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Dr. Johnson is seeing Alaina, a 9 year-old child sexual abuse
victim, for TF-CBT. They are in the process of creating Alaina's
trauma narrative, and she is providing very little information
about what happened to her during and after the trauma. Dr.
Johnson is not sure whether Alaina's difficulties represent
trauma-related avoidance or simply a deficit in the ability to tell
a story with a high level of detail. Which technique could Dr.
Johnson have used during the Psychoeducation phase of
treatment to give her a clearer understanding of Alaina's
abilities? - ANSWER-a baseline/neutral narrative task
Using the baseline/neutral narrative task early in treatment
provides an excellent insight into the child's natural narrative
abilities and provides a comparison to how easily s/he talks
about the trauma.
Mrs. Sands is bringing her daughter Tonette in for TF-CBT
treatment of symptoms related to witnessing community
violence. Mrs. Sands was expecting to drop Tonette off for her
session each week, run errands, and then come back to the office
to pick her up. Mrs. Sands is a little bit surprised to find out that
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the therapist expects to meet with her for part of the session each
week. Which of the following messages should the therapist be
sure to communicate to Mrs. Sands about TF-CBT? -
ANSWER-The TF-CBT treatment model emphasizes the
importance of working as a team with caregivers.
A key element of psychoeducation is communicating clearly
what the treatment model is, and what the expectations are for
children and caregivers.
Active ignoring is a strategy that is designed to help parents: -
ANSWER-Avoid responding to their child's unharmful,
inappropriate behavior
Ignoring deprives the child of attention that might reinforce the
undesirable behavior.
One important aspect of parental praise for a child's behavior is:
- ANSWER-To praise specific types of desired behavior
When it comes to praise, the more behaviorally specific it is, the
more impact it has.
Which of the following strategies is a recommended first-step
strategy for responding to a young child when the child
disrespectfully makes angry or defiant verbalizations directed at
the parent? - ANSWER-Active ignoring
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Ignoring involves the lowest level of parental effort and is a
good first step method for shaping young kids' behavior,
especially when it is followed by praise or positive attention to
good behavior.
The primary goal of time out is to: - ANSWER-Punish the
undesirable behavior by depriving the child of attention
Time out places a child in an aversive (though not painful)
setting that is designed to reduce the behavior that preceded it;
that's how punishment works.
Mr. Gaboury is bringing his 12-year-old grandson in for TF-
CBT following a physical assault at school. Mr. Gaboury is very
focused on the behavior problems his grandson is experiencing.
During an early parent session, he says that his grandson "has
become a budding juvenile delinquent! I know that he has some
nightmares and things, but until he stops being so aggressive I
don't think any kind of therapy will be helpful." What important
parenting message should the therapist convey to Mr. Gaboury?
- ANSWER-Behavior problems in many cases are the product of
trauma symptoms, not a separate issue
Helping caregivers understand the potential connections
between trauma exposure and behavior problems is a critical
focus of parenting skills training, especially early in treatment.