Lvl 2 Mod 2

Question 1

Why are humans creatures of habit?

Answer 1

Because humans take in way more information than they are consciously aware of, humans predict non‐
consciously what to expect through associative processes via many
biological systems. This helps them conserve mental and physical energy.

Question 2

How does the past end up repeating itself?

Answer 2

The past informs one’s predictions about the future… by shaping action patterns, emotional responses, & meaning‐making leading the individual to perceive, make sense of, and respond in predetermined ways in the present.

Question 3

What are three basic processes associated with neural firing and wiring?

Answer 3

1. Encoding - activation of neuronal firing (think of it more as correlation/meaning making)
2. Storage - alterations in connectivity
3. Retrieval - reactivation of pattern in a similar but not exactly the same way as last time

Question 4

What is priming?

Answer 4

An increase in the specific likelihood of a given pattern firing due to past experiences (implicit learning)

Question 5

What are three core traits of a negative emotional learning/memory?

Answer 5

1. Extremely durable over time
2. Resistant to change
3. Implicitly held

Question 6

How long does it take for a memory to be reconsolidated with new experiences and learning?

Answer 6

A few days after it was retrieved into working memory

Question 7

What are 4 elements of the avoidant attachment style?

Answer 7

1. Mostly auto‐regulation
2. Deactivating strategy
3. Minimizing needs
4. Negative model of the world

Question 8

What are 3 elements of the disorganized attachment style?

Answer 8

1. Variability of subtypes and responses
2. Both activating/deactivating
3. Both lack auto and inter‐regulation

Question 9

What are 4 elements of the anxious attachment style?

Answer 9

1. Activating strategy
2. Negative model of self (unlovable)
3. Exaggerating needs
4. Interactive regulation (tho never satisfied)

Question 10

What are 2 elements of the secure attachment style?

Answer 10

1. Both auto and inter‐regulation
2. Both positive models of self/world

Question 11

The 6 Psychobiological action systems associated with daily life

Answer 11

1. Attach
2. Seeking
3. Energy regulation
4. Play
5. Caregiving
6. Sexuality

Question 12

The 5 Psychobiological action systems associated with survival

Answer 12

1. Attach
2. Fight
3. Flight
4. Freeze
5. Submit/Immobilize

Question 13

Five questions related to somatic patterns to hold in mind when assessing an individual’s attachment patterns in relationship

Answer 13

How does the individual seek proximity and contact to others when frustrated or disappointed?
How do the body patterns of movement in relationship appear, fluid, integrated, stilted, tense, listless or unresponsive?
Are they able to receive soothing and calming from outside?
Can the body relax and yield to external support?
Can they utilize auto‐regulatory strategies when others are unavailable such as grounding, centering, containment?

Question 14

7 questions related to emotional expression to hold in mind when assessing/interviewing a client regarding attachment patterns in their relationships

Answer 14

1. How much affect is appropriate to express in connection?
2. How much eye contact with elders is permitted?
3. What emotions expressed are tolerated and received (family, community, society)?
4. What emotions expressed result in distancing or disapproval (family, community, society)?
5. How are emotions “to be” expressed in relationship?
6. What emotions emerge when the client seeks proximity and contact to others?
7. Reflect on level of tolerance that you have for sadness, anger, fear, joy when you feel these emotions in yourself or when you see others expressing these emotions (i.e. clients)?

Question 15

Four questions related to cognitive beliefs to hold in mind when assessing an individual’s attachment patterns in relationship

Answer 15

1. What assumptions are evident in their narrative about relationship?
2. What absolute statements do you hear about self or other?
3. What judgments about self or other?
4. How do their attributions or projections reflect belief?

Question 16

What is an example of a statement that can be made to help soothe clients who feel like they are not doing enough or session was not good enough

Answer 16

Whatever you have done today, let it be enough

Question 17

What are the six basic motions associated with attachment?

