Therapeutic Approaches Flashcards

In psychodynamic therapy, 'transference' occurs when a client:

Answer: Projects feelings about past relationships onto the therapist

Transference involves the client unconsciously redirecting feelings from past relationships (often parental) onto the therapist.

Which of the following is a key principle of Motivational Interviewing (MI)?

Answer: Rolling with resistance rather than confronting it directly

MI uses 'rolling with resistance' (now called 'discord') to avoid power struggles and maintain the therapeutic alliance.

A client with OCD engages in repetitive hand-washing after touching doorknobs. The MOST evidence-based behavioral treatment is:

Answer: Exposure and response prevention (ERP)

ERP involves exposing the client to feared stimuli while preventing the compulsive response, the gold-standard CBT treatment for OCD.

Narrative therapy encourages clients to:

Answer: Re-author their life stories and separate identity from the problem

Narrative therapy externalizes problems and helps clients create new, empowering personal narratives.

Which stage of Prochaska and DiClemente's Transtheoretical Model describes a client who says, 'I've been thinking about quitting drinking for the next six months'?

Answer: Contemplation

In the contemplation stage, the client is aware of the problem and considers change but has not yet committed to action.

In CBT, a 'thought record' is used primarily to:

Answer: Identify, evaluate, and modify automatic negative thoughts

Thought records help clients capture automatic thoughts, evaluate evidence for/against them, and develop balanced alternative thoughts.

A BHP using Behavioral Activation (BA) with a depressed client would MOST likely:

Answer: Schedule pleasurable and meaningful activities to increase positive reinforcement

BA targets behavioral withdrawal by scheduling activities that provide positive reinforcement, breaking the cycle of avoidance and depression.