California Board Of Behavioral Sciences Mft Vignette Exam

Front 1

Strategic therapists prefer to work with the... as the unit of treatment.

Back 1

Strategic therapists prefer to work with the whole family system as the unit of treatment.

Front 2

Strategic therapists like to identify who holds...in the system?

Back 2

Strategic therapists identify who holds the power in the system

Front 3

Strategic family therapists see family problems as an outgrowth of...in the system?

Back 3

Strategic family therapists see family problems as an outgrowth of power struggles in the system.

Front 4

Strategic therapists like to act temporarily as...member of the family system?

Back 4

Strategic therapists like to temporarily act as the most powerful member of the s ystem.

Front 5

Who was Jay Haley?

Back 5

Jay Haley was one of the founders of Strategic family therapy

Front 6

What is one type of intervetion a Strategic therapists might use?

Back 6

Paradoxical intervention

Front 7

What are some interventions a psychodynamic therapist would use?

Back 7

1. Offer a safe holding environment (Providing a safe holding environment is a psychodynamic intervention which helps to build rapport and contain feelings).

2. Use interpretations and clarifying statements to promote awareness and give language to feelings.

3. Link past experiences to the present to bring perspective and stimulate insight (Psychodynamic theories believe that the past lives in the present, and that insights into how the past impacts us in the present gives us greater understanding and freedom of choice)

4. Provide psychoeducation (Psychodynamic theories often use education to promote insight)

Front 8

If you were doing therapy with the entire family as an Object Relations' therapist, what are some intervention you would use in the middle stage of treatment?

Back 8

1. Explore and interpret family-of-origin dynamics.

2. Use psychoeducation (not particular to Object Relations)

3. Explore possible projections.

4. Interpret acting-out behavior in the family in order to bring unconscious into conscious awareness.

Front 9

What are some middle stage treatment goals you would establish from a Multigenerational Family Therapy perspective?

Back 9

1. Reduce emotional reactivity to decrease the fighting.

2. Strengthen solid selves.

3. De-triangulate.

4. Help differentiate from their families-of-origin.

Front 10

From a Bowenian perspective, what interventions would you use to achieve the goal of de-triangulating a couple?

Back 10

1. Educate the couple on how triangles occur in relationships (Bowenian therapists do a lot of education).

2. Explore how the couple were each triangulated into their parents' marriages. (This would address multigenerational patterns).

3. Have the couple practice one-to-one communication in session. (This would be an effective intervention in helping to de-triangulate the third person from the couple's relationship. The eventual goal is to be able to speak directly to one another, rather than pulling a third party into the conflict to neutralize anxiety or stabilize the relationship).

Front 11

What are early stage interventions of Cognitive Behavioral Therapy?

Back 11

Structured interview to clarify problem; Provide information about CBT therapy;
Educate about the process of CBT; Educate about the role of the client and therapist as collaborators; establish trainer-trainee relationship; Introduce basic CBT tools and techniques; Educate about automatic thoughts, introduce notion of homework; Collaborate on problem list

Front 12

What are early stage goals of Cognitive Behavioral Therapy?

Back 12

Socialize to the CBT model; Establish collaborative, trainer/trainee working relationship; Establish goals

Front 13

What is Axis I in the DSM?

Back 13

Axis I: Clinical Disorders and Other Conditions That May Be the A Focus of Clinical Attention (Axis I and Axis II Cover the entire spectrum of mental disorders including V codes) (Axis I: Diagnoses are considered to be the principal diagnosis and main focus of treatment unless otherwise noted)

Front 14

What is Axis II in the DSM?

Back 14

Axis II: Personality Disorders and Mental Retardation (Axis I and Axis II Cover the entire spectrum of mental disorders including V codes)

Front 15

What is Axis III in the DSM?

Back 15

General Medical Conditions -Includes any physical or organic conditon that may be relevant to the understanding and treatment of a client.

Front 16

What is Axis IV in the DSM?

Back 16

Psychosocial and Environmental Problems -Contains a descriptor of the type of psychosocial or environmental problems (e.g., occupational, housing, or environment, health care or legal system) relevant to the focus of treatment.

