Mft Study Cards

Front 1

Delays in functioning, &/or abnormal functioning with onset evident before age 3, including in areas of social interaction, language, symbolic or imaginative play

Back 1

Autism

Front 2

Onset before age 5, either w/ pattern of diffuse attachments, lack of selectivity in attachment figures, or child fails to respond to or initiate most social interactions in devlopmentally appropriate ways

Back 2

Reactive Attachment Disorder
Inhibited
Disinihibited

Front 3

Pervasive Developmental Disorder
(PDD) (not otherwise specified)

Back 3

Severe and pervasive impairment in development of reciprocal social interaction associated with impairment in verbal &/or nonverbal communication

Front 4

Rett's Disorder

Back 4

Normal development until 5 mos of life, btwn 5-48 mos head growth decelerates, loss of prev. acquired skills, devel. of stereotypical hand movements (wringing, washing motions), probs. with gait coordination, trunk mvmts, impaired lang. devel., psychomotor retardation *disorder only reported in females (onset prior to 4 years?)

Front 5

Oppositional Defiant Disorder

Back 5

recurrent pattern of negativistic, defiant, disobedient & hostile behavior twrd authority figures, that persists for @ lst. 6 mos & @ lst. 4 fllwg: losing temper, arguing w/adults, defiance/refusing to comply, deliberately annoying/provoking *beyond approp. developmental "unwillingness to compromise"

Front 6

Repetitive, persistent pattern of violating basic rights of others w/respect to age approp. societal norms, in 4 categories: aggressive/ physical harm, theft, deceitfulness, etc. 3+ behaviors for 12 mos. w @ lst 1 behavior pres. in past 6 mos child onset b4 10, adolescent/over 10, absence of symptoms b4 10

Back 6

Conduct Disorder

Front 7

a legal and ethical obligation towards client held by and protected by the therapist

Back 7

Confidentiality

Front 8

A right held by clients

Back 8

Privilege

Front 9

Your client is a 13 year-old student who began seeing you in therapy without the knowledge of her parents. She seemed intellectually mature enough to give consent and did so. She specifically mentions not wanting her parents to know she is seeing a therapist, and believes her strict and very private parents would kick her out of the house if they knew of details she revealed in therapy. Her mother, after looking through your clients cell phone records and finding your number, contacts your office demanding to know if her daugther has been in, and wants to see records. Do you have to give her any information about her daugther's treatment?

Back 9

No. The client is 12 or older and competent to give consent, therefore you as her therapist are legally and ethically obligated to maintain her confidentiality and not discuss anything with her mother-further you believe breaking confidentiality to her parents would endanger the safety and wellbeing of your client (unless your client's disclosures ever falls within mandating reporting requirements).

Front 10

You are seeing a family-a mother, a dad, and their two teenage sons.
The mother contacts you individually to request the release of therapy information to her lawyer because she is filing for divorce. Do you release the therapy information?

Back 10

No, unless all family members involved in therapy agree to the release of their session information.

Front 11

Your 13 year-old client reveals she had sexual activity (unspecified) with one of her best friends, another students who is also 13. Are you mandated to report?

Back 11

No, as long as both students are same approx. maturity, sophistication

Front 12

Your 17 year old client discloses that he and his girlfriend don't have intercourse but do engage in oral sex. Are you mandated to report?

Back 12

Yes, due to penal code regulations making oral copulation and anal sex a mandated report

Front 13

Your 16 year old client reveals he had sex with his female coach. Must you report?

Back 13

No....

Front 14

You are seeing a family, a mother, father, older son and younger daugther. It becomes clear that the older son is very highly regarded in the family, despite his history of suspensions and getting caught drinking on school campus. However, the daugther seems to be the family member mom and dad frequently mention being displeased with or worried about, despite the fact that she does well in school and seems well-regarded by teachers and friends. This might be an example of:

Back 14

scapegoating/identified patient

Front 15

Enactments are a part of what therapy?

Back 15

Structural

Front 16

Gregory Bateson

Back 16

What psychologist developed the "double bind" concept

Front 17

Undifferentiated Family Ego Mass

Back 17

Multigenerational Family Therapy

Front 18

In what therapy would the therapist work to "join" with the family as an intervention?

