NCE - Counseling & Helping Relationships

Sigmund Freud is the father of psychoanalysis, which is both a form of treatment and a very comprehensive personality theory. According to Freud’s theory, inborn drives (mainly sexual) help for the personality. ____ and ____, who originally worked with Freud, created individual psychology and analytic psychology, respectively.

a. Carl Jung; Alfred Adler

b. Alfred Adler; Carl Jung

c. Josef Breuer; A.A. Brill

d. Alfred Addler; Rollo May

b. Alfred Adler; Carl Jung

Eric Berne’s transactional analysis (TA) posts three ego states: the Child, the Adult, and the Parent. These roughly correspond to Freud’s structural theory that includes:

a. oral, anal, and phallic

b. unconscious, preconscious, and conscious

c. a & b

d. id, ego, and superego

d. id, ego, and superego

In transactional analysis (TA), the ____ is the conscience, or ego state concerned with moral behavior, while in Freudian theory it is the…

a. Adult, unconscious

b. Parent, ego

c. Parent, superego

d. Parent, id

c. Parent, superego

Freud felt that successful resolution of the Oedipus complex led to the development of the superego. This is accomplished by…

a. identification with the aggressor, the parent of the same sex

b. analysis during childhood years

c. identification with the parent of the opposite sex, the aggressor

d. transference

a. identification with the aggressor, the parent of the same sex

Freudians refer to the ego as…

a. the executive administrator of the personality and the reality principle

b. the guardian angel of the mind

c. the pleasure principal

d. the seat of libido`

a. the executive administrator of the personality and the reality principle

Freud’s theory speaks of Eros and Thanatos. A client who threatens a self-destructive act is being ruled primarily by…

a. Eros

b. Eros and the id

c. Thanatos

d. both Eros and Thanatos

c. Thanatos

The id is present at birth and never matures. It operates mainly out of awareness to satisfy instinctual needs according to the…

a. reality principle

b. notion of transference

c. Eros principle

d. pleasure principle, suggesting humans desire instinct gratification such for libido, sex, or the elimination of hunger or thirst

d. pleasure principle, suggesting humans desire instinct gratification such for libido, sex, or the elimination of hunger or thirst

If you think of the mind as a seesaw, then the fulcrum or balancing apparatus would be the…

a. id, which has no concept of rationality or time

b. ego

c. superego, which judges behavior as right or wrong

d. BASIC-ID

b. ego

A therapist who says to a patient “Say whatever comes to mind” is practicing…

a. directive counseling

b. transactional analysis

c. paraphrasing

d. free association

d. free association

The superego contains the ego ideal. The superego strives for ____, rather than ____ like the id.

a. perfection; pleasure

b. pleasure; perfection

c. morals; ethics

d. logic; reality

a. perfection; pleasure

All of these theorists could be associated with the analytic movement except…

a. Freud

b. Jung

c. Adler

d. Wolpe

d. Wolpe

The most scholars would assert that Freud’s 1900 work entitled The Interpretation of Dreams was his most influential. Dreams have…

a. manifest and latent content

b. preconscious and unconscious factors

c. id and ego

d. superego and id

a. manifest and latent content

When a client projects unconscious feelings toward the therapist that he or she originally had toward a significant other, it is called…

a. free association

b. insight

c. transference

d. resistance

c. transference

Which case is not associated with the psychodynamic movement?

a. Little Hans

b. Little Albert

c. Anna O.

d. Daniel Paul Schreber

b. Little Albert

In contrast with classical psychoanalysis, psychodynamic counseling or therapy…

a. utilizes fewer sessions per week

b. does not utilize the couch

c. is performed face to face

d. all of the above

d. all of the above

Talking about difficulties in order to purge emotions and feelings is a curative process known as…

a. catharsis and/or abreaction

b. resistance

c. accurate empathy

d. reflection of emotional content

a. catharsis and/or abreaction

Id, ego, and superego is to structural theory as ____ is to topographical theory.

