
substances and process addictions:
-must understand why some individuals become addicted & others use recreationally
