MFT COMP EXAM 2023 COMPLETE QUESTIONS AND CORRECT VERIFIED ANSWERS

MFT COMP EXAM 2023 COMPLETE QUESTIONS AND CORRECT VERIFIED ANSWERS "Emotionally Focused Therapy has been shown to positively impact: - CORRECT ANSWER all of the above (trust, depression, intimacy)" "A family therapist begins to map the various ways in which a family is organized. This technique is most associated with: - CORRECT ANSWER Structural therapists" "The clinical use of forgiveness improves both depression and marital satisfaction for devout Christians with increased results over other groups. The key components of forgiveness sessions for devout Christians include: - CORRECT ANSWER discussing biblical viewpoints on what forgiveness means, confessing one's own wrongful actions and planning a process of corrective action" "An MFT routinely discusses some of her clinical work with her husband. She can avoid violations of the HIPAA Privacy Rule if: - CORRECT ANSWER PHI is de-identified." "Epston and White regard problems as something which influence or operate on people, rather than as something they're doing. The term for this is: - CORRECT ANSWER externalizing" "According to the HIPAA Privacy and Security Rules, when treating families, it is important to keep in mind: - CORRECT ANSWER None of the above" "The type of therapy that seems to delay schizophrenic relapse and readmission to a hospital is: - CORRECT ANSWER Psychoeducational." "An MFT is using a differentiation approach in treating an internet affair. After completing an assessment of the couple and the circumstances of the affair the therapist will - CORRECT ANSWER confront the distressed spouse about his/her sense of betrayal." "A couple comes to therapy because the woman is having problems "being sexual". The therapist gives a sensate focus homework assignment. During the next session the woman comments that she couldn't allow her partner to touch her. What did the therapist fail to do? - CORRECT ANSWER take an adequate sexual history from the couple." "Managed Care find all of the following family therapy models acceptable EXCEPT: - CORRECT ANSWER Object Relations" "What is the term that explains this definition: those events that exemplify the clients preferred outcome rather than his/her problem-saturated stories? - CORRECT ANSWER Sparking events" "The key developmental tasks during adolescence are: - CORRECT ANSWER separation and individuation." "Vignette: A family enters therapy, having a 21 year old son who lives in the basement. He dropped out of college 2 years ago and is currently not working or going to school. He has refused all counseling. The father states he found evidence of marijuana smoking in his son's room. The mother states that the father and son argue and sometimes push each other. A 16 year old daughter is in high school but increasingly avoiding coming home.'Non-summativity' applies to this situation as follows: - CORRECT ANSWER A system has been created when the family was formed, but is now maintained by a pattern of inadequate communication and conflict. (Non-summativity is a concept that describes the foundation and formation of systems.)" "No matter if the clinician has taken all the steps to be HIPPA-compliant... - CORRECT ANSWER The clinician is still in violation of HIPPA unless she has documented the security measures she has taken to prevent unauthorized access to her files and her computer." "When viewed from the wide lens of an ethnic group, which families might one expect to have high expectations of family togetherness with low patterns of flexibility? - CORRECT ANSWER Italian Americans." "Research found one year following divorce to be the peak of maximum negative behaviors for children. Such behaviors were "most likely" sustained in: - CORRECT ANSWER boys than in girls" "Prior to the DSM, the 'Statistical Manual for the Use of Institutions for the Insane' was developed by - CORRECT ANSWER the National Commission on Mental Hygiene." "One of the changes from the DSM-IV TR to the DSM-5 is how a disorder is named and classified. Which of the following is the incorrect ICD-9 classification? - CORRECT ANSWER Childhood-Onset Fluency Disorder (Stuttering) F80.81" "The Structural School of family therapy utilizes a model of "normal family functioning" based upon: - CORRECT ANSWER Family organization" "Therapeutically, family rituals are designed to: - CORRECT ANSWER address a family conflict, intervene in established family patterns, and change behavior. (all of the choices offered)" "In assessing a couple which of the following family therapists would use an approach that includes:(1) Probing for stream-of-consciousness and visual images each spouse has when describing past marital events that did (or presently do) elicit negative affect and (2) Using a series of questions of the form "and if that were true, then what would the implications be?" to identify the "bottom line" most upsetting meanings the person attaches to the event? - CORRECT ANSWER a cognitive-behavioral therapist" "The Beavers Model integrates FST with developmental theory, classifying families on two axis. The first identifies the stylistic quality of family interaction, the second axis classifies the family as: - CORRECT ANSWER Optimal, Adequate, Midrange, Borderline or Severely Disturbed." "Circular causality speaks to the non-linear nature of systems. This concept originates from: - CORRECT ANSWER General Systems Theory and Cybernetics. (not just one or the other)" "The Adlerian concept that behavior has a purpose and that an Adlerian therapist should look to the purpose behind the behavior is: - CORRECT ANSWER Teleology" "LoPiccolo is a well-known sex therapist who helped developed: - CORRECT ANSWER a sexual growth program for women who have problems in experiencing orgasm." "In working with families, a therapist working from the Feminist Model of Family Therapy would most likely: - CORRECT ANSWER align with the wife in the couple system." "Specific techniques used by a Strategic therapist would include all of the following EXCEPT: - CORRECT ANSWER reinforcing of gradual behavioral changes that will ultimately lead to the goal of therapy. (this is behavioral)" "The DSM-5 has evolved from the DSM-IV TR in a variety of ways and now - CORRECT ANSWER assesses development across the life span." "A therapist is seeing a 7-year-old girl who reported that when her daddy kisses her, he puts his tongue in her mouth. An ethical therapist would err if he: - CORRECT ANSWER contracted with the father to not kiss his daughter this way. (this does not include a report, as the other answers do)" "Which of the following therapists emphasized the importance of transgenerational themes: - CORRECT ANSWER Whitaker" "In implementing a treatment plan, a Strategic therapist would: - CORRECT ANSWER track disabling sequences." "Which one of the following therapists would emphasize that difficulties are turned into chronic problems by the persistence of misguided attempted solutions, forming positive feedback escalation? - CORRECT ANSWER Watzlawick (MRI)" "A developmental task for families with preschool children is: - CORRECT ANSWER coping with energy depletion and lack of privacy." "A family whose members are constantly struggling while battling over control issues, would fall into Beavers-Timberlawn's competence dimension of: - CORRECT ANSWER mid-range" "All of the following are examples of insider models of assessment except: - CORRECT ANSWER GARF (this scale is an outsider model-- used by the clinician)" "Which of