Ch.11 Verified Test Bank Cognitive-Behavioral And

Chapter 11: Cognitive-Behavioral and

Mindfulness Based Couple and Family Therapies

Multiple Choice

1. The most influential of the behavioral and cognitive-behavioral therapies include all of the following EXCEPT:
2. behavioral family therapy.
3. cognitive-behavioral family therapy.
4. integenerational behavioral couples therapy.
5. Gottman method couples therapy.

REF: Lay of the Land

1. Cognitive-behavioral family therapists integrate systemic concepts into standard cognitive-behavioral techniques by examining how family members ____________ one another’s behaviors to maintain _____________ and relational patterns.
2. control; symptoms
3. reinforce; symptoms
4. minimize; stasis
5. control; stasis

REF: Behavioral and Cognitive-Behavioral Family Therapies

1. Reinforcement refers to which of the following?
   1. How positive or negative responses from the environment shape future behaviors
   2. Implementing boundaries
   3. Rewarding a client until to make the therapeutic process more enjoyable and easy for the therapist
   4. Using punishment to force clients to adapt to the way the therapist thinks they should be living their lives

REF: Behavioral and Cognitive-Behavioral Family Therapies

1. Patterson and Forgatch’s approach to parent training propose that parental requests should be all of the following EXCEPT:
   1. few in number.
   2. polite.
   3. questions, rather than statements.
   4. specific.

REF: Behavioral and Cognitive-Behavioral Family Therapies

1. The most common first step of CBFTs include assessment, where a therapist obtains a detailed behavioral and/or cognitive assessment of _______________, including the frequency, duration, and context of problem behaviors and thoughts.
   1. risks
   2. symptoms
   3. baseline functioning
   4. dysfunctional behaviors

REF: Behavioral and Cognitive-Behavioral Family Therapies

1. The role of the therapist in CBFT is that of:
2. expert.
3. teacher.
4. equal.
5. advisor.

REF: Behavioral and Cognitive-Behavioral Family Therapies

1. Many clients, especially immigrants and those from cultures that view authorities as in a position of significant authority, respond well to the position of CBFT therapy.
   1. True
   2. False

REF: Behavioral and Cognitive-Behavioral Family Therapies

1. Why do cognitive-behavioral family therapists use empathy to build the therapeutic alliance?
   1. Because empathy is a curative process in and of itself
   2. To “integrate” experiential concepts to make better therapy
   3. To create rapport, allowing therapists to get to the “real” interventions of therapy
   4. To help clients to feel more comfortable with the therapy process

REF: Behavioral and Cognitive-Behavioral Family Therapies

1. Cynthia, a CBFT therapist, uses a contract with her clients primarily to:
   1. make sure her clients come to therapy consistently and to pay on time.
   2. give her clients a sense of commitment to the process as well as to motivate them.
   3. trick her clients into thinking that something is required so that they will work harder and take therapy seriously.
   4. influence her clients to work on the behaviors that they want to target.

REF: Behavioral and Cognitive-Behavioral Family Therapies

1. Problem analysis focuses on _______________ behaviors, emotions, and cognitions.
   1. dysfunctional
   2. present-day
   3. past
   4. future

REF: Behavioral and Cognitive-Behavioral Family Therapies

1. Bryan is working with a couple who has reported marital problems. He is working from a CBFT perspective, and thinks that it would be helpful to have a detailed and accurate account of the problems the couple wants to work on. Bryan asks the couple to log the frequency, duration, and severity of specific behavioral symptoms such as their anger, outbursts, conflict, and social withdrawal. This is known as what type of assessment?
   1. necessary intake procedures
   2. creating a contingent environment
   3. baseline functioning
   4. arbitrary inference

REF: Behavioral and Cognitive-Behavioral Family Therapies

1. In CBFT, a __________ allows the therapist to look for mutually reinforcing behaviors between family members and examines how these patterns are maintaining the symptom.
   1. baseline assessment
   2. interactional sequencing
   3. family life chronology
   4. functional analysis

REF: Behavioral and Cognitive-Behavioral Family Therapies

1. Albert Ellis’ A-B-C theory was developed to analyze irrational thinking with individuals and families. In this model, what does the A-B-C stand for?
   1. Action, behavior, cognition
   2. Activating event, belief, consequence
   3. Activating event, behavioral reaction, cognitive response
   4. Action, belief, cause

REF: Behavioral and Cognitive-Behavioral Family Therapies

1. Your teenage client comes in one session and states that she should be perfect. A CBFT therapist might label her desire to be perfect a _________________.
   1. symptom
   2. core belief
   3. illogical belief
   4. dysfunction

