TF-CBT - 家長會 (10)

Which of the following is an indication that the family is not ready to participate in parent-child sessions?

a. Caregiver shows a high level of distress when discussing the child's traumatic experience

b. Caregiver disputes unhelpful or upsetting thoughts related to the child's traumatic experience

c. Child has discussed the trauma narrative comfortably, but only with the therapist

d. The child is still having some emotional reactions when describing the traumatic event

a. Caregiver shows a high level of distress when discussing the child's traumatic experience

Caregiver readiness needs to be demonstrated by maintaining a reasonably calm demeanor when listening to or talking about the child's trauma.

Which of the following is NOT consistent with the rationale for having parent-child sessions?

a. These sessions provide parents the opportunity to model appropriate coping responses

b. The sharing helps the child continue to become desensitized to the trauma narrative

c. Discussions between children and caregivers help clear up misunderstandings and enhance relationships

d. These sessions provide opportunities for caregivers to explain how they overcame their self-blame

d. These sessions provide opportunities for caregivers to explain how they overcame their self-blame

The focus of conjoint sessions should be on the child's progress and mastery of the trauma, not the parents. Parents should receive validation for their progress in parent sessions with the therapist.

Which of the following is true about parent-child sessions?

a. It's best for caregivers to hear the trauma narrative for the first time when the child shares it out loud, maintaining genuineness and authenticity.

b. Caregivers should be encouraged to express and display strong emotions after hearing the child's narrative to show how much they care.

c. The sessions should be carefully planned ahead of time in order to reduce the possibility of any unexpected reactions or problems.

d. The benefits of conducting conjoint sessions always outweigh any possible negative repercussions of caregiver's inability to respond appropriately.

c. The sessions should be carefully planned ahead of time in order to reduce the possibility of any unexpected reactions or problems.

A common mistake that novice TF-CBT therapists make is under-preparing for conjoint sessions. Both the child and the caregivers should know what to expect and be ready for these sessions.

During a conjoint session, a caregiver makes an inappropriate comment. What is the best initial step to take?

a. Terminate the session, discuss the issue with the parent privately, and set up another session to try again

b. Reframe the comment to prompt more appropriate behavior from caregiver, if possible

c. Allow the conversation to proceed without commenting, but make note of the issue and discuss it with the parent and child later

d. Remind the parent to use the script that you had previously agreed upon, and tell her that you will need to terminate the session if he/she does not

b. Reframe the comment to prompt more appropriate behavior from caregiver, if possible

Caregivers may need to be reminded about the purpose of the conjoint session; if the behavior continues, however, terminating the session may be necessary until additional preparation can be done.

Which of the following is NOT a goal of conjoint parent-child sessions?

a. To enhance the child's comfort in talking directly with caregivers about the traumatic experience.

b. To enable the caregiver to listen supportively to the child's narrative

c. To work through any other pertinent issues the family wishes to address

d. To enhance parent-child communication

e. To allow the child to understand the caregiver's feelings about the traumatic events.

e. To allow the child to understand the caregiver's feelings about the traumatic events.

The caregiver's feelings about the trauma are important topics for the therapist and caregiver to address, but they are not something the child needs to be concerned about. The Conjoint Session is very much focused on the child's emotional needs, not the caregiver's.

What are the most important keys to successful conjoint parent-child sessions?

a. Making sure the child understands the difference between thoughts and feelings.

b. Preparation and practice with both the child and the caregiver prior to parent-child sessions.

c. Including all the traumatic events experienced by the child in the development of the trauma narration.

d. Insuring that the caregiver is not experiencing personal distress.

e. Including drawings and other art in the process of developing the trauma narration.

b. Preparation and practice with both the child and the caregiver prior to parent-child sessions.

Preparation is key; Conjoint sessions can be very powerful emotional experiences, and it's important to try to minimize the possibility of any unexpected or "surprise" reactions. This can be achieved with practice.