Front 17

What is Axis V in the DSM

Back 17

Global Assessment of Functioning -Contains the Golbal Assessment of Functioning (GAF) scale that rates the client's overall social, occupational and psychological functioning,

Front 18

Criteria for Attention-Deficit/Hyperactivity Disorder

Back 18

Criteria: Symptoms must be present before age 7; symptoms must be present for at least 6 months; symptoms must be present in 2 or more settings (1 must be school). Key descriptive words: restless, fidgety, Easily distracted, talks a lot, interrupts, can't sit still, doesn't finish things

Front 19

Differential Diagnoses to Consider for: Attention-Deficit/Hyperactivity Disorder

Back 19

Environmental factors; Oppositional Defiant Disorder (is the child intentionally being disruptive, disobedient, etc?); Could this behavior be related to an undiagnosed learning disability; Are the symptoms due to scoial skills deficits found with Autism/Asperger's Disorder

Front 20

Criteria for Bipolar I Disorder

Back 20

Must have full-blown Manic Episode:
at least 1 week [mania]; Might require hopitalization; Significant impairment such as psychotic symptoms (The presence of a Major Depressive Episode is NOT required)

Front 21

Criteria for Bipolar II Disorder

Back 21

Must have BOTH hypomania (for at least 4 days) and a Major Depressive Episode (A Depressed Episode is a depressed mood and/or loss of interest in pleasure in all or almost all activities for a period of at least two weeks; Hypomania is 'a little' mania-it has the same type of symptoms but not as severe as a full-blown Manic Episode)

Front 22

Differential Diagnoses to Consider for Bipolar I and Bipolar II Disorders

Back 22

Differential Diagnoses to Consider for Bipolar I and Bipolar II Disorders: Substance Abuse; Substance intoxication; Major Depressive Disorder; Dysthymic Disorder; Cyclothymic Disorder (Hypomanic Episodes + Dysthymia); ("Hypomania" is 'a little' mania. i.e., it has the same type of symptoms but not as severe. Dysthymia is a tendency to be depressed, without hope; One form of clinical depression, characterized by low-grade depression which lasts at least 2 years).

Front 23

Is "Panic Attack" a diagnosis?

Back 23

NO, "Panick Attack is NOT a diagnosis, the correct diagnosis is "Panic Disorder."

Front 24

Is "Panic Disorder" a diagnosis?

Back 24

YES, "Panic Disorder" is a diagnosis.

Front 25

Is "Major Depressive Episode" a diagnosis?

Back 25

NO, "Major Depressive Episode" is NOT a diagnosis. The correct diagnosis is: "Major Depressive Disorder."

Front 26

Is "Major Depressive Disorder" a diagnosis?

Back 26

Yes, "Major Depressive Disorder" is a diagnosis.

Front 27

Criteria for Major Depressive Disorder

Back 27

Criteria: Minimum of 2 weeks. Significant impairment in social and occupational functioning. Disturbance in libido, appetite, concentration, energy, sleep, social and cocupational functioning.

Front 28

Criteria for Dysthymic Disorder

Back 28

Criteria: Minimum duration of 2 years; 1 year in children. Low-grade; extent and intensity less than Major Depressive disorder

Front 29

Differential Diagnoses to consider for Major Depressive Disorder

Back 29

Dysthymic Disorder (Minimum duration of 2 years; 1 year in children. Low-greade; extent and intensity less than Major Depressive disorder), Mood Disorder due to a General Medical Condition, Substance-Induced Mood Disorder, Bipolar I and II Disorder

Front 30

Differential Diagnoses to consider for Dysthymic Disorder

Back 30

Major Depressive Disorder (Minimum of 2 weeks), Depressive Disorder NOS (This diagnosis would be appropriate when a client does not meet the severity of symptoms for Major Depressive Disorder, nor the timeframe for Dysthymic Disorder [Minimum duration of 2 years; 1 year in children]).

Front 31

Criteria for Posttraumatic Stress Disorder (PTSD)

Back 31

Criteria: MUST have had exposure to a traumatic/life threatening event, intrusive recollections, startle response, hyper-vigilance, nightmares. Duration: ONE MONTH or logner.

Front 32

Criteria for Acute Stress Disorder

Back 32

Criteria: MUST have had exposure to a traumatic/life threatening event, intrusive recollections, startle response, hyper-vigilance, nightmares. Duration: LESS THAN ONE MONTH (longer would be PTSD)

Front 33

Differential Diagnoses to consider for PTSD and Acute Stress Disorder

Back 33

Brief Psychotic Disorder; Adjustment Disorder; and Major Depressive Disorder

Front 34

Criteria for Adjustment Disorder

Back 34

Criteria: Negative reaction to psychosocial stressor that is greater than one would expect; develop symptoms within 3 months of stessor and lasts no longer than 6 months

Front 35

Adjustment Disorder Subtypes

Back 35

Adjustment Disorder Subtypes: Acute and Chronic (stressor must be chronic, NOT the symptoms, such as divorce proceedings, lowsuit, etc.)

