Chapter 1: Basic Principles for Working with Abused and
Traumatized Children (p. 3-19)1. Which is NOT true?
a. Children seem to negotiate their emotional injuries by two drives: 1)
The drive to master what is painful or confusing, and 2) The drive to avoid
b. It is best to avoid pressuring children into talking about abuse when
they don't feel ready to do so.
c. Talking about trauma always makes
children feel better.
d. In play therapy, children can identify with objects or symbols, project
their thoughts and feelings onto those symbols or objects, and then process
difficult, painful, or conflictual material in a protected and safe way that
respects defensive mechanisms and pacing.
Chapter 2: Guidelines for Integrated Assessment -- The
Multidisciplinary Framework For Assessment and Treatment (p. 20-51)
2. In what session did Gene, the 7-year old child, use miniatures of his
family members to tell Ed, the man who sexually abused Gene, what they
thought about what Ed did to Gene?
a. Session 2
b. Session 3
c Session 4
3. What did the author have Gene do in Session 6?
a. Construct a play genogram.
b. Build a sand world.
c. Fill out the paper-and-pencil TSCC, the
Trauma Symptom Checklist for Children
d. Make a kinetic family drawing.
4. An extended developmental assessment is a structured
approach that allows clinicians to evaluate children's overall functioning,
identify symptomatic behaviors, assess the impact of trauma (if any), and
assess children's phenomenological experience of the abuse (including the
perceptions of parental support and guidance). An extended developmental
assessment lasts between ____ sessions, at the end of which a clinician
should be able to determine therapy plans with specific, measurable goals
and clear time frames. In some cases, where the traumatic impact is
relatively low, and there is sufficient family love and support, little or
no further treatment may be required, other than follow-up sessions.
a. 4 to 6
b. 6 to 8
c. 8 to 10
d. 10 to12
Chapter 3: Guidelines for Integrated Treatment (p. 52-68)
5. The author discovered that when most parents or other
caretakers found out about their children's abuse, they
a. already had a vague suspicion
that something bad had happened
b. took the necessary steps to reconstruct a safe and nurturing environment.
c. knew who to contact immediately for help.
d. tried to keep quiet about the matter.
Chapter 4: Expressive Therapies (p. 69-97)
6. Which is NOT true?
a. In play genograms, children pick miniatures which best show their
thoughts and feelings about each person in their family.
b. Sand therapy can be a helpful alternative for children who lack
confidence in their drawing or painting abilities.
c. The author gives simple rather than complicated instructions when
beginning sand therapy, such as "Use as few or as many miniatures as you
wish to make a world in the sand."
d. It is possible through sole reliance on children's drawings to determine
if child sexual abuse has occurred.
7. One day Caroline, a
13-year-old, came into the author's office and said, "I'm not talking today.
I had a rotten day." In response, the author
"Tell me why your day was so rotten."
b. asked her to pick miniatures which would best show the rotten day
she had just had.
c. asked her if she would like to draw her self-portrait.
d. watched her play in the sand box.
Chapter 5: Cognitive-Behavioral Therapy (p. 98-121)
8. In the 2nd session with Curtis, an 11-year-old boy who had sexually
abused his 4-year-old sister, the author
a. asked Curtis to describe situations in which he inappropriately
touched his sister.
b. asked Curtis if anyone had ever touched him inappropriately.
c. had Curtis watch a video describing three kinds of touching: safe,
hurtful, and the touching of private parts.
d. asked Curtis to select miniatures for
his family genogram.
9. Which did NOT take place during Curtis' 10 months of
a. Curtis disclosed being abused by a neighbor who had moved away 2
b. Curtis wrote and read an apology to his sister, clearly stating that his
inappropriate touching of her had been wrong.
c. Curtis grew in self-esteem and decreased behaving in inappropriate ways
in order to get attention.
d. The author was able to find out why Curtis' parents were so negative to
10. Esperanza was a 6-year old Hispanic child who had been
sexually abused by her step-father. The author taught Esperanza how to stop
an unwanted thought by
a. teaching her to visualize her stepfather being arrested by the
b. stopping the thought when a timer
went off, and then putting a nice memory in place of the bad thought.
c. drawing the bad thought on paper, then throwing it away.
d. reconstructing the bad thought in the sand box, then covering it over
11. Just prior to termination, Esperanza had one
persistent concern: She wondered whether
a. her stepfather had abused her because she was a bad person.
b. she would ever get married some day.
c. her mother really loved her.
d. she would ever be a normal person.
Chapter 6: Family Therapy and Family Play Therapy (p. 122-150)
12. In working with parents of
sexually abused children, it is necessary to confront parental denial at any
level. Trepper and Barrett (1989) have described four types of parental
denial in child sexual abuse: denial of facts, denial of awareness, denial
of responsibility, and denial of impact. It is possible for parents to agree
to the fact that their child was actually sexually abused, but still
disagree with the abuser's motive or intent. A mother may say that their
husband or boyfriend who committed the abuse did not understand what he was
doing because he was drunk. This is a denial of ____. However, it is
important for mothers to clarify how and why the abuse occurred. Many
mothers will need to be told that adults who abuse are seductive, initiate
sex, and often threaten children into silence.
13. In working with child sexual abuse cases, a clinician's greatest
a. to insure the stability of the parents.
b. to insure the safety of the child.
c. to prevent further abuse by bringing the perpetrator to justice.
d. to comply with the law in reporting suspected or actual child abuse or
14. Many parents of abused children have their own painful
histories of childhood abuse. Indeed, multi-generational patterns of child
sexual abuse are the rule rather than the exception. The author says that
during intake appointments, she typically will use ____ to get an overview
of family issues (troubled relationships, problems, deaths, illnesses,
violence, abuse, etc.).
d. Kinetic Family Drawing
15. In this chapter, the author recommends which highly visible, national
organization that advocates for specialized training for professionals who
help children, teens, or adults who have sexually abusive behaviors?
