Social Work Examination Services (SWES) Human Behavior Practice Test

In the context of borderline personality disorder, what might a client exhibit after a positive experience in therapy?

1. Isolation from support systems

2. Heightened anxiety during sessions

3. A sudden admiration of the therapist

4. Complete avoidance of therapy

The correct answer is: A sudden admiration of the therapist

In the context of borderline personality disorder, clients may experience intense and rapidly shifting emotions, which can lead to idealization or sudden admiration of those they perceive as supportive or helpful, such as therapists. This phenomenon is often referred to as "splitting," where individuals with borderline personality disorder may view others in extremes, either as entirely good or entirely bad. After a positive experience in therapy, this sudden admiration of the therapist can serve as a form of attachment and can represent the client's need for validation and support. This admiration can also reflect the client’s desire to connect and be accepted, which plays a crucial role in their therapy progression. The other options highlight different potential responses or behaviors that may not align with the immediate positive outcomes typically associated with therapy in borderline personality disorder. For instance, isolation from support systems would be counterproductive after a supportive experience, whereas heightened anxiety would more likely occur in the face of perceived abandonment rather than after successful sessions. Complete avoidance of therapy generally suggests fear or discomfort rather than a positive reinforcement response. Each of these contrasting behaviors can occur in the broader spectrum of borderline personality disorder but do not specifically fit the scenario described after a positive therapeutic interaction.