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BP - Ethical Boundaries in Balancing the Power Dynamic in the Therapeutic Relationship 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.


2.1 What is the “Bad Apple Theory”?
3.1 According to mental health professionals, what is the “Special Status Role”?
4.1 Why might a client have a hard time seeking further therapy after ending an abusive relationship with their therapist?
5.1 According to Peterson, when does transgression occur?
5.2 Describe the “reversal of roles” characteristic of the boundary violation between a therapist and his/her client.
5.3 Describe the “double bind” characteristic in the boundary violation between the therapist and the client.
6.1 What are three examples of situational factors being manipulated by the therapists to remove constraints?
6.2 What is a symbiotic relationship?
7.1 In the Chesler Study, what was a common experience that nine women have experienced with abusive professionals?
7.2 What perception do abusive therapists have of the incest victim?
8.1 What are some examples of the way women are programmed to believe that they will be happy and fulfilled by serving others?
9.1 Describe the exploitative behavior of a therapist who is exhibitionistic.
9.2 Describe the exploitative behavior of a therapist who is enabling.
10.1 What is Herman’s portrayal of battered women and other chronically traumatized people?
10.2 What are some parallels between clients who are being sexually abused by therapists and battered women, hostages, captives, and cult followers?
10.3 What is the “state of psychological degradation”?
11.1 What is “learned helplessness”?
11.2 How do some women react to the termination of the relationship with an abusive professional?
12.1 What are the steps involved in a client assessing your trustworthiness?
12.2 What are the two phases that a person with Post Traumatic Stress Disorder alternates between?
13.1 What are some examples of cognitive dysfunctions?
13.2 Abusive experience sets into motion a series of terrible losses or traumatic events. What are some examples of these losses?
14.1 What are four common patterns of thinking that emerge during the actual drama, during secondary wounding experiences?

A. Believing that the therapist was everything to them. When the client has complete faith that the professional was a person of honesty and integrity who had only her best feelings at heart and even believing that the professional had some special healing powers
B. Therapists who abuse clients are ‘bad apples’ that bear no relation to the rest of the mental health profession
C. When professionals deny their great power in the professional client relationship because then they relieve themselves of the responsibility for how they use it
D. The client has a hard time finding a therapist that she can trust
E. When a client feels dependent on the professional for what he/she needs and yet the client is also being used by the professional for the professional’s own need
F. When the client has the role of caretaker and the therapist uses the client to satisfy his/her need
G. A psychological fusion of the two people creating a codependent relationship, therefore the client ends up idealizing the professional, clinging to them and fearing abandonment
H. Making an appointment late after the therapist’s secretary has left, when a therapist invites him/herself over to client’s house, when a therapist invites his/her client over to his/her house.
I. The client has been “publicly deflowered” and therefore is no longer deserving of protection or respect
J. Perfunctory sex
K. The therapist who seeks out clientele who are famous or VIP
L. Providing physical needs, being the emotional organizer, being the mediator of feelings, and keep the family running smoothly
M. Extremely vigilant and careful, knowing that any action can have potentially dire consequences, and that although she may be fearful that her former captor will hunt her down, she may feel confused, empty, and worthless without him
N. A therapist who fails to set limits because of apprehension about the patient’s disappointment or anger
O. Victims alternate between complete submission and more active resistance
P. They have experienced a kind of “psychological transformation” with respect to the professional who is abusing them
Q. Ushers in a sense of freedom and liberation from emotional pain while other who are unable to divorce themselves from the past, spend enormous amounts of time sifting through past scenarios trying to find out what went wrong with the relationship
R. When victimized people go through a series of abusive relationships in a vicious self-fulfilling prophecy of perpetual victimization
S. An intrusive phase of experiencing the trauma and a phase of numbing and avoidance
T. Gathering information, forming an opinion, testing that opinion, revising your hypothesis, and repeating the process
U. Loss of employment or destruction of career, marital breakup, deterioration in relationships with children, loss of innocence or youth, feel that they have sabotaged their ability to enter intimate relationships and deprived them of the opportunity to have children.
V. Person cannot tolerate mistakes in him or herself or others, personal difficulties are denied, black and white thinking prevails, survival tactics are continued
W. Intrusive thoughts, flashbacks, nightmares, and unwanted images that may be so vivid they seem to be occurring in the present

Course Content Manual Questions The answer to Question 24 is found in Section 24 of the Course Content. The Answer to Question 25 is found in Section 25 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.


15.1 What are some important things to take into consideration when setting a therapeutic boundary between a therapist and a patient?
16.1 What are some examples of manipulation at a residential treatment facility?
17.1 Why do AAMFT, NBCC, and APA prohibit sexual relationship with a former client for a period of two years?
18.1 What are some warning signs of a possibility that the health professional could become sexually exploitative?
18.2 What are some examples of scenarios that lead to personal contact boundary violations between the therapist and the client?
20.1 Which age groups are the most proficient at employing silence as a weapon in therapy?
20.2 What are some options that a therapist can use in response to a client who’s only response to questions are “I don’t know”?
21.1 What are the three most important ingredients of a psychoanalytic process?
22.1 When investigating allegations of sexual harassment, what does the EEOC look at?
24.1 What are several ways in which a white therapist exhibits superiority over a black patient?
25.1 What is the formula to being unstuck in any situation?
25.2 According to Goldberg, what are Fabian Tactics?

A. Defiance, refusal to maintain their rooms, poor school performance and general negative attitudes
B. Health professional brings up his/her personal problems, the relationship feels uncomfortable and ambiguous to the patient, alcohol or drugs are made available during office visits, unnecessary phone calls are made to the patient
C. It is harmful to the client and to avoid exploiting the trust and dependency of clients
D. Role trading, sex therapy, drugs, and rape
E. The circumstances, such as the nature of the sexual advances, and the context in which the alleged incidents occurred, and a determination on the allegations is made from the facts on a case-by-case basis
F. Respond with silence, reflection of content, reflection of feeling, probe, labeling behavior, invitation to pretend, confrontation, self-disclosure
G. Analyst’s neutrality, intensive use of the transference, and the use of interpretation
H. Children and adolescents
I. Paternalistic attitudes and behaviors, and attempting to create a false convergence by expressing a value or heavier that is not truly part of their repertoire in an attempt to connect on a personal level
J. The strategy of confusing an opponent in an adversarial position by adopting an unexpected series of moves
K. Identify your pattern of ineffective responses and then alter to something in a systematic way
L. Issue of time or money, the amount of information therapists want to reveal to their clients about their feelings and lives, and the types of issues which are appropriate or inappropriate to talk about

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