TF-CBT - 提高安全性 (11)

Which of the following is the main reason that discussion of safety issues is conducted at the end of TF-CBT?

a. Completion of the P-R-A-C modules and trauma narrative are essential for families to understand concepts presented in this module.

b. Future safety is somewhat less important than symptom reduction, so it is left to the end in case the family drops out of treatment.

c. Fully processing the trauma narrative before talking about safety helps to avoid confusion about self-blame

d. Caregivers are typically not ready to commit to future safety until the trauma narrative has been developed and shared.

c. Fully processing the trauma narrative before talking about safety helps to avoid confusion about self-blame

Generally, you want to avoid discussing risk reduction strategies until the child has had an opportunity to work through any issues he or she might have related to self-blame.

Which of the following statements about creating safety plans is true?

a. Safety plans should be focused on making lists of trusted adults, plans to call 911, and safe places a scared youth might go for help.

b. Caregivers and children should develop safety plans separately and then share them with one another.

c. To protect confidentiality, non-family members should not be told that they are part of the safety plan

d. Safety plans should be discussed with and practiced by youth and caregivers in session

d. Safety plans should be discussed with and practiced by youth and caregivers in session

Enacting safety behaviors in session should increase the child's (and caregiver's) confidence that they can be acted on when needed.

The primary long-term goal of the Enhancing Safety module is focused on:

a. Minimizing additional risk for repeat victimization

b. Providing sexual education and reducing pregnancy risk

c. Facilitating future discussion of the trauma narrative between caregiver and child

d. Desensitizing children to feared situations that are not actually dangerous

a. Minimizing additional risk for repeat victimization

Repeat victimization is very common for trauma-exposed children, and the main purpose of the module is to try to reduce the child's risk for exposure to additional trauma.

Which of the following statements best explains why therapists are instructed to praise children's responses to their previous traumas as part of the enhancing safety component?

a. The use of praise boosts the child's self-esteem.

b. The use of praise is likely to increase compliance with parental directions

c. Praising the child's response reinforces the idea that the child was not responsible for preventing the trauma

d. By praising the child's response, we increase the likelihood that the child will respond to future traumas in the same way.

c. Praising the child's response reinforces the idea that the child was not responsible for preventing the trauma

Highlighting a positive aspect of the child's reaction to trauma reinforces appropriate messages about who is at fault for the traumatic event.

How should safety planning address what to do when a child tells a grown-up about a possible trauma, but the grown-up does not believe the child's story?

a. The child should tell his/her mother next, who will always believe.

b. The child should continue to tell trusted adults from the safety plan until someone takes action.

c. The child should re-evaluate whether what happened was actually a trauma.

d. The child should continue to discuss the situation with the non-believing adult until there is a successful resolution.

e. The child should confide in a friend about what happened.

b. The child should continue to tell trusted adults from the safety plan until someone takes action.

This is a basic tenet of safety planning; tell until an adult takes some kind of protective action.

In addition to safety planning to reduce the risk of future victimization, what is another important topic to cover during this component?

a. What each family member learned during therapy

b. Family values that pertain to premarital sex

c. Guidance about seat belt and bike helmet use

d. The family's ability to afford additional treatment sessions, if needed

e. The caregiver's desire to obtain marital counseling

a. What each family member learned during therapy

It is always a helpful review/refresher to discuss what the child and caregiver got out of TF-CBT participation.