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January 24, 2010

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Course Listing:

Domestic Violence/Spousal and Partner Abuse
Substance Abuse and Dependence
Law and Ethics (Califonia only)

HIV and Aids
Aging and Long Term Care
Child Abuse
Crisis Counseling
Cross Cultural Counseling
Managed Care
PTSD
Anxiety Disorders
Depressive Disorder
Medical Necessity
Cognitive Behavioral Therapy
Pychopharmacology
BipolarDisorder
Conflict Resolution
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Human Sexuality

Social Worker Continuing Education CEUs

Crisis Counseling CEUs Click here for all Course Texts

Online Continuing Education for LCSW LCSWS and other Social Work License Renewal

© 2009 by Aspira Continuing Education. All rights reserved. No part of this material may be transmitted or reproduced in any form, or by any means, mechanical or electronic without written permission of Aspira Continuing Education.


1. Define and become familiar with crisis counseling fundamentals
2. Identify various types of crisis counseling
3. Evaluate and identify common crisis reactions and symptomology
4. Access and utilize applicable resources
5. Identify risk factors
Table of Contents:
1. Definitions
2. Crisis Counseling Methods
3. Crisis Hotlines
4. Crisis Reactions
5. Resources
6. References

1. Definitions

Crisis counseling is designed to be brief and generally persists no longer than a few weeks. The emphasis is on a single or recurrent crisis that may produce traumatic symptoms. If a trauma or crisis is not resolved in a timely and/or effective therapeutic manner, the experience can lead to more lasting psychological, social and medical problems. The term “crisis” refers to the manner in which an individual responds to a traumatic or difficult situation. Various events may trigger the crisis response such as developmental hurdles (such as going through puberty), natural disasters, and the death of a loved one.

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Conitive Behavioral Theory


Cognitive Behavioral Therapy Click here for full course text

© 2009 by Aspira Continuing Education. All rights reserved. No part of this material may be transmitted or reproduced in any form, or by any means, mechanical or electronic without written permission of Aspira Continuing Education.
Course Objectives: This course is designed to help you:
1. Identify Cognitive Behavioral Therapy Fundamental concepts
2. Explore the history and development of CBT
3. Apply CBT assessment strategies
4. Identify and utilize CBT clinical approaches
5. Apply CBT principles and therapeutic techniques
6. Utilize CBT tools and interventions
7. Access CBT resources

Table of Contents:
1. Definition
2. History
3. Cognitive-Behavioral Assessment
4. Approaches
5. Applications
6. Cognitive Behavioral Therapies
7. Tools and Interventions
8. Resources
9. References

1. Definition
Cognitive behavioral therapy (or cognitive behavior therapy, CBT) is a psychotherapeutic approach that is designed to influence dysfunctional emotions, behaviors and cognitions through a goal-oriented, systematic procedure. CBT can be seen as an umbrella term for therapies that share a theoretical basis in behavioristic learning theory and cognitive psychology, and that use methods of change derived from these theories (Alford, B.A., Beck, A.T., The Integrative Power of Cognitive Therapy. The Guilford Press, 1998. - ISBN 1-57230-396-4).

In the cognitive behavioral approach, emphasis is placed on expressing concepts in operational terms and on the empirical validation of treatment, using both group and single case experimental designs in research settings and in everyday clinical practice. CBT treatments have received empirical support for efficient treatment of a variety of clinical and non-clinical problems, including mood disorders, anxiety disorders, personality disorders, eating disorders, substance abuse disorders, and psychotic disorders. It is often brief and time-limited. It is used in individual therapy as well as group settings, and the techniques are also commonly adapted for self-help applications. Some CBT therapies are more oriented towards predominately cognitive interventions while some are more behaviorally oriented. In recent years cognitive behavioral approaches have become prevalent in correctional settings. These programs are designed to teach criminal offenders cognitive skills that will reduce criminal behaviors. It has become commonplace, if not pervasive, to find cognitive behavioral program strategies in use in prisons and jails in many countries. In cognitive oriented therapies, the objective is typically to identify and monitor thoughts, assumptions, beliefs and behaviors that are related and accompanied to debilitating negative emotions and to identify those which are dysfunctional, inaccurate, or simply unhelpful. This is done in an effort to replace or transcend them with more realistic and useful ones (Alford, B.A., Beck, A.T., The Integrative Power of Cognitive Therapy. The Guilford Press, 1998. - ISBN 1-57230-396-4)

