NCMHCE Counseling Theories and Theoretical Orientations

Question 1

Albert Ellis's Rational Emotive Behavior Therapy (REBT) uses the A-B-C model. What does 'B' represent in this framework?

Accepted Answer

The client's beliefs about the activating event that drive emotional consequences

Answer

The behavioral response that follows an activating event

Answer

The biological predisposition toward irrational thinking

Answer

The balanced perspective the counselor helps the client achieve

Question 2

A counselor using Solution-Focused Brief Therapy (SFBT) asks a client: 'Suppose tonight while you were asleep a miracle occurred and your problem was solved — what would be different when you woke up?' This technique is called:

Accepted Answer

The miracle question

Answer

The empty chair technique

Answer

Systematic desensitization

Answer

Socratic questioning

Question 3

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

Accepted Answer

Clients with borderline personality disorder

Answer

Adults with obsessive-compulsive disorder

Answer

Adolescents with conduct disorder

Answer

Veterans with post-traumatic stress disorder

Question 4

In psychoanalytic theory, the defense mechanism in which unacceptable impulses are redirected toward a more acceptable or less threatening target is called:

Accepted Answer

Displacement

Answer

Projection

Answer

Reaction formation

Answer

Sublimation

Question 5

Carl Rogers identified three core counselor conditions necessary and sufficient for therapeutic change. Which of the following correctly lists all three?

Accepted Answer

Empathy, unconditional positive regard, and congruence (genuineness)

Answer

Warmth, active listening, and positive reinforcement

Answer

Neutrality, reflection, and free association

Answer

Acceptance, confrontation, and immediacy

Question 6

Narrative therapy, developed by Michael White and David Epston, primarily helps clients by:

Accepted Answer

Externalizing problems so clients can reauthor their life stories with preferred identities

Answer

Analyzing how unconscious conflicts from early childhood drive current behavior

Answer

Teaching clients to identify and restructure cognitive distortions

Answer

Using behavioral experiments to test the validity of negative automatic thoughts