Front 36

What is an early goal of Object Relations therapy?

Back 36

Establish a holding environment.

Front 37

What are Structural Therpay early stage Interventions?

Back 37

Mimesis (to "mimic"); Convey acceptance and respect to family; Use of humor; Detoxify the symptom; Recognize and point out positives; Reframe/relabel; Challenging the family's definition of the problem; Enactment; Tracking family interactional patterns; Map the family structure

Front 38

What are Structural Therapy early stage goals?

Back 38

Join and accommodate; Challenging the symptom

Front 39

What are Structural Therapy middle stage goals?

Back 39

Challenging the family structure; Challenging the family reality

Front 40

What are Strutural Therapy middle stage interventions?

Back 40

Increase/decrease proximity and distance; boundary making; unbalancing-change hierarchical positions (e.g., support someone in a one-down position); Teach complementarity; Re-enactment (help the family modify a problematic interaction and see it through to a satisfying completion); Challenge the rules; Restructure subsystems; Actively block and disrupt dysfunctional interactions; Paradoxical interventions (i.e., prescribing the symptoms, reversals).

Front 41

What are Structural Therapy late stage goals?

Back 41

Presenting problem is resolved; Family system has been restrcuctured to allow for constructive problem solving; Family has skills to resove future conflicts

Front 42

Structural Therapy late stage interventions?

Back 42

Solidify newly established family norms and structures; Emphasize strengths; Ceremonial rituals to solidify changesin the system; Discontinue therapy by increasing time between sessions

Front 43

Structural Therapy key concepts for setting goals

Back 43

Here and now time orientation, directive and concrete approach; Action oriented; Attention is paid to cultural considerations and family metaphors

Front 44

Structural Therapy key concepts for interventions

Back 44

Focuses on underlying structure of families and resulting dynamics; Resructuring-active and direct maneuvers to disrupt dysfunctional structures; Conflict detour mechanism (triangulation)

Front 45

What is Structural Therapy's preferred unit of treatment?

Back 45

The entire Family

Front 46

What is Structural Therapy's focus?

Back 46

Coalition; Subsystems and boundaries

Front 47

What does "7-6-2" refer to in regards to Attention Deficit/Hyperactivity Disorder?

Back 47

The criteria for Attention Deficit/Hyperactivity Disorder: "7"-Symptoms before age 7, "6"-for at least 6 months, "2"- in 2 or more settings (1 must be school). Key descriptive words: Restless, fidgety, Easily distracted, talks a lot, interrupts, can't sit still, doesn't finish things

Front 48

What are key descriptive words for Attention Deficit/Hyperactivity Disorder?

Back 48

Restless, fidgety, Easily distracted, talks a lot, interrupts, can't sit still, doesn't finish things

Front 49

Definition of "Triangulation" in Multigenerational Family Therapy (Bowen)

Back 49

- A triangle is a three-person relationship system.

-A third party is recruited to reduce anxiety and stabilize a couple’s relationship

-Underlying conflict not addressed & worsens

-Therapist must be highly differentiated so as not to get caught up in triangulation with couple

Front 50

What treatment goals might a Humanistic/Experiential therapist set for a recently seperated mother and her 16 year old daughter?

Back 50

1. Promote growth by assisting the mother and her daughter in processing their grief and loss. (A Humanistic therapist would assist a family to work through the grief and loss process due to separation or death in order to promote growth).

2. Increase self-esteem through teaching congruent communication. (Teaching congruent, level communication is what Experiential/Humanistic therapists do as a way of promoting self-esteem).

2. Clarify roles and rules in the new family configuration. (The delineation of how family roles and rules interact with individual self-esteem and self-worth is part-and-parcel to the Experiential/Humanistic systems model).

Help the mother and daughter integrate mind, body, and feeling to achieve greater growth. (Humanistic/Experiential therapists believe that the self consists of several interacting elements and levels that need to be recognized, acknowledged and integrated in order to achieve one's full potential).

