Sarah Ackley was 6 years old when her mother and step-father brought her to the
Children’s Center for an evaluation. Her mother, Dianna Hamilton, described her
daughter’s childhood as filled with frequent changes in primary caregivers. When Sarah
was 2 years old her parents divorced. Mrs. Hamilton stated, “I was in the Army at the
time serving in Afghanistan so her father was granted custody. Looking back, I don’t
think it was a good idea. Seems he had a steady stream of girlfriends coming and going
but being stationed so far away I never really got the full story. Anyway, somebody put in
an anonymous complaint to child protective services and Sarah was removed from his
care. She was subsequently placed with my parents. They were in their late sixties at the
time so I’m not really sure they were ready to be parents again but I do know they were
concerned about Sarah.”
According to the family physician, Sarah’s physical development was seen as normal.
However, socially she appeared immature and inappropriate. Her interactions were
described as “dominated by indiscriminate sociability.” Mrs. Hamilton explained Sarah’s
behavior as follows, “I don’t know how many times I have been so embarrassed by that
child. I mean Sarah will talk to anybody. If we are in the supermarket and she sees a
woman wearing a bracelet that she likes, Sarah will go right over and ask if she could
have it. I thought this was a phase she was going though and that she would outgrow it
but that’s not happening.” What is the most likely diagnosis for Sarah Ackley?
a) Posttraumatic Stress disorder
b) Acute stress disorder
c) Reactive attachment disorder
d) Disinhibited social engagement disorder
d)
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The critical theory model of analysis stresses:
a. the impact that race plays on social welfare policy development b. whether an imbalance of power impacts social welfare policy development c. who benefits and who does not benefit from social welfare policy d. the impact that class plays on social welfare policy development e. all of the choices listed
The most important factor for a social worker to recognize is that he or she should expect to
a. leave one's work behind when returning home b. be emotionally consumed at both home and at work about client needs c. plan to serve as a role model for clients by maintaining good family functioning d. face strain in balancing his or her attention to both personal and professional matters
Which is NOT true of children living in poverty?
a. There has been a decline in the real value of government assistance that their
families receive.
b. They and their families consistently overuse services available to the poor.
c. They may be born to absent parents who fail to contribute to their support.
d. They are more likely to be born at a low birth weight than children who are
not living in poverty.
Resistance
a) is damaging to the therapeutic alliance. b) can be a source of important information regarding the client’s ego functions. c) may serve adaptive functions for the therapist. d) A and C