Exam Questions Systemic Therapies MRI and Milan Ch5

Chapter 5: Systemic Therapies: MRI and Milan

Multiple Choice

1. MRI systemic therapists conceptualize symptoms of individuals within the larger network of their family and socials systems. MRI systemic therapists take a __________ stance toward all members of the family.
   1. nonblaming
   2. pathologizing
   3. homeostatic
   4. logical

REF: MRI Systemic Therapy

1. In response to a mother’s report that her daughter no longer brings her tea in the morning and that it must mean that her daughter does not love her, the therapist says, “Your daughter bringing you tea fewer times a week may mean she is building friendships with girls her own age, which could be a sign she is making progress toward her goal of becoming more independent.” What is the term to describe this intervention?
   1. paradox
   2. metacommunication
   3. reframe
   4. attempted solution

REF: MRI Systemic Therapy

1. Which of the following best describes a systemic reframe?
   1. Therapists seeing the problem not as an individual problem, but as a relational one.
   2. Finding an alternative, yet equally plausible explanation for the same set of facts.
   3. Discussing what the client has been doing to solve their problem.
   4. The therapist identifying the interactional behavioral sequences that constitutes the problem.

REF: MRI Systemic Therapy

1. MRI therapists focus solely on resolving the presenting problem, with the therapist imposing no other goals or agendas.
   1. True
   2. False

REF: MRI Systemic Therapy

1. MRI therapists see the presenting problem as ______________________.
   1. an individual problem
   2. a parenting problem
   3. an interactional problem
   4. a transgenerational problem

REF: MRI Systemic Therapy

1. The goal of the first session in MRI systemic therapy is:
   1. identifying the family dysfunction.
   2. getting a clear, behavioral description of the interaction sequence surrounding the problem.
   3. correcting interactional behavioral patterns.
   4. reconfiguring the family around new information the therapist has introduced into the system.

REF: MRI Systemic Therapy

1. The general flow of MRI systemic therapy is as follows:
   1. assess the interactional sequence and meanings, interrupt the sequence, evaluate outcome, assess for new problems.
   2. assess the interactional sequence and meanings, interrupt the sequence, evaluate outcome, terminate.
   3. assess the interactional sequence and meanings, interrupt the sequence, evaluate outcome, interrupt new pattern.
   4. assess the interactional sequence and meanings, fix the sequence, evaluate outcome, fix new pattern.

REF: MRI Systemic Therapy

1. The term maneuverability refers to _______________________________________.
   1. the therapist’s ability to try different therapeutic approaches to finding a solution for the client
   2. the therapist’s freedom to explore different aspects of a person’s relationships
   3. repositioning the power differentials in the family to readjust the system
   4. the therapist’s freedom to use personal judgment in defining the therapeutic relationship

REF: MRI Systemic Therapy

1. You are seeing a couple who is arguing about how to discipline a defiant child. During the session, you focus on how the parents communicate rather than focusing on how to solve the problem. Which of the following describes what you are doing?
   1. Detecting the problem
   2. Detecting the roles in the family
   3. Detecting the interaction pattern
   4. Detecting who to blame for the problem

REF: MRI Systemic Therapy

1. The interactional pattern is traced through four general phases. All of the following are one of the phases EXCEPT:
2. negative feedback.
3. homeostasis.
4. positive feedback.
5. self-correction.

REF: MRI Systemic Therapy

1. If parents always respond to a child’s defiant behavior with some form of lecture and verbal punishment, an MRI systemic therapist would categorize this as what type of solution?
   1. failed solution
   2. old hat
   3. illogical
   4. more of the same

REF: MRI Systemic Therapy

1. All of the following are examples of metacommunication EXCEPT:
   1. voice tone.
   2. content.
   3. eye glances.
   4. smirks.

REF: MRI Systemic Therapy

1. According to MRI systemic therapists, what type of change is essential for problems in families to be resolved?
   1. Permanent change
   2. First-order-change
   3. Dramatic Change
   4. Second-order-change

REF: MRI Systemic Therapy

1. When developing goals in therapy, MRI systemic therapists approach therapy by focusing on targeting _________________________.
   1. the parent unit
   2. the preferred solution
   3. the presenting problem
   4. the attempted solution

Answer D (p. 78)

1. From an MRI systemic perspective, a problem-generating double bind is different from a therapeutic double bind because ____________________________________.
   1. it is used to undo a double-bind messages in a family or relationship
   2. no matter what you do, you are wrong; there is no escape
   3. no matter what you do, you do something different
   4. it moves the family in a new direction.