the following questions is intended to gather information assessing the Adlerian concept of family atmosphere: - CORRECT ANSWER Can you tell me a little about your parents parenting style?" "Studies involving family therapy vs. individual therapy in the treatment of anorexia nervosa have suggested: - CORRECT ANSWER family therapy is generally more effective than individual therapy when age of onset is less than 18 years." "According to Contextual Family Therapists, the four important dimensions of a family are: - CORRECT ANSWER facts, individual psychology, family or systemic interactions, relational ethics." "A child has been both verbally and physically aggressive towards other children. Using Dreikur's concept of Mistaken Goals, you might suggest she respond to this child by: - CORRECT ANSWER Assessing for and showing empathy towards the ways in which the child herself has been hurt." "The Family Preservation Model seen in many federally-funded programs grew out of: - CORRECT ANSWER the MRI model" "According to Schwartz, the role of the Self should be to - CORRECT ANSWER generate a degree of trust so the parts will provide input to the Self, but will respect the leadership and ultimate decision making of the Self ." "a role that would be labeled the 'well sibling' would be assigned by which of the following therapists? - CORRECT ANSWER Contextual" "Negative feedback is: - CORRECT ANSWER Corrective" "A term that Maturana used to describe systems that can be controlled from the outside, such as machines is: - CORRECT ANSWER Allopoietic Systems" "A couple both are experiencing depression at a level that is altering their lives. They have both experienced some improvement in depression and some improvement in their marital satisfaction. At their next session, they ask the MFT if they would be better off if they took time off of couples work and both entered separate individual therapies. From the perspective of current out come research alone: - CORRECT ANSWER The therapist should encourage continuing the couples therapy because there is research evidence that it is as effective or more effective in relieving symptoms of depression." "When a Solution-Focused therapist working with a client presenting with issues around alcohol abuse asks "What needs to be different with your drinking?", they are beginning to negotiate the: - CORRECT ANSWER exceptions to the problem." "The therapist tells a story about her own family, specifically noting a time during adolescence when a cousin dropped by unannounced and how it threw the family into a small crisis. This therapist is most likely working from: - CORRECT ANSWER Collaborative (co-explorer, offering perspective but not a solution)" "The primary treatment goal of a structural therapist in treating this family is: - CORRECT ANSWER altering the family structure. (as opposed to strengthening boundaries between subsystems-- this would be a goal, but not the primary goal)" "Family Therapists who believe that, if left alone, people will tend towards self-actualization are primarily working from the: - CORRECT ANSWER Emotionally Focused Therapy perspective." "A family therapist has in-session goals to accentuate the client's expression of attachment needs. Such emotional expression might be termed: - CORRECT ANSWER Primary Emotions." "According to research conducted by Beavers-Timberlawn, which family type is most at risk for domestic violence? - CORRECT ANSWER centripetal" "Haley believed that normal family functioning includes all of the following EXCEPT: - CORRECT ANSWER connectedness" "Bowen's concept of "differentiation" refers to: - CORRECT ANSWER a person's ability to differentiate feeling from thoughts." "Randomized clinical trials of an eclectic family approach when working with adolescents diagnosed with schizophrenia has demonstrated: - CORRECT ANSWER Reduced hospital recidivism and improved compliance with medication when psychoeducation is consistently applied to families with a member diagnosed with any variety of schizophrenia." "the first session with a new couple, the husband in this couple system states emphatically, "I am angry!" As a therapist working with this couple from the perspective of the Structural Model, what would you most likely say in response? - CORRECT ANSWER "Who in the family are you angry with?"" "A family therapist is "tickling the defenses" of a couple they are working with in order to: - CORRECT ANSWER Increase anxiety." "Strategic family therapists differ from Structural family therapists in that:Select one: - CORRECT ANSWER they do not concern themselves with how a family is organized." "In assessing a couple who present with a sexual problem, a therapist would do all of the following except: - CORRECT ANSWER get a complete family history." "When working with a father and a son, a therapist notes that the father seems to approach many aspects of his relationship with his 14 year old son from a "half-empty" perspective. The therapist explores whether this "half-empty" perspective shows itself in other aspects of his life his perspective is challenged i.e. work, friends, extended family. The therapist's questions questions are hoping to discover a pattern in the father's view of relationships when he is challenged. This is an example of a(n): - CORRECT ANSWER Isomorphism" "A client was unhappy when he discovered that his therapist had disclosed his town of residence to a colleague during a peer supervision meeting. The meeting included an administrative assistant who was not a licensed mental health professional and lived in the same town as the client. The therapist's response to the client was to engage him in a conversation about his concerns and then proposed a clinical hypothesis suggesting the client was excessively fearful. The client did not accept this, and instead insisted that he did not want this kind of information disclosed to anybody without his written authorization. He claimed the therapist had violated his confidentiality under the HIPAA policies given to him at the beginning of his treatment. Referring to the above vignette, in this situation: - CORRECT ANSWER The therapist's disclosure is allowed if he can demonstrate that it falls under the guidelines of 'Permitted Disclosures' clause of the Privacy Rule." "Mr. & Mrs. Kelly seek therapy from a behavioral family therapist because their 7 year old daughter Kristen, typically refuses to go to bed until after 10 p.m. The therapist would: - CORRECT ANSWER suggest that the child be put into time out." "According to recent research, the prognosis for couples to work on infidelity issues is much better for which of the following couples? - CORRECT ANSWER Younger couples." "In using Adlerian early recollections, a therapist might: - CORRECT ANSWER Use information to understand their client's lifestyle." "Feminist family therapists are critical of the cybernetic concept of circular causality in male-female relationships because of the implication of: - CORRECT ANSWER equal power and control." "All of the following are considered communication theorists EXCEPT: - CORRECT ANSWER White." "A family is referred to Kathy A. by the school for therapy because John, age12, is disruptive at school and has been diagnosed as having attention deficit disorder. The mother in her phone conversation with Kathy A. says how reluctant they are to start therapy again since the previous therapist had spent most of the time talking about the mother being too inconsistent and overprotective and the father being angry