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After the Trauma: Skills and Treatment - Test
by Laura S. Brown, Ph.D., ABPP

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1. A clinician should ensure that:	Help
Clients do no work on mourning and remembrance until they are completely through the safety and stabilization phase. Safety and stabilization are woven through all phases of treatment. Clients make a no-self-harm contract. Clients go into specific detail as to all sensory components of the trauma experience.

2. The presence of a supportive figure while trauma is occurring:	Help
Reduces the effects of the trauma due to the perceived protective presence of the supportive person. Can worsen the effects of the trauma because the victim feels betrayed by the supportive figure’s apparent bystander behavior. Has no effect on the impact of the trauma. Creates an opportunity for early intervention with the victim.

3. Factors that need to be addressed for client safety include:	Help
Systemic oppression. Current relationships. Therapist behavior. All of the above.

4. An aspect of safety that is rarely addressed, and which adds cultural competence to trauma treatment is:	Help
Diet. Exercise. Spirituality. None of the above - these are all routinely addressed in trauma treatment.

5. The following is true regarding memory for trauma:

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Abreaction of painful memories is essential for trauma survivors to completely recover and cease to be avoidant.
Dealing with the specifics of memory of the trauma is less central to recovery than is stabilization and symptom reduction.
Memory for trauma that can be transformed into narrative memory will be less intrusive and evocative.
Most of what people experience as memory for trauma is a distortion of events due to high levels of emotional arousal.

6. One of the greatest challenges in working with high-functioning trauma survivors is:	Help
Realizing that their apparent high function is illusory. Realizing that they have experienced a trauma. Culturally sanctioned avoidant coping strategies. The tendency toward the use of dissociative coping strategies in this group of patients.

7. Which is the most useful strategy for dealing with trauma survivors engaging in risky behaviors?	Help
Harm reduction Clear contracts and consequences for engaging in risky behaviors Inpatient treatment Intensive outpatient treatment

8. Current research on memory for trauma indicates that:	Help
It is impossible to lose and then recover memory for trauma. Memories for trauma are often vague and inaccessible for some periods of the survivor's life. Continuous memories are more accurate than delayed recall. All delayed recalls are likely to be confabulations.

9. Grieving is:	Help
An optional component of trauma treatment because not all trauma involves the loss of a loved one. Central to successful metabolizing of the trauma, as all trauma involves loss of something in the survivor's life. Less important than carefully working through all details of the memory for the trauma. None of the above; grief is a separate issue.

10. One of the most potent interpersonal variables that a clinician can bring to trauma treatment is:	Help
Neutrality. Self-disclosure of the clinician's own trauma history. Compassion. Confronting the client with the reality that their life has changed forever.

11. Are ethical clinicians bound by the recommendations of specific treatment guidelines?	Help
Yes, without question because they reflect the best, most neutrally-reviewed, research on trauma treatment. Not necessarily; such guidelines have good information, but also important gaps in their understanding of trauma treatment. Never, because such guidelines have failed to take issues of culture and intersectional identities. None of the above

12. Ruptures in work with trauma survivors are:	Help
Avoidable, so long as the clinician adheres carefully to guidelines for treatment. Only present with the most severely disturbed clients. Inevitable, and a sign that treatment is progressing. Evidence of a poorly trained clinician.

13. A relationship variable that Briere and Scott believe to be essential to effective trauma treatment is:	Help
Hopefulness. Positive regard. Self-disclosure. Both 1 and 2 above

14. Eye Movement Desensitization Reprocessing (EMDR) is:	Help
An evidence-based treatment for PTSD. A hoax that should not be used. Exposure therapy by another name. Risky because it can destabilize people.

15. Prolonged Exposure (PE):	Help
Is particularly effective for complex trauma survivors. Must be done in vivo in order to be effective. Has been found to be effective when delivered via virtual reality. Is much more effective than cognitive processing therapy.

16. Components of Acceptance and Commitment Therapy (ACT) include:	Help
Defusion. Disentanglement. Disaggregation. Reempowerment.

17. Dialectical Behavior Therapy (DBT) is useful in trauma treatment because:	Help
Most trauma survivors develop Borderline Personality Disorder, for which DBT was developed. Therapists working with trauma survivors require the types of support that are part of the DBT model. DBT Skills offer useful strategies for the Safety and Stabilization phase of treatment. DBT is useful for working with substance abusers, which is the most common co-morbid diagnosis for PTSD.

18. The Contextual Model of trauma treatment:	Help
Was developed to work with combat trauma survivors. Was developed specifically for complex trauma survivors. Focuses on the trauma experiences that have happened in a person's life. Requires participation in group treatment.

After the Trauma: Skills and Treatment - Test by Laura S. Brown, Ph.D., ABPP

After the Trauma: Skills and Treatment - Test
by Laura S. Brown, Ph.D., ABPP