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Ethical Boundaries: Treating Childhood Sexual Trauma
Childhood Sexual Trauma continuing education social worker CEUs

CEU Answer Booklet
Psychologist CEs, Counselor CEUs, Social Worker CEUs, MFT CEUs

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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. Do not add any spaces.
Important Note! Numbers below are links to that Section. If you close your browser (i.e. Explorer, Firefox, Chrome, etc..) your answers will not be retained. So write them down for future work sessions.

Questions:
1. What are three forms of dissociation a sexually abused child may experience?
2. What are five secondary consequences of sexual abuse?
3. What experiences similar to a flashback, often surface during sex and are experienced by survivors of physical sexual abuse?
4. If your client is experiencing panic attacks, body objectification, chronic fatigue and minor illnesses, what are three techniques you might consider utilizing?
5. What types of information might be used in the Family Motto exercise with your client who is a survivor of childhood sexual abuse?
6. What can be used to facilitate the "Dialoguing with Your Body" exercise?
7. Depending upon the client's belief system, frame of reference, and life history what are two visualizations you might use to facilitate releasing painful emotions?
8. What are three skills that de-escalate a volatile session?
9. What is the term used to describe a client's projecting two dramatically different perceptions of the therapist?
10. In working with your survivor of childhood sexual trauma, what are two ways of modeling an appropriate anger response?
11. What are steps one might use to prepare for a guided visualization?
12. What is the common concept in the narrow and broad definitions of countertransference?
13. What is one technique you might use to assist the client in exposing the wound and re-experiencing the trauma?
14. What are two techniques you could use to help your client externalize pain?
Answers:
A. body memories
B. a Comfort list, "A view through the eyes of others"
exercise and "I feel …. when" exercise
C. splitting
D. color visualization and electrical particles
E. lower the lights, sit comfortably
F. 1) narrow range of emotions, 2) emotional flooding,
3) emotional numbing, 4) shortened attention span, 5) confused thinking
G. listening respectfully and responding appropriately
H. 1) going numb, 2) switching off, 3) splitting off
I. Body Scan
J. "leaning into", responding with empathy, taking a one-
down position
K. sayings, advice, philosophies, cursing, religious
sayings, or warnings.
L. My reaction to the client's issues as related to me not the client.
M. a focus statement
N. creative drawing or writing "unmailed" letters

Course Content Manual Questions The Answer to Question 15 is found in Section 15 of the Course Content… and so on. Select correct answer from below. Place letter on the blank line before the corresponding question.
Important Note! Numbers below are links to that Section. If you close your browser (i.e. Explorer, Firefox, Chrome, etc..) your answers will not be retained. So write them down for future work sessions.

Questions:
15. Most other studies have reported pedophiles to be physically harmless individuals; however, what did Stuart's study find?
16. What did Appelbaum attribute Andy's hyperactivity to?
17. The break between the head and the body (the head is not attached to the body) according to Kaufman may graphically represent development of what defense mechanism?
18. Why did Freud change certain case studies to portray incest fantasies as opposed to actual incest?
19. What are the three factors upon which ego weakness depends?
20. What characteristics do the parent of an abused child exhibit?
21. How is the traumatic sequelae of childhood sexual abuse thus described by Sullivan?
22. How do fractured experiences become frozen or encapsulated?
23. What will be the result after your client completes his or her own cluster and writing a word sketch?
24. What were Freud's ideas on the concept of negation in relation to repression?
25. Why do parents from a minority culture often have further reasons for wanting to maintain strict discipline enforced through physical punishment?
26. How can memories of the trauma have no verbal explicit component at all?
27. What are the key sources for a multiaxial assessment of information regarding child abuse?

Answers
A. 1) symptoms that usually occur in the first two years after the abuse has ceased; and 2) long-term effects
B. African American parents fear the lure of street crime
and violence that is ever-presently available to the poor.
C. a substantial number of the pedophiles in our group used
physical force in excess of that necessary for the commission of the crime
D. PTSD
E. Your client will have a series of snapshots that connect
the roles they played in their family.
F. isolation
G. great difficulty in being emotionally attached;
inconsistent, at times cut-off, and self-absorbed
H. Under conditions of prolonged childhood trauma,
aspects of the abuse victim's normal development are dissociated from the whole; they are split off from higher
and lower levels of development.
I. The memory maybe entirely organized on an implicit or
perceptual level, without an accompanying narrative about what happened.
J. Peters surmised that Freud already had endured enough professional criticism because of his theories of infantile sexuality.
K. : "The content of a repressed image or idea can make its way into consciousness on condition that it is negated."
L. (1) the severity of the trauma; (2) how advanced the ego is in its developmental process, and (3) how well integrated the ego is
M. direct assessment of child, projective assessment, cognitive assessment, clinical interview with child, parents’ reports, family assessment, other professionals’ reports, and physical assessment


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