Substance Abuse
Treatment: Group Therapy Post-Test
Following your reading of the course material found in TIP Series 41, please read the following statements
and indicate the correct response. 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.
Text: Substance Abuse Treatment:
Group Therapy, Treatment Improvement Protocol (TIP) Series 41.
1. The
five group models common in substance abuse treatment are all except:
A.
Psychoeducational
groups
B.
Skills
development groups
C.
Cognitive–behavioral
groups
D.
12-Step
groups
E.
Support
groups
F.
Interpersonal
process groups
2. Some
clients probably are not suitable for certain groups,
or group therapy in general, including all the following except:
A.
People
who refuse to participate
B.
People
who are court ordered
C.
People
who cannot honor group agreements
D.
People
who make the therapist very uncomfortable
E.
People
who cannot control impulses
3. A
group agreement establishes the expectations that group members have of each
other, the leader, and the group itself. Although helpful for many clients,
having one is not a factor contributing to the success of outpatient therapy
groups.
4. In
the early phase of treatment clients tend to be excited about ending substance
use, but are rigid in their thinking, and limited in their ability to solve problems.
True False
· Adjust their professional styles
to the particular needs of different groups
· Model group-appropriate
behaviors
· Resolve issues within ethical
dimensions
· Manage emotional contagion
· Work only within modalities for
which they are trained
· Prevent the development of rigid
roles in the group
· Avoid acting in different roles
inside and outside the group
· Motivate clients in substance
abuse treatment
· Ensure emotional safety in the
group
· Maintain a safe therapeutic
setting (which involves deflecting defensive behavior without shaming the
offender, recognizing and countering the resumption of substance use, and
protecting physical boundaries according to group agreements)
· Curtail emotion when it becomes
too intense for group members to tolerate
· Stimulate communication among
group members
A.
All
of the above
B.
Some
of the above
C.
None
of the above
6.
Leader-centered groups are generally very effective.
True False
7.
Confidentiality restricts the information that providers can reveal about
clients but does not apply to what clients may reveal about each other as they
are not bound by the same legal and ethical requirements.
True False
8.
Various types of disruptive behavior may require the group leader's attention. Which of the following is not an example of this behavior:
9. Many group therapists have adapted practices from AA and
other 12-Step programs for use in therapeutic groups. This is therapeutically
acceptable and theoretically sound due to the extensive research available.
True False
10. It
matters little whether the group therapist is a person who once abused
substances and participated in a recovery group, or someone who developed
knowledge in a traditional course of academically based training. Where
problems exist, they usually are related to the use of a group therapy model
that is inadequate.
True False
11.
Skills development groups usually run for a limited number of sessions and have
to be small enough for members to practice the skills being taught.
True False
12. In
cognitive–behavioral groups, the leader is encouraged to become the expert
model in how to think, how to express that thinking behaviorally, and how to
solve problems.
True False
13. Interpersonal process groups use psychodynamics, or
knowledge of the way people function psychologically, to promote change and
healing. The psychodynamic approach recognizes that conflicting forces in the
mind, some of which may be outside one's awareness, determine a person's
behavior, whether healthy or unhealthy.
True False
14.
Within the interpersonal process model, the objects of interest are the
here-and-now interactions among members. Of less importance is what happens
outside the group or in the past.
True False
15. All
therapists using a “process-oriented group therapy” model continually monitor
three dynamics:
· The psychological functioning of
each group member (intrapsychic dynamics)
· The way people are relating to
one another in the group setting (interpersonal dynamics)
· How the group as a whole is
functioning (group-as-a-whole dynamics)
True False
16.
Problem-focused groups are the most widespread.
True False
17.
Matching each individual with the right group is critical for success.
True False
18.
Most clients are equally suited for all kinds of groups, and any researched
group approach is suitable.
True False
19.
People with significant character pathology (for example, a personality
disorder) placed in a group of people who do not have a similar disorder almost
certainly would violate the boundaries of the group and of individuals in the
group.
True False
20.
Client evaluators don’t need to take valuable time to meet with each candidate
for group placement and can instead safely rely on the review of information
about the client in forms.
True False
21.
Recent studies have shown that women do better in mixed gender groups than in
women-only groups.
True False
22. Fixed groups generally stay together
for a long time, while members in revolving groups remain only until they
accomplish their goals.
True False
23.
In ongoing groups with fixed membership, the size of the group is set; new
members enter only when there is a vacancy. The leader generally is more active
than is the leader of a time-limited group.
True False
24. Transactional analysis—Is
both a theory of personality and an organized system of treatment utilizing the
concept of making transactions in a token economy.
True False
25. If
a Revolving Membership group becomes
too large (more than 10), group interaction breaks down and the clients become
a class made up of individuals, rather than a single, cohesive, therapeutic
body.
True False
26.
Revolving membership groups generally are less structured and require less
active leadership than fixed membership groups.
True False
27.
Group leaders should conduct initial individual sessions with the candidate for
group to:
A. Primarily 1 & 3
B. Primarily 3 & 4
C. Primarily 2 & 5
D. All of these
28. As
clients move through different stages of recovery, treatment must move with
them, changing therapeutic strategies and leadership roles with the condition
of the clients.
True False
29.
It is most useful for the therapist to assume the role of mentor, showing how
to “do recovery.”
True False
30.
Therapists should use self-disclosure only after having a discussion with a
supervisor.
True False
31.
When personal questions are asked, group leaders need to consider the
motivation behind the question but never answer them directly. It simply is
best to assure the client that the therapist is able to understand and assist
them.
True False
32.
