Section 1. Flashcards
1
Q
TRAUMA
A
“Any event that overwhelm [s] the ordinary human adaptations to life.”
~ Judith Herman, Trauma and Recovery
2
Q
33). What is true about emotion and all forms of energy?
A
It occurs in waves
Energy is everywhere
Emotion is not the same as other forms of energy
All energy eventually dissipates
3
Q
34). Post-traumatic stress is diagnosed when the effects of trauma persist beyond how many weeks?
A
One week
Three weeks
Four weeks
Two months
4
Q
35). Complex PTSD is defined by what?
A
More than one traumatic event in a year
Traumatic events that are difficult to understand
Traumatic events related to natural disasters
Repeated, prolonged exposure to traumatic events
5
Q
36). What part of our nervous system draws our attention inwardly?
A
Sympathetic
Parasympathetic
Central nervous system
Dorsal nervous system
6
Q
38). What type of attachment promotes the expression of feelings and communication?
A
Disorganized
Confused
Secure
Ambivalent
7
Q
39). What type of research reminds us that we continue to be shaped by our ongoing experiences?
A
Neuroplasticity research
Attachment research
Relational research
genetic research
8
Q
40). What role do our defenses play?
A
Defences teach about our self
Defences keep people away
Defences are always unhelpful
Defences prevent awareness of unresolved material
9
Q
41). What can cause and mobilization into helplessness and collapse?
A
A trauma in which there is nothing a person can do to change the outcome
Natural disaster trauma
Sudden trauma
Only adult drama
10
Q
42). What part of our nervous system is involved in social engagement?
A
Dorsal vagal system
Cranial nerves
Sublingual vagal system
Ventral vagal system
11
Q
43). In nature, what is one of the differences between a predator and a scavenger?
A
Size difference
Speed difference
Predators may lose interest in dead meat
Scavengers may lose interest in dead meat
12
Q
44). Which of the adaptive survival strategies has a collapsed immobility associated with it?
A
Faint
Freeze
Fight
Flight
13
Q
45). Whose concept is window of tolerance or window of capacity?
A
Alfred Adler
Albert Ellis
Carl Rogers
Dan Siegel
13
Q
46). How does a therapist help a client expand their “window of tolerance”?
A
Psychoeducation
Co-regulation
Exposure therapy
Repetition
14
Q
47). What part of the nervous system helps people feel safe and connected?
A
Autonomic
Ventral vagal
Sympathetic
Dorsal vagal
14
Q
48). What should a therapist do before offering any interventions aimed toward regulation?
A
Ask permission
Map out a treatment plan
Challenge the patient
Reflect and accept who they are
15
Q
49). What is a clue that someone is leaving their window of tolerance?
A
The evidence of somatic processes
They stop talking
Their eyes lose focus
They become angry
16
Q
50). What can become an “Co regulator” alongside the therapist in the session?
A
Solid theoretical base
Treatment plans
The natural world
Journaling
17
Q
51). How long does it take for the nervous system to register a threat?
A
A millisecond
2/10 of a second
Half of a second
A full second
18
Q
52). According to one consultant, what should a therapist do when they find something that works?
A
Do once and move on
Make a note of it to come back to it later
Do it again and again
Pointed out to the client
19
Q
53). What is the first and foremost goal of EMDR?
A
Build rapport with your client
Understand the client’s history
Find value in themselves
Activate the brain’s natural healing process (AIP)
20
Q
54). What is one of the main components of EMDR?
A
Rhetorical questions
Paraphrasing
Bilateral stimulation
Journaling
21
Q
55). What is the first phase of EMDR?
A
History / treatment planning
Report building
Installation
Desensitisation
22
Q
56). What does a sense of safety and security do for the brain?
A
**Creates a repetitive loop
It takes us out of the fight flight or freeze response
Allows us to rest
Highlights things we’re confused about
23
57). What do we know about the hippocampus region of the brain in survivors of complex trauma?
There is no change
It is larger
**It is smaller**
It ceases to function
24
58). People who are in a state of stress or having a trauma response are more attuned to what type of sounds?
