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Integrative Brief Therapy: Cognitive, Psychodynamic,
Humanistic & Neurobehavioral Approaches
(2nd edition)
Question from chapter 1
1) Psychotherapy outcome studies yielded all the following conclusions EXCEPT
a) psychotherapy is effective
b) a minority of clients get worse
c) no single type of psychotherapy emerged as clearly superior
d) therapists' personality style and characteristics are unimportant
2) Which is NOT one of Roger's necessary and sufficient ingredients?
a) genuineness
b) congruence
c) unconditional positive regard
d) accurate empathic understanding
Question from chapter 2
3) The author assumes that "All people are not created equal".
a) True
b) False
4) "Psychotic" is in which dimension of functioning in the model presented?
a) Level of Functioning
b) Personality Style
c) Biological Predisposition
d) Level of Psychosocial Stressors
5) What are standardized psychotherapy guidelines that have been developed for use in the
treatment of specific symptom disorders?
a) trip tics
b) flowchart therapy
c) treatment protocols
d) evidence based therapy
Question from chapter 3
6)
A useful way to consider emotional suffering is to distinguish between _____ pain.
a) my and your
b) necessary and unnecessary
c) temporal and existential
d) temporary and chronic
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7) The theory of _____ holds that the understanding of human emotional responses can
vary tremendously depending on the perspective from which it is viewed.
a) uncertainty principle
b) prism effect
c) observer bias
d) looking glass angle
Question from chapter 4
8) Freud noticed that soldiers returned from the WWI front suffering from _____
psychological symptoms.
a) wildly divergent
b) remarkably similar
c) as yet unnamed
d) relatively mild
9) In which response to stress does the person experience waves of intense emotion and a
strong impulse to relive the event?
a) outcry
b) intrusion
c) denial
d) comprehension
Question from chapter 5
10) The first factor which determines whether or not catharsis is experienced as helpful is
a) can the strong emotions be endured
b) can the memories remain in the conscious present
c) is there a practical application for the insight
d) can the insight be generalized
11) Which type of talking defense is "I shouldn't cry"?
a) Injunctions
b) Quick Closure
c) Minimizing
d) Outright Denial
12) Views of reality which are influenced by what people have been told by others and which
are shaped by injunctions are what the author calls _____ of reality.
a) version one
b) imposed views
c) borrowed views
d) their take
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Question from chapter 6
13) Adaptation is a blend of
a) experience and self-expression
b) self-expression and accommodation
c) accommodation and growth
d) growth and experience
14) "Neurotic Accommodation" is associated with which leve of socialization?
a) Under-socialized
b) Optimal
c) Severe
d) Over-socialized
Question from chapter 7
15) Which characteristic of mental health has been referred to as "psychological
mindedness"?
a) self-entitlement
b) aliveness of affect
c) the ability to identify inner feelings, wishes, needs and thoughts
d) the ability to provide self-soothing
16) Which crucial personality characteristic was added by the author to Masterson's list?
a) self-entitlement
b) self-assertion
c) having a profound understanding for one's humanness
d) believing in the pot of gold at the end of the rainbow
Question from chapter 8
17) Cognition refers to the process of
a) feeling
b) having
c) wondering
d) knowing
18) Which is NOT one of the cognitive styles mentioned?
a) conceptual processing
b) experiential processing
c) primary process thinking
d) tertiary processing
19) All the following are mentioned as cognitive and perceptual errors EXCEPT
a) sensitizing experiences
b) altered brain functioning
c) enduring beliefs
d) cost/benefit analyses
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Question from chapter 9
20) Which maladaptive schema is composed of an excessive involvement with others at the
expense of the development of a self?
a) enmeshment
b) dependence
c) social isolation
d) abandonment
21) The "self-centered" theme is listed as being which manifest as which type of schema?
a) negative maladaptive schema
b) positive-maladaptive
c) neutral
d) adaptive
Question from chapter 10
22) What holds that one psychological state or response is caused by an earlier
psychological state?
a) the butterfly effect
b) imprinting
c) psychic determinism
d) learning theory
23) "Increased alertness and vigilance" occurs at which level of perceiving and cognitively
processing events?
a) effects on cognitive functioning
b) emotional reactions
c) behavioral responses
d) somatic sensations
Question from chapter 11
24) Carl Rogers believed in an innate human tendency towards
a) pleasure
b) procreation
c) others
d) growth
25) In which of Roger's stages is the beginning expression of emotions and personal
cognitions?
a) Stage 1
b) Stage 2
c) Stage 3
d) Stage 4
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26) Which refers to the critical ingredient in a therapeutic relationship that fostered healing,
growth, and change?
a) corrective emotional experience
b) minimum viable product
c) prime directive
d) the heart of therapy
Question from chapter 12
27) The emotional brain is made up of the limbic system and the
a) pons
b) hypothalamus
c) hippocampus
d) Circle of Willis
28) In the theory of _____, psychosocial stressors may ignite the first one or two episodes of
bipolar disorder which thereafter becomes more of an autonomous biological disorder.
