ABGC Boards - Final Review 2
Questions Fully Answered.
Deductive - Answer rigid framework, disregard info that does not fit into frame
Synthesizers - Answer can take in info that confirms and challenges their framework can use
large amounts of info to make decisions
Confused reasoners - Answer not less intelligent but have not learned how to process info can
not differentiate between trivial and important
Spontaneous - Answer active communicators respond easily and expressively, tend to use
humor and denial as defense mechanisms, need to
encourage to express true feelings
Non-expressive - Answer very articulate in highly intellectual way, feel emotions, but deny that
have importance
Reserved - Answer express feelings to limited extent, do not allow full expression, can draw
out with primary and advanced empathy reflections of feelings with questions
Explosive - Answer express everything are feeling in overly intense ways may lack
interpersonal boundaries
Self disclosure - Answer Counselor's communication to the client of information about self
Justice - Answer equitable distribution of burdens and benefits of health care
Overprotective countertransferance - Answer regard some or most clients as childlike and in
need of great care and protection so you cushion info that you give
Benign countertransference - Answer intense need to be liked by clients or to a fear of strong
client affect, especially anger. To prevent being disliked or to avoid strong affect you create an
atmosphere that is the same across all clients and situations, one that is characterized by
, Rejecting countertransference - Answer similar to overprotective, may regard some or most
clients as dependent and needy, but react punitively, becoming aloof or cold and behaving in
ways that create distance
Hostile countertransference - Answer occurs when dislike something about client and in an
attempt to be as unlike client as possible try to distance yourself in overt and
covert ways. Go even further than with rejecting transference making harsh
statements. Attitude is that client deserves what they are getting
Identify ways for managing countertransference - Answer a. Accept the inevitability of
countertransference- accepting, nondefensive attitude
b. Locate source of feelings
c. Seek supervision assistance
d. Discuss reactions with client- do not shift focus, do not disclose intense countertransference
e. Engage in self reflection and seek feedback
f. Seek personal counseling if countertransference is pervasive and unmanageable
Agonizing - Answer spending time & effort gathering info and analyzing alternatives but gets
lost in data and never gets to the decision point
A pregnant woman is undecided about pursuing invasive testing. She asks, "If I were your wife,
what would you tell me to do?" The counselor replies, "I don't know what I would do, but I do
know what concerns I would think about." - Answer Nondirective counseling
A woman has had three miscarriages in the past year and feels extremely frustrated and angry
as she sees many of her friends posting Facebook photos of their young children and newborns.
She doesn't say anything to her friends but begins taking kickboxing classes as an emotional
outlet. - Answer Sublimation
Defense mechanism
A man receives a new diagnosis of Lynch syndrome. The next day, he goes to Kmart to return a
defective toaster, but the customer service representative won't allow him to return it without a
receipt. The man flies into a rage and begins yelling at the customer service worker, complaining
about his idiocy and ineptitude and yelling that he wants to speak with a manager. - Answer
Displacement
Questions Fully Answered.
Deductive - Answer rigid framework, disregard info that does not fit into frame
Synthesizers - Answer can take in info that confirms and challenges their framework can use
large amounts of info to make decisions
Confused reasoners - Answer not less intelligent but have not learned how to process info can
not differentiate between trivial and important
Spontaneous - Answer active communicators respond easily and expressively, tend to use
humor and denial as defense mechanisms, need to
encourage to express true feelings
Non-expressive - Answer very articulate in highly intellectual way, feel emotions, but deny that
have importance
Reserved - Answer express feelings to limited extent, do not allow full expression, can draw
out with primary and advanced empathy reflections of feelings with questions
Explosive - Answer express everything are feeling in overly intense ways may lack
interpersonal boundaries
Self disclosure - Answer Counselor's communication to the client of information about self
Justice - Answer equitable distribution of burdens and benefits of health care
Overprotective countertransferance - Answer regard some or most clients as childlike and in
need of great care and protection so you cushion info that you give
Benign countertransference - Answer intense need to be liked by clients or to a fear of strong
client affect, especially anger. To prevent being disliked or to avoid strong affect you create an
atmosphere that is the same across all clients and situations, one that is characterized by
, Rejecting countertransference - Answer similar to overprotective, may regard some or most
clients as dependent and needy, but react punitively, becoming aloof or cold and behaving in
ways that create distance
Hostile countertransference - Answer occurs when dislike something about client and in an
attempt to be as unlike client as possible try to distance yourself in overt and
covert ways. Go even further than with rejecting transference making harsh
statements. Attitude is that client deserves what they are getting
Identify ways for managing countertransference - Answer a. Accept the inevitability of
countertransference- accepting, nondefensive attitude
b. Locate source of feelings
c. Seek supervision assistance
d. Discuss reactions with client- do not shift focus, do not disclose intense countertransference
e. Engage in self reflection and seek feedback
f. Seek personal counseling if countertransference is pervasive and unmanageable
Agonizing - Answer spending time & effort gathering info and analyzing alternatives but gets
lost in data and never gets to the decision point
A pregnant woman is undecided about pursuing invasive testing. She asks, "If I were your wife,
what would you tell me to do?" The counselor replies, "I don't know what I would do, but I do
know what concerns I would think about." - Answer Nondirective counseling
A woman has had three miscarriages in the past year and feels extremely frustrated and angry
as she sees many of her friends posting Facebook photos of their young children and newborns.
She doesn't say anything to her friends but begins taking kickboxing classes as an emotional
outlet. - Answer Sublimation
Defense mechanism
A man receives a new diagnosis of Lynch syndrome. The next day, he goes to Kmart to return a
defective toaster, but the customer service representative won't allow him to return it without a
receipt. The man flies into a rage and begins yelling at the customer service worker, complaining
about his idiocy and ineptitude and yelling that he wants to speak with a manager. - Answer
Displacement
