Multiple Choice
Identify the choice that best completes the
statement or answers the question.
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1.
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Chapter 1
This natural propensity in humans makes group therapy a
powerful therapeutic tool for treating substance abuse.
A. | to support one another | C. | to join a cause | B. | to
congregate | D. | to seek out
therapy when needed |
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2.
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Groups provide positive peer support and pressure to abstain from substances of
abuse.
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3.
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Group therapy is equivalent to 12-step program practices.
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4.
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Ineffective substance abuse group therapy can be related to two problems
primarily:
A. | lack of group cooperation or an unskilled therapist | C. | a poor attitude on the part of the
therapist or poor academic training | B. | lack of clinical supervision or applying the
wrong modality for this type of group | D. | lack of effective group therapy training or the use of a group therapy model that is
inadequate for the chemically dependent |
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5.
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For the most part, group therapy has been based on a model derived from
inpatient therapy for clients whose problems may or may not include substance abuse.
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6.
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Chapter 2
The primary way to define the types of groups that are used
in substance abuse treatment is by a combination of:
A. | group goals and methodology | C. | the primary substance of abuse and
methodology | B. | gender makeup and group goals | D. | None of the
above |
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7.
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This TIP manual discusses 5 types of group models that are effective for
substance abuse treatment. Which of the following is NOT one of the 5.
A. | psycho-educational groups | C. | relapse prevention
groups | B. | skills development groups | D. | support groups |
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8.
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Prochaska and DiClemente discovered there were 6 stages of change that an
individual could go through.
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9.
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Based upon the ‘stages of change’ model, the stage of change the
client is in will dictate:
A. | whether they remain abstinent from substances after therapy | C. | which group mode
and method is appropriate at a particular time | B. | whether they will remain in therapy or
not | D. | All of the
above |
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10.
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In practice, groups can and usually do use more than one model of
therapy.
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11.
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In figure 2.1, spirituality-based groups are usually found in what group
model?
A. | Support Groups | C. | Specialized groups | B. | Inter-personal groups | D. | Skills development
groups |
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12.
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Psychoeducational Groups
Psychoeducational groups are frequently
taught using videotapes, audiotapes or lectures.
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13.
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The major purpose of psychoeducational groups is to create awareness.
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14.
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According to this manual, the psychoeducational group is particularly useful in
counteracting which of the following:
A. | The clients’ association with drug-using peers | C. | Family
dysfunction | B. | The clients denial about their substance abuse | D. | None of the
above |
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15.
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According to Figure 2.2 of this manual, which group is best kept as
heterogeneous?
A. | Cognitive-behavioral | C. | Interpersonal | B. | Support | D. | Skills |
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16.
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Skills Development Groups
Most skills development groups operate from
what type of orientation?
A. | Cognitive-Behavioral | C. | Insight | B. | Psychoanalytic | D. | Behavioral
management |
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17.
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The most common type of skills development group is coping skills.
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18.
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An unstated and underrecognized difficulty in leading skills groups is:
A. | Group leaders are generally not properly trained | C. | The leader becomes bored teaching
the same material week after week | B. | Lack of group cohesion | D. | All of the
above |
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19.
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Cognitive-Behavioral Groups
The use of cognitive-behavioral groups is
particularly appropriate:
A. | For groups in the early stage of recovery | C. | Both a and b | B. | For groups in the
maintenance stage of their treatment program | D. | Neither a or b |
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20.
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Cognitive-Behavioral groups conceptualize dependency as a learned behavior that
is subject to modification through various interventions.
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21.
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Cognitive-behavioral therapy seeks to change learned behavior by changing
thinking patterns, beliefs and:
A. | Feelings | C. | Perceptions | B. | Ideas | D. | None of the
above |
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22.
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Cognitive-behavioral groups are particularly useful in the treatment of this
co-existing disorder:
A. | Depression | C. | Borderline Personality Disorder | B. | Post Traumatic
Stress Disorder | D. | Anti-Social
behavior |
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23.
