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TSB - Ethical Boundaries & Treating Sexually Abused Boys 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 According to a study conducted at the Children\'s Hospital Medical Center of Cincinnati, how many boys per 1,000 children are abused?
1.2 What is a helpful technique to help abused boys with feelings of isolation and disempowerment?
2.1 What may be two results if a boy doesn\'t resolve his feelings of powerlessness?
2.2 Boys may be unaware of the effects the abuse has on their development. What is a helpful exercise to make them become more aware?
3.1 What are some characteristics of a sexual abuse survivor?
3.2 What may a client experience when he knows the perpetrator?
3.3 What may be a beneficial technique to help a client open up about the alleged abuse?
4.1 What are some examples a child can put on their “Wish List” to help establish a sense of security and power?
5.1 What are some exercises to help clients soothe themselves when they feel that their emotions are going to manifest themselves in destructive ways?
5.2 What are six key dysfunctional behaviors in a therapy group session?
6.1 What are the guidelines to the “Affirmations” Therapy Strategy?
6.2 What technique involves these phrases: when sexual abuse of children occurs, a stranger most often does it, only submissive, dependent, weak, or emotional boys are victimized, homosexuality is classified as a psychiatric disorder?
7.1 What are the two phases that ‘rape trauma syndrome’ is divided into?
7.2 What are characteristics of the acute phase?
7.3 What may be some reactions included in the long term phase?
8.1 What are some examples of double standards between boys and girls?
9.1 What may be a helpful technique to address explosive behavior in a client?
10.1 What other emotions are involved with anger?
10.2 When might anger as an attempt to preserve basic convictions occur?
10.3 What are three group categories in the Releasing and Resolving Anger
11.1 What are two techniques to help anger management clients?
12.1 What are the varied degrees in the Grieving Process?
12.2 What are some things a client might consider in the Self-Control exercise?
13.1 What are some symptoms to look for, relating to anxiety, in sexually abused clients?
14.1 What may be some things boy clients don’t consider when they think of “loss”?
Answers:

A. Power Figure technique
B. 11.2 boys
C. Therapy Strategy of \'Self Evaluation\'
D. (1) He will continue to see himself as a helpless victim with very few behavioral options or (2) he will try to regain power by controlling others through aggressive or abusive behaviors
E. Mistrust, ambivalence, and betrayal
F. Fighting with other children, a sudden drop in school performance, and a reclusive personality
G. I needed love. I needed protection. I wanted my mom to come out and stop it. I needed my mom and dad\'s love and backup.
H. Details therapy strategy
I. Passive aggressive behavior, manipulation, provocation, ridicule, scapegoating, silence
J. Holding a stuffed animal or blanket, creatively venting through drawing, painting, or writing, repeating or reading calming statements, deep breathing
K. Sexuality Quiz technique
L. Start with \'I\' and use short, simple phrases that are easy to remember, write each affirmation in the present tense, as if it were already so, use positive words and statements, keep the affirmations in different locations so that you can review them regularly, repeat affirmations at least twice daily, preferably aloud
M. Extreme fear, upheaval, physical trauma, skeletal muscle tension, gastrointestinal irritability, genitourinary disturbance, a range of emotional reactions sensitivity
N. Acute, long term phase
O. A girl caught having sex outside of her established relationship is labeled a slut, boys will be boys
P. Increased motor activity, disturbing dreams and nightmares, and \
Q. Frustration, irritability, annoyance, blowing off steam, fretting, and critical thoughts
R. Assertive vs. Aggressive technique
S. (1) Mouth, (2) hands, (3) legs and feet.
T. When a strongly instilled belief is challenged
U. Denial, anger, bargaining, depression, acceptance
V. Passive Aggression Checklist, Examine a Situation
W. Regressed behavior, physical restlessness, sudden, unusual, or multiple fears, unusual shyness, sleep disturbances or nightmares, generalized fears relating to the offender, withdrawal or isolation, hyperalertness
X. Childhood, self-esteem, peer relationships
Y. Try to become aware of those times when you\'re reacting to an impulse. make a point of counting those number of times, in the morning, promise yourself to be in the moment and to look for every opportunity to respond positively rather than react immediately

Course Content Manual Questions The answer to Question 26 is found in Section 26 of the Course Content. The Answer to Question 27 is found in Section 27 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 does empathy help clients do?
16.1 What is the focus of the second phase of the Four Phase Model?
18.1 What are the behaviors of resistant/avoidant children?
19.1 What are some feelings that non-offending parents of survivors of abuse have?
20.1 Why do therapists believe male survivors are best served by male clinicians?
21.1 When does the majority of suicide attempts occur?
23.1 When sexual abuse occurs between a boy and a psychologically close male, what is the victim likely be left with?
25.1 What might typically occur in survivors whose abuse was characterized by early onset and violent or sadistic episodes?
26.1 When would an incident more likely be seen as sexual initiation rather than abuse?
27.1 How can a clinician address psychosomatic complaints from clients who have faced sexual abuse?
Answers:

1. A confusion about his sense of self-identity as related to his identity struggles with the offender
A. To validate the client\'s abuse history, build a safe therapeutic process with the client, provide educational information about the effects of sexual abuse on its victims
B. Listen and understand better and therefore enhances their skills of assessment, allows clients to disentangle themselves from some of the emotional reactions
C. Disappointment that a parent was not strong enough to recognize the abuse, intense rage because a parent knew of the abuse and either ignored it or condoned it
D. Behave in ways that indicate they want and seek out contact from caregivers, while at the same time behaving with angry resistance
E. Between the ages of 16 and 23
F. They believe that men who have been injured by other men need to heal from these injuries by receiving nurturance and skillful assistance from a male clinician
G. Marked memory deficits
H. When the perpetrator of abuse portrays his acts as an altruistic sexual education, when the young person gets a certain gratification
J. arrange for child to have thorough medical exam; help child recognize connection between his/her experience of abuse and his/her body sensation; facilitate expression of emotions about abusive or neglectful experiences; support child’s need for nurturance and attention.

 
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