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
Choice A reason: The orientation phase is the initial stage of the therapeutic relationship where the client and therapist establish rapport, clarify roles, and set goals. It is typically marked by anxiety and uncertainty, but not regression or symptom reemergence. The client is just beginning to engage and is unlikely to show deep psychological shifts at this point.
Choice B reason: The termination phase involves ending the therapeutic relationship. While it may evoke emotional responses such as sadness or anxiety, it is not typically associated with regression or the reemergence of symptoms. Instead, it focuses on consolidating gains and planning for future coping strategies.
Choice C reason: The working phase is where the core therapeutic work occurs. This phase involves exploring painful emotions, unresolved conflicts, and maladaptive behaviors. It is common for clients to regress or experience a resurgence of symptoms during this phase as they confront difficult material. This regression is often a sign of progress, indicating that the client is engaging deeply with the therapeutic process.
Choice D reason: Identification is a subcomponent of the working phase in Peplau’s theory, where the client begins to respond selectively to those who can meet their needs. While it is part of the therapeutic process, it is not the primary phase associated with regression or symptom reemergence. The broader working phase encompasses these dynamics more fully.
Correct Answer is C
Explanation
Choice A reason: Self-absorption is more characteristic of adolescent egocentrism, such as the imaginary audience or personal fable, but it is not the defining cognitive feature of the formal operational stage.
Choice B reason: Circular reactions are part of Piaget’s sensorimotor stage, where infants repeat actions to explore their environment. This is not relevant to formal operational thinking.
Choice C reason: Hypothetico-deductive thinking is the hallmark of the formal operational stage. It involves the ability to think abstractly, formulate hypotheses, and systematically test them. This stage typically begins around age 11 and enables scientific reasoning and complex problem-solving.
Choice D reason: Syllogistic reasoning is a component of logical thinking but is not the defining feature of the formal operational stage. It may emerge earlier and does not encompass the full scope of abstract reasoning seen in this stage.
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