**High frequency**
Low frequency
Extremely loud
Extremely soft
25
59). What should be our main focus when taking a trauma history?
Being very thorough
Not interrupting
**Looking for ways they have learned to cope and survive**
Getting a quick overview
26
60). How many questions are in the brief trauma questionnaire?
5
7
9
10
27
61). When a client is finally feeling safe enough to tune into their body, what might happen?
Their somatic symptoms would decrease
Their somatic symptoms may increase
They may become angry
They may stop coming to therapy
28
62). What is one way the presenter views AIP?
Deep intrinsic wisdom that resides within everybody
Mystical truth that can never be known
A semantic experience
A protocol that must be followed
29
63). When thinking about EMDR within the context of “parts work”, what is an important thought to keep in mind?
EMDR functions the same within all frameworks
We need to work with a single part
We ignore the possibility of parts
We need “buy in” from all of the parts
30
64). What can be true about depression that is linked to trauma?
It will be fairly mild
It will respond well to medication
It will not respond well to medication
It will respond best to exercise
31
65). Case conceptualisation can be most challenging with what type of patient?
Those were single incident trauma
Those with complex trauma
Those with Co occurring disorders
Those with a history of multiple therapists
32
66). What is a key for working with complex trauma and relational trauma?
Treatment modality
Length of treatment
Journal work
The therapeutic relationship
33
67). What area does the second question on the adverse childhood experiences questionnaire focus on?
Verbal abuse
Neglect
Physical violence
Sexual abuse
34
68). What could happen if we only assess for hard things ignoring protective factors?
Clients can leave a session feeling depressed
Clients can think we only care about negative things
Clients can completely forget there are good things in life
Clients can become angry with us
35
69). What is the primary belief of neuroplasticity?
Everyone is different
We can only learn certain things at certain times
Memory changes throughout our lifespan
Our brain changes with every experience
36
70). When thinking about traumatic memories, what is the primary working mechanism of EMDR therapy?
Relaxation techniques
Medication
Dual attention or dual awareness
Solid theoretical foundation
37
71). What is the 6th “R” of neuro-psychotherapy?
Resilience
Reframing
Reflecting
Relating
38
72). What is the first step in relational repair in therapy?
Stop the session and point out that you are the leader
Push through and address the issue at the end of the session
Acknowledge the disconnection
Wait for the client to address the issue
39
73). In the tree of life exercise, what does the trunk represent?
Early childhood experiences
Sources of nourishment
Anything that keeps you upright and standing tall
Our outer shell
40
74). What can occasionally happen if we are too quick to build resources for dealing with distress in the midst of a counseling session?
The client can feel that their distress is not welcome in the session
The client can fail to complete their story
The client can terminate therapy too early
The client can become confused
41
75). Once an unmet need has been identified, what should happen next?
Write it down to come back to it later
Remember that most people have unmet needs
Work on moving past it
Create an imagined repair for that “part”
42
76). What is one of the fastest ways to regulate the autonomic nervous system?
Visualization
Breathing exercises
Physical exercises
Meditation
43
77). Low distress tolerance is associated with an increase in developing what disorder?
Obsessive compulsive disorder
Generalized anxiety disorder
Bipolar disorder
Post traumatic stress disorder
44
78). When using the stop light analogy of the brain, what part of the brain uses reasoning and logic?
All parts at different times
The red back brain
The green frontal lobe
The yellow amygdala brain
45
79). What is the first thing we want to do in phase two or the preparation phase?
Establish your role in the process
Educate them on EMDR
Outline the process of healing
Review their history
46
80). What is the relationship between EMDR and exposure therapy?
They are one and the same
EMDR uses some exposure therapy
EMDR Is fundamentally exposure therapy
EMDR is not exposure therapy
47
81). When using the movie theatre or the video metaphor, what are we asking the client to do?
Write a new script
Safely observe from a distance
Act out the events for us
Compare their life to a known movie
48
82). What is the client's “job” during EMDR?
