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b. 1940s
d. 1970s
a. Albert Ellis
c. Donald Meichenbaum
d. Aaron Beck
3. Which theory did Albert Ellis determine was inefficient in treating mental disorders?
*a. Psychoanalytic
b. Adlerian
c. Behavior therapy
d. Cognitive therapy
Elise Jones-Smith Instructor Resources
Theories of Counseling and Psychotherapy: An Integrative Approach
Second Edition
4. Why did both City College of New York and Teachers college, Columbia refuse to allow Ellis to
a. The belief that since a past event once had a significant impact on us, that it will always
*b. That if one does not reach one’s personal and career goals, life has little value.
d. That one must have love and approval from all significant people.
a. That healthy people do not waste time philosophizing but thing only about reality.
*b. That healthy people are more concerned with their own self-respect than the approval
of others.
c. That healthy people see the world for how it truly is.
d. That health people rarely exist because there is too much irrational thinking.
d. To help the client understand the difference between his or her true self and ideal self.
8. Gwendolyn states that losing her job was the worst thing that could have happened to her. Her
therapist points out that it is her belief about losing that job that is resulting in her negative feelings and
that if she could dispute this belief she would feel better. Gwendolyn’s therapist most likely practices
what therapeutic model?
a. Reality/choice therapy
b. Adlerian
*c. REBT
10. Your REBT therapist asks you to sit down in the aisle of a grocery store. Most likely, this is which
technique?
b. Disputing
12. Bradford’s therapist works to help him see the influence that his thoughts have on his feelings and
behavior. What type of therapy is Bradford most likely receiving?
b. Behavior therapy
d. REBT
a. That therapy will only progress if the client trusts the therapist completely.
b. That there must be a warm relationship between the therapist and the client.
*c. That the therapist and client work together to develop treatment goals.
d. That the therapist must collaborate with other therapists to truly be effective.
14. A therapist asks a client “what is the evidence for the belief that you hold?” This is what cognitive
therapy technique?
b. Disputing
c. Guided discovery
d. Rationalizing
Elise Jones-Smith Instructor Resources
Theories of Counseling and Psychotherapy: An Integrative Approach
Second Edition
15. Elizabeth’s therapist asks her “What if you do fail your test?” He is most likely using which cognitive
technique?
a. Decentering
*b. Decatastrophizing
c. Socratic questioning
d. Guided discovery
a. True
*b. False
a. True
*b. False
18. REBT therapists believe that a warm therapist/client relationship is necessary for therapeutic
change.
a. True
*b. False
19. Aaron Beck conducted the studies of modeling using a Bobo doll.
a. True
*b. False
20. Aaron Beck was named one of the top five most influential psychotherapists by The American
Psychologist.
Elise Jones-Smith Instructor Resources
Theories of Counseling and Psychotherapy: An Integrative Approach
Second Edition
*a. True
b. False
21. MBCT is an 8-week group treatment program based on Jon Kabat-Zinn’s (1994) 8 week, Mindfulness-
Based Stress Reduction.
*a. True
b. False
22. The MBCT therapist presents clients with an alternative to experiential avoidance via a number of
therapeutic interventions.
a. True
*b. False
23. Acceptance and commitment therapy bases its name from one of its core messages: accept what is
out of your personal control; instead commit to action that which improves and enriches your life.
*a. True
b. False
24. The goal of ACT is to help clients create and maintain consistent, stable environments, in which they
are comfortable with change.
a. True
*b. False
25. Dialectical behavior therapy is a form of behavior therapy that was developed specifically as a
treatment approach for chronically suicidal individuals who met the criteria for borderline personality
disorder.
*a. True
Elise Jones-Smith Instructor Resources
Theories of Counseling and Psychotherapy: An Integrative Approach
Second Edition
b. False
Type: E
26. Who were two of the major contributors to Ellis’ development of rational emotive behavior therapy
and what were their contributions?
a. Marcus Aurelius stated that people are more upset by their interpretation of an event than the event
itself which became the underlying premise of REBT.
Karen Horney developed the concept of the tyranny of the “should” saying the people suffer when they
feel pressure of things that they “should ” do and Ellis developed 11 irrational ideas based on this
concept.
