MCFT Practice Exam | 100% Correct Answers | Verified | Latest 2024 Version When a Solution -Focused therapist working with a client presenting with issues around alcohol abuse asks "What needs to be different with your drinking?", they are beginning to negotiate the: - ✔✔Exceptions: Solution -Focused therapists use questions that often center around making distinctions. Here the therapist is beginning to look for when the drinking is or is not a problem and to tease out what is working in the client's life. Drawing from John Bowlby's work, this model emphasizes the importance of healthy attachment at the infant stage of development. It also addresses the need for individuation and differentiation. - ✔✔Object Relations Family Therapy: These are key constructs of the Object Relations model of Family Therapy. Note the distractor by the use of Bowlby's Attachment Theory and the Emotionally Focused Therapy which also draws upon the Bowlby's work as well as the Object Relations use of differ entiation (separating from family of origin) which is different than the Bowenian use of the construct. Mr. Oesco comes to therapy with his son Josh. Mr. Oesco and his wife are divorced. He and Josh live together and Mrs. Oesco and her daughter Jessica live in another state. The presenting problem appears to be Josh's anger at his mother and his refusal to c onform to the visitation arrangement set up by the court when the Oesco's divorced. Josh appears to have a good relationship with his sister which at times presents a problem to his father and mother. In assessing this family, a Structural Family Therapist would pay particular attention to the: - ✔✔organization of the family: Structural therapists will always focus how a family is organized, believing that symptoms occur from improperly organized families. Imbalance in the hierarchy is strategic, transgenerational history of triangles is transgenerational, problem solving skill s is strategic (Haley). With regard to MFTs, licensed or certified, HIPAA states: - ✔✔Nothing specifically: There is no specific reference to MFTs in the HIPAA regulations. However, HIPAA guidelines apply to MFTs just as they do to all mental health and other healthcare providers who transmit PHI via any electronic means. Answer B: it's correct to say all individuals must be given full disclosure information, however this is not stated in HIPAA specifically for MFTs, which is what the question is asking. Answer C: The Security Rule is not applied to individuals in tr eatment. It is applied to the methods used by the clinician to make all clients PHI secure. Answer D: MFTs are not specifically identified in HIPAA. A Solution -focused therapist using the miracle question would start out in which of the following ways? - ✔✔Suppose one night you were asleep, a miracle happened and your problem was solved. How would you know: Family therapy with young children diagnosed with bi -polar disorder has demonstrated good results compared to control groups using medication or receiving no treatment at all. The most complete list of questions we should ask about this research is: - ✔✔How was bi -polar defined, how was "good results" defined, how large was the sample size, what was the correlation, what was the statistical significance?: The statement that control groups were used, tells us it is a quantitative study. We don't need to ask this question. Feminists have faulted other family therapist models as: - ✔✔all of the above: In critiquing the various existing practices of family therapy, the feminist model accuses the other models of favoring masculine values, devaluing nurturance and of being based on male development. In order to alter this imbalance, feminist family therapi sts advocate that therapists overtly align against this tradition. Sensate focus, a frequently used task in sexual therapy is used to: - ✔✔reduce performance anxiety: Sensate focus is a procedure originally developed by Masters and Johnson to create an atmosphere whereby performance anxiety and spectatoring can be minimized. The Beavers Model integrates FST with developmental theory, classifying families on two axis. The first identifies the stylistic quality of family interaction, the second axis classifies the family as: - ✔✔Optimal, Adequate, Midrange, Borderline or Severely Disturbed: Olson's Circumplex model maps these dimensions. While both centripetal and centrifugal are dimensions of Beaver's Model, they are the range on the first axis, not the second. The Optimal -Severely Disturbed range is from the second axis. key: Beavers, centr ipetal, centrifugal, stylistic quality of family interaction, family types Bowen believed that functional shifts in differentiation often occurred during all of the following EXCEPT: - ✔✔mishandling of attempted solutions: This is an exception question. Look for the answer reflecting the situation Bowen would not likely identify as an aid to differentiation. Mishandling of attempted solutions is associated with the MRI model. A family comes to therapy and during the first session, the therapist observes that the 7 -year -old daughter sits between her parents and looks toward her mother before answering any questions. The father appears bored during the session and constantly look s up toward the ceiling whenever the daughter looks toward the mother. The 5 -year -old son and 9 -year -old daughter are sitting opposite the parents and appear distracted and uninvolved. A primary goal of a Bowenian therapist working with this family would be: - ✔✔differentiation of family members: According to Bowen's (1978) theory, the more separate one's intellect is from automatic emotional forces, the more differentiated one is (Piercy & Sprenkle, 2nd. ed.) Other answers can be eliminated as follows: Align with the father - Structural; Effect fa mily organizational change - Structural or Strategic; Track the vicious cycle - Strategic. Some research has demonstrated that there are certain 'common factors' in successful psychotherapy. Which of the following statements is correct? - ✔✔It has been demonstrated that the common factor of "systemic/dyadic reformulation of the presenting problem," can be as important or more important that ideal choice of treatment model: Some of the research about common factors in family therapy indicate that these components of treatment can be as important as the choice of model or as therapist experience. A couple comes to therapy because the woman is having problems "being sexual". The therapist gives a sensate focus homework assignment. During the next session the woman comments that she couldn't allow her partner to touch her. What did the therapist fail to do? - ✔✔take an adequate sexual history from the couple: A major element in many sexual treatment programs is the sexual history interview (which is not the same as a family or individual history). Information gathering during sexual history -taking can be useful in building rapport and in enabling the clinician to establish an initial working hypotheses about the etiology and maintenance of the sexual problem in a particular case. (Gurman and Kniskern, Handbook of Family Therapy, Vol. 1, p. 602). For example, in this case it is possible that the woman may have b een sexually abused. This is information that might be obtained in the course of taking a sexual history. While most experienced marital and sex therapists would initially take a sexual history, the question does not specify that one was taken. It therefor e is possible that it was not taken, especially given the unexpected result of the homework assignment. Further, "sexual history" is also the best answer because the remaining answers can each be eliminated for the following reasons: "acknowledge the partn er's ambivalence" - It wasn't the partner who was having trouble being touched. "Send the woman for a medical examination" - a medical exam was not indicated because there is no indication that she was having pain or any organic problems. "Start off with a stop -start technique" - this is a technique used for the treatment of premature ejaculation. It would not be used for a woman with problems participating in sex. White's use of questions, summaries and metaphor are effective in: - ✔✔externalizing and objectifying a problem: Michael White's model of Narrative family therapy takes the position that externalizing and objectifying a problem allows the family to view the problem in a new way. Specifically, it helps to disassociate themselves from the problem. All other answers are relevant don't highlight the most important aspect of White's model. According to research alcohol abuse is the most studied phenomenon in family therapy research. According to some outcome studies which of the following approaches have been particularly useful in dealing with substance abuse in families, especially for eng aging young substance abusers? - ✔✔Psychoeducational approach: Psychoeducation has proven to be the most effective in engaging adolescent substance abusers as it is non-confrontational.
