Sign in to follow this  
Followers 0
Gurpal

Part II ISQ Club - Psychotherapy

60 posts in this topic

Part II ISQs will be posted regularly. You are encouraged to post a reply in the thread, stating whether you think an ISQ is true or false and why (eg. a short explanation, with reference to the textbook/clinical paper/web page you used). Please only deal with one ISQ in each post and include the question as the first line of your post.

Some questions are easier than others. Some questions may be phrased incorrectly - feel free to offer alternative questions.

1. Transference phenomena do not affect the therapist

2. The therapist's account of the stength of a therapeutic relationship is related to the outcome

3. Modelling is used in psychodrama

4. Paradoxical injunction is seen in family therapy

5. In strategic family therapy interruptive style questioning is used

6. In group therapy analysis is in the group, of the group, by the group

7. In group therapy there is less transference to the therapist

8. A patient failing to attend a therapy group who have critisized her is what Bion referred to as the basic assumption

9. Rational emotional therapy is of proven benefit for patients with emotionally unstable personality disorder

10. Dialectical behavioural therapy includes social skills training

11. In psychodynamic psychotherapy interpretations should alwys be tentative.

12. According to psychoanalytic theory interpretative statements should be tentative

13. Underlying assumptions are process that belong to the dynamic unconsciousness

14. Projective identification is a defence against unconscious anxiety

15. Attribution error has 2 components unstable/stable, situational/personal reasons

16. The account of patients who report memories of sexual abuse for the first time during psychological therapy are usually reliable

17. A patient is likely to recall a history of childhood sexual abuse unless they resort to infantile amnesia

Share this post


Link to post
Share on other sites

5. In strategic family therapy interruptive style questioning is used

False (No reference)

Share this post


Link to post
Share on other sites

9. Rational emotional therapy is of proven benefit for patients with emotionally unstable personality disorder FASLE

Share this post


Link to post
Share on other sites

Isn't it hilarious that hardly anyone has posted any answers on this topic...I'm not going to start!

Share this post


Link to post
Share on other sites

no mav its not funny at all..

:lol:

youre obviously bored.

,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,

Share this post


Link to post
Share on other sites

11. In psychodynamic psychotherapy interpretations should alwys be tentative.

FALSE

because it says 'should always'...??

Share this post


Link to post
Share on other sites

1. Transference phenomena do not affect the therapist

i would say FALSE

transference will affect the therapist in some way, because he/she has to acknowledge it or identify it....?

these are extremely hard to find answers to ....im using only common sense....hope someone can come up with references.

Share this post


Link to post
Share on other sites

7. In group therapy there is less transference to the therapist

FALSE

Extracted from http://apt.rcpsych.org/cgi/content/full/8/1/34

Leadership

High levels of leader activity such as in psychoeducational or anxiety management groups mean that the group is being directed in its experience in order for members to acquire a new technique or skill. The learning is, in part, through identifying with the leader as an idealised object. In psychodynamic group psychotherapy with less explicit direction from the leader, anxiety among group members increases and hitherto unconscious dynamics become more apparent. [highlight]Transference and countertransference phenomena abound and can be clarified[/highlight], with the potential for interpersonal learning. There is a range of leadership styles between these extremes, which allows for more or less personality restructuring.

Share this post


Link to post
Share on other sites

9. Rational emotional therapy is of proven benefit for patients with emotionally unstable personality disorder

FALSE ?

Journal of Consulting and Clinical Psychology - Volume 61(6) - Page 1083 Printer-friendly version

1. Efficacy of rational-emotive therapy: A quantitative analysis.

by Engels, Gemma I.; Garnefski..

Meta-analysis of 28 controlled studies on the efficacy of rational-emotive therapy (RET) showed RET to be [highlight]superior to placebo[/highlight] and no treatment but equally effective in comparison with other types of treatment such as combination therapies and systematic desensitization. No support was found for the view that RET with a main or balanced emphasis on behavioral techniques is more efficacious than RET with a primarily or exclusively cognitive approach. However, given the [highlight]heterogeneity of the set of studies and its relatively small sample size, interpretations of results have to be made with caution[/highlight], particularly because evidence was found for a relationship between study characteristics and magnitude of effect size. For the sake of meta-analysis, outcome studies should be required to report at least the means and standard deviations for all experimental groups.