Direct the session
Remember to regulate their emotions
Pay attention to what is happening on the inside
Reframe their past
Your Answer: Reframe their past - Incorrect
49
83). What is one of the best ways to learn EMDR?
Have your own experience
Read books from different authors
Memorize the rules
Repetition
50
84). What does the presenter recommend if the client chooses audio bilateral stimulation?
Use classical music
Use a metronome
Use headphones
Use computer desktop speakers
51
85). What form of bilateral stimulation tends to be used quite frequently?
Sound
Tapping
Eye movement
They are all used equally
52
86). What is one way to create congruence with the client?
Familiarity with each other's histories
Agreement on techniques
Congruent breathing
Similar belief structures
53
87). What is it called within adaptive information processing when we can touch the distress but not get stuck there?
Oscillation
Variation
Visiting
Removing
54
88). What should we do if clients can't identify any external allies?
Challenge their belief that there is no one to help them
Help them identify strong internal parts of themselves
Point out allies they have forgotten about
Remind them that we do not necessarily need allies in our life
55
89). What is true about working with children and adolescents in phase two?
They already have good internal resources
Internal resources don't work with them
You will spend a lot of time working on internal resources
They are easier to help than adults
56
90). Why might it be better to use the word calm rather than safe?
Some clients who have experienced trauma have never had the experience of feeling safe
Calm is an easier word to understand
The words can be used interchangeably
Safe is a word that is associated with other treatment modalities
57
91). An exercise that is used to help the client temporary relief from disturbances that are not completely processed or resolved between sessions is called what?
Holding exercise
Delaying exercise
Remedial exercise
Container exercise
58
92). Why do we need to remember to go back to the “container” and talk about situations the client is storing there?
The “container” can become too full to function
We do not want this exercise to serve as a means of avoidance
It may seem we don't think the client's past is important
It is always good to resolve all past conflicts
59
93). Once the client has symbolically placed the event in the container, what is the next thing they should do?
Review the other events they have placed there
Remind the clinician they want to come back to it
Employ some sort of distancing strategy
Review for possible themes
We can skip this exercise or skill with this client
60
95). What is NOT a part of the “restoration team”?
Ideal self
Protectors
Nurturers
Critics
61
96). What member of our “restoration team” is most known for a sense of confidence and certainty?
Ideal self
Wise figures
Spiritual figures
Protectors
62
97). What is something a therapist can help a client do when they're having trouble maintaining the visualization of their calm place?
Distract them from whatever is troubling them
Remind them that they control their calm place
Help them visualize bringing protectors into the calm place
End the session early
63
98). If EMDR does not help us “get rid of the experience” of the trauma, what does it help us do?
Forget the experience
Clearly identify good elements
Make peace with the experience
Decrease the intensity of the experience
64
99). PTSD has two primary patterns. Some clients dissociate from their emotions, and others do what?
Easily incorporate them
Are flooded by them
Experience no distress by them
Learn from them
65
100). How can we anticipate potential “minefields” in our EMDR patients?
Simply ask them
Keep a list of common minefields
Have a good sense of their history
Remember what has happened in past sessions
66
101). What is the goal of teaching resourcing skills?
Help the client develop their own internal strength
Point out to the client what is work for others
Help keep the sessions more manageable
Teach the client when and where it's appropriate to have emotions
67
102). What does the anchoring exercise focus on?
An overview childhood
Common traumatic experiences
Identifying a time, memory or experience that was positive
Their favorite character
68
103). What is a good resource for helping clients deal with a current crisis or stressor that is going on during the week?
Concrete resource
Imaginary resource
Formal resource
Reciprocal resource
69
104). In the concrete resource exercise after we help clients identify what they would wish they were able to do in a given situation, what do we move on to next?
What did they actually do
Identify why would they want to change their action
Ask how many other times they have faced this situation
Identify what they would like to feel in this situation
70
105). Helping a client learn to tolerate and manage distress is known as what?
Strengthening
Persisting
Affect tolerance
Resonating
71
106). Rather than targeting a whole feeling, what should we target?
Why the feeling occurred
Other people have had this type of feeling
The opposite feeling
The worst part of the feeling
72
107). Who tends to have the highest “reservoir” of maladaptive coping tools?
