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Commitment Therapy Exam
Question 1. Which philosophical foundation underlies Acceptance and Commitment Therapy (ACT)? A) Behaviorism B) Functional Contextualism C) Psychoanalysis D) Humanism Answer: B Explanation: Functional Contextualism focuses on the context and purpose of behavior, which is core to ACT’s approach. Question 2. According to ACT, what is the primary cause of psychological suffering? A) Childhood trauma B) Experiential avoidance and cognitive fusion C) Chemical imbalance D) Lack of social support Answer: B Explanation: ACT posits that suffering is mainly caused by trying to avoid experiences and being fused with thoughts. Question 3. What is the primary aim of ACT? A) Symptom reduction B) Psychological flexibility C) Self-actualization D) Insight development Answer: B
Commitment Therapy Exam
Explanation: ACT’s main goal is to increase psychological flexibility, not simply reduce symptoms. Question 4. Which theory explains how language can create human suffering in ACT? A) Classical conditioning B) Relational Frame Theory (RFT) C) Attachment theory D) Social learning theory Answer: B Explanation: RFT explains how language and cognition can relate events and create suffering. Question 5. In ACT, what does “cognitive defusion” target? A) Challenging irrational beliefs B) Changing thought content C) Changing the relationship to thoughts D) Enhancing memory Answer: C Explanation: Cognitive defusion helps clients see thoughts as just thoughts, not truths. Question 6. What is “creative hopelessness” in ACT? A) Giving up on therapy B) Helping clients see that control strategies are not effective C) Accepting all feelings as positive D) Focusing on childhood experiences Answer: B
Commitment Therapy Exam
Explanation: Self-as-context is the observing self, distinct from the content of experience. Question 10. Which process involves clarifying what is truly important to a client? A) Acceptance B) Committed action C) Values D) Defusion Answer: C Explanation: Values work helps clients identify life directions they care about. Question 11. “Committed action” in ACT means: A) Ruminating on the past B) Acting in line with values, despite discomfort C) Avoiding negative feelings D) Seeking pleasure only Answer: B Explanation: Committed action is about taking value-driven steps, even when it’s difficult. Question 12. In functional contextualism, behavior is judged as “effective” if it: A) Is morally correct B) Works in achieving a goal in context C) Follows societal norms D) Reduces symptoms Answer: B Explanation: Effectiveness is context-dependent in functional contextualism.
Commitment Therapy Exam
Question 13. Which is a classic ACT metaphor for experiential avoidance? A) Passengers on the Bus B) The Empty Chair C) Dream Analysis D) The Wise Mind Answer: A Explanation: Passengers on the Bus illustrates the struggle with unwanted thoughts and feelings. Question 14. Which technique helps with cognitive defusion? A) Analyzing dreams B) Saying thoughts in a silly voice C) Free association D) Journaling Answer: B Explanation: Saying thoughts in a silly voice shows clients that thoughts are just words. Question 15. In ACT, “values” are best described as: A) Specific goals B) Deeply held life directions C) Rules for living D) Childhood memories Answer: B Explanation: Values are overarching life directions, not specific achievements.
Commitment Therapy Exam
Question 19. Which of the following is NOT a core process in the ACT hexaflex? A) Acceptance B) Cognitive defusion C) Insight generation D) Committed action Answer: C Explanation: Insight generation is not one of the six core ACT processes. Question 20. The “tug-of-war with a monster” metaphor is used to demonstrate: A) The power struggle with unwanted thoughts/feelings B) Family conflict C) The importance of willpower D) Dream interpretation Answer: A Explanation: This metaphor illustrates the futility of struggling against internal experiences. Question 21. According to ACT, “experiential avoidance” is: A) Seeking new experiences B) Avoiding internal experiences like thoughts and feelings C) Focusing on the present D) Developing coping skills Answer: B Explanation: Experiential avoidance is the attempt to escape internal discomfort. Question 22. Which mindfulness exercise is often used in ACT sessions?
