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Sexual Misconduct in Counseling and Ministry
by Peter Mosgofian and George Ohlschlager
© 1995.
(Word Publishing: Nashvillle TN) [336 pages]

[Answer 18 of 25 questions correctly to receive
17 hours of Continuing Education credit]


Chapter 1: Challenging Forbidden Sex (p 3-11)
1. Who said: “I have yet to see a woman patient who became involved in an erotic relationship with a therapist who did not eventually end up feeling exploited and betrayed by him”
a. Judd Marmor
b. J. L. McCartney
c. L. G. Schultz
d. Phyllis Chessler

Chapter 2: Love, Sex and Power (p 12-28)
2. Nearly _____ percent of conservative, evangelical pastors considered it acceptable to sexually fantasize about women other than their spouse (see footnote #8).
a. 10
b. 20
c. 30
d. 40

Chapter 4: Dynamics of Adult Sexual Misconduct (p 51-72)
3. Most women who yield sexually to a male counselor do so because
a. they are unable to love their husbands anymore.
b. the counselor uses coercion.
c. they have been trained to comply with men in authority.
d. the counselor is very physically attractive.

4. If a male counselor begins fantasizing about a female client, he should
a. tell his wife as a deterrent.
b. tell a trusted colleague for accountability.
c. tell himself “It’s OK to fantasize if I never touch her.”
d. tell nobody and quietly resist the temptation.

Chapter 5: Helping Adult Victims of Sexual Misconduct (p 73-96)
5. Reliving a traumatic event (i.e. sexual abuse) in a way that produces intense distress is called
a. dissociation.
b. psychogenic amnesia.
c. depersonalization.
d. post-traumatic stress.

6. Gary Schoener reports that sexual abuse victims most frequently mention two things that are helpful in their treatment:
a. talking with other victims and taking action against the abuser.
b. talking with other victims and individual therapy.
c. individual therapy and taking action against the abuser.
d. crisis intervention and medication.

7. The first and constant rule of counseling a sexually abused woman is to help her understand that
a. how seductively dressed she was during counseling might absolve the therapist from responsibility.
b. it is always the therapist’s responsibility to ensure that sexual contact with the patient never occurs.
c. if she consented to sexual contact with the therapist then she is partially at fault.
d. she is partly responsible for not having put a stop to the sexual abuse sooner.

Chapter 6: Problem Cases in Sexual Misconduct (p 97-113)
8. Of the following, which offers the safest boundary for male counselors when working with female clients?
a. a handshake
b. sitting close to the client
c. a light, brief hug
d. holding hands during prayer

9. Which is TRUE regarding repressed memories?
a. Hypnosis is always effective as a recovery technique.
b. Legal action should be encouraged even if the only evidence is recovered memories.
c. Counselors using recovery techniques must have sufficient education and training to do so.
d. A recovered memory is proof of actual abuse.

Chapter 7: Child Sexual Abuse in Society and the Church (p 117-127)
10. Recidivism is the tendency to slip back into previous, undesirable behavior pattern. For pedophiles in Sweden, Holland and Switzerland, the treatment pattern that has the lowest (1-3 percent) recidivism rate is _______ (see footnote #17)
a. intensive cognitive-behavioral therapy and medication.
b. life-long group therapy.
c. lobotomy.
d. castration.

Chapter 8: Who Will Heal the Little Ones? Helping Child Victims (p 128-145)
11. Child sexual abuse usually follows a process of grooming, sexual activity, secrets, disclosure, and suppression. Grooming behavior begins with the offender treating the child as _______.
a. mature.
b. subservient.
c. special.
d. an equal.

12. A counselor trained to work with sexually abused children will often use anatomical dolls in order to ascertain the exact nature of the abuse. In order for the counselor’s findings to be helpful in a court of law,
a. the parent(s) must be present in the counseling room.
b. these sessions should be videotaped or observed behind a one-way mirror by another trained professional.
c. the counselor should correct the child’s misuse of body-part names.
d. the sessions should end immediately after the child has disclosed what sexual abuse experience actually took place.

