Object Relations Theory and Family Therapy Approaches, Exams of Nursing

Download Object Relations Theory and Family Therapy Approaches and more Exams Nursing in PDF only on Docsity! MFT national exam: sample questions and answers. Out of earshot of Dad, Mom points out one of his parenting inadequacies to the children. From a Contextual Family Therapy perspective, Mom's actions are evidence for - \split filial loyalty Bob (45) and Marianne (38) argue about what is the proper age for their daughter Jill (14) to begin dating. Jill hears the fighting and enters the room. Marianne draws Jill into the argument to side with her against Bob. From a Bowen Systems perspective, what has occurred? - \triangulation Creation of a sufficient holding environment is a critical part of which theoretical approach? - \Object Relations Which theory believes that relative birth order is significant in determining specific characteristics? - \Bowen Systems Bill (50) and Alexandria (43) present for therapy because their son Ralph (13) has developed school phobia. The phobia emerged after a trial separation between Bill and Alexandria. Bill moved back into the home when it became apparent that the only way to get Ralph to attend school was with both parents working together to help him. From Bozormenyi-Nagy's perspective, this is an example of - \invisible loyalties Jonathan (47) and Samantha (46) present for help with their daughter Michelle (12) who has a history of depression. The family has also recently moved and Michelle will be entering a new high school this fall. The family spends some time animatedly describing recent events in their lives that they believe deepened Michelle's depression. The conversation begins to wind down. An Object Relations therapist would be most likely to - \request details of their earlier histories The following therapist is most associated with multigenerational process of psychopathology - \Bowen Introjection can only be detected by - \trained therapists Anita (23) has had a conflictual relationship with her mother, Sarah (43) throughout her teens. She was rebellious and angry with her mother much of the time. Sarah is a single mother and very anxious about her daughter, so much so that she frequently screamed and used inappropriate punishments in an attempt to get her daughter to "behave". After Anita left home for college, she rarely wrote or called home and only visited on holidays. Now that she has graduated, she took a job several states away from her hometown and continues her pattern of not phoning or calling. A Bowenian therapist would say that Anita is engaged in - \emotional cutoff In object relations theory, the latent meaning behind attitudes, behaviors, or feelings that is detected by therapists through analyzing personal reactions to session materials is knows as - \derivatives Sandy's parents divorced when she was 10 years old, and her mother went through a depression. Consequently, Sandy often was responsible for the care of her 7 year old brother as well as seeing to family meals and other household chores. Her mother often confided in her about her feelings and interacted with her more like an older sister than her mother. When Sandy became a young adult, her mother, who had recovered somewhat, was surprised to find how irresponsibly Sandy conducted her life and how angry she seemed. According to Bozormenyi-Nagy, Sandy's behavior is an example of - \destructive entitlement The role of the therapist is Bowenian therapy is that of - \coach Mary's mother often calls her during the week to complain about the behavior of her father. Usually, Mary is highly sympathetic and supportive of her mother's complaints and becomes and remains angry at her father for sometime following the call. After attending therapy with a Bowenian therapist, however, Mary responded to her mother's next complaining phone call with the following statement, That sounds like something really important that dad needs to know. Have you talked about this with him? Mary is attempting to do what in Bowenian terms? - \detriangle A contextual therapist will frequently attempt to help a client see the positive intent and intergenerational loyalty issues behind even the most destructive behaviors of previous generations. this concept is known as - \exoneration Object relations theorists believe that, as a process of normal development parts of caretakers are split off and internalized into a child's developing personality. The Smith family comes into therapy with Dr S and presents with behavioral problems with their 10 and 9 year olds. At the end of the session, Dr S directs them to spend time together this week away from the children. Dr S, in fact, gives this directive to all the families she sees that are experiencing problems with children. Dr S is using _____ associated with _____ Therapy. - \invariant prescription/Milan Systemic The Milan approach is characterized by the following techniques: - \circular questioning and hypothesizing Most strategic tasks have a common characteristic -- they try to manipulate - \the symptom An MRI-based therapist working with a client with stage fright is most likely to tell the client - \to identify the disadvantages of improvement The first clinical director of the Mental Research Institute in Palo Alto, CA. - \Don Jackson Mara Selvini Palazzoli, Juigi Boscolo, Gianfranco Cecchin and Guilana Prata were strategic therapists who based their approach on the work of Gregory