a. Child, Adult, Parent

b. abreaction, catharsis, introspection

c. ego ideal

d. unconscious, preconscious, conscious

d. unconscious, preconscious, conscious

The most controversial aspect of Freud’s theory is…

a. catharsis

b. the Oedipus complex

c. the notion of the preconscious mind

d. the interpretation of dreams

b. the Oedipus complex

Evidence for the unconscious mind comes from all of these except…

a. Hypnosis

b. Slips of the tongue and humor

c. Dreams

d. Subjective units of distress scale

d. Subjective units of distress scale

In a counseling session, a counselor asks a patient to recall what transpired three months ago to trigger her depression. There was a silence for about two and one-half minutes. The client then began to remember. This exchange most likely illustrates the function of the…

a. preconscious mind

b. ego ideal

c. conscious mind

d. unconscious mind

a. preconscious mind

Unconscious processes, which serve to minimize anxiety and protect the self from severe id or superego demands, are called…

a. slips of the tongue

b. ego defense mechanisms

c. id defense processes

d. latent dream material

b. ego defense mechanisms

Most therapists agree that ego defense mechanisms are unconscious and deny or distort reality. Rationalization, compensation, repression, projection, reaction formation, identification, introjection, denial, and displacement are ego defense mechanisms. According to Freudians, the most important defense mechanism is…

a. repression

b. reaction formation

c. denial

d. sublimation

a. repression

Suppression differs from repression in that…

a. suppression is stronger

b. repression only occurs in children

c. repression is automatic or involuntary

d. all of the above

c. repression is automatic or involuntary

An aggressive person who becomes a professional boxer because he or she is sadistic is displaying…

a. suppression

b. rationalization

c. sublimation

d. displacement

c. sublimation

An advertising agency secretly imbeds the word SEX into newspaper ads intended to advertise the center’s chemical dependency program. This is the practice of…

a. sublimation

b. repression

c. introjection

d. none of the above

d. none of the above

A man receives a nickel an hour pay raise. He was expecting a 1 dollar per hour raise. He is furious but nonassertive. He thus smiles and thanks his boss. That night he yells at his wife for no apparent reason. This is an example of…

a. displacement

b. denial

c. identification

d. a Type II error

a. displacement

A student tells a college counselor that he is not upset by a grade of “F” in physical education that marred his fourth-year perfect 4.0 average, inasmuch as “straight A students are eggheads”. This demonstrates…

a. introjection

b. reaction formation

c. sour grapes rationalization

d. sweet lemon rationalization

c. sour grapes rationalization

A master’s level counselor lands an entry-level counseling job in an agency in a warm climate. Her office is not air conditioned, but the counselor insists she likes this because sweating really helps to keep her weight in check. This illuminates…

a. sour grapes rationalization

b. sweet lemon rationalization

c. repression

d. sublimation

b. sweet lemon rationalization

A teenager who had his heart set on winning a tennis match broke his arm in an auto accident. He sends in an entry form to play in the competition which begins just days after the accident. His behavior is influenced by…

a. denial

b. displacement of anger

c. sublimation

d. organ inferiority

a. denial

____ is like looking in a mirror but thinking you are looking out a window.

a. Repression

b. Sour grapes rationalization

c. Projection

d. Denial

c. Projection

Mark is obsessed with stamping out pornography. He is unconsciously involved in this cause so that he can view the material. This is…

a. reaction formation

b. introjection

c. projection

d. rationalization

a. reaction formation

Ted has always felt inferior intellectually. He currently works out at the gym at least four hours daily and is taking massive doses of dangerous steroids to build his muscles. The ego defense mechanism in action here is…

a. reaction formation

b. compensation

c. projection

d. rationalization

b. compensation

Jane feels very inferior. She is now president of the board at a shelter for the homeless. She seems to be obsessed with her work for the agency and spends every spare minute trying to help the cause. When asked to introduce herself in virtually any social situation, Jane invariably responds with, “I’m the president of the board for the homeless shelter”. Jane is engaging in…

a. projection

b. displacement

c. introjection

d. identification

d. identification

A client who has incorporated his father’s values into his thought pattern is a product of…

a. introjection

b. repression

c. rationalization

d. displacement

a. introjection

The client’s tendency to inhibit or fight against the therapeutic process is known as…