and uninvolved. They felt blamed and felt that the therapy di not offer anything of use to address John's disruptive behavior at school or at home. After meeting with the family and reading the medical reports, Kathy A. agreed with the diagnosis and decided to help the family and John understand about ADD and to teach them how to cope with it. She decided to use the following model: - CORRECT ANSWER a Psychoeducational approach." "As a structural therapist you would most likely: - CORRECT ANSWER imitate family style and affect." "The medications most often used for their calming effects with clients in crisis are: - CORRECT ANSWER the benzodiazapenes, which include Librium and Ativan, because they are quick acting" "According to the HIPAA Privacy and Security Rules, when treating families, it is important to keep in mind: - CORRECT ANSWER None of the above." "According to Jellinek's theory of Progressive Phases of Alcoholism, the phase associated with gross drinking behavior, blackouts, gulping and sneaking drinks is: - CORRECT ANSWER the Prodromal Phase." "A feminist critique of research into therapy outcomes would include all of the following EXCEPT: - CORRECT ANSWER measures are based on male data." "Wynne labeled the strangely unreal qualities of both positive and negative emotions of disturbed families pseudomutuality and pseudohostility, and the nature of the boundaries around them as: - CORRECT ANSWER rubber fences." "Which of the following theorists, a pioneer in cognitive psychology strongly influenced the Narrative model with his work "The Narrative Construction of Reality"? - CORRECT ANSWER Bruner" "Parentification is a term most closely associated with: - CORRECT ANSWER Nagy." "When working with a client, an Internal Family Systems therapist must be careful to avoid which of the following - CORRECT ANSWER All of the choices offered." "One important way that a family systems therapist's crisis management work will differ from an individually oriented therapist is: - CORRECT ANSWER the family therapist will always explore the possibility that other family members are also in crisis." "An MFT uses space in the basement of her home to see clients. From time to time, her husband and children see the clients coming for appointments. In this situation the HIPAA Security Rule: - CORRECT ANSWER would indicate that no violation occurred because passing by residents of the MFT's home is considered part of a permitted disclosure." "Which of the following assumptions about systemic functioning is not accepted as valid and useful? - CORRECT ANSWER Assessment focuses on linear vs. circular causality." "A strategic therapist responds, "I understand why you want to stay with him" to a woman whose spouse has had multiple affairs. This response would be considered a(an): - CORRECT ANSWER paradox" "A couple presents for treatment. The husband is of mixed Korean/Eastern European ethnicity and grew up in NYC whereas his wife, of Swedish ancestry grew up in the Midwest. The family therapist has noticed that the husband becomes overly reactive when his wife is slightly critical of him. Interestingly, the therapist has found the the husband exceptionally critical in most conversations. The therapist has noted that the husband's father, a prominent heart surgeon was often emotionally abusive when the husband was a child. This therapist is beginning to identify the: - CORRECT ANSWER negative introject." "Autism Spectrum Disorder now encompasses which of the previous DSM-IV diagnostic categories? - CORRECT ANSWER All of the above." "All of the following are similarities between Structural and Strategic except: - CORRECT ANSWER concern with the subsequent organizational structure of the family system." "Jose and Maria bring their son Joe to counseling because of poor academic performance and behavior. A Structural family therapist would: - CORRECT ANSWER join effectively before beginning approaches to facilitate restructuring." "A couple comes in for therapy. The husband complains his wife is too close to her family and she has trouble separating from them. In fact, he states that his wife is in constant contact with her mother and looks to her mother constantly to help her make decisions. Often these decisions are in opposition to decisions made previously by he and his wife. In the first session Haley would: - CORRECT ANSWER help the couple to define the problem to be resolved." "The stance of the therapist is that of coach for all of the following models EXCEPT: - CORRECT ANSWER Psychodynamic" "The structural technique of locating areas of possible flexibility and change in the family is called: - CORRECT ANSWER probing" "An MFT was contacted by the father of a 6 year-old boy requesting that she begin counseling to help the child adjust to the recent family divorce. Following the HIPAA Privacy Rule, the therapist should: - CORRECT ANSWER be sure to separate the child's PHI and her therapy notes in her records." "Drawing from John Bowlby's work, this model emphasizes the importance of healthy attachment at the infant stage of development. It also addresses the need for individuation and differentiation. - CORRECT ANSWER Object Relations Family Therapy" "Couple therapy has been shown to be effective when: - CORRECT ANSWER One member of the couple is depressed and conflict is high." "A family therapist would label the type of relationship that demonstrates the exchange of different types of behavior as: - CORRECT ANSWER complementary" "Mary feels threatened by the arrival of her baby sister so she pouts and becomes temperamental. When Mary acts out this way, her father thinks she is regressing and tries to get her to act her age by punishing and criticizing her. Father's harshness confirms Mary's belief that her sister is displacing her. The therapist suggests that when Mary behaves this way, the father should ignore her. If this suggestion worked, it would be a good example of: - CORRECT ANSWER first-order change." "An MFT correctly remembers that HIPAA allows for keeping psychotherapy notes separate from PHI (Protected Health Information). However, the MFT also wants to document his review of relevant outcome research as part of this treatment planning. Where does the research review documentation go? - CORRECT ANSWER There are no definitive guidelines on where to place the research review, however, because it's part of treatment planning, it most logically belongs in the official file along with PHI, and should be made available for review anytime authorization to release the file occurs." "Solution-focused therapists prefer to focus on: - CORRECT ANSWER the past and the future." "The DSM-5 has replaced important language as required by what is commonly known as Rosa's Law (Public Law 111-256). This federal statute changed: - CORRECT ANSWER the use of the term 'mental retardation'." "Entropy is: - CORRECT ANSWER the tendency for a system to break down into less organized states." "Greg argued with his parents about his curfew so his parents grounded him. Greg then ran away and stayed with a friend. A first-order intervention at this point might be: - CORRECT ANSWER to help the parents find a more effective punishment to tame this out-of-control child." "An MFT in private practice keeps some of her clinical records on her laptop computer, which she carries back and forth to work every day. One evening after work she stopped to meet a friend for dinner before going home. When she returned to her car she noticed the trunk was open and then found