FCS 4800 Final Exam

Why is it difficult for a new client who mentions drugs, alcohol, or other addiction problems to say "I don't deal with addictions"?

It may shame the client

Which of the following would be an appropriate response to someone who has just experienced a significant loss in their life?

It seems like a very difficult time right now and it could feel like something is missing

The English word "trauma" is a direct translation of the _____ word for wound.

Greek

When being empathetic, a helper is essentially doing what?

Taking on their pain/passion and walking with them

R-Complex/Reptilian Brain

-AKA Basal Ganglia -Brain stem and Cerebellum -Animal instincts: reflex behaviors, muscle control, balance, breathing, heartbeat

Identify the action oriented coping skills discussed in the text.

-Diaphragmatic breathing -Complete breathing -Ujjayi breathing -Energetic massage -Light stream guided imagery

The DSM-5 contains a number of significant changes from the earlier DSM-IV. From the following list choose all the changes noted as discussed in lecture.

-Disruptive mood dysregulation disorder was added -Several diagnoses were officially added to the manual including binge eating disorder, hoarding disorder, and premenstrual dysphoric disorder -Asperger's disorder was removed and incorporated under the category of autism spectrum disorders.

Choose all of the qualitative assessment strategies as discussed in lecture.

-Open-ended questions or list of feeling words -Check your own perceptions and bias -Work to identify key themes

There appears to be four common factors that to contribute to effective use of researched therapies that are intended to be therapeutic, what are they?

-Things that work to engage and inspire the client -The therapeutic alliance -Therapist factors -What clients bring to therapy

What makes up the limbic system or midbrain?

-amygdala and hypothalamus -pain or pleasure -motivations and emotions associated with feeding, reproduction, and attachment behaviors -Fight, Flight, Freeze

Choose all the "major variables" that can play into the trauma equation.

-culture -gender -family -sexuality -oppression -spirituality -protective factors

What actions and behaviors come from the neomammalian complex(cerebral neocortex)?

-executive functioning -higher-order thinking skills -reason -speech -meaning making -willpower -sapience(wisdom)

If we desire to move away from the "one size fits all" approach to treatment it is imperative to (BLANK).

Find the right individualized treatment

Name the three overall types of ACE's

Abuse, Neglect, Household Dysfunction

In general, an individual experiencing nine (or more) symptoms from the five categories of intrusion, negative mood, dissociation, avoidance, and arousal, beginning and worsening after a traumatic event starting 3 days after to 1 month, might be diagnosed with which of the following.

Acute Stress Disorder

The action or process of becoming better suited

Adaptation

What does "ACE" mean or stand for?

Adverse Childhood Experiences

The ACE Pyramid represents the conceptual framework for the ACE Study. What has the ACE Study? Identify a main factor from the list below.

Adverse experiences negatively effect development

If you see any of the following in your client, what should you do as a counselor? Alcoholism and Alcohol Abuse - Chronic Obstructive Pulmonary Disease - Depression - Fetal Death - Health-Related Quality of Life - Illicit Drug Use - Ischemic Heart Disease - Liver Disease - Risk for Intimate Partner Violence - Multiple Sexual Partners - STDs - Smoking - Suicide Attempts Unintended Pregnancies and Adolescent Pregnancies - Early Initiation of Smoking and Sexual Activity

Assess the client for trauma

The state of living with loss

Bereavement

Who is considered the father of client-centered (person-centered) therapy?

Carl Rogers

From the PowerPoint, the following are examples of what coping strategy? Whenever it feels too uncomfortable for you to keep holding on, know that you can slowly, mindfully let go at any time Notice your fingers uncurling, and feel the trickle of letting go through your arms, up to your shoulders

Clench and release

Most professionals believe that complicated mourning can lead to (BLANK), according to the text.

Clinical Depression

In our society/culture today, _________ might use the DSM and _________ is credited for creating it?

Clinicians and Psychiatrists, American Psychiatric Association

From the lecture "extend yourself appropriately" is related to what term in listening and having good boundaries?

Communicating Warmth???

Which of the following is NOT one of the 12 steps?

