APT E-LEARNING CENTER
Play Therapy Continuing Education Test for:
FUNDAMENTALS OF WORKING WITH CHILDREN WHO HAVE EXPERIENCED TRAUMA AND LOSS
General Information
Citation: Heidi Strickler, MSSW, LCSW, CEDS, CART, CTLS
Format: Audio
# Credit Hours: 3 (APA, NBCC, APT approved)
% Pass: 80%
Test Fee: $45
Instructions:
1. BEFORE printing, FIRST type your Identification and Test responses in the spaces provided below.
2. Click on only one response for each question. If you click on more than one response or fail to respond to any question, the question will be scored as incorrect.
3. Finally print and mail this completed test form with processing fee payment for scoring to (or, if you have questions, contact): Carol Guerrero, E-Learning Center, Association for Play Therapy, 3198 Willow Avenue, Suite 110, Clovis, CA 93612 USA, (559) 294-2128 ext 1,
Learning Objectives:
Based on the content of the workshop, I am able to:
1. Describe at least five behavioral/emotional effects of trauma.
2. Utilize multi-modal play therapy techniques with children who have experienced trauma.
3. Explain issues related to using standardized measures with children who have experienced trauma.
4. Demonstrate the benefits of using experiential play and art when working with children who have experienced trauma.
Identification:
Name: Degree: Credential(s):
Email:
Address:
City: State: ZIP: Nation:
Telephone: () Fax: ()
Fee Payment (USD only): If check, make payable to “APT”. If credit card VISA MasterCard
Account #: Expiration Dt: Promo Code:
Amount: $ AVS Code: Authorization Signature:
Attestation: I attest that I alone completed this test in accordance with the ethics of my profession.
Signature: Date:
SCORE______# correct responses (this item is completed only by APT)
TEST
1. Feeding and eating disorders of infancy and early childhood are often related to trauma because:
a. They are indications of potential parental neglect.
b. They are indications of potentially problematic parent-child interactions.
c. They are indications that the parents feed the child too much.
d. Both a and b are true.
2. Mood disorders in children differ from those in adults because children frequently present with:
a. Happy mood
b. Depressed mood
c. Bored mood
d. Irritable mood
3. Posttraumatic Stress Disorder is often difficult to diagnose in children because children frequently do not experience or cannot verbalize feelings of helplessness and horror in response to a traumatic event.
a. True
b. False
4. Children who experience Posttraumatic Stress Disorder symptoms often experience globally frightening dreams with unrecognizable content rather than specific trauma-related nightmares.
a. True
b. False
5. When dealing with a child who has an elimination disorder that is related to a traumatic event, it is helpful to encourage parents to treat the elimination disorder related episodes in the following manner:
a. Punish the child for clearly acting in an oppositional manner.
b. Encourage the child to clean himself in an age-appropriate manner, respecting his privacy, but minimizing guilt and stigma.
c. Clean the child and lavish attention upon him because he is clearly distressed.
d. Completely ignore the behavior.
6. Children with Obsessive Compulsive Disorder may hoard items. For some traumatized children, this hoarding provides a sense of safety.
a. True
b. False
7. Eating disorders, including Anorexia Nervosa and Bulimia Nervosa, are becoming increasingly prevalent in young children. Reasons for this increase include:
a. Increasing numbers of children being abused at younger ages.
b. Society’s emphasis on thinness.
c. Objectification of young females.
d. All of the above.
8. Caregiver-report instruments are often accurate reports of traumatized children’s symptoms because caregivers are very knowledgeable about children’s internalizing and externalizing symptoms
a. True
b. False
9. Toy weapons such as guns and knives should not be in a playroom because traumatized children may feel frightened since they have had negative experiences with real weapons in the past.
a. True
b. False
10. Well-equipped playrooms have a combination of nurturing and aggressive toys that help traumatized children process their experiences
a. True
b. False
11. Bright colors can have meanings that are related to traumatic events
a. True
b. False
12. Which of the following themes tend to be prevalent in traumatized children’s artwork?
a. The elderly
b. Moons
c. Monsters
d. Guns
13. Which of the following themes tends to be prevalent in traumatized children’s play?
a. Pseudo-mature play
b. Regressed play
c. Well-organized play
d. Repetitive play
e. Only B and D are correct
14. Animal families can help children express traumatic events because they provide some distancing that human families do not provide
a. True
b. False
15. Traumatized children express the following themes in their play and art:
a. Fear
b. Loneliness
c. Anger
d. All of the above
16. Red, brown, black, white, and gray are colors that traumatized children often use because:
a. They are associated with blood, hurt, pain, and death
b. They are associated with misbehavior at school
c. They are associated with innocence and purity
d. They are associated with bad weather
17. Child-centered play therapy’s use of a secure environment, emotional and activity-related tracking statements, and therapist’s accepting, genuine stance and belief in the child’s abilities provides traumatized children with the ability to feel control and rework and formulate alternate endings for their traumatic experiences.
