EMDRIA Knowledge Check: Session 1 (6 day EMDR Training)

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Question 1 of 20

1. Question

1. The three-pronged protocol refers to which of the following:

Fears related to a traumatic event, attachment experiences with primary caregivers, and structural dissociation of the personality.

Identify, target and process the earlier memories causing the problems, present experiences triggering the disturbance and the behaviors needed for adaptive future functioning.

Sensory experiences related to the trauma, unacted urges and impulses related to the trauma, and emotions related to the trauma.

The negative cognition, the positive cognition and the body sensations.

Hint

Shapiro p. 216
Question 2 of 20

2. Question

2. The positive/future template involves applying bilateral dual attention stimulation while a client runs through the sequence of a challenging past experience until there is no longer a disturbance associated with it.

True

False

Hint

Shapiro p. 206
Question 3 of 20

3. Question

3. Delineating the client’s presenting complaint and its symptoms, initial causes, duration, and additional past occurrences occurs during which Phase?

Phase 3 – Assessment

Phase 2 – Preparation

Phase 4 – Reprocessing

Phase 1 – History taking

Hint

Shapiro p. 98-100
Question 4 of 20

4. Question

4. Shapiro (2018) states that because EMDR therapy has been shown to be effective and efficient, it is not necessary to take steps to test whether clients can manage moderate to high levels of emotional disturbance and to practice self-control procedures.

True

False

Hint

Shapiro P. 88
Question 5 of 20

5. Question

5. Shapiro (2018) suggests the Safe/Calm place exercise is recommended as part of the preparation phase before starting reprocessing because:

Peaceful images do not produce any feelings of anxiety.

It unlocks and drains a reservoir of negative emotions.

It reassures clients they have a way to recover emotional stability during any disturbance.

It allows whatever happens to happen.

Hint

Shapiro p. 117
Question 6 of 20

6. Question

6. When selecting an image during Assessment Phase, the clinician should specifically ask:

What picture best represents the experience to you?

What picture represents what you think of yourself in your worst moments?

What scenery is passing by when you think of the incident?

What picture defines yourself in this moment?

Hint

Shapiro p. 125
Question 7 of 20

7. Question

7. A Negative Cognition (NC) is a negative self-statement the client believes at least to some extent about themselves now when recalling the disturbing event and picture.

True

False

Hint

Shapiro p. 125
Question 8 of 20

8. Question

8. What is the Validity of Cognition scale range (VoC)?

From 1-10

From 0-10

From 0-7

From 1-7

Hint

Shapiro p. 129

(Phase 3: Validity of Cognition Scale- VOC)
Question 9 of 20

9. Question

9. Naming the emotion(s) in the Assessment phase is important because:

It identifies the emotion that the client feels as they bring up the experience in present time.

It prevents confusion if they subsequently describe the reprocessing experience by using the SUD scale.

It produces a sense of accomplishment.

It separates the emotion psychologically from the sensation in the body.

Hint

Shapiro p. 130
Question 10 of 20

10. Question

10. Which three things should the clinician ask the client to notice when beginning the Desensitization Phase?

The image, the positive cognition and where they feel it in their body.

The negative cognition, the positive cognition and the emotion

The image, the negative cognition and where they feel it in their body.

The image, the bilateral dual attention stimulation and the emotion.
Question 11 of 20

11. Question

11. During the Desensitization Phase after the first set of BLS, it is advisable for the clinician to:

Remind client of the negative cognition.

Ask the client to continue to hold the original image in mind.

Refrain from reminding client of the negative cognition.

Check the validity of cognition.

Hint

Shapiro p. 137
Question 12 of 20

12. Question

12. Three primary themes for interweaves are:

Past, present, future.

Responsibility, Safety and Choices.

Supportive figures, personal achievements, spiritual figures.

Relationship, affect regulation, self-esteem.

Hint

Shapiro p. 259
Question 13 of 20

13. Question

13. Phase 8 Reevaluation:

Is optional because in many cases the target has already been processed to a SUD of 0 and a VoC of 7.

Is sometimes referred to as Reassessment Phase and should only be used after incomplete sessions.

Is vital and should open each reprocessing session after the first, assessing client’s progress and how well previously targeted material has been resolved.

Was added later by Francine Shapiro as the “R” in EMDR.

Hint

Shapiro p. 191
Question 14 of 20

14. Question

14. Shapiro (2018) states that, when reprocessing is not progressing even after changing the nature or type of bilateral dual attention stimulation, the clinician should:

Start a different target to see if that will resolve

Change the NC and PC in case they were the problem.

Explore ancillary factors, such as feeder memories, blocking beliefs or secondary gain.