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The most common leadership style in cognitive-behavioral groups is passive
engagement and a consistently directive orientation.
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24.
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Support Groups
Support groups originated from the field of
psycho-educational groups.
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25.
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A support group may be more attractive to someone less committed to recovery
than a “therapy” group.
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26.
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The support group is generally group-focused rather than leader-focused,
therefore the leadership style of someone running a support group will be less directive.
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27.
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Interpersonal Process Group Psychotherapy
Process-oriented group
therapy uses this as the primary change mechanism.
A. | The therapist | C. | Insight awareness | B. | The group | D. | All of the
above |
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28.
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Which of the following is used by interpersonal process-oriented groups to
promote change and healing.
A. | Insight awareness | C. | Behavioral modification | B. | Psychodynamics | D. | Cognitive awareness |
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29.
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Which one of the following is a basic tenet of the psychodynamic
approach?
A. | Early experience affects later experience | C. | Psychological and cognitive
processes outside awareness influence behavior | B. | Sometimes perceptions distort
reality | D. | All of the
above |
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30.
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Within the interpersonal process model, the objects of interest are the
here-and-now interactions among members.
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31.
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Interpersonal process-oriented group psychotherapy is easy to understand and
adapt because it is pragmatic, applicable and synergistic.
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32.
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In interpersonal process groups, content is of primary concern.
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33.
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Treatment programs need to consider which of the following when deciding on a
model for a substance abuse treatment group?
A. | The training and theoretical orientation of group leaders | C. | The needs and
desires of the clients | B. | Resources | D. | All of the
above |
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34.
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This group model is considered generally inappropriate as a sole approach to
treatment for clients with substance use disorders.
A. | Support | C. | Group-as-a-whole | B. | Psychodynamic | D. | None of the
above |
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35.
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Relapse Prevention
A relapse prevention group aims to improve the
client’s ability to manage risky situations and to stabilize the client’s lifestyle
through behavior change.
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36.
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Research has demonstrated that relapse is common and to be expected during the
process of recovery.
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37.
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Research suggests that relapse prevention should be conducted only in groups, as
one-on-one formats show little measurable improvement.
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38.
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Communal and Culturally Specific Groups
Cultural patterns of
permissible use define, in part, what is reasonable use and what is abuse of substances.
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39.
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Hispanics/Latinos generally share a value of group comadre, thus a preference
for group therapy is best in this situation.
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40.
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In working with a culturally specific group, the clinician should be aware of
which of the following:
A. | Demographics in the program area | C. | Cultural attitudes and
resistances | B. | Self-identification issues | D. | All of the above |
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41.
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Placement of a client in a group should begin with an assessment of:
A. | Severity of substance abuse | C. | Financial ability to
pay | B. | Readiness to participate | D. | Mental health |
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42.
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An eco-map is sometimes used to:
A. | Depict interpersonal relationships | C. | Both a and b | B. | Depict history of
drug use | D. | Neither a nor
b |
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43.
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The primary reason same-sex groups are more effective for women is that women
have distinct treatment needs that are different from those of men.
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44.
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Clients with low levels of motivation to abstain should be placed in which type
of group?
A. | Support | C. | Psychoeducational | B. | Insight-oriented | D. | None of the
above |
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45.
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According to Figure 3.2 - Client Placement by Stage of Recovery- what group is
indicated as ‘necessary and most important’ during the late and maintenance stage of
recovery?
A. | Relapse Prevention | C. | Support | B. | Interpersonal Process | D. | Expressive |
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46.
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Recent research suggests that an ethnic match between a therapist and client
consistently improves outcomes.
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47.
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Characteristics of Fixed and Revolving Membership Groups
According to
Figure 4-1, this is a feature of group development in a revolving membership that is ongoing:
A. | Learning built on what has happened in prior meetings | C. | Structuring the group with more
active leadership | B. | Dynamics of group process as the primary source
of learning | D. | Learning at
each session is independent of previous group sessions |
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48.