Alfred Adler stated that our basic beliefs about ourselves and our life determine our lifestyle and goals in
life. Ellis concurred that our beliefs had a significant impact on our lives. Adler also developed an early
version of the A-B-C system saying that the interpretation of our traumas are what make us suffer
psychologically.
Type: E
27. Outline the ABC theory of personality including D and E as well. Give an example that outlines each
aspect of the theory.
D= Disputing irrational thoughts and beliefs; I still have friends and family so I am not alone, I am worthy
of love so I will not be alone.
E=Cognitive and emotional effects of revised beliefs; belief that I am not along, contentment
Each letter should be accompanied by an example that demonstrates knowledge of the concept.
Type: E
a. Freud’s belief that parental punishment would reduce boys’ aggressive drives but Bandura found that
boys modeled aggression from their parents. Freud believed that modeled violence would reduce
aggressive drives and behavior through catharsis but Bandura found that children were more likely to be
aggressive after viewing an aggressive model.
Type: E
29. What was Beck’s theory for how schemas were related to the development of depression?
a. Beck believed that people who are depressed were children and adolescents who formed negative
schema about the world due to some early negative experience or experiences. Once a person
encountered a situation similar to the original negative schema, they develop depressive symptoms.
Type: E
a. The goal of MBCT is to prevent a relapse in depression for individuals diagnosed with a major
depressive disorder (Segal, Williams, & Teasdale, 2002). Prevention of client relapse is achieved by
teaching clients to become more aware of their thoughts and feelings and to relate to such occurrences
in decentered perspective as “mental events” instead of as aspects of the self or as true reflections of
reality. The theory assumes that teaching clients how to decenter their thoughts will prevent the
escalation of negative thinking that is linked to depression relapse. In contrast to CBT, there is little
emphasis in MBCT on changing the content or specific meanings of negative automatic thoughts
(Teasdale, et al., 2000). The primary goal is to change clients’ awareness of their automatic negative
thoughts and their relationship to such thoughts.
Type: E
31. Describe the role of the therapist and the ACT therapeutic relationship.
a. The training of ACT therapists focuses on helping therapist develop the qualities of compassion,
acceptance, and empathy, while being able to withstand a client’s strong emotions.
Type: E
a. (1) Acceptance
Type: E
(3) ensure that the client is assisted in generalizing his or her new capabilities to all relevant
environments.;
(4) enhance the therapist’s motivation to treat clients and to enhance the therapist’s capabilities; and
(5) structure the clinical environment for therapy. It is noteworthy that therapists capabilities are
enhance and burnout prevent by using weekly consultation team meetings. The consultation team
assists the therapist in maintaining his or her balance in working with clients.
Type: E
a. Which involves the therapist’s presenting an extreme statement, asking the client if he or she believes
the statement, and then playing the role of the devil’s advocate (antithesis) to counter the client’s
counter arguments to reach a synthesis.
Type: E
a. The goal of DBT is to help clients create and maintain consistent, stable environments, in which they
are comfortable with change. The DBT therapist recognizes the dialectical tensions and balances that
take place in the therapeutic relations and carefully integrates opposing strategies and therapeutic
positions in each counseling interaction. A second goal of DBT therapist is to bring out the opposites in
the therapeutic situation and in the client’s life, and to provide him or her with the conditions for
synthesis. The therapist also teaches clients dialectical reasoning.
Type: E
a. Beck’s approach to therapy has been simply labeled cognitive therapy. Although he developed his
theory independently of Ellis, the two exchanged ideas. Both approaches are action oriented, and both
focus on changing people’s negative thoughts and maladaptive beliefs. A major difference between
these two therapists is that cognitive therapy maintains that each disorder has its own typical content or
cognitive specificity. The cognitive profiles for clients suffering from depression, anxiety, and panic
disorder are quite different, and therefore, the therapist uses different techniques in treating them.
