Question 1

The best way for a therapist to manage their own reactions to evocative material that clients present is to: ​
A)remain expressionless so as not to alert or distress the client.
B)ignore their own emotional reaction.
C)learn how to recognize and anticipate their own Countertransference propensities, and know what to do when they are evoked.
D)respond politely, but defensively.

Accepted Answer

Option C suggests that the therapist should recognize and anticipate their own Countertransference propensities, and know what to do when they are evoked. This means that therapists should be aware of their own emotional reactions and be prepared to manage them appropriately, such as taking a break or consulting with a colleague. It is not recommended to remain expressionless or ignore their own emotions as it could negatively affect the therapeutic relationship. Responding defensively can create a defensive barrier between client and therapist.

Question 2

One way in which therapist's countertransference reactions are revealed in therapy is by the therapist: ​
A)becomes personally invested in the way the client handles a certain issue.
B)approaches the central conflict or issue.
C)can successfully differentiate their own similar feelings from their clients'.
D)accurately identifies the client's feelings.

Accepted Answer

When the therapist becomes personally invested in the way the client handles a certain issue, it may indicate that they have strong countertransference reactions related to the client's situation. This can be seen in the way the therapist may express a particular emotional response or attachment to the client's experiences, which is not necessarily related to the client's goals or needs in therapy.

Question 3

The greatest opportunity to help clients change occurs: ​
A)at the moment clients are experiencing the full emotional impact of their problems.
B)when the client follows through with the therapist's concrete suggestions for change.
C)during the final session prior to termination of therapy.
D)there is no greatest opportunity to help clients change.

Accepted Answer

The moment when clients are experiencing the full emotional impact of their problems is often the most raw and vulnerable, but also the most honest and willing to change. This is the time when clients are most open to exploring new perspectives and making changes in their behavior.

Question 4

To provide a "holding environment" for clients to explore their distress, therapists: ​
A)maintain a steady presence.
B)educate the client on the dynamics of therapy.
C)clarify what the therapist is thinking and feeling as clients share conflicted feelings.
D)Both maintain a steady presence and clarify what the therapist is thinking and feeling as clients share conflicted feelings are correct.

Accepted Answer

A holding environment refers to a safe and supportive therapeutic atmosphere that helps clients feel secure enough to explore their distress. Therapists create this environment by maintaining a steady presence, being empathetic and attuned to the client's emotions. Additionally, they should clarify what they are thinking and feeling in response to the client's disclosures to help them feel better understood and more connected. Therefore, both maintaining a steady presence and clarifying what the therapist is thinking and feeling as clients share conflicted feelings are necessary to provide a holding environment.

Question 5

When therapists minimize, reassure, explain, or simply move away from a client's painful feelings, it is often because: ​
A)they feel responsible for causing the client's painful expressions.
B)their reaction evokes a countertransference response.
C)they feel responsible for alleviating their pain, but don't quite know how.
D)both they feel responsible for causing the client's painful expressions and they feel responsible for alleviating their pain, but don't quite know how are correct.

Accepted Answer

Therapists may minimize, reassure, explain, or move away from a client's painful feelings because they feel responsible for both causing and alleviating the client's pain, but they may not know how to do so effectively.

Question 6

Discuss and compare effective and ineffective ways therapists can respond to defenses against or resistance toward painful feelings. ​

Accepted Answer

The answer of Discuss and compare effective and ineffective ways...

Question 7

Discuss characterological affects. How do they develop and how can therapists respond to them? ​

Accepted Answer

The answer of Discuss characterological affects. How do they develop...

Question 8

According to Beck's "hot cognitions," it is when______that clients are most apt to distort or misperceive the therapist's response and slot it to fit old expectations. ​
A)a client has a significant lack of trust in the therapist
B)strong feelings have been triggered
C)a client perceives an inauthentic connection with the therapist
D)a client feels sequestered in their own experiences

Accepted Answer

According to Beck's "hot cognitions," clients are most apt to distort or misperceive the therapist's response and slot it to fit old expectations when strong feelings have been triggered. This can lead to misunderstanding and miscommunication between the client and therapist. It is important for the therapist to be aware of this and to work with the client to address any distortions or misperceptions that arise during therapy.

Question 9

One of the most important ways to help clients achieve a greater sense of adequacy and mastery in their lives is to: ​
A)give them concrete suggestions for change.
B)summarize each session thoroughly.
C)allow them to take full responsibility for the therapeutic process.
D)help them make sense of their emotional reactions.

