Test Bank

Chapter 8: Hypersexual Behavior: Helping Clients through Diagnosis and Treatment (William Feuerborn)

Multiple Choice

1. What myth exists in relationships when one partner is acting out sexually?

a. The partner who is acting out is not satisfied in the current relationship.

b. There is already a separation in place.

c. There is a pending divorce.

*d. There is a problem in the relationship.

Cognitive Domain: Knowledge

Answer Location: Introduction

Question Type: MC

2. What three behaviors are often evident in sexual addiction?

a. Disregard for boundaries, multiple arrests, and sexual acting out

b. Violation of own values, sexual acting out, and hypersexual behavior

*c. Disregard for boundaries, violation of own values, and harm to self and others

d. Violation of own values, shift in morals, and disregard for boundaries

Cognitive Domain: Knowledge

Answer Location: Assessment

Question Type: MC

3. What is the most common term for sex addiction?

a. Hypersexual behavior

*b. Sexual addiction

c. Sexual offending

d. Impulse control

Cognitive Domain: Knowledge

Answer Location: Assessment

Question Type: MC

4. Whose book about sexual addiction is credited as the most widely known and used in the field?

*a. Carnes

b. Kafka

c. Wilson

d. Bronfenbrenner

Cognitive Domain: Knowledge

Answer Location: Assessment

Question Type: MC

5. What are three factors that prompt a diagnosis for sexual addiction?

a. Affairs outside committed relationship, sporadic viewing of porn, and clothed webcamming

b. Exhibitionism, cybersex, and limited masturbation

*c. Excessive masturbation, voyeurism, and long periods of pornography

d. Losing control of sexual behavior, engaged in multiple relationships, and cybersex

Cognitive Domain: Knowledge

Answer Location: Assessment

Question Type: MC

6. The first factor in determining the presence of sexual addiction is to look for significant consequences and the second is to examine the sense of loss over acting-out behavior. What is the third factor?

a. Denial of the loss of behavioral control

*b. Constant thoughts about the specific sexual behavior that is out of control

c. Active engagement in more sexual behavior

d. Arrests for sexual behavior

Cognitive Domain: Comprehension

Answer Location: Assessment

Question Type: MC

7. What are two of the causes of sexual addiction?

*a. Childhood trauma and early exposure to sex

b. Rigid family systems and lack of care

c. Viewing of pornography and no caregiver presence

d. Regulation as an infant and exposure to abuse

Cognitive Domain: Comprehension

Answer Location: Assessment

Question Type: MC

8. What is the correct definition of sexual offending?

a. Cognitive relapse of sexual behaviors

b. Breaking the law

c. Disregard for boundaries

*d. Crossing another person’s sexual boundary

Cognitive Domain: Comprehension

Answer Location: Assessment

Question Type: MC

9. What theory is used to understand the diverse levels of sexual addiction?

a. Systems theory

*b. Ecological theory

c. Critical theory

d. Resilience theory

Cognitive Domain: Knowledge

Answer Location: Ecological systems metaframework

Question Type: MC

10. What are the three common theoretical practice levels embraced by social work?

*a. Micro, mezzo, and macro

b. Exo, ecto, and endo

c. Biological, psychological, and social

d. Cognitive, social, and psychological

Cognitive Domain: Comprehension

Answer Location: Ecological systems metaframework

Question Type: MC

True/False

1. Rigid and disengaged family systems are one cause of sexual addiction.

*a. True

b. False

Cognitive Domain: Knowledge or Comprehension

Answer Location: Assessment

Question Type: TF

2. Sexual addiction is defined as a disregard for boundaries and a violation of a persons’s values.

*a. True

b. False

Cognitive Domain: Comprehension

Answer Location: Assessment

Question Type: TF

3. A sex addict usually seeks treatment after legal consequences.

*a. True

b. False

Cognitive Domain: Knowledge

Answer Location: Treatment Considerations

Question Type: TF

4. Treatment planning does not include the functions of building alliance and evaluating intervention efficacy.

a. True

*b. False

Cognitive Domain: Knowledge

Answer Location: Treatment considerations

Question Type: TF

5. Two interview techniques that should be used with clients of sexual addiction are normalization and shame attenuation.

