Symbolic-Experiential Full Test Bank Chapter 9 1st Edition

Chapter 9: Symbolic-Experiential

and Internal Family Systems

Multiple Choice

1. Symbolic-experiential therapy is an experiential family therapy model that was developed by ___________________________.
   1. Richard Schwartz
   2. Virginia Satir
   3. Susan Johnson
   4. Carl Whitaker

REF: Symbolic-Experiential Therapy

1. Symbolic-experiential therapy focuses on ___________________ and family structure.
   1. cognitive logic
   2. behavioral sequences
   3. dysfunctional relationships
   4. emotional process

REF: Symbolic-Experiential Therapy

1. The founder of symbolic-experiential therapy believed therapists need to win the battle for structure because they are responsible for setting up a program for change and need to ensure a structure for change is in place. All of the following factors contributing to the structure for change EXCEPT:
   1. the necessary people attend therapy.
   2. the session content goes into depth or covers necessary areas.
   3. the therapy occurs frequently enough to produce progress.
   4. the session process will produce change.

REF: Symbolic-Experiential Therapy

1. Which of the following statements most accurately summarizes the battle for initiative?
   1. Therapists should never work harder than their clients.
   2. Therapists should avoid tension and crisis in therapy at all costs.
   3. The therapist is responsible for initiating client change.
   4. Clients should allow their therapist to be overly helpful.

REF: Symbolic-Experiential Therapy

1. Which of the following is true of absurdity as it is used in symbolic-experiential therapy?
   1. Absurdity is used for absurdity’s sake.
   2. Absurdity is used to avoid speaking directly about a sensitive issue.
   3. Absurdity allows the therapist to play with otherwise serious matters.
   4. Absurdity uses a paradoxical technique that takes the symptom and minimizes it greatly.

REF: Symbolic-Experiential Therapy

1. If a symbolic-experiential therapist is feeling annoyed in session and chooses to convey this to her client, this is considered ______________________.
   1. use of absurdity
   2. use of integrity
   3. use of authenticity
   4. use of professionalism

REF: Symbolic-Experiential Therapy

1. Symbolic-experiential therapists strive to be responsible to the family without being responsible for them.
   1. True
   2. False

REF: Symbolic-Experiential Therapy

1. The founder of symbolic-experiential therapy believed strongly in the use of _________________ to provide a balance of support and challenge.
   1. a cotherapist
   2. boundaries
   3. confrontation
   4. personal integrity

REF: Symbolic-Experiential Therapy

1. All of the following are true of the trial of labor, which refers to the assessment process of symbolic-experiential therapy, EXCEPT:
   1. the therapist tries to understand each person’s preferred family roles, beliefs, and values.
   2. the therapist attends to the structural organization of the family and the emotional processes within the family.
   3. the therapist observes how the family responds to the therapist’s interventions and interactions.
   4. the therapist focuses primarily on the family’s behavioral interactions rather than their emotional system.

REF: Symbolic-Experiential Therapy

1. Symbolic-experiential therapists view families as highly resilient and ____________.
   1. inflexible
   2. resourceful
   3. flexible
   4. adaptable

REF: Symbolic-Experiential Therapy

1. The three primary goals that symbolic-experiential therapists have for all clients include all of the following EXCEPT:
   1. increase family cohesion - create a sense of nurturance and confidence in problem solving.
   2. promote personal growth- support the completion of developmental tasks for all family members.
   3. establish effective parental hierarchy and sever cross-generational coalitions.
   4. expand the family’s symbolic world.

REF: Symbolic-Experiential Therapy

1. Symbolic-experiential family therapists accomplish the goal of increasing family cohesion and the authenticity of family relationships by focusing on what two key areas?
   1. Personal boundaries and transgenerational boundaries
   2. Interpersonal boundaries and transgenerational boundaries
   3. Transgenerational boundaries and self-actualization
   4. Interpersonal boundaries and self-actualization

REF: Symbolic-Experiential Therapy

1. How might a therapist know that the client has achieved personal growth and successfully navigated developmental tasks, thereby achieving self-actualization?
   1. Self-actualization is a life-long process, therefore only the client will know when they have achieved self- actualization.
   2. The therapist will know that the client has achieved self- actualization when the client is no longer attending sessions regularly.
   3. Self-actualization is too difficult to quantify and therefore impossible for a client or therapist to articulate.
   4. The therapist will know that the client is making progress towards self- actualization when the client is no longer experiencing symptoms at the individual level and they are able to function in most areas of daily life.

REF: Symbolic-Experiential Therapy

1. Interventions utilized in symbolic-experiential therapy include all of the following EXCEPT:
   1. creating confusion and disorganization.
   2. here-and-now experiencing.
   3. redefining and expanding symptoms.
   4. breaking down parental hierarchy.

