Social Work Examination Services (SWES) Individual Practice Test

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What is a common reason clients may underreport their own needs during therapy?

  1. Cultural stigma surrounding therapy

  2. Fear of judgment from the therapist

  3. Desire to maintain a positive therapist-client relationship

  4. Unawareness of their own feelings

The correct answer is: Desire to maintain a positive therapist-client relationship

Clients may underreport their own needs during therapy due to a desire to maintain a positive therapist-client relationship. This tendency can stem from the client’s wish to be seen in a favorable light or to avoid conflict during sessions. Clients might worry that expressing negative thoughts or feelings could jeopardize this relationship or lead their therapist to view them differently. Such a mindset often leads individuals to minimize their issues or present a more positive front, thereby complicating the therapeutic process. Other factors, while influential, do not directly align with the dynamic of maintaining a relationship with the therapist as the primary motivation. Cultural stigma can affect how individuals view therapy but is more about societal beliefs than the interpersonal aspect. Fear of judgment can influence reporting, but maintaining a good relationship is often prioritized over the fear itself. Lastly, unawareness of feelings can be a barrier but does not typically drive the intentional underreporting that stems from a desire to foster a positive relationship.