Chapter 14

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1

The concept of triangulation is most associated with:​

a. ​Murray Bowen.

b. ​Salvador Minuchin.

c. ​Virginia Satir.

d. ​Rudolf Dreikurs.

a. ​Murray Bowen.

2

Families are multilayered systems that both affect and are affected by the larger systems in which they are embedded.​

  • True
  • False

True

3

Structural-strategic family therapists do not generally deal with the presenting problem; rather, they focus on the underlying symptom of a dysfunctional system.​

  • True
  • False

False

4

The cornerstone of Bowen’s theory is differentiation of self.​

  • True
  • False

True

5

Which of the following theorists emphasized the development of a nurturing triad?​

a. ​Satir

b. ​Minuchin

c. ​Bowen

d. ​Haley

a. ​Satir

6

Structural family therapy includes all of the following goals except for bringing about structural change by:​

a. ​modifying the family’s transactional rules.

b. ​reducing symptoms of dysfunction.

c. ​developing more appropriate boundaries.

d. ​the therapist taking a not-knowing stance with a family.

d. ​the therapist taking a not-knowing stance with a family.

7

Assessment is not considered useful in the family systems perspective.​

  • True
  • False

False

8

Structural-strategic family therapy has its foundation in behavioral theory.​

  • True
  • False

False

9

By the late 1970s, the most used models in family systems therapy are:​

a. ​behavioral approaches.

b. ​existential approaches.

c. ​the family process approach.

d. ​structural-strategic approaches.

d. ​structural-strategic approaches.

10

Which of the following individuals is not associated with family therapy?​

a. ​Rudolf Dreikurs

b. ​Salvador Minuchin

c. ​Alfred Adler

d. ​Fritz Perls

...

11

Chun Hei is a Korean immigrant who has been separated from her family and friends for over a year since she came to the U.S. with her husband. She spends her days taking care of their two young children while he goes to work, and feels increasingly depressed without her support system. It is likely that a family therapist who meets Chun Hei would:​

a. ​be very interested in how her depression affects others in the family and how it influences family process.

b. ​abandon using a systems approach, and treat her with cognitive behavioral methods.

c. ​be directive and tell her to convince her husband to go back to Korea so she will once again have family support.

d. ​prescribe her antidepressant medication.

a. ​be very interested in how her depression affects others in the family and how it influences family process.

12

Adler introduced __________ to our understanding of the family system (or family constellation).​

a. ​cultural context

b. ​the power structure

c. ​phenomenology

d. ​balance of leadership

c. ​phenomenology

13

The therapy goals self-esteem and connection, and helping family members achieve congruent communication and interaction are most associated with which theory of family therapy?​

a. ​Minuchin’s structural family therapy

b. ​Dreikurs’s experiential/symbolic family therapy

c. ​Bowen’s multigenerational family therapy

d. ​Satir’s human validation process model

d. ​Satir’s human validation process model

14

A couple directs the focus of their energy toward a problematic son as a way to avoid facing or dealing with their own conflicts. This is an example of:​

a. ​triangulation.

b. ​enmeshment.

c. ​normal love.

d. ​displacement.

a. ​triangulation.

15

An integrative approach to the practice of family therapy includes guiding principles that help the therapist organize all of the following, except:​

a. ​interactions.

b. ​medications.

c. ​goals.

d. ​observations.

b. ​medications.

16

Techniques are more important to models that see the therapist-as-expert and in charge of making change happen. Collaborative approaches require:​

a. ​planning.

b. ​individual interventions.

c. ​isolation.

d. ​individual techniques.

a. ​planning.

17

A major contribution of Bowen’s theory is the notion of:​

a. ​birth order as a determinant of personality.

b. ​differentiation of the self.

c. ​family rules and communication patterns.

d. ​spontaneity, creativity, and play as therapeutic factors in family therapy.

b. ​differentiation of the self.