CBT was primarily developed through a merging of behavior therapy with cognitive therapy. While rooted in rather different theories, these two traditions found common ground in focusing on the "here and now" and symptom removal. Many CBT treatment programs for specific disorders have been developed and evaluated for efficacy and effectiveness; the health-care trend of evidence-based treatment, where specific treatments for specific symptom-based diagnoses are recommended, has favored CBT over other approaches such as psychodynamic treatments. In the United Kingdom, the National Institute for Health and Clinical Excellence recommends CBT as the treatment of choice for a number of mental health difficulties, including post-traumatic stress disorder, OCD, bulimia nervosa and clinical depression (Alford, B.A., Beck, A.T., The Integrative Power of Cognitive Therapy. The Guilford Press, 1998. - ISBN 1-57230-396-4).
2. History

Continuing Education CEUs for MFTs and LCSWs

Spousal and Partner Abuse. Doemstic Violence CEUs for MFTs and LCSWs

© 2009 by Aspira Continuing Education. All rights reserved. No part of this material may be transmitted or reproduced in any form, or by any means, mechanical or electronic without written permission of Aspira Continuing Education.

Course Objectives: Click here for full course text
1. Learn definition and distinguish between types of abuse
2. Become familiar with relevant facts and statistics
3. Identify spousal/partner abuse symptoms
4. Evaluate the effects of spousal/ partner abuse
5. Identify same gender abuse dynamics
6. Become familiar with relevant cultural factors
7. Learn the national domestic violence applicable laws
8. Become familiar with resources and referrals

Table of Contents: Click here for full course text1. Definitions and Types of Abuse
2. Facts and Statistics
3. Symptoms and Effects
4. Domestic Violence and the Law
5. Evaluation, Intervention and Treatment
6. Resources and Referrals
7. References

1. Definitions and Types of Abuse
Domestic violence and emotional abuse is characterized by physically and/or psychologically dominating behaviors used by a perpetrator to control the victim. Partners may be married or unmarried; heterosexual, or homosexual; living together, separated or dating. Domestic violence occurs in all cultures; people of all races, ethnicities, religions, sexes and classes can be perpetrators of domestic violence. Domestic violence is also known as domestic abuse, spousal abuse, or intimate partner violence. Domestic violence is perpetrated by both men and women. Domestic abuse is any form of abuse that occurs between and among persons related by affection, kinship, or trust. It can occur with youth, adults or elders of all ages and walks of life. The perpetrator often will use fear and intimidation as a method of control. The perpetrator may also threaten to use or may actually use physical violence. Domestic abuse that includes physical violence is called domestic violence. Domestic abuse is intentionally trying to control another person. The abuser intentionally uses verbal, nonverbal, or physical methods to gain control over the other person. Domestic abuse includes:
• Physical abuse
• Sexual abuse or sexual assault
• Verbal abuse
• Emotional Abuse
• Financial abuse
• Neglect
• Ritual abuse
• Spiritual abuse
• Criminal harassment
• Stalking, and Cyber stalking
(Stark, E., A. Flitcraft, 1996. Women at Risk: Domestic Violence and Women's Health. Sage).
There are many considerations in evaluating abuse including:
• Mode: physical, psychological, sexual and/or social.
• Frequency: on/off, occasional and chronic.
• Severity: in terms of both psychological or physical harm and the need for treatment.
• Transitory or permanent injury: mild, moderate, severe and up to homicide.
An area of the domestic violence field that is often overlooked is passive abuse leading to violence. Passive abuse is covert, subtle and veiled. This includes victimization, procrastination, forgetfulness, ambiguity, neglect, spiritual and intellectual abuse.
Increased recognition of domestic violence began during the women's movement. Awareness regarding domestic violence varies among different countries. Only about a third of cases of domestic violence are actually reported in the United States and the United Kingdom. According to the Centers for Disease Control, domestic violence is a serious, preventable public health problem affecting more than 32 million Americans, or more than 10% of the U.S. population.

