Quantum Units Education

Brief Interventions and Brief Therapies

Chapter 1

1. Brief interventions and therapies can be thought of as elements on a continuum of care, but they are distinguished from one another by:

A. Method of delivery

B. Outcome goals

C. Leadership style

D. None of the above


2. Brief Therapy differs from Brief Intervention in that it involves a series of steps taken to treat a substance abuse problem.

A. True

B. False


3. In recent literature, Brief Interventions have been referred to as:

A. Short-term Counseling

B. Simple Advice

C. Minimal Interventions

D. All of the above


4. The Brief Intervention itself is structured and focused on substance abuse. Its primary goals are to raise awareness of problems and to recommend a specific change or activity.

A. True

B. False


5. Brief therapies are driven by the clinician due to the limited length of treatment.

A. True

B. False


6. Brief therapies and interventions have arisen due to which of the following factors:

A. Lack of good long term treatment programs and reduced funding

B. Decreased public funding and identification of more at-risk consumers

C. Resistance by consumers to enter residential treatment programs and the need to expand treatment options

D. None of the above


7. Project MATCH assessed the benefits of matching alcohol dependent clients to what three types of treatment?

A. Psychoeducational, Support and Cognitive-Behavioral

B. 12-step, Motivational Enhancement and cognitive-behavioral

C. 12-step, Cognitive-Behavioral and Psychodynamic

D. Support groups, Cognitive-Behavioral and Motivational Enhancement


8. There is a long-standing attitude among clinicians and other care providers in community agencies that clients are generally resistant to change, unmotivated and in denial.

A. True

B. False


Chapter 2 Brief Interventions in Substance Abuse Treatment

9. Brief interventions are research-based procedures shown to work with those individuals who are at-risk and have less severe substance abuse problems.

A. True

B. False


10. The basic goal for any client in a substance abuse treatment setting is to reduce the risk of harm from continued use of substances. The greatest degree of harm reduction would obviously result from abstinence.

A. True

B. False


11. There are six components critical to a brief intervention to change substance abuse behavior. These elements are known by the acronym:

A. FRAMES

B. DRIVES

C. BEEDIE

D. None of the above


12. How many basic steps incorporate the six critical elements of the brief intervention?

A. 2

B. 3

C. 4

D. 5


13. One of the most important skills for brief interventionists is:

A. Exploring ambivalence

B. Confrontation

C. Active listening

D. Acceptance


Chapter 3 - Brief Therapy in Substance Abuse Treatment

14. What percentage of clients drop out of treatment before completing 20 sessions?

A. 45%

B. 75%

C. 80%

D. 90%


15. The most widely used model for understanding client’s readiness for change is:

A. Cognitive-behavioral model

B. Stages of motivation

C. Stages of change

D. MET


16. The treatment goals of brief therapy should focus on the client’s central problem of substance abuse.

A. True

B. False


17. Due to the few number of sessions involved in Brief Therapies, goals should largely be therapist driven.

A. True

B. False


Chapter 4 - Brief Cognitive-Behavioral Therapy

18. Behavioral therapies have been primarily influenced by Pavlovian conditioning and Skinnerian operant learning.

A. True

B. False


19. Due to its design, most behavioral therapy is brief.

A. True

B. False


20. Covert sensitization is a technique used in cognitive therapy.

A. True

B. False


21. Cognitive theory assumes that most problems derive from faulty thinking processes.

A. True

B. False


22. Cognitive therapy was originally developed by A.T.Beck as a way of understanding and treating this mental disorder:

A. Generalized Anxiety

B. Depression

C. Post Traumatic Stress Disorder

D. Panic Disorder


23. Cognitive restructuring is the general term given to what process?

A. Changing habitual, automatic thinking

B. Changing negative thought patterns

C. Changing distorted addictive thoughts

D. All of the above


24. How is Rational-emotive therapy different from cognitive therapy?

A. RET uses empathy and active listening to a greater degree

B. RET is more confrontive

C. RET believes in allowing the client to discover for themselves their own faulty thinking

D. RET is more supportive


25. What is known as the third core element in cognitive behavioral therapy?

A. Relapse prevention

B. Skills training

C. Functional analysis

D. None of the above


Chapter 5 - Brief Strategic/Interactional Therapies

26. Strategic therapy stems from the work of:

A. Jay Haley

B. Milton Eriksson

C. John Weakley

D. Tucker Savage


27. Ericksonian approaches have been shown to be highly effective with clients that have severe personality disorders.

A. True

B. False


28. The primary strength of strategic approaches is that they shift the focus from client’s weaknesses to client’s strengths.

