Application of dev to therapy - week 15

Question 1

good parenting = attune to child’s need 30% of the time

Answer 1

TRUE

Question 2

mindsight?

Answer 2

ability to perceive other’s internal experience

make sense of that imagined experience

enables us to offer compassionate responese

Question 3

4 components of human relationships (cozolino)

Answer 3

1. safe & trusting relationship with an attuned therapist
2. maintenance of moderate levels of arousal
3. activation of cognition and emotion
4. co-construction of narratives that reflect a positive optimistic self

Question 4

fear trumps love

Answer 4

TRUE

fear is:

faster
automatic
unconscious
spontaneously generalized
multisensory 
resistant to extinction

Question 5

(attachment in therapy)

Avoidant: concerns

Answer 5

concerns: 
isolation impacts relationships
intense emotions muted
mindsight restricted
basic emotional needs not met by anyone

Question 6

(attachment in therapy)

Avoidant: in therapy

Answer 6

In Therapy:
comes to therapy at insistence of partner
partner feels relationship is too distant
lacks awareness of relationship pain
never learned that another can help

Question 7

prefers logical discussions
needs gentle and un-intrusive attunements
make right to right hemisphere connections btwn therapist and client

Answer 7

AVOIDANT

Question 8

(attachment in therapy)

Ambivalent: concerns

Answer 8

Concerns:
intense sense of vulnerability
loss of the self
feels perpetually at risk of losing connection to others/self
meeting others needs is a learned reflexive public adaption

Question 9

may withdraw & approach

avoids shame & abandonment

Answer 9

AMBIVALENT

Question 10

(attachment in therapy)

Ambivalent: recommendations

Answer 10

Recommendations: 
watchful of micro-moments of interaction
respond to client's nonverbal signals
therapist must actually feel the feelings
repair misattunements

Question 11

(attachment and psychopathology)

anxiety/depression

Answer 11

AMBIVALENT

Question 12

(attachment and psychopathology)

strongest relationship disturbances

Answer 12

DISORGANIZED

Question 13

(attachment and psychopathology)

aggression, conduct, depression

Answer 13

AVOIDANT

Question 14

precursors of individual psychopathology through their role in establishing fundamental patterns of emotional regulation

Answer 14

TRUE

Question 15

by the second half-year if the parent misreads the signal, the infant changes the behavior to accommodate the parent

Answer 15

TRUE

Question 16

research has established a firm relationship btwn early regulation and ________ & ________

Answer 16

relationship btwn early regulation and:

later behavioral problems & emotional disturbance

Question 17

In social phobia, anxiety & fear are the conscious aspects of our body’s appraisal of danger

Answer 17

TRUE

Question 18

in social phobia, a person is anticipating shame. Why?

Answer 18

a child experiences shame as a threat to survival because it is an impactful disconnection from the caregivers

Question 19

social phobia brain processes

Answer 19

amygdala fires without conscious processing

information bypasses hippocampus & frontal lobes for conscious processing and evaluation of the information

Question 20

In borderline PD, early attachments were highly traumatic

Answer 20

TRUE

Question 21

borderline PD

Answer 21

disruption in regulation of emotions & impulses

as children, they experienced themselves as objects of disgust which became their sense of self

brain = high alert for danger & decreases inhibition, reality testing & emotional control

Question 22

Borderlines become overwhelmed and unable to use conscious processing to tests their reactions or solve problems

Answer 22

TRUE

Question 23

in borderline, self harm is used to?

Answer 23

keep childhood trauma alive through:
criticism
rejection
abandonment

Question 24

at the core of borderline PD is?

Answer 24

self-loathing projected onto others

Question 25

In the brains of Borderline PD

Answer 25

experiences of negative feelings =
become overwhelmed, unable to use conscious cortical processing to test their reactions or solve problems

they lose:
perspective
ability to remember ever feeling good

overwhelming fear and lack of perspective = their life is at risk

Question 26

borderline’s lack the ability to be mindful of their own thoughts when they are emotionally aroused

Answer 26

TRUE

they are unable to self-reflect or regulate emotions

Question 27

borderline patients have an over-activation of the amygdala (emotions) which inhibits the frontal hippocampus = unable to make sense of and reduce intensity of response

Answer 27

TRUE

Question 28

those who engage in self-harm

Answer 28

childhood abuse, neglect, shame or teasing

Question 29

self-harm is used to keep childhood trauma alive

Answer 29

TRUE

Question 30

fundamental emotion at the core of borderline

Answer 30

shame –>self-loathing

shame = self is bad, defective or unworthy

Question 31

the extreme reactions in borderline may be a function of the need to escape their unbearable self

Answer 31

early experiences pair sense of self with disgust due to shame

Question 32

disorders have common etiology of early and severe stress & disorders are manifested through different strategies of adaption to early and overwhelming experiences

Answer 32

TRUE

Question 33

early relationships greatly impact the developing social brain due to the disruptions of bonding, attachment and loving care

Answer 33

TRUE

Question 34

difficulties in emotional regulation and relationship difficulties are intertwined. Emotional regulation is the defining feature of all close relationships and the central goal of early primary relationships

Answer 34

early attachment = emotional regulation