There is increasing awareness and advocacy for men victimized by women. In a report on violence related injuries by the US Department of justice (USDOJ August 1997) hospital emergency room visits related to domestic violence revealed that physically abused men represent just under one-sixth of the total patients admitted to hospital reporting domestic violence as the cause of their injuries. The report reveals that significantly more men than women did not disclose the identity of their attacker. This is likely due to shame, stigma, and embarrassment associated with men victimized by women.
According to a July 2000 Centers for Disease Control Report, data from the Bureau of Justice, National Crime Victimization Survey consistently show that women are at significantly greater risk of intimate partner violence than are men. In May, 2007, researchers with the Centers for Disease Control reported on rates of self-reported violence among intimate partners using data from a 2001 study. In the study, almost one-quarter of participants reported some violence in their relationships. Half of these involved one-sided ("non-reciprocal") attacks and half involved both assaults and counter assaults ("reciprocal violence"). Women reported committing one-sided attacks more than twice as often as men (70% versus 29%). In all cases of intimate partner violence, women were more likely to be injured than men, but 25% of men in relationships with two-sided violence reported injury compared to 20% of women reporting injury in relationships with one-sided violence. Women were more likely to be injured in non-reciprocal violence

Physical Abuse
Physical abuse is characterized by aggressive behavior that may result in the victim sustaining injury. Physical abuse attacks are used by the perpetrator to control the victim. The abuse is rarely a single incident and typically forms identifiable patterns that may repeat more and more quickly, and which may become increasingly violent.
Physical abuse can include:
• assault with a weapon
• biting, pinching
• burning
• choking
• kicking, pushing, throwing or shaking
• slapping, hitting, tripping, grabbing or punching
• tying down or otherwise restraining or confining
• homicide

Sexual Abuse and Assault
Sexual abuse and assault includes any non-consensual sexual activity ranging from harassment, unwanted sexual touching, to rape. Sexual harassment is characterized by ridiculing another person to try to limit their sexuality or reproductive choices, while sexual exploitation could involve forcing someone to participate in pornographic film-making. Examples of sexual abuse include fondling of genitals, penetration, incest, rape, sodomy, indecent exposure, forced prostitution, forced production of pornographic materials (Verbal/ Emotional/ Psychological Abuse
Abbott, Pamela and Emma Williamson, 1999.. "Women, Health and Domestic Violence". Journal of Gender Studies).

Domestic violence is not only physical and sexual violence but also psychological. Psychological violence can be defined as intense and repetitive degradation, creating isolation, and controlling the actions or behaviors of the spouse through intimidation or manipulation to the detriment of the individual. Emotional and psychological abuse sometimes involves tactics to undermine an individual's self-confidence and sense of self-worth, such as yelling, mocking, insulting, threatening, using abusive language, humiliating, harassing and degrading. It can also include deprivation of emotional care, and isolating the individual being targeted (Five Year State Master Plan for the Prevention of and Service for Domestic Violence." Utah State Department of Human Services, January 1994).
Financial/Economic Abuse
Financial abuse occurs when one individual attempts to take total or partial control of another's finances, inheritance or employment income. It may include denying access to one's own financial records and knowledge about personal investments, income or debt, or preventing a partner from engaging in activities that would lead to financial independence.
Financial or economic abuse includes:
• withholding economic resources such as money or credit cards
• stealing from or defrauding a partner of money or assets
• exploiting the partner's resources for personal gain
• withholding physical resources such as food, clothes, necessary medications, or shelter from a partner
• preventing a partner from working or choosing an occupation

