CeuUniversity
by McGinnis & Reid Associates
Phone: (772) 539-6111
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by McGinnis & Reid Associates
Phone: (772) 539-6111 |
Family Therapy and Substance Abuse Treatment Post Test
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Text: Substance Abuse Treatment and Family Therapy - Treatment Improvement Protocol (TIP) Series No. 39. Following your reading of the course material found in TIP Series 35, please read the following statements and indicate the correct answer. A score of 35 correct must be obtained to pass the course (you may miss 15). The test may be taken as many times as necessary to obtain a passing grade. The online test supports automated scoring for quick results. You will need to write down the numbers of the questions you may miss from the pop-up screen. No permanent record will be automatically provided of your score. A certificate of completion will be emailed, mailed or faxed to you (your choice) following your completion of the post-test provided payment has been received. |
2. In family therapy, the unit of treatment is only the family.
3. Today four predominant family therapy models are used as the bases for treatment with specific interventions for substance abuse: the family disease model, the family systems model, the cognitive–behavioral approach, and spiritual-based family therapy.
4. Family or couples therapy can take place even if all participants do not have a voice or can raise pertinent issues.
5. Many substance abuse treatment counselors base their understanding of a family’s relation to substance abuse on a disease model of substance abuse. Within this model, practitioners have come to appreciate substance abuse as a “family disease”—that is, a disease that affects all members of a family.
6. Family therapists for the most part have adopted a family systems model. It conceptualizes substance abuse as a symptom of dysfunction in the family. It is this inclusion of more people, that defines family therapy.
7. Family therapy generally attends more to the process of family interaction, while substance abuse treatment is usually more concerned with the planned content of each session.
8. Both substance abuse clinicians and family therapists typically focus on the same target, which is arresting a client's substance use.
9. A family therapist might assume that if long-term change is to occur, the entire family must be treated as a unit, so the family as a whole constitutes the client.
10. Most substance abuse counselors should practice family therapy as they generally are sufficiently informed and trained to do so.
11. Family therapists would benefit from learning about the treatment approaches used in the substance abuse treatment field, including the medical model of addiction, the sociocultural theories, and the spiritual component.
12. The family’s acceptance of problems and its readiness to change determine the appropriate level of counselor involvement with that family.
13. The most important guideline for the therapist is to ensure structure in dealing with families.
14. Family therapy for women with substance use
disorders is appropriate, except in cases of ongoing partner abuse.
15. Substance abuse treatment is more effective for women when it addresses women/s specific needs and understands their daily realities. Particular treatment issues relevant to women include shame, stigma, trauma, and control over her life.
16.
While the
definition of family may change according to different circumstances, several
broad categories encompass most families:
Traditional families, including heterosexual
couples (two parents and minor children all living under the same
roof), single parents, and families including blood relatives,
adoptive families, foster relationships, grandparents raising
grandchildren, and stepfamilies.
Extended families, which include grandparents,
uncles, aunts, cousins, and other relatives.
Elected families, which are self-identified and
are joined by choice and not by the usual ties of blood, marriage,
and law. For many people, the elected family is more important than
the biological family.
17. The idea of family implies an enduring involvement on an emotional level.
18.
Four
characteristics of families central to family therapy are:
Families possess nonsummativity.
The behavior of individual members is interrelated through the process of circular causality.
Each
family has a pattern of communication traits.
Families strive to achieve homeostasis.
19. Almost all young couples encounter communication and intimacy issues during the first year of the relationship.
20. Family therapy and family-involved therapy are
interchangeable terms describing similar sets of interventions.
21. Which of the following is the predominant
family therapy model used as the bases for treatment and specific interventions
for substance abuse:
The family disease model looks at substance
abuse as a disease that affects the entire family. Family members of
the people who abuse substances may develop codependence, which
causes them to enable the IP's substance abuse. Limited controlled
research evidence is available to support the disease model, but it
nonetheless is influential in the treatment community as well as in
the general public.
The family systems model is based on the
idea that families become organized by their interactions around
substance abuse. In adapting to the substance abuse, it is possible
for the family to maintain balance, or homeostasis.
Cognitive–behavioral approaches are based
on the idea that maladaptive behaviors, including substance use and
abuse, are reinforced through family interactions. Behaviorally
oriented treatment tries to change interactions and target behaviors
that trigger substance abuse, to improve communication and
problemsolving, and to strengthen coping skills.
Most recently, multidimensional family
therapy (MDFT) has integrated several different techniques with
emphasis on the relationships among cognition, affect
(emotionality), behavior, and environmental input. MDFT is not the
only family therapy model to adopt such an approach. Functional
family therapy, multisystemic therapy, and brief strategic family
therapy all adopt similar multidimensional approaches.
