In reality therapy, the skilled counselor or therapist treats behavior as:

Choice Theory Reality Therapy-KLM Mason from Kim Mason

On August 23, 2013, the voice of William Glasser, MD, became silent. His life was characterized by his mission of teaching the ever-evolving ideas originating in his work in corrections and mental health. He taught what he called “internal controls”: Although human beings are influenced by their environment and their previous relationships, they need not remain powerless and victimized by forces beyond their control or by their past history. Rather, they choose most of their current behaviors, especially their actions. Reality therapy is a system that counselors use to liberate clients and help them make realistic choices to more effectively satisfy their needs within their limitations. The evolution of reality therapy has covered not only its theoretical basis, choice theory, but more recently its links with mindfulness, neuroscience, and especially its formulation as the WDEP (Wants, Doing, Evaluation, Planning) system. A growing body of evidence illustrates the widespread use and multicultural effectiveness of Dr. Glasser's legacy—reality therapy.

© 2015 American Mental Health Counselors Association

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_____________ provides a delivery system for helping individuals take more effective control of their lives.

Reality therapy

4

Reality therapy tends to be a long-term approach.

False

5

All of the following are procedures that are commonly used in reality therapy except:
A. exploring wants, needs, and perceptions
B. exploring early recollections
C. focusing on the present
D. planning and commitment

B

6

The practice of reality therapy can best be conceptualized as the:

Cycle of counseling

7

Glasser believes the need to love and to belong are secondary needs.

False

8

Reality therapists see clients as being responsible for their own choices as they have more control of their behavior than they often believe.

True

9

What is the theoretical basis for reality therapy?

Choice theory

10

Choice theory emphasizes thinking and acting, which makes this a general form of:

Cognitive Behavior Therapy

11

Reality therapy is popular in all of the following areas, except:
A. Schools
B. Medical facilities
C. State mental hospitals
D. Halfway houses

B

12

Reality therapy is best described as:

A short-term therapy that deals with conscious behavioral problems.

13

The client's quality world consists of all of the following except:
A. Specific activities that fulfill our needs
B. Images of people who enrich our lives
C. beliefs
D. insight

D

14

WDEP stands for:

Wants, doing, self-evaluation, planning

15

Which of the following is not a component of total behavior?
A. wanting
B. doing
C. feeling
D. thinking

A

16

Wubbolding extended the theory and practice of reality therapy with his conceptualization of the:

WDEP System

17

Wubbolding believes all of the following encourage the client's involvement in therapy except for:
A. appropriate use of humor
B. attending behavior
C. facilitative self-disclosure
D. allowing the client to focus on symptoms

D

18

In reality therapy, the counseling environment is:

Characterized by a therapeutic climate that establishes the foundation for implementing procedures.

19

_________ posits that we are not born blank slates waiting to be externally motivated by forces in the world around us.

Choice theory

20

Wubbolding emphasizes that reality therapy is a mental health system rather than a:

Remediating system

21

Which of the following procedures would a reality therapist be least likely to employ?
A. Skillful questioning
B. Encouraging clients to look at what they are doing
C. Making action plans
D. Reliving an early childhood event

D

22

If choice theory is the highway, reality therapy is the:

Vehicle delivering the product

23

All of the following are true about planning and commitment in reality therapy, except:
A. Clients make a commitment to carry out their plans
B. Commitment is not an all-or-nothing matter
C. A great deal of time is spent on this step of reality therapy
D. It is up to clients to determine how to take their plans from therapy into their everyday world

C

24

In our quality world we develop an inner:

Picture album

25

What do reality therapists believe about the use of questions?

Relevant questions help clients gain insights and arrive at plans and solutions

26

_________ teaches that all behavior is made up of four inseparable but distinct components - acting, thinking, feeling, and physiology.

Total behavior

27

A reality therapist will primarily focus on:

Present behavior

28

When reality therapists explore a client's past, they tend to focus on:

Past successes

29

In reality therapy, the purpose of developing an action plan is to:

Arrange for successful experience

30

The role of meaningful relationships in fostering emotional health is receiving increased attention in:

Contemporary reality therapy

31

Which of the following is (are) a contribution of choice theory/reality therapy?
A. It helps clients deal emotionally with unfinished business from their past.
B. It provides insight into the causes of one's problems
C. It is relatively short-term focused on dealing with conscious behavioral problems
D. Most of its concepts have been subjected to empirical testing

C

32

Reality therapy rests on the central idea that:

we choose our behavior and are responsible for what we do, think, and feel.

