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1 Sensorimotor Psychotherapy > Lvl 2 Mod 3 > Flashcards

Lvl 2 Mod 3 Flashcards

1
Q

What 4 things to keep in mind when working with a client who just keeps talking and doesn’t seem to ever drop in?

A
  1. Building the container is the hardest step and it takes about 20 minutes to do
  2. Just listening is OK, don’t try to interject too many contact statements because it can be important to the client just to share with me.
  3. If the client’s energy is really high (upset/anxious) you can match their energy as implicit contact and then down-regulate with my own energy/statements
  4. It’s important to get in touch with both ourselves and the client on all the three levels of information processing.
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2
Q

What is the rule of thirds with respect to time spent in the stages of the process within an individual counseling session?

A

1st third - Container/Framing
2nd third - Accessing/Processing/Transformation
3rd third - Integration

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3
Q

6 Steps of the container stage for developmental work

A
  1. Attune, listen, Track, & Bodyread to collect Information
  2. Assess is this developmental or trauma
  3. Stimulate developmental themes with Contact
  4. Hypothesize what could be accomplished in this session
  5. Provide psychoeducation
  6. Determine a developmental theme and core organizer to Frame
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4
Q

What are two signs that a contact statement lands with a client

A
  1. If they settle downward into their body
  2. If they do a head nod
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5
Q

Three options for a physical experiment in the context of developmental work

A
  1. Repeat a gesture more slowly with attention
  2. Slightly exaggerate a physical tension pattern with mindful attention (e.g. “Just a 1/4 inch forward”)
  3. Do the opposite movement/gesture to take the client back into alignment
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6
Q

What do we do during steps to mindfulness when we don’t get a mindful report from the client?

A

Go back to contact statement and continue the cycle from there

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7
Q

What’s an important quote from Pat to keep in mind when pacing a session?

A

Slower is faster.

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8
Q

How do we know when to stop doing rounds of steps to mindfulness during developmental work?

A

Once we have all 5 core organizers.

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9
Q

What’s an example statement from Rebecca to help probe for memories/images?

A

Does this feel familiar?

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10
Q

What principle do we follow when determining what core organizers to ask the client to notice first vs save for later

A

Go with the easiest ones first as they will help the other more difficult core organizers to come out later.

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11
Q

Why is meaning essential to developmental processing?

A

Because the implicit beliefs often inform much of client’s behavior and relationship dynamics

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12
Q

Three examples of questions that can elicit a body-based meaning?

A
  1. If that < body sensation> could talk, what would it say?
  2. What are the words that go with this movement?
  3. What do these hands seem to be saying?
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13
Q

What is the activity of “going for meaning from the body” and what is the purpose?

A

It is an experiment that integrates non-verbal, somatic and emotional meaning (right brain) with language (left brain).

The purpose is to light up enough state specific memory so that we can take an automatic and implicit meaning and bring it into explicit and reflective awareness (e.g. integrate the right brain and the left brain)

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14
Q

4 techniques besides contact statements that can help deepen a client’s somatic experience

A
  1. Link core organizers
  2. Use mindfulness directives to increase awareness
  3. Use a mindful question to get more detail
  4. Try an experiment
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15
Q

What to do when the client comes up with a meaning from the body?

A

Go into the processing stage (state-specific processing) to work with the implicit memory

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16
Q

What did Rebecca do when the demo client wanted to “break out” and “walk away” (escape from the painful meaning) during the going for meaning from the body experiment.

A

She validated the work of the protector part/adult self and that it’s uncomfortable. Then asked if they could come back to the original frame.

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17
Q

How to leave the session in a better place if time is starting to run out and there’s not enough time to complete the exercise of going for meaning from the body? (4 steps)

A
  1. Ask the client to do the opposite of what their body is currently doing
  2. Ask what feels good
  3. Deepen into that
  4. Ask them what their body is telling them about themselves now
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18
Q

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

A

Whatever you have done today, let it be enough

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19
Q

What are the five basic motions associated with attachment and what does each represent (in general)?

A
  1. Yield - the capacity to feel support – to rest in intimacy
  2. Push - the sense of knowing my own needs – separate but in contact with the earth and other beings
  3. Reach - desire
  4. Grasp - agency
  5. Pull - Feeling like I deserve the things for myself
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20
Q

Non-verbal way to interrupt the client in person

A

Lean forward

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21
Q

How to make verbal interruptions less disruptive

A

Use one word contact + qualifier (huh?)

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22
Q

What are the three primary functions of emotions?

A
  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. Neuro‐process hypothesized to be integrative between the thinking brain (prefrontal cortex) and doing/movement brain (reptilian brain)
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23
Q

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

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

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

24
Q

What are patterned emotions and what is an example?

A

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

25
Q

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

A

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.

26
Q

What are secondary emotions and what is an example?

