Question 1

Describe the differences between the focus and content of outer, middle, and inner circles of clinical conversation.

Accepted Answer

The outer, middle, and inner circles of clinical conversation refer to the different levels of focus and content that occur during a therapeutic conversation between a clinician and a client.

The outer circle typically involves more general, surface-level topics such as the client's presenting issue, symptoms, and current life circumstances. The focus is on gathering information and establishing rapport with the client. The content may include discussing the client's background, history, and any immediate concerns they may have.

The middle circle delves deeper into the client's thoughts, feelings, and behaviors related to their presenting issue. The focus shifts to exploring the underlying causes and contributing factors to the client's difficulties. The content may involve discussing the client's emotions, beliefs, and patterns of behavior, as well as exploring any past experiences that may be relevant to their current struggles.

The inner circle involves the most intimate and personal aspects of the client's experience. The focus is on uncovering and processing deeply held emotions, core beliefs, and unresolved traumas. The content may include exploring the client's innermost fears, desires, and vulnerabilities, as well as addressing any deep-seated psychological wounds that may be impacting their well-being.

Overall, the focus and content of the outer, middle, and inner circles of clinical conversation reflect a progression from more general and surface-level discussions to deeper and more personal exploration of the client's inner world. This progression allows for a comprehensive understanding of the client's experiences and facilitates meaningful therapeutic work.

Question 2

When the clinician underscores important content or experience by the strategic use of verbal or nonverbal emphasis through tone of voice, facial expression, or emphatic gesture, this is called:

Accepted Answer

A) Reflection of content 
B) Reflection of affect 
C) Prompting 
D) Refocusing 
E) Underlining 
A) Reflection of content 
B) Reflection of affect 
C) Prompting 
D) Refocusing 
E) Underlining E

Question 3

The clinical conversation has an outer, middle and inner layer or circle. Which of the following statements about circles of conversation is TRUE?

Accepted Answer

A) It is important that the clinician use questions to quickly enter into the inner circle of information gathering. 
B) Outer circle exploration often focuses on information; middle circle exploration may elicit complicated feelings and meanings. 
C) Levels of conversation and exploration are discrete and follow one after the other. 
D) Unless the clinician and client move to inner circle conversation, they won't be able to get important work done. 
E) All of the above 
A) It is important that the clinician use questions to quickly enter into the inner circle of information gathering. 
B) Outer circle exploration often focuses on information; middle circle exploration may elicit complicated feelings and meanings. 
C) Levels of conversation and exploration are discrete and follow one after the other. 
D) Unless the clinician and client move to inner circle conversation, they won't be able to get important work done. 
E) All of the above B

Question 4

Directives or commands disguised as questions are called:

Accepted Answer

A) Rat-a-tat questions 
B) Pseudo-questions 
C) Tangential questions 
D) Double questions 
E) Tried and true questions 
A) Rat-a-tat questions 
B) Pseudo-questions 
C) Tangential questions 
D) Double questions 
E) Tried and true questions

Question 5

The clinician encourages the client to expand on and enrich the details of the story using the skill of:

Accepted Answer

A) Exploration 
B) Elaboration 
C) Extrospection 
D) Introspection 
A) Exploration 
B) Elaboration 
C) Extrospection 
D) Introspection

Question 6

The clinician asks Portia "How are you doing in school? What is your favorite subject?" This is an example of:

Accepted Answer

A) A double question 
B) A pseudo-question 
C) Tangential questions 
D) A strengths perspective 
A) A double question 
B) A pseudo-question 
C) Tangential questions 
D) A strengths perspective

Question 7

Open-ended questions:

Accepted Answer

A) Give the client flexibility in responding 
B) Often begin with interrogatives such as "do you" or "are you" 
C) Keep the clinician in control of the interview 
D) Provide much needed structure and calming 
A) Give the client flexibility in responding 
B) Often begin with interrogatives such as "do you" or "are you" 
C) Keep the clinician in control of the interview 
D) Provide much needed structure and calming

Question 8

Discuss the effects that asking no or too few questions can have on the clinical process and data gathering.

Accepted Answer

Asking no or too few questions during th

Question 9

Name and discuss five principles for effective questioning suggested by Murphy and Dillon.

Accepted Answer

Name: Murphy and Dillon

Five principles

Question 10

Which of the following is FALSE?

Accepted Answer

A) The judicious use of silence can help the client explore and elaborate. 
B) In reflection, the clinician usually repeats one thing that has been said; in summarizing, the clinician reflects many ideas or themes. 
C) The clinician should never interrupt the client. 
D) The clinician underlines important content by the strategic use of tone or voice, facial expression, or emphatic gesture. 
A) The judicious use of silence can help the client explore and elaborate. 
B) In reflection, the clinician usually repeats one thing that has been said; in summarizing, the clinician reflects many ideas or themes. 
C) The clinician should never interrupt the client. 
D) The clinician underlines important content by the strategic use of tone or voice, facial expression, or emphatic gesture.