a. True
b. False
18. Psychodynamic play therapy believes that fantasy play never considers the real world application of the child’s social skills or ability to consider others’ perspectives
a. True
b. False
19. Regardless of theoretical orientation, interpretation connecting emotions, behaviors, and trauma symptoms can sometimes help children feel better understood and valued in the therapeutic process.
a. True
b. False
20. Adlerian play therapy views maladaptive behaviors and symptoms as ways to protect the child that will remit when they are no longer needed
a. True
b. False
21. There are no cognitive-behavioral techniques that can be considered forms of play therapy
a. True
b. False
22. Children who have witnessed domestic violence are often treated in a concurrent group at the same time as their mothers. The mother’s group should focus on the experiences of the children both in group and as witnesses to domestic violence
a. True
b. False
23. Structured Sensory Intervention for Traumatized Children Adolescents and Parents (SITCAP) focuses on several themes to treat traumatized children including:
a. Hurt and worry
b. Fear and anger
c. Revenge and powerlessness
d. Accountability and safety
e. All of the above
24. Cultural differences need to be considered when working with traumatized children and their families. Some techniques that are useful when working with ethnic minorities include:
a. Storytelling
b. Magical realism
c. Ignoring culture
d. both A and B
REFERENCES
Adler-Nevo, G. & Manassis, K. (2005). Psychosocial treatment of pediatric posttraumatic stress disorder: The neglected field of single-incident trauma. Depression and Anxiety, 22, 177-189.
Administration for Children and Families (2002). An issue facing all communities: The national scope of the problem: Safe children and healthy families are a shared responsibility. Retrieved 20 Novemember, 2005, from http://nccanch.acf.hhs.gov/topics/prevention/childabuse_neglect/scope.cfm.
American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders, text revision. (4th ed.). Washington D.C.: Author.
Ayalon, O. (1998). Community healing for children traumatized by war. International Review of Psychiatry, 10, 224-233.
Bainum, C. R., Schneider, M. F., & Stone, M. H. (2006). An Adlerian model for sandtray therapy. The Journal of Individual Psychology, 62(1), 36-46.
Barrows, P. (2004). “Playful” therapy: Working with autism and trauma. International Forum of Psychoanalysis, 13, 175-186.
Bronfman, E. T., Campis, L. B., & Koocher, G. P. (1998). Helping children to cope: Clinical issues for acutely injured and medically traumatized children. Professional Psychology: Research and Practice, 29(6), 574-581.
Carmichael, K. D., & Lane, K. S. (1997). Play therapy with children of alcoholics. Alcoholism Treatment Quarterly, 15(1), 43-51.
Carpenter, M. Y., Silovsky, J. F., 7 Chaffin, M. (2006). Randomized trial of treatment for children with sexual behavior problems: Ten-year follow-up. Journal of Consulting and Clinical Psychology, 74(5), 482-488.
Chrisman, A., Egger, H., Compton, S. N., Curry, J., & Goldson, D. B. (2006). Assessment of childhood depression. Child and Adolescent Mental Health, 11(2), 111-116.
Cohen, J. A. & Mannarino, A. P. (1996). Factors that mediate treatment outcome of sexually abused preschool children. Journal of the American Academy of Child and Adolescent Psychitry, 35(10), 1402-1411.
Cook, A., Spinazzola, J., Ford, J., Lanktree, C., Blaustein, M., Cloitre, M., et. al. (2005). Complex trauma in children and adolescents. Psychiatric Annals, 35(5), 390-398.
Corcoran, J. (2000). Family interventions with child physical abuse and neglect: A critical review. Children and Youth Services Review, 22(7), 563-591.
De Rios, M. D. (1997). Magical realism: A cultural intervention for traumatized Hispanic children. Cultural Diversity and Mental Health, 3(3), 159-170.
Ederer, E. M. (1998). Depressive symptoms in young children: Self-, parent-, and teacher-reports. Studia Psychologica, 40(1-2), 95-106.
Faust, J. & Katchen, L. (2004). Treatment of children with complicated posttraumatic stress reactions. Psychotherapy: Theory, Research, Practice, Training, 41(4), 426-437.
Feeny, N. C., Foa, E. B., Treadwell, K. R., & March, J. (2004). Posttraumatic stress disorder in youth: A critical review of the cognitive and behavioral treatment outcome literature. Professional Psychology Research and Practice, 35(5), 466-476.
Fletcher, T. B. (2000). Primary nocturnal enuresis: A structural and strategic family systems approach. Journal of Mental Health Counseling, 22(1), 32-44.
Ford, J. D., Chapman, J. F., Hawke, J., & Albert, D. (2007, June). Trauma among youth in the juvenile justice system: Critical issues and new directions [Electronic version]. National Center for Mental Health and Juvenile Justice, 1-8.
Gregorian, V. S., Azarian, A., DeMaria, M. B., & McDonald, L. D. (1996). Colors of disaster: The psychology of the “black sun.” The Arts in Psychotherapy, 23(1), 1-14.
