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AMFTRB Exam 3 Questions And Answers With Verified Solutions
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AMFTRB Exam 3 Questions And Answers With Verified Solutions Julie is a 35-year-old survivor of sexual abuse and discloses in a session that her father abused her from the time she was eight until she was 11. She was only willing to come to therapy if her mother could attend with her. You observe t...

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  • October 31, 2024
  • 30
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • amftrb exam 3
  • amftrb exam 3 questions and answers with verified
  • amftrb exam 3 questions and answers
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AMFTRB Exam 3 Questions And Answers With
Verified Solutions
Julie is a 35-year-old survivor of sexual abuse and discloses in a session that her father abused her
from the time she was eight until she was 11. She was only willing to come to therapy if her mother
could attend with her. You observe that Julie looks to her mother before answering your questions for
verification before responding to you. The mother nods in approval, that you have come to learn,
gives permission for Julie to continue with the conversation. This is an example of ANS
enmeshment


According to family systems theory, the family system differentiates and carries out its functions
through subsystems (e.g., individual, spousal, parental, and sibling). The boundaries of these
subsystems must be clear for proper family functioning. Rigid boundaries prevent communication
between subsystems and do not allow change. Enmeshed boundaries: ANS result in confusion
and a lack of differentiation



According to systems theory, the external environment: ANS can have a positive effect on a
family


According to Clifford Sager, couples enter marriage with a contract consisting of three levels. The
third level: ANS represents the desires and needs of both partners that are beyond their awareness



According to general systems theory, positive feedback: ANS increases deviation from a
balanced state


A couple in their 40's is seeking therapy to save their marriage.
Recently, the husband has lost interest in sex and has been unable to maintain an erection. His wife
complains that he has been irritable and angry for months. She is convinced that he no longer finds
her attractive and that he is having an affair. She is tearful and anxious. They both report that they
have been fighting a lot. Recently, the husband had a medical check-up and was reported to be in
good health except for his long-standing hypertension. As a precautionary measure, his doctor
increased his drug dosage. Regarding the husband's erectile dysfunction, you would ANS refer
them back to the husband's doctor to discuss this issue with the doctor

,A Bowenian family systems therapist would know a client with Posttraumatic Stress Disorder was
making therapeutic progress when the client ANS reports being aware that he was starting to
panic and leaves the room to do some breathing exercises


A client experiencing depressive symptoms says she feels worthless and unlikable and every time she
tries to do something to make things better, she is faced with barriers put up by her parents, boss, etc.,
who do not seem to recognize her efforts. In terms of the third component of Beck's cognitive triad,
you would expect the client to also say ANS she feels that things will never change


A 22-year-old woman comes to treatment stating that she has been depressed for five years. She tells
you that she doesn't use birth control but has had many sexual partners lately and recently contracted
herpes. Your first intervention would be to ANS explore her self-destructive behavior


A Bowenian therapist is considering termination with a patient.

What indicators would be most important? ANS The patient is better able to separate thinking
from feeling.


A cognitive therapist has been working with a family for a couple of months. In the middle stage of
treatment, the family brings up the issue of termination. How does the therapist respond? ANS
"What do you as a family and what do you as individuals think about termination?"


Hint:
therapist would be interested in exploring and addressing with the family group and with each
individual the reasons, rational and irrational, underlying their belief that therapy should end now.


A 16-year-old girl has been verbally confrontational towards her
17-year-old brother. Her parents do not know if family therapy is helping, because her behavior is
worse since coming to therapy. A strategic family therapist believes that what is needed is ANS
second -order change, change consists of basic changes in the structure and functioning of a system
that alters its fundamental organization.


A symptomatic family can be said to undergo second-order change when a therapeutic intervention
fundamentally disrupts the pattern of symptomatic interaction so it ceases.

, Pamela is a solution-focused therapist. She is working with Sally in helping her communicate with
her family of origin more effectively. What does
Pamela most likely believe may be the reason that Sally has struggled with this issue?


Hint: maladaptive behavior is a result of becoming "stuck" in dealing with a problem due to
continued reliance on the same ineffective methods for resolving it. ANS Sally may be "stuck" in
dealing with the problem due to her continued reliance on the same ineffective methods for resolving
it.


A client leaves a message on your answering machine, saying she is ending therapy. There has been
no previous discussion of termination. What should you do? ANS Call her to make sure she is
not in crisis and is comfortable with her decision.


A behavioral treatment plan measures client progress by using

_ that refers back to_ behaviors. ANS measurable objectives and baseline


A therapist using a feminist therapy approach would do all of the following EXCEPT



Hint: To avoid pathologizing client's problems ANS emphasize traditional assessment and
diagnosis


A client has been in therapy for eight months and says he wants to quit therapy. He feels that the
original problems he came to therapy for have all been resolved. The therapist disagrees and thinks
that there is good reason for the man to continue in therapy. The therapist should ANS have a
conversation with the client to discuss his reasons for wanting to terminate and the therapist's reasons
for thinking he should continue


During a professional staff meeting, a counselor says he is worried that if techniques are
implemented to stop a 6-year-old boy from sucking his thumb, then he will begin biting his nails or
stuttering. The counselor ANS is most likely an analytically trained counselor concerned with
symptom substitution.


Hint: Behaviorists do strive for symptom reduction and do not believe in the concept of symptom
substitution.

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