a. resistance

b. sublimation

c. projection

d. individuation

a. resistance

Freud has been called the most significant theorist in the entire history of psychology. his greatest contribution was his conceptualization of the unconscious mind. Critics, however, contend that…

a. he was too concerned with the totem and the taboo

b. he failed to emphasize sex

c. many aspects of his theory are difficult to test from a scientific standpoint

d. he was pro female

c. many aspects of his theory are difficult to test from a scientific standpoint

The purpose of interpretation in counseling is to…

a. help the therapist appear genuine

b. make the clients aware of their unconscious processes

c. make clients aware of nonverbal behaviors

d. help clients understand feelings and behaviors related to childhood

b. make the clients aware of their unconscious processes

Organ inferiority relates mainly to the work of…

a. C.G. Jung’s analytical psychology

b. Alfred Adler’s individual psychology

c. Sigmund Freud’s psychoanalytic theory

d. Josef Breuer’s work on hysteria

b. Alfred Adler’s individual psychology

When a client becomes aware of a factor in his or her life that was heretofore unknown, counselors refer to it as…

a. individual psychology

b. confrontation

c. transference neurosis

d. insight

d. insight

C.G. Jung, the founder of analytic psychology, said men operate on logic or the ____ principle, while women are intuitive, operating on the ____ principle.

a. Eros; Thanatos

b. Logos; Eros

c. reality; pleasure

d. transference; countertransference

b. Logos; Eros

Jung used drawings balanced around a center point to analyze himself, his clients, and dreams. He called them…

a. mandalas

b. projective drawings

c. unconscious automatic writing

d. eidetic imagery

a. mandalas

____ emphasized the drive for superiority.

a. Jung

b. Adler

c. Constructive therapists

d. Freud and Jung

b. Adler

The statement “Sibling interaction may have more impact than parent-child interaction” describes…

a. Sigmund Freud’s theory

b. Alfred Adler’s theory

c. insight

d. Carl Jung’s theory

b. Alfred Adler’s theory

In contrast with Freud, the neo-Freudians emphasized…

a. baseline measures

b. social factors

c. unconditional positive regard

d. insight

b. social factors

The term introversion and extroversion are associated with…

a. psychoanalysis

b. Freud

c. Adler

d. Jung

d. Jung

The personality types of the Myers-Briggs Type Indicator (MBTI) are associated with the work of…

a. psychoanalysis

b. Sigmund Freud

c. Alfred Adler

d. Carl G. Jung

d. Carl G. Jung

One of Adler’s students, Rudolph Dreikurs…

a. created the TAT

b. was the first to discuss the use of group therapy in private practice

c. was a noted Freud hater

d. created the hierarchy of needs

b. was the first to discuss the use of group therapy in private practice

Adler emphasized that people wish to belong. This is known as…

a. superiority

b. social connectedness

c. the collective unconcious

d. animus

b. social connectedness

Adler was one of the first therapists who relied on paradox. Using this strategy, a client (who was a student in a counselor preparation program) who was afraid to give a presentation in front of his counseling class for fear he might shake and embarrass himself would be instructed to…

a. exaggerate the behavior and really do a thorough job shaking in front of the class

b. practice relaxation techniques for 10-20 minutes before the speech

c. practice rational self-talk

d. practice rational thinking

a. exaggerate the behavior and really do a thorough job shaking in front of the class

C.J. Jung felt that society caused men to deny their feminine side known as ____, and women to deny their masculine side known as ____.

a. Eros; Thanatos

b. animus; anima

c. anima; animus

d. yin; yang

c. anima; animus

Jung spoke of a collective unconscious common to all men and women. The material that makes up the collective unconscious, which is passed from generation to generation, is known as…

a. a hierarchy of needs

b. instinctual

c. paradox

d. archetypes

d. archetypes

Common archetypes include…

a. the persona - the mask or role we present to others to hide our true self

b. animus, anima, and self

c. shadow - the mask behind the persona, which contains id-like material, denied, yet desired

d. all of the above

d. all of the above

A client is demonstrating inconsistent behavior. She is smiling but says that she is very sad about what she did. When her counselor points this out to her, the counselor’s verbal response is known as…

