Your name ____________________________________


In answering the 12 questions below assume that you are the therapist involved in the situation described. Think about what action you would choose in that situation, and then circle the response that most closely resembles the action you would take. Please circle only one response to each situation. Remember to answer as you think you would if you were the therapist not as you think an ideal therapist should respond. There are no "correct" answers. Please answer the questions in order, without spending too much time on any situation. Finally, do not go back over your answers or make changes.

1.   As an alcoholism counselor in an inpatient treatment program, you are scheduled to meet with Ann who has been given the assignment of identifying on a work sheet all the people who have been hurt by her alcoholism. The client arrives on time for the appointment and seems pleasant and willing to talk. After a few minutes of small talk, you ask about the assignment. She begins to explain why she hasn't done the assignment. You would:

A. Say, "You have not done your assignment. We have nothing to talk about until you do."

B. Work with her to develop the list in the session.

C. Reflect your frustration and listen to her feelings.

D. Ignore the missing material and ask Ann whai she wants to talk about today.

2.   You are in the fourth session with a 15-year-old who has ben sent to you for truancy problems. You have established a good relationship and have just begun to focus on the school behavior. During the session the client says, "I don't really want to go to school but I'll do it for you." Your response is:

A. If you go to school all week, I will authorize an extra privilege.

B. Good! It's important to continue your education; so I'm glad you'll go for me and for you.

C. I trust your judgment about whether you decide to go to school or not.

D. So you really don't want to go, but if you thought it would please me you would go.

3.   You have seen Charlie, a middle-aged man, two times. He sought service voluntarily due to feelings of insecurity.  He recently was diagnosed as diabetic and has lot some of his vision as a result of the disease. He also lost his job of 18 years due to the poor economy. He is happily married and has one son. You would:

A. Set up a program of physical therapy in conjunction with his doctor and refer him to a competent vocational rehabilitation counselor.

B. Discuss with the client his history of loss and begin to work out a plan with him on expanding his coping

C. Encourage the client to express feelings and provide empathy and support.

D. Make no efforts to focus on his loss, to avoid increasing his pain.

4. You are seeing the father of a client, at the client's request. The client, Clint, has a history of emotional problems, due in part at least to effects of brain damage from a motorcycle accident several years ago. Clint takes medication to control some of the effects. One of the effects of the injury is that the client occasionally has delusions that a sibling is stealing from him. The client wants the father to see you, so that you can convince the father that he is telling the truth about the delusions. The father is an articulate patient man who has gone through similar situations with this son on many occasions. He understands the chronicity of his son's problems. He makes it clear that he is at the session "to keep peace" and that in the past this has worked. You would:

A. Further discuss the pattern of incidents with the father in an attempt to help the father to express his feelings about the injury and to provide the father a plan to deal with the delusion and to avoid recurrent situations.

B. Express to the father your understanding of his frustrating situation and encourage him to vent any pent-up emotions.

C. Review Clint's medication with staff psychiatrist and present recommendations to the father.

D. Allow the father to direct the course of the session.

5. You are interviewing the parents of three children. The children have been removed from the home for clear indications of child abuse. The parents were referred to you as a part of the evaluation process for the court determination. They both maintain that nothing is wrong with them as individuals or as a c ouple. The court just has it in for them and they want their kids back. You believe that they did abuse the kids and they want the kids back to save face with the family. You would:

A. Tell them that it they maintain their "bullshit" stance they'll never get their kids back.

B. Indicate that cooperating in treatment with you may not only help them individually and as a couple, but also improve their chances of the kids being returned.

C. Communicate understanding of their frustration with the system and share a frustrating parenting story of your own.

D. Wait them out by not responding to their complaints.

6. You are known for your work in the area of sex roles. You have helped many women develop a more positive self-concept and take charge of their own lives. A new client, Frank, with whom you are meeting is a prominent middle-aged executive in town, who has come to you and wants to get some help understanding his wife's problem. "She's just not like she used to be. She's gone back to school, lost 25 pounds of fat, and is expressing dissenting opinions at social gatherings." You would:

A. Indicate a willingness to help him look at how and why he's struggling with these changes.

B. Restate his feelings of confusions, anger, and threat.

C. Indicate that she will snap out of this phase sooner or later.

D. Tell him he had better look at himself and change before his wife starts looking around.

7. Recently a case was transferred to you from another therapist who left the community. The client and the previous therapist has been working, with a high degree of success, on expanding social skills and social relationship. The client has expressed some reluctance to get involved with anew therapist. However, the client keeps the first scheduled appointment. During the first appointment you would:

A. Get a commitment from the client to continue therapy and then assign the task of meeting one new person before the next session.