Front 51

How would a Bowenian (Multigenerational Family Therapy) therapist conceptualize a couple who are stuggling with a husband who is a sex addict married to someone who admits to having sexual encounters with strangers?

Back 51

-The couple may have difficulties with the competing pulls of closeness and distance. (Bowen wrote about the challenges involved in marital relationships and was interested in people's difficulties with closeness and separateness. He also focused on what people did to create distance when not being able to tolerate intimacy).

-Extramarital encounters may serve as a way to manage tension in the relationship.
(A Bowenian therapist addresses a couple's tendency to triangle in a person, thing or activity (such as addiction) in an attempt to manage tension or stress in the marital dyad).

-Addiction may be a pattern of coping that has been passed down through generations. (Bowen looked at how patterns of interaction and behavior would be passed down from generation to generation).

Front 52

As a Postmodern therapist (Narrative Therapy, Solution Focused Therapy) what interventions would you use to help a client achieve his goal of managing his anger?

Back 52

-Find exceptions: 'Tell me about the times when you felt angry but didn't act on it.'
(This is an example of the Narrative technique of finding exceptions to the problem, which would then be used as a building block in eliciting the client's own, demonstrated resourcefulness).

-Externalizing language: 'How does Anger get you to act against your best interests?'
(Personifying anger in this way would help the client to see himself as separate from the problem, remind him of what his best interests actually are, and promote a sense of efficacy in standing up against Anger and for his best interests).

Coping question: 'With all the stresses of life, how is it that you're managing your anger as well as you are?' (This is a coping question that might have a helpful impact on the client, allowing him to see himself in a larger and more positive context in which he is effective.

Percentage question: 'What percentage of time are you controlling anger? What things could you do to increase that percentage?' (This percentage question focuses on times when the client is being effective in relationship to anger, and how he can use in the future what he knows has already worked in the past. This is consistent with the Solution Focused concept of "doing more of what's already working."

Front 53

As a Multigenerational Family Systems therapist (Bowenian) how would you approach and conceptualize the case of a 20-year-old college student, having difficulty breathing and concentrating but thinks it's “all in her head.” The client says she has been “drinking margaritas and smoking marijuana” to deal with her nightmares. She says you are the only person who knows she is in therapy. She hasn't told her parents, and doesn't want them to know about it. The client is living in a dormitory at her college, and says that her parents are pressuring her to live at home?

Back 53

1. The client's secretiveness and vulnerability to family pressure may be due to a lack of differentiation. (An inability to say who she is and what she needs and to withstand emotional pressure in a family is seen by Bowenians as a lack of differentiation).

2. She may be driven by feelings she does not understand and needs to achieve a balance of feelings and cognition. (This is a core belief underlying Bowenian theory: failure to differentiate between feelings and cognition results in a failure to differentiate).

3. The client's move to the dorms may be a strategy for freedom from emotional fusion and the family projection process. (Although this might also be characterized in Bowen Family therapy as an emotional cutoff, emotional cutoffs are seen as a strategy to differentiate, to remove oneself from the discomfort of emotional fusion).

4. The client's parents' relationship may have been destabilized by her departure and their pressure on her to return home is an attempt to reduce tension between them. (This accurately describes the Bowenian concept of the triangulation process, and how it might be played out in the client's family).

Front 54

What is Erikson's FIRST stage of Development (age 0-1)?

Back 54

Age 0-1; Trust v. Misturst (Mother is central)

Front 55

What is Erikson's SECOND stage of Development (age 2)?

Back 55

Age 2; Autonomy v. Shame and Doubt (Father becomes central)

Front 56

What is Erikson's THIRD stage of Development (age 3-5)?

Back 56

Ages 3-5; Initiative v. Guilt

Front 57

What is Erikson's FOURTH stage of Development (age 6-12)?

Back 57

Ages 6-12; Industry (Mastery) v. Inferiority

Front 58

What is Erikson's FIFTH stage of Development (age 13-19)?

Back 58

Ages13-19 (Adolecence); Identity v. Role Confusion

Front 59

What is Erikson's SIXTH stage of Developmen (age 20-30)?

Back 59

Ages 20-30 (Early Adulthood); Intimacy v. Isolation

Front 60

What is Erikson's SEVENTH stage of Development (age 31-65)?

Back 60

Ages 31-65 (Middle Adulthood); Generativity v. Stagnation

Front 61

What is Erikson's EIGHTH stage of Development (age 65+)?