a. active listening

b. confrontation

c. accurate empathy

d. summarization

b. confrontation

During a professional staff meeting, a counselor says he is worried that if techniques are implemented to stop a 6-year-old boy from sucking his thumb, then he will begin biting his nails or stuttering. The counselor…

a. is using ACT or acceptance and commitment therapy, a mindfulness-based behavior therapy

b. is using Donald Meichenbaum’s cognitive behavior modifcation

c. is most likely a behaviorist concerned with symptom substitution

d. is most likely an analytically trained counselor concerned with symptom substitution

d. is most likely an analytically trained counselor concerned with symptom substitution

An eclectic counselor…

a. is analytic

b. is behavioristic

c. attempts to choose the best theoretical approach based on the client’s attributes, resources, and situation

d. insists on including all family members in treatment

c. attempts to choose the best theoretical approach based on the client’s attributes, resources, and situation

The word eclectic is most closely associated with…

a. Frederick C. Thorne

b. Sigmund Freud

c. Jean Piaget

d. Burrhus Frederic Skinner

a. Frederick C. Thorne

A counselor who is obsessed with the fact that a client missed his or her session is the victim of…

a. cognitive dissonance

b. transference

c. countertransference

d. positive transference

c. countertransference

Lifestyle, birth order, and family constellation are emphasized by…

a. Freud

b. Jung

c. Adler

d. Thorne and Lazarus

c. Adler

A counselor who remarks that firstborn children are usually conservative but display leadership qualities is most likely…

a. a Freudian who believes in the unconscious mind

b. an Adlerian who believes behavior must be studied in a social context, never in isolation

c. a Rogerian who stresses the importance of the therapeutic relationship

d. a behavior modifier using a behavioral contract

b. an Adlerian who believes behavior must be studied in a social context, never in isolation

Existentialism is to logotherapy as ____ is to behaviorism.

a. operants

b. associationism

c. Skinner

d. Socrates

b. associationism

B.F. Skinner’s reinforcement theory elaborated on…

a. Edward Thorndike’s law of effect

b. Alfred Adler’s concept of lifestyle

c. Arnold Lazarus’s concept of the BASIC-ID used in the multimodal therapeutic approach that is eclectic and holistic

d. symptom substitution

a. Edward Thorndike’s law of effect

Classical conditioning relates to the work of…

a. E.G. Williamson

b. B.F. Skinner

c. Viktor Frankl, who created logotherapy

d. Ivan Pavlov

d. Ivan Pavlov

An association that naturally exists, such as an animal salivating (an unconditioned response known as UR or UCR) when food is presented is called…

a. an operant

b. a conditioned stimulus (CS)

c. an unconditioned stimulus (UCS)

d. an acquisition period

c. an unconditioned stimulus (UCS)

Skinner’s operant conditioning is also referred to as…

a. instrumental learning

b. classical conditioning

c. cognitive learning

d. learning via insight

a. instrumental learning

Respondent behavior refers to…

a. reflexes

b. operants

c. a type of phobia

d. punishment

a. reflexes

All reinforcers…

a. are plastic tokens

b. tend to increase the probability that a behavior will occur

c. are secondary

d. do not raise behavior since negative reinforcement lowers behavior

b. tend to increase the probability that a behavior will occur

Negative reinforcement requires the withdrawal of an aversive (negative) stimulus to increase the likelihood that a behavior will occur. Negative reinforcement is not used as often as positive reinforcement and…

a. is really the same as punishment

b. effectively lowers the frequency of behavior in young children

c. is not the same thing as punishment

d. is a psychodynamic conceptualiation

c. is not the same thing as punishment

Punishment…

a. is the same as negative reinforcement

b. is much more effective than reinforcement

c. decreases the probability that a behavior will occur

d. is used extensively in reality therapy

c. decreases the probability that a behavior will occur

In Pavlov’s famous experiment using dogs, the bell was the ____ and the meat was the ____.