18

When __________ occurs, a ripple effect flows throughout the family system.​

a. ​a negative behavior

b. ​change

c. ​an argument

d. ​tradition

b. ​change

19

Alfred Adler and Rudolf Dreikurs and their associates were the first known practitioners of family therapy, often using a model now called:​

a. ​closed-forum individual counseling.

b. ​closed-forum family counseling.

c. ​open-forum family counseling.

d. ​open-forum individual counseling.

c. ​open-forum family counseling.

20

Roger and his wife are experiencing tension in their relationship because he believes she is far too lenient with their children when they misbehave. This forces him to play the role of “bad cop” as a parent, which makes him angry. A family therapist working with Roger and his family might:​

a. ​take Roger’s side and educate his wife about appropriate disciplinary practices.

b. ​focus on getting the children to stop misbehaving so that Roger and his wife won’t experience this tension.

c. ​help to modify the family’s transactional rules and develop more appropriate boundaries.

d. refer Roger to individual therapy since he clearly needs to work through his unresolved issues that are causing him to feel so angry.

c. ​help to modify the family’s transactional rules and develop more appropriate boundaries.

21

From the family systems perspective, symptoms are often viewed as:​

a. ​evidence of psychopathology.

b. ​a result of cognitive distortions.

c. ​a sign of weakness.

d. ​an expression of a set of habits and patterns within a family.

d. ​an expression of a set of habits and patterns within a family.

22

Structural-strategic family therapy deals with boundaries.​

  • True
  • False

True

23

Feminism, multiculturalism, and postmodern social constructionism have all entered the family therapy field. These models are more collaborative, treating clients as:​

a. ​an individual without the ability to make decisions.

b. ​needing an expert.

c. ​passive participants in their journey.

d. the experts in their own lives.​

d. the experts in their own lives.​

24

In the assessment process, questions a family therapist might ask include all of the following, except:​

a. ​What does each family member bring to the session?

b. ​Are the parents effective leaders of the family, and is the process of leadership balanced or imbalanced?

c. ​How can I give voice to my own impulses and fantasies?

d. ​Who makes decisions? How are conflicts resolved or problems handled?

...

25

Minuchin and other structural family therapists initiated their work with wealthy suburban clients.​

  • True
  • False

False

26

Feminist, multicultural, and postmodern therapists are extremely aware of the power they have entering into already established systems, and they work to promote understanding through curiosity and interest rather than through formal assessments.​

  • True
  • False

True

27

Bowen’s multigenerational approach stresses techniques more than it does theory.​

  • True
  • False

False

28

The role of the family therapist involves being in charge of the session.​

  • True
  • False

True

29

Family systems therapy represents a paradigm shift that is sometimes called “the fourth force.”​

  • True
  • False

True

30

A tool for collecting and organizing key relationships in a three-generational extended family is a:​

a. ​projective test.

b. ​family sketch.

c. ​genogram.

d. ​lifestyle assessment.

c. ​genogram.

31

Because Bowen’s multigenerational approach looks at families from a three-generational perspective, the therapist is mainly interested in past happenings and does not pay much attention to present issues.​

  • True
  • False

False

32

Structural family therapy includes all of the following goals except for bringing about structural change by:​

a. ​developing more appropriate boundaries.

b. ​modifying the family’s transactional rules.

c. ​reducing symptoms of dysfunction.

d. ​the therapist taking a not-knowing stance with a family.

d. ​the therapist taking a not-knowing stance with a family.

33

Families are multilayered systems that both affect and are affected by the larger systems in which they are embedded.​

  • True
  • False

True

34

The core of __________ model relied on the power of congruence to help family members communicate with emotional honesty.​

a. ​social constructionist therapy

b. ​strategic family therapy

c. ​multigenerational family therapy

d. ​human validation process

d. ​human validation process

35

Family therapy perspectives call for a conceptual shift from evaluating individuals to focusing on:​

a. ​system dynamics.

b. ​individual symptoms.

c. ​the identified client only.

d. ​an individual’s reactions.

a. ​system dynamics.