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SM - Physical Pain Stops my Pain - Treating Teen Self-Mutilation Post Test

Psychologist, Ohio MFT and Counselor Post Test:
Only Psychologists, Ohio MFT's and Ohio Counselors taking this course for credit need to complete these additional questions below to be in compliance with their Boards. requirements. If you are not a psychologist, Ohio MFT or Ohio Counselor please return to the original Answer Booklet. You do not need to complete the additional questions below.

Audio Transcript Questions The answer to Question 1 is found in Track 1 of the Course Content. The Answer to Question 2 is found in Track 2 of the Course Content... and so on. Select correct answer from below. Place letter on the blank line before the corresponding question.
Important Note! Underlined numbers below are links to that Section. If you leave this page, use your "Back" button to return to your answers, rather than clicking on a new "Answer Booklet" link. Or use Ctrl-N to open a new window and use a separate window to review content.

Please note every section does not have an additional question below. Some sections may have more than one question.

Questions:

1.1 What is a helpful technique for clients to overcome the abuse of their fathers?
2.1 What are two techniques to help clients to better cope with their dissociation?
3.1 What might be examples of categories to have on an ‘Impulse Control’ log for clients who want to control their paths towards healing?
4.1 How might clients feel before they self injure?
5.1 The majority of the people who injure are of what sex and age?
5.2 What are seven topics to consider when performing the ‘Autobiographical Sketch’ exercise?
6.1 What are two techniques that might be useful in family conflicts?
7.1 Approximately how many Americans self injure?
7.2 What might be three alternatives for self-mutilation?
8.1 What is a helpful exercise to help a client better understand their anger so that they can develop their ability to manage and tolerate it effectively?
9.1 In order to correctly diagnose a self-injurer with BPD, what are eight symptoms to look out for?
9.2 Why do self-injurers use pain to maintain control in their lives?
10.1 What is the argument of clients to justify their self injury?
10.2 What are examples of the third type of argument that clients use to justify self-injury?
11.1 What is the purpose of the ‘Nurturing’ exercise?
11.2 What are ways for a client to nurture themselves?
11.3 What are three questions in the ‘Being a Man’ exercise?
12.1 What might setting goals, for giving up self-injury involve?
13.1 What should a therapist do to gain the trust of a client?
14.1 What is one exercise that helps the client become more comfortable in telling the truth about their scars?
Answers:

A. Before, During, and After technique, Self Mirror
B. Fantasy technique
C. Helpless, hopeless, upset, and anxious
D. Acting out/self injury thoughts, time and date, location, situation, feeling, what would be the result of self injury, what would I be trying to communicate with self injury, action taken, outcome
E. 1.Family composition such as the relationship with his mother and her many boyfriends 2.Strengths and positive aspects of childhood 3.Alcohol and drug history (This includes a time period of when the substance abuse started and what was going on in his life at that time) 4.Adolescent friends 5.Job history 6. History of the self-injury 7.The happiest and unhappiest moments in life
F. Women between ages 13-30
G. 2-3 million
H. Conflict Agreement exercise, People in my Life exercise
I. Anger Inside Me exercise
J. Drawing, taking a shower, and writing in journal
K. To have some sort of influence on their surroundings
L. (1) A pattern of unstable and intense interpersonal relationships; (2) impulsiveness; (3) abrupt mood swings; (4) inappropriate, intense anger; (5) identity disturbance; (6) chronic feelings of emptiness or boredom; (7) frantic efforts to avoid abandonment; (8) self-mutilating/suicidal tendencies
M. ‘It's the best way for others to see how much emotional pain I'm in’, ‘It's the only way to know if people really care about me’, and ‘Negative attention is better than none’
N. ‘Self-injury doesn’t hurt anyone’, ‘It’s my body and I can do whatever I want’
O. Bubble bath, music, sing, play with friends not from gymnastics, talk to friends, play with my dog, play video games, watch my favorite movie, take a nap, go shopping
P. To develop self-soothing behavior which diverted Melissa from self-injury and promoted self-esteem
Q. Adding new behaviors, interests, and gratifications to replace the old symptoms
R. 1. What thoughts and feelings do I have about being a man? Include thoughts and feelings about body size as well as psychological attributes 2. What ideas of manhood do I find discouraging or hard to appreciate? 3. What ideals of manhood do I find unappreciated? Which do I find positive and rewarding?
S. Response exercise
T. Taking a more authoritative posture

Course Content Manual Questions The answer to Question 21 is found in Section 21 of the Course Content. The Answer to Question 22 is found in Section 22 of the Course Content... and so on. Select correct answer from below. Place letter on the blank line before the corresponding question

Please note every section does not have an additional question below. Some sections may have more than one question.

Questions:

15.1 What are examples of inflictions humans have endured (and still endure) to appear more alluring and acceptable?
16.1 Who is more likely to experience markedly disturbed sleep?
16.2 What doe the acronym SIB stand for?
17.1 What are causes of eating disorders?
19.1 What are three ways patients don’t take adequate care of themselves?
19.2 What are more adaptive ways for self-injurers to meet their needs for affection?
19.3 How might many self-injurers adapt to their trauma?
21.1 What are three stressors that are likely to have violent coping responses?
22.1 According to Gross, what are three of the steps to follow when a client makes suggestive threats?
22.2 What is a strength of the ‘linear model’?
22.3 What is a weakness of the ‘linear model’?
22.4 What are three factors that may not be considered in making the prediction?
24.1 Why might social institution inflict pain?
25.1 What are advantages the self-mutilator gains by qualifying as a ‘sick’ person?
Answers:

A. Children with severe behavior disorders
B. Shaving, tweezing, dyeing, bleaching, wearing false teeth, false eyelashes, high heels, corsets, and hobble skirts, cicatrisation (scarification), tattooing, skull shaping, and foot binding, not to mention surgical reconstruction of the body
C. Body image distortion, family conflicts, adolescent separation anxiety, conflicted sexual development, homosexuality, cultural pressure, obsessive-compulsive disorders, and plasma beta-endorphin levels, to name only a handful
D. Self Injurious Behavior
E. Career choices: medical fields or social services, love of pets
F. Ignore their own needs for a nutritional diet, sufficient exercise and sleep, and good hygiene
G. Family stressors, employment stressors, peer group stressors
H. By developing fantasies about being rescued from their grief
I. It provides clear direction for the clinician, as well as a logical argument for the decision
J. Clarify threat, assess its lethality, identify intended victim
K. Treatment outcomes, social support, and stabilization of stress
L. Its objectivity, contextually relevant information is given little consideration
M. By treating the ‘illness’ as a physical condition, the ‘sick’ person is viewed as the victim of a condition to be changed rather than a possessor of defective attitudes, qualification for the ‘sick role’ provides a number of secondary gains, such as removal from an undesirable locale to the hospital or physical removal from threatening inmates
N. For utilitarian, symbolic, or expressive purposes

 
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