Haen, C. & Brannon, K. (2002). Superheroes, monsters, and babies: Roles of strength, destruction, and vulnerability for emotionally disturbed boys. The Arts in Psychotherapy, 29, 31-40.
Hill, A. (2003). Issues facing brothers of sexually abused children: Implications for professional practice. Child and Family Social Work, 8, 281-290.
Jacobus, L. L. (2005). The effects of exposure to domestic violence on child outcomes: A meta-analysis. Georgia State University, Atlanta: GA: Unpublished document.
Jordan, C. & Franklin, C. (1999). Structural family therapy. In C. Franklin & C. Jordan (Eds.), Family practice: Brief systems methods for social work (pp. 23-43). New York: Brooks/Cole Publishing Company.
Kalmanowitz, D. & Lloyd, B. (1999). Fragments of art at work: Art therapy in the former Yugoslavia. The Arts in Psychotherapy, 26(1), 15-25.
Kenny, M. C. (2000). Working with children of divorce and their families. Psychotherapy, 37(3), 228-239.
Konarz, R. (2003). Recognizing and responding: Infant and toddler grief. Grosse Pointe Woods, MI: The National Institute for Trauma and Loss in Children.
Landreth, G. L. (2002). Play therapy: The art of the relationship (2nd ed.). New York: Brunner-Routledge.
Lantz, J. & Raiz, L. (2003). Play and art in existential trauma with children and their parents. Contemporary Family Therapy, 25(2), 165-177.
Lefevre, M. (2004). Playing with sound: The therapeutic use of music in direct work with children. Child and Family Social Work, 9, 333-345.
Loosley, S. (2005). Groupwork with children exposed to woman abuse: A concurrent group for children and their mothers: Children’s program manual. London, ON: Children’s Aid Society of London & Middlesex.
Malchiodi, C. A. (1998). The art therapy sourcebook. New York: McGraw-Hill.
Measelle, J. R., Ablow, J. C., Cowan, P. A., & Cowan, C. P. (1998). Assessing young children’s views of their academic, social, and emotional lives: An evaluation of the self-perception scales of the Berkeley Puppet Interview. Child Development, 69(6), 1556-1576.
Mesman, J., & Koot, H. M. (2000). Child-reported depression and anxiety in preadolescence: I. Associations with parent- and teacher-reported problems. Journal of the American Academy of Child and Adolescent Psychiatry, 39(11), 1371-1379.
Miller, L. (1999). Treating posttraumatic stress disorder in children and families: Basic principles and clinical applications. The American Journal of Family Therapy, 27, 21-34.
Moncrief, D. (2006). A study of the effect of filial family play therapy upon parent stress and parent-child relationship among selected evangelical missionaries. Dissertation Abstracts International: Section B: The Sciences & Engineering, 66(11-B), 6285-.
O’Connor, K. (2002). The value and use of interpretation in play therapy. Professional Psychology: Research and Practice, 33(6), 523-528.
Ogawa, Y. (2004). Childhood trauma and play therapy intervention for traumatized children. Journal of Professional Counseling, Practice, Theory, & Research, 32(1), 19-29.
Omenson, R. A. (2005). Art at the Astrodome. School Arts, 105(3), 6.
Packman, J., Paone, T., LeBeauf, I., Smaby, M. H., & Lepkowski, W. J. (2006). When a parent gets deployed: Helping military families deal with stress. In Wale, G, Bleuer, J., & Yep, R (Eds.). Vistas: Compelling perspectives on counseling and educational psychology, pp. 67-69. Alexandria, VA: American Counseling Association.
Paddon, M. (2005). Groupwork with children exposed to woman abuse: A concurrent group for children and their mothers: Mother’s program manual. London, ON: Children’s Aid Society of London & Middlesex.
Peery, J. C. (2002). Archetype and object: Primary deintegration and primary love in analytic play therapy with young children. Journal of Analytic Psychology, 47, 407-420.
Rasmussen, L. A., & Cunningham, C. (1995). Focused play therapy and non-directed play therapy: Can they be integrated? Journal of Child Sexual Abuse, 4(1), 1-20.
Russ, S. W. & Schafer, E. D. (2006). Affect in fantasy play, emotion in memories, and divergent thinking. Creativity Research Journal, 18(3), 347-354.
Saywitz, K. J., Mannarino, A. P., Berliner, L., & Cohen, J. A. (2000). Treatment for sexually abused children and adolescents. American Psychologist, 55(9), 1040-1049.
Scheeringa, M. S., Zeanah, C. H., Myera, L., & Putnam, F. W. (2003). New findings on alternative criteria for PTSD in preschool children. Journal of the American Academy of Child and Adolescent Psychiatry, 42(5), 561-571.
Seja, A. L. & Russ, S. W. (1999). Children’s fantasy play and emotional understanding. Journal of Clinical Child Psychology, 28(2), 269-277.