All well, but it doesn't say anything specific on EUPD, i had a look at the full text and evidence is for neurotic/affective-emotional disorders.. I don't think this means Borderline PD.

PLUS,

have a look at this

The theories underpinning rational emotive behaviour therapy: where's the supportive evidence?

MacInnes D.

Research Centre For Nursing Research, Canterbury Christ Church University College, Canterbury, Kent CT1 1QU, UK. dlm2@cant.ac.uk

This paper examines the underlying theoretical philosophy of one of the most widely used cognitive behaviour therapies, rational emotive behaviour therapy. It examines whether two central theoretical principles are supported by research evidence: firstly, that irrational beliefs lead to dysfunctional emotions and inferences and that rational beliefs lead to functional emotions and inferences and, secondly, that demand beliefs are the primary core irrational belief. The established criteria for evaluating the efficacy of the theories are detailed and used to evaluate the strength of evidence supporting these two assumptions. The findings indicate there is [highlight]limited evidence to support these theories[/highlight].

Ahh, now we know a lot about this 'widely used CBT tecnique' ::)

Share this post


Link to post
Share on other sites

10. Dialectical behavioural therapy includes social skills training

FALSE

As discussed b4 - SST is a CBT technique

Dear webmaster, can we have fresh ones, please?

grazie bello

:-* :-* :-*

Share this post


Link to post
Share on other sites

14. Projective identification is a defence against unconscious anxiety

TRUE

See Melanie Klein and smile 8-)

Share this post


Link to post
Share on other sites

15. Attribution error has 2 components unstable/stable, situational/personal reasons

FALSE

2 componets, sure, but they are internal/external and situational/personal

[heider 1958]

The attribution theory, however:

'Several components' - most importantly:

1) LOCUS Internal/external

2) STABILILTY stable/unstable

3) GENERALITY Global/specific

4) CONTROLLABILITY vs uncontr.

Seligman 1979 ---> applied to learned helplessnes

I think that's all answered in this thread

:-?  ::)  8-)   :lol:  

I need sleep  zzzzzZZZZ

Share this post


Link to post
Share on other sites

8. A patient failing to attend a therapy group who have critisized her is what Bion referred to as the basic assumption

TRUE

Bion perceived three basic assumption groups: the dependency group, the fight-flight group, and the pairing group. Dependency groups operate on the assumption is that there is a leader (not necessarily the therapist) who can magically gratify the group's need for security and nurture. [highlight]Another Basic Assumption is that the group must protect itself. It does this by either fighting or running away from something threatening. Naturally enough, Bion called this the 'fight-flight' group. Since it is not unusual (especially in a therapy group) for the Work-Group tasks themselves to feel threatening, it is not uncommon for the nominal leader to be avoided or fought against. [/highlight]

Share this post


Link to post
Share on other sites

1. Transference phenomena do not affect the therapist  TRUE

I think its a straight forward question and maybe tryin to test if one knows abt counter transference and transference... common sens ewud dictate a False answer but I wud stick to an answer without common sense after all its a royal college exam.

2. The therapist's account of the stength of a therapeutic relationship is related to the outcome TRUE

3. Modelling is used in psychodrama FALSE

It is used in treatin for phobias... in psychodrama someone else enacts out the roles.. and is not exactly modelling

4. Paradoxical injunction is seen in family therapy ?TRUE

5. In strategic family therapy interruptive style questioning is used  ???

6. In group therapy analysis is in the group, of the group, by the group  FALSE

Not analysis by the group always

7. In group therapy there is less transference to the therapist TRUE

I read it in an aritcle... but no references...

