Correct Answers
Emotional experiences of traumatized childeren at different developmental stages - CORRECT
ANSWER✔✔INFANCY (fear and mistrust) :
- unable to trust those who were meant to protect them and they have a fear of being killed
EARLY CHIDHOOD ( doubt, shame and guilt):
- constantly doubt themselves, the safety of their environement and feel ashamed of being bad
and deserving of punishment. Sexually abused kids often feel that thry are to blame for what
happened as they might enjoy abuse or accept bribes
SCHOOL AGE ( inferiority) :
- develop a sense of unworthiness because I'd feelings of shamee and guilt evoked bby abuse
ADOLESCENCE (role confusion)
- childeren May accept role of family scapegoat or victim in order to be of some value. They
often resist change and rescue
YOUNG ADULT (isolation and despair)
-feel different from their peers aand ashamed of their family
Effects of trauma on childeren - CORRECT ANSWER✔✔- abornmal cognitive development
(changes neural pathways in the brain )
trauma and play - CORRECT ANSWER✔✔- have a good relationship between counselor and
child
,-can't ask questions directly
-used play based interventions
- used attachment based interventions
Key concepts of child abuse - CORRECT ANSWER✔✔Def- deliberate act by a parent or caregiver
which is inappropriate and results in harm or death of the child
Can include physical, sexual, emotional abuse and neglect
Indicators of physical abuse in childeren - CORRECT ANSWER✔✔- inconsistent history of injury
from caregivers
-report on an unwitnessed event
- description of the event does not fit injury
- pattern is injuries
-other physical indicators
- behavioural
Emotional abuse patterns (child) - CORRECT ANSWER✔✔- rejection
- isolation
- terrorization
- ignoring
- corrupting
INDICATORS OF SEXUAL ABUSE NB* - CORRECT ANSWER✔✔PHYSCIAL INDICATORS:
- sexual behavioural indicators
- genital indicators
,- anal indicators
- oral indicators
- pregnancy
EMOTIONAL INDICATORS :
- shame
- guilt
- agression
-hurt/pain
- fear
- emotional shutdown
- betrayal
- denial
- powerlessness
- stigmatization
BEHAVIOURAL INDICATORS:
In infants and toddlers > cling to caregivers, tantrums and irritability, sleep disturbances,
emotional distress, fear of being alone and regression
In childhood > intrusive thoughts, feelings of not belonging, feelings of guilt and shame,
numbness, low self esteem, poor school performance, inability to concentrate and disruptive
behaviour and relationships
, In adolescence > mental health problems, agression, substance abuse, risky sexual behaviour,
self harming and suicide, lack of hygiene, depression, self destructive behaviour, self mutilation,
eating disturbances, PTSD, anxiety disorder, psychosis, dissociative behaviour, disrupted
interpersonal relationships, unsatisfactory school progress and academic performance
Lenore Terr's Type | and Type || trauamas - CORRECT ANSWER✔✔Type | = responses to once
off or "single blow" traumas (like being bitten by a dog)
Type || = a set of responses to multiple or long standing traumas (being sexually abused over
several years).
In type || disorders in childeren Terr identifies responses that are very similar to characteristics
of adults with complex PTSD
With this disorder it is the ANTICIPATION of injury and traumatisation (the anticipatory anxiety)
that has to be a managed.
> this can be achieved through numbing and detachment and cutting off defenses that allow the
child not to feel too intensely and to become almost immune to a pain they cannot escape
> because in order for them to survive in an environment in which they are often dependent on
their abusers, childeren may need to be able to split off the bad experiences from good ones
and may be able to hold quite contradictory positions and ways of relating to the world
Studies show that impact of trauma at early stages of development can have a long lasting
impact on what 3 things ? - CORRECT ANSWER✔✔- personality formation
- behaviour
- mental health
Traumas affecting childeren within family systems include: (3) - CORRECT ANSWER✔✔- divorce
(disempowered, guilty, sad, angry)