Back 18

Structural Family Therapy

Front 19

What therapist believed in "blunt truths" and focused on the growth and development of the family?

Back 19

Carl Whitaker

Front 20

This therapist believed in focusing on "process" not theory, was problem-focused, and thought therapy should be relatively short-term and end when problems were successfully addressed

Back 20

Jay Haley

Front 21

When a third person is brough into a dyad in order to decrease tension or stress within the dyad

Back 21

triangulation

Front 22

A therapist working with this theory and therapeutic approach would tend to focus on patterns of communication within a family, emotional expressivity, and cognitive constructions

Back 22

Narrative Family Therapy (NFT

Front 23

This therapy focuses on bringing out expression and the processing of feelings

Back 23

Cognitive Behavioral Therapy

Front 24

Sensitive periods

Back 24

specific time during life span when people are most sensitive to envinromental influences or stimulation (i.e. language acquisition in children best btwn 1-3, but can still be developed later)

Front 25

Genotype

Back 25

expressed and unexpressed genetic makeup of a person

Front 26

Phenotype

Back 26

the observable characteristics of a person

Front 27

Fetal Alchohol Syndrome (FAS)

Back 27

characterized by delayed growth, physical deformities, delayed motor development, decreased intelligence and learning abilities, short attention span, restlessness, irritability, hyperactivity.

Front 28

Your client is a 23 year-old first time mother with a 4 month old infant. You've noticed when the mother sets the baby down in a blanket, he doesn't seem to be able to roll over or lift his head on his own. By what age should babies be able to lift their heads, keep them up, and roll over on their own?

Back 28

by 2-3 mos (6 weeks for keeping head erect)

Front 29

Plasticity

Back 29

the ability of the brain to remain flexible in functioning

Front 30

from birth until about age 2, in this stage infants learn by sensory observation, activity/learning control of motor functions, exploration

Back 30

Piaget's 1st stage, sensorimotor

Front 31

Object Permanence

Back 31

main accomplishment of sensorimotor stage, occuring @ about 3-4 mos, understanding of objects as separate from infant, infant can keep a mental image of object

Front 32

symbolic representation

Back 32

child can engage in more symbolic rep. with emergence of language at end of Piaget's 1st stage

Front 33

Preoperational stage

Back 33

age 2-7, rapid increase in use of language and symbols, including intuitive thinking, egocentrism (only know their own perspective, can't take persp. of another person, phenomenalistic causality (type of magical thinking), animism, irreversibility (inability to mentally "undo" something, centration (focus on one aspect pf a problem at the same time)

Front 34

Concrete operational

Back 34

7-11 years old-child can act on operate on either real or imagine concrete objects

Front 35

operational thought

Back 35

new way of thinking allows kids to use logical thought processess, serialize, reasoning, follow rules and regulations

Front 36

(true or false)You must be sure abuse or neglect has occurred before making a report of suspected abuse/neglect

Back 36

False. (we are not investigators, just need "a reasonable suspicion/concern")

Front 37

If you learn of abuse to your (minor) client, you must report it to the agency or social service agency in the state/juridisction where it occurred (true or false)

Back 37

False. Legally, we are required to make the report in CA, which is the only place we have authority to).

Front 38

Unlawful intercourse/statutory rape is a crime and therapists must report it.

Back 38

False. It is a crime, but generally does not fall under mandated reporting requirements

Front 39

You must get the approval of your supervisor/administrator, etc, before making a report of suspected abuse or neglect

Back 39

False. As a mandated reporter, you do not need anyone's approval or okay to make a report.

Front 40

If you are an intern and you notify your supervisor of suspected abuse or neglect your obligation under law has been met.

Back 40

False. You are responsible for making sure a report is filed if you suspect abuse or neglect that falls under Mandated Reporting guidelines.

Front 41

If your minor client discusses their sexual activity with you, you're required to determine whether the activity involved behavior other than intercourse

Back 41

False.

Front 42

If a newborn has positive tox screen (for presence of drugs) a report of suspected abuse must be made to law enfrc. or cfs.

Back 42

False

Front 43

If your 14 yr old client discloses to you (his current ther.) he was sexually abused, and the abuse was reported by his prev ther., you have no obligation to make a report of alleged abuse.