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Increasing Retention
Which of the following is a technique used to
reduce the incidence of dropping out?
A. | Role induction | C. | Motivational interviews | B. | Experiential
pretraining | D. | All of the
above |
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49.
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Chapter 5 Stages of Treatment
In this stage of treatment, clients can
be emotionally fragile, ambivalent, and resistant to treatment:
A. | Early stage | C. | Late stage | B. | Middle stage | D. | None of the
above |
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50.
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Another name for the middle stage is ‘action stage’.
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51.
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Cognitive impairment is most severe in this stage of treatment:
A. | Early stage | C. | Late stage | B. | Middle stage | D. | None of the
above |
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52.
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The art of treating addiction in the early stages is in the defeat of denial and
resistance.
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53.
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Attachment theory is seen as a complementary model to integrate in substance
abuse treatment. Attachment theory was developed by:
A. | Bowlby | C. | Freud | B. | Kohut | D. | Ellis |
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54.
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Cognitive capacity begins to return to normal in this stage of treatment:
A. | Early | C. | Late | B. | Middle | D. | None of the
above |
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55.
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The therapeutic factors of altruism and self-knowledge can be used in the middle
stages of treatment.
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56.
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What type of group model is appropriate for the middle stage of treatment, where
clients begin to experience and integrate a wide range of emotions in a safe environment.
A. | Support group model | C. | Interpersonal process model | B. | Cognitive-behavioral
model | D. | None of the
above |
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57.
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Late Stage of Treatment
In the early stage of treatment clients work
to avoid tempting situations and triggers.
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58.
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What has to be resolved in order for the client to experience healthy mutuality
and begin resolving conflicts without the maladaptive influence of alcohol or drugs?
A. | Client resistance | C. | Internalized pain | B. | Client denial | D. | Recurrent
relapses |
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59.
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In late stage treatment clients learn to engage more fully in life as they begin
to manage their emotional states and cognitive processes more effectively.
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60.
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Chapter 6: Group Leadership, Concepts, and Techniques
According to
Flores (1997), many therapists do not fully appreciate the impact of their personalities or values on
addicts or alcoholics.
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61.
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Excellent listening skills are the cornerstone of any effective therapy.
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62.
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In a cotherapy situation it is recommended that the therapists be of the same
gender to offer some constancy to the group.
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63.
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It is considered unethical to ‘bend the rules’ of a group agreement
in order to meet the needs of an individual group member.
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64.
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Motivation techniques have been shown to boost client participation and
treatment outcomes. Which of the following are considered motivating factors?
A. | Clients receive support for change efforts | C. | Clients are engaged at the
appropriate stage of change | B. | The therapist points out the clients’
competencies | D. | All of the
above |
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65.
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When physical boundaries are breached in the group, and no one in the group
raises the issue, the leader should not call the behavior to the group’s attention.
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66.
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A more useful way to think of confrontation is:
A. | Confronting denial in a client | C. | Helping the client to overcome
resistance | B. | Forcing the client to see the therapist’s way of thinking | D. | Pointing out inconsistencies between client
behavior and stated goals |
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67.
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The therapist’s emotional response to a group member’s transference
is referred to as counter-transference.
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68.
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Federal law that guarantees strict confidentiality of information about all
people receiving substance abuse treatment services is known as:
A. | 42 C.F.R. | C. | 41 C.F.R. | B. | 21 C.F.R. | D. | None of the
above |
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69.
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12-Step philosophy is known to oppose therapy and medication.
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70.
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Chapter 7: Training and Supervision
Which of the following skills are
necessary to perform supervisory tasks?
A. | Administrative, Supportive, Clinical and Evaluative | C. | Administrative, Legal, Ethical and
Supportive | B. | Supportive, Leadership, Clinical, and Legal | D. | Evaluative, Clinical, Administrative and
Ethical |
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