A married couple tells their therapist that they have a serious fight at least three times a week. The therapist, who practices strategic family therapy, instructs the couple to fight at least five nights a week. What is this an example of?
Relabeling
Reframing
Straightforward directive
A paradoxical directive
The Correct Answer is D
Choice A reason: Relabeling involves changing the meaning assigned to a behavior or situation, often to reduce its negative connotation. It does not involve instructing clients to increase problematic behavior.
Choice B reason: Reframing changes the perspective on a situation to help clients see it differently. While related to strategic therapy, it does not involve giving counterintuitive instructions.
Choice C reason: A straightforward directive is a clear instruction aimed at solving a problem directly. Telling a couple to fight more frequently is not straightforward—it’s intentionally paradoxical.
Choice D reason: A paradoxical directive is a hallmark of strategic family therapy. It involves prescribing the symptom or behavior in a way that disrupts the pattern and forces clients to reconsider their actions. Asking the couple to fight more often is designed to reduce the frequency or intensity of the fights by making them more conscious of the behavior.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Interpersonal therapy (IPT) is a structured, time-limited approach that focuses on improving interpersonal relationships and social functioning to alleviate depressive symptoms. It targets role transitions, grief, interpersonal disputes, and social deficits.
Choice B reason: Psychoanalysis is a long-term, intensive therapy that explores unconscious conflicts and childhood experiences. It is not time-limited and does not specifically focus on interpersonal issues related to depression.
Choice C reason: Cognitive behavioral therapy (CBT) addresses distorted thinking and maladaptive behaviors. While effective for depression, it does not primarily focus on interpersonal relationships.
Choice D reason: Supportive therapy provides emotional support and encouragement but lacks the structured, targeted approach of IPT. It is not specifically designed to address interpersonal factors in depression.
Correct Answer is B
Explanation
Choice A reason: Schizoid personality disorder is characterized by detachment from social relationships and a limited range of emotional expression. While the client shows social withdrawal and constricted affect, the presence of magical thinking and unusual beliefs (ESP and UFO experiences) is not typical of schizoid personality disorder.
Choice B reason: Schizotypal personality disorder includes social anxiety, eccentric behavior, odd beliefs or magical thinking, and peculiar speech or appearance. The client’s lifelong social anxiety, mismatched clothing, constricted affect, and belief in ESP following a UFO sighting are hallmark features of schizotypal personality disorder.
Choice C reason: Paranoid personality disorder involves pervasive distrust and suspicion of others. Although the client shows some suspiciousness, the presence of magical thinking and eccentric behavior is more consistent with schizotypal personality disorder.
Choice D reason: Antisocial personality disorder is marked by disregard for the rights of others, deceitfulness, impulsivity, and lack of remorse. There is no evidence of these traits in the scenario, making this diagnosis inappropriate.
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