Addictions Final

  1. Physical Abuse (TN Dept. of Health)
    non accidnetal physical trauma or injury inflicted by a parent of caretaker on a child. It also includes a parent or caretaker's failure to protect a child from another person who perpetrated physical abuse on a child.
  2. Physical Neglect (TN Dept. of Health)
    failure to provide for a child's physical survival needs to the extent that there is harm or risk of harm to the child's health or safety.
  3. Common Myths of Family Violence (Gelles) a
    Family and intimate violence is a significant social and public health problem but not an inevitable aspect of family relationships and will escalate
  4. Common Myths of Family Violence (Gelles) b
    family violence is confined to metally disturbed or sick people.
  5. Common Myths of Family Violence (Gelles) c
    Family violence is confined to the lower class
  6. Common Myths of Family Violence (Gelles) d
    family violence occurs on all groups- social factors are not relevant
  7. Common Myths of Family Violence (Gelles) e
    Children who are abused will grow up to be abusers
  8. Common Myths of Family Violence (Gelles) f
    "Battered wives ""like"" being hit/ are responsible for the violence otherwise they would leave."
  9. Common Myths of Family Violence (Gelles) g
    Alcohol and drug abuse are the real causes of violence in the home
  10. Common Myths of Family Violence (Gelles) h
    Violence and love do no coexist in families
  11. Psychological abuse
    "Include an atmosphere of expected violence that encompasses threats of violence to the woman as well as abuse or threats of abuse to other family members
  12. Issues of Power and Control (function)
    "The ""psychological glue"" thatperpetuates the abusive relationship"
  13. Issues of Power and Control (4)
    "Possessiveness (treated as property)
  14. Three Stage Cycle of Violence
    1. Tension Building 2. Acute Battering Incident 3. Loving Contribution
  15. Tension building
    "After commitment is secured. Woman gives in to demands to releive the tension. However
  16. Acute Battering Incident
    shortest cycle.explosion of violence. It is clear to most women that they have no contol over the violence.
  17. Loving Contrition
    "Batterer is transformed to a loving suitor again
  18. Factors that heighten abuse
    "1. Alcohol and drug abuse 2. Stress 3. other situations (presence of infants or teenagers
  19. Reasons why battered women stay in the relationship:
    "1. Fear of retribution (to her or children)
  20. Survivor therapy overlaps with Feminist therapy here:
    "1. Prevailing models of psycho therapy have failed to address the oppresion of women. 2. Rejection of an authoritarian approach in favor of egalitarian. 3. Emphasis on depathologizing women
  21. 5 Stages of Survivor Therapy
    1. Asssessing and labeling the abuse. 2. Developing and rehearsing a safety plan. 3. Dealing with the psychological and in some cases also the physiological effects of the trauma. 4. Addressing other psychological effects of the abuse as well as childhood issues (including any abuse that may hgave occurred then). 5. Preparing for termination.
  22. Starting point of Survivor therapy
    "acceptance of the idea that nothing the woman did
  23. Ideas inherent to Survivor therapy (4)
    "1. Battered woman needs to know that the therapist is ""on her side""- which means that Survivor therapy does not lend itself to a couple/family format in the beginning of therapy. 2. Survivor therapy does not have divorce as a goal
  24. Contextual Therapy (explanation)
    "a systems model that examines the context of abuse rather than focusing on either the abuser or the victim. It examines what is hbappeing in the system
  25. Contextual Therapy (steps)
    "1. Provide a safe therapeutic relationship where change can occur. 2. Context of abuse is assessed in terms of vulnerability and resiliency. It is assumed that symptoms are attempts to regain power
  26. Ways to use Contextual Therapy
    "1. It can be utilixed in such a way as to keep families intact
  27. Factors that compose the definition of child abuse
    "1. Intent of the abuser
  28. Shaken Infant syndrome
    severe shaking or hitting the child against something.
  29. Visceral injuries
    injuries to smooth muscles or organs
  30. Thoracoabdominal trauma
    chest and abdomen injuries- usually by kicks and blows.