Back 61

Age 65+ (Old Age); Integrity v. Despair

Front 62

What age is Erikson's developmental stage of Trust v. Misturst?

Back 62

Age 0-1 (Mother is central)

Front 63

What age is Erikson's developmental stage of Autonomy v. Shame and Doubt?

Back 63

Age 2; (Father becomes central)

Front 64

What age range is Erikson's developmental stage of Initiative v. Guilt?

Back 64

Ages 3-5

Front 65

What age range is Erikson's developmental stage of Industry (Mastery) v. Inferiority?

Back 65

Ages 6-12

Front 66

What age range is Erikson's developmental stage of (Adolecence); Identity v. Role Confusion?

Back 66

Ages13-19

Front 67

What age range is Erikson's developmetal stage of (Early Adulthood); Intimacy v. Isolation?

Back 67

Ages 20-30

Front 68

What age range is Erikson's developmetal stage of (Middle Adulthood); Generativity v. Stagnation?

Back 68

Ages 31-65

Front 69

What age range is Erikson's developmetal stage of (Old Age); Integrity v. Despair?

Back 69

Age 65+

Front 70

What is: Identity v. Role Confusion?

Back 70

Identity v. Role Confusion is one of Erikson's developmental stages (Identity v. Role Confusion (Adolecence); Ages13-19

Front 71

What is: Intimacy v. Isolation?

Back 71

Intimacy v. Isolation is one of Erikson's developmental stages (Intimacy v. Isolation (Early Adulthood); Ages 20-30)

Front 72

What is Experiential Family Therapy's (Satir) preferred unit of treatment?

Back 72

The family

Front 73

What is the focus of Experiential Family Therapy (Satir)?

Back 73

Present and experience oriented. Observe and expand here and now experiences and communication occurring within the systemic context

Front 74

What are the EARLY stage goals of Experiential Family Therapy (Satir)?

Back 74

Shift attention from the identified patient; Establish control; Identify roles each person in the family plays: Make contact and validate

Front 75

What are the MIDDLE stage goals of Experiential Family Therapy (Satir)?

Back 75

Develop healthy communication patterns; Stimulate emotional experiences and interactions; unblock defenses; Generate anxiety; Increase self-esteem; Stress family intimacy; Family makes decisions by exploration and negotiation, not power

Front 76

What are the LATE stage goals of Experiential Family Therapy (Satir)?

Back 76

Increase personal integrity; Kids aren't drawn to parents' pain; Adapt to change; Communicate clear, congruent messages

Front 77

Dysfunctional styles of communication as defined by Experiential Family Therapy (Satir)

Back 77

Styles of communication (Dysfunctional): Placater (try to please, dependent); Blamer (cover up emptiness by attacking); Computers (super reasonable; only feel safe at a distance, intellectual); Distractor (irrelevant, approval by acting cute)

Front 78

Functional style of communication as defined by Experiential Family Therapy (Satir)

Back 78

Leveler: real, genuine, congruent

Front 79

What are the EARLY stage interventions of Experiential Family Therapy (Satir)?

Back 79

Family Life Chronology: family ideology, values, history (ask each person questions regarding the family); Family sculptures exercises (spacial metaphor, spatializing, family choreography); Clarify communications (talk to each family member); Model congruent behavior (e.g.' "I" statements)

Front 80

What are the MIDDLE stage interventions of Experiential Family Therapy (Satir)?

Back 80

Make suggestons; Give directives (i.e., look at each otehr, speak louder, repeat that): Focus awareness; Role playing; Empty chair; Challenge and question what is familiar and automatic, take sides and shift alliances; Interrupt automatic sequences; Provocativeness (use of humor, teasing, personal confrontation); Point out positive intentions; Refocus complaining about past to problem solving present; Convince client s/he can change; Divulge own feelings/be real

Front 81

What are the LATE stage interventions of Experiential Family Therapy (Satir)?

Back 81

Recognize uniqueness of individual and explore ways differentness can be used for growth; Encourage congruence between inner experience and outer behavior; encourage freedom of choice, expanded experiences, less dependence

Front 82

What is the premise of Experiential Family Therapy (Satir)?

Back 82

A family's faulty communication is evidence of dysfunctional relationships

Front 83

What are: Family Life Chronology: family ideology, values, history (ask each person questions regarding the family); Family sculptures exercises (spacial metaphor, spatializing, family choreography); Clarify communications (talk to each family member); Model congruent behavior (e.g.' "I" statements)

Back 83

EARLY stage interventions of Experiential Family Therapy (Satir)

Front 84

What is the theory of change in Solution Focused Therapy?