B. Indicate your interest in the client and encourage the client to discuss the course of previous therapy.

C. Discuss with the client previous therapy and recent successes and outline anew program for behavior

D. Suggest to the client to terminate therapy.

8. As part of your consultation practice, you are asked to evaluate a day-care center and provide the board of directors with recommendations. You have observed staff and children interacting and have interviewed parents individually.  In addition, you have reviewed the program guide for the center and compared it to state and federal guidelines, which it meets without reservation. The center has been operating for 7 years with the same director. Staff turnover is low and there is a waiting list for future openings. During your 4 hours of observation you did see one staff member handle a behavior problem with one of the children in a less than desirable fashion. Otherwise, indications are that the center is above satisfactory in all areas. You would:

A. Recommend a program on teacher effectiveness for staff members.

B. Meet with staff as a group and praise them for their performance overall while encouraging them to come up with a program for managing behavior problems.

C. Meet with staff and director to praise their work and have them outline their long-term goals.

D. Circulate your findings to the board and staff.

9. You have been working with a client for more-than a month around her expressed unhappiness with her current situation. Much of her content in therapy has a theme of other people just don't understand and agree with her. You have ben sharing observations and making suggestions that she seems to accept but does not apply. Not much of any positive change has taken place. You would:

A. Confront her with her unwillingness to change and use her behavior in the therapy relationship as a focus.

B . Continue listening and reflecting.

C. Continue listening, raise questions about her role in problem situations, but don't push.

D. Continue to propose ways she can improve her situation, pointing out the benefits of proposed changes
while appreciating her efforts in this regard.

10. The client, referred by a former client, states in an initial interview that recently he has been having problems in going to I sleep at night, feeling tired all the time, has lost interest in activities, and has recurrent thoughts of death. The problems seem to have begun about 2 months ago, concurrent with new additional responsibilities at work. His brother died about this time as well. You would:

A. Indicate a willingness to see him if he thought he needed to talk to someone.

B. Reinforce him for coming to see you and recommend weekly therapy focused on reactive depression and grief.

C. Recommend he talk to his friends about his new problems.

D. Recommend he read two books, one on grief and the other on job stress. Weekly therapy sessions would focus on learning to apply the concept to his life.

11. You are seeing an elderly retired professional woman. She recently moved from her life-long home, several hundred miles away, to be near her youngest daughter. Her friends in her former community has all either died or moved away. She has joined two social groups and a political action group and occasionally takes group vacations. Her oldest daughter has been in and out of state institutions for the past 5 or 10 years and has been diagnosed as schizophrenic. She complains of occasionally waking up and feeling worthless and having lived her life for nothing, because of her oldest daughter's situation. She does not want to burden her younger daughter, who is empathic to her sister's situation. She and the younger daughter have a good relationship otherwise. Client gets tearful during sessions when discussing her older daughter. You would:

A. Refer her to an older group and give her reading material on the aging process.

B. Tell her these feelings of worthlessness are quite common complaints of the elderly.

C. Indicate your understanding of her feelings and allow her to talk about her daughter in a nonjudgmental

D. Encourage her to examine her life for positive relationships and work with her on a plan to expand her self-worth through volunteer work.

12. You have been seeing the client for several months. Treatment has centered around improving the quality of his relationships with coworkers. He has accepted and applied insights he gained during the sessions most satisfactorily. During the current session he suggests terminating the therapy. You would:

A. Allow him to make the decision.

B. Tell him to prepare a list of benefits he believes he has gained for review in the next session.

C. Praise him for meeting the goals of his current therapy contract, reviewing the specific goals as you do so.

D. Share with him your feelings about his progress in therapy.

*Howard, G. S., Nance, D. W., & Myers, P. (1986). Adaptive counseling and therapy: An integrative, eclectic model. Counseling Psychologist, 14, 372-377.

"Score" your responses by going to Form A.