Bateson. What is the name of their approach to family therapy? - \Milan Systemic Therapy The non-verbal aspect of a communication, which defines the relationship between the participants is called what? - \analogic communication The double bind theory is a hypothesis about the cause of what? - \schizophrenia Applying more of the same attempted solution, only to provoke an escalation of the problem is an example of what? - \negative feedback loop Communicating about communicating is known as what? - \metacommunications Sarah's 15 year old daughter, Rebecca, has a 9 pm bedtime isn't allowed to go to the mall with her friends unless an adult is along. Sarah expresses her fears and concerns that something bad might happen to Rebecca and believes that close monitoring is the only way to keep her safe. Rebecca began to rebel against the rules of the household and Sarah moved her bedtime up to 8:30 and grounded her from going anywhere with friend. The two are now at each other's throats and Rebecca has become increasingly rebellious. Sarah's family therapist suggested that, although close monitoring worked well with Rebecca while she was a pre-schooler and school-aged, that Rebecca is now a teenager. She suggested that Sarah discus with other parents of teenagers might think were reasonable rules. Sarah's therapist is attempting to engender what type of change? - \second order change A "3-S" pot is a metaphor associated with which model? - \Satir Bill (50) and Alexandria (43) present for therapy because their son Ralph (13) has developed school phobia. The phobia emerged after a trial separation between Bill and Alexandria. Bill moved back into the home when it became apparent that the only way to get Ralph to attend school was with both parents working together to help him. From a Behavioral Family therapy's perspective, scenario given is an example of - \positive reinforcement The technique of "temperature reading' or asking a family to set aside a specific time each day to get in touch with each other, was developed by - \Satir Sally (32) and Nathan (41) seek help with how to handle their 5 year old son, Timothy. Tim's aggression in school dates back to a biting incident in preschool. Sally and Nathan report a relatively trouble-free marriage with almost no conflict, not at all like their respective parents who fought continually before divorcing. The therapist notices that they are especially cautious about not wanting to contradict one another. Several sessions later, a discussion between Sally and Nathan gives way to a sizable quarrel, complete with yelling and cursing. A Structural Family therapist would interpret the fight as evidence of - \marital discord From the solution-focused therapy perspective - \Problems can be solved without knowing their cause. The Smith family has presented for therapy with behavioral problems with 9 year old Ann. According to the family, Ann is a bad child, disrespectful, and uncooperative. Although the therapist tries to reframe, the family continues to view Ann as bad and incorrigible. From a narrative perspective, "badness" is Ann's - \dominate story According to the social constructionist's perspective, diagnosis can categorize individuals by labeling them. This process is known as - \objectification Multiversa is term developed by Harlene Anderson. This term refers to - \The multitude of ideas that potentially exist. Every client has access to alternate stories, or stories that represent a different way of viewing a problem than that of the dominate story. White and Epston refer to this alternate story as - \The subjugated story. A "problem determined system" is a system whose dominate view serves to maintain the problem. Through conversation the members of the system agree that a problem exists. Which theorist coined this term? - \Anderson and Goolishian A term developed by White and Epston which refers to those situations in the past when clients have resolved their problems but had not previously been aware that they had done so. - \unique outcome In the post-modern, social constructionist therapists, the therapist and client jointly develop an alternate point of view of a situation. This process is referred to as - \co-construction A narrative therapist will often give a symptom a name, such as labeling anorexia as "crazy dieting." Rather than viewing Maria as anorexic, they might discuss the times when "crazy dieting" has control of her, thus separating Maria from the problem. this process is known as - \externalization Andrew comes to therapy struggling with depression. His therapist asked him to describe the times he is not depressed, or at least a little less depressed than usual. His therapist is most likely practicing from which perspective? - \solution Focused As Andrew's therapy session draws to a close, his therapist gives him the following homework: "Between now and the next time we meet, I would like for you to notice what is going on in your life, right now, that you would like to see continue, even when this depression has lifted." This intervention is known as - \the formula first session task The study of feedback mechanisms in self-regulating systems is known as - \cybernetics The ability of complex systems to reach a given final goal in a variety of given ways - \equifinality A conflict created when a person perceives contradictory messages on different levels of abstraction in an important relationship, and cannot leave or comment. - \double bind