  31. Injuries to bones
    "long bones (easy to grab)
  32. Burns
    "scalding (water) ""stockingor mitten"" burns. or contact (irons
  33. Skin injuries
    "most visible. Cords
  34. General psychological impacts of child abuse
    "1 post-traumatic responses
  35. Longer lasting psychological impacts of child abuse
    "Disturned relationships
  36. Avoidance strategies
    "1 withdrawal
  37. Impacts specific to physical abuse:
  38. effects on development
    Development is often impaired- think about Erickson's psychosocial stages- this is what is often most affected.
  39. Intergenerational transmission of abuse
    "refers to the idea that ppl who hae been abused as children are more likely to become abusers as adults. Maybe roughly 30%. So most ppl won't
  40. Macro (society) risk factors for becoming an abuser
    "1)cultural climate supports corporal punishment
  41. Meso (family) risk factors for becoming an abuser
    "1) marital discord
  42. Micro (individual) risk factors for becoming an abuser
    "1)history of abuse
  43. Resiliency against abuse (Macro)
    "1) culture that promotes a shared sense of responsibility for children
  44. Meso resiliency
    "1) supportive spouse
  45. Micro resiliency
    "1) awareness and understanding of past abuse
  46. Forms of child sexual abuse 3
  47. Intrusion
    oral anal or genital penile penetration or anal or genital digital of other penetration is found on the child
  48. Molestation
    involves some form of actual contact with genital areas but with no specific intrusion being evident
  49. Unknown sexual abuse
    "includes allegations of inappropirate supervision of a child's sexual activities including those in which a child might actively participate
  50. Pedophilia
  51. Motivations to commit child sexual abuse
    "1) Power and control issuess
  52. Common symptoms of child sexual abuse
    "1) somatic complaints
  53. Consequential behaviors of child sexual abuse
    "1 sexualized behavior
  54. Child history to assess
    p.73 of notes
  55. Caregiver response to the child's abuse
    "1) I have failed as a parent. It is a parent's job to protext the child; I have not been able to keep my child from harm. 2) My child can never heal from this trauma
  56. Jean Piaget's developmental stages
    "1)Sensori-motor 0-2
  57. Erickson's Psychosocial stages
    matching questions
  58. Attachment styles- The parentified child
    p.76 notes
  59. Attachment styles- The insecure ambivalent child
  60. Attachment styles- the compulsively compliant child
  61. Attachement styles- the insecure ambivalent child
  62. When working with children and adolescents the __________ is the most significant part of therapy.
    """the therapist-child relationship"
  63. Play therapy techniques
    "1) dolls
  64. Termination of child therapy
    This is often very difficult for the child and bring up the original trauma. 1) Make sure the child is aware of termination in advance and help them seee it as completion instead of loss. 2) Normalize feelings and the cycle of hello and goodbye.
  65. Reporting Child abuse (6)
    "1. Counselors are required to report
  66. Countertransference vs. vicarious traumatization
    Is in response to specific clients for transient amounts of time.
  67. "Vicarious Traumatization (Saakvitne and Pearlman
  68. Disasterous work settings with contribute to VT
    1. organization provides no respite for the staff. 2. requiring staff to have unrealistically high caseloads. 3. failing to provide enough qualified supervision. 4. denying the severity and pervasiveness of clients' traumatic experiences and their aftereffects. 5. failing twork with staff to identify and address signs of VT. 6. Not providing sufficient vacation time. 7. not supporting personal psychotherapy for clinicians.
  69. Burnout
    "is a state of physical emotional and mental exhaustion. It is the result of repeated emotional pressures
  70. Symptoms of burnout (13)
    "1. When clients call to cancel and appointment
  71. Taking Care of Self (9)
    1. Taking vacations/time off. 2. Setting proper boundaries. 3. Making time for family. 4. Setting aside some quiet/alone time each day. 5. Hobbies. 6. Changing jobs/work status. 7. Healthy habits. 8. Personal counseling. 9. Investing in positive relationships at work or with colleagues.
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Addictions Final
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