Contacting those who have been hurt, even though doing so would harm the person

Identify the criterion that best fits the following symptoms for PTSD: Avoidance of trauma-related stimuli after the trauma, in the following way(s): Trauma-related thoughts or feelings Trauma-related reminders

Criterion C

Identify the criterion that best fits the following symptoms for PTSD: Trauma-related arousal and reactivity that began or worsened after the trauma, in the following way(s): Irritability or aggression Risky or destructive behavior Hypervigilance Heightened startle reaction Difficulty concentrating Difficulty sleeping

Criterion E

The DSM is an important tool, only those who have received specialized training and possess sufficient experience are qualified to __________

Diagnose and treat mental illness

What is the Greek word for Empathy?

Empatheia

Brain's progression of processing normal or traumatic events

End of page 3 of chapter 4 PowerPoint notes

Which coping technique uses the following step? Rub your hands together for at least thirty seconds... really work up some heat!

Energetic massage

True or False, clinicians should focus on the diagnosis, psychological terms, and definitions when treating a client.

False

True or False, empathy and sympathy mean the same thing. Sympathy is feeling compassion, sorrow, or pity for the hardships . Empathy is putting yourself in the shoes of another.

False

True or False, it is fundamental to assess a client's existing coping skills and then discuss which are adaptive and which assist the client's maladaptation. It is important that client continue to accept and preform maladaptive behavior.

False

True or False, stabilization is not as important as the cathartic elements, catharsis would be considered primary in the therapeutic process.

False

True or False, when working as a helper, it is important to understand that people are individuals but are not very unique in how they may grieve. "Pain is Pain"

False

People with unresolved trauma can be reactive instead of responsive to stressors. Therefore, it is important that professionals model (BLANK).

Flexibility

What does the statement, "With Delayed Expression" mean?

Full diagnostic criteria for the PTSD diagnosis may not be met until at least six months after the original trauma

Grief has a Latin root "gravas", which means....?

Heavy

Marich notes that "one of the greatest misconceptions about trauma counseling" is how helpers may tend to focus on a particular stage first, Name the stage that is incorrectly given most of the attention in trauma work?

Identification

Which coping technique uses the following step? Imagine that a bright and healing light has begun to form overhead. This light can be whatever color you want it to be- whatever you associate with healing, happiness, or goodness. If you don't like the idea of a light, you can think of it simply as a color or an essence.

Light stream guided imagery

What is another word for incorrectly diagnosing an individual who has mild to severe symptoms?

Misdiagnosis

The word for "Model" comes from Latin. Correctly identify this Latin word and its meaning.

Modus, something meant to be imitated

What is another word for when your anxiety about another person's feelings, problems, or behavior leads you to take personal responsibility away from them and place it on yourself according to the first week's lecture.

Monkey

Applied Empathy, Established Discrepancy, Argument Free Zone, Understanding Resistance, and Encouraging Self-efficacy are all elements of what therapeutic modality?

Motivational Enhancement Therapy

The process of adaptation

Mourning

As discussed in lecture, name another misconception when working with those who present with trauma.

Once something is processed it is gone

What example of the "disease model" was used to justify its relevance?

Organ--Defect--Signs & Symptoms

The triune brain model

Page 55-57 MacLean's model postulates that the human brain is three distinct brains working together as one each with its own unique sense of time and orientation. Hand model: -Neocortex -Limbic -Brainstem

Do's and Don'ts for clients

Page 64

Often times when there is a loss that is uniquely traumatic it may have the appearance of...?

Posttraumatic Stress Disorder

The author discusses that reading about trauma "can be intense and even triggering". What does she say one must be sure to do while reading this book?

Practice Self-Care

Marich offers an ancient Korean folk tale called "The Tiger's Whisker". What is the main point of this story as related to client care?

Provide empathetic care long enough and client will respond

Dr. Elisabeth Kubler-Ross, the great Swiss-American psychiatrist, is best known for working in what field of study?

Psychiatry and Thanatology

When a clinician states that the client's experience "could have been worse" or that they "should be focused on how good things are now", can (BLANK) a client by minimizing their struggle.

Re-Traumatize

It is important to refrain from taking on other's problems or issues, this was called "Quadruple Type-A Behavior" in lecture. Identify the possible ways to help "cure" this behavior.

Receive, Relax, Relinquish, Identify who owns the problem

Fill in the blanks: The author talks about identifying as a(n) ________ addict as opposed to a(n) ________ addict.