Conversely, REBT does not view disorders as having cognitive themes but instead focuses on the
“musts” and “shoulds” that are believed to be at the foundation for all disorders. Moreover, the role of
the therapist also differs in Ellis’s REBT and Beck’s cognitive therapy. In REBT, the therapist is highly
directive and confrontational. Beck uses a Socratic dialogue approach with open-ended questions
designed to get clients to reflect on their own actions and thoughts. Cognitive therapy encourages
clients to discover their own misconceptions about their thoughts, whereas REBT therapists use a
process of rational disputation. The therapist works to persuade clients that some of their beliefs are
irrational and dysfunctional.
Type: E
37. Beck uses the three questions modified from Socrates to help clients change their negative thinking.
What are the three questions the therapist asks?
Type: E
Elise Jones-Smith Instructor Resources
Theories of Counseling and Psychotherapy: An Integrative Approach
Second Edition
a. The fundamental goal of cognitive therapy is to remove or to eliminate biases in clients’ thinking that
prevent them from functioning optimally. The therapist focuses on the manner in which clients process
information, especially as such processing is used to maintain maladaptive feelings and behavior. In
cognitive therapy, goal establishment is usually a joint venture. Therapists help clients to become
specific in delineating their goals as well as in prioritizing them. When clients’ goals are specific and
concrete, the therapist is in a better position to choose treatment techniques that will help them to
change their belief systems, feelings, and behaviors.
Type: E
39. Cognitive therapy has three underlying assumptions. What are these?
Type: E
a. Clients with panic disorder view any unexplained symptom or sensation as an indication of impending
doom or catastrophe. Each client has a specific equation for focusing his or her attention on bodily or
psychological experiences and then translating this information into various psychological reactions. For
instance, one client associates distress in the chest with a heart attack, while another person’s feelings
of light headedness signal imminent unconsciousness to him (A. T. Beck & Weishaar, 2005).
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occurs in the caudal portion of the column, but it does not extend to
the notochord itself, but indicates only the limits between the
superadded apophyseal elements, each neural being confluent with
the opposite hæmal. Some Dipnoi are diphy-, others heterocercal.
Neural and hæmal elements and ribs are well developed. In
Ceratodus each neurapophysis consists of a basal cartilaginous
portion, forming an arch over the myelon, and of a superadded
second portion. The latter is separated from the former by a distinct
line of demarcation, and its two branches are more styliform,
cartilaginous at the ends and in the centre, but with an osseous
sheath, and coalesced at the top, forming a gable over an elastic
fibrous band which runs along and parallel to the longitudinal axis of
the column (Ligamentum longitudinale superius). To the top of this
gable is joined a single long cylindrical neural spine. From the
eleventh apophyseal segment a distinct interneural spine, of the
same structure as the neural, begins to be developed, and farther on
a second interneural is superadded. Towards the extremity of the
column these various pieces are gradually reduced in size and
number, finally only a low cartilaginous band (the rudiments of the
neurapophysis) remaining. The hæmapophyses are in form, size,
and structure, very similar to the neurapophyses; and all these long
bones, including the ribs, have that in common, that they consist of a
solid rod of cartilage enclosed in a bony sheath, which, after the
disappearance or decomposition of the cartilage, appears as a
hollow tube. Such bones are extremely common throughout the
order of Ganoids, and their remains have led to the designation of a
family as Cœlacanthi (κοιλος, hollow; and ἀκανθος, spine).
The primordial cranium of the Dipnoi is cartilaginous, but with
more or less extensive ossifications in its occipital, basal, or lateral
portions, and with large tegumentary bones, the arrangement of
which varies in the different genera. There is no separate
suspensorium for the lower jaw. A strong process descends from the
cranial cartilage, and offers by means of a double condyle (Fig. 35 s)
attachment to corresponding articulary surfaces of the lower jaw.
Maxillary and intermaxillary elements are not developed, but,
perhaps, represented in Ceratodus by some inconstant rudimentary
labial cartilages situated behind the posterior nasal opening. Facial
cartilages and an infraorbital ring are developed at least in
Ceratodus. The presence of a pair of small teeth in front indicates
the vomerine portion (v) which remains cartilage, whilst the posterior
pair of teeth are implanted in a pterygo-palatine ossification (l), which
sometimes is paired, sometimes continuous. The base of the skull is
constantly covered by a large basal ossification (o).