Younger people
Those who have a hard time tolerating their feeling states
Those who are well attuned to their feeling states
Angry people
73
108). What is required before the patient can move forward in EMDR?
They have to have the ability to tolerate their feelings
They have to be able to recite the eight parts of EMDR
They have to not question the therapist
They have to have been honest about everything
74
109). Where might addictions come into play in a patient’s life?
When they are with unhealthy people
When they get tired
Early in the morning
When they have to manage intolerable affect
75
110). After we have identified triggering events or circumstances related to addictive and compulsive behaviors, what might we do?
Educate the patient on the perils of their addictive behavior
Make those events or circumstances targets of treatment
Forbid them to engage and those negative events
Have them write an essay about those events
76
111). What is one model that EMDR likes to include when dealing with addictions?
Positive affect model
12 step model
The disease model
Tolerance model
77
112). What is phase three of EMDR called?
Installation
Desensitisation
History taking
Assessment
78
113). The assessment phase is better known as what?
The education phase
The EMDR protocol
The refractory phase
The movie phase
79
114). After we set up the EMDR protocol, where is the majority of our time spent?
Re-evaluation
Body scan
Closure
Desensitisation
80
115). What must we do to get an “stuck part” unstuck?
Clearly identify it
Remind them we've already dealt with it
Get it “stirred up and agitated”
Force the client to abandon it
81
116). The term target is used to identify what in the EMDR protocol?
The presenting issue
The worst part of their trauma
Their favorite memory
Positive cognitions
82
117). What term do we use to define what the client wants to be able to believe about themselves?
The imaginary cognition
The real cognition
The positive cognition
The remote cognition
83
118). When we're identifying how true a cognition feels to a patient, what is the term that is used?
VoC
PoC
ToC
LoC
84
119). The 6th question EMDR protocol is focused on what?
Negative beliefs
Positive beliefs
Bodily sensations
Emotions
85
120). In the example of the EMDR protocol, how long does the presenter say it should take?
10 to 15 minutes
5 to 10 minutes
An hour
45 minutes
86
121). How long might it take to be sure that a client is well enough resourced to move on to trauma work?
A couple of sessions to a few months
No longer than three sessions
At least 10 sessions
More than 20 sessions
87
122). What is one of the principles that makes EMDR therapy seems safe for clients?
They only have to come once a month
They will never be challenged
They can make up details that are not true
They don't have to share a lot of details
88
123). What is one advantage to giving clients a list of negative cognitions?
It saves time
It gives you a chance to take a break
It can help give them the name to what they might be feeling
It limits their choices
89
124). When a client identifies three or four negative cognitions, what should we do?
Allow them to keep them all on the list
Have them identified the one that stands out the most
Work with them all
Have them prioritize them in order
90
125). While we don't have to use the list of negative and positive cognitions, what is true about the statements the client will make about themselves?
They have to use “I am” statements
They have to use statements that are variations of things on the list
They have to give concise statements
They have to give general statements
91
126). What is the only time we pushed the client for more information?
Early childhood history
What their goals are
Exploring emotions
Exploring bodily sensations
92
127). What is more important than knowing every single detail of a traumatic event?
How many events have occurred
How it is being stored in their brain and body
Who they have told in the past
Whether or not they're being honest
93
128). How long do we continue with sets of bilateral stimulation?
Until it (distress) naturally starts to resolve
Until the client is bored with it
No more than four times
Until the session is over
94
129). What should we do if the patient is experiencing “blocks”?
Challenge them
Be patient
Push harder
Remind them of the process
95
130). Where is most of a session spent?
Resourcing
Questioning
Revealing
Desensitisation
96
131). What word is used to define a strong emotional response?
Abreaction
Trauma
Reaction
Simile
97
132). What should we do if the client is expressing something with a lot of emotional content?
Shut them down a little bit
Ask them to slow down and repeat
Check in with them and see if they're doing OK
Remind them to keep the emotional content to a minimum
98
133). What can we do to help close out a session when we have not completely processed the target?