a) kindling
b) tipping
c) priming
d) stuffing
Question from chapter 13
29) When creating a diagnostic map, the fundamental assessment issue is
a) level of interpersonal relatedness
b) personality style
c) the client's level of functioning
d) client characteristics relevant to treatment planning
30) One of the most useful of the models that address the issue of level of functioning and
emotional vulnerability is the _____ model.
a) ego function
b) life skills scale
c) emotional flexibility
d) ability to adapt
31) Which is defined as the ability to resist decompensation and dysfunction?
a) overcontrol
b) resiliency
c) emotional tolerance
d) dyscontrol
32) A "global, holistic" cognitive style is associated with which personality style?
a) obsessive-compulsive
b) anti-social
c) schizoid-detached
d) histrionic-hysterical
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Question from chapter 14
33) A person who concludes "No matter what I do, I am unable to control or resolve the
stress" is in a state of
a) denial
b) shock
c) schematic deprivation
d) learned helplessness
34) The prognosis is more positive when the client
a) personally wants to enter treatment
b) is going to therapy because they are coerced into it
c) is going to therapy to recruit an ally in a struggle against a third party
d) going to therapy to get drugs
Question from chapter 15
35) Which liability may interfere with optimal emotional growth?
a) significant privation
b) lack of appropriate social supports
c) lack of adequate social skills
d) all the above
36) "Negative cognitions" are which type of factor that may directly interfere with emotional
healling processes?
a) overdefensiveness
b) negative core schemas
c) emotional destabilization
d) pain amplifiers
Question from chapter 16
37) The healthy clients with "necessary pain" have a relative absence of all of the following
EXCEPT
a) harsh self-criticism
b) extreme pessimism
c) excessive defensiveness
d) normal inhibitions
38) Which is not a step to increase the awareness of inner truths?
a) establish a sense of safety
b) encourage a rapid stream of consciousness approach
c) encourage clients to talk
d) the therapist must be attentive
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Question from chapter 17
39) Resistances always occur because the person is afraid.
a) True
b) False
40) Which type of resistance is "It does hurt, but I need to be strong"?
a) minimization comments
b) changing passive to active
c) critical injunctions
d) dissociative symptoms
41) "I do miss him, but I'll get over it" is an example of which type of resistance?
a) language that negates
b) global conclusions
c) moving towards intellectual insights
d) flight into health
42) All the following are examples of pernicious resistances EXCEPT
a) negative therapeutic reaction
b) an intense need to suffer
c) primary gain
d) severe acting out
Question from chapter 18
43) Interventions to challenge cognitive distortions often fail because the interventions are
a) too general
b) too specific
c) too slow
d) too hasty
44) A man who sees his pot belly in the mirror and thinks "I'm disgusting" is an example of
a) tunnel vision
b) jumping to conclusions
c) negative predictions
d) all-or-none thinking
Question from chapter 19
45) Which is a Gestalt technique to help weaken maladaptive schemas?
a) the empty letter technique
b) the empty mind technique
c) the two-chair technique
d) the three-leg-stool technique
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46) Which approach has recently been used to modify schemas?
a) light therapy
b) EMDR
c) re-birthing
d) ECT
Question from chapter 20
47) Providing a _____ means being able to understand and appreciate the true nature of
particular recurrent patterns of interaction, and then to resist the urge to join the dance.
a) new dance partner
b) cognitive escape hatch
c) corrective emotional experience
d) disk reformatting
48) Which is NOT a common way therapists are tested?
a) will you abandon me?
b) will you criticize me?
c) will you attack me?
d) will you infantilize me?
Question from chapter 21
49) Which is NOT mentioned as an intervention to help foster the development of a more
solid self?
a) maintaining clear boundaries
b) encourage permeable boundaries
c) show clients that we respect their emerging autonomy
d) encourage the client to be assertive in life outside therapy sessions
Question from chapter 22
50) Treatment with benzodiazepines is risky with these two groups:
a) psychosis and borderline personality disorder
b) borderline personality disorder and history of substance abuse
c) history of substance abuse and antisocial personality disorder
d) antisocial personality disorder and psychosis
51) In the therapeutic relationship, the therapist is to act as an emotional
a) roller coaster
b) shock absorber
c) band aid
d) bouncy castle
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Question from chapter 23
52) Stages 3 and 4 of non-REM sleep contains a particular type of brain wave activity
referred to as _____ sleep.
a) alpha
b) beta
c) gamma
d) delta
53) If a person ingests more than _____ of caffeine per day, the caffeine is likely to affect
sleep.
a) 50mg
b) 125mg
c) 250mg
d) 750mg
Question from chapter 24
54) Which is important in time-limited therapy?
a) rapid assessment
b) setting time limits
c) targeted treatment strategies
d) all of the above
55) The goals of homework include all the following EXCEPT
a) accepting direction from authority figures
b) building on progress made during sessions
c) it affords opportunities to rehearse, practice and get feedback
d) it can help solidify coping skills that can be useful after therapy has ended
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