OVERVIEW OF THE CHILD’S PSYCHOTHERAPY:

PRESENTING SYMPTOMS AND FAMILY HISTORY

CHAPTER 1

Multiple Choice Questions

1.  “Play in Displacement” is a term referring to:

A.  Playing privately with a child, separate from parents.

B.  A term describing the symbolic function of play

C.  A concept to describe a way of avoiding dealing with issues

D.  A developmental concept related only to children and not to adults.

2.  Physical contact in psychotherapy

A.  Is often a good idea when treating children

B.  The rules regulating physical contact are the same with children and adults

C.  Likely to be unavoidable when treating children

D.  When treating children, should never be disclosed to parents because of confidentiality issues within the child’s therapy.

3.  “Superman’s Boots have (his) dink (penis) inside of them,” is an example of:

A.  Anatomical confusion in a preschool child

B.  Castration anxiety

C.  An irrational thought to be dismissed

D.  A concern but the aggressive nature of his foot, i.e., the fear of kicking someone.

4.  A “play disruption” refers to:

A.  An indication that the child cannot be treated with psychotherapy

B.  The affective content of the child’s play is overwhelming

C.  Indicative that play should be suspended in favor of more direct questions

D.  A child’s incapacity to cooperate with the Child and Adolescent Psychiatrist

5.  A Child and Adolescent Psychiatrist’s sadness within a session with a child:

A.  Is a helpful countertransference feeling

B.  Indicates an over-identification with the child

C.  Indicates that the issues are overwhelming for the child

D.  Is a personal embarrassment that should not be discussed with anyone.

6.  Termination in a child psychotherapy indicates:

A.  The psychotherapy has been a success and child need not return

B.  An ending of work with an uncooperative family

C.  The work has reached an impasse and nothing more can be done

D.  A hopeful accomplishment, that the presenting issues have been resolved.

7.  Taking walks with children in psychotherapy:

A.  A very bad idea

B.  A necessary way to connect with a child

C.  A “boundary crossing” to be considered in the context of the treatment

D.  Evidence of malpractice.

8.  Asking direct questions of children, rather than playing with them:

A.  Is fine to do, in order to clarify specific times and dates, and specific states of mind, i.e. suicidality

B.  Will divert the play from its symbolic function and be destructive to the alliance

C.  Are the only method to clarify issues within the child’s life

D.  Will facilitate a cognitive behavioral therapy for a child

9.  Seeing parents while treating a child individually is:

A.  Typically counter-indicated

B.  Impossible to do, given the wish to protect the child’s privacy

C.  Can facilitate the parents’ empathy for the child

D.  Only done when medication is involved

10. Child Psychodynamic Psychotherapy training

A.  Has a scientific basis of validity

B.  Can be helpful, but no data to support the practice

C.  Has randomized controlled studies equivalent to CBT

D.  Is fun, but not necessary to understanding children’s developmental concerns