Do a “mini installation”
Quickly write down the last thing said
Ask the client to remember where to pick up the next time
Simply end the session
99
134). What should we remember about possible mistakes during the EMDR sessions?
We should never let a mistake occur
The client needs to do what we ask
Always get back on protocol
There will be mistakes and that is part of the process
100
135). What should we do when we notice somatic cues in our patient?
Interrupt them so we can figure out what's going on
Allow them to continue processing without interruption
Slow the session down
Ask them to engage some coping skills
101
136). What is the final prong of the 3 prongs of EMDR?
Being able to write down their story
Reaching 0 on the Sud scale
Having no more concerns
Envisioning how they will handle distress in the future
102
137). What should we do following an unfinished session when the client returns for their next session?
Pull out the protocol and see if anything has changed
Simply start with a new session
Ask them from memory if anything is changed
Start from the very beginning of the last session
103
138). What technique is used to help a client get unstuck?
A prompt
The reminder method
An interweave
Refractory technique
104
139). In what phase are coping skills built?
Phase two
Phase three
Phase four
Phase seven
105
140). What type of model of therapy is EMDR?
A free association model
A closed model
A dual model
A reciprocal model
106
141). If a client indicates that their mind is wandering during bilateral stimulation what might that indicate?
That we are on the wrong topic
That they have ADHD
That we need a little shorter period of bilateral stimulation
That they are not invested in the process of therapy
107
142). When someone is struggling to get to a “7” on the validity of their positive cognition, what should the therapist do?
Accept whatever score they have
Point out why it should be a 7
Lightly admonish them
Ask them what it would take for them to reach a 7
108
144). How long should bilateral stimulation last when doing a “mini installation”?
5 seconds
10 to 15 seconds
30 to 45 seconds
1 minute
108
143). Phase six is known as what?
The installation phase
The body scan
The revaluation
The assessment
109
145). When people say to themselves “I am something wrong”, what emotion are they feeling?
Guilt
Blame
Remorse
Shame
110
146). What should we keep in mind when thinking about our client’s maladaptive beliefs?
We must consistently challenge them
We should remember that at one point these beliefs kept them safe
We should always remind them to only focus on true beliefs
We must ask what other false beliefs they have
111
147). What does AIP stand for within the context of EMDR?
Alternative information processing
Adding in perspective
Adaptive information processing
Addressing incorrect processing
112
148). Helping clients address earlier memories associated with disturbing material is known as what?
The float back technique
The recall technique
Reconstitution
Readdressing
113
149). When using the float back technique rather than asking for the earliest memory, what should we ask for?
The most relevant memory
The most powerful memory
An easy memory
An earlier memory
114
150). After a client identifies their worst-case scenario, what do we want to move them into next?
Consolidation
Desensitisation
Reintegration
Reality testing
115
151). What technique should we use when the client is repeating a statement or a question?
Consolidation
Interweave
Reframe
Reflection
116
152). What is at the heart of EMDR?
The interpretation model
The expert model
Brief interactions
Wanting to be client centered
117
153). Restricted processing is also known as what?
EMDR/2
EMD
Mini emd
Reconstitution
118
154). One round bilateral stimulation is equivalent to how many sets of tapping?
4
7
2
9
119
155). What is the primary goal of restricted processing?
Resolving the issue entirely
Learning about the client
Getting the disturbance level lower
Instilling coping skills
120
156). The goal of helping a client learn to tolerate and manage distress is known as what?
Symptom management
Affect tolerance
Emotional tolerance
Distress management
121
157). The validity of cognition (VoC) scale goes from 1 to what?
5
9
7
10
122
158). Mark Grant developed which EMDR protocol?
Restrictive protocol
Reciprocal protocol
Extended protocol
Pain protocol
123
159). What is the assessment phase primarily about?
Building report
Getting good history
Developing a target
Skill building
124
160). What is the most important thing to remember when we are exploring trauma desensitisation and reprocessing?
It is purposeful
It is difficult
It is optional
It is an end unto itself
125
161). What is the definition of desensitisation?
