Licensed Marriage and Family Therapist (LMFT) Practice Exam

Which model considers the cumulative effects of stress on families rather than focusing on single stressors?

1. The ABC Model

2. The Double ABC-X Model

3. The Double Bind Theory

4. The Ecosystemic Approach

The correct answer is: The Double ABC-X Model

The Double ABC-X Model is a theoretical framework that expands upon the ABC Model to incorporate the cumulative effects of stress on families. This model takes into account not only a single stressor but also the ongoing and multiple demands that families face over time. It introduces the component of "X" to represent the stressor pileup, which refers to the accumulation of various stressors that can impact a family system. Unlike simpler models, the Double ABC-X Model emphasizes understanding how families adapt to these challenges through their resources, perceptions, and the combined effects of stressors. By focusing on the cumulative nature of stress, this model provides a more comprehensive view of family dynamics under stress, highlighting how various stressors can interrelate and affect overall family functioning. In contrast, other models listed in the options may emphasize different aspects of family resilience or communication without fully capturing the complexity of accumulated stressors and their effects on families. This makes the Double ABC-X Model particularly useful for therapists in understanding the broader context of family stress and adaptation.