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Crossing the No Cry Zone: Psychotherapy With Men - Test
by Fredric E. Rabinowitz, Ph.D.

Please note that printing this page does not constitute proof of completion of the course. After successfully completing this test, you may purchase your Certificate of Completion and print it immediately or have it mailed to you.

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1. In comparison to women, higher rates of ______________suggest that many men act out rather than verbally share their emotional pain.	Help
alcoholism and drug addiction violence successful suicide all of the above

2. Male behavior seems to be mainly guided by:	Help
socially constructed rules negative reinforcement evolutionary instincts all of the above

3. Pollack (1995) suggests that little boys experience the push from the maternal orbit as a __________________.	Help
premature separation experience. deep loss that is not consciously remembered. traumatic abrogation of the holding environment. all of the above.

4. According to the psychoanalytic model, the developmental trauma considered 'normative' for boys is likely to result in:	Help
character structures distinguished by a firming of self-other boundaries. conflicts around dependency and relatedness. an overvaluing of autonomy. all of the above.

5. David and Brannon (1976) coined the four preeminent values of western culture's version of masculinity to be	Help
in charge, in control, in time, and in strength. the big wheel, the sturdy oak, give 'em hell, and no sissy stuff. straight, strong, quiet, and tough. macho, grandiose, narcissistic, and competitive.

6. According to research, the endorsement of items that reflect a high degree of gender role strain are correlated with:	Help
higher levels of psychological distress. depression. avoidance of mental and physical health care venues. all of the above.

7. When considering how to counsel men from racial groups other than their own, clinicians need to pay attention to how masculinity intersects with an individual's	Help
culture and family upbringing. level of acculturation. unique psychological make-up. all of the above.

8. The reason that many men in therapy initially share only the surface of what is going on with them is because:	Help
sharing personal information about one's "weakness" is shameful. men are taught to speak in generalities about themselves. men are waiting for the therapist to talk about him or herself first. All of the above.

9. Initially, one of the best ways for a clinician to encourage a man to share personal information is:	Help
having empathy for how difficult it is to share. being non-judgmental about what is being shared. speaking the same language that he does. all of the above.

10. Sweet (2002) reminds female therapists who are working with men to:	Help
relax and be open to subtle non-verbal cues. remember not to be too pushy in asking questions of men too soon. be aware of their own countertransference reactions especially relating to past relationships with men. all of the above.

11. Which is NOT a male-specific conflict zone suggested by Rabinowitz and Cochran (2002) that can be assessed by clinicians?	Help
Ambivalence about relational dependence. Prohibition against sadness, grief, and mourning. The need to control all events in one's life. The preference for doing over being in reaction to situational stressors.

12. __________________ result(s) in a tendency to restrict emotional awareness and expression, a propensity to distance or withdraw from interpersonal connection, a discomfort with depressive feelings and corresponding expression through tears, and a penchant to show force or action when encountering a personal problem.	Help
Defensive dread structures Masculine self-structures Restrictive emotionality Role defenses

13. Clinicians seeking to increase the depth of their therapy with a male client should try to identify his experiences of:	Help
interpersonal conflict and rejection. frustration and failure. physical decline and dealing with life limitations. All of the above are wounds that act as portals to a man's depth.

14. The main reason a clinician needs to take a slow and sometimes indirect approach to uncovering grief in men is that for many men:	Help
it is much easier to access anger than it is to access sadness, especially in interpersonal relationships. there is no experience of grief. there is a block on all emotional expression that isn't positive. grief is a fleeting emotion.

15. It is not unusual for a man to downplay the psychological damage done by childhood abuse and to not reveal the extent of the abuse until later in treatment. Even when abuse is disclosed, therapists must be	Help
sensitive to the shame stirred up by the disclosure. supportive of the feeling of foreignness or strangeness that may be experienced in the revelation. aware of the self-blame that a man might feel. all of the above.

16. Therapy with men who have been traumatized is:	Help
fraught with a push-pull dynamic of self-protective defensiveness along with a desire to be free of intrusive thoughts, hyperarousal, and pessimism. almost impossible to do without inpatient hospitalization. likely to be less successful with female clinicians. All of the above.