that her computer had been stolen. The clinician kept only her psychotherapy notes on her laptop. All client-identifying information (PHI) was kept in her office in locked file cabinets. According to the Security Rule: - CORRECT ANSWER Psychotherapy notes that do not contain specific PHI identifiers are not covered by the Privacy and Security rules." "Common techniques used in Structural Therapy include: - CORRECT ANSWER unbalancing the family equilibrium and re-aligning boundaries." "All of the following variables are measured by the GARF except: - CORRECT ANSWER subscales of Interactional Competence Scale." "White's use of questions, summaries and metaphor are effective in: - CORRECT ANSWER externalizing and objectifying a problem." "The role of a Strategic therapist is: - CORRECT ANSWER conducting a structured initial interview." "Studies have found that 76% of bulimics were at least much improved using the following approach: - CORRECT ANSWER Structural / Strategic approach." "The MRI model does not focus on: - CORRECT ANSWER functional nature of the problem." "A woman reports that she wants to be close to her husband and do more things together, but every time she broaches the subject he seems to distance himself even more. As a transgenerational therapist you detect a pursuer/distancer pattern. If you wanted to increase intimacy with this couple, you would most likely recommend: - CORRECT ANSWER the pursuer distance themselves from the distancer." "A behavioral family therapist working with a wife who is having trouble getting her husband's attention when she talks, offers the following instruction: "This time when he turns his head away, I want you to squeeze his hand gently and tell him you really want him to listen." These verbal instructions are called: - CORRECT ANSWER coaching." "Mrs. J. called a Bowenian therapist and told him she wanted to set up an appointment to include herself, her husband and their daughter, Mary, age 3 who was a behavior problem. Milton Erickson's influence on Strategic family therapy included all of the following except: - CORRECT ANSWER organizing the family hierarchically." "Co-therapists serve a variety of functions in family systems therapy as does the use of teams. Use of co-therapy is an important component of which of the following MFT models? - CORRECT ANSWER Experiential, Milan Systemic and Internal Family Systems" "According to a Behavioral therapist, a therapeutic intervention might be designed to do all of the following EXCEPT: - CORRECT ANSWER looking at the ways the family will resist change and the ways the family will take charge of their own growth." "Beth and Paul come to counseling because Beth feels that after two years of marriage she and Paul have nothing in common. She complains that for the past six months she has been complaining to Paul that there are problems with their relationship. Paul states that he doesn't feel there are problems, he feels his wife is just overreacting. In assessing this couple, a Strategic Family Therapist would: - CORRECT ANSWER assess Beth and Paul's attempts to solve the problem." "Guillermo, age 14 is the first child to his father and the oldest brother to his three half-siblings. The father, a Mexican-American was raised in Orange County, California and his wife is of Jewish heritage and was raised in New Jersey. She is the mother to the three younger children. The family has come to therapy with Guillermo because Guillermo has begun to terrorize his younger sister. He looks very much like his dad while the younger children resemble their mother much more. The girl being terrorized by Guillermo has bright blue eyes and curly blond hair. "She gets everything!", Guillermo protests. What is the most culturally sensitive way to address this issue with this family? - CORRECT ANSWER Address possible race related issues in the beginning of therapy directly with the family." "Family therapy with young children diagnosed with bi-polar disorder has demonstrated good results compared to control groups using medication or receiving no treatment at all. The most complete list of questions we should ask about this research is: - CORRECT ANSWER How was bi-polar defined, how was "good results" defined, how large was the sample size, what was the correlation, what was the statistical significance?" "Questions that provide information about how a problem has managed to disrupt a family versus how much they have been able to control it are referred to as: - CORRECT ANSWER Relative Influence questions." "Mr. and Mrs. M. were in therapy with their minister, Rev. A. A colleague of the minister's reprimanded her, stating that Rev. A. was in a dual relationship with the couple. Rev. A. replied that she was well within the AAMFT code of ethics because she was getting supervision for this case. The minister was correct because: - CORRECT ANSWER all dual relationships are not prohibited." "David Olson's Family Circumplex Model maps the dynamic relationships within families; identifying the following dimensions as critical to show how all family members and their behaviors are interconnected. Which of the following are Olson's dimensions? - CORRECT ANSWER Cohesion, Flexibility and Communication" "A parent in your Adlerian parenting class reports that her son earned a B in his math class in which the semester earlier he had a C. Utilizing the Adlerian concept of encouragement, members of the class brainstorm ways the mother might respond to her son. Which of the following suggestion do not fall under the concept of encouragement: - CORRECT ANSWER The parent telling the child how proud she is of his grade." "A mother calls the therapist sounding very panicky, wanting an immediate appointment. At the first session, the mother states that her 12-year old son Sam has just been caught in the bathroom of a neighbor's home with a 6-year old boy. The 6-year old says that Sam was playing with his "bum" and kissing his penis. When confronted by his mother, Sam admitted to having "played" with the boy on 4 previous occasions. The neighbor boy's parents have banned Sam from their home and informed other parents and the school about his "perversion". Sam's mother called a psychiatrist prior to calling you who she says stated, "You can put him into therapy and give him drugs, but it's probably already too late." You begin seeing Sam and his family. In your first meeting with this family, you begin by speaking for a time with each member of the family, asking them about themselves. This engagement technique might be used in which scho - CORRECT ANSWER Strategic / Haley." "Which of the following therapists believe that when treating alcoholics, the goal of reduced drinking is only an appropriate goal, if it is also a goal of the clients? This therapist may also state that the more traditional concepts of the disease model may, in fact, be counterproductive for many alcoholic clients. - CORRECT ANSWER Insoo Berg" "Originated by postmodern Chilean biologist, Maturana, systems that are self-organizing and self-maintaining, such as biological and human systems. Autopoietic Systems can be described by: - CORRECT ANSWER 2nd order cybernetics." "A family consisting of a lesbian couple and a 9 yr. old son who has been school refusing for the past year has asked for family therapy. In the first session, you notice that whenever the son speaks, one of his mothers is quick to finish his sentence. You adjust your chair as therapist to block the mother and her attempt to speak for her son. You do