A

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

27
Q

5 skills used at the accessing stage

A
  1. Steps‐to‐Mindfulness (MFD/MFQ)
  2. Linking core organizers
  3. Stitching to frame
  4. Refining Frame or Reframing
  5. Experiments
28
Q

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

A

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

29
Q

What are the 5 steps to mindfulness?

A
  1. Track
  2. Contact Statement
  3. Mindfulness Directive
  4. Mindfulness Question
  5. Obtain mindful report (assess)
30
Q

Three questions to access the cognitive beliefs associated with a clients patterns of emotional expression/tolerance

A
  1. What emotions were encouraged/discouraged in your family system, community and society at large?
  2. Did you received any messages associated to specific emotions?
  3. Are there any emotions that are difficult to tolerate in yourself or in others?
31
Q

What is the goal of using the steps to mindfulness when working with developmental injuries?

A

To elicit deeply held implicit memory throughout the brain and body to facilitate reprocessing.

32
Q

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

A

Shame

33
Q

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

A
  1. The client loses connection with feeling/sensation and goes up into their head
  2. There is a disruption in the sense of flow
34
Q

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

A

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.

35
Q

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

A

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

36
Q

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

A
  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
37
Q

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

A
  1. Maintain focus
  2. Bring more activation and energy into the moment
38
Q

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

A

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

39
Q

What can happen when exploring experience on one’s own instead of with an SP therapist?

A

We can get lost and stuck

40
Q

In SP, what mechanism results in most of the change?

A

Just studying the organization of experience and letting it change on its own.

41
Q

What is the difference between EMDR and Sensorimotor regarding the ordering of finding a limiting belief and working with it in the body?

A

SP starts with the body and then finds the limiting belief
EMDR starts with the limiting belief and then working with it in the body

42
Q

If the client goes from container and drops right into processing, what do we do?

A

Deepen into meaning by gathering all the core organizers.

43
Q

What term does Rebeca use to describe the child/younger part that created a templated meaning from a specific emotional experience/set of experiences?

A

The Mapmaker

44
Q

How can we tell when something from a different ego state is coming into the client’s current state of consciousness? What kinds of parts should we be on the look out for?

A

It is not congruent with the core organizers listed within the frame. Protector parts.

45
Q

What are the three parts of the therapists job related to the client’s states of consciousness?

A
  1. Recognize what state of consciousness the client is in
  2. Develop the client’s ability to move into other states
  3. Foster and stay oriented (aka “the compass”) within states as appropriate to the goals of the immediate stage of the process and the client’s integrative capacity
46
Q

What are two different labels to use for clients who don’t like the term “part”?

A
  1. State of consciousness
  2. Neural pathways
47
Q

What do very different things that a curved inward posture could mean

A
  1. Collapse - feeling of flaccid
  2. Bearing a heavy burden and a feeling of strain/tension
48
Q

What’s one potential “tell” that a client is answering a “what’s your body telling you” question from a cognitive place?

A

If they look up – this tells us they are going cognitive

49
Q

Why does a parent’s rejection cause a child to assume the problem is their own?

A

Children do not understand that it’s a parent’s limitation and that they can be accepted in other situations

50
Q

3 parts of Rebecca’s developmental injury metaphor of pretending an arm is gone

A

My family does not accept that I have a left arm and I suffer because of that
I decide that I am going to pretend it’s not there
Additionally, I am going to create a defense such that I don’t even notice it’s missing

51
Q

What are somatic mechanisms (general definition)?

A

Ways of organizing experience which manage energy and emotion in relationships with the intent to maximize access to available relational resources.

52
Q

What are five qualities of primary emotion?

A
  1. Those experienced in the moment without any secondary gain (e.g., manipulation, regulation, protection)
  2. Relatively un-enduring
  3. Adaptive responses to specific finite situations
  4. Incorporate body responses and images
  5. Authentic quality
53
Q

What are three traits of secondary emotions?

A
  1. Are either a substitute for a primary emotion or an exaggerated version of the primary emotion
  2. Don’t hold information
  3. Stay looping/stuck
54
Q

How does Rebecca recommend working with clients who are in the compressing down style (3 parts)?

A
  1. Playfulness in general
  2. Wiggle around, wiggle your tail
  3. Do the karate kick with the hands/arms up like a swan
55
Q

What are three examples of implicit memories as related to developmental injury?

A
  1. Procedural templates
  2. Mental models
  3. Core limiting beliefs
56
Q

What is the goal of adaptive strategies and what are 8 different kinds?

A

Adaptive strategies help manage painful attachment related emotions. They do so by:

  1. Holding in
  2. Compressing down
  3. Pliant collapse
  4. Sealing off
  5. Inflated posture
  6. Insistent seeking
  7. Fluid motion
  8. Kinetic action
57
Q

When do we resource clients when doing developmental?

A

Only if they are way outside their window.

1 Sensorimotor Psychotherapy (23 decks)

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