TF-CBT - 心理教育 (2)

Which of the following is a main purpose of the psychoeducation module?

a. Helping parents and caregivers understand how trauma affects adjustment

b. Explaining the rationale for the trauma narrative exercise

c. Helping children understand the cultural context of their victimization

d. Teaching children and caregivers effective coping methods.

a. Helping parents and caregivers understand how trauma affects adjustment

Helping children and caregivers understand common reactions to trauma exposure is one of the main functions of this module.

All of the following are important aspects of the psychoeducation module EXCEPT:

a. Providing caregivers and youth with an overview of the TF-CBT treatment process

b. Giving families access to information about traumatic stress

c. Taking a developmentally sensitive approach to sharing information

d. Assessing the child's trauma symptoms and appropriateness for TF-CBT

e. Establishing rapport with the patient and caregiver

d. Assessing the child's trauma symptoms and appropriateness for TF-CBT

Initial assessment of symptoms occurs prior to treatment onset.

Which statement reflects an element of psychoeducation pertaining to physical abuse?

a. Physically abused children are unlikely to be exposed to other types of trauma.

b. Physical abuse is the most commonly reported type of child maltreatment in the US.

c. Physical abuse and punishment are not the same thing.

d. Parents who physically abuse their children typically have mental disorders.

c. Physical abuse and punishment are not the same thing.

Physically abused kids often struggle to understand the difference between "punishment" and "abusive discipline."

Which statement below is the most accurate regarding how to choose therapeutic activities within the Psychoeducation module?

a. Psychoeducation must be delivered by using games and fun activities.

b. Conjoint activities including both caregivers and kids are discouraged in this module.

c. You should avoid play activities during Psychoeducation so the child does not establish expectation that TF-CBT is "play time" or fun.

d. Therapeutic activities will vary across cases, depending in part on the developmental age of the child.

d. Therapeutic activities will vary across cases, depending in part on the developmental age of the child.

Activities aimed at conveying psychoeducation need to be targeted at the child's developmental level, not necessarily his or her chronological age.

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?

a. a test of verbal fluency

b. gradual exposure

c. more education about the consequences of sexual abuse

d. a baseline/neutral narrative task

e. use of kinetic sand tray activities to allow Alaina to act out her trauma

d. 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 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?

a. TF-CBT is flexible enough to be adapted so that Mrs. Sands does not need to participate

b. Providing Tonette with treatment is vitally important to prevent significant symptoms later in her life

c. The TF-CBT treatment model emphasizes the importance of working as a team with caregivers.

d. Tonette is at very high risk of future victimization without appropriate and timely treatment.

e. Witnessing violence is associated with symptoms of post-traumatic stress disorder that, if untreated, can become chronic.

c. 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.