this in order to address which of the following Bowenian concepts: - CORRECT ANSWER fusion" "Mary is a 15-year-old who has been truant for 31 days. In addition her parents report that she sleeps all day and stays up most of the night. She has gained 30 pounds over the past six months. She looks sad and has isolated herself from all her friends.A Strategic family therapist treating Mary and her family for the first time would most likely: - CORRECT ANSWER relabel Mary's behavior as stubbornness or laziness." "Which of the following statements regarding divorce are NOT true: - CORRECT ANSWER A positive family environment—having positive feelings about one's family—will ameliorate the detrimental effects of divorce. Boys with positive family feelings lived longer lives, as it turns out not to be especially traumatic to have a seemingly positive, functional home change its parental structure." "All of the following help make therapists attractive to managed care companies EXCEPT: - CORRECT ANSWER a willingness to accept long-term cases." "As a family therapist influenced by the work of Milton Erickson, you would advocate: - CORRECT ANSWER paradoxical intention." "Olsen's Circumplex model, sometimes called 'FACES' identifies: - CORRECT ANSWER flexibility and cohesion facilitated by communication as the most important characteristics to assess when families are in crisis." "What statement is most likely to be said by Palazzoli? - CORRECT ANSWER The data gathering and neutral stance of the therapist permits useful interactional data (feedback) and self-report information to emerge." "Research has demonstrated that children with autism have improved child-parent interactions and improved diversity of play activities when: - CORRECT ANSWER Parent-mediated interventions are used, compared to professionally delivered interventions alone." "The Object Relations approach to treatment of bulimia does NOT suggest which of the following? - CORRECT ANSWER All of the choices." "Murray Bowen was a pioneer in having a systematic theory for utilizing family of origin as a therapeutic resource. Another therapist who is closely associated with a treatment method of adults and their family of origin is: - CORRECT ANSWER Framo" "Which of the following are similarities between strategic and structural models? - CORRECT ANSWER All of the above." "A tool which Bowenian therapist use in order to reduce the anxiety level in a highly charged session would be: - CORRECT ANSWER genogram" "Solution Focused therapists hold the following to be a primary therapeutic goal: - CORRECT ANSWER a perceptual shift from talking about problems to talking about solutions." "Your client of 9 months has been making slow progress after a major depressive episode. She reports that she is suddenly feeling better than she can remember, so good in fact that she has thrown out her old clothes and purchased a completely new wardrobe and feels like a new person. She further reports that she has quit her job and is soon planning a vacation to Hawaii and that this will be her last session with you. You should: - CORRECT ANSWER Change your diagnosis and refer this client for a medication evaluation with a psychiatrist." "A similarity between Structural and Haley Strategic therapies is: - CORRECT ANSWER therapeutic paradox is employed." "Mr. Oesco comes to therapy with his son Josh. Mr. Oesco and his wife are divorced. He and Josh live together and Mrs. Oesco and her daughter Jessica live in another state. The presenting problem appears to be Josh's anger at his mother and his refusal to conform to the visitation arrangement set up by the court when the Oesco's divorced. Josh appears to have a good relationship with his sister which at times presents a problem to his father and mother. In assessing this family, a Structural Family Therapist would pay particular attention to the: - CORRECT ANSWER organization of the family." "Internal Family Systems believes all of the following EXCEPT: - CORRECT ANSWER Communication theory can be applied to the internal system and with the ultimate goal of a "parts party" as a means of integrating the four parts." "An assessment tool used by Structural therapists is: - CORRECT ANSWER a family map." "Olson's Circumplex Model refers to specific levels of flexibility which include all of the following except: - CORRECT ANSWER disengaged" "All of the following are characteristics of a double bind EXCEPT: - CORRECT ANSWER overt communication is protest." "Which of the following research groups attempted to look at the underlying structures inherent in an abusive relationship and found that abuse co-exists with understanding and friendship in a unique and painful way? - CORRECT ANSWER The Ackerman Institute" "A statement such as "Men only do anger" might be used as an example in which of the following models - CORRECT ANSWER Emotionally Focused CouplesTherapy." "The philosopher Foucault exposed how various discourses within a society: - CORRECT ANSWER are dehumanized, objectified, and marginalized by various social groups who are in power over the other groups." "Both the Constructivist and Milan Systemic therapists agree that: - CORRECT ANSWER living systems are characterized by "loop formations" rather than linear cause-effect." "A couple comes in for therapy. The husband complains his wife is too close to her family and she has trouble separating from them. In fact, he states that his wife is in constant contact with her mother and looks to her mother constantly to help her make decisions. Often these decisions are in opposition to decisions made previously by he and his wife. After hearing the husband's statement, the therapist says, "You really care about your wife and don't want to lose the relationship you have." Which model is this therapist most likely following? - CORRECT ANSWER Strategic" "A therapist reports to her supervisor that a family she is seeing complains to her that she doesn't listen well to what they tell her. Her supervisor responds, "I'm sorry, what were you saying?" This is an example of a/an: - CORRECT ANSWER isomorphism" "The DSM-5 now uses a 'spectra' approach. Which of the following might now be classified on a spectrum? - CORRECT ANSWER Schizophrenia Disorders." "The Intergenerational and the Experiential therapists are concerned with all of the following EXCEPT: - CORRECT ANSWER sibling position." "Which model is most closely affiliated with brief therapy? - CORRECT ANSWER strategic" "A family comes to therapy and during the first session, the therapist observes that the 7-year-old daughter sits between her parents and looks toward her mother before answering any questions. The father appears bored during the session and constantly looks up toward the ceiling whenever the daughter looks toward the mother. The 5-year-old son and 9-year-old daughter are sitting opposite the parents and appear distracted and uninvolved. Which of the following family therapists would see all family members as part of the problem and reformulate symptoms into concrete observable behaviors? - CORRECT ANSWER Behavioral" "An MFT is treating a family with a 12 year old girl who was experiencing intense crying spells, agitation, loss of appetite and was becoming increasingly argumentative at home. After 8 sessions applying Bowen's family therapy model in which the focus was reducing anxiety, increasing individuation and teaching the family projection process, she began to be concerned that her approach was not being successful. In her search of the literature