Lecture 9

Question 1

Who proposed the concept of complex trauma?

Answer 1

Julain Ford

Question 2

What are the proposed criteria for complex trauma?

Answer 2

• Traumatic victimization + attachment disruption
• Affective/physiological dysregulation
• Avoidance
• Self and relational dysregulation

Question 3

What is the goal of urging DSM-V to consider research on developmental trauma?

Answer 3

To establish a set of criteria for developmental trauma not captured by PTSD

Question 4

What are the two subtypes of Reactive Attachment Disorder (RAD)?

Answer 4

• Emotionally withdrawn/inhibited phenotype
• Social/disinhibited phenotype

Question 5

What behaviors are associated with the emotionally withdrawn behavior in RAD?

Answer 5

• Reduced responsiveness
• Limited affect
• Irritability, sadness, or fearfulness

Question 6

What are the causes of Reactive Attachment Disorder?

Answer 6

• Exposure to extremes of insufficient care
• Social neglect
• Repeated changes in caregivers
• Rearing in unusual settings

Question 7

What characterizes Disinhibited Social Engagement Disorder?

Answer 7

Overly comfortable interacting with unfamiliar adults

Question 8

What are some risk factors for developing Reactive Attachment Disorder?

Answer 8

• Neglect
• Abuse
• Postpartum depression
• Inexperienced parent
• Substance abuse parent
• Parental mental illness

Question 9

True or False: RAD symptoms can be mistaken for conduct disorder in maltreated children.

Answer 9

True

Question 10

What are the diagnostic challenges associated with PTSD in children ages 6 and under?

Answer 10

• Direct experience of event
• Child witness event
• Child learned about traumatic event that happened to caregiver

Question 11

What are the symptoms of PTSD in young children?

Answer 11

• Intrusive symptoms
• Attention and behavioral dysregulation
• Changes in arousal or reactivity

Question 12

What is a significant challenge in diagnosing RAD?

Answer 12

Symptoms overlap with many other disorders, including PTSD, SPD, and MDD

Question 13

What does trauma-informed care aim to achieve?

Answer 13

Better outcomes through interventions targeting trauma reactions and attachment

Question 14

What are the key areas of treatment focus in trauma-informed interventions?

Answer 14

• Attachment
• Self-regulation

Question 15

Fill in the blank: One key message for trauma recovery is ‘you are ______.’

Answer 15

safe

Question 16

What approach should be taken when involving clients in service design?

Answer 16

Focus on collaboration and choice rather than rule enforcement

Question 17

What is the focus of strengths-based therapy?

Answer 17

To view behaviors as coping adaptations rather than intentional misbehavior

Question 18

What therapeutic approach did Ellis develop?

Answer 18

Rational emotive therapy

Question 19

What does the A-B-C theory in Rational Emotive Therapy represent?

Answer 19

• A = Activating event
• B = Belief about the event
• C = Consequence of the belief

Question 20

In Rational Emotive Therapy, what are the additional components added to the A-B-C model?

Answer 20

• D = Dispute
• E = Evaluate

Question 21

What are the negative views that depressed individuals often hold according to Beck’s theory?

Answer 21

• Themselves
• The world
• The future

Question 22

In Beck’s cognitive therapy, what is the first step in therapy sessions?

Answer 22

Therapist explains cognitive theory of emotional disorders

Question 23

What is the goal of the middle sessions in Beck’s cognitive therapy?

Answer 23

Teach the client to identify, evaluate, and replace negative automatic thoughts with more positive cognitions

Question 24

What is the focus of the final sessions in Beck’s cognitive therapy?

Answer 24

Solidify gains and focus on prevention of recurrence