EMDRIA Knowledge Check: Session 2 (6-day EMDR Training)

21. According to Shapiro (2018), any event that has had a lasting negative effect on the self or psyche is by its nature traumatic.

True

False

22. The AIP model provides a framework for treatment, understanding development of pathology, making associations, coming to a resolution, and guiding future actions.

True

False

23. Which of the following is an important premise of the AIP model?

A long period of exposure to the memory of a traumatic incident is the best method for healing trauma.

Consistent client homework in between sessions is the key to therapy efficacy

The body has an intrinsic capacity for psychological self-healing.

Teaching clients improved responses to stimuli results in improved emotion.

24. According to Shapiro (2018), when the information processing system is activated it is:

Maladaptive.

Always going to result in rapid healing.

Adaptive.

Triggering.

25. Which of the following is not a factor in changes in the nervous system associated with psychological trauma that result in a loss of neural homeostasis:

Cortisol release.

Relaxation response.

Fluctuations in neurotransmitters.

Spikes in adrenaline.

26. Which of the following is not a hypothesis to explain the impact of eye movements on reprocessing are:

Dual attention taxes the working memory ultimately lowering the disturbance of the memory.

Bilateral eye movements elicit the orienting response, engaging the parasympathetic nervous and lowering the disturbance.

The rhythm of eye movements erases memories so that they are forgotten.

Eye movements stimulate a process similar to REM sleep.

27. Which of the following is not a strategy that clinicians can use to reinforce the client’s dual focus of attention and connection to present time:

Verbal reassurances during the set.

Purposely changing the direction and speed of the eye movements.

Make slower movements or cover a shorter range.

Check the VOC level.

28. According to Ashley’s and Lipscomb’s article in Go With That magazine, which best describes how cultural competency informs the application of EMDR therapy?

In History Taking, to prevent undisclosed pockets of feeder memories.

In Preparation, to allow the client to select resources that fit with their own adaptive information.

In Assessment, allowing the client to select a culturally relevant Negative or Positive Cognition.

Throughout all phases: through racerelated inquiry, culturally relevant cognitive interweaves, and awareness that successful desensitization may involve a higher level SUDs due to ongoing threats related to racism.

29. According to Archer’s article in Go With That magazine, Racial trauma is historical, multigenerational, and reinforced through implicit and explicit forms of discrimination and oppression. In addition to preverbal traumatic events, using EMDR helps to target second-generation traumatic material.

True

False

30. According to Archer’s article in Go With That magazine, when identifying adverse or traumatic experiences during history-taking with Black, Indigenous, People of Color (BIPOC) clients:

It is not important to consider a client’s race, as the concept is simply a social construct.

. The issue of race can be set aside, since race is actually a ‘fake’ reality with no real consequences.

. It is especially important to consider how a client might have been racialized into disadvantage, since racism affects one’s trauma history.

. Most BIPOC clients will have the same perspective on their experience of inequity and racism.

31. According to Ashley’s and Lipscomb’s article in Go With That magazine, the EMDR Therapist working with Black Americans should:

Consider historical trauma and the reluctance, stigma, and shame when seeking help.

Work with the client using color blindness as a model.

Avoid all reference to race

Ignore microaggressions when they are described.

32. In memories that might be a part of a case involving a legal proceeding, which of the following is true?

The client will forget what happened, thereby making their testimony unusable.

The client should avoid testifying immediately after an EMDR treatment session.

Informed consent should be used with all pertinent parties.

EMDR should not be attempted until after the legal proceeding is concluded.

33. According to Shapiro (2018), clinicians should be cognizant:

That false memory syndrome is a well known widely accepted common occurrence.

That limitations and distortions of memory may exist that could alter the accuracy of any memory that emerges during EMDR processing.

That a light hypnotic trance is necessary and desirable during reprocessing.

That childrens’ memories are historically accurate.

34. According to Shapiro (2018), research indicates that EMDR processing frequently leads to a somatic de-arousal response associated with eye movements.

True

False

35. Which of the Mechanisms of Action has not been strongly supported as an explanation for EMDR therapy?

Taxing Working Memory.

Exposure to High Levels of Distress.

REM Processes.

Orienting Response

36. So far, research has shown that no medications appear to completely block EMDR processing, although benzodiazepines have been reported to reduce treatment efficacy with some clients.

True

False

37. Francine Shapiro’s first controlled study included work with this PTSD population:

Vietnam Veterans.

Eating disordered patients

College students.

National Guard.

38. Since 1987, EMDR therapy has been empirically supported by numerous randomized controlled trials (RCTs) and is internationally recognized as an effective treatment for trauma and a wide range of experientially based disorders.