All of the above.
22. Whether a child or adult is the family member who uses substances, the entire family system needs to change, not just the IP.
23. Although generally believed otherwise, a parent’s substance-abusing behavior has not been identified as a risk factor of future maladaption, predisposition to substance use, and/or psychological difficulties.
24. One of the reasons that family therapy is effective in substance abuse treatment is that it provides a neutral forum in which family members meet to solve problems.
25. Family therapy facilitates the majority of
changes within the family system, subsequently producing change in the
individual abusing substances.
26. There are limited studies of the effectiveness of
family therapy in the treatment of substance abuse; this suggests that until
more studies are conducted, family therapy approaches should be utilized at
about the same frequency in substance abuse treatment as is currently done.
27. Evidence from the research indicates that substance abuse treatment that includes family therapy works about the same as substance abuse treatments that do not include family therapy.
28. Severe psychopathology, automatically excludes a client from family therapy.
29. Using the stages of change model (Precontemplation, Contemplation, Preparation, Action, and Maintenance) in family therapy ensures that every family member will be at the same stage at the same time, thus expediting positive change.
30. Resistance from a domineering family member can be addressed and restructured by first allying with this family member and then heavily confronting this person about the inappropriateness of the domineering behavior.
31. When one family member has turned to violence as a way of dealing with problems family therapy cannot go forward under any circumstances.
32. Patriarchal terrorism is systematic male violence with the goal of control. It may not be possible or advisable to include a chronically violent partner in the family therapy process.
33. What is important is not how many family members are present, but how they interact with each other.
34. In situations where one person is substance
dependent and the other is not, questions of codependency arise. CoDA describes
codependency as being overly concerned with one's own wants and needs.
35. The documented enduring effects of parental
substance abuse on children are impaired learning capacity; a propensity to
develop a substance use disorder; adjustment problems, including increased rates
of divorce, violence, and the need for control in relationships; and other
mental disorders such as depression, anxiety, and low self-esteem.
36. Increased adolescent marijuana use occurs more frequently when an adolescent living with a divorced parent and stepparent becomes less attached to the family.
37. Older adults consume three times the number of prescription medicine as the general population, and this trend is expected to grow as children of the Baby Boom (born 1946–1958) become senior citizens.
38. Siblings, are not as influential as parents, so it is unimportant if they attend family therapy sessions treating a substance abuser.
39. Both family therapy and substance abuse treatment understand substance abuse in relation to systems and they focus treatment on the same system.
40. The goals of the family therapist will usually be broader than the substance abuse counselor’s, focusing on improving relational patterns throughout the family system. Because families change their patterns of interaction over the course of recovery, they are believed to need continued assistance to avoid developing another dysfunctional pattern.
41.It is commonly assumed in substance abuse treatment that the problems of other family members do not need to be resolved for the client to achieve and maintain abstinence.
42. The educational sessions for families that are commonly used in substance abuse treatment settings are usually sufficient to bring about necessary changes in the client’s family relationships.
43. All family therapists should be able to perform a basic screening for substance abuse.
44. All family therapists should be able to perform a basic screening for substance abuse.
45. Generally, substance abuse treatment and family
therapy have relied on confrontation equally.
46. Triangulation refers to a family member and the therapist allying with each other to intervene with the substance abuser who is in denial.
47. Family therapy theories can be roughly divided into two major groups. One includes those that focus primarily on brief and pragmatic problem solving. The second major group includes those that are longer-term and oriented toward intergenerational, dynamic issues.
48. In the Wegscheider-Cruse's theory, the six
basic roles family members assume include all but which role:
a.
Peacemaker
b.
Enabler
c.
Hero
d.
Scapegoat
e.
Lost child
f. Mascot
49. The “miracle question” in solution-focused
techniques asks: “If a miracle occurred, what is the best possible
outcome for you?”
50. In Bowenian therapy, it is assumed that the
past influences the present. In fact, it is still “alive.” It is present
in the form of emotional responses that can be passed down from one
generation to another.
Thank you for your participation in this continuing education course. We are required to collect evaluation data on each course completed prior to the issuance of your certificate. Please complete the following and return with your post-test.
Please evaluate the course using this scale:
1 = below average 2 = average 3 = above average 4 = excellent
The extent to which this course met the objectives.
The adequacy of the author's mastery of the subject.
Efficiency of course mechanics (traditional homestudy or online procedures).
The applicability or usability of the information for you.
Additional Comments and Recommendations for Other Courses to be Offered: