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Counseling Troubled Youth by Robert C. Dykstra © 1997
(Westminster John Knox Press: Louisville, KY). All rights reserved.

[Answer 11 of 15 questions correctly to receive
6 hours of Continuing Education credit.]


Introduction (p 1-9)
1. The author gained experience as a pastoral youth worker in
a. a small Native American fishing village in Alaska.
b. a maximum-security state prison.
c. an adolescent psychiatric hospital in downtown Chicago.
d. all of the above.

Chapter 1: The Self amid Symptoms of Youthful Despair (p 10-19)
2. This book focuses on
a. the fragmented self.
b. the apathetic self.
c. the eschatological self.
d. the tragic self.

Chapter 2: Object Relations Theory and the Borderline Self
(p 23-34)
3. At the heart of Masterson’s theory of borderline disorder is the inability of the adolescent to
a. distinguish reality from fantasy.
b. separate from one’s parents.
c. overcome depression.
d. improve one’s self-esteem.

4. According to Masterson, the mother of the borderline adolescent
a. rewarded clinging behavior while withdrawing emotional approval during the child’s attempts at self-expression.
b. discouraged clinging behavior while withdrawing emotional approval during the child’s attempts at self-expression.
c. competed with the father for the child’s attention.
d. discouraged clinging behavior but rewarded the child’s attempts at self-expression.

5. If the first task of therapy with a borderline adolescent is to empathetically confront the youth’s destructive behavior, the second task is
a. to stabilize the youth’s emerging depression through music or art therapy.
b. to allow the youth to act out painful abandonment feelings.
c. to help the youth discern between the “all-bad” images of self with the “all-good” self.
d. to achieve greater emotional separation from the parental ties while verbally mourning such separation.

Chapter 3: The Case of Stan (p 35-51)
6. The onset of Stan’s severe panic attacks coincided with
a. the sudden leaving of his girlfriend, Jennifer.
b. his parents’ divorce when Stan was 7 years old.
c. his mother taking in an irresponsible roomer by the name of Bill.
d. Stan witnessing the death of a friend from a car accident.

Chapter 4: Self-Psychology and Pathological Narcissism (p 52-62)
7. With a narcissistic client, Kohut believed that the only dependable therapeutic tool was
a. empathy.
b. mirroring.
c. idealizing.
d. twinship.

Chapter 5: The Case of John Turner (p 63-77)
8. John Turner responded to Elijah Anderson’s efforts to help him by saying
a. “What’s in it for you?”
b. “I’ve never accepted help from nobody.”
c. “I didn’t think people did that anymore.”
d. “No one can help me. I’m beyond help.”

9. Anderson became convinced that the root of violence and malaise of African American youth in the inner city is
a. the prevalence of drugs and drug-related crime.
b. a lack of educational opportunities.
c. the disintegration of the family.
d. a lack of real jobs that pay living wages.

Chapter 6: The Eschatological Self (p 81-93)
10. Masterson’s borderline theory and Kohut’s narcissistic theory are similar in that both disorders
a. require confrontation of the client’s destructive acting-out behaviors.
b. can be linked to early childhood experiences.
c. require leisurely empathetic acceptance.
d. identify a strong yet flexible “self.”

11. Dr. Joseph Weiss concludes that a person cries at the happy ending of a movie or novel
a. because the person’s sadness erupts into their consciousness at that moment.
b. because the person’s emotions have built up to an unbearable level.
c. because the person now feels safe to exchange pent-up sorrow for realistic suffering.
d. for the same reason we cry at sad moments.

Chapter Seven: The Case of Laurie (p 94-107)
12. Dr. Rand distinguished herself from Laurie’s previous therapists by
a. not inviting her father to participate in the counseling.
b. taking seriously Laurie’s reports of rape.
c. listening to Laurie.
d. providing empathy.

13. In working with a client such as Laurie, the counseling relationship is
a. an orderly step-by-step process that must be carefully followed.
b. like leisurely drifting in a gondola.
c. simply a matter of client and therapist revealing oneself to the other.
d. like steering a ship in a gale, awaiting the manifestation of God’s presence as an “additional hand on deck.”

Chapter Eight: The Case of Bobby Griffith (p 108-121)
14. Mary Griffith finally received peace that her son was with God
through a
a. minister.
b. dream.
c. book.
d. organization.

Epilogue (p 122-125)
15. The author concludes that working with troubled youth
a. usually results in evidence of making a difference.
b. is fruitless because of its ambiguity and trouble.
c. involves hoping against hope, depending upon God for an “unusual sort of patience.”
d. will substantially alleviate their often harsh and difficult circumstances.