REF: Behavioral and Cognitive-Behavioral Family Therapies

1. The concept of personalization is a cognitive distortion defined by which of the following?
   1. A belief based on little evidence
   2. A belief based on one or two incidents to make a broad sweeping judgment about another’s essential character
   3. Attributing external events to oneself; especially common in intimate relationships
   4. Assigning a personality trait to someone based on a handful of incidents, often ignoring exceptions

REF: Behavioral and Cognitive-Behavioral Family Therapies

1. Dichotomous thinking is a cognitive distortion defined by:
   1. going to either extreme of overemphasizing or underemphasizing based on the facts.
   2. an all-or-nothing mentality.
   3. generalizing one or two incidents to make a broad sweeping judgment about another’s essential character.
   4. focusing on one detail while ignoring the context and other obvious details.

REF: Behavioral and Cognitive-Behavioral Family Therapies

1. __________________ are beliefs about the characteristics that the relationship and each partner “should” have according to couple cognition types.
2. Selective perceptions
3. Attributions
4. Standards
5. Expectancies

REF: Behavioral and Cognitive-Behavioral Family Therapies

1. CBFT goals are stated in _____________ and measurable terms.
   1. behavioral
   2. concrete
   3. emotional
   4. vague

REF: Behavioral and Cognitive-Behavioral Family Therapies

1. Pavlov was able to train dogs to salivate at the sound of a bell by pairing the dog’s natural response to salivate at the sight of food with a bell. When the bell was rung each time food was presented, the dog learned that the bell signaled that food was coming and began salivating. After enough repetition, the dog began to salivate with just the sound of the bell. This is called __________________.
   1. operant conditioning
   2. reinforcement training
   3. classical conditioning
   4. punishment training

REF: Behavioral and Cognitive-Behavioral Family Therapies

1. Positive reinforcement is best defined as:
   1. rewarding desired behaviors by removing something undesirable (e.g., relaxing curfew).
   2. reducing undesirable behavior by adding something undesirable (e.g., assigning extra chores).
   3. reducing undesirable behavior by removing something desirable (e.g., grounding).
   4. rewarding desired behaviors by adding something desirable (e.g., a treat).

REF: Behavioral and Cognitive-Behavioral Family Therapies

1. In operant conditioning, positive punishment is defined as:
   1. rewarding desired behaviors by adding something desirable (e.g., a treat).
   2. reducing undesirable behavior by adding something undesirable (e.g., assigning extra chores).
   3. rewarding desired behaviors by removing something undesirable (e.g., relaxing curfew).
   4. reducing undesirable behavior by removing something desirable (e.g., grounding).

REF: Behavioral and Cognitive-Behavioral Family Therapies

1. All of the following are good examples of positive reinforcement EXCEPT:
   1. a toy or treat.
   2. a compliment.
   3. a chore.
   4. expressions of appreciation.

REF: Behavioral and Cognitive-Behavioral Family Therapies

1. If a teen earns a 92 or above on an upcoming math exam and the parents agree to an 11:00 p.m. curfew on Friday and Saturday, the parents are using:
   1. contingency contract
   2. behavior exchange
   3. quid pro quo
   4. token economy

REF: Behavioral and Cognitive-Behavioral Family Therapies

1. When working with couples, mutual behavior exchanges can be useful to help partners negotiate relational rules. This is also known as:
   1. behavior exchange.
   2. contingency contract.
   3. quid pro quo.
   4. token economy.

REF: Behavioral and Cognitive-Behavioral Family Therapies

1. _____________ involves teaching clients psychological and relational principles about their problems and how best to handle them.
   1. Psychoanalysis
   2. Socratic method
   3. Psychoeducation
   4. Psychology

REF: Behavioral and Cognitive-Behavioral Family Therapies

1. When a therapist must decide whether or not to challenge a client’s irrational beliefs, the therapist should consider each of the following EXCEPT:
   1. the frequency of sessions.
   2. the therapeutic relationship.
   3. the therapist’s style.
   4. the client’s culture and/or gender.

REF: Behavioral and Cognitive-Behavioral Family Therapies

1. Which approach would be considered an inappropriate way for a CBFT therapist to confront a client’s irrational beliefs?
   1. For the therapist to explicitly tell the client their belief if irrational.
   2. For the therapist to ask the client a series of questions to help them see their belief is irrational.
   3. For the therapist to replace the irrational beliefs with realistic ones.
   4. For the therapist to use and the client to accept a more hierarchical, expert stance.

REF: Behavioral and Cognitive-Behavioral Family Therapies

1. All of the following are kept in a thought record EXCEPT:
   1. the trigger situation.
   2. the homework task.
   3. the emotional response.
   4. the cognitive distortion.