17. ______________________ interventions are often used in individual therapy with men who have anger or violence problems.	Help
Psychoanalytic Rational-emotive Cognitive-behavioral Client-centered

18. _____________________ focuses on the client with an addiction problem discussing the benefits and costs of making changes in a permissive and open atmosphere. This also seems to fit a more traditional masculine model of weighing alternatives and having choices.	Help
Alcoholic's anonymous Motivational interviewing Gender-sensitive therapy All of the above

19. According to Cochran (2001), men may be likely to show symptoms not typically associated with the DSM-IV-TR criteria for depression. These might include:	Help
Somatic or physical complaints Increases in interpersonal and/or work-related conflict Alcohol or substance abuse dependence All of the above

20. One of the biggest blind spots for clinicians working with a gay or bisexual man is:	Help
assuming that his life is so different or so similar to one's own. not examining one's heterosexist biases. being unaware of one's own homophobic attitudes. All of the above are important for clinicians to be aware of in their work with gay and bisexual men.

21. At the onset of therapy, it is important for the couples therapist to anticipate the defensive posture that masks the male partner's concerns about:	Help
being seen as mentally unstable and not understood. being coerced against his will. how therapy actually works. All of the above are concerns that the therapist should anticipate and discuss openly with the male partner.

22. Which phrase by the therapist would best help a man in couples therapy feel more comfortable with the language being spoken?	Help
"How are you feeling about your wife's concerns?" "I know if I were in your shoes, I'd be feeling like a guy stuck in quick sand. No matter what you say, it feels like you aren't getting anywhere, just sinking deeper." "I need to confront you on your silence. What is it about?" "Can you summarize what your partner was trying to tell you just now?"

23. A couples therapist should be aware that _________________ is one of the biggest stressors for gay couples in their day to day life.	Help
a lack of social support by acquaintances and colleagues for their lifestyle. a need to hide the reality of their relationship from everyone except accepting friends and family. internalized homophobia that makes the couple overly aware of how they might be being perceived. all the above are significant issues that are a part of a gay couple's life.

24. Competition in a men's group often centers around	Help
how men have been socialized to relate to each other. personal insecurity and inadequacy about being a man. unexpressed resentment toward father and socialized distrust of other men. all of the above can foster competition in a men's group.

25. In successful domestic violence groups, men learn	Help
strategies to control their anger. strategies to identify other emotions such as fear, sadness, and hurt that often have been overridden by expressions of rage. to transfer the learning of emotional control from the group to home life. All of the above are significant learning results of this type of men's group.

26. The release of the hormone ________________ is thought to have damaging effects on memory formation and has been correlated with depression.	Help
Norepinephrine Serotonin Cortisol Adrenaline

27. Researchers suggest that higher rates of depression among women than men are a result of women's:	Help
more relationship oriented roles in society. heightened emotional reactivity to stimuli in the environment. tendencies to ruminate about problems more than men. all of the above

28. Which is not considered a suicide risk factor for men?	Help
Reckless driving practices. High stress job. Excessive alcohol or substance use. The presence of weapons in the house.

29. For mild to moderate depression in men, which approach(es) seem to work best?	Help
Cognitive behavioral therapy Interpersonal therapy Innovative therapies focusing on childhood trauma, loss, and shame All of the above

30. Many men with depression are more receptive to revealing themselves when:	Help
They are asked a series of clinical questions. They are asked to tell the story of how they have arrived in their current situation. They are told to identify the specific stressors influencing their condition. All of the above

31. For a depressed man, it is a good practice in psychotherapy to :	Help
engage the contemptuous and shame-inducing "critical parent" or "internal judge." build a therapeutic alliance based on empathy for the losses and traumas he has experienced in his life. help him understand and interpret his negative projections. All of the above

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Crossing the No Cry Zone: Psychotherapy With Men - Test by Fredric E. Rabinowitz, Ph.D.

Crossing the No Cry Zone: Psychotherapy With Men - Test
by Fredric E. Rabinowitz, Ph.D.