TF-CBT - the trauma narrative (trauma focused cognitive
behavioural therapy - the trauma narrative) Questions With
Complete Solutions
A few more things about cognitive processing Correct Answers
⮚ Many clients "know" it wasn't their fault, but that doesn't
necessarily mean they believe it.
⮚Explore attributions of responsibility
⮚ Don't automatically present the notion that "It's not your
fault"
-Some children may not have ever thought it was
-Some children may have an element of responsibility (i.e.
starting a fire that killed their family)
⮚ Ensure BOTH the child and parents have adequately
progressed before terminating treatment
Behavior Management 1/4 Correct Answers ⮚ Common
consequences of trauma include disruptive,
aggressive, and non-compliant behavior.
⮚ Parents who feel guilty often have difficulties controlling
these types of behavior.
⮚ Teach parents to focus on actively praising the child for
desirable behavior.
⮚ Review with the parent how to effectively give praise:
- Praise specific forms of behavior.
- Provide praise as soon as possible after the desirable behavior.
- Be consistent in your use of praise.
- Don't negate praise with criticisms.
- Use an enthusiastic tone when praising the child.
, Behavior Management 4/4 Correct Answers *Contingency
management*
⮚Reward contingencies must be developmentally appropriate
⮚Tokens/stars/credits can be earned to reduce behavior
⮚ What is maintaining the behavior
⮚ Reward intensity and frequency
strain
⮚Address only one behavior at a time ⮚Involve the child in
identification of what the reward
should be
⮚If the contingency seems to be ineffective re-evaluate for
-what is maintaining behaviour
-reward and frequency
behaviour management 2/4 Correct Answers ⮚ Active
Ignoring
⮚ Avoid responding to the child during the behavior and
immediately
after it. (Behavior strain)
⮚ Avoid verbal or emotional reactions, eye contact, facial
expression,
or any other form of communication toward the child. (Prepare
for
extinction burst)
⮚ NEVER ignore dangerous or unsafe behavior that could cause
injury
or worse.
⮚ Try to ignore behavior such as:
-negative response
-defiant or angry statements directed at the parent
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