REF: Behavioral and Cognitive-Behavioral Family Therapies

1. One of the key factors in CBFT case conceptualization is:
   1. to describe the relationship between the family and the symptom.
   2. to describe each person’s role in the interaction sequence.
   3. to define the problem in concrete, measurable terms.
   4. to define the parts patterns between people.

REF: Behavioral and Cognitive-Behavioral Family Therapies

1. In which paradoxical approach to cognitive-behavioral therapy is the client guided to accept difficult thoughts and emotions in order to transform them?
   1. Acceptance therapy
   2. Cognitive-behavioral family therapy
   3. Dialectical-behavioral therapy
   4. Mindfulness-based therapy

REF: Mindfulness-Based Therapies

1. If Shelly, a mindfulness-based therapist wants to lead her client in mindfulness practice, she must do what?
   1. Be fully congruent with herself.
   2. Be engaged in her own mindfulness practices.
   3. Be free of any mental difficulties.
   4. Be fully differentiated from her family of origin.

REF: Mindfulness-Based Therapies

1. In mindfulness-based stress reduction and mindfulness-based cognitive therapy, clients learn to do all of the following EXCEPT:
   1. become curious, open, and accepting of their thoughts and feelings, even those that are unpleasant.
   2. deliberately distract their attention and thereby better control their thoughts.
   3. develop greater acceptance of self, other, and things as they are.
   4. live in and experience themselves in the present moment.

REF: Mindfulness-Based Therapies

1. DBT therapists help clients “be with” difficult emotions by encouraging clients to manage dialectical tension, the tension between __________________.
   1. wants and desires
   2. two polar opposites
   3. thoughts and feelings
   4. being and doing

REF: Mindfulness-Based Therapies

1. _______________ is based on the postmodern premise that we construct our realities through language, which shapes our thoughts, feelings, and behaviors.
   1. dialectical behavioral therapy
   2. cognitive-behavioral family therapy
   3. mindfulness-based therapy
   4. acceptance and commitment therapy

REF: Mindfulness-Based Therapies

1. When working with couples and families to improve their relationships, therapists often emphasize loving kindness meditation rather than mindfulness breath meditation
   1. True
   2. False

REF: Mindfulness-Based Therapies

1. All of the following statements about the Gottman method couples therapy approach are true EXCEPT?
   1. The therapist coaches couples to develop the interaction patterns that distinguish successful marriages from marriages that end in breakup.
   2. This model is grounded entirely in research results rather than theory.
   3. Happily married couples do not engage in defensiveness, criticism, and stonewalling.
   4. Better communication produces short-term gains but does not significantly affect whether or not the couple stays together.

REF: Gottman Method Couples Therapy

1. In the Gottman method of couples therapy, the therapist plays the role of:
   1. coach.
   2. observer.
   3. advisor.
   4. partner.

REF: Gottman Method Couples Therapy

1. Criticism, one of the four horsemen, is best described as:
   1. seeing oneself as superior to one’s partner.
   2. when the listener withdraws from interaction, either physically or mentally.
   3. useful in warding off attack and defensiveness claims.
   4. A statement that implies something is globally wrong with the partner.

REF: Gottman Method Couples Therapy

1. In the Gottman method of couples therapy, love maps are used:
   1. to help the couple become more aware of the issues that are important to their partner.
   2. to help the couple understand what helps their partner feel loved.
   3. as an outline of things that are hurtful to each partner in the couple.
   4. as an outline of the ways each partner expresses love in the relationship.

REF: Gottman Method Couples Therapy

1. Which of the following is not a soft start up rule according to the Gottman method?
   1. Complain but don’t blame
   2. Ask for what you need
   3. Avoid sharing negative feelings
   4. Be polite and appreciative

REF: Gottman Method Couples Therapy

1. When using CBFT with a diverse population, it is important to keep in mind:
2. CBFT is a good fit with any cultural group because it focuses on thoughts and behaviors rather than emotion.
3. CBFT treatment goals outweigh religious, cultural, or socio-economic values.
4. CBFT therapists should not take an expert stance if the family is of a different cultural background.
5. CBFT goals inherently conform to dominant cultural values therefore it is necessary to be culturally sensitive.

REF: Tapestry Weaving: Working with Diverse Populations

Short Answer

1. How can CBFT be used effectively with parenting?
2. What are some similarities and differences between CBFT and mindfulness-based approaches?
3. Define each of the four horsemen of the apocalypse.
4. List and describe two interventions a therapist might employ using the Gottman method.
5. List and describe two ways for successfully working with Hispanic and Latino clients using CBFT.