*a. True

b. False

Cognitive Domain: Knowledge

Answer Location: Treatment considerations

Question Type: TF

6. To get the best results through treatment, irrespective of the treatment level, clients should ensure that they only participate in individual therapy.

a. True

*b. False

Cognitive Domain: Comprehension

Answer Location: Treatment considerations

Question Type: TF

7. Of the 12 alternative strategies for sexually acting out, exploring phenomena is an important concept.

a. True

*b. False

Cognitive Domain: Comprehension

Answer Location: Treatment considerations

Question Type: TF

8. Transference is common in sex therapy as a practitioner can often react to client behaviors.

a. True

*b. False

Cognitive Domain: Knowledge

Answer Location: Transference and countertransference issues

Question Type: TF

9. Sex addiction and hypersexual disorder are two concepts found in the DSM-5 that are used by social workers to diagnose sex addicts.

a. True

*b. False

Cognitive Domain: Comprehension

Answer Location: Legal and Ethical Concerns

Question Type: TF

Short Answer

Type: S

1. Identify two areas where social workers must use care when working with sexual addicts.

Like working with any other clients, social workers must use care when working with sex addicts when documenting clinical notes and in keeping session records.

Cognitive Domain: Comprehension

Answer Location: Legal and Ethical Concerns

Question Type: SA

Type: S

2. What are two of the barriers to treatment for sexual addicts.

Clients often experience the barriers of cost and stigma.

Cognitive Domain: Knowledge

Answer Location: Barriers to treatment

Question Type: SA

Type: S

3. Name one macro issue, beside policy, that directly influences persons seeking help for sexual addiction in regard to payment for their care.

One macro issue, outside of policy, that directly influences persons seeking help for sexual addiction in regard to payment for their care is that therapy may not be recognized by reimbursement agencies like insurance companies. This negatively influences who can afford to pay for the care.

Cognitive Domain: Comprehension

Answer Location: Macro Issues: Social Policy

Question Type: SA

Essay

Type: E

1. Describe the impact of four barriers to treatment and how each negatively influences those getting help.

*a. Barriers to treatment may include cost, stigma, lack of treatment options, and lack of training about sexual addiction at the masters’ level of social work. Those seeking help are negatively impacted when they cannot afford the treatment needed after making the conscious decision to do so. This is coupled with the stigma of the behavior and the inability to have their disorder identified by a professional. Furthermore, lack of treatment options designed to allow for easy access to recovery make integrating treatment into day-to-day life a challenge.

Cognitive Domain: Comprehension

Answer Location: Barriers to Treatment

Question Type: ESS

Type: E

2. What is the impact of growing and ever-changing technology on sexual behavior in the United States?

*a. Technology is greatly influencing people around the world. The influence comes from access and frequency for use. These are the two factors that negatively influence sexual behavior through the use of technology. With more access and frequency of use of technology in the U.S., persons with sexual addiction can instantly access and use the internet for their sexual pleasure 24 hours a day. This will severely influence their ability to reach a place of integrating healthy sexual behaviors into their lives.

Cognitive Domain: Comprehension

Answer Location: Conclusion

Question Type: ESS

Type: E

3. Identify and describe at least four aspects that are important to explore in the assessment of sexual addiction.

*a. The first aspect that is important to explore in assessment is the definition of sexual addiction, particularly in the differentiation from sexual offending. Second, with a clear understanding of diagnostic criteria, it should make it easier for a practitioner to assess what may prompt diagnosis. Prompts may include the person’s excessive use of prostitutes, excessive masturbation, long periods of pornography use, voyeurism, cybersex, or affairs outside a committed relationship. The third aspect is determining if the client has control over behavior or has experienced significant consequences. Fourth, it is important to explore causes of sexual addiction that may include childhood trauma, disengaged family systems, or early exposure to sex via pornography.

Cognitive Domain: Application

Answer Location: Assessment

Question Type: ESS