REF: MRI Systemic Therapy

1. Circular questions ____________________________________________________.
   1. assess and make overt the overall dynamics and interactive patterns in the system
   2. typically cause confusion amongst clients
   3. provide the therapist an opportunity to offer the clients a reframe
   4. provide blame

REF: Milan Systemic Therapy

1. Each session of Milan systemic therapy is divided into the following five segments:
   1. pre-assessment, session, intersession, reframe, discussion.
   2. pre-session, session, intervention, intersession, discussion.
   3. pre-session, discussion, session, intervention, intersession.
   4. pre-session, session, intersession, intervention, discussion.

REF: Milan Systemic Therapy

1. The Milan team first described their therapeutic stance as one of ___________.
   1. logic
   2. neutrality
   3. action
   4. balance

REF: Milan Systemic Therapy

1. Neutrality refers to ___________________________________.
   1. nonpartiality toward particular family members
   2. the therapist’s own feelings
   3. the willingness to honor all perspectives
   4. driving towards a particular outcome

REF: Milan Systemic Therapy

1. In Milan systemic theory, the therapeutic stance is primarily one of __________.
   1. curiosity
   2. authority
   3. balance
   4. nonpartiality

REF: Milan Systemic Therapy

1. A therapist showing irreverence towards a problem might do which of the following?
   1. Focus on a person’s unresolved childhood issue.
   2. Blame a client’s personality flaw.
   3. Focus on a client’s illness.
   4. See the problem calmly and fearlessly.

REF: Milan Systemic Therapy

1. A Milan systemic therapist should abandon their hypothesis about the family if it is not serving its purpose.
   1. True
   2. False

REF: Milan Systemic Therapy

1. A wife who states, “He’s an angry person.” in describing her husband is demonstrating __________.
   1. family games
   2. a therapeutic reframe
   3. irreverence
   4. the tyranny of linguistics

REF: Milan Systemic Therapy

1. The overarching focus of Milan therapy is to:
   1. correct or fix the family’s interaction.
   2. generate new meanings and distinctions for the system that changes the interactional behavior sequences in the family.
   3. take an active stance to correct the family system.
   4. maintain the family interaction patterns.

REF: Milan Systemic Therapy

1. Ben, the 13-year-old son of a family you are seeing, frequently breaks curfew and comes home late. A Milan systemic therapist might create a ___________ that explains how his behavior serves his family.
   1. goal
   2. hypothesis
   3. family game
   4. positive label

REF: Milan Systemic Therapy

1. The following are common types of hypotheses in Milan systemic therapy EXCEPT:
   1. hypotheses about alliances.
   2. hypotheses about relationships.
   3. hypotheses about myths and premises.
   4. hypothesis that analyze communication.

REF: Milan Systemic Therapy

1. All of the following are examples of interventions used in Milan systemic therapy EXCEPT:
   1. positive connotation.
   2. paradox.
   3. circular questions.
   4. rituals.

REF: Milan Systemic Therapy

1. A therapist instructing two parents to arrange to go on a date and not tell the children where they are going or why is implementing ______________________.
   1. A family game
   2. counterparadox
   3. ritual
   4. an invariant prescription

REF: Milan Systemic Therapy

1. Systemic therapists adapt relatively easily to different cultural groups and subpopulations.
   1. True
   2. False

REF: Tapestry Weaving: Diversity Considerations

1. Understanding heterosexism refers to:
   1. therapists becoming aware that gender and sexual minorities have occasional experiences of being marginalized.
   2. therapists becoming aware that gender and sexual minorities have daily experiences of being judged.
   3. a heterosexual therapist engaging in personal reflection of their experience of being privileged.
   4. a therapist disclosing one’s sexual orientation when working with GLBTQ clients.

REF: Tapestry Weaving: Diversity Considerations

Short Answer

1. Define reframing. How might an MRI systemic therapist utilize reframing during a session?
2. Describe two types of interventions used in MRI systemic therapy.
3. What might some working-phase client goals be for an MRI treatment plan?
4. Describe the therapeutic relationship utilized in Milan systemic therapy.
5. In what ways are systemic theories adaptable for different cultural groups including GLBTQ individuals?