for guidance she found: - CORRECT ANSWER Research on depressed children being successfully treated with a family based "attachment" model similar to Structural Family Therapy." "After reviewing the Security Rule, an MFT in an individual, private practice renting space in a large office building, decided he had to be much more careful protecting confidential records. He purchased locking file cabinets, password protected his client files on his computer, and added a confidentiality notice to all work-related emails and faxes. However he did not communicate with the cleaning service that enters his office in the evenings unsupervised. The following statement about these precautions is correct according to the HIPAA Security Rule: - CORRECT ANSWER The MFT was not required to contract with the cleaning service directly because he is exempted from this requirement by the Scalability Principle." "In brief prescriptive therapy, termination is: - CORRECT ANSWER initiated when the agreed upon number of sessions is up." "A doctoral candidate had difficulties meeting his deadlines due to procrastination. He reports to his therapist his fear of doing a poor job. The therapist responds by telling him to write one chapter in his usual way, and in writing the next chapter, to submit only a quick first draft. The quick draft chapter received praise and acceptance and the problem-maintaining sequence was broken. This therapist most likely was trained in the: - CORRECT ANSWER MRI approach." "A 'contingency plan' created to meet the requirements of the Security Rule, should include all of the following EXCEPT: - CORRECT ANSWER Professional 'will' for managing confidential information after the death of the clinician." "During a session a client stated that she had had it with a co-worker's verbal abuse, had bought a hand gun and was developing a plan to kill him. The therapist, although concerned about confidentiality, called the police who said they would take care of it. The therapist: - CORRECT ANSWER did not fulfill his duty to warn because he did not contact the co-worker directly." "Blended families present unique circumstances for a therapist. Which of the following would be helpful to a family therapist in facilitating discussion: - CORRECT ANSWER addressing the boundary ambiguity often found when merging families." "The concept of the "saturated family", the notion that the myriad of relationships, responsibilities, opinions and choices make it difficult for individuals to have a clear sense of their desires and beliefs, was developed by: - CORRECT ANSWER Gergen" "A couple comes in for therapy. The husband complains his wife is too close to her family and she has trouble separating from them. In fact, he states that his wife is in constant contact with her mother and looks to her mother constantly to help her make decisions. Often these decisions are in opposition to decisions made previously by he and his wife.In the first session Haley would: - CORRECT ANSWER help the couple to define the problem to be resolved." "Circular causality speaks to the non-linear nature of systems. This concept originates from? - CORRECT ANSWER General Systems Theory and Cybernetics" "According to Structural therapists, the process whereby the various stresses between spouses may be redirected through a child in a manner that creates the impression of harmony in the spousal subsystem, is called: - CORRECT ANSWER detouring" "One of the clinical areas with clearest outcome efficacy is with drug abusing youths. Which of the following statements is correct? - CORRECT ANSWER Multi-dimensional Family Therapy demonstrated strong efficacy compared to drug counseling. This was true with African American and Latino youths, as well as with the majority white population." "Research has found that the most effective treatment of children with conduct disorders, both aggressive and nonaggressive, has been: - CORRECT ANSWER Psychoeducational model." "A family presents with a 7-year old child who seems to look for his parent's acceptance and reassurance while answering every question the family therapist puts to her. When her parents express disagreement to what she has just expressed, she quickly adapts her position to that of her parents. This might be best described by of the following models: - CORRECT ANSWER Framo's Object Relations Model" "A family consisting of a mother, father, two daughters age 13 and age 15, and a son age 17 enter therapy. The parents are complaining that there 15-year old daughter is coming in drunk every night and is very abusive to the family. If this family was diagnosed as enmeshed, a family therapist's goal would be: - CORRECT ANSWER to help each of the family members to differentiate while making the boundaries less permeable." "The goal of Emotionally Focused Therapy is: - CORRECT ANSWER All of the above (to expand and re-organize key emotional responses - the music of the attachment dance, to create a shift in partner's interactional positions and initiate new cycles of interaction, to foster the creation of a secure bond between partners)." "Studies have shown a reported decrease in delinquent behavior and positive change in family process when the families were involved in family therapy. A few studies comparing types of family therapies have found the following type of therapy to be most successful: - CORRECT ANSWER Behavioral-communication approach." "A family comes to therapy and during the first session, the therapist observes that the 7-year-old daughter sits between her parents and looks toward her mother before answering any questions. The father appears bored during the session and constantly looks up toward the ceiling whenever the daughter looks toward the mother. The 5-year-old son and 9-year-old daughter are sitting opposite the parents and appear distracted and uninvolved.A primary goal of a Bowenian therapist working with this family would be: - CORRECT ANSWER the differentiation of family members." "Prior to the DSM, the 'Statistical Manual for the Use of Institutions for the Insane' was developed by: - CORRECT ANSWER the National Commission on Mental Hygiene." "Multi-ethnic and multi-racial families often present with rich and complex histories and dynamics. The best assessment tool for outlining the complexities of a multiracial family is a: - CORRECT ANSWER cultural genogram." "The AAMFT Code of Ethics sets the ethical standards for: - CORRECT ANSWER all members of AAMFT." "An MFT in a 3-person group practice keeps her client PHI on her office computer. She uses clinical practice management software that keeps most information she needs conveniently organized. In addition to all insurance information, the software does her billing via direct internet connection to a payer clearinghouse, resulting in quick turn-around of payments, and also allows for email communications with the client, keeping the emails organized and associated with the client record. The software also provides a text entry area to record the session information. However, during her original clinical training, she developed the habit of scribbling a few notes on a pad next to her as she conducted her therapy sessions, which she still does. Her computer is password protected, she uses an encryption technology for all client and insurance company electronic/email transactions and her handwritten session notes are kept o - CORRECT ANSWER The therapists can exchange HIPAA protected PHI without authorization from either parent because they are within the same