a. CS; UCS

b. UCS; CS

c. CR; UCS

d. UCS; CR

a. CS; UCS

The most effective time interval (temporal relation) between the CS and UCS…

a. is irrelevant - it does not influence the learning process

b. is 5 seconds

c. is the .05 level according to social scientists

d. is .5 or half a second

d. is .5 or half a second

Many researchers have tried pulling the UCS (the meat) before the CS (the bell). This usually results in…

a. increased learning

b. anger on the part of the dog

c. experimental neurosis

d. no conditioning

d. no conditioning

Several graduate students in counseling trained a poodle to salivate to a child’s toy horn using Pavlov’s classical conditioning paradigm. One day the department chairman was driving across campus and honked his horn. Much to the chagrin of the students, the poodle elicited a salivation response. What had happened?

a. experimental neurosis had obviously set in

b. extinction

c. stimulus generalization or what Pavlov terms irradiation

d. stimulus discrimination

c. stimulus generalization or what Pavlov termed irradiation

The department chairman found the poodle’s response to his automobile horn humorous. He thus instructed the graduate students to train the dog to salivate only to his car horn and not the original toy bell. Indeed the graduate students were able to perform this task. The poodle was now demonstrating…

a. experimental neurosis

b. irradiation

c. pica

d. stimulus discrimination

d. stimulus discrimination

The department chair was further amused by the poodle’s tendency to be able to discriminate one CS from another. He thus told the students to teach the dog to salivate only to the horn on his Ford but not to one on a graduate student’s Chevrolet truck. In reality, the horns on the two vehicles sounded nearly identical. The training was seemingly unsuccessful inasmuch as the dog merely took to very loud barking. In this case…

a. experimental neurosis set in

b. irradiation became a reality

c. borderline personality traits no doubt played a role

d. a covert process confounded the experiment

a. experimental neurosis set in

In one experiment, a dog was conditioned to salivate to a bell paired with a fast-food cheeseburger. The researcher then kemp ringing the bell without giving the dog the cheeseburger. This is known as…

a. instrumental learning via shaping

b. positive reinforcement

c. extinction, and the salivation will disappear

d. negative reinforcement

c. extinction, and the salivation will disappear

John B. Watson’s name is associated with…

a. Little Hans

b. Anna O.

c. Little Albert

d. b & c

c. Little Albert

During a family counseling session, a 6-year-old girl repeatedly sticks her tongue out at the counselor, who is obviously ignoring the behavior. The counselor is practicing…

a. negative reinforcement

b. chaining

c. reciprocal inhibition

d. extinction

d. extinction

In general, behavior modification strategies are based heavily on ____, while behavior therapy emphasizes ____.

a. instrumental conditioning; classical conditioning

b. Pavlovian principles; Skinnerian principles

c. Skinnerian principles; Pavlovian principles

d. a & c

d. a & c

A behavioristic counselor decides upon aversive conditioning as the treatment of choice for a gentleman who wishes to give up smoking. The counselor begins by taking a baseline. This is accomplished…

a. using hypnosis

b. by charting the occurrence of the behavior prior to any therapeutic intervention

c. using a biofeedback device

d. by counterconditioning

b. by charting the occurrence of the behavior prior to any therapeutic intervention

The first studies, which demonstrated that animals could indeed be conditioned to control autonomic processes, were conducted by…

a. Edward Thorndike

b. Joseph Wolpe

c. Neal Miller

d. Ivan Pavlov

c. Neal Miller

The significance of the Little Albert experiment by John B. Watson and Rosalie Rayner was that…

a. a phobia could be a learned behavior

b. it provided concrete proof that Skinner’s model was correct

c. it provided concrete proof that Pavlov’s model was correct

d. none of the above

a. a phobia could be a learned behavior

John B. Watson is to cause as Mary Cover Jones is to…

a. cure

b. Skinner

c. Piaget

d. NLP

a. cure

In the famous Little Albert experiment, a child was conditioned to fear a harmless white furry animal. Historical accounts indicate that the child also began to fear a Santa Claus mask. This would demonstrate…

a. two DSM diagnoses which often co-occur: panic disorder and agoraphobia

b. stimulus generalization

c. an adjustment reaction

d. stimulus discrimination

b. stimulus generalization

A counselor who says he or she practices depth psychology technically bases his or her treatment on…