Ritual Abuse
Ritual abuse is defined as a combination of severe physical, sexual, psychological and spiritual abuses used systematically and in combination with symbols, ceremonies and/or group activities that have a religious, magical or supernatural connotation. Victims are terrorized into silence by repetitive torture and abuse over time and indoctrinated into the beliefs and practices of the cult or group. Ritual abuse may also be linked to Satanism or devil worship.

Spiritual Abuse
Spiritual abuse may include:
• using the partner's religious or spiritual beliefs to manipulate them
• preventing the partner from practicing their religious or spiritual beliefs
• ridiculing the other person's religious or spiritual beliefs
• forcing the children to be reared in a faith that the partner has not agreed to
Spiritual and religious abuse is also abuse done in the name of, brought on by, or attributed to a belief system of the abuser, or abuse from a religious leader. This can include Priests, Ministers, cult members, family members, or anyone abusing in the name of a deity or perceived deity. Spiritual or religious abuse can find its way into every religion and belief system that exists. It may encompass many other forms of abuse, especially physical, sexual, emotional, psychological and financial (Warshaw, C. (1993). "Limitations of the Medical Model in the Care of Battered Women". in Bart, P., E. Moran. Violence Against Women: The Bloody Footprints. Sage).

Harassment, Stalking and Cyberstalking
Stalking is harassment of or threatening another person, especially in a manner that physically or emotionally disturbs them. Stalking of an intimate partner can occur place during the relationship, with intense monitoring of the partner's activities, or it can take place after a partner or spouse has left the relationship. The stalker may be trying to get their partner back, or they may wish to harm their partner as punishment for their departure. Regardless of the motive, the victim fears for their safety. Stalking may occur at or near the victim's home, near or in their workplace, on the way to any destination, or on the internet (cyberstalking). Stalking can be on the phone, in person, or online. Stalkers sometimes do not reveal themselves, or they may just “show up” unexpectedly. Stalking is often unpredictable and dangerous. Stalkers may utilize threatening tactics including:
• “showing up” wherever the victim is located
• repeated phone calls (often hanging up)
• following the victim
• watching the victim from a hiding place
• sending the victim unwanted packages/gifts/letters
• monitoring the victim's phone calls
• monitoring the victim’s mail or internet use
• sifting through the victim's garbage
• contacting the victim's friends, family, co-workers, or neighbors to obtain information about the victim
• damaging the victim's property
• threatening to hurt the victim or the victim’s family, friends or pets
Cyberstalking is defined as utilizing the internet with the intention to harass and/or stalk another person. Cyberstalking is deliberate and persistent in nature. It may be an additional form of harassment, or the only method the perpetrator employs. The cyber stalker’s communication may be disturbing and inappropriate. Often, the more the victim protests or responds, the more rewarding the cyberstalker experiences the stalking. The best way to respond to a cyberstalker is not to respond. Cyberstalking may graduate to physical stalking, aggression, and violence.

Battering relationships are often characterized by cyclical phases, sometimes referred to as The Cycle of Violence. A period of peace and calm is followed by escalating tension. A woman might feel as though she were walking on eggshells. Minor incidents may occur that the woman tries to minimize or deny, sometimes by taking the blame.
When the tension becomes unmanageable, aggression occurs. The victim may be kicked, thrown against a wall, raped, threatened at gun or knife point, slapped, punched or subjected to any of the endless mental and physical abuses that batterers use to intimidate and control their partners.

This then leads to the honeymoon phase where the relationship appears to be stable, the abusive incident is forgotten, and there is no active abuse. Of course, the abuse process remains unresolved and it is only a matter of time until tension develops, which leads to another explosion of violence, and the cycle continues.
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