8. A patient failing to attend a therapy group who have critisized her is what Bion referred to as the basic assumption  FALSE

9. Rational emotional therapy is of proven benefit for patients with emotionally unstable personality disorder TRUE

On google search

10. Dialectical behavioural therapy includes social skills training  TRUE

Manchester and OTP

11. In psychodynamic psychotherapy interpretations should alwys be tentative. ??TRUE

12. According to psychoanalytic theory interpretative statements should be tentative ??TRUE

13. Underlying assumptions are process that belong to the dynamic unconsciousness ??

14. Projective identification is a defence against unconscious anxiety TRUE

15. Attribution error has 2 components unstable/stable, situational/personal reasons FALSE

16. The account of patients who report memories of sexual abuse for the first time during psychological therapy are usually reliable FALSE

17. A patient is likely to recall a history of childhood sexual abuse unless they resort to infantile amnesia FALSE

Rajiv

Share this post


Link to post
Share on other sites
8. A patient failing to attend a therapy group who have critisized her is what Bion referred to as the basic assumption  

TRUE

Bion perceived three basic assumption groups: the dependency group, the fight-flight group, and the pairing group. Dependency groups operate on the assumption is that there is a leader (not necessarily the therapist) who can magically gratify the group's need for security and nurture. [highlight]Another Basic Assumption is that the group must protect itself. It does this by either fighting or running away from something threatening. Naturally enough, Bion called this the 'fight-flight' group. Since it is not unusual (especially in a therapy group) for the Work-Group tasks themselves to feel threatening, it is not uncommon for the nominal leader to be avoided or fought against. [/highlight]

The flight and fight assumption is fighting or running away frm the therapist rather than from each other... am nt sure but this is how i understood it

Rajiv

Share this post


Link to post
Share on other sites

10. Dialectical behavioural therapy includes social skills training TRUE

Manchester and OTP

FALSE

manchester isnt always right!!!

READ MARSHA LINEHANS ACCOUNT OF HER THERAPY!

Share this post


Link to post
Share on other sites
8. A patient failing to attend a therapy group who have critisized her is what Bion referred to as the basic assumption  

TRUE

Bion perceived three basic assumption groups: the dependency group, the fight-flight group, and the pairing group. Dependency groups operate on the assumption is that there is a leader (not necessarily the therapist) who can magically gratify the group's need for security and nurture. [highlight]Another Basic Assumption is that the group must protect itself. It does this by either fighting or running away from something threatening. Naturally enough, Bion called this the 'fight-flight' group. Since it is not unusual (especially in a therapy group) for the Work-Group tasks themselves to feel threatening, it is not uncommon for the nominal leader to be avoided or fought against. [/highlight]

FALSE (in my opinion)

the fight/flight basic assumption usually applies to enemies & adversaries outside the group....but is in actual fact a primitive state of mind that r generated automatically when pple come together in a grp.

see core psych pgg562

Share this post


Link to post
Share on other sites

4. Paradoxical injunction is seen in family therapy

TRUE-seen in systemic school

core psych 1ed pgg569

5. In strategic family therapy interruptive style questioning is used

this is so FALSE!

attempts r made to [highlight]interrupt[/highlight] the vicious cycle of sxs and family's habitual solutions.

6. In group therapy analysis is in the group, of the group, by the group FALSE

in the grp,of the grp and [highlight]thru[/highlight] the grp!

core psych1ed pgg571

Share this post


Link to post
Share on other sites

Great.. it just shows how vague and ambivalent RC questions are..... WHAT'S THE POINT OF THEM?????

How is knowing what the heck they mean in the Q going to make better clinicians of us?

Anyway...

:-X

Share this post


Link to post
Share on other sites

i often wonder how sad we are.. :-X

we feed into the college

all the time..

we should have made a stand ages ago... no applications for 6 months for the exam wouldnt be long changing the rules for re peating the writtens if already passed.. if they had nothing to do..

they cant even get the exam details sent out on time they are so incompetent. if they were a business they would be fired.

But we are docs and we cant do anything...

we are sad.

(iam in the correct forum anyway psychotherapy!)

Share this post


Link to post
Share on other sites
Sign in to follow this  
Followers 0