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Physical Pain Stops my Pain - Treating Teen Self-Mutilation 10 CEs

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 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. (Because many computers will not accept "Cookies," when you close this page, your answers will not be retained. So if working in more than one session, write your answers down.)

Questions:
1. What are five reasons why your client may self-mutilate?
2. What are three types of dissociation teens who self-mutilate can experience?
3. What are the three ways in which hospital tactics can worsen a self-injurer's condition?
4. What are the three reasons teens are so vulnerable to self-injury?
5. What is a technique you might consider using with your self-mutilating client who idealizes someone who is abusive to them?
6. What is one question that might appear on a "Conflict Agreement" used with self-mutilating clients?
7. What is one example of hyper-nurturing?
8. What is one key question that needs to be answered to better analyze anger in your self-injuring client?
9. What are the Axis I disorders commonly associated with self-injury?
10. What are three types of arguments that many self-injurers use to justify their self-injury?
11. What are two ways in which cultural pressures can cause teens to self injure?
12. What are four aspects related to a self-mutilator's ability to form an attachment that contributes to their self injury?
13. What are the three methods self-mutilators can use to avoid discussion in therapy?
14. What are five challenges teens face when going through the final stages of recovery?
 Answers:
A. creating a feeling of isolation; discharging a self-injurer without being truly cured of the dilemma; and belittling the
self-injurer.
B. a drive for perfection; triggers from childhood; and the
construction of identity.
C. mood disorders, thought disorders, anxiety disorders,
and post traumatic stress disorder
D. Treating the client as though he or she were a child and
asking them to purge their home of sharp objects. This only confirms the belief that your client cannot control him or herself and that they will never make it as an adult.
E. the idea that pain is achievement; and through the "tough guy" stereotype
F. those who feel numb; those who use pain to reassure
themselves of their own existence; and those who view the pain as a penance for wrongdoing.
G. personal event; emotional cleansing arguments; and
communication
H. to relieve anger; to indirectly retaliate; to test loyalty; to
maintain control; and to induce caring responses from others.
I. a blank slate; deflecting; and a false self.
J. What situations seem to evoke your anger most
frequently?
K. autobiographical sketch
L. a lack of a workable medium of relationship; the factor
of low self-esteem; keeping friends at a distance; and the result of shame from past abuse.
M. Was the conflict truly resolved?
N. self-blame; the fear of incomplete analysis; the danger of over-analysis; explaining scars to peers; and regret.

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 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.

Questions:
15. What is one definition of pathological narcissism?
16. What are two potentially important biological factors related to destructive Self-Injurious Behavior (SIB) behavior?
17. In the first half of the twentieth-century doctors continued to describe anorexia as a biological and psychological disturbance, to be treated with change of what?
18. According to Schroeder, how did the prevalence rates of SIB compare between genders?
19. What are two common traits of self-injurers?
20. According to Coderre and Meizack, what did procedures that increased pain sensitivity in rats also increase?
21. How does Monahan define the term "appraisal"?
22. What is the strength in utilizing the linear model for assessing interpersonal violence?
23. The therapist who has unresolved conflicts over aggressive or sadistic impulses and controls them by reaction formation will be to what?
24. When the self-mutilation is ritualized, as it often is, how does the ritual may prepare the participant psychologically for a spiritual experience?
25. What two sociological types are most prone to be committed to the values of the inmate system and to utilize self-injury for purposes consistent with their values?
26. How do self-mutilators describe their instruments of self-harm?		 Answers:
A. the manner in which an individual interprets an event as a provocation and therefore experiences it as aversive
B. rebels and manipulators
C. a disorder of the self because narcissistic individuals have so much difficulty distinguishing the boundaries
between themselves and the external world that they are unable to maintain a firm notion of identity.
D. sleep and cyclical variables
E. The therapist will tend to be permissive with a child in
therapy.
F. environment, forced feeding, and psychoanalysis
G. self-injury was increased
H. It provides relatively clear direction.
I. objects of comfort and security
J. The prevalence rates did not differ.
K. by gradually preparing a sacred atmosphere, a space
and time set aside from the normal world of everyday life
L. perfectionism and workaholism


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