True

False

39. As a comprehensive approach, careful attention is given to images, beliefs, emotions, physical responses, increased awareness, internal stability, resiliency, and interpersonal systems in achieving the effects of EMDR therapy.

True

False

40. One way in which the standard EMDR therapy protocol differs from Cognitive Behavioral therapy is that the standard EMDR therapy protocol does not necessitate homework.

True

False

41. Which of the following are true of working with military personnel and veterans:

Several modifications need to be made to the standard EMDR therapy protocol.

It is important to develop cultural competence on the effect of military values and training.

It is best to avoid the use of interweaves.

Military personnel do not benefit from EMDR therapy due to the complexity of their trauma.

42. When targeting a process phobia, the clinician must address all the pertinent aspects of the experience, including decision-making and anticipatory anxiety.

True

False

43. Following the death of a loved one, a person may first experience emotional shock accompanied by numbing. In these cases, psychological first aid, rather than EMDR processing, is recommended at this stage.

True

False

44. According to Shapiro (2018), which of the following is the first step in the Recent Event Protocol?

Target the most disturbing aspect of the memory.

Obtain a narrative history of the event, noting the most disturbing moments.

Process present stimuli.

Incorporate positive future templates for each trigger.

45. The following statements are true for the treatment of children, except:

Children can create maps, timelines, and storybooks of their lives, through which the clinician can identify potential targets and resources.

Young children may use hands to indicate levels of disturbance.

Clinicians should advise parents to remain in the room and give verbal feedback during desensitization and installation phases

Clinician may ask for a “mixed up thought” or a “bad thought” to help elicit the negative cognition.

EMDRIA Knowledge Check: Session 2 (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

Information

Results

Results

Categories

1. Question

21. According to Shapiro (2018), any event that has had a lasting negative effect on the self or psyche is by its nature traumatic.

Hint

2. Question

22. The AIP model provides a framework for treatment, understanding development of pathology, making associations, coming to a resolution, and guiding future actions.

Hint

3. Question

23. Which of the following is an important premise of the AIP model?

Hint

4. Question

24. According to Shapiro (2018), when the information processing system is activated it is:

Hint

5. Question

25. Which of the following is not a factor in changes in the nervous system associated with psychological trauma that result in a loss of neural homeostasis:

Hint

6. Question

26. Which of the following is not a hypothesis to explain the impact of eye movements on reprocessing are:

Hint

7. Question

27. Which of the following is not a strategy that clinicians can use to reinforce the client’s dual focus of attention and connection to present time:

Hint

8. Question

28. According to Ashley’s and Lipscomb’s article in Go With That magazine, which best describes how cultural competency informs the application of EMDR therapy?

Hint

9. Question

Hint

10. Question

30. According to Archer’s article in Go With That magazine, when identifying adverse or traumatic experiences during history-taking with Black, Indigenous, People of Color (BIPOC) clients:

Hint

11. Question

31. According to Ashley’s and Lipscomb’s article in Go With That magazine, the EMDR Therapist working with Black Americans should:

Hint

12. Question

32. In memories that might be a part of a case involving a legal proceeding, which of the following is true?

Hint

13. Question

33. According to Shapiro (2018), clinicians should be cognizant:

Hint

14. Question

34. According to Shapiro (2018), research indicates that EMDR processing frequently leads to a somatic de-arousal response associated with eye movements.

Hint

15. Question

35. Which of the Mechanisms of Action has not been strongly supported as an explanation for EMDR therapy?

Hint

16. Question

36. So far, research has shown that no medications appear to completely block EMDR processing, although benzodiazepines have been reported to reduce treatment efficacy with some clients.

Hint

17. Question

37. Francine Shapiro’s first controlled study included work with this PTSD population:

Hint

18. Question

38. Since 1987, EMDR therapy has been empirically supported by numerous randomized controlled trials (RCTs) and is internationally recognized as an effective treatment for trauma and a wide range of experientially based disorders.

Hint

19. Question

39. As a comprehensive approach, careful attention is given to images, beliefs, emotions, physical responses, increased awareness, internal stability, resiliency, and interpersonal systems in achieving the effects of EMDR therapy.

Hint

20. Question

40. One way in which the standard EMDR therapy protocol differs from Cognitive Behavioral therapy is that the standard EMDR therapy protocol does not necessitate homework.

Hint

21. Question

41. Which of the following are true of working with military personnel and veterans:

Hint

22. Question

42. When targeting a process phobia, the clinician must address all the pertinent aspects of the experience, including decision-making and anticipatory anxiety.

Hint

23. Question

43. Following the death of a loved one, a person may first experience emotional shock accompanied by numbing. In these cases, psychological first aid, rather than EMDR processing, is recommended at this stage.

Hint

24. Question

44. According to Shapiro (2018), which of the following is the first step in the Recent Event Protocol?

Hint

25. Question