Another's sharing can stir frightening memories and intense emotions in
listeners. In this powerful and emotional atmosphere, the spreading excitement
of the moment, or emotional contagion, requires the leader to:
a. Protect individuals.
b. Protect boundaries.
c. Regulate affect.
d. All of above
33. Cohesion—A positive quality of groups denoting a sense of
enthusiastic solidarity within the group.
True False
34. Conflict—A basic detrimental dynamic in
groups that always leads to one or more of these outcomes:
(1) It
distracts members' attention or allows them to avoid issues in the group.
(2)
Many group members will feel his or her beliefs or world views are not
understood or viewed as valid.
(3)
Leads to destructive behaviors, such as denigration or other verbal abuse.
True False
35. Expressive groups—Groups formed to use some kind
of creative activity (such as painting, dance, play therapy, or psychodrama);
expressive groups may be especially effective for more artistic clients who
generally can verbalizing thoughts and feelings.
True False
36. Emotional
contagion—Rapid
and intense escalation of excitement in a group, which if uncontrolled, can
threaten boundaries and an individual's sense of well-being, potentially
leading to premature termination of treatment.
True False
37. Fixed membership groups—Relatively small group with a
set number of members who stay together over a long period of time; people in
time-limited fixed membership groups start and stay together, while ongoing fixed
membership groups bring in new members if a vacancy occurs.
True False
38. Group dynamics—The
collective impact of individual members on the group and the impact the group
has on each individual.
True False
39. Group process—How
events take place in group, in contrast to content, which is what takes place.
Overall, process concerns include the impact and quality of interaction among
group members, the impact of group on individuals, and the life phases of the
group.
True False
40. Interventions—Words or actions with a
therapeutic purpose; interventions may clarify what is happening in group,
redirect energy, stop unhelpful processes, or present the group with a choice.
True False
41. Process-oriented therapy—An
approach to group therapy that emphasizes group members interaction with the
leader as the healing agent; the role of the leader is the promotion of this
interaction and its interpretation.
True False
42. Projective identification—Involves projecting one's known
attributes onto another person.
True False
43. Psychodynamic therapy, psychodynamic approach—An
approach to psychological growth and change that emphasizes the evolution and adaptation
of the psychological structure within an individual. Psychodynamic therapy
often focuses on changing behavior in the present by re-examining and revising
a person's understandings and reactions to events in the past.
True False
44. Psychoeducational groups—Groups formed to educate
clients about specific therapeutic topics.
True False
45. Redecision therapy—Is
aimed at helping people make better decisions in their current and future
relationships.
True False
46. Relapse prevention groups—Groups formed to help clients
maintain abstinence or minimize the impact and duration of relapse.
True False
47. Splitting—A divide-and-conquer tactic used
to come between cotherapists.
True False
48. Stages or phases of group development—In the
beginning phase, the group is prepared to begin its work. The middle
phase, is the time for here-and-now interactions that
help clients rethink behaviors and undertake changes. The end phase is a
mixture of recognition of goals achieved, and reorientation toward the future.
True False
49. Stages of treatment—These
are specific, objectified, tasks that are written in the individualized treatment
plan. These are used to gauge an individual’s progress in treatment moving
toward termination.
True False
50. Support groups—Are solely 12-Step Groups that
are based on mastering a set of steps to achieve and maintain abstinence.
True False
Post-Test Mail or
Fax Answer Sheet
Please use this
answer sheet to transmit your responses to the course post-test if you do not
use the online testing option.
DO
NOT SEND THE TEST QUESTIONS.
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2.
Take the Post Test using this Answer Sheet.
3.
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4.
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5.
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Post Test
Answer Sheet - Circle Correct Answers (Your test may not use all question
numbers.)
01. T
F a b
c d e
f g 26.
T F
a b c
d e f
g
02. T
F a b
c d e
f g 27.
T F
a b c
d e f
g
03. T
F a b
c d e
f g 28.
T F
a b c
d e f
g
04. T F a
b c d
e f g 29. T F
a b c
d e f
g
05 T
F a b
c d e
f g 30.
T F
a b c
d e f
g
06. T
F a b
c d e
f g 31.
T F
a b c
d e f
g
07. T
F a b
c d e
f g 32.
T F
a b c
d e f
g
08. T
F a b
c d e
f g 33.
T F
a b c
d e f
g
09. T
F a b
c d e
f g 34.
T F
a b c
d e f
g
10. T
F a b
c d e
f g 35.
T F
a b c
d e f
g
11. T
F a b
c d e
f g 36.
T F
a b c
d e f
g
12. T
F a b
c d e
f g 37.
T F
a b c
d e f
g
13. T
F a b
c d e
f g 38.
T F
a b c
d e f
g
14. T
F a b
c d e
f g 39.
T F
a b c
d e f
g
15. T
F a b
c d e
f g 40.
T F
a b c
d e f
g
16. T
F a b
c d e
f g 41.
T F
a b c
d e f
g
17. T
F a b
c d e
f g 42.
T F
a b c
d e f
g
18. T
F a b
c d e
f g 43.
T F
a b c
d e f
g
19. T
F a b c
d e f
g 44. T
F a b
c d e
f g
20. T
F a b
c d e
f g 45.
T F
a b c
d e f
g
21. T
F a b
c d e
f g 46.
T F
a b c
d e f
g
22. T
F a b
c d e
f g 47.
T F
a b c
d e f
g
23. T F a
b c d
e f g 48. T F
a b c
d e f
g
24. T
F a b
c d e
f g 49.
T F
a b c
d e f
g
25. T
F a b
c d e
f g 50.
T F
a b c
d e f
g
Course
Evaluation (Required)
Thank
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