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Section
4 Question
4 | Test
| Table of Contents In the last section, we discussed some criteria which indicates individual therapy rather than group therapy: undisclosed personal information about the sexual abuse; assault by a stranger; and if group therapy would be an unnecessary stressful situation. As you know, clients of a younger, dependent age interact with their parents more than they will with you. Therefore, I believe it is vital to a client's healing and recovery if his parents are involved as much as possible. In this section, we will examine the four aspects to keep in mind when including the family in off hours therapy: education of the parents; developing and understanding a client's need for security; and reestablishing good self-esteem. ♦ Aspect #1 - Parent Education Dear Mrs. Walsh, The purpose of this letter is to confirm the details we discussed about Christopher's participation in the boys' group. His group will be meeting here at the clinic every Wednesday from 3:30 to 4:30 pm, starting January 6. Regular attendance is expected and is necessary for Christopher to get the most benefit from his therapy. I would like to emphasize the importance of his attendance. The priorities for Christopher's treatment will be the following: # 1. Expressing
and managing his anger without aggressive or verbally abusive behavior. ♦ Aspect #2 - Parents Involvement with Empowerment ♦ Aspect #3 - Parents Involvement in the
Reestablishment of Self-Esteem -- Topic # 1 - First of all, I discuss with the parents speaking to other influential adults in the
child's life such as teachers and coaches to let them know about the abuse. Christopher's teacher became very involved in the rebuilding of his self-image. She rewarded Christopher whenever he had a good grade on a test or quiz. Frequently, she asked Christopher to help her in tasks around the room. This gave Christopher a feeling of responsibility and accomplishment, bolstering his self-esteem and bringing him closer to recovery. ♦ Technique: Learning to
Trust For the situations "You made an embarrassing mistake", "A friend hurt you", and "You felt lonely" Christopher checked Mother. All of these situations deal with issues of security. As you can see, Christopher's mother is very influential in his feelings of security. Christopher made no checks under Father, indicating that he did not have a very close relationship with his father. I asked Christopher to examine this lack of trust and to try and include his father when expressing emotions and personal information. In this section, we discussed the various aspects to keep in mind when including the family in off hours therapy: education of the parents; developing and understanding a client's need for security; and reestablishing good self-esteem. In the next section, we will examine various
challenges inherent when treating sexually abused boys such as: dependency on
physical contact; drastic mood shifts; failure to remember session content; dysfunctional
attempts to regain power and control; and premature disclosure of the details
of the abuse. Also, we will discuss how to address these challenges. Kapetanovic, S., Skoog, T., Bohlin, M., & Gerdner, A. (2019). Aspects of the parent–adolescent relationship and associations with adolescent risk behaviors over time. Journal of Family Psychology, 33(1), 1–11.
Karlsson, M. E., Zielinski, M. J., & Bridges, A. J. (2020). Replicating outcomes of Survivors Healing from Abuse: Recovery through Exposure (SHARE): A brief exposure-based group treatment for incarcerated survivors of sexual violence. Psychological Trauma: Theory, Research, Practice, and Policy, 12(3), 300–305. Katz, C. (2020). “What do you mean the perpetrator? You mean my friend??” Spotlighting the narratives of young children who are victims of sexual abuse by their peers. Psychology of Violence, 10(1), 30–37. Kelley, E. L., & Gidycz, C. A. (2015). Differential relationships between childhood and adolescent sexual victimization and cognitive–affective sexual appraisals. Psychology of Violence, 5(2), 144–153. Nash, M. R., Hulsey, T. L., Sexton, M. C., Harralson, T. L., & Lambert, W. (1993). Long-term sequelae of childhood sexual abuse: Perceived family environment, psychopathology, and dissociation. Journal of Consulting and Clinical Psychology, 61(2), 276–283. QUESTION
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