Question 11

Name and discuss five factors a clinician should consider when engaging in exploration.

Accepted Answer

When engaging in exploration with a pati

Question 12

A brief response by the clinician that encourages the client to continue with the story or to add to what has been said is called:

Accepted Answer

A) Refocusing 
B) Initiating new topics 
C) Prompting 
D) None of the above 
E) All of the above 
A) Refocusing 
B) Initiating new topics 
C) Prompting 
D) None of the above 
E) All of the above

Question 13

List and describe three sustaining techniques. What is the function of "sustaining techniques" in general?

Accepted Answer

Sustaining techniques are methods or pra

Question 14

The most reliable and effective technique for gathering information, deepening discussion and broadening focus is:

Accepted Answer

A) Asking questions 
B) Using silence 
C) Reflecting 
D) Refocusing 
A) Asking questions 
B) Using silence 
C) Reflecting 
D) Refocusing

Question 15

Depth and intensity of exploration should always be guided by:

Accepted Answer

A) The clinician's awareness of cultural norms 
B) The client's reaction 
C) The state of the clinical relationship 
D) The purpose and goals of the contract 
E) All of the above 
A) The clinician's awareness of cultural norms 
B) The client's reaction 
C) The state of the clinical relationship 
D) The purpose and goals of the contract 
E) All of the above

Describe the differences between the focus and content of outer, middle, and inner circles of clinical conversation.

When the clinician underscores important content or experience by the strategic use of verbal or nonverbal emphasis through tone of voice, facial expression, or emphatic gesture, this is called:

The clinical conversation has an outer, middle and inner layer or circle. Which of the following statements about circles of conversation is TRUE?

Directives or commands disguised as questions are called:

The clinician encourages the client to expand on and enrich the details of the story using the skill of:

The clinician asks Portia "How are you doing in school? What is your favorite subject?" This is an example of:

Open-ended questions:

Discuss the effects that asking no or too few questions can have on the clinical process and data gathering.

Name and discuss five principles for effective questioning suggested by Murphy and Dillon.

Which of the following is FALSE?

Name and discuss five factors a clinician should consider when engaging in exploration.

A brief response by the clinician that encourages the client to continue with the story or to add to what has been said is called:

List and describe three sustaining techniques. What is the function of "sustaining techniques" in general?

The most reliable and effective technique for gathering information, deepening discussion and broadening focus is:

Depth and intensity of exploration should always be guided by:

Becoming a Professional

The Clinical Relationship, Multicultural Practice and Ethics

Getting Started

Attending and Listening

Support and Empathy: a Sustaining Presence

Assessment, Formulation and Goal Setting

Building Motivation, Formulating Plans, and Evaluating Change

Helping Clients Feel and See Things Differently

Helping Clients Do Things Differently

Directly Addressing Relationship Issues and Dynamics in the Clinical Relationship

Addressing Self-Disclosure and Other Boundary Issues

Working With People in Crisis

Endings and Transitions

Self-Care, Supervision, and Professional Development

Filters

Exam 6: Exploration and Elaboration

Describe the differences between the focus and content of outer, middle, and inner circles of clinical conversation.

When the clinician underscores important content or experience by the strategic use of verbal or nonverbal emphasis through tone of voice, facial expression, or emphatic gesture, this is called:

The clinical conversation has an outer, middle and inner layer or circle. Which of the following statements about circles of conversation is TRUE?

Directives or commands disguised as questions are called:

The clinician encourages the client to expand on and enrich the details of the story using the skill of:

The clinician asks Portia "How are you doing in school? What is your favorite subject?" This is an example of:

Open-ended questions:

Discuss the effects that asking no or too few questions can have on the clinical process and data gathering.

Name and discuss five principles for effective questioning suggested by Murphy and Dillon.

Which of the following is FALSE?

Name and discuss five factors a clinician should consider when engaging in exploration.

A brief response by the clinician that encourages the client to continue with the story or to add to what has been said is called:

List and describe three sustaining techniques. What is the function of "sustaining techniques" in general?

The most reliable and effective technique for gathering information, deepening discussion and broadening focus is:

Depth and intensity of exploration should always be guided by:

Becoming a Professional

The Clinical Relationship, Multicultural Practice and Ethics

Getting Started

Attending and Listening

Support and Empathy: a Sustaining Presence

Assessment, Formulation and Goal Setting

Building Motivation, Formulating Plans, and Evaluating Change

Helping Clients Feel and See Things Differently

Helping Clients Do Things Differently

Directly Addressing Relationship Issues and Dynamics in the Clinical Relationship

Addressing Self-Disclosure and Other Boundary Issues

Working With People in Crisis

Endings and Transitions

Self-Care, Supervision, and Professional Development

Filters