Quiz – A Therapeutic Alliance in the Treatment of People Who Have Sexually Abused (OT109-A)

Post-Course Exam

Course Title: Therapeutic Alliance in the Treatment of People Who Have Sexually Abused

This exam contains 20 questions. In order to receive credit, you MUST get at least 16 questions correct. You may attempt the quiz as many times as you’d like.

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1. Early treatments for people who sexually abuse were often

a. Administered by nuns

b. Accredited by some professional bodies but not all, as they are today

c. Sought to reverse traumatic brain injury

d. Delivered in a harsh and confrontational manner

2. Much of the original research into people who had sexually abused others involved each of the following EXCEPT:

a. Measuring sexual arousal in laboratory conditions

b. Libido-reducing medications

c. The therapeutic alliance

d. Understanding risk factors

3. Findings from outcome studies show that there is a larger difference:

a. Between the treatment models than the professionals using the treatment models; once trained, all therapists are roughly equally efficacious

b. Between the most effective and least effective therapists within treatment methods than there is between the methods themselves

c. Between the techniques that the therapist uses in the session and those the therapist uses outside of each session

d. Between clients than between their circumstances

4. The therapeutic alliance:

a. Was defined most effectively by Edward Bordin

b. Provides a warm and fuzzy feeling

c. Is clinical jargon that basically means a good relationship

d. Has been the subject of five randomized trials by Prescott and his colleagues

5. Over ____ studies have emphasized the importance of the therapeutic alliance in psychotherapy:

a. 10

b. 20

c. 1,000

d. 50,000

6. In 1997, Beech and Fordham found that:

a. Clients frequently overestimate the help they are receiving

b. Group therapists tend to overestimate the help they provide

c. Group therapists underestimate risk

d. Clients frequently underestimate their therapists’ abilities

7. In a 2002 study involving over 442,000 individuals who had broken the law, Smith and her colleagues found that:

a. Risk and punishment are distinct psychological constructs

b. “Spare the rod and spoil the child” is only partially incorrect

c. Imprisonment makes long-term follow-up studies more difficult to conduct

d. No form of punishment reduced risk

8. Research by Marshall and his colleagues has found that the most effective therapists treating individuals who have sexually abused are:

a. WARD: Warm, Affective, Resilient, and Diplomatic

b. WERD: Warm, Empathic, Rewarding, and Directive

c. WORD: Wary, Organized, Reliable, and Documentation

d. WYRD: Wakeful, Youth-Oriented, Rewarding, and Directive

9. In a meta-analysis of 129 studies, Parhar, Wormith, and their colleagues found that:

a. Correctional treatment inside of correctional facilities is the most effective

b. The more coercive the treatment experience, the less likely it was to be effective

c. The therapeutic alliance is most prominent among professionals with masters-level education or higher

d. Treatment only rarely works

10. Theresa Gannon and her colleagues found that treatment for people who sexually offend:

a. Is effective, but associated with many side effects

b. Is often ineffective, posing risks for re-offense at the 32nd percentile

c. Is associated with many treatment gains, but also an increase in domestic violence and shoplifting

d. Is associated with a 32.6% reduction in sexual reoffending

11. Theresa Gannon’s meta-analysis found that treatment is more effective when

a. Supervision of practitioners is provided

b. Polygraph examinations are spaced apart by at least 90 days

c. Psychiatrists oversee medication management

d. Paraprofessionals use scripted lesson plans

12. In addition to agreement on the goals, tasks, and nature of the therapeutic relationship, the alliance also involves agreement on:

a. Research findings from the past five years

b. Strong client preferences and cultural factors

c. The client’s gender

d. The client’s history of trauma

13. Helpful questions that professionals can ask themselves in building an alliance are:

a. Who am I and what is my role in this client’s life?

b. What goals does this client have for their life?

c. What approaches are and aren’t a good fit for this client?

d. All of the above

14. Which of the following is NOT a recognized “Common Life Goal”?

a. Personal choice and independence

b. Inner peace/peace of mind

c. Being honored

d. Having meaning and purpose in life

15. Walfish and his colleagues found that:

a. There is a significant difference between disciplines in how clinicians rate their abilities

b. Psychiatrists routinely rate themselves as more effective than psychologists and social workers.

c. There is no difference between disciplines in how clinicians rate their abilities

d. Clinicians aren’t concerned about how effective they are

16. According to the Walfish study, the average clinician reports that they are more effective than:

a. Psychiatrists

b. 90% of lay people

c. 80% of their peers

d. Their supervisor

17. Gwenda Willis and David Prescott have said that it is time to move from:

a. “Nothing works” to “something works”

b. “Something works” to “what works”

c. “What works” to “who works”

d. Research to practice

18. Research has found that basic proficiency in most fields can be obtained within

a. 6 months

b. 3 years, but only with effective supervision

c. 5 years

d. We never obtain the highest levels of proficiency

19. A culture of feedback involves the client being able to

a. Rate their experiences without fear of retribution

b. Rate their experiences with an expectation of having an impact

c. Exclusively select which medications they will be prescribed

d. A and B only

20. Feedback-Informed Treatment involves:

a. Agency-wide satisfaction surveys

b. Measures of the alliance and outcomes on a session-by-session basis

c. Feedback from supervisors and/or a reflective team

d. A more modern form of encounter therapy