NBCC Counseling Theories & Helping Relationships 4

Question 1

Dialectical Behavior Therapy (DBT), developed by Marsha Linehan, was originally designed to treat which population?

Accepted Answer

Individuals with borderline personality disorder and chronic suicidality

Answer

Linehan developed DBT specifically for chronically suicidal individuals diagnosed with borderline personality disorder, integrating CBT with acceptance strategies and dialectical philosophy.

Question 2

In narrative therapy, 'externalizing the problem' involves:

Accepted Answer

Linguistically separating the problem from the person's identity

Answer

Externalizing separates the person from the problem through language (e.g., 'depression visits you' rather than 'you are depressed'), allowing clients to relate to and resist the problem rather than identify with it.

Question 3

According to Carl Rogers, which of the three core conditions is most foundational, as without it the other two conditions cannot be genuine?

Accepted Answer

Congruence (genuineness)

Answer

Rogers considered congruence (genuineness/authenticity) the most fundamental condition because a counselor who is not genuine cannot truly offer real empathy or unconditional positive regard.

Question 4

A counselor uses a genogram in session. Which theoretical orientation most commonly employs this tool?

Accepted Answer

Bowen's multigenerational family therapy

Answer

Genograms—multigenerational family maps tracking relationship patterns, triangles, and emotional cutoffs across generations—are a primary assessment and intervention tool in Bowenian therapy.

Question 5

Reality therapy's focus on current behavior rather than past events aligns most directly with which foundational concept developed by William Glasser?

Accepted Answer

Choice theory: all behavior is chosen to satisfy basic needs

Answer

Glasser's choice theory holds that all behavior (acting, thinking, feeling, physiology) is chosen in an attempt to satisfy five basic needs: survival, love/belonging, power, freedom, and fun.

(NBCC) National Board for Certified Counselors Practice Test

(NBCC) National Board for Certified Counselors Practice Test

NBCC Counseling Theories & Helping Relationships 4