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82 Cards in this Set
- Front
- Back
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What is self-injury? |
the act of harming oneself without suicidal intentions |
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What are some examples of self-injury? |
Cutting Burning Over-medicating Stabbing Scratching Scalding |
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How do you treat a self-harm client? |
Treat like an addict 12 step program Support groups CBT and DBT Motivational interviewing |
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What is a minor? |
An individual who is under 18 yeras of age |
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Who is a "qualified relative"? |
Grandparent Aunt/Uncle Brother/Sister Stepbrother/stepsister Half brother/half sister Niece/nephew First cousin Great-grandparent Great-aunt/great-uncle Grand-aunt/grand-uncle Stepparent Parent Spouse
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What is intimate partner violence? |
Chronic and episodic patterns of abuse, ranging from harsh criticism to aggressive brutality, between adults |
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What is another term for intimate partner violence? |
Domestic Violence |
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Can MFTs report intimate partner violence? Why or why not? |
No, they are ethically prohibited from reporting it because it violates the confidentiality of your client |
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What are the two types of intimate violence? |
1. Male power and dominance 2. Mutual conflict between partners |
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What are some factors/conditions that may promote or sustain patterns in victimizers? |
History of child abuse Anti-social tendencies Predisposed toward expressing anger in violent ways Poverty, stress, unemployment, suicidal ideation, homelessness |
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What are professional values? |
knowledge and experience acquired through relationships with other professionals related to ethical propriety, accepted practices, legal constraints, and even therapeutic tradition |
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What are institutional values? |
Involves codifying rules, standards, procedures, and even hierarchical recognition of professional and nonprofessional representatives of in the institution |
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What is referent power? |
the power to influence that is noncoercive and highly personalized (e.g. iconic or popular figures who can persuade others to esteem or emulate them using charm and charisma) |
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What is expert power? |
capacity to influence based on experience, knowledge, skills, and competence. Th is is the basis for a therapist's credibility with clients and peers |
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What are the 5 principles that can be used to guide therapists? |
Beneficence Non-maleficence Justice Fidelity Autonomy |
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What is "end-based" ethical decision making? |
The greatest good for the greatest number |
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What is "rule-based" ethical decision making? |
Meeting obligations to a code, regardless of the outcome |
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What is "care-based" ethical decision making? |
Demonstrating compassion for a unique situation |
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What is an eating disorder? |
Any of a range of psychological disorders characterized by abnormal or disturbed eating habits |
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What are some eating disorders? |
Anorexia Nervosa Bulimia Binge Eating Disorder (BED) |
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What is anorexia nervosa? |
self-starvation and excessive weight loss |
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What is bulimia? |
cycles of binging and compensatory behaviors such as self-induced vomiting designed to undo or compensate for the effects of binge eating |
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What is binge eating disorder (BED)? |
A type of eating disorder not otherwise specified
Characterized by recurrent short periods of indulge eating to excess (without the regular use of compensatory measures to counter it) |
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What are some additional diagnosis concurrently with a patient with an eating disorder? |
Mood disorders Bipolar disorder OCD Self-mutilation |
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Do parents have a right to know if their child has a eating disorder? |
yes |
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What is a dependent adult? |
Any CA resident between the ages of 18-64 who for reasons of physical or mental health issues cannot carry out their normal activities |
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What is an elder? |
Anyone of the age 65+ residing in the state of CA |
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What is the Elder Justice Act (2010)? |
Allocates funding to address issues of elder abuse, neglect and exploitation |
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What is the Elder Abuse & Dependent Adult Civil Protection Act? |
it protects the elders and DA and corrects the situation in order to ensure the individual's safety |
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What are you mandated to report in terms of dependent adults and the elderly? |
Abandonment Abduction Financial abuse Isolation Neglect Physical abuse Emotional abuse (allowed, but not required to report) |
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What is self-neglect? |
Hygiene Medical care Health/safety hazards Malnutrition/dehydration |
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Is self-neglect considered abuse? |
No |
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What is reasonable suspicion? |
Entertaining, based upon the facts that could cause a reasonable person in a like position, drawing when appropriate upon his/her training and experience, to suspect abuse |
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Do you report any abuse that a dependent adult and/or elderly person reports to you? |
YES! You are mandated to do so |
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When do you not report abuse that has happened to a dependent adult and/or elderly person? |
ALL 3 must be met
1. Client has a diagnosis of mental illness or dementia 2. You reasonably believe abuse did not occur 3. You are not aware of evidence of abuse |
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What are ombudspersons? |
People who support and advocate for the interests of residents in long-term care populations |
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What is Bella v. Greenson? |
a therapist does have a responsibility to take reasonable steps to prevent a threatened suicide |
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Must a therapist involve a minor's parents even if the minor consented? |
Yes unless the therapist determines if involving them would be detrimental to the therapy |
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With a consented minor, do the parents have privlegde to the records? |
No, the parents do NOT have a right to the minor's treatment records |
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Where does bias come from? |
Family Religion Ethnic Group Hard wiring in infancy |
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Do you break confidentiality if there is child, elder, or dependent adult abuse? |
yes, if there is reasonable suspicion |
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What are the 3 options when served with a subpoena? |