REF: Symbolic-Experiential Therapy

1. If a symbolic-experiential therapist, working with a family says to the father, “When did you divorce your wife and marry your daughter?” the therapist is attempting to ______________________________________________.
   1. be playful and therefore decrease resistance
   2. help the client to separate personal issues from interpersonal issues
   3. expand the symptom from an individual matter to a family matter
   4. affectively confront the family to interrupt rigid patterns

REF: Symbolic-Experiential Therapy

1. Internal family systems theory is an integrative theory, which combines elements of which theories?
   1. Solution focused, strategic, cognitive behavioral, and collaborative
   2. Structural, strategic, intergenerational, and narrative
   3. Structural, strategic, cognitive behavioral, and collaborative
   4. Structural, solution focused, intergenerational, and narrative

REF: Internal Family Systems Therapy

1. All of the following are true of internal family systems EXCEPT:
   1. each person’s inner life has multiple parts that form a system that functions like a family system.
   2. each person’s inner world is characterized as having various parts that interrelate as a coherent system with the same dynamics one would see in a family.
   3. internal family therapists see some parts of the system as good and others as bad; the goal of therapy is to separate them out.
   4. each person has a Self that is its core and distinct from its parts that has vision, compassion, and confidence; the goal of therapy is to have this Self provide inner leadership to the various parts.

REF: Internal Family Systems Therapy

1. Internal family systems use a(n) _______________ approach to building relationships with clients based on the assumption that all people have a highly competent self at their core.
   1. integrative
   2. directive
   3. collaborative
   4. hierarchical

REF: Internal Family Systems Therapy

1. According to internal family systems, a part of the client may react to the therapist as if the therapist was someone from the client’s past OR the same can happen to the therapist where the therapist responds to a client based on another past relationship. This concept known as:
   1. Ego/superego
   2. Attack/assumption
   3. Transference/countertransference
   4. Interpersonal/Intrapersonal

REF: Internal Family Systems Therapy

1. According to internal family systems, the Self is considered the seat of consciousness and is considered the natural leader of the internal family system. When problems occur, what happens to the Self?
   1. The parts remove the Self from leadership to safeguard it
   2. The Self remains the leader of the internal family system
   3. The parts protect the Self by balancing it with the other parts
   4. The Self takes on an extreme role to protect itself

REF: Internal Family Systems Therapy

1. Exiles are best described as:
   1. Used to keep managers locked up so they cannot take control
   2. Parts of self that forcefully keep firefighters in check
   3. An oppressed group kept from the conscious mind at any cost
   4. Helpers used to keep the Self in control

REF: Internal Family Systems Therapy

1. The controller, the perfectionist, the dependent one, the passive pessimist, and the worrier are all examples of what subpersonality?
   1. The Self
   2. Exiles
   3. Firefighters
   4. Managers

REF: Internal Family Systems Therapy

1. ______________________ occurs when parts assume leadership rather than the self assuming leadership, for the purpose of protecting the self.
   1. Effectiveness
   2. Countermeasure
   3. Imbalance
   4. Polarization

REF: Internal Family Systems Therapy

1. Effective family leadership results in the balance of each of the following EXCEPT:
   1. a shared identity of vision.
   2. resources and responsibilities.
   3. healthy boundaries between members.
   4. enmeshment between parts.

REF: Internal Family Systems Therapy

1. When an internal family systems therapist is assessing the relationship between parts of individuals in relationships, they are looking for what types of patterns?
   1. Triangulation and enmeshment
   2. Polarization and paradoxes
   3. Polarization and enmeshment
   4. Triangulation and paradoxes

REF: Internal Family Systems Therapy

1. Conflicts that result when one person is overwhelmed by their painful exiles and the other responds with their managers to help caretake are referred to as:
   1. manager-manager polarizations.
   2. manager-exile polarizations.
   3. manager-firefighter polarizations.
   4. enmeshment between parts.

REF: Internal Family Systems Therapy

1. An internal family systems therapist observes that his teenaged client is rebelliously acting out at home and her parents are frantically trying to manage the teen with greater and greater punishments. How would the therapist identify this polarization?
   1. Enmeshment between parts
   2. Manager-manager polarizations
   3. Manager-exile polarizations
   4. Manager-firefighter polarizations

REF: Internal Family Systems Therapy

1. The ultimate goal and definition of healthy functioning in internal family systems is defined by ____________________.
   1. self-leadership
   2. self-indulgence
   3. self-regulation
   4. self-esteem

REF: Internal Family Systems Therapy

1. When an internal family systems therapist asks questions such as: How often do you hear from this part of you? How do you feel toward this part of yourself?, the therapist is attempting to do what with the client?
   1. Introduce the language of parts
   2. Control blending to prevent certain parts from activating
   3. Developing an image of the part
   4. Assess the client’s internal relationships

REF: Internal Family Systems Therapy

1. An internal family systems therapist might utilize the _____________ technique when a client has a part that is either overwhelming or elusive, in order to help the client deal with the part better.
   1. pretend
   2. blending
   3. directing
   4. room

REF: Internal Family Systems Therapy

1. Which of the following factors has been researched and supported by the evidence base related to experiential therapies?
   1. The interventions
   2. The client
   3. The therapeutic relationship
   4. The outcome

REF: Research and the Evidence Base

Short Answer

1. How is absurdity used in symbolic-experiential therapy?
2. Describe two interventions used in symbolic-experiential therapy.
3. List and describe the three subpersonalities described in internal family systems. Provide an example of each.
4. What are some common working-phase client goals one might see on an internal family systems treatment plan?
5. How might symbolic therapies be adapted to be more effective when used with diverse populations?