a. Pavlov’s dogs

b. Mary Cover Jones

c. John B. Watson

d. Freud’s topographic hypothesis

d. Freud’s topographic hypothesis

When a counselor refers to a counseling paradigm, she really means…

a. she is nondirective

b. she is very directive

c. a treatment model

d. she is not a depth psychologist

c. a treatment model

A man says, “My life has been lousy for the past six months.” The counselor replies, “Can you tell me specifically what has made life so bad for the past six months?” The counselor is…

a. using interpretation

b. using summarization

c. using concreteness

d. using a depth psychology paradigm

c. using concreteness

A client who is having panic attacks is told to practice relaxing his jaw muscle for three minutes per day. The counselor here is using…

a. concreteness

b. a directive

c. interpretation

d. parroting

b. a directive

____ is a biofeedback device.

a. A bathroom scale

b. A DVD player

c. A digital clock

d. An analyst’s couch

a. A bathroom scale

Johnny just loves M&Ms but doesn’t do his homework. The school counselor thus instructs Johnny’s mom to give the child a bag of M&Ms every night after he finishes his homework. This is an example of…

a. punishment

b. biofeedback

c. a Pavlovian strategy

d. positive reinforcement

d. positive reinforcement

Genuineness, or congruence, is really…

a. identical to concreteness

b. selective empathy

c. the counselor’s ability to be himself or herself

d. an archaic Freudian notion

c. the counselor’s ability to be himself or herself

Empathy is…

a. the ability to understand the client’s world and to communicate this to the client

b. behavioristic

c. a & b

d. the same as sympathy

a. the ability to understand the client’s world and to communicate this to the client

When something is added following an operant, it is known as a ____, and when something is taken away it is called a ____.

a. negative reinforcer; positive reinforcer

b. positive reinforcer; negative reinforcer

c. extinction; shaping

d. classical conditioning; operant conditioning

b. positive reinforcer; negative reinforcer

After a dog is conditioned using the well-known experiment of Pavlov, a light is paired with the bell (the CS). In a short period of time the light alone would elicit the salivation. This is called…

a. extinction

b. token reinforcement

c. biofeedback

d. higher-order conditioning

d. higher-order conditioning

A counselor decides to use biofeedback training to help a client raise the temperature in his right hand to ward off migraines. He would utilize…

a. a temperature trainer

b. EMG feedback

c. EEG neurofeedback

d. EKG feedback

a. a temperature trainer

A counselor discovered that a client became nervous and often experienced panic attacks when she would tense her frontalis muscle over her eyes. The counselor wanted direct muscle feedback and would thus rely on…

a. the Jacobson relaxation method

b. GSR feedback

c. EMG feedback

d. a simple yet effective mood ring

c. EMG feedback

According to the Premack principle, an efficient reinforcer is what the client himself or herself likes to do. Thus, in this procedure…

a. a lower-probability behavior is reinforced by a higher-probability behavior

b. a higher-probability behavior is reinforced by a lower-probability behavior

c. a & b are paradoxically both effective

d. none of the above

a. a lower-probability behavior is reinforced by a higher probability behavior

A counselor who wanted to teach a client to produce alpha waves for relaxation would utilize…

a. EMG feedback

b. GSR feedback

c. EEG feedback

d. EKG feedback

c. EEG feedback

A reinforcement schedule gives the guidelines or rules for reinforcement. If a reinforcer is given every time a desired response occurs, it is known as…

a. an intermittent schedule

b. an extinction schedule

c. continuous reinforcement

d. thinning

c. continuous reinforcement

The two basic classes of intermittent reinforcement schedules are the ____, based on the number of responses and the ____, based on the time elapsed.

a. ratio; interval

b. interval; ratio

c. continuous; ratio

d. interval; continuous

a. ratio; interval

The most difficult intermittent schedule to extinguish is the…

a. fixed ratio, for example giving a child an M&M for each five math problem she completes

b. fixed interval, which describes the way most agency counselors are paid (e.g., one time per month, although the amount of work may vary from month to month)

c. variable interval

d. variable ratio

d. variable ratio