1. assert privilege 2. Object to he subpoena 3. Comply with the request for records or court appearance |
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How young can a person consent to therapy? |
12 years if they are mature enough to intellectually participate in therapy OR
child abuse or psychological harm or physical harm to themselves or to others |
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In family therapy, how do you release records? |
releasing records require a release from ALL members |
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What abuse must be reported? |
Physical abuse Sexual abuse Willful harm or endangerment Neglect Abuse in out-of-home care (e.g. daycare) Emotional Abuse (permissive reporting standard) |
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What is required of emotional abuse? |
behavioral evidence of the emotional harm the child is suffering or at risk of suffering
Includes severe anxiety, depression, withdrawal, or aggression |
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If partners are both under the age of 15 years old, do you report sexual abuse? |
No |
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What if you're wrong about the child abuse? |
You are protected from any civil or criminal liability |
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When do you file a child abuse report? |
Immediatley you call to report the abuse, then must be followed up with a written report within 36 hours, no exceptions |
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What happens when abuse occurred out of state, when abuser/victim has died, when abuser has moved away or no longer has access to children? |
It is still reportable |
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What is reportable abuse in terms of elder and dependent adults? |
Physical Abandonment Abduction Isolation Financial abuse Neglect |
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What is conservatorship? |
someone who takes responsibility for a DA or elder's health care and/or finances |
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What are the two types of conservatorships? |
1. Probate conservatorships 2. Lanternman-Petris-Short (LPS) conservatorship |
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What is triangulation? |
two-person emotional systems become unstable in the face of conflict and stabilize by forming three-person systems |
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What cultural issues affect the therapist? |
Misunderstanding Discrimination Miscommunication Professionals tolerance for same cultural clients Cultural sensitivity |
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What are the 3 levels of cultural consideration? |
Parenting practices Limits within each culture Social harm |
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Who do you report the abuse to? |
Police/Sherriff DCFS/CPS |
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What does "substantiated" mean? |
more than likely than not that the abuse occurred |
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What does "inconclusive" mean? |
insufficient evidence and the findings are inconclusive, no unfounded |
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What does "unfounded" mean? |
false, DCSF investigated and believe that it never happened |
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What is neglect? |
maltreatment by a person responsible for a person's welfare under circumstances indicating harm or threatened harm to the person's health/welfare. |
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What is severe neglect? |
severe malnutrition non-organic failure to thrive (NFTT) intentional failure to provide adequate food, shelter, clothing |
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What is general neglect? |
failure to provide adequate food clothing shelter medical care Supervision where no physical injury to the child has occurred |
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What about parents who decide not to provide child with medical care? |
does not constitute as neglect |
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What is physical abuse? |
willful harming, endangering the child's health |
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When thinking about reporting abuse, think about the two things of... |
frequency intensity |
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Is corporal punshment child abuse? |
Only if it is cruel or inhumane |
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Is there abuse or neglect that is specific to out-of-home care? |
YES!
This includes physical injury or death inflicted upon a child by another person by other than accidental means or any of the other specific categories of abuse (e.g. sexual abuse, neglect, unlawful corporal, etc.) |
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What is sexual assault? |
Rape Statutory rape Incest Sodomy Lewd or lascivious acts Oral copulation Intentional touching Sexual penetration Child Molestation |
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What is sexual exploitation? |
Depicting a minor in obscene acts Preparing/selling/ distributing obscene matter (including a minor Employing a minor to perform obscene acts Inducing a child to engage in prostitution |
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Does sexual exploitation include photography? |
YES!
Knowingly/permitting/or encouraging a client to engage in obscene sexual conduct |
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What if you didn't take the picture in terms of sexual exploitation? |
It doesn't matter
Any person who depicts a child in or knowingly develops, duplicates, prints, or exchanges any film/photography/videotape/negatives |
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What type of crime is it when it is...Sex between teenagers that are LESS than 3 years apart? |
It is a misdemeanor |
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What type of crime is it when it is...Sex between teenagers that are MORE than 3 years apart? |
It is a felony |
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Do you report sexual abuse for children under 18 (14-17), if so, under which circumstances? |
Yes
sexual assault sexual abuse sexual exploitation |
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What is not reportable sexual abuse? |
Voluntary sexual activity between children who are both under the age of 15 yrs old
Pregnancy of a minor does not constitute reasonable suspicion....UNLESS the female is under 16 and male is over 21 |
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What are the physical effects of child neglect? |
NFTT Psychomotor delays (growth problems) Poor muscle tone |
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How does child abuse affect the infant's healthy attachments? |
"social referencing" (e.g. avoidant, resistant, etc.) may be lost |
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What are some of the childhood problems resulting from abuse? |
Language delays Intellectual/academic problems Socialization problems |
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What are some of the adolescent problems resulting from abuse? |
Runaways Social isolation Academic problems Delinquency PTSD Substance abuse |
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What are some of the problems resulting from sexual abuse? |
Depression Suicidal ideation and behavior PTSD Substance abuse Eating disorders Dissociation Sexualized behavior |
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What cultural issues affect the occurrence, reporting, and treatment of child abuse? |
Cultural customs & child rearing practices Folk remedy practice Filial piety Value of virginity Taboos of incest and sexuality Importance of children Belief in physical punishment |