covered entity." "A twelve year old boy told a friend in school that he was going to kill himself so that he didn't have to tell his parents about a recent poor test grade. The friend told a teacher who contacted the mother who became very upset on the phone. The teacher recommended an urgent appointment with a local family therapist. The boy has an older sister who has been in treatment for depression and a father who abuses alcohol. Before his initial interview with the boy, the clinician learns from the parents through a phone call, that although he did ultimately go home and tell his parents about the poor grade, he has repeated his suicide threat to other people. From this new information the clinician concludes: - CORRECT ANSWER it is not good practice to determine the risk level from this information alone." "Beth and Paul come to counseling because Beth feels that after two years of marriage she and Paul have nothing in common. She complains that for the past six months she has been complaining to Paul that there are problems with their relationship. Paul states that he doesn't feel there are problems, he feels his wife is just overreacting.The therapist asks, "How does overreaction affect the relationship?" This type of question is a good example of getting the couple to: - CORRECT ANSWER externalize the problem." "One of the risks of relationship-based interventions with domestic violence, agitating the dynamics in a way that increases violent tendencies, has been addressed by recent MFT outcome research. That research: - CORRECT ANSWER Showed that the risk is small when working with partners where there is reciprocal (both direction) violence and where they want to stay together." ""John, we are impressed with your selfless gifts to your family and are inclined to suggest no changes at this time. Your soiled pants give your father a reason to be involved in your family." This message might be one given by: - CORRECT ANSWER Paul Watzlawick." "A family comes in for treatment and focuses on the person with the problem despite the therapist's attempts to tease the problem from the family member identified as the problem. This form of tunnel vision would be called by Narrative therapists as: - CORRECT ANSWER problem-saturated stories." "Rational/scientific, approval, worrier, protective all describe parts of: - CORRECT ANSWER Schwartz's parts of the therapist." "Jacobson's Pretreatment Assessment for Marital Therapy includes all of the following EXCEPT: - CORRECT ANSWER cohesion" "The Johnson family first presents as with the middle child , an 8 year old boy, school refusing. Neither of his older or younger sibs is presenting with any apparent difficulties. It quickly becomes apparent that the couple is not living together and is in the process of a difficult divorce. The couple asks you about the long term effects of divorce, to which you respond: - CORRECT ANSWER Studies have shown divorce is a predictor of many future difficulties for children including early mortality." "A family comes to therapy because their ten-year old child is stealing money from them. After three sessions, the stealing stops and the family decides to terminate therapy.A Strategic therapist would: - CORRECT ANSWER agree with the family's decision to terminate because the presenting problem appears to have been resolved." "A relationship in which one person is assertive and the other submissive, with each mutually reinforcing and sustaining each other's position is known as: - CORRECT ANSWER a complementary relationship." "Which of the following theorists, a pioneer in cognitive psychology, strongly influenced the narrative model with his work "The Narrative Construction of Reality"? - CORRECT ANSWER Bruner" "Mr. Oesco comes to therapy with his son Josh. Mr. Oesco and his wife are divorced. He and Josh live together and Mrs. Oesco and her daughter Jessica live in another state. The presenting problem appears to be Josh's anger at his mother and his refusal to conform to the visitation arrangement set up by the court when the Oescos divorced. Josh appears to have a good relationship with his sister which at times presents a problem to his father and mother.In assessing this family, the majority of family therapists would most likely do all of the following except: - CORRECT ANSWER identify family of origin patterns that are transmitted across generations." "A technique developed by the Milan Model that utilizes a third person's perspective on a subsystem or other dyads within the system is known as: - CORRECT ANSWER circular questioning." "Heather, a 16-year-old, was caught at school with marijuana and has been expelled. She comes to therapy with her father, Mike. Mike is divorced from Heather's mother and has custody of Heather and her two siblings. He owns slot machines and is out all day servicing them and collecting money. He smokes marijuana around his children. From a Solution-Focused model, the presenting problem around which a goal is to be created is: - CORRECT ANSWER unknown" "A Contextual therapist views family dysfunction as caused by: - CORRECT ANSWER lack of justice and trust." "Structural and MRI Strategic differ in their orientation to all of the following EXCEPT: - CORRECT ANSWER emphasis on process over content." "The correct answer is: Emotionally Focused CouplesTherapy. - CORRECT ANSWER addressing the boundary ambiguity often found when merging families." "You refer clients to a psychiatrist who keeps "stealing" your clients by referring them to a therapist in her group practice. You should: - CORRECT ANSWER call the psychiatrist to tell her why you refer clients to her making it clear you want your clients back." "A person's experience shapes the way they think about it, this notion is called: - CORRECT ANSWER Social Contstructionism" "Dr. A trains family therapists. Mary B. is Dr. A's student. Midway through the year it becomes evident to Dr. A. that Mary could benefit from therapy. When she approaches Mary with her recommendation, Mary agrees and asks Dr. A to be her therapist. Dr. A: - CORRECT ANSWER declines on the grounds that it would be unethical" "You tell a pushy, domineering father to continue making all the family decisions. You are clearly influenced by - CORRECT ANSWER Jay Haley (strategic)" "The therapist is not considered responsible for change in which of the following schools? - CORRECT ANSWER Milan Systemic" "The "not knowing" stance used by Goolishian and Anderson was used to help the clients: - CORRECT ANSWER become experts on their own lives" "An MFT in a 3-person group practice keeps her client PHI on her office computer. She uses clinical practice management software that keeps most information she needs conveniently organized. In addition to all insurance information, the software does her billing via direct internet connection to a payer clearinghouse, resulting in quick turn-around of payments, and also allows for email communications with the client, keeping the emails organized and associated with the client record. The software also provides a text entry area to record the session information. However, during her original clinical training, she developed the habit of scribbling a few notes on a pad next to her as she conducted her therapy sessions, which she still does. Her computer is password protected, she uses an encryption technology for all client and insurance company electronic/email transactions and her handwritten session notes are kept o - CORRECT ANSWER The 'covered entity' is actually the