Recovering, Recovered or Cured

Who is responsible for this quote? "The wound is the place where the light enters you."

Rumi

What are the two primary qualities of what defines trauma-sensitive care?

Safety and Flexibility

What is the grieving tradition where the bereaved spend up to a year sitting by fires until they move through their darkest emotions.

Season of ashes

After World War I, combat trauma was called what?

Shell Shock

Coping skills training involves all of the following EXCEPT.

Skills for medication choice

Some professionals may not consider these worth noting, however, being trauma-sensitive validates perceived trauma in client care. Perceived trauma may influence areas of life and client concerns, therefore needs to be considered. What best describes the above statement from the Ch 2 lecture?

Small "t" trauma

An attitude that people encounter after a loss

Sorrow

What does "SAMHSA" stand for?

Substance Abuse and Mental Health Services Administration

What other concerns did Kessler and colleagues (1955) determined may be present with those meeting a PTSD diagnosis (about 35% of those diagnosed)?

Substance dependence

It is normal for trauma survivors to experience (BLANK)

Suicidal Ideation

Pierre Janet's Stage Model for the Treatment of Traumatic Stress (AKA: The Three Stage Model), has another name that Dr. Marich prefers. What is the name of this model that referenced in Chapter 8?

The Consensus Model

What is a possible issue to the resource of "motivation"?

The client enters therapy considering the consequences of making positive change (The secondary gains of continuing to be sick or stuck interfere with the client's progress).

Experience of loss

The experience of loss in one's life

Complete the following statement with the BEST ANSWER: "Prior to the era of Alcoholics Anonymous, the predominant explanation for alcoholism and drug addiction was.."

The moral model

Using the provided "dance" metaphor in the text, a clinician needs to be in which of the following positions for the best therapeutic process?

The one who is led

What do you believe the following statement means according to Marich and what you have learned in Ch 7? "It's All About the Relationship"

To be a successful mental health professional, you must be able to build a good relationship with your client so they feel comfortable and are willing to open up to you. You must be empathetic to their situation and patient with them and you must accept them even if you do not agree with their choices.

In Latin, "addicere" means what? -

To be fixated on or favor

When assessing PTSD in children, clinicians may see an indication that children exhibit repetitive play themes connected to the original trauma - trauma-specific reenactment may occur. Additionally, behaviors may be part of the repetition compulsion cycle of survivors acting out traumas.

Trauma Recapitulation

By nature we must incorporate the body, or promote a holistic convergence of somatic, cognitive, & emotional/spiritual activities - What does this mean?

Trauma-informed coping skills are action oriented.

True or False, George Enger noted that the process of grieving a loss is a movement towards restoration and recovery. It is understood that people will be fully healed when they fully accept the loss of a loved one.

True

True or False, Kubler-Ross' Stages of Grief are commonly used today as a model for bereavement following a loss or death.

True

True or False, Marich describes a physical scar as a beautiful metaphor for resilience.

True

True or False, trauma is subjective- colored by individual perception, life experience and healing style

True

True or False, we are all addicts in one way or another, fixated on something or unhealthfully attached to something that does not serve us.

True

True or False, when "Keeping it Simple", helpers may need to be couscous when finding a model containing complicated "steps" or "components". A complicated model may cause clinicians/helpers to get tripped up in the unpredictability/messiness associated with trauma work.

True

What is the "three-tiered structure" to help frame the healing process from the perspective of the client?

Victim-Survivor-Thriver Continuum

Refusing to take care of ourselves becomes a quality of care issue. What can happen if we are not dealing with our own stress?

We risk harming the client

According to the lecture over Ch 7 - Being trauma-sensitive is about helping a client...

define and find their way "home".

Quantitative assessment strategies are _______

generally not helpful

In class we discussed "Wisdom according to 'Jim'". Jim talks about the "oil" of love, support, and caring individuals who want to listen. According to Jim, what does the "oil"do?

helps to regain flexibility

Marich would contend that it is important to have a client engage with (BLANK), as well as, "mental health" treatment for optimum movement toward recovery.

the external effects of the client's addition

A therapist may not need to be ________ to be trauma competent, but they must maintain a ________ when addition is mentioned in a session. However, at the very least a professional must be trained to assess for problems related to substance abuse or addictive behaviors.

trained addiction counselor, calming presence