Accepted Answer

Helping clients make sense of their emotional reactions can enhance their understanding of themselves and their behaviors, which can ultimately lead to a greater sense of adequacy and mastery in their lives. This can also improve their ability to form meaningful connections with others and navigate challenging situations. While concrete suggestions for change can be helpful, allowing clients to take full responsibility for the therapeutic process may not always be appropriate or effective in achieving these goals. Summarizing each session thoroughly can be helpful for tracking progress and reinforcing key insights, but it may not directly address clients' underlying emotional struggles.

Question 10

Explain the roles that shame and guilt have in maintaining client conflicts. Discuss effective and ineffective responses to shame. ​

Accepted Answer

The answer of Explain the roles that shame and guilt...

Question 11

​ Reasons clients do not like to explore difficult feelings include their:
A)belief that the work "it's too hard."
B)belief that "it won't do any good."
C)belief that exploring their feelings in depth "will be overwhelming."
D)belief that they will be ridiculed and judged.

Accepted Answer

The answer of ​ Reasons clients do not like to...

Question 12

Clients who do not experience or express anger, avoid interpersonal conflict, and tend to respond to others' needs at the expense of their own is said to be experiencing the______ affective constellation. ​
A)Anger-Sadness-Shame
B)Guilt-Anger-Shame
C)Sadness-Anger-Guilt
D)Anger-Guilt-Sadness

Accepted Answer

The affective constellation described in the question is characterized by avoidance of conflict and prioritizing others' needs over their own, which suggests a tendency toward guilt and self-blame. The inclusion of sadness and anger is less fitting for this description. Therefore, option C - Sadness-Anger-Guilt - is the best fit.

Question 13

Discuss the concept of affective constellations. Illustrate one potential triad of interrelated feelings, and describe how they would play out in treatment. ​

Accepted Answer

The answer of Discuss the concept of affective constellations. Illustrate...

Question 14

Clients frequently talk about their feelings without actually experiencing them. How can therapists help clients experience their feelings more fully and why could this be helpful? ​

Accepted Answer

The answer of Clients frequently talk about their feelings without...

Question 15

Describe a therapeutic "holding environment." How can therapists facilitate this and explain why it is important to the therapeutic process. ​

Accepted Answer

The answer of Describe a therapeutic "holding environment." How can...

Question 16

Although different sequences occur for each client, the therapist can often identify a(n)     of interrelated feelings that cycle repeatedly when clients are distressed. ​
A)undifferentiated set
B)dyad
C)trigger
D)triad

Accepted Answer

A triad is a group of three interrelated components or elements. In this case, the therapist can identify a cycle of three interrelated feelings that repeat when the client is distressed. Therefore, option D, which refers to a triad, is the best choice among the given options.

Question 17

When a therapist makes a process comment by acknowledging a discrepancy between what a client has said and the feeling or affect that accompanied the statement, the therapist is: ​
A)addressing an incongruence.
B)attempting a "personalization" response.
C)being reflective.
D)providing a restorative experience.

Accepted Answer

A process comment is used to bring attention to the discrepancy between what a client is saying and what they are actually feeling. By acknowledging this incongruence, the therapist is able to help the client become more aware of their own thoughts and emotions, which can lead to deeper insight and personal growth. Personalization, reflection, and restorative experiences do not specifically address this type of discrepancy in the therapeutic process.

Question 18

When clients risk exposing their pain, vulnerability, or shame and the therapist responds with kindness and understanding, clients . ​
A)are personally empowered
B)become too dependent on the therapist
C)experience their original shame again
D)generally terminate treatment

Accepted Answer

When clients risk exposing their pain, vulnerability, or shame and the therapist responds with kindness and understanding, clients are more likely to feel validated, understood, and empowered. This can help them build self-esteem and self-confidence, leading to positive changes in their lives. Becoming dependent on the therapist, experiencing their original shame again, or terminating treatment are not necessarily the result of a positive therapeutic experience, and may reflect difficulties in the therapeutic relationship or other factors.

Question 19

To "resolve shame dynamics," therapists should: ​
A)unambiguously provide kind and accepting responses to clients as they experience feelings of shame.
B)work (over time) to help the client internalize the therapist's compassion for their shame.
C)help their clients to break the identification with the attachment figure who was rejecting.
D)All of the answer choices are correct.

