A 39-year-old man is having difficulties with his wife. He tells his therapist she yells at him when he engages in a certain behavior. A strategic therapist might use the technique of reframing. Which of the following is the best example of reframing in this scenario?
"Does the yelling upset you, or do you believe those things she said while yelling at you?"
"Research into this issue shows that she yells at you because she loves you so much. She is frustrated by your behavior, and it manifests as yelling."
"Can you describe how you feel when she yells at you? Pretend it is happening right now in the present moment."
"You are saying that you are upset by her verbal assaults."
The Correct Answer is B
Choice A reason: This response is exploratory and reflective but does not reframe the behavior. It focuses on the client’s perception rather than offering a new interpretation of the wife’s actions.
Choice B reason: This is a classic example of reframing—interpreting the wife’s yelling as an expression of love and frustration rather than aggression. It shifts the meaning of the behavior to reduce defensiveness and promote insight.
Choice C reason: This is a mindfulness-based intervention, asking the client to stay present with their emotions. It is therapeutic but not reframing.
Choice D reason: This statement simply reflects the client’s feelings and does not offer a new perspective or interpretation of the behavior.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
The correct answer is: C
Choice A reason: Structural family therapy was developed by Salvador Minuchin, not Virginia Satir. It focuses on reorganizing family structures to improve interactions and resolve dysfunction. While influential in family therapy, it is unrelated to Satir’s work.
Choice B reason: Strategic therapy was pioneered by Jay Haley and the Milan Group. It emphasizes problem-solving and directive interventions, often using paradoxical techniques. This approach differs significantly from Satir’s emphasis on emotional expression and self-awareness.
Choice C reason: Experiential therapy, particularly the Satir Transformational Systemic Therapy (STST), was developed by Virginia Satir. Her model emphasizes emotional honesty, self-esteem, and congruent communication. She believed that change occurs through authentic emotional experiences and that individuals possess innate resources for growth. Her work laid the foundation for experiential approaches in family therapy.
Choice D reason: Solution-focused therapy was developed by Steve de Shazer and Insoo Kim Berg. It centers on identifying solutions rather than exploring problems, using brief interventions and goal-setting. This model is future-oriented and pragmatic, contrasting with Satir’s depth-oriented, emotionally expressive style.
Correct Answer is C
Explanation
Choice A reason: While transference and countertransference are related, asking the client about their transference does not directly assess the clinician’s countertransference. This approach lacks introspective value.
Choice B reason: Avoiding clients with BPD due to potential countertransference is unethical and counterproductive. Clinicians must develop skills to manage countertransference, not avoid challenging clients.
Choice C reason: Monitoring one's emotional reactions to clients is the most direct and effective way to assess countertransference. This self-awareness allows clinicians to recognize when personal feelings may be influencing the therapeutic relationship.
Choice D reason: Setting professional boundaries is essential in managing countertransference but does not serve as an assessment strategy. It is a preventive and protective measure rather than a diagnostic tool.
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