OFFICIAL AMFTRB EXAM 4! WITH
CORRECT ANSWERS
A stherapist sworks swith sa sfamily sin swhich she shypothesizes sthat sa
sscapegoated schild's sbehavior smay sbe shis sor sher smeans sof sloyally sacting
sout shis sor sher sparents' sneed sfor sexpressing srage sand sthat sthis sis sa scycle
sthat smay shave sconnections sto sbehavioral ssequences sbegun sgenerations
sbefore. sThis stherapist sis smost slikely sassessing sfrom: s- scorrect sanswer s✔✔a
scontextual smodel
Hint: s"loyally sacting sout"
A stherapist sis sworking swith sa ssingle-parent sfamily, sJane, sage s27, sand sher
stwo schildren, sages s5 sand s3. sJane shas sjust slost sher sjob, sand sthe sfamily
shas smoved sback sin swith sher sparents sfor sfinancial sreasons. sThey shave
scome sin sto sreceive shelp sbecause sJane sis sfeeling soverwhelmed sand
sdepressed. sIf sthe stherapist sis sworking sfrom sa ssystemic sperspective, swhat
swould sbe sthe sbest sstructure sfor streatment? s- scorrect sanswer s✔✔Jane, sher
sparents, sand sthe schildren, sbecause sthey sare scurrently sliving stogether
A sStrategic stherapist's sview sof sthe sfamily sis: s- scorrect sanswer s✔✔circular.
Hint: sCircular scausality ssymptoms sare snot scaused sby sany sspecific sevent, sbut
sare smaintained sas sa spart sof sa svicious scircle sof sinteraction.
A sfive-year-old schild sis sreferred sto syou sby shis sPCP. sThe sparents shave
sbeen sconcerned sthat she sseems sanxious sat shome, sand shas swet shis spants
sseveral stimes sduring sthe sday. sYou sdiagnosed shim sas shaving sfunctional
senuresis. sWhich sof sthe sfollowing sis sthe streatment sof schoice? s- scorrect
sanswer s✔✔Behavioral sapplications
A syoung scouple shas sbeen sreferred sto syou sby sa sphysician sfor streatment sof
sa ssexual sdysfunction. sThey shave sno smedical sproblems. sWhat sis syour
sprimary sresponsibility sin sthis scase? s- scorrect sanswer s✔✔To sbe sa scatalyst
sfor scommunication
Hint: sAs sa smarital sand sfamily stherapist, sthis swould sbe syour sprimary
sresponsibility.
&s
When sa scase sinvolves ssexual sdysfunction swith sno sevidence sof sa smedical
scondition sor sother sphysiological scause s(i.e., swhen sa smedical sexam shas
salready sbeen ssought sby sthe scouple), syour sfirst sintervention sshould sbe sto
sencourage sthe scouple sto scommunicate.
,A swornan signores sner snusvanas sgestures so sanecuon, sana sunen
complains sthat she sis snot sloving stoward sher. sWhat sis sthis san sexample sof? s-
scorrect sanswer s✔✔A sdouble-bind
Hint: stwo sconflicting smessages, sone
nonverbal sand sone sverbal.
A swoman sis srecently sseparated sfrom sher shusband sand shaving sa slot sof
sdifficulty scoping. sShe suses s"we" slanguage sa slot. sWhat scommunication sstyle
sis sthis? s- scorrect sanswer s✔✔Mind-reading
Hint: stakes splace swhen sa sperson smakes sassumptions sabout swhat sanother
sperson sis sthinking, sor sspeaks sfor sanother sperson.
A swoman sand sher shusband scome sinto sa sfirst ssession sfor smarital stherapy.
sYou snotice sthat sthe swoman sis shugging sherself sand sglancing sat sthe
sthermostat son sthe swall. sTo sfurther scommunication, syou sshould: s- scorrect
sanswer s✔✔ask sher shusband sto sinterpret sher sposturing.
Hint: sthe sgoal sof syour sintervention sis s"to sfurther scommunication. sRemember
sthat sthis sis sa sfirst ssession sand sassessing show sthey scommunicate swill sbe
snecessary sbefore syou scan s"further scommunication."
A stherapist sis sseeing sa sfamily sfor sa svariety sof sbehavioral sproblems swith sthe
schildren. sInstead sof sexploring sthe sproblems sin sdetail, sthe stherapist sasks,
s"When sis sthis sproblem snot sa sproblem?" sWhat sis sthe spurpose sof sthis
sintervention? s- scorrect sanswer s✔✔Identify sexceptions sas sa sresource sfor
spositive schange
Hint: stherapy. sIf sthe sclients scan sidentify sand sdescribe sfully sthose stimes sor
ssituations sin swhich stheir sproblem sis sless ssevere sor snon-existent, sthis scan
ssuggest scertain sthings sthat sthe sclients scan sdo sto screate smore sof sthese
s"non-problem" sexperiences.
