Deck 11: Directly Addressing Relationship Issues and Dynamics in the Clinical Relationship

Question 1

Clients often perceive clinicians as having power over them. Which of the following statements about clinician power is TRUE?

A)Clinicians do not have more power than the client.Both the clinician and the client should be equal members of the relationship.
B)Clinicians only have symbolic power because of the attributes and influence clients attribute to them.
C)Clinicians have real power and influence and there are times when this should be directly addressed.
D)Only clinicians who are asked to do assessments and evaluations that are used in courts and custody battles have power.

Answer 1

C

Question 2

Discuss three reasons why the clinician may directly address the relationship process.

Answer 2

not answer

Question 3

Discuss the three techniques that clinicians can use to address the clinician-client relationship process.

Answer 3

not answer

Question 4

It is helpful to directly address the relationship process with the client for all of the following reasons EXCEPT:

A)In the beginning of the relationship so the client knows what to expect.
B)To help the client expand their relational competences.
C)If something in the relationship reminds the clinician of unfinished business in the clinician's own life.
D)To summarize the work and affirm gains as the relationship is ending.

Question 5

According to psychodynamic therapy:

A)Positive transference is always helpful in the clinical relationship.
B)Positive transference is an unconscious process that occurs when an earlier unresolved relationship in the clinician's past may lead the clinician to unknowingly idealize the client.
C)Negative transference occurs when previous inter-ethnic or intra-ethnic cultural experiences are unconsciously displaced onto the clinical relationship.
D)Both positive and negative transference are expected features of the helping relationship.

Question 6

When addressing the relationship process:

A)Clinician genuineness can model a more open way of being that builds relationships.
B)Focusing on the relationship may displace other topics and move the relationship away from the agreed upon work.
C)The clinical relationship should always be a focus of conversation in clinical work.
D)A and B only
E)All of the above

Question 7

Which of the following statements about online counseling is FALSE?

A)Research comparing online clinical alliances with face-to-face encounters has shown that online counseling may be as effective as face-to-face counseling.
B)Online counseling may reduce the stigma of going to see an office-based clinician.
C)Any good clinician can use online counseling since the skills online are the same as face-to-face.
D)Online counseling may save time and money for those who live at a distance from professional help.

Question 8

Juanita is a social worker who is working with a 16-year-old high school male around issues of drug abuse. Although she is not aware of it, the young man is behaving in ways similar to the ways her son did when he was 16. She finds herself annoyed by her client's behaviors and may be unconsciously expressing old unhappiness and disappointment in her son. This is an example of:

A)Positive transference
B)Negative transference
C)Ethnocultural transference
D)Countertransference

Question 9

Tony points out to Rita that although she says she never can get close to people because she doesn't trust anyone, he has noticed that over the last couple of weeks, she has been sharing her deepest feelings with him and she seems to trust him. This is an example of:

A)Positive transference
B)Negative transference
C)Processing the process
D)Examining the moment

Question 10

Which of the following statements is FALSE?

A)The management of the clinical relationship should be affected by goals of the work.
B)Factors in the client, but not clinician, should affect the use of the relationship.
C)The stage of the relationship should affect the use of the relationship.
D)Ethnocultural norms should influence the use of the relationship.

Question 11

Discuss three cautions about directly addressing the clinical relationship process.

Question 12

Describe the central relational paradox.

Question 13

Discuss three factors that determine whether the clinical relationship should be foreground or background of clinical work.

Question 14

The clinician says to Marisol, "I noticed just now that when I told you I was going on vacation next month, you crossed your arms. Tell me how you are feeling about my impending trip." This is an example of:

A)Reflection of affect
B)Processing the process
C)Examining the moment
D)Negative transference

Question 15

If a clinician dislikes a client, the clinician should:

A)Be honest and share this with the client using the skill of processing the process.
B)Stop thinking about the dislike because the clinician has an ethical responsibility to be nonjudgmental.
C)Immediately refer the client to another clinician so that the client can get help from a caring other.
D)Talk about it with a supervisor to understand where the problem comes from and see if it can be resolved.