American Professional Society on the Abuse of Children (APSAC)
b. The Association for the Treatment of Sexual Abusers (ATSA)
c. Child Molestation Research & Prevention Institute (CMRPI)
d. Faith Trust Institute
16. What helped Estelle Daniels, the mother of four
children, to eventually see her 6-year-old son, Jackson, as a child with
"boy energy" and a tender heart rather than a "provocative" child who was
destined to behave like his threatening father and stepfather?
a. The author helped Estelle empathize more with Jackson by realizing
that he was the only male in a family with a single mother and 3 sisters.
b. Estelle realized that every time she corrected Jackson, she was doing it
not so much to set good limits on his aggressive behavior but to prevent him
from acting like his father and stepfather, both who were frightening and
c. During Family
Puppet Therapy, Estelle saw Jackson's goofy-looking alligator as "pretending
to be a tough guy," and she said "it's hard to get angry at that alligator
or feel too scared of him."
d. All of the above.
"Abused children sometimes carry tension and stress in
their bodies and can have contracted muscles, restricted breathing patterns,
and lack of fluidity in their movements -- they can appear stiff and
uncomfortable in their bodies. Often they have experienced pain and
discomfort in their bodies due to physical violence, boundary violations, or
lack of appropriate hygiene or nutrition. They can also develop somatic
complaints such as stomachaches, headaches, and hypersensitivity to injury.
Because of this, it may be helpful to encourage a broad range of physical
activity, such as dancing, running, movement, gymnastics, and team sports
like baseball or softball. These recreational activities allow children to
explore their bodies, release constricted energy, and experience a sense of
well-being and enjoyment."
Chapter 7: Special Issues -- Posttraumatic Play,
Trauma-Focused Play Therapy (TF-PT), and Problems of Dissociation (p.
17. Margie was a 9-year-old girl who literally took care of her alcoholic
parents. At first, she was unresponsive to therapy, preferring to sit and
look down, with her hair covering her face. What did Margie eventually
a. Building a sand world.
b. Constructing a play genogram.
c. Playing the Talking, Feeling, Doing game.
d. Playing with Playmobil hospital toys.
18. Which of the following would be characteristic of "Stagnant
a. Affect becomes available.
b. Physical fluidity becomes evident.
c. Play is conducted in the same spot.
d. Interactions with clinician become varied.
19. One example of the author's high-challenge, high-intrusion
a. directing the child to one segment of the play.
b. asking the child to make physical movements (moving the arms or
oxygenating the body).
c. doing a verbal narration of the child's play (descriptive, not
d. all of the above.
20. Which is NOT a helpful intervention for dissociative responses in
a. Helping children to describe their dissociative behaviors in their
own language, such as "spacing out", "zoning out", or "daydreaming".
b. Finding out exactly when dissociation occurs. What is happening right
before it occurs? Is it triggered by boredom, fatigue, fear, stress, or
c. Normalize dissociation for children by telling them that everyone does
d. Describe how dissociation is helpful in every situation because it
protects the child from pain.
21. In order to help clients identify when they are
dissociating, the author has them conduct an experiment in which they are
pretending to dissociate, and then observing what they are saying to
themselves, what they are doing, and what sensations they are having. To
interrupt their own dissociation, the author says there are a variety of
interventions. Which intervention does the author find to be quite
yourself to stop dissociating.
b. Reassuring yourself that you are safe and don't need to
c. Using physical movement and oxygenating their body.
d Having the child ask for someone to help them stop dissociating.
Chapter 8: Scotty, the Castle, and the Princess Guard (p.
22. Scotty was a 6-year-old African-American child who developed
selective mutism (not speaking) after being sexually abused in a previous
foster home. Which was NOT part of how Scotty got better?
a. Having a new foster mother, Diane, who was a ferocious protector.
b. Scotty reconstructing his abuse through posttraumatic play in a sand box.
c. The author encouraging Scotty to speak to her while he played in the
d. Scotty fondly recalling his loving grandmother who took him for
walks and hugged him when he was scared.
Chapter 9: Carla' Search for Her Lost Mother (p. 192-206)
23. Carla was a 7-year-old European American child who was dropped on her
father's doorstep by her homeless mother who had a drug addiction. Which of
the following played a part in Carla's improvement?
a. The author utilizing the assessment tools of the Child Behavior
Checklist (CBCL) and the Child Sexual Behavior Inventory (CSBI).
b. Carla having a loving and responsible
father, Fred, who also cared for his elderly mother.
c. Carla using Winnie the Pooh play figures to act out her search for
and rescue of her mother.
d. All of the above.
Chapter 10: Danger in the Backyard (p. 207-219)
24. Jessica was a 5-year-old European American child who was abused by a
teenage boy in the woods behind her home. What thoughts about her mother did
Jessica portray during her play therapy?
a. She wanted her mother to say she was sorry for not protecting her.
b. She wanted her mother and father to get back together.
c. She wanted her mother to prosecute the teenage boy who abused her.
d. She wanted her mother to quit work and stay home with Jessica.
Chapter 11: The Witch, the Baby, and the Bug (p. 220-232)
25. Nicole was a 4-year-old African American girl who had been sexually
abused by her father. In what way did play therapy make her feel safe?
a. She picked an angel figure to protect the baby.
b. She used a toy jail to lock up the bad people.
c. She said the police should be called if the witch tried to hurt the baby.
d. All of the above.