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ICT - Infertility: Interventions for Shame, Mourning, & Inferiority - 10 CE hrs 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 are five themes that are linked with infertility?
2.1 What are seven similar responses that men and women experience in response to infertility?
3.1 What are strategies for developing workable relationships during their struggle with infertility?
3.2 How might mourning rituals help couples get through the anguish and sorrow of infertility?
4.1 How might examining ideas for wanting children between couples help them with their infertility?
5.1 What are four kinds of loss that a couple can experience after discovering their infertility?
6.1 How can a therapist help a couple curtail their shame?
8.1 What does a therapist suggest a couple do for the “Mourning a Miscarriage” technique?
9.1 How might infertility treatment make couples feel like an imposter?
9.2 Why might men feel conflicted when they agree to proceed with donor insemination?
10.1 What are two concerns that couples might face with donor insemination?
11.1 What three overlapping tasks does the resolution phase encompass?
11.2 What are signs that couples are approaching the decision to stop medical treatment?
13.1 In infertility, what is the legacy phase?
14.1 What questions might help a therapist explore world views with couples?
Answers:

A. Role failure, loss and reduce self-esteem, helplessness, guilt, inadequacy, a focus on having a child, and a willingness to go to great lengths to do so
B. Constructs empathetic bonds that can have special significance and utility between couples
C. Retribution for past misconduct, evidence of intrinsic inferiority, lack of entitlement, cause for shame, and the cure of perpetual bad luck
D. Looking at the kinds of boundaries that existed before the infertility and even evaluate whether these are still comfortable or whether a recalibration of private versus social life makes more sense now, or wanting to alert family members about their “temporary” crisis.
E. Limit the negative impact of infertility on each partner as well as the couple. Help them explore these potentially important themes by asking the couple their thoughts on a wide range of infertility-related topics.
F. Clarifying such issues may help the couple avoid some of the driven quality of the immersion phase of infertility and also pave the way for more open communication between them when the going gets tough.
G. Loss of control over sex life and problem-free conception, loss of faith in one’s body, loss of privacy, loss of intimacy, and barrier to achievement of full adult status
H. Conscientious patients become noncompliant, couples respond to their physicians and clinical procedures with anger and resentment, partners become increasingly conflicted or emotionally distant, couples begin to look at other alternatives to genetically related children, and parents are increasingly distraught over how they may be neglecting their existing children
I. Create mourning rituals that involve special items such as baby clothes or a memorial object of some sort to commemorate their miscarriage
J. Ending medical treatment, mourning the reality of not having a genetically related child together and refocusing, or moving past the infertility experience by choosing either adoption or a life without children.
K. They feel as though they have somehow “cheated” by arriving at pregnancy through unorthodox means, they may retain the infertile identity, and the sense that they are flawed or defective
L. The man might have difficulty bonding with the child and bonding between women and the baby might not occur until later in the pregnancy or after the birth
M. They feel responsible that their partners have to undergo an emotionally distressing experience that has nuances of physical violation.
N. ‘What ideas about infertility did you have as you were experiencing it’, ‘Have they changed’, ‘What would happen if you let go of these ideas’, ‘Which of you would most likely let go’, ‘What would happen if you had a different idea’, ‘How might your life change’, ‘Did you have other kinds of ideas before infertility’
O. The phase in which couples have moved on to the next chapter in their lives and any long-term effects of infertility are seen

Course Content Manual Questions The answer to Question 16 is found in Section 16 of the Course Content. The Answer to Question 17 is found in Section 17 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 did Jordan and other researchers propose about women in the Relational Model of Development?
16.1 In a study by Abbey et al., both the male and female felt stress after discovering their infertility. How was the stress they felt different?
16.2 The Relational Model suggests that feelings of loss, isolation, and self-blame amongst women contributed to what?
17.1 What is one symptom of pragmatic ambivalence that males consciously adopt in compliance to a position in relation to infertility treatment that can be mistaken by their partner as ‘not caring’?
18.1 Besides talking about their feelings, what do men seek during counseling after learning about the woman’s infertility?
19.1 What two theories provide a theoretical foundation necessary for developing and managing the support group for infertile couples?
19.2 What did the techniques and strategies that were presented during the Theoretical Foundations for Therapy include?
19.3 What is the percentage of couples that can not have biological children?
19.4 What is the percentage of infertility problems that can be successfully treated with appropriate medical intervention?
20.1 What cognitive-behavioral techniques are used to help broaden the humanistic counseling relationship?
20.2 What does relationship centered counseling emphasize?
21.1 What did Bernstein and colleagues conclude about self-esteem?
21.2 What are two psychosocial factors that are associated with stress in other populations?
23.1 Depression is associated with infertility as a response to loss. What are four kinds of various losses that one might experience?
23.2 What did Domar et al find after they studied a range of patient groups with long-standing medical conditions?
23.3 What are reasons that explain why: “one in six couples experience infertility in the accepted sense of failure to conceive after 24 months of unprotected intercourse”?
23.4 Why might one’s infertility create a loss of one’s security in sickness or old age?
25.1 Why might sexual tensions occur after discovering infertility?
25.2 What are three different types of counseling that the HFEA identifies?
Answers:

A. They tend not to express their negative feelings about the treatment process or how they feel about having/not having children to their partner
B. Once women feel the initial sense of connection with others, they will feel an increased sense of energy, having a more accurate view of themselves and others helps them feel empowered to act outside the relationships because they are active within them, feel a great sense of worth, and desire more connection
C. Women experienced more stress in their personal, social, and sex lives while men felt more home-life stress
D. They want to gain some understanding about infertility and its impact and to understand the medical diagnosis and procedures and what the female experiences emotionally and physically so that they know how to help their partners
E. Sense of separation or disconnection from others, because when women are not heard or responded to by other people, they detach themselves from others
F. 17%
G. Imagery, meditation, relaxation, doing something special for their partner or themselves (nurturance), time pies, journaling, cognitive therapy, problem-solving, assertiveness training, communication skills, and bibliotherapy
H. Watson’s theory of human caring in nursing and Yalom’s principles of group psychotherapy
I. Loss of relationship with child, loss of status and prestige of being a parent, loss of self-confidence, and loss of one’s healthy self-image
J. 50-60%
K. Damaged self-esteem is a major component of the infertility treatment and that perceived health has been shown to predict future health and mortality
L. Reinforcement, behavioral assessment, concrete goal-setting, behavioral modification, life management, modeling, assertiveness training, muscle relaxation training, and problem-solving skills
M. Social support and self-esteem
N. Primacy of relational humanness in the counseling process and provides a core humanistic orientation for integrating a variety of counseling techniques from different counseling approaches
O. The strains anticipated by a relatively declining workforce and increasingly elderly dependent population will make the role of children possibly more vital in the future
P. That the rate of depression amongst long-term infertility patients was the second highest after cancer, with one in four experiencing severe depression
Q. Environmental pollution is implicated in reducing sperm quality, sexually transmitted diseases, obesity, and age
R. Emotional distancing, pressure to perform sexual intercourse, doubts about its point and purpose, and loss of confidence in oneself as a fully sexual man or woman or complete human being
S. Implication counseling, support counseling, and therapeutic counseling

 
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