A. True

B. False


29. In Solution-Focused Brief therapy, emphasis is placed on building exceptions to the presenting problem.

A. True

B. False


Chapter 6 - Brief Humanistic and Existential Therapies

30. Which of the following reflect best the key words of humanistic therapy?

A. Tolerance and acceptance

B. Responsibility and freedom

C. Acceptance and growth

D. All of the above


31. Which of the following reflect best the key words of Existential Therapy?

A. Freedom and responsibility

B. Acceptance and growth

C. Tolerance and acceptance

D. All of the above


32. Transpersonal therapy has been a model used to enhance a client’s spiritual development.

A. True

B. False


33. Humanistic and Existential therapies have been known to be in conflict with many tenets of 12-step programs.

A. True

B. False


Chapter 7 - Brief Psychodynamic Therapy

34. Psychodynamic brief therapies focus on what process that is manifested in the client’s present behavior?

A. Conscious processes

B. Unconscious processes

C. Cognitive processes

D. Emotional processes


35. The theory upon which psychodynamic therapy is formed is:

A. Cognitive

B. Behavioral

C. Motivational

D. Psychoanalytic


36. Brief psychodynamic therapies are better suited for some clients than for others. It is usually best undertaken for those clients who are well along in recovery and receptive to a higher degree of insight and self-awareness.

A. True

B. False


37. Mark and colleagues noted that two defenses frequently seen in those with substance abuse disorders are:

A. Denial and grandiosity

B. Displacement and dissociation

C. Identification and intellectualization

D. Repression and isolation


Chapter 8 - Brief Family Therapy

38. Even though substance abuse disorders develop in isolation, family therapy has proven to be a very effective form of therapy.

A. True

B. False


39. Which of the following situations would rule out the option of family therapy?

A. When the client is unwilling

B. When issues of separation and individuation exist for the client

C. When physical, emotional or sexual abuse of the client by a family member is suspected

D. All of the above


40. In Native American culture, the definition of family could include community members such as  healers and others who can help promote or block change. Therefore, a family can be created by drawing on this network.

A. True

B. False


41. The main focus of Bowenian family therapy is:

A. Ethical legacies and unconscious loyalties

B. Family of origin emotional attachment patterns

C. General imbalances in family relationships

D. Conflict resolution and marital enhancement


42. Based on their review of the treatment outcome literature, the Institute of Medicine recommends this therapy as a treatment option for all alcohol-abusing clients experiencing only mild to moderate problems.

A. Brief Family Therapy

B. Brief Couples Therapy

C. Strategic Family Therapy

D. Cognitive-Behavioral Therapy


Chapter 9 - Time-Limited Group Therapy

43. Group psychotherapy is one of the most common modalities for treating substance abuse disorders.

A. True

B. False


44. Research suggests that client improvement, as a result of group therapy, occurs within this time frame:

A. 4-6 weeks

B. 2-3 months

C. 6 months - 1 year

D. 1- 2 years


45. Almost any psychotherapeutic model can be successfully applied as a group therapy model.

A. True

B. False


46. In his classic work, Theory and Practice of Group Psychotherapy, Yalom identified how many primary “therapeutic factors” in group therapy?

A. 6

B. 8

C. 10

D. 11


47. This therapeutic factor pertains to the importance of relationships within the client’s family of origin, which finds expression within the group experience.

A. Recapitulation

B. Universality

C. Imitative behaviors

D. Catharsis


48. There is a growing consensus among therapists that women need to have their own groups, particularly during early recovery.

A. True

B. False


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