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Infertility: Interventions for Shame, Mourning, & Inferiority - 10 CE hrs
Infertility 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 steps to helping a couple deal with problematic and conflicting beliefs regarding infertility?
2. What are two sets of beliefs about infertility that can be addressed with couples?
3. What are three ways of facilitating mourning?
4. What are five elements of the dawning phase?
5. What are four issues that couples face during the mobilization phase?
6. What are four parts to a therapeutic approach to mobilization?
7. What are four issues that couples often face during the early and middle immersion phases?
8. What are five therapeutic approaches to early and middle immersion?
9. What are four issues that couples face in the late immersion phase?
10. What are four therapeutic approaches that can be used with couples in late immersion?
11. What are three issues that couples often experience in the resolution phase?
12. What are three therapeutic approaches to resolution?
13. What are four issues that couples must face in the legacy phase?
14. What are five therapeutic approaches to legacy?

Answers:
A. the "mourning ritual" technique, understanding mourning and attachment and changing support systems
B. crisis and trauma of infertility, the impact on the couple’s relationship, the therapist’s role helpful questions and attitudes about parenting
C. Genetic loss, egg donation as an "affair," sperm donation as "rape" and feeling like an impostor
D. the roller coaster of hope and despair, loss of innocence, miscarriages and secrecy and protection
E. ending medical treatment, sabbaticals and
refocusing
F. Maleness and femaleness and children and
parenting
G. four therapeutic approaches that can be used with couples in late immersion are thinking about the donor option, couple communication about donorship, alienation versus attachment and ongoing "check-in" questions about infertility
H. Beliefs about infertility and locating the origins of these beliefs
I. Externalizing the infertility, eliciting the story, evoking the future and curtailing the shame
J. separate sessions, using metaphors, tracking losses and the "mourning a miscarriage" technique
K. shock and disbelief, losses, communication gaps and problem solving versus expression of emotion
L. restructuring the couple’s relationship, facing denial of loss and choosing a life without children
M. latent feelings about infertility, a history of infertility, different legacies, revisiting belief systems and belated mourning
N. lingering loss, patterns of protection, a changed sexual relationship and infertility as an identity

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 are the two traits that are necessary for growth in the Relational Model?
16. What are three factors that were discussed that help in understanding the psychological impact of an infertility diagnosis in women?
17. What aspects of a client’s life can infertility impact?
18. What emotion is commonly expressed by females and by males regarding their infertility?
19. How many couples do the authors recommend limiting the sessions to for group infertility counseling?
20. Although Sue did not conceive a child, her quality of life improved drastically by the end of treatment.  How did her counseling have achieve this?
21. What is the effect of stress on infertility? 
22. What are ethical dilemmas an infertility therapist may face?
23. What percentages of women and men attending clinics were found to be in need of psychiatric help?  
24. How might infertile men and women perceive their self in relation to their body?
25. Many clients express feeling overwhelmed by their infertility.  What do they fear? 
26. How does the Relational Model of Development propose women grow in a relationship?

Answers
A.  Stress and infertility seem to compound each other.
B.  Many clients fear becoming obsessed with the desire to have a child.
C. The two traits necessary for growth are Empathy and Mutuality.
D. Three factors are the social construction of infertility, emotional responses to medical diagnosis and treatment, and gender differences in emotional responses to infertility.
E. Between 15 and 20% of men and women attending clinics were deemed needing psychiatric help.
F. Infertility can impact the biological, emotional, physical, relational, social, financial and psychological aspects of a client. 
G.  Sue’s counseling was able to get her to focus on her health, and set other goals for her to focus on than her childlessness.
H. The therapist may be a full member of staff with obligations to their employer and bound by the policies of that clinic. This can throw up ethical dilemmas. They may have practicing privileges for their independent practice at
the premises of the clinic but be bound by the additional requirements of the Health Care Commission for such privileges. This too can impinge on the therapist on such matters as note keeping and child protection, and threaten autonomy or confidentiality. The therapist can be a person in a private practice with links to the clinic that can range from loose to close depending on the nature of the contract
for service.
I.  The Relational Model proposes that women grow in, through, and toward the relationship.
J.  Females often express feelings of failure, and males often express inadequacy.
K.  Infertile men and women may feel that their self is "captured" by the body, rather than exerting control over it.
L.  The authors recommend keeping the groups small, limited to 5 couples for group infertility counseling.


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