Social Work Examination Services (SWES) Human Behavior Practice Test

What is a major contraindication for marital therapy?

1. The therapist's technique in handling conflicts

2. The client's willingness to attend sessions

3. The therapist's inability to control hostile behavior

4. The appropriateness of addressing unresolved issues

The correct answer is: The therapist's inability to control hostile behavior

A major contraindication for marital therapy is the therapist's inability to control hostile behavior. In contexts of marital therapy, if either partner exhibits hostile or aggressive behavior, it can create an unsafe environment for the sessions. Effective therapy relies on a secure setting where both partners feel safe to express their thoughts and feelings. If a therapist cannot adequately manage or mitigate hostile interactions, it may lead to further conflict, emotional harm, and potentially escalate the issues at hand, ultimately undermining the therapeutic process. This inability can significantly hinder constructive communication, making it difficult for the therapist to guide the couple towards resolution and understanding. Therefore, ensuring that the therapist has techniques and skills to manage antagonism is crucial for the success of marital therapy. In contrast, factors such as the therapist's technique in handling conflicts, the client's willingness to attend sessions, or the appropriateness of addressing unresolved issues are important considerations but do not inherently obstruct the fundamental process of therapy in the same way as uncontrolled hostility does. The presence of hostility can render the process unproductive or even damaging, highlighting its significance as a contraindication.