Creating A Therapeutic Agreement 1. A client tells you her partner hit her during a recent fight. You: Tell her you will need to break confidentiality if she reports this again Tell her you will not be able to work with them in couple therapy Decide to use only a cognitive-behavioral approach. Explore the history of violence and determine if she is afraid of her partner. None 2. In an individual session your client tells you that his partner is drinking to excess, and he is worried that she may be alcoholic. Your best response would be to: Tell him that his partner needs to join a twelve-step program. Ask him if he has discussed his concerns with his partner. Decide this is not a suitable couple for EFT. Suggest he join Alanon. None 3. EFT is contraindicated if: There is ongoing intimidation and violence. There is ongoing substance abuse One partner is severely chronically ill. One partner has bipolar disorder. None 4. Dismissive/avoidant attachment style. Husband asks wife for support and comfort when he is laid off from his job. Wife is extremely angry because husband is late from work as he tries to meet important deadline. Husband looks out of the window as wife tearfully describes her recent miscarriage. As wife lights candles for their anniversary dinner, the wife berates husband because he has only completed four of five tasks she asked him to do for her. None 5. Fearful/avoidant attachment style. Husband asks wife for support and comfort when he is laid off from his job. Wife is extremely angry because husband is late from work as he tries to meet important deadline. Husband looks out of the window as wife tearfully describes her recent miscarriage. As wife lights candles for their anniversary dinner, the wife berates husband because he has only completed four of five tasks she asked him to do for her. None 6. Preoccupied (anxious). Husband asks wife for support and comfort when he is laid off from his job. Wife is extremely angry because husband is late from work as he tries to meet important deadline. Husband looks out of the window as wife tearfully describes her recent miscarriage. As wife lights candles for their anniversary dinner, the wife berates husband because he has only completed four of five tasks she asked him to do for her. None 7. Secure attachment style. Husband asks wife for support and comfort when he is laid off from his job. Wife is extremely angry because husband is late from work as he tries to meet important deadline. Husband looks out of the window as wife tearfully describes her recent miscarriage. As wife lights candles for their anniversary dinner, the wife berates husband because he has only completed four of five tasks she asked him to do for her. None 8. EFT can be used where one partner has a substance-use problem. True False None 9. In the individual session, the therapist agrees to keep the secret when the wife reports an ongoing affair. True False None 10. The EFT assessment process involves exploring attachment history, assessing the suitability of the couple for EFT, and identifying the partner(s) with dysfunctional communication skills. True False None 11. In EFT assessment the therapist will ask the couple who initiates closeness and sex. True False None Time's up