Back 84

Clients discover relevant solutions and resources and build on small changes, which lead to bigger changes

Front 85

What is the preferred unit of treatment for Extended Family Systems Therapy (Bowen)?

Back 85

The preferred unit of treatment is the couple; usually excludes children except during assessment. May work with one person if other is too undifferentiated or unmotivated.

Front 86

What is the focus of Extended Family Systems Therapy (Bowen)?

Back 86

Emotional pressures that lead to triangulation.

Front 87

What is the theory of change for Extended Family Systems Therapy (Bowen)?

Back 87

insight into present relationship dynamics, relationship to family of origin and intergenerational processes are the keys to change.

Front 88

What are the EARLY stage goals for Extended Family Systems Therapy (Bowen)?

Back 88

Reduce emotional reactivity; Improve communication skills; Reduce repetition of dysfunctional patterns

Front 89

What are the MIDDLE stage goals for Extended Family Systems Therapy (Bowen)?

Back 89

Reduce fusion; Detriangulate; Increase differentiation, development of solid self.

Front 90

What are the LATE stage goals for Extended Family Systems Therapy (Bowen)?

Back 90

Reconnect/resplve/improve relationships with significant others; Grief/loss work

Front 91

What are the EARLY stage interventions for Extended Family Systems Therapy (Bowen)?

Back 91

Have each person speak directly to the therapist; Normalize/educate (develomental stages/life cycle tasks/grief work); Identify triggers/determine alternative responses; Journal writing; Teach "I" statements; Model reflective listening; Educate about projection; Expressing responsibility for own feelings and expectations; Educate/identify multigenerational patterns; Bibliotherapy; Support group referrals

Front 92

What are the MIDDLE stage interventions for Extended Family Systems Therapy (Bowen)?

Back 92

Teach difference between thoughts and feelings; Setting individual goals; Journaling; Educate regarding triangles; Coach for one-to-one relationships;Letter writing;Gathering family information; Mini-confrontations; Therapist stays neutral

Front 93

What are the LATE stage interventions for Extended Family Systems Therapy?

Back 93

Educate regarding emotional cutoff; Coach regarding contact (letter, phone, face-to-face); empty chair work; Home visits; Educating about grief stages; Externalizing anger safely; Letter writing; Journal writing; Developing rituals for resolving loss.

Front 94

Who is the preferred unit of treatment for Solution Focused Therapy?

Back 94

Whoever wants to be a "customer."

Front 95

What is the theory of change for Solution Focused Therapy?

Back 95

Clients discover relevant solutions and resources and build on small changes, which lead to bigger changes

Front 96

What are the EARLY stage (assessment, relationship buidling stage) goals of Solution Focused Therapy?

Back 96

Determine achievable goals; Determine whether client is customer, complainant, or visitor; Elicit client hopes for therapy; Begin to elicit client strengths; Generate solutions; Use solution talk language; Begin to develop picture of a problem-free future

Front 97

What are the MIDDLE stage (Change Stage) goals of Solution Focused Therapy?

Back 97

Look for exceptions; Continue to elicit strengths, competencies and resources; Notice and highlight small changes; Cheerlead

Front 98

What are the LATE stage (Consolidation Stage, Termination Criteria) goals of Solution Focused Therapy?

Back 98

(Same as late stage interventions): Therapy continues until problem is resolved or the client is ready to stop; The end of therapy may be titrated in time intervals; There is no belief in a "termination process" per se, except insofar as the client is interested in and wants such a thing.

Front 99

What are the EARLY stage (assessment, relationship buidling stage) interventions of Solution Focused Therapy?

Back 99

What's changed since we set up the appointment; How will you know when the problem is solved; How will you know when you don't need to come here anymore; What will you notice about changes in your behavior, thoughts and feelings; What will you notice that's different about others involved in this situation; What is your wildest fantasy about what you would like to have happen; Miricle question; Formula first session task; Observe what's working for you and your family that you want to continue.

Front 100

What are the MIDDLE stage (Change Stage) interventions of Solution Focused Therapy?

Back 100

What's changed (or different or better since the last sesssion; Compliments; Punctuating solutions and exceptions; Intersession task assignments; Exception questions; Scalign questions; Relationship questions; Coping questions.