Professional Corporation, since clinical work is performed by and paid for by the corporation. All "workforce" workers must abide by the HIPAA Security Rule." "An MFT's new client family includes a young adult who was recently hospitalized with the diagnosis of schizophrenia, paranoid type. This was the first hospitalization for this person, who was never in treatment before. Hospital discharge plans included a 2 week supply of an anti-psychotic medication. The hospital recommended both individual and family therapy, in addition to medication management. The MFT should: - CORRECT ANSWER ...make an appointment for the entire family as soon as possible, then plan with the family how all the therapy and medication needs will be met." "The essential feature of Anorexia Nervosa is: - CORRECT ANSWER refusal to maintain body weight." "After completing an intake with a new client family, the MFT searches a variety of resources to determine if there is research available to help guide her decision making. The family has a 16 year old boy who has not been to school in over 3 weeks. The MFT's search turns up a study from the American Psychologist stating that a combination of supportive therapy and anti-depressant medication has been demonstrated to be efficacious in the treatment of adolescents who are 'school refusers.' The study was a double blind design with a sample size of 55 with a correlation of .68 and 92% confidence level. To be evidence-based, the MFT should: - CORRECT ANSWER Consider this study in her decision making, document her thoughts about it, but continue to search the literature until she is confident she has found all available relevant research." "A young woman was hospitalized with a diagnosis of schizophrenia. During one of the family therapy sessions, the daughter walked into the room and went toward her father to greet him. The father stiffened, the young woman withdrew and the father said, "I thought that you'd be happy to see me?" A family therapist would consider this interaction an example of a (an): - CORRECT ANSWER double bind." "A family comes to therapy because their 16-year-old daughter is diabetic and has recently stopped taking her insulin on a regular basis. During the session the therapist learns that their 19-year-old son, who is Mom's favorite child, has just gone into the army. A Structural therapist would make the following therapeutic intervention: - CORRECT ANSWER congratulate the daughter for distracting the mother from feeling sad over her son's leaving." "A Contextual family therapist interviews a family and discovers that Mr. Medieros, the father, comes from a family in which his father was irresponsible and unavailable. Mr. Medieros reports that as the eldest son, he took responsibility along with his mother for the well-being of the family. Mrs. Medieros smirks and states how ironic it is that her husband withdraws from her and her children. In obtaining this information, the therapist is able to see: - CORRECT ANSWER the transgenerational issues and destructive entitlement." "Studies show that children of gay and lesbian couples compared with straight couples have: - CORRECT ANSWER same problems." "Whose clinical model uses the following terms: placater, blamer, avoider? - CORRECT ANSWER Satir" "An MFT read a report of research that concluded by saying, "this study demonstrates that our model is efficacious." Which of the following statements is correct? - CORRECT ANSWER The study has shown that the treatment method used will work in controlled experimental settings with carefully trained clinicians following a detailed plan." "In the AAMFT Code of Ethics, Technology-Assisted Professional Services includes: - CORRECT ANSWER all of choices presented." "Which of the following is most true regarding the treatment of premature ejaculation (P.E.)? - CORRECT ANSWER Treatment will involve the use of "stop-start" or "squeeze" technique." "A couple comes to therapy because they feel their sex life is not satisfying. The female reports that she is always anxious and is unable to reach orgasm and feels that her husband thinks she is an inadequate sex partner. In the first session, a Bowenian therapist would do all of the following EXCEPT: - CORRECT ANSWER assess the inequality of power in the couple system and the extended family." "Katherine asks her mother for candy at breakfast time. Her mother says "no" and Katherine continues to ask her mother. Each time her mother says "no", Katherine's whining becomes more persistent until she has a full-fledged tantrum, at which time her mother gives in so as not to wake her baby sister and Katherine stops whining. Katherine learns that if she whines enough she will get her way. - CORRECT ANSWER the mother has been reinforced for giving in." "The main difference between a 'situational' and a 'developmental' crisis is: - CORRECT ANSWER a situational crisis can happen at any time, but a developmental crisis is a predictable effect of going through life's psychosocial stages." "A Facebook friend asks you to be their therapist having heard from her many friends what a great and helpful therapist you are.The most ethical response is to: - CORRECT ANSWER refer the client to a colleague." "The DSM-5 has a new approach to the axial assessment system of the DSM-IV TR. Which of the following best represents these changes? - CORRECT ANSWER a. and c. (a. Separate notations for important psycho-social and contextual factors and disability, c. Axes I, II, and III from DSM-IV TR are collapsed into one category.)" ""Normal families have an evolutionary sense of time with emphasis on the process of becoming." This statement regarding normal family functioning is descriptive of which model of family therapy? - CORRECT ANSWER Experiential." "The Beavers System approach to family assessment includes: - CORRECT ANSWER interactional competence scales and interactional style scales." "A twelve-year-old boy was brought to therapy because he wet the bed almost every night. The mother had been hospitalized at one time for depression. The father worked long hours, and the mother complained about his lack of interest in her and his attraction to other women. The therapist hypothesized that the bed-wetting was both a metaphorical expression of the father's improper behavior and an attempt to help the parents by eliciting their concern and distracting them from their other problems. This assessment of the problem is associated with: - CORRECT ANSWER Strategic." "Research has shown that a successful predictor to a positive outcome utilizing Emotionally Focused Therapy is: - CORRECT ANSWER how well established the therapeutic alliance is, especially the task aspects of engagement." "A family enters therapy, having a 21 year old son who lives in the basement. He dropped out of college 2 years ago and is currently not working or going to school. He has refused all counseling. The father states he found evidence of marijuana smoking in his son's room. The mother states that the father and son argue and sometimes push each other. A 16 year old daughter is in high school but is increasingly avoiding coming home.During the second family session the boy becomes enraged at his parents, blaming them for his failures and declaring that he'll never set foot outside the house again. The clinician next step should be: - CORRECT ANSWER address him directly, telling him you want to hear whatever he has to say." "Systems that are self-organizing and self-maintaining, such as biological and human systems are