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Test Specific Cases II: Sabotage and Secrecy
Agenda
1st QUESTION: According to the text, what does a repeated failure to comply with the tasks assigned in couple therapy indicate?
That there was a real lack of time during the week
Tasks should be reassigned immediately without further inquiry
That there is passive resistance or sabotage and not simply an agenda problem
That the therapist can do nothing about it and must insist on the exercises
2nd QUESTION: What is the recommended attitude of the therapist in the face of repeated noncompliance with tasks?
Reassigning the task and repeating the instructions
Exploring the blockage and asking about underlying meanings
Blaming one partner for not collaborating
Avoid mentioning non-compliance so as not to cause discomfort
3rd QUESTION: What question does the text suggest to analyze the meaning of noncompliance?
Literally asking "What does it say about your priority that you didn't find 15 minutes all week?"
Inquiring about concrete techniques to improve the weekly schedule
Suggesting that they continue to try to do homework at home without supervision
Reassign a simpler task for next week
QUESTION 4: What should the therapist do when he/she discovers a relevant secret in an individual session?
Working with the person to reveal the secret within a given time frame by offering support to do so safely
Ignore secrecy if disclosed in individual session to protect confidentiality
Immediately reveal the secret to the other partner without mediation
Continuing the couple's therapy without mentioning the secret so as not to undermine the session
QUESTION 5: According to the text, if a patient refuses to reveal a secret that affects the other's health, what can the therapist do?
End couple therapy by explaining that you cannot work effectively under those conditions because of an ethical impediment, without necessarily disclosing the secret
Compulsorily inform the other partner by detailing the secret without further mediation
Maintain the therapy and force the patient to confess in the next joint session
Referring the case to another professional without further explanation
QUESTION 6: What is a possible hidden purpose of going to therapy mentioned in the text?
Seek implicit permission to separate or cushion the guilt of the one who wants to leave
Ask for concrete tools to improve couple communication
Attempt to get both to recommit to assigned tasks
Ask the family to mediate the decision to stay together
QUESTION 7: What is involved in keeping serious secrets within couples therapy?
Make the therapist an accomplice and misrepresent treatment
Facilitate trust and improve honesty in the couple immediately
Allowing progress in therapy without ethical consequences
Make the therapist assume secrecy as part of the therapeutic process without further action
8th QUESTION: What makes it possible to name the reality that one has "one foot out" according to the text?
To turn a frustrating therapy into a constructive separation or closure therapy by naming the reality that one is already determined to break up
To ignore the possibility of separation in an attempt to force reconciliation
To convince the member with "one foot out" that therapy always fixes the relationship
To delay any decision to maintain therapy indefinitely
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