Test Questions & Answers Chapter.13 Narrative Therapy

Chapter 13: Narrative Therapy

Multiple Choice

1. Similar to solution-based therapists, postmodern therapists optimistically focus on ____________________________.
   1. problem solving
   2. client strengths and abilities
   3. changing behavior
   4. family relationships

REF: Lay of the Land

1. According to narrative therapy, we create the meaning of life events using available _________________, such as societal stories, sociocultural practices, assumptions, and expectations about how we should live.
   1. rules
   2. schemas
   3. dominant discourses
   4. cultural narratives

REF: Narrative Therapy

1. ______________________ exist in our heads, our closer relationships, and marginalized communities.
   1. Dominant discourses
   2. Schemas
   3. Local discourses
   4. Cognitive distortions

REF: Narrative Therapy

1. From a narrative perspective, _______________ are not the problem; problems are the problem.
   1. families
   2. symptoms
   3. cultures
   4. people

REF: Narrative Therapy

1. All of the following are phases of narrative therapy EXCEPT:
   1. meeting the person.
   2. listening.
   3. connecting person with problem.
   4. enacting preferred narratives.

REF: Narrative Therapy

1. Instead of replacing the problem story with a problem-free story, narrative therapists help their clients to ________________________________.
   1. redefine client’s problems as opportunities
   2. find new ways to view, interact with, and respond to problems in their lives by redefining the role of problems
   3. help clients to realize how others have “wronged” them
   4. speak out loud their beliefs about the problem therefore realizing how absurd they are

REF: Narrative Therapy

1. Therapists may ask any of the following questions to meet the client apart from the problem EXCEPT:
   1. “What do you do for fun?”
   2. “Tell me about your friends and family.”
   3. “What is important to you in life?”
   4. “When did the problem first enter your life?”

REF: Narrative Therapy

1. The role of the therapist in narrative therapy is often described as ____________.
   1. coeditor
   2. director
   3. author
   4. guide

REF: Narrative Therapy

1. As clients are talking, narrative therapists listen for ________________________.
   1. underlying emotions
   2. solutions
   3. the problem-saturated story
   4. optimism and hope

REF: Narrative Therapy

1. Clara, a 13-year-old girl who typically cuts herself when she feels anxious, decides one night to call a friend instead of cut. When she tells this to her therapist, her therapist labels this as an example of _________________.
   1. a problem-saturated story
   2. a unique outcome
   3. a gender discourse
   4. an exception

REF: Narrative Therapy

1. If a group of teenagers creates a subculture with different beauty standards, sexual norms, vocabulary and friendship rules that are found in the adult culture, this is an example of a __________________________.
   1. dominant discourse
   2. gender discourse
   3. supportive discourse
   4. local discourse

REF: Narrative Therapy

1. Narrative therapy includes a set of predefined goals that can be used with all clients.
   1. True
   2. False

REF: Narrative Therapy

1. A common goal of narrative therapy is to increase a client’s sense of _________, the sense that they influence the direction of their lives.
   1. efficacy
   2. strength
   3. agency
   4. hope

REF: Narrative Therapy

1. A narrative therapist is working with a 17-year-old client, Amy, and her mother regarding Amy’s struggles with an eating disorder. As therapy has progressed and the therapist has worked with Amy to separate the problem from herself, the therapist might phrase a middle phase goal in therapy in which of the following ways?
   1. Increase food intake from less than one time daily to 3 times daily in 6 weeks.
   2. Reduce the rigid patterns that fuel the anorexic behavior.
   3. Increase instances of resistance in response to anorexia’s directions to not eat.
   4. Reduce the negative contact between Amy and the anorexia.

REF: Narrative Therapy

1. In narrative therapy, the process or intervention of separating the person from the problem is known as _______________________.
   1. deconstruction
   2. mapping
   3. personalization
   4. externalization

REF: Narrative Therapy

1. Externalization can have which of the following beneficial effects?
   1. It can increase unproductive conflict and blame between family members.
   2. It can invite people to unite in a struggle against the problem to reduce its negative influence.
   3. It can reduce blame on the client.
   4. I can encourage constant, unhelpful interaction with the problem.

REF: Narrative Therapy

1. Relative influence questioning is composed of two parts: mapping the influence of the problem and mapping the influence of the persons.
   1. True
   2. False

REF: Narrative Therapy

1. Narrative therapists use _______________ to help clients build different relationships with their problems.
   1. externalizing questions
   2. internalizing questions
   3. conventional questions
   4. paradoxical questions

REF: Narrative Therapy

1. “What effects does the anxiety have on your life and relationship?” is an example of a/an _________________________.
   1. internalizing question
   2. externalizing question
   3. conventional question
   4. deconstructive question

REF: Narrative Therapy

1. ___________ help clients to further “unpack” their stories to see how they have been constructed, identifying the influence of dominant and local discourses. These typically target problematic beliefs, practices, feelings, and attitudes.
   1. Constructive questions
   2. Externalizing questions
   3. Conventional questions
   4. Deconstructive questions

REF: Narrative Therapy

1. Narrative therapists privilege ____________ questions over __________ questions (such as “What were you feeling?”) in order to promote a sense of personal agency.
   1. intentional state; internal state
   2. internal state; intentional state
   3. external; internal
   4. internal; external

REF: Narrative Therapy

1. ____________ moves clients from that which is familiar to that which is novel.
   1. Externalizing
   2. Psychoeducation
   3. Scaffolding
   4. Curiosity

REF: Narrative Therapy

1. If a narrative therapist said to a client, “Would it be okay if I ask you some questions about your sex life?”, the therapist is using what technique?
   1. empathetic understanding
   2. situating comments
   3. permission questions
   4. paradoxical questions

REF: Narrative Therapy

1. The following are guidelines for narrative reflecting teams EXCEPT:
   1. team members participate in a monologue.
   2. comments should be offered in a tentative manner.
   3. comments are based on what actually occurs in the room.
   4. reflections should be kept short.

REF: Narrative Therapy

1. In narrative therapy, letters are used for each of the following purposes EXCEPT:
   1. to solidify preferred narratives.
   2. to emphasize client agency.
   3. to consolidate gains in therapy.
   4. to scrutinize the problem story.

REF: Narrative Therapy

1. Narrative therapy is often the therapy of choice for working with gay, lesbian, bisexual, transgendered, and questioning clients because it helps to deconstruct the _______________ discourses that are often the greatest suffering in GLBTQ clients.
   1. minority
   2. local
   3. heterosexist
   4. gay-affirmative

REF: Tapestry Weaving: Working with Diverse Populations

Short Answer

1. What are the differences between dominant and local discourses?
2. How might a narrative therapist separate the person from the problem?
3. How might a narrative therapist utilize a unique outcome in therapy?
4. Name and describe two interventions utilized in narrative therapy.
5. In what ways is narrative therapy an ideal modality in working with diverse populations?