End the session and switch back to talk therapy

Hint

Shapiro p. 190
Question 15 of 20

15. Question

15. When processing the initial target is unsuccessful, the clinician should consider inquiring about negative beliefs that are blocking progress.

True

False

Hint

Shapiro p. 85-97

(Phase 1: Case conceptualization and target sequencing)
Question 16 of 20

16. Question

16. When beginning the Phase 5 Installation, the first question to ask is:

“What do you notice in your body now?”

“Do the words [repeat the positive cognition] still fit, or is there another positive statement you feel would be more suitable?”

“What do you think about the negative cognition now?”

“How are you feeling when you recall the [restate the disturbing event]?”

Hint

Shapiro p. 151-152
Question 17 of 20

17. Question

17. When checking the VOC during Installation Phase, the therapist should say:

When you think about the original picture, what do you think now?

On a scale of 0 to 10 where 0 is no disturbance or neutral and 10 is the highest disturbance you can imagine, how disturbing does it feel to you now?

Think about the original incident and those words [selected positive cognition], from 1, completely false, to 7, completely true, how true do they feel?

Close your eyes and keep in mind the original memory and the positive cognition. Then bring your attention to the different parts of your body, starting with your head and working downward.

Hint

Shapiro p. 152
Question 18 of 20

18. Question

18. Because of the potential of EMDR for rapid destabilization, there are many client factors to consider prior to beginning EMDR. Which of the following is NOT a factor?

If the client has good affect tolerance.

If the client has a stable life environment.

If the client has stated they would like to start the EMDR immediately.

If the client can undergo temporary discomfort for long term relief.

Hint

Shapiro p. 500-502
Question 19 of 20

19. Question

19. In EMDR therapy, pathology is viewed in terms of maladaptive memory networks which have not been fully reprocessed and continue to be held in a state-specific form giving rise to maladaptive perceptions, behaviors, beliefs and attitudes.

True

False

Hint

Shapiro p. 44
Question 20 of 20

20. Question

20. The AIP model states that maladaptive personality traits may be:

The result of unprocessed experience

Intractable.

Pathological targets.

Difficult to treat.

Hint

Shapiro p. 38

EMDRIA Knowledge Check: Session 1 (6 day EMDR Training)

This quiz consists of EMDRIA mandated questions. All questions derive from Francine Shapiro’s book and material covered in your training.

(Each question has a hint if needed)

Quiz Summary

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1. Question

1. The three-pronged protocol refers to which of the following:

Hint

2. Question

2. The positive/future template involves applying bilateral dual attention stimulation while a client runs through the sequence of a challenging past experience until there is no longer a disturbance associated with it.

Hint

3. Question

3. Delineating the client’s presenting complaint and its symptoms, initial causes, duration, and additional past occurrences occurs during which Phase?

Hint

4. Question

4. Shapiro (2018) states that because EMDR therapy has been shown to be effective and efficient, it is not necessary to take steps to test whether clients can manage moderate to high levels of emotional disturbance and to practice self-control procedures.

Hint

5. Question

5. Shapiro (2018) suggests the Safe/Calm place exercise is recommended as part of the preparation phase before starting reprocessing because:

Hint

6. Question

6. When selecting an image during Assessment Phase, the clinician should specifically ask:

Hint

7. Question

7. A Negative Cognition (NC) is a negative self-statement the client believes at least to some extent about themselves now when recalling the disturbing event and picture.

Hint

8. Question

8. What is the Validity of Cognition scale range (VoC)?

Hint

9. Question

9. Naming the emotion(s) in the Assessment phase is important because:

Hint

10. Question

10. Which three things should the clinician ask the client to notice when beginning the Desensitization Phase?

11. Question

11. During the Desensitization Phase after the first set of BLS, it is advisable for the clinician to:

Hint

12. Question

12. Three primary themes for interweaves are:

Hint

13. Question

13. Phase 8 Reevaluation:

Hint

14. Question

14. Shapiro (2018) states that, when reprocessing is not progressing even after changing the nature or type of bilateral dual attention stimulation, the clinician should:

Hint

15. Question

15. When processing the initial target is unsuccessful, the clinician should consider inquiring about negative beliefs that are blocking progress.

Hint

16. Question

16. When beginning the Phase 5 Installation, the first question to ask is:

Hint

17. Question

17. When checking the VOC during Installation Phase, the therapist should say:

Hint

18. Question

18. Because of the potential of EMDR for rapid destabilization, there are many client factors to consider prior to beginning EMDR. Which of the following is NOT a factor?

Hint

19. Question

19. In EMDR therapy, pathology is viewed in terms of maladaptive memory networks which have not been fully reprocessed and continue to be held in a state-specific form giving rise to maladaptive perceptions, behaviors, beliefs and attitudes.

Hint

20. Question

20. The AIP model states that maladaptive personality traits may be:

Hint