Brian, sa s6 syear sold, swas splaced sin sa schildren's srehabilitation scenter
sapproximately sthree smonths sago. sHis smother shas sa shistory sof smental
sillness sand shas sbeen sin sand sout sof sthe scounty smental shealth scenter sfor
sthe spast sfive sears. sA spsychiatrist sat sCMH shas sdiagnosed sthe smother sas
shaving sParanoid sPersonality sDisorder sand sMajor sDepressive sDisorder,
srecurrent. sBrian's sfather sshows sno sovert ssigns sof smental sillness. sBrian's
sparents shave sbeen sseparated sfor sseveral smonths, sand sthe sfather sis
scurrently sin stherapy sto slearn show sto sdeal swith sthe smother's sepisodes. sWhat
sis syour spriority sin sdealing swith sBrian? s- scorrect sanswer s✔✔To swork swith
, sthe ssystem she sis scurrently sliving sin, sfor sexample, sby susing sthe scenter sand
shis sfamily sto screate sa ssafe sand ssupportive senvironment
A swoman, smarried sfor sten syears, scalls sa sshelter shotline safraid sfor sher sown
slife. sHer shusband shas sbeaten sher smany stimes sover sthe syears, sand, searlier
sthat
evening, she shit sher srepeatedly swith shis sfists sand sthrew sobjects sat sher. sHe
sthen sleft sthe shouse, sand sthe swoman sis salone sat sthe stime sof sthe scall.
sShe ssays sshe shas sa scar, swants sto scome sto sthe sshelter, sand sasks show
sto sget sthere. sThe sshelter sstaff smember sdirects sher sto sdrive simmediately sto
sa spublic spay sphone sand scall sthe sshelter sback, sat swhich stime sshe swill sbe
sgiven sdirections sto sthe sshelter. sThe swoman scalls sback stwo shours slater sand
ssays sshe shas schanged sher smind sand swill snot sbe scoming sto sthe sshelter
safter sall. sThe swoman's schange sof smind sis sMOST slikely sattributable sto
swhich sof sthe sfollowing: s- scorrect sanswer s✔✔during sthe sinitial sphone scall,
sthe sshelter sworker sshould shave sbeen smore sdirective, sgiving sthe swoman sthe
sdirections.
A stherapist stells sa sclient swho swants sto squit ssmoking sthat she sshould skeep
shis sonly spack sof scigarettes sin sa splace sthat sis saccessible sonly sby swalking
sfor smore sthan sone smile. sThis sis san sexample sof swhich sof sthe sfollowing
sparadoxical stechniques? s- scorrect sanswer s✔✔Ordeal
Hint: sHaley s(1984) sdescribed sseveral stypes sof sordeals. sOne stype sinvolves
shaving sthe sindividual sperform san sunpleasant sor sinconvenient sact sin sorder sto
sengage sin sthe starget sbehavior
Brief stherapy sis sa stime-limited, spragmatic, snon-historical sstrategic sapproach sto
sdifficulties sin sa sperson's slife. sBrief stherapy smodels sfocus sprimarily son: s-
scorrect sanswer s✔✔First sorder schange.
Hint: sare ssymptomatic, snot schanges sto sthe sfundamental sdynamics sof sthe
sfamily ssystem.
Ben, sa ssuccessful sstockbroker, shas srecently staken searly sretirement sfrom shis
scompany. sAt sage s45, she s"still sfeels syoung" sand swants sto sbe smore
sinvolved swith shis schildren, sages s4 sand s6. sHis swife, sLaura, sat sfirst
sappreciates sthe shelp, sbut snow sfeels sthat sBen shas scompletely staken sover
sthe shouse, ssupervising sall sthe schores, sgrocery sshopping, sand scooking. sHe
shas seven sbegun smeeting swith sthe schildren's steachers sto
"stay son stop sof sthings." sWhen sLaura sconfronts sBen sregarding shis sbehavior,
she sresponds sthat she sjust swants sto shelp. sHow smight sa sstrategic stherapist
sintervene? s- scorrect sanswer s✔✔Tell sthe scouple sto scontinue sto sdo swhat
sthey sare sdoing. sAs sa smatter sof sfact, sencourage sBen sto stake sover sthe
shousehold smore.