Being less angry about bad things
Not letting things bother us
Learning what is important
Reducing the subjective experience or distress related to a memory
126
162). What does AIP allow us to do in relationship to difficult experiences?
Process information and learn
Forget the events
Understand why people do bad things
Put things in proper sequence
127
163). What does cognitive dissonance activate which allows clients to create changes in their neural networks?
Amygdala processes
Corpus callosum
Neuroplasticity
Negative recall
128
164). When a client recalls the earliest time they remembered a particular feeling, that is called what?
The float back
Recollection
Flashback
Remembrance
129
165). What is something the speaker wants us to remember across all eight phases of EMDR?
We need to keep to a very strict schedule
We need to remind the client to obey our commands
We need to appear very clinically distant
We need to attune to somatic cues
130
166). What modify EMDR protocol is considered “interweave heavy”?
Somatic
Progressive
Reciprocal
Refractory
131
167). What are Pendulation based approaches built on?
Rigidly structured interviews
Variations on psychoanalysis
Oscillation between resource and distress
Total focus on coping skills
132
168). If a client has a “blocking belief running in the background” what will happen in therapy?
Therapy will not work
Therapy will take longer
Therapy will be more difficult
Therapy will have to be more repetitive
133
170). What should we help the client do once we identify an unmet need within a part of themselves?
Note it for future work
Point out that it is an early need that they should have left behind
Explore creating an imagined repair
Assure them they can push through this unmet need
134
171). Within the context of “parts work”, what is important before proceeding with de-sensitization?
Pick only one part for the session
Check in with all parts
Pick up with the part from the last session
Remind parts to get along
135
172). What might you and the client do once you realize the client has a young or wounded part?
Ask that part do not participate in therapy
Create a safe space for that part
Remind the part that we all need to grow up
Focus only on that part
136
173). What is the most important thing when using Gestalt work?
Take your time
Remind the patient to identify each part before they speak
Pick a side
Get to know the “voice” of each part
137
174). How do we start every session if we are going into phases three and four?
Identify resources
Remind the client of the target
Took control of the session early
Make the client lead
138
175). What do we call a statement that is helping the client feel themselves in the room in the here and now?
Reminder
Centering interweave
Orienting interweave
Intervention
139
176). What helps us access an internal source of wisdom that guides the healing process?
Body awareness
Insight oriented questions
Cognitive reprocessing
Empty chair technique
140
177). What does Peter Levine call the body remaining in patterns freeze, fight, flight or faint?
Reactive processes
Overwhelming stress
Hyperbolic response
Thwarted instincts
141
178). When you are asking the patient to “choose a handle”, what are you referring to?
Picking from a list of phrases
The identification of a descriptive que word
Focusing their attention
Grounding their feet on the floor
142
179). Facilitating a sense of connection, release, a resolution through body awareness and movement is known as what?
Body awareness work
Physical therapy
Cognitive interweave
Somatic interweave
143
180). When a client says they are experiencing numbness or disconnection, what is the most important thing?
We focus on that feeling until it begins to change
We simply bring awareness to it
We offer suggested feelings
We note it and move on
144
181). What is an indication that a client may require a modified protocol?
Anytime “looping” occurs
Anytime the client asks for a change
Anytime the client seems confused
Whenever you get a feeling it's time to make a change
145
182). What do the speakers believe usually underlies any addiction?
Genetics
Poor choices
Social connections
Trauma
146
183). What does the speaker believe the desired outcome is for most addictive behavior?
A desired fantasy
The end of boredom
The avoidance of pain
Connection to others
147
184). What is a hallmark of clients who are more reliant on “right brain functioning”?
Logical thinkers
Sequential thinkers
Slower processing
Emotionally laden processing
148
185). How does EMDR address the issue of details of trauma?
EMDR recognizes that details are an essential part of the healing process
EMDR does not require details
EMDR patiently waits for all details
EMDR does not allow details
149
186). What is another way of saying a client becomes disconnected?
They become distracted
They become avoidant
They become angry
They become dissociated
150
187). What is an important thing to do when we are asking clients to name their inner resources?