Chapter 9: Misconduct Policy and Practice in the Protestant Church (p 149-163)
13. In general, many Protestant churches are resistant to taking action against sexual abuse occurring in their midst because
a. many church leaders and members are not convinced the problem really occurs within their church.
b. some churches refuse cooperation with governmental laws and agencies that they view as intrusive into religious matters.
c. the persistence of patriarchy allows men to be favored and women to be given less respect.
d. all of the above

Chapter 10: Priestly Misconduct and the Catholic Church Crisis (p 164-180)
14. Which of the following responded with Christ-like love and humility to allegations of sexual misconduct?
a. the archdiocese of St. John in Newfoundland, Canada.
b. the diocese of Lafayette in Louisiana.
c. the Christian Brothers of Melbourne, Australia.
d. the diocese of Minneapolis-St. Paul, Minnesota.

Chapter 11: Coincident Abuse and Congregational Healing (p 181-190)
15. True restitution is expressed through
a. financial remuneration.
b. a public apology to the church.
c. a commitment to extensive counseling.
d. a face-to-face apology to the abused.

Chapter 12: Ethical Issues in Forbidden Sex Prevention (p 194-208)
16. The authors promote the view that
a. sex with a former client is permitted if termination occurred 2 or more years ago.
b. sex with a former client is permitted if consensual between two adults.
c. sex with a former client promotes feminine empowerment.
d. sex is a heterosexual marriage behavior.

Chapter 13: The Law of Sexual Misconduct (p 209-234)
17. In Simmons v. United States, where a therapist became sexually involved with a patient, the basis for malpractice was
a. the mishandling of therapeutic transference.
b. the credibility of the patient’s testimony and character.
c. the lack of patient consent toward sexual involvement.
d. violation of therapist-patient confidentiality.

18. Rooted in ancient Roman law, the _________ is one who holds a special duty to act always in the best interests of the one served, never taking advantage of that trust nor advancing personal interests.
a. advocate
b. sponsor
c. fiduciary
d. professional

19. For better control of sexual misconduct, the authors recommend
a. more license revocation.
b. more criminal legislation.
c. civil remedies and enforcement of licensure duties.
d. more state intervention.

Chapter 14: Helping Sexual Violators: Restoration or Removal (p 237-260)
20. Therapy with an offending helper cannot proceed if
a. the treating therapist confers with the local courts.
b. the treating therapist is also the assessment therapist.
c. a cognitive-behavioral approach is used.
d. the offending helper acknowledges no wrongdoing.

21. Often the offender’s self-talk and imagery is saturated with obsessive fantasy that is secret, sexually arousing, and compulsively used as a distraction to avoid stress. This creates a self-rewarding, vicious cycle that reinforces the sexual pleasure that temporarily overrides guilt and shame. The treating therapist must pry open this secret world
a. by using directive and confrontational tactics.
b. to help the client think of an aversive consequence for each arousing cue.
c. to help the Christian offender use sexual fantasy as a cue for confession, prayer, reciting Scripture, or journaling.
d. all of the above.

Chapter 15: Before the Fall: Prevention Guidelines (p 261-281)
22. Which of the following helps counselors to manage attraction and sexual feelings?
a. fantasizing in private.
b. mentally rehearsing the consequences for sexual misconduct.
c. telling a client how physically attractive she is.
d. not telling a superior or close friend about an attractive client.

23. A male counselor who chooses to restrain his sexual feelings for a female client accomplishes which of the following?
a. The client experiences a man who does not exploit her.
b. The client is valued apart from her physical attractiveness.
c. The counselor increases the probability of healing for the client by giving her a context of safety for her vulnerability.
d. all of the above.

24. In the face of serious charges of sexual wrongdoing of a minister or counselor, the authors recommend
a. that most charges be viewed as symptoms of the client’s pathology.
b. that most allegations of wrongdoing be considered as untrue.
c. a policy of temporary suspension for the alleged violators until the matter is resolved.
d. an immediate and quiet transfer of the alleged offender to another ministry.

Chapter 16: Waging War on Sexual Abuse (p 282-295)
25. In their long and determined battle to put an end to sexual misconduct in the Church and the helping professions, the authors receive encouragement and inspiration from the story of
a. William Greenville.
b. John Newton.
c. Isaac Milner.
d. William Wilberforce.