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MM - Addiction: Treating Family Manipulation, Mistrust, and Misdirection Post Test

Psychologist, Ohio MFT and Counselor Post Test:
Only Psychologists, Ohio MFT's and Ohio Counselors taking this course for credit need to complete these additional questions below to be in compliance with their Boards. requirements. If you are not a psychologist, Ohio MFT or Ohio Counselor please return to the original Answer Booklet. You do not need to complete the additional questions below.

Audio Transcript Questions The answer to Question 1 is found in Track 1 of the Course Content. The Answer to Question 2 is found in Track 2 of the Course Content... and so on. Select correct answer from below. Place letter on the blank line before the corresponding question.
Important Note! Underlined numbers below are links to that Section. If you leave this page, use your "Back" button to return to your answers, rather than clicking on a new "Answer Booklet" link. Or use Ctrl-N to open a new window and use a separate window to review content.

Please note every section does not have an additional question below. Some sections may have more than one question.

Questions:

1.1 What are common forms of misdirection used by addicts?
2.1 What is a common belief among families coping with addiction?
3.1 What are steps to the “New Rules/Old Rules” exercise to help a client get ready to face making a change in their family’s life?
4.1 What is one difficulty families of addicts face?
4.2 What are steps to the “Feelings Excavation” exercise?
4.3 What are survival skills used by the families of addicts?
5.1 What are four steps a client can use to establish communication about the addiction with the other non-addicted members of the family?
5.2 What might be a good first step to ask for help from outside the immediate family?
6.1 What are three questions of the anger assessment exercise?
7.1 What are four elements to the ‘caretaker trap?’
7.2 What are differences between caregivers and caretakers?
8.1 How can a client turn a blame question into a transformation questions?
8.2 What are steps to the rational emotive behavior therapy (REBT)?
9.1 What are common symptoms occurring both in the addict and the family members?
9.2 What are four questions in the ‘Trust Yourself First’ exercise?
10.1 What might be an ambassadors (family members) motto?
11.1 If a client needs help, but is incapable of paying for a professional interventionist, what are other potential sources that may be helpful?
12.1 What three kinds of individuals should be left off of the ‘team list’ when a client is preparing to build a team for an intervention?
13.1 What are the final five steps in preparing for a structured family intervention?
14.1 When discussing relapse, what are six important questions a client should consider?
Answers:

A. The belief that improving the addict’s circumstances will render the addiction unnecessary; they believe that the addict’s problems are causing his addiction, not the other way around
B. Attitude, ‘doing the offbeat’, creating an impression of honesty and openness, and misdirection of time
C. Difficulty of communication
D. a) First, list the old rules she lived by b) come up with new rules she would like to have c) try to recognize when an old rule was trying to control her behavior d) imagine a situation in which she used a new rule instead of an old rule, image how it would look, what she would do differently, how it would feel and sound
E. Being a contortionist, and trying to keep the addict happy, families invent new ways of connecting, and unspoken
F. First, ask the client ‘What is the predominant feeling you have right now?’, then ask the client to make a list of words that most accurately describe how they are feeling, ask the client what made them feel that way, finally ask the client to come up with some other ways to express their feelings
G. Client to describe the problem, and ask for advice or help learning more about addiction
H. Identifying who is most open to change, asking for help, finding allies outside the immediate family, and dealing with family members who refuse to cooperate
I. Family members feeling they have no choice, avoiding pain and seeking pleasure, feeling guilt and shame, and being well-intentioned
J. 1) Ask what the client thinks would happen if she/he allowed him/herself to feel angry emotions 2) ask the client what they believed deep down about anger 3) how do other people in the client's current family situation deal with anger?
K. When you start blaming, re-think it, change it, and restate it. Instead of asking ‘who’s to blame?’ ask ‘what’s gone wrong’?
L. Caretakers are the people who pay an addict’s rent and bail, clean up all the messes, and generally take care of everything, they do things for an addict because they feel they have no choice, caregivers do things for people because it makes them happy
M. Hypertension, anxiety, irritable bladder, peptic ulcers, and gastritis
N. Write down three most powerful blame or resentment statements, pick one statement from list to examine more deeply, come up with a list of statements and questions to challenge the irrational belief
O. ‘We will not give in to the disease’
P. How well do you honor your needs? When you make promises to yourself, do you keep them? Can you trust yourself to make tough choices? Do you stand up for yourself when someone steps over your boundaries or acts in inappropriate ways?
Q. Individuals who cannot keep confidence, anyone the addict deeply dislikes or mistrusts, and those currently suffering from addiction
R. Pastor, priest, rabbi, clergy, former coach or teacher, colleague, a highly respected friend, a recovering addict from the community
S. 1) Is detox necessary? 2) Is the addict currently involved in a 12 –step program? 3) How much support does the addict have at home 4) Is something blocking recovery? 5) Are there signs that a mental health issue is blocking recovery? 6) Is the addict following all the directions, working a strong program of recovery, and still relapsing?
T. Writing an intervention letter, brainstorming objections, determining bottom lines, rehearsal, and the intervention itself

