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Grief: Treating LifeTrauma Issues & Death
Grief 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 two types of guilt?
2. What are three types of relationships reviewed in the Relationship Inventory technique?
3. What are the four basic reasons grieving trauma survivors experience feelings of isolation?
4. What are three assumptions clients may be forced to reconsider?
5. What are the five basic types of secondary wounding experiences?
6. What are the three critical steps in creating healing self-statements? 
7. What are three major physiological aspects of grief?
8. What are the three basic mind sets of grief?
9. What are three positive sides of grief?
10. What are the three ‘D’s of grief?
11. As a therapist, what is our responsibility if we are concerned that a client may be unconsciously trying to obtain a replacement child?
12. What are three aspects of how success is intangible?
13. What are three ways in which clients may try to avoid self-awareness?
14. What are three goals of the Web Construct?

Answers:
A. They are difficulty participating in social gatherings, perceived outcast status, blaming the victim, and the “Just World” philosophy.
B. Three assumptions are the loss of invulnerability, the loss of an orderly world, and the loss of a positive self-image.
C. They are the appreciation of life, strengthening of family ties, and finding meaning in suffering. 
D. They are the mind-body connection, acute stress reactions, and emotional triggers.
E. Take steps to uncover the client’s true motivation.
F. The three types of relationships are pre-trauma relationships, relationships during the trauma, and post-trauma relationships.  
G. The Three ‘D’s of Grief are dissociation, de-realization, and depersonalization.
H.  Unrealistic Guilt and Realistic Guilt
I. They are considering grief neutrally, identifying needs, and identifying strengths.
J. They are absolutist thinking, intolerance of mistakes, and denial of personal difficulties. 
K. They are disbelief, discounting, ignorance, labeling, and cruelty.
L. Aspects of this concept are the three myths of success, new sets of values, and true success. 
M. The three goals are to emphasize individuality, to reestablish equilibrium, and to help reconstruct client’s lives.
N. The three ways in which clients may try to avoid self-awareness are busyness, killing time, and noise.

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. What debriefing method conducted in groups gained currency during WWII and includes questions such as "What were the first thoughts that raced through your mind at the time of the crisis?" 
16. According to Horowitz, what two categories organize symptomatic responses to traumatic events?
17. What were parents most often worried about who were concerned that overprotectiveness is a problem? 
18. What are Rando's six "R" processes of mourning? 
19. What statistic supported the idea that not only is the tangible benefit of grief therapy small, but its risk of producing iatrogenic worsening of problems is unacceptably high? 
20. What is the difference between loss-oriented coping and restoration-oriented coping?
21. What should the therapist do if the patient requests an unknown song? 
22. According to Jacobs, what is central to the syndrome of Traumatic Grief?
23. Why is the universal application of grief work hypothesis questionable in relation to gender? 
24. What are the four DSM criteria of traumatic grief?
25. What are four tasks of mourning?  
26. What symptoms were found in the criteria for traumatic grief but not found in complicated grief disorder?

Answers:
A.  The therapist might say, "Tell me about why this song means so much to you." Some patients find reassurance and comfort by teaching the melody to the therapist.
B.  Four tasks of mourning are (1) accepting the death and the loss  (2) experience the pain (3) adapting to the environment where the deceased is missing (4) reinvestment of emotional energy in relationships with the living.
C. Critical Incident Stress Debriefing
D. The two categories organize symptomatic responses to traumatic events are intrusion and denial responses
E.  In the past female grief has been much more studied.  The grief work hypothesis does not take adequate account of preferred masculine ways of going about grieving, which are typically less confrontive with respect to the emotion of grief, and less overtly expressive of distress and depression than those found among females.
F.  retarding a child's psychosocial maturation 
G.  Loss-oriented coping involves focusing on and processing aspects of the loss (e.g., visiting the grave, looking at photographs, emoting related to the death), while restoration-oriented coping involves focusing on the secondary Stressors that must be dealt with (e.g., financial problems) and determining how to tackle them (e.g., selling one's house).
H.  Separation anxiety is a key element in traumatic grief.
I.  (1) numbness, detachment or absence of emotional responsiveness, (2) difficulty acknowledging the death, (3) feeling that life is empty or meaningless, (4) difficulty imagining a fulfilling life, (5) feeling part of oneself has died, (6) harmful symptoms or behavior related to the deceased, and a shattered worldview
J.  Six "R" processes of mourning are (a) recognize the loss, (b) react to the separation, (c) recollect and reexperience the deceased and the relationship, (d) relinquish the old attachments to the deceased and the old assumptive world, (e) readjust to move adaptively into the new world without forgetting the old, and (f) reinvest.
K.  Criterion A specifies that the symptoms of the disorder occur after the death of a significant other and include intrusive, distressing separation distress. Criterion B includes eleven marked and persistent symptoms that reflect the bereaved person's feelings of devastation as a result of the death.  Criterion C specifies that the duration of symptoms must be at least two months. Criterion D requires that the symptomatic disturbance causes clinically significant impairment in social, occupational, or other important areas of functioning.
L.  38% of recipients of grief counseling theoretically would have fared better if assigned to the no-treatment condition; in strong contrast, only 5% of clients in a broad range of psychotherapies for other problems showed such deterioration.


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