Back 43

False. (You must report, hard to det. if report was actually made, and if details disclosed were the same)

Front 44

Mandated reporter who made report os suspected abuse as required by CANRA has right to know outcome of that report

Back 44

True.

Front 45

Consensual sexual intercourse between a minor of 15 and an adult of 21 need not be reported

Back 45

False.

Front 46

Under current law oral copulaton must only be reported as suspected abuse if there is reason to believe it was not consensual.

Back 46

False ***

Front 47

A therapist must answer any questions by cfs workers and or law enforcement once ther. has made report of suspected abuse about that client

Back 47

False

Front 48

BBS may take discplinary action against a ther. for failing to report suspected abuse, dependening on cicrcumstances

Back 48

True

Front 49

As a ther. in your professional capacity, if you hear about abuse you are required to report even if it does not involve your client

Back 49

True. We are mandated reporters anytime we hear of abuse or suspected abuse that falls within mandated reporting guidelines, whether or not they are our client

Front 50

children may deny abuse to protect their abuser

Back 50

True

Front 51

CANRA is an acronym for...

Back 51

Child Abuse and Neglect Reporting Act

Front 52

According to CANRA, drug abuse by parents is reason enough to make a report of suspected child abuse

Back 52

False

Front 53

A child spanked with a wooden spoon requires a mandated report.

Back 53

False

Front 54

You are required to tell your client is you make a report of suspected abuse

Back 54

False

Front 55

Most of the time a report of suspected abuse results in children being removed from the home

Back 55

False

Front 56

Most reports of abuse by teens are fabricated.

Back 56

False

Front 57

Poor people are more likely to be reported to authorities for child abuse, however statistically child abuse occurs in a population demographics

Back 57

True

Front 58

An indicator that a parent may be abusive is extremely unrealistic expectations of a child's capabilities

Back 58

true

Front 59

A phone report of suspected abuse must be made a) asap
b) within 24 hours c)the same day

Back 59

A.

Front 60

A writtend report of suspected abuse must be made a) within 36 hours of learning of suspected abuse b)within 24 hours " " " " " and making a phone report c) within 36 hours of the phone report

Back 60

A.

Front 61

critical factor in deciding whether corporal punishment must be reported as abuse is a) whether an object other than the hand was used b) whether child sustained an injury (bruises, cuts, visible marks)
c) degree of parental remorse

Back 61

B.

Front 62

If therapist is unable to make report of abuse by phone because agency refuses to accept report, the therapist must: a) document attempt with date and time and obligation if fulfilled b) should send in a written report anyway c) should send in written report and state why no phone report was made

Back 62

C.

Front 63

If a sibling repeatedly assaults another sibling, a) might be reportable depending on circumstance b) must always be reported as suspected abuse c) never reportable

Back 63

A.

Front 64

When evaluating whether sexual activity between 2 minors of the same age needs to be reported as suspected abuse, therapist should consider: a) physical size of each b)emotional maturity of two minors c) power differential in the relationship

Back 64

C.

Front 65

If a you are a member of a team and another member of the team is chosen to make a suspected abuse report you are a) obligated to file your own report b) releases from your obgliation to report c) liable for failure to report if that team member fails to file the report

Back 65

c.

Front 66

Reportable neglect includes a) acts only b) omissiona and acts c) only those omissions which immediately endanger the child's life

Back 66

B.

Front 67

CANRA is found in a) CAMFT's Ethical standards b) California Penal Code c) California Welfare and Institutions Code

Back 67

B.

Front 68

Reporting suspected abuse can a) usually break up a family b) be the beginning of getting help for the family c) permanently damage the therapeutic relationship

Back 68

B.

Front 69

When working with clients from a cultural background different than your own, it's most important to a0 be aware of how your (the therapists) cultural limitations/biases may affect decision-making b) invite the client's family in for an initial meeting c) be more formal in the clinical sessions

Back 69

A.

Front 70

Although therapists do not have an obligation to investigate child abuse, we do have an obligation to a) be willing to form reasonable suspicion if warranted b) report if ther is concrete evidence abuse has taken place c talk with clients about our concern that abuse may have occurred

Back 70

A.