Licensed Clinical Social Worker (LCSW) Practice Exam

In play therapy, what should a social worker do when a child demonstrates unusual knowledge about sex?

1. Explore with the child the sources of her knowledge

2. Inform the parents of the child's behavior

3. End the play therapy sessions

4. Ignore the behavior and continue with the session

The correct answer is: Explore with the child the sources of her knowledge

When a child demonstrates unusual knowledge about sex during play therapy, the appropriate course of action is to explore with the child the sources of her knowledge. This approach is crucial as it allows the therapist to gain insight into the child's understanding, experiences, and potential exposure to inappropriate information. By discussing this knowledge with the child in a safe and supportive environment, the social worker can assess whether the knowledge is developmentally appropriate or if it raises concerns, such as possible exposure to sexual abuse or inappropriate sexual behavior from peers or media. Exploring the sources of knowledge also serves to validate the child's feelings and experiences, encouraging open communication about sensitive subjects. This exploration can be facilitated by using the tools of play therapy, which allows children to express themselves and process complex emotions through play. Additionally, understanding the context of the child's knowledge can inform the therapist's interventions and parental guidance. Engaging in this dialogue not only helps in addressing potential issues but also reinforces the therapeutic relationship by demonstrating that the therapist is nonjudgmental and receptive to discussing difficult topics. This response fosters the child's emotional safety and encourages exploration of their feelings and thoughts regarding the matter.