33

Glasser challenges the traditionally accepted views of mental illness and treatment by the use of medication, especially:

The widespread use of psychiatric drugs that often results in negative side effects both physically and psychologically.

34

A limitation of this approach as it applies to multicultural counseling is:

The power of the past and the effect of traumatic experiences in early childhood.

35

Choice theory changes the focus of responsibility to:

Choice and choosing

36

In a reality therapy group, the leader:

may encounter resistance from members when providing suggestions for how clients can best get what they want

37

All of the following are key characteristics of contemporary reality therapy except for:
A. There is a focus on talking about symptoms that bring a client into therapy
B. Emphasis is on choice and responsibility
C. There is a rejection of the notion of transference
D. Keep the therapy in the present

A

38

In working with Japanese clients, a reality therapist might do what when asking clients to make plans and commit to them?

The therapist might be likely to accept "I'll try" as a firm commitment

39

According to Glasser, many of the problems of clients are caused by:

Their inability to connect or to have a satisfying relationship with at least one of the significant people in their lives.

40

Glasser contends that ________ is a way that both therapist and client avoid being who they are and owning what they are doing right now.

Transference

41

Focusing on the ______ protects clients from facing the reality of unsatisfying present relationships, and focusing on symptoms does the same thing.

Past

42

A primary goal of contemporary reality therapy is to:

Help clients get connected/reconnected with the people they have chosen to put in their quality world.

43

Reality therapy is often considered as a

Mentoring process

44

Reality therapists believe in a generational basis for mental illness.

False

45

Reality therapy is not well suited to group counseling.

False

46

Reality therapy cautions against the therapist mentoring the client.

False

47

Most recently, reality therapy has been applied to management and supervision, coaching, family therapy, and parenting. It is now taught and embedded in every continent except Antartica.

True

48

One of the procedures of reality therapy is to work through unfinished business from the past.

False

49

Reality therapists see therapeutic value in working with a client's dreams.

False

50

Glasser took the position that schools needed to be structured in ways to help students achieve a success identity as opposed to a failure identity.

True

51

Reality therapists ask clients to take a hard look at whether their current actions are working for them.

True

52

Reality therapy sees transference as a way for the therapist to avoid getting personally involved in the clients' lives.

True

53

The core of reality therapy is developing a plan for change as a way of translating talk into action.

True

54

The first step in the process of reality therapy consists of a comprehensive assessment leading to a specific diagnosis.

False

55

Reality therapists refuse to accept excuses.

True

56

Reality therapists use punishment as a way to help clients follow through with their plans and commitments.

False

57

Reality therapy is a popular approach in correctional work.

True

58

It is essential for the therapist to establish a satisfying relationship with clients as a prerequisite for effective therapy. Once this relationship is developed, the skill of the therapist as listener and teacher assumes a central role.

True

59

Choice theory is based on the assumption that people are in charge of their own destiny.

True

60

Reality therapists maintain that clients will not change unless they assume a self-critical attitude.

False

61

Clients are expected to focus on their feelings and attitudes, and then their behavior will change.

False

62

Glasser recommends that therapists look back for the causes of a client's present failures.

False

63

A main function of the reality therapist is to encourage clients to assess their behavior to determine how well it is working for them.

True

64

Reality therapy is often used in treating drug and alcohol abusers.

True

65

It is the job of the reality therapist to convey the idea that no matter how bad things are there is hope.

True

66

The SAMIC3 plan is an essential part of the evaluation phase of the WDEP system.

False

67

Robert Wubbolding stresses the importance of a supportive and challenging therapeutic environment.

True

68

Addressing what clients are presently doing and asking clients to evaluate what they want to change fits well in various settings.

True

69

Reality therapy is an open system that allows flexibility in application based on the needs of culturally diverse individuals.

What are the main tasks of the reality therapist?

In reality therapy, the therapist's primary role is to guide an individual's self-evaluation by asking questions about the effectiveness of their present behavior for meeting their needs.

What is reality based therapy?

Reality therapy is a client-centered form of cognitive-behavioral therapy that focuses on improving present relationships and circumstances, with less concern and discussion of past events.

Who does reality therapy work best for?

Another group that has experienced positive effects as a result of reality therapy is people with schizophrenia. 7 Patients engaged in sessions of group reality therapy experienced boosted self-esteem, a higher feeling of being in control, and had an easier time coping with stress.

What is the client's role in behavioral therapy?

Cognitive-behavioral therapists seek to learn what their clients want out of life (their goals) and then help their clients achieve those goals. The therapist's role is to listen, teach, and encourage, while the client's roles is to express concerns, learn, and implement that learning.