Front 101

What are the LATE stage (Consolidation Stage, Termination Criteria) interventions of Solution Focused Therapy?

Back 101

(Same as late stage goals): Therapy continues until problem is resolved or the client is ready to stop; The end of therapy may be titrated in time intervals; There is no belief in a "termination process" per se, except insofar as the client is interested in and wants such a thing.

Front 102

Who is the preferred unit of treatment for Narrative Therapy?

Back 102

Whoever wants to be in therapy.

Front 103

What is the focus of Narrative Therapy?

Back 103

Social construction of reality and the social context that the "problem saturated" story grew out of

Front 104

What is the theory of change in Narrative Therapy?

Back 104

Clients author alternative stories that separate and free themselves from the problems. New realities emerge in the process.

Front 105

What are the EARLY stage goals of Narrative Therapy?

Back 105

Separate the client from the problem (externalizing); Get a history of the problem; Identify factors that enhance teh problem, such as the cultural and societal expectations

Front 106

What are the MIDDLE stage goals of Narrative Therapy?

Back 106

Look for exceptions to teh problem (i.e., unique outcomes, sparkling moments); Learn about values, beliefs, and self-knowledges; Locate alternative story

Front 107

What is the LATE stage goal of Narrative Therapy?

Back 107

Circulate the alternative story

Front 108

What are the EARLY stage interventions of Narrative Therapy?

Back 108

Questions that personify the problem; Questions that get at the strategies of the problem (mapping); Artwork to make externalization more concrete

Front 109

What are the MIDDLE stage interventions of Narrative Therapy?

Back 109

Questions that: notice exceptions, locate resources and abilities, map out effects in detail, make sense of exceptions, redescribe the person and the problem, help the client articulate preferences

Front 110

What are the LATE stage interventions of Narrative Therapy?

Back 110

The therapist always get permission from the client to circulate the story-confidentiality still applies.

Expand the audience; Invite family and friends to witness the new stroy; Recruit problem fighters; Letter writing; Community of concern; Write handbooks; Awards and certificates

Front 111

What is "privilege?"

Back 111

Privilege is a client's legal right not to have confidential information revealed in court proceedings.

Front 112

What does there have to be for "Duty to Warn/Tarasoff" to apply

Back 112

There MUST be an imminent, serious threat of physical violence

Front 113

What did Bellah v. Greenson establish?

Back 113

Bellah v. Greenson states that the therapist must take "reasonable steps" to protect a client when they are suicidal (that does not always mean breaking confidentiality if other reasonable steps can be taken to protect the client).

Front 114

When do fees have to be set?

Back 114

Fees must be set PRIOR to the commencement of therapy.

Front 115

What is a therapist's LEGAL requirements associated with the clinical practice of psychotherapy in the state of California?

Back 115

Confidentiality (protect and maintain patient confidentiality); Mandated Reporting (complying with responsibilities to report abuse [child, elder, dependant adult] and dnager to others [Tarasoff]); Consent (abiding by laws requiring consent to treat a minor); Professional Therapy Never Includes Sex (if a client describes sexual contact with another therapist, the law requires therapists to provide clients with the brochure, Professional Therapy Never Includes Sex, and discuss it with them): Disclosing fees (fees must be fully discoled to teh client PRIOR to the commencement of treatment, as part of informed consent; Referral fees (abiding by laws prohibiting making or receiving payments for patient referrals); Release of authorization (Securing signed authorizations from patients to release or obtain confidential information; Keeping patient records (the law requires that records be created and maintained consistent with sound clinical judgement, the standards of the profession, and the; nature of the services eing rendered); HIPPA (for therapists who are "covered entities" under HIPPA, certain additional laws pertaining to the Federal Privacy Act must be adheared to.

Front 116

Who developed Extended Family Systems Therapy/Multigenerational Family Therapy?

Back 116

Bowen

Front 117

Who developed Experiential Family Therapy?

Back 117

Satir

Front 118

Who developed Structural Family Therapy?

Back 118

Minuchin

Front 119

What is the theory of Structural Family Therapy?

Back 119

Focuses on the underlying structure of families and the resulting dynamics; Attention paid to cultural considerations and family metaphores; Dysfunctional families are seen as lacking alternatives; Stuctural therapy is action-oriented, focused on the here and now interactions of families

Front 120

How do you recognize and intervention (rather than a goal)?

Back 120

Intervention="How" a goal will be reached