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AMFTRB Comprehensive Exam | Questions & Answers (100 %Score) Latest Updated 2024/2025 Comprehensive Questions A+ Graded Answers | With Expert Solutions $13.48   Add to cart

Exam (elaborations)

AMFTRB Comprehensive Exam | Questions & Answers (100 %Score) Latest Updated 2024/2025 Comprehensive Questions A+ Graded Answers | With Expert Solutions

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AMFTRB Comprehensive Exam | Questions & Answers (100 %Score) Latest Updated 2024/2025 Comprehensive Questions A+ Graded Answers | With Expert Solutions

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  • August 4, 2024
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  • 2024/2025
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  • MFT AMFTRB
  • MFT AMFTRB
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AMFTRB Comprehensive Exam | Questions & Answers (100 %Score) Latest Updated
2024/2025 Comprehensive Questions A+ Graded Answers | With Expert Solutions
Definition of Crisis - A situation in which client's goals/intentions are interrupted in such a way that they
cause an emotional response from client; person may feel fear, anger, shock, anguish about the
situation



Four Phases When dealing with crisis - 1. Crisis occurs, client responds, often in negative manner that
involves difficult feelings

2. Client may then become more frustrated/stressed, depending on the continuation of crisis situation

3. Some clients easy their own tension about situation depending on how they handle it; instituting
coping mechanisms, acting out in fear/anger, giving up, attempting to solve the problem

4. Situation surrounding crisis is somehow resolved, whether it is because the client successfully dealt
with situation, repressed/avoided managing it



Crisis Intervention - Stepping into a potentially harmful/stressful situation to avoid escalation on part of
client

First, assess situation to determine if client/anyone else is in danger

Then, decide what type of help is most appropriate

EX: critical event (suicide) requires swift/successful intervention, not a support group

Then carry out necessary treatment/help

Help client become calm to talk about feelings/identify coping mechanisms

Stabilize situation and bring client down from state of crisis



Crisis Intervention Approach to Social Work Practice - - Psychodynamic, ego psychology (Freud, Erikson,
Rapoport) and Lindemann's work on loss/grief

- Intellectual development (Piaget)

- Social science: stress theory, family structure, role theory



Human Behavior Assumptions in Crisis Intervention Approach - - Individual has tendency to a natural
progressive growth the prevails over regression

- Stress during crisis induces disequilibrium/anxiety that allow therapeutic accessibility; crisis can create
opportunities to develop new coping mechanisms/growth or give rise to dysfunctional behavior

,- Crisis occurs when established coping skills dont resolve stress effectively; crisis inflicts an array of
affective, cognitive, behavioral tasks; crisis can reactivate old problems

- An individual in crisis is not ill but is dealing with a challenge that is part of the human condition; crisis
therapist doesnt necessarily assume the presence of a pathological/DSM disorder; individual in crisis is
affected by the past but present situation is more relevant



Critical Incident Stress Debriefing - Designed as a meeting for involved professionals following a stressful
event/crisis

Takes place as soon as possible after event

Give them a chance to express feelings about event

Designed to avoid buildup of stressful emotions/negative feelings rather than repress/move on

Feelings, fears, concerns of those involved can be addressed



Support - The provision of feelings of comfort/understanding for a person in position of distress

Eases psychological burden associated with stress/confusion

Higher sense of well-being knowing there is someone who understands, will listen, can help in time of
need

May come from several sources

Actual helping relationship is one source of providing support; Client speaks with/relies on therapist to
discuss emotional needs/feelings

May occur when therapist provides help through physical action rather than just listening

Finally, may support client in crisis; emergency support helps client manage feelings and prevent further
harm



Grief - Reaction associated with loss

May or may not be immediate after an event

Therapist should understand certain characteristics of grief in order to identify behaviors/activities and
better help client

Physical Characteristics: weakness, increased pain, sleep disturbance, loss of appetite

Emotional reactions: crying, anger, withdrawal, lack of warmth toward others, distracted behavior

Manifest in: restless behavior, irritability, exaggerated responses to minor incidents

Feelings reported: guilt, intense sadness, confusion, despair

,Working through steps of grief may eventually lead to acceptance of the situation

--Could be applied to client struggling with personal conflict/disappointment with a situation

Initially client should accept working through grief is a process and resolution is not instant

Second, help client express feelings associated with grief through discussing emotions

Work through negative feelings to prevent continued pain through memories

Learn how to liven in new environment through practical experience/management of emotions

Finally, learn how to forge ahead to new things (developing new relationships, changing careers,
hobbies)



Reassurance - Affirming/encouraging another person through verbal responses

Validate client, provide support through managing confusion, making decisions, experiencing setbacks

Remind client of strategies learned for coping with challenging situations

Reduces client's stress level through affirmation

Goals are to increase client's levels of confidence, remind client of work/positive outcomes discussed
during helping relationship, to decrease client's level of anxiety to mobilize them to action, remind client
of strengths/positive attributes that instill greater self-assurance for future decisions



External Stress, Internal Distress, Transitional State - Categorized according to cause of the stress

Some conditions are beyond client's control while others result from personal choice

External stress factors: can cause crisis, are beyond power of client to control; ex: crimes committed
against client, unemployment, natural disasters, illness, loss, bereavement

Internal Distress: result of external factors; based on how client responds to stress/crisis; ex: depression,
hopelessness, suicidal ideation

Transitional States: cause stress for client and may/may not be related to personal choice; ex: job
changes, divorce, relocation, having a baby



Reactive Attachment Disorder - child rarely seeks/responds to comfort when upset, usually due to
neglect of emotional needs by caregiver (foster/institutionalized child)



Disinhibited Social Engagement Disorder - child has decreased hesitations regarding interacting with
unfamiliar adults

Doesnt question leaving normal caregiver to go off with stranger

, posttraumatic stress disorder (PTSD) - persistently re-experiencing a severe trauma for MORE than ONE
MONTH

Individual exhibits arousal-anxiety symptoms, avoidance of things associated with trauma/numbness



Acute Stress Disorder - anxiety and dissociative symptoms develop WITHIN ONE MONTH of experiencing
trauma



Adjustment Disorder - client has behavior/emotional changes occurring WITH 3 MONTHS of a stressor

These changes can cause distress for the client and are disproportional to actual stressor



Trauma-Related Social Work Practice with Adults - - Trauma victim experiences threat to physical
integrity/life; trauma experience confronts person with extreme situation of fear/helplessness

- Trauma may be chronic/repeated/may take form of one event of short duration

- Many symptoms related to PTSD/domestic violence are self-protective attempts at coping with realistic
threats



Human Behavior Assumptions for Trauma-related social work practice - - Most individuals experience
world as a basically safe place in which they are worthy participants

- Trauma can challenge/reverse these assumptions about world and oneself

- Resilience: an innate capacity to self-regulate after experiencing a stressor so extreme its traumatic

- Resilience is derived from both internal/environmental resources

- Resilience can be more difficult to achieve/sustain when trauma is more severe, is chronic, and/or
when the perp is someone who should be a caretaker/trusted protector



Physical Abuse - Extreme physical discipline that exceeds normative community standards

Physical indicators: bruises/broken bones on infant without adequate explanation or in unusual places;
lacerations; fractures; burns in odd patterns; head injuries; internal injuries; open sores; untreated
wounds/illnesses

Behavioral Indicators: overly compliant, passive, undemanding, overly aggressive, demanding, hostile,
role reversal behavior, extremely dependent behavior re: parental, emotional, physical needs;
developmental delays

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