Brief Interventions/Brief Therapies for Substance Abuse Multiple Choice Identify the choice that best completes the statement or answers the question. ____ 1. Chapter 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 C. Leadership style B. Outcome goals 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 C. Minimal Interventions B. Simple Advice 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 C. Resistance by consumers to enter residential treatment programs and the need to expand treatment options B. Decreased public funding and identification of more at-risk consumers 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 C. 12-step, Cognitive-Behavioral and Psychodynamic B. 12-step, Motivational Enhancement and cognitive-behavioral 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 ____ 9. Chapter 2 Brief Interventions in Substance Abuse Treatment 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. DRIVES C. BEEDIE B. FRAMES D. None of the above ____ 12. How many basic steps incorporate the six critical elements of the brief intervention? A. 2 C. 4 B. 3 D. 5 ____ 13. One of the most important skills for brief interventionists is: A. Exploring ambivalence C. Active listening B. Confrontation D. Acceptance ____ 14. Chapter 3 - Brief Therapy in Substance Abuse Treatment What percentage of clients drop out of treatment before completing 20 sessions? A. 45% C. 80% B. 75% D. 90% ____ 15. The most widely used model for understanding client’s readiness for change is: A. Cognitive-behavioral model C. Stages of change B. Stages of motivation 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 ____ 18. Chapter 4 - Brief Cognitive-Behavioral Therapy 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 C. Post Traumatic Stress Disorder B. Depression D. Panic Disorder ____ 23. Cognitive restructuring is the general term given to what process? A. Changing habitual, automatic thinking C. Changing distorted addictive thoughts B. Changing negative thought patterns 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 C. RET believes in allowing the client to discover for themselves their own faulty thinking B. RET is more confrontive D. RET is more supportive ____ 25. What is known as the third core element in cognitive behavioral therapy? A. Relapse prevention C. Functional analysis B. Skills training D. None of the above ____ 26. Chapter 5 - Brief Strategic/Interactional Therapies Strategic therapy stems from the work of: A. Jay Haley C. John Weakley B. Milton Eriksson 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 ____ 30. Chapter 6 - Brief Humanistic and Existential Therapies Which of the following reflect best the key words of humanistic therapy? A. Tolerance and acceptance C. Acceptance and growth B. Responsibility and freedom D. All of the above ____ 31. Which of the following reflect best the key words of Existential Therapy? A. Freedom and responsibility C. Tolerance and acceptance B. Acceptance and growth 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 ____ 34. Chapter 7 - Brief Psychodynamic Therapy Psychodynamic brief therapies focus on what process that is manifested in the client’s present behavior? A. Conscious processes C. Cognitive processes B. Unconscious processes D. Emotional processes ____ 35. The theory upon which psychodynamic therapy is formed is: A. Cognitive C. Motivational B. Behavioral 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 C. Identification and intellectualization B. Displacement and dissociation D. Repression and isolation ____ 38. Chapter 8 - Brief Family Therapy Even thought 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 C. When physical, emotional or sexual abuse of the client by a family member is suspected B. When issues of separation and individuation exist for the client 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 C. General imbalances in family relationships B. Family of origin emotional attachment patterns 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 C. Strategic Family Therapy B. Brief Couples Therapy D. Cognitive-Behavioral Therapy ____ 43. Chapter 9 - Time-Limited Group Therapy 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 C. 6 months - 1 year B. 2-3 months 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 C. 10 B. 8 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 C. Imitative behaviors B. Universality 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