Commitment Therapy Exam
A) Body scan B) Free association C) Dream journaling D) Role play Answer: A Explanation: Body scan is a common mindfulness practice in ACT. Question 23. “Fusion” in ACT refers to: A) Combining therapies B) Being entangled with thoughts as literal truth C) Achieving harmony D) Social bonding Answer: B Explanation: Fusion is when one is stuck to thoughts, believing them absolutely. Question 24. Which best describes “defusion”? A) Arguing with negative thoughts B) Observing thoughts without attachment C) Suppressing thoughts D) Exploring childhood memories Answer: B Explanation: Defusion involves noticing thoughts as mental events, not facts. Question 25. “Contact with the present moment” in ACT is similar to: A) Mindfulness
Commitment Therapy Exam
C) Self-criticism D) Self-improvement Answer: A Explanation: The observing self is the perspective-taking part of consciousness. Question 29. Which ACT process most directly addresses rumination? A) Values B) Defusion C) Committed action D) Acceptance Answer: B Explanation: Defusion helps clients detach from ruminative thoughts. Question 30. Which ACT process most directly encourages clients to “let go” of struggling with feelings? A) Acceptance B) Values C) Committed action D) Defusion Answer: A Explanation: Acceptance is about stopping the struggle and allowing experiences. Question 31. Which of the following is a “toward move” in ACT? A) Avoiding anxiety B) Engaging in valued activity despite fear
Commitment Therapy Exam
C) Suppressing sadness D) Distracting from pain Answer: B Explanation: “Toward moves” are value-based actions, even in the presence of discomfort. Question 32. The “chessboard metaphor” in ACT helps clients understand: A) The difference between self-as-content and self-as-context B) How to strategize better C) The importance of winning D) Emotional regulation Answer: A Explanation: The chessboard metaphor distinguishes the observing self from thoughts and feelings. Question 33. According to ACT, what is the main function of values? A) To reduce discomfort B) To guide meaningful action C) To diagnose mental illness D) To increase pleasure Answer: B Explanation: Values serve as a compass for meaningful living. Question 34. Which technique is an example of mindfulness in ACT? A) Noticing five things in the room B) Challenging thoughts
Commitment Therapy Exam
D) Emotional intelligence Answer: B Explanation: ACT’s effectiveness is measured by increases in psychological flexibility. Question 38. What is an example of a defusion exercise? A) Thanking your mind for a thought B) Journaling C) Analyzing history D) Goal setting Answer: A Explanation: “Thanking your mind” creates space between self and thoughts. Question 39. The “funeral meditation” is used for: A) Anxiety reduction B) Values clarification C) Mindfulness D) Defusion Answer: B Explanation: The funeral meditation helps clients clarify what truly matters. Question 40. ACT differs from traditional CBT by: A) Focusing on challenging thought content B) Focusing on changing relationship to thoughts C) Emphasizing homework D) Using exposure
Commitment Therapy Exam
Answer: B Explanation: ACT changes the relationship with thoughts, not their content. Question 41. The “bullseye” tool is used for: A) Measuring anxiety B) Values clarification C) Assessing depression D) Tracking medication Answer: B Explanation: The bullseye helps clients identify and focus on their values. Question 42. “Fusion” can lead to: A) Increased flexibility B) Stuckness and rigid behavior C) Happiness D) Insight Answer: B Explanation: Fusion with thoughts often leads to inflexible, automatic reactions. Question 43. According to RFT, humans relate events: A) Only through direct experience B) Via learned language and cognition C) Using classical conditioning only D) Emotionally, not logically Answer: B
Commitment Therapy Exam
Question 47. The “bus driver” in “Passengers on the Bus” metaphor represents: A) The therapist B) The observing self C) Thoughts and feelings D) Past experiences Answer: B Explanation: The bus driver represents the client’s observing self, choosing the route. Question 48. What is “experiential avoidance” likely to lead to? A) Increased psychological flexibility B) Reduced anxiety C) Increased suffering and rigidity D) Enhanced mindfulness Answer: C Explanation: Avoiding experience paradoxically increases suffering and inflexibility. Question 49. A therapist models defusion by: A) Sharing their own struggles with thoughts B) Ignoring client difficulties C) Giving advice D) Diagnosing disorders Answer: A Explanation: Modeling defusion normalizes the process and helps clients learn.
Commitment Therapy Exam
Question 50. Which of the following is NOT part of the ACT hexaflex? A) Acceptance B) Self-as-context C) Committed action D) Dream interpretation Answer: D Explanation: Dream interpretation is not a component of the ACT model. Question 51. In ACT, a “values-based goal” is: A) A goal that aligns with deeply held values B) Any goal C) A goal set by the therapist D) A goal to reduce symptoms Answer: A Explanation: Values-based goals are chosen because they reflect what matters most to the client. Question 52. Which is an example of “fusion language”? A) “I notice I’m having the thought that I’m a failure.” B) “I am a failure.” C) “Thoughts come and go.” D) “This thought is passing by.” Answer: B Explanation: “I am a failure” shows fusion with the thought as an absolute truth.
Commitment Therapy Exam
A) Leaves on a stream B) Role play C) Dream analysis D) Family mapping Answer: A Explanation: Leaves on a stream helps clients notice thoughts as separate from self. Question 57. The “observer exercise” helps clients experience: A) Self-as-context B) Cognitive fusion C) Emotional suppression D) Values clarification Answer: A Explanation: The observer exercise demonstrates the observing self. Question 58. ACT views emotions as: A) Problems to be solved B) Experiences to be accepted C) Signs of mental illness D) Indicators for medication Answer: B Explanation: Emotions are regarded as natural experiences to make room for. Question 59. The “radio doom and gloom” metaphor is used to: A) Encourage positive thinking
Commitment Therapy Exam
B) Illustrate how the mind generates negative commentary C) Teach emotion regulation D) Address values Answer: B Explanation: This metaphor shows how the mind can constantly play negative “broadcasts.” Question 60. In ACT, “psychological flexibility” means: A) The ability to avoid discomfort B) The ability to adapt and act in line with values, even with discomfort C) High intelligence D) Social skills Answer: B Explanation: Flexibility is about adapting and choosing actions consistent with values. Question 61. Which is NOT a clinical technique in ACT? A) Defusion B) Mindfulness C) Free association D) Values clarification Answer: C Explanation: Free association is not an ACT technique. Question 62. The “quick sand” metaphor in ACT shows: A) The harder you struggle, the deeper you sink B) The value of quick action