Observe their face
Keep track of their favorite resources
Point out resources that may be overusing
Suggest the most powerful resource
151
188). How do we choose a focus for a session?
The therapist sets the agenda
It is based on the last session
It is a shared conversation
It is the next thing on the list
152
189). What can happen with a complex trauma patient when you ask them where they want to start a session?
They don't know where they want to start
They know exactly where to start
They tell you to pick a starting point
They always start where they left off last session
153
190). What can happen in therapy when the “younger part” is not ready to move forward?
Therapy can slow down
Therapy can still progress
Therapy will not be affected
Therapy can “backfire”
154
191). What can happen if we allow just one “part” to tell a story in therapy?
We can lose the dual awareness state
We might not get the whole story
We will have to double back and hear the story again
We will not get a true picture
155
192). When can there be an “exposure element” to EMDR?
When we feel like it is the best thing to do
When the client seems stuck
When the client chooses to “speak through” what has happened
When there are multiple traumatic events
156
193). If the client seems to find some resolution, what can we do next?
Write down the event for them to remember
Integrate that new felt sense of self
Stop the session and consolidate
Point out that the work is done
157
194). What is the fundamental building block of an EMDR session?
The telling of the story
The skill of the therapist
The structure of the session
To bilateral stimulation
158
195). What is a spinoff of EMDR in which we pay close attention to the patient’s eyes?
Brainspotting
Empathy based
Gestalt
REBT
159
196). What is often true with neglected patients regarding parenting?
Parenting is still occurring
They become their own parent
Neighbors step into parent
The parent relationship it not necessary
160
197). What is the ultimate goal of helping the patient develop self compassion?
Acceptance
Understanding
Fulfillment
Embodiment
161
198). What is an essential thing the therapist must know before they do phase four reprocessing?
That the client can say no to them
That there are good coping skills
That they're curing to the protocol
That they fully understand the case history
162
199). What is true about bilateral stimulation for some clients?
All clients need bilateral stimulation
Bilateral is the core of the treatment protocol
Some clients process naturally without bilateral stimulation
Bilateral stimulation is always helpful
163
200). Rather than focusing only on trauma, what does resilience informed therapy seek to do?
Eliminate traumatic event from memory
Focus only on skills
Practice emotional regulation
Broaden the lens into the broader landscape
164
201). What is another term for a mini-installation?
Incomplete installation
Golden nugget practice
Single installation
Remedial practice
165
202). What does Frankl define as attitudinal values?
Choosing how we want to respond to what has happened to us
Choosing how to be creative
Experiencing only the positive things in life
Reflecting on our growth
166
203). What might we call a strengthened life philosophy that occurs after a traumatic event?
Resilience
Post traumatic growth
Positive reflection
Reflective growth
167
204). Within the context of emotional intelligence, what does expressing vulnerable or painful emotions allow?
Greater access to acceptance, compassion and joy
A fuller opportunity to learn
The development of richer memories
A more complete understanding of things that have happened to us
168
205). Being able to say “this happened to me, and now it's over” is defined as what?
Closure
Resilience
Completeness
Resolution
169
206). What makes EMDR “safer”?
Carefully selecting the right client
Short runs of bilateral stimulation
Longer runs of bilateral stimulation
Paying close attention in phase one and two
170
207). In addition to building distress tolerance, what else is necessary?
Positive affect tolerance
Critical tolerance
Information tolerance
Decision tolerance
171
208). Why do therapists sometimes jump in too early to apply a resource?
That is the correct thing to do
Resources are all that matter
It is uncomfortable for us
That is the EMDR model
172
209). What is the second item on The Burnout Continuum?
Confusion
Compassion fatigue
Anger
Regret
173
210). What is the best way to address the burnout continuum?
Limited work schedule
Careful selection of easier cases
Clients healing quickly
A firm commitment to basic self-care
174
211). What should we do at the end of a session rather than continuing to feel responsible?
Tell the client we will not be thinking about them
Engage in a distracting activity
Hold onto one or two important details to remember for the next section
Let go of anything that doesn't serve us