Answer 17

1. Yield
2. Push
3. Reach
4. Grasp
5. Pull
6. Releasing

Question 18

Non-verbal way to interrupt the client in person

Answer 18

Lean forward

Question 19

How to make verbal interruptions less disruptive

Answer 19

Use one word contact + qualifier (huh?)

Question 20

What are the three primary functions of emotions?

Answer 20

1. Are an internal information source within the nervous system providing feedback about the positive and negative valence of things, people, experiences
2. Help us communicate with those around us via empathy system and mirror neurons
3. Facilitate integrative neuro‐processes between the thinking brain (prefrontal cortex) and doing/engagement movement brain (reptilian brain)

Question 21

4 Categories of Emotion and why is it important to recognize the category?

Answer 21

1. Vehement
2. Primary
3. Patterned
4. Secondary

It’s important because this guides the therapist’s responses.

Question 22

What are patterned emotions and what is an example?

Answer 22

Something learned because the primary emotion was ineffective or resulted in negative responses.

For example, a client that was dismissed when they were afraid could have anger as a patterned emotion

Question 23

Why is it important to identify the primary emotion and what is one way to identify?

Answer 23

Because primary emotions are the ones that we can successfully sequence. To identify, you can ask yourself are there emotions below this one. Primary emotion once contacted with have a sense of depth and stand out.

Question 24

What are secondary emotions and what is an example?

Answer 24

The emotions that occurred later in life in response to prefrontal cortex processes.

For example, what I am feeling shame in response to my primary emotion of loneliness

Question 25

5 skills used at the accessing stage

Answer 25

1. Steps‐to‐Mindfulness (MFD/MFQ)
2. Linking core organizers
3. Stitching to frame
4. Refining Frame or Reframing
5. Experiments

Question 26

In SP, what is the relative priority of mindful awareness versus conversation, insight, advice and interpretation?

Answer 26

SP privileges mindful awareness of present moment experience over conversation, insight, advice and interpretation.

Question 27

What are the 5 steps to mindfulness?

Answer 27

1. Track
2. Contact Statement
3. Mindfulness Directive
4. Mindfulness Question
5. Obtain mindful report (assess)

Question 28

What is the goal of using the steps to mindfulness during the accessing and processing phases when working with developmental injuries?

Answer 28

To elicit deeply held implicit memory throughout the brain and body to facilitate reprocessing of early procedural templates, mental models, and core limiting beliefs.

Question 29

6 Examples of Mindfulness Directives for developmental work

Answer 29

1. Stay with that tension in your body…
2. Come back to your body, and see how your body holds that disappointment.
3. Sense that movement ….
4. Keep your awareness with the collapsed feeling…
5. Let yourself sense that child that you were….
6. Lean into this sadness

Question 30

What is an example of an emotion coming from developmental injury that could take the client out of their window

Answer 30

Shame

Question 31

What are two indicator that you are going too fast with the steps to mindfulness?

Answer 31

1. The client loses connection with feeling/sensation and goes up into their head
2. There is a disruption in the sense of flow

Question 32

How many rounds of the steps to mindfulness do we generally do before asking about images and memories? Why?

Answer 32

4 or 5. So that the client really steeps in their present moment experience and an answer to that question can come from the body instead of them needing to go to their head and guess at something.

Question 33

Why do we ask about images and memories instead of just memories?

Answer 33

Because the client may not have an explicit memory and asking about images helps pull up something from the past.

Question 34

What is an example of a resourcing exercise based on an object in their own space? (7 parts)

Answer 34

1. Find an object in your room that has positive meaning for you
2. Take it in – details and expanding overall.
3. Think about the events that led to this being in this room
4. Find the moment that stands out
5. Identify core organizers associated with that moment
6. Steps to mindfulness to funnel into core message
7. Savor resource

Question 35

What are two things that stitching to the frame helps achieve?

Answer 35

1. Maintain focus
2. Bring more activation and energy into the moment

Question 36

What’s a cue to Laia that offering a mindfulness menu could be helpful

Answer 36

If the client seems to be unable to answer the mindfulness question with specificity