Accepted Answer

All of the answer choices are important for resolving shame dynamics. Unambiguously providing kind and accepting responses to clients as they experience feelings of shame helps establish a safe and accepting therapeutic environment. Working over time to help the client internalize the therapist's compassion for their shame can help them develop more self-compassion and self-acceptance. Helping clients break the identification with the attachment figure who was rejecting can help them move past the underlying cause of their shame.

Question 20

Often, clients are unable to make sense out of their feelings or overreactions to a current situation. How can the therapist empower clients or help them with this? ​

Accepted Answer

The answer of Often, clients are unable to make sense...

Quiz 5: Helping Clients With Their Feelings

The best way for a therapist to manage their own reactions to evocative material that clients present is to: ​

One way in which therapist's countertransference reactions are revealed in therapy is by the therapist: ​

The greatest opportunity to help clients change occurs: ​

To provide a "holding environment" for clients to explore their distress, therapists: ​

When therapists minimize, reassure, explain, or simply move away from a client's painful feelings, it is often because: ​

Discuss and compare effective and ineffective ways therapists can respond to defenses against or resistance toward painful feelings. ​

Discuss characterological affects. How do they develop and how can therapists respond to them? ​

According to Beck's "hot cognitions," it is when______that clients are most apt to distort or misperceive the therapist's response and slot it to fit old expectations. ​

One of the most important ways to help clients achieve a greater sense of adequacy and mastery in their lives is to: ​

Explain the roles that shame and guilt have in maintaining client conflicts. Discuss effective and ineffective responses to shame. ​

​ Reasons clients do not like to explore difficult feelings include their:

Clients who do not experience or express anger, avoid interpersonal conflict, and tend to respond to others' needs at the expense of their own is said to be experiencing the______ affective constellation. ​

Discuss the concept of affective constellations. Illustrate one potential triad of interrelated feelings, and describe how they would play out in treatment. ​

Clients frequently talk about their feelings without actually experiencing them. How can therapists help clients experience their feelings more fully and why could this be helpful? ​

Describe a therapeutic "holding environment." How can therapists facilitate this and explain why it is important to the therapeutic process. ​

Although different sequences occur for each client, the therapist can often identify a(n) of interrelated feelings that cycle repeatedly when clients are distressed. ​

When a therapist makes a process comment by acknowledging a discrepancy between what a client has said and the feeling or affect that accompanied the statement, the therapist is: ​

When clients risk exposing their pain, vulnerability, or shame and the therapist responds with kindness and understanding, clients . ​

To "resolve shame dynamics," therapists should: ​

Often, clients are unable to make sense out of their feelings or overreactions to a current situation. How can the therapist empower clients or help them with this? ​

The best way for a therapist to manage their own reactions to evocative material that clients present is to:

One way in which therapist's countertransference reactions are revealed in therapy is by the therapist:

The greatest opportunity to help clients change occurs:

To provide a "holding environment" for clients to explore their distress, therapists:

When therapists minimize, reassure, explain, or simply move away from a client's painful feelings, it is often because:

Discuss and compare effective and ineffective ways therapists can respond to defenses against or resistance toward painful feelings.

Discuss characterological affects. How do they develop and how can therapists respond to them?

According to Beck's "hot cognitions," it is when______that clients are most apt to distort or misperceive the therapist's response and slot it to fit old expectations.

One of the most important ways to help clients achieve a greater sense of adequacy and mastery in their lives is to:

Explain the roles that shame and guilt have in maintaining client conflicts. Discuss effective and ineffective responses to shame.

Reasons clients do not like to explore difficult feelings include their:

Clients who do not experience or express anger, avoid interpersonal conflict, and tend to respond to others' needs at the expense of their own is said to be experiencing the______ affective constellation.

Discuss the concept of affective constellations. Illustrate one potential triad of interrelated feelings, and describe how they would play out in treatment.

Clients frequently talk about their feelings without actually experiencing them. How can therapists help clients experience their feelings more fully and why could this be helpful?

Describe a therapeutic "holding environment." How can therapists facilitate this and explain why it is important to the therapeutic process.

Although different sequences occur for each client, the therapist can often identify a(n) of interrelated feelings that cycle repeatedly when clients are distressed.

When a therapist makes a process comment by acknowledging a discrepancy between what a client has said and the feeling or affect that accompanied the statement, the therapist is:

When clients risk exposing their pain, vulnerability, or shame and the therapist responds with kindness and understanding, clients .

To "resolve shame dynamics," therapists should:

Often, clients are unable to make sense out of their feelings or overreactions to a current situation. How can the therapist empower clients or help them with this?