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Counseling Survivors of Sexual Abuse by Diane Mandt Langberg, Ph.D. © 1997
All rights reserved. (Tyndale House: Wheaton, IL)
[Answer 14 of 20 questions correctly to receive 14 hours of Continuing Education credit].

Meeka’s Story (p. 11-22)
1. In preparing us to read Meeka’s story, Dr. Langberg encourages us to
a. view sexual abuse as more offensive to God than “minor” sins.
b. distance ourselves from the horror of abuse.
c. seek justice for the sexually abused.
d. examine our own hearts for any sin.

Understanding the Nature of Therapy (p. 31-36)
2.“Incarnational therapy” means
a. how the therapist lives outside the counseling office and unknown to the client is just as important as the words spoken inside the counseling session.
b. entering into the fellowship of Christ’s sufferings through the anguish and darkness of others’ lives.
c. the therapist bringing the presence and image of God to bear on the evil that was done so that all things may be made new.
d. all of the above.

Understanding the Nature of Trauma (p. 37-47)
3. Traumatic reactions to sexual abuse
a. consist of unnatural emotions and behaviors in response to catastrophe.
b. include silence, isolation and helplessness.
c. usually occur immediately after the trauma, not years later.
d. cannot be triggered by smells or sounds.

Definitions, Frequency and Family Dynamics (p. 61-67)
4. Sexual abuse is more likely to occur in a home where
a. children do not have adult roles.
b. the parents have common interests and activities.
c. pornography is absent.
d. suggestive comments are freely made.

Symptoms and Aftereffects of Childhood Sexual Abuse (p. 69-74)
5. In assessing the aftereffects of sexual abuse on a client, a therapist should
a. consult a list of standard aftereffects.
b. allow the client to say what damage occurred.
c. assume that a client with multiple damage was probably sexually abused.
d. understand that most clients respond to sexual abuse in the same way.

Helping Clients Feel Safe (p. 89-98)
6. A climate of therapeutic safety does not include
a. the needs of the therapist.
b. confidentiality.
c. frequent reassurances of trust.
d. naming abuse as evil.

Symptom Relief (p. 99-102)
7. “Normalizing symptoms” means
a. explaining how debilitating behaviors make sense in the context of sexual abuse.
b. condemning debilitating behavior.
c. assuming symptoms such as depression are related to the abuse.
d. none of the above.

Memory Retrieval (p. 103-120)
8. If a client is uncertain that her memories of abuse are accurate, the author does not suggest
a. returning to the physical location where the abuse occurred.
b. recording memories in a journal.
c. confronting the abuser for a full account of what happened.
d. looking at the client’s childhood photo album.

Memory Retrieval (p. 103-120)
9. When a therapist uses his/her voice to calmly and slowly remind the client that she is remembering something in the past that is not happening now, the therapist is using the technique called
a. grounding.
b. storage.
c. containment.
d. nurturing.

Facing Truths About the Past (p. 123-135)
10. It helps a client to conclude that the abuse was not her fault when she
a. observes the smallness and vulnerability of other children.
b. studies the meaning of such words as “violation,” “oppression” and “rape.”
c. reads the stories of other survivors who were abused as children.
d. all of the above.

Facing Truths About the Present (p. 137-150)
11. The author asks her client to rewrite Scripture in order to
a. more personally explain the reasons why she has suffered so greatly.
b. face the truths about her abusive past.
c. seem as if God were speaking directly to her about His own abusive experiences.
d. accelerate the recovery process.

Major Issues of Phase Two (p. 151-177)
12. Forgiving the abuser
a. usually arises from the client’s recognition of God’s forgiveness of her through Christ.
b. usually results in a true apology and reconciliation of the abuser.
c. should be required by the Christian therapist as a condition for continuing therapy.
d. is usually complete if the abuser says, “I’m sorry.”

Relationships (p. 181-191)
13. The best way a therapist can help a survivor strengthen her relationship to God is by
a. encouraging a daily devotional time in the Scriptures.
b. showing great patience with a client’s struggle to believe Scriptural truths (i.e. that God is a compassionate Father).
c. rebuking unbelief and doubt.
d. directing the client toward Scripture passages that teach the justice of God.

Reclaiming the Body (p. 193-196)

14. If a survivor coped with her sexual abuse by dissociating from her body, a therapist can help her “reconnect” with her physical self by
a. delighting in pleasant, non-threatening sensations such as the warmth of the sun.
b. identifying negative emotions through body signals such as rapid breathing and increased heart rate.
c. encouraging aerobic activity.
d. all of the above.

Dissociative Disorders (p. 207-215)
15. The diagnosis of Dissociative Identity Disorder (DID)
a. means many individuals in one body.
b. is considered by the survivor as proof that she is “crazy.”
c. helps the survivor understand how she learned to cope with unbearable trauma.
d. is appropriate in every case of sexual abuse.

Male Survivors (p. 227-230)
16. The sexual abuse of boys
a. is usually perpetrated by a family member.
b. occurs just as much as the sexual abuse of girls.
c. often results in confusion regarding sexual identity.
d. is equally perpetrated by women as it is by men.

The Therapist (p. 233-243)
17. The author encourages the therapist to
a. make sense out of suffering.
b. view counseling as exposure to evil, not just pathology.
c. find the inevitable “goodness” in a client’s suffering.
d. be comfortable in the role of rescuer.

Strategies that Foster Endurance (p. 245-248)
18. For the therapist, the author considers personal hobbies and regular exercise to be
a. optional.
b. less important than reading books about trauma therapy.
c. excessive.
d. essential.

The Spiritual Life of the Therapist (p. 249-257)
19. The author considers the therapist’s greatest spiritual discipline to be the discipline of
a. worship.
b. truth.
c. study.
d. fellowship.

How Can the Church Help Survivors? (p. 269-281)
20. In ministering to survivors of sexual abuse, the author encourages other Christians to
a. listen without “fixing” the problem.
b. suggest possible ways the survivor may have unknowingly provoked the abuse.
c. have the freedom to inwardly disbelieve the survivor’s account of the abuse.
d. expect recovery to occur in weeks, not months or years.