Course Content Manual Questions The answer to Question 21 is found in Section 21 of the Course Content. The Answer to Question 22 is found in Section 22 of the Course Content... and so on. Select correct answer from below. Place letter on the blank line before the corresponding question

Please note every section does not have an additional question below. Some sections may have more than one question.

Questions:

15.1 What five things might a family do to meet the basic needs of its members and society?
15.2 Roles help maintain balance in the family system and provide another method for individuals to insulate themselves against the emotional pain of living in a chemically dependent family. What are two reasons why the therapist must understand these roles?
15.3 What might be five roles in a family?
16.1 What is the CAGE questionnaire?
16.2 What might be four criteria most frequently endorsed by those with alcohol problems?
18.1 What may be the most common strategy used by parents to conceal their drug taking?
18.2 What are factors associated with children’s exposure to parental drug ingestion?
20.1 What might therapists require to be able to provide effective brief interventions for AOD use problems?
21.1 According to Halford, what might a female partner of a man who drinks heavily suffer from?
21.2 What are three treatments for women whose male partners drink heavily?
22.1 What are four key issues professionals might consider when the user comes forward requesting help?
22.2 What may be four possible scenarios, professionals are prepared for incase a brief intervention doesn’t work?
22.3 According to Orlord, what are three distinct ways of coping or coping positions used by relatives?
24.1 What are two fundamental objectives to the “pressures to change” procedure?
Answers:

A. First, patients may describe themselves in these terms, and it is supportive for the patient when the therapist understands. second, and more important, when individuals use role-dominated behaviors, they do not develop to their full potential
B. 1) Physically protect and sustain its members by providing shelter, safety, food, and clothing 2) promote a sense of individuality or autonomy, so that each member can think and feel independently 3) promote a sense of connectedness, so that each member meets emotional needs for affection and intimacy appropriately 4) foster a sense of competence and self-worth, so that each member feels good about him/herself and contributes productively to society; and 5) encourage each member to develop a sense of right and wrong and conform to basic values and rules of society
C. A four-item alcohol screening instrument with demonstrated relevance for primary care in clinical, educational, and research settings
D. Chief enabler, hero, scapegoat, lost child, family clown
E. To retreat to another room in the house to take drugs
F. 1) Blackouts 2) objections by family members or close friends, 3) withdrawal symptoms when the abused substance is not immediately available, and 4) neglect of responsibilities
G. 1) Knowledge of patient education and behavior change interventions; 2) interviewing and assessment skills to make accurate evaluations of risk for substance-abuse problems; and 3) health promotion skills to help children and their families reduce risk or maintain health behaviors.
H. Children were more likely to have witnessed their parents’ drug taking if they were very young children, especially of preschool age. Children were more likely to witness parental drug taking if the parent was a chronic drug user during the lifetime of the child, the stage of addiction of the parent, etc.
I. (a) Supportive counseling, (b) stress management, or (c) alcohol-focused couple therapy (AFCT)
J. Elevated rates of depression, anxiety and somatic complaints, report low levels of relationship satisfaction
K. Further help needed for the relative in his or her own right, further help needed for the alcohol/drug user in his/her own right, further help needed for the family as a whole, further help needed for other family members (i.e. not the relative that received the intervention)
L. 1. The concerned relative with whom the work was conducted initially needed to remain at the centre of the intervention 2. The fact that the problem drug/alcohol user has come for help should be seen as a very positive event. This ought to be communicated to both family members in a clear and supportive fashion 3. As far as possible, open communication between the relative and the problem alcohol/drug user needs to be encouraged 4. Professionals need to be aware of sources of help and referral procedures and if necessary refer on for further help promptly
M. (1) To provide the woman with a greater measure of control over her life and (2) to place the drinker under escalating pressure to change.
N. Named engaged, tolerant, withdrawal