RP Therapeutic Modalities and Techniques 2 — Questions and Answers
Question 1: Motivational Interviewing (MI) is built on which central spirit or principle?
- Confronting resistance to change directly
- Providing expert advice to guide client decisions
- Evoking the client's own motivation and commitment to change (Correct answer)
- Reinforcing desired behaviors with structured rewards
Correct answer: Evoking the client's own motivation and commitment to change
MI is a collaborative, person-centered approach that evokes and strengthens the client's own motivation for change rather than imposing direction from the therapist.
Question 2: Acceptance and Commitment Therapy (ACT) is best categorized as which type of therapy?
- First-wave behavioral therapy
- Second-wave cognitive therapy
- Third-wave contextual behavioral therapy (Correct answer)
- Psychodynamic depth therapy
Correct answer: Third-wave contextual behavioral therapy
ACT is considered a third-wave behavioral therapy that emphasizes psychological flexibility, acceptance of internal experiences, and commitment to value-driven action.
Question 3: In narrative therapy, the concept of 'externalizing the problem' means:
- Blaming external factors for the client's difficulties
- Separating the client's identity from the problem itself (Correct answer)
- Discussing problems in group therapy settings
- Assigning out-of-session tasks to address the problem
Correct answer: Separating the client's identity from the problem itself
Externalizing separates the person from the problem, allowing clients to see themselves as distinct from their difficulties and explore their relationship with the problem.
Question 4: Which therapeutic modality uses the concept of 'schemas' as central constructs for understanding and treating personality disorders?
- Interpersonal Therapy (IPT)
- Schema Therapy (Correct answer)
- Structural Family Therapy
- Brief Psychodynamic Therapy
Correct answer: Schema Therapy
Schema Therapy, developed by Jeffrey Young, targets deeply held maladaptive schemas—enduring patterns from childhood—that underlie personality disorders and chronic psychological problems.
Question 5: Interpersonal Therapy (IPT) focuses primarily on which aspect of a client's life?
- Unconscious drives and past trauma
- Cognitive distortions and automatic thoughts
- Current interpersonal relationships and social functioning (Correct answer)
- Existential concerns and the search for meaning
Correct answer: Current interpersonal relationships and social functioning
IPT is a time-limited therapy that focuses on improving interpersonal functioning and current relationship difficulties, which are linked to the onset or maintenance of psychiatric symptoms.
Question 6: Mindfulness-Based Cognitive Therapy (MBCT) was originally developed to prevent relapse in which condition?
- Bipolar I Disorder
- Recurrent Major Depressive Disorder (Correct answer)
- Post-Traumatic Stress Disorder
- Social Anxiety Disorder
Correct answer: Recurrent Major Depressive Disorder
MBCT was developed by Segal, Williams, and Teasdale to reduce relapse in patients with recurrent MDD by combining mindfulness practices with cognitive therapy techniques.
Question 7: Family Systems Therapy views psychological problems as:
- Solely the result of individual cognitive distortions
- Expressions of dysfunction within the relational system, not just the identified patient (Correct answer)
- Caused by unresolved unconscious conflicts in each family member
- Products of operant conditioning within the home environment
Correct answer: Expressions of dysfunction within the relational system, not just the identified patient
Systems theory holds that an individual's symptoms serve a function within the family system, and lasting change requires addressing relational patterns rather than treating only the identified patient.
Motivational Interviewing (MI) is built on which central spirit or principle?