Deck 8: Relational Themes and Reparative Experiences

Question 1

When clients successfully utilize eliciting maneuvers with the therapist: ​

A)the client attains protection from the core conflict and no effective change.
B)the client attains protection from the core conflict and effective change within the therapeutic relationship.
C)the client is not sufficiently motivated to change in therapy.
D)the client must explain what this means.

Answer 1

A

Question 2

Therapists' goals in working with clients' eliciting maneuvers include all of the following  EXCEPT:

A)attend to their own reactions to the client's maneuvers.
B)find alternate responses that do not reenact the same relational scenarios.
C)provide the familiar responses the client expects and usually receives.
D)formulate working hypotheses regarding the feelings and/or situations the client may be avoiding.

Answer 2

C

Question 3

A client's "testing" of the therapist is most likely to occur: ​

A)when the therapist appears weak and malleable.
B)during the initial sessions.
C)when they feel comfortable within the therapeutic environment.
D)when the client feels the therapist is not responding.

Answer 3

B

Question 4

Recognizing the______ structure of conflicts will enable therapists to respond to the______   that has immobilized the client and prevented change from occurring. ​

A)one-sided; pattern
B)hidden; problem
C)patterned; individual
D)two-sided; ambivalence

Question 5

When therapists become inappropriately over-identified with certain clients, they     . ​

A)are enmeshed with their clients
B)are disengaged from their clients
C)are detached from their clients
D)have destroyed any hope of regaining appropriate balance in the therapeutic relationship

Question 6

If therapists try to elicit the client's subjective reactions and perceptions of the therapist: ​

A)the client will not progress in therapy.
B)the therapist will be reenacting the old relational scenarios.
C)the client will find the therapist intrusive and inappropriate.
D)important information concerning clients' relational templates or therapist reenactment may be revealed.

Question 7

Clients' eliciting maneuvers tend to evoke certain similar reactions in the therapist and others are referred to as: ​

A)client induced countertransference
B)therapist induced countertransference
C)testing maneuvers
D)countertransference escalation

Question 8

The most important source of information about clients and what their interpersonal style tends to elicit from others is: ​

A)a therapist's awareness of their own feelings that are elicited by clients.
B)a client's developmental history.
C)a client's cultural context.
D)All of the choices are correct.

Question 9

In order to formulate an interpersonal conceptualization, which of the following questions are least important for the therapist to answer? ​

A)What do clients elicit from others?
B)What is the client's previous psychiatric diagnosis and/or medical history?
C)How will the client test the therapist?
D)What is the principle relational pattern that the client is reenacting in the therapeutic relationship?

Question 10

When clients have been enmeshed with their families of origin, clients need therapists to do the following: ​

A)establish boundaries.
B)like them.
C)be non-confronting.
D)be confronting.

Question 11

Clients "test" their therapist to ascertain: ​

A)whether the therapist is competent to handle their issues.
B)if they are able to use their old strategies of control.
C)whether the therapist will respond in the familiar but problematic way that others often have in the past.
D)None of the choices are correct.

Question 12

The therapist's ability to respond to both sides of clients' core conflicts will: ​

A)confuse the client.
B)clarify the ambivalence that has made decisions difficult.
C)help clients to have compassion for themselves.
D)Both clarify the ambivalence that has made decisions difficult and help clients to have compassion for themselves are correct.

Question 13

Understanding both sides of their conflicts empowers clients to: ​

A)exercise more choice over what they will change and what they will accommodate to.
B)change their personality.
C)have a better relationship.
D)influence others more effectively.

Question 14

Therapists can tell they have effectively "passed" important tests from clients by: ​

A)tracking moment-to-moment interaction sequences of how the client responds to what the therapist just said.
B)waiting for their client to verbalize that they can utilize the therapist's comments.
C)listening to their clinical supervisor for affirmation that they "passed".
D)All of the choices are correct.

Question 15

A common way in which clients' conflicts are reenacted in the therapeutic process is: ​

A)when therapists view their clients' problems and lives as being too similar to their own.
B)when therapists maintain their own objectivity and separateness while at the same time being available and responsive.
C)when therapists self-discloses their own experiences and feelings.
D)there is no common way in which clients' conflicts are reenacted.

Question 16

Which of the following statements is true in regards to transference? ​

A)Transference is most likely to occur in the therapeutic relationship when the client is distressed.
B)Transference occurs in the therapeutic setting and other settings of a client's life.
C)Transference is an important part of the therapy process.
D)All of the choices are correct.

Question 17

When clients begin talking about others rather than themselves, the therapeutic process becomes repetitive or intellectualized, or clients become compliant or lose their initiative: ​

A)the client's conflict is being reenacted.
B)the client is engaging in a transference test.
C)countertransference reactions are being evoked in the therapist.
D)change is beginning to occur.

Question 18

Interpersonal strategies that ward off anxiety and brings about certain desired, safe responses from others is called a(n) : ​

A)elicit strategy of coping
B)eliciting maneuver
C)reenacting maneuver
D)comfortability response

Question 19

Clients' conflicts are two-sided, and therapists will be effective when they respond to: ​

A)the most intense emotion.
B)both sides, but emphasize the side that is causing the most problems.
C)the feelings that accompany both sides.
D)the initial feeling.

Question 20

A client's inability to act or change results from: ​

A)the push-pull nature of conflict.
B)the inability to follow good advice.
C)a personality disorder.
D)the lack of motivation.

Question 21

Describe one way in which new therapists can recover from mistakes, failed tests and re- enactments. ​

Question 22

Describe how eliciting maneuvers, in part, serve to protect clients from suffering further pain and anxiety. ​

Question 23

In order to maintain an effective interpersonal balance with clients, what can therapists do to manage their reactivity to clients' negativity? ​

Question 24

Describe how therapists can use client's transference reactions to better conceptualize their clients' conflicts and guide subsequent treatment plans. Include the valuable knowledge that transference occurs in everyday life. ​

Question 25

Elucidate why there often are two opposing sides to conflicts and how this ambivalence can be immobilizing to clients. What can therapists do to impede in the resolution of these intensely ambivalent conflicts? What can therapists do to help resolve them? ​

Question 26

Describe the concept of "testing" the therapist. How does this potentially help the client resolve conflicts? In what way is attending to this behavior an adaptive and useful method for helping clients resolve their problems? ​

Question 27

Client response specificity is a significant factor in responding to clients regarding testing behavior. Why is it so essential? ​

Question 28

How can a beginning therapist learn to rely on their own ability to select effective interventions without relying on their supervisor's advice? What is the danger in relying on one's mentor and his/her preference toward approaches to treatment? ​

Question 29

Discuss effective and ineffective ways of dealing with client's eliciting maneuvers. ​

Question 30

Why do clients recreate relational themes with the therapist that parallel the problematic patterns they are playing out with others? ​