Chapter 10: The Process of Psychotherapy

1. The first session with a therapist may be around ___

a. 30 minutes
b. 1 hour
c. 2 hours
d. 3 hours
Answer: B
Page: 203
Type: Factual

2. What differentiates a therapist from someone like a bartender?

a. Education
b. Client is vulnerable
c. Client is comfortable
d. Client talks about distress
Answer: A
Page: 204
Type: Factual

3. A technique that seems to greatly improve therapy outcome is:

a. Comfort
b. Vulnerability
c. Homework
d. Trust
Answer: C
Page: 205
Type: Factual

4. Insurance companies generally pay for how many sessions of therapy?

a. None
b. 5
c. 10
d. As many as the patient needs
Answer: B
Page: 206
Type: Factual

5. In controlled research, most patients (between 58% and 67%) show improvement
after an average of ____ sessions.
a. 5
b. 9
c. 13
d. 20
Answer: C
Page: 206
Type: Factual

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6. Generally it is recommended that patients receive ____ hours of therapy with
severe cases needing more time.
a. 0-10
b. 10-20
c. 20-30
d. 30-40
Answer: B
Page: 206
Type: Factual

7. People who go into therapy are more likely to be:

a. Women.
b. Older people.
c. Unintelligent.
d. Unsuccessful.
Answer: A
Page: 208
Type: Factual

8. Psychotherapeutic interventions are often based on five levels of emotional

awareness. The nature of the psychopathology dictates which type of intervention
is called for as well as dictating the goal. If a patient is being seen for emotional
conflict such as depression, for example, what kind of intervention would be
called for?
a. insight oriented
b. cognitive therapy
c. behavior modification
d. biofeedback / pharmacological
Answer: A
Page: 209
Type: Factual

9. Psychotherapeutic interventions are often based on five levels of emotional

awareness. The nature of the psychopathology dictates which type of intervention
is called for as well as dictating the goal. If a patient is being seen for impulsivity
such as substance abuse, for example, what kind of intervention would be called
for?
a. Insight oriented
b. Cognitive therapy
c. Behavior modification
d. Biofeedback / pharmacological
Answer: C
Page: 209
Type: Factual

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10. Psychotherapeutic interventions are often based on five levels of emotional
awareness. The nature of the psychopathology dictates which type of intervention
is called for as well as dictating the goal. If a patient is being seen for somatic
distress, what kind of intervention would be called for?
a. Insight oriented
b. Cognitive therapy
c. Behavior modification
d. Biofeedback / pharmacological
Answer: D
Page: 209
Type: Factual

11. Psychotherapeutic interventions are often based on five levels of emotional

awareness. The nature of the psychopathology dictates which type of intervention
is called for as well as dictating the goal. If a patient is being seen for conscious
distress, what kind of intervention would be called for?
a. Insight oriented
b. Cognitive therapy
c. Behavior modification
d. Biofeedback / pharmacological
Answer: B
Page: 209
Type: Factual

12. Who performs better on national licensing exams?

a. PhDs in clinical psychology
b. PsyDs
c. Paraprofessional
d. Psychoanalysts
Answer: A
Page: 211
Type: Factual

13. Research on skills training for therapist indicates that:

a. Skills tend not to transfer from training to practice.
b. One type of skill is generally better than others.
c. Students do not like didactic learning of skills and theory.
d. Training is often based on the theoretical orientation of the researcher than
actual research.
Answer: D
Page: 215
Type: Factual

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14. The skills needed to successfully navigate through a therapy session and
appropriately respond to clients are referred to as:
a. Macroskills.
b. Microskills.
c. Case conceptualization.
d. Normalization.
Answer: B
Page: 216
Type: Factual

15. Integrative skills and the accurate execution of theory-specific therapy are
referred to as:
a. Macroskills.
b. Microskills.
c. Case conceptualization.
d. Normalization.
Answer: A
Page: 216
Type: Factual

16. Fernando and his therapist agree that they need to work on his quick temper. This
would be an example of what component of the therapeutic alliance?
a. Bonds
b. Tasks
c. Goals
d. Resistance
Answer: B
Page: 217
Type: Applied

16. Ursula trusts and likes her therapist, you could even say that she likes her. This
would be an example of which component of the therapeutic alliance?
a. bonds
b. tasks
c. goals
d. resistance
Answer: A
Page: 217
Type: Applied

17. Sergio and the therapist are working on him smoking less. They would love for
him to quit fully by the end of summer. This would be an example of which
component of the therapeutic alliance?
a. Bonds
b. Tasks
c. Goals
d. Resistance

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Answer: C
Page: 217
Type: Applied

18. Alondra’s therapist tells her that she has relationship issues because of
commitment issues. Alondra disagrees and finds her therapist pushy. This would
be an example of which component of the therapeutic alliance?
a. Bonds
b. Tasks
c. Goals
d. Resistance
Answer: D
Page: 218
Type: Applied

19. Yanalise tries to barter her services as a advertising executive in exchange for
therapeutic services. This is an example of how _____ influence(s) competency.
a. Culture
b. Norms
c. Biases
d. Heuristics
Answer: A
Page: 220
Type: Applied

20. In regards to cultural competence, what is a good strategy to facilitate cultural

learning?
a. It is sufficient to rely on media to form assumptions about other cultures.
b. It is OK to spend time only with the frail and disabled of the culture to
form opinions about the culture.
c. Once information is acquired you must remain vigilant.
d. Some groups are superior to other groups.
Answer: C
Page: 222
Type: Factual

Essay Questions

1. Briefly discuss the recommendations about the amount of time is needed for
therapy to be effective. How do insurance limits affect this?

2. The text lists six key reasons data from paraprofessionals (as opposed to clinical
professionals) can not be interpreted as applying to all forms of clients in all
forms of therapy. Briefly discuss this research here.

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3. Briefly describe microskills and macroskills. What other components, skills or
elements does the patient benefit from in each?

4. Briefly discuss the therapeutic alliance. Make sure you describite and provide an
example of each of the three interlocking components.

5. Describe the components of cultural competency. Sue (1999) suggests four

overarching learning strategies that contribute to the facilitation of learning. What
are they?

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