Deck 7: Posttraumatic Stress Disorder

Question 1

A SUDS and VOC rating that both went down after an EMDR session would mean that the client felt some relief from the trauma.

Answer 1

True

Question 2

Nondirective play therapy is ill advised because restitutive play may become increasingly destructive if left ungoverned.

Answer 2

True

Question 3

EMDR should not be used with children because it is very intrusive and may reignite the trauma.

Answer 3

False

Question 4

Eye movement desensitization/reprocessing (EMDR)works because the strobe light or finger movement interrupts abnormal neural activity.

Question 5

Child abuse and rape victims experience PTSD very differently than other victims of PTSD.

Question 6

In childhood Type II traumas,children rarely misperceive or distort the trauma once brought to awareness.

Question 7

Psychotropic medications are widely effective with all trauma types and should be used conjointly with psychotherapy

Question 8

Flooding works well as a safe therapeutic intervention with children because it allows them to expunge intrusive thoughts.

Question 9

SUDS is a term identified with EMDR.

Question 10

Terr's studies of children differentiate PTSD into two distinct types depending on traumatic event duration.

Question 11

There is little reason to believe that the war in Iraq will produce PTSD casualties among U.S.soldiers as did the war in Vietnam.

Question 12

PTSD is different for children and adults.

Question 13

One of the major reasons for PTSD counseling groups is to let the members cathart about their experiences and thus get rid of the bad memories.

Question 14

An example of a childhood Type II trauma would be a one-time stranger rape of a child.

Question 15

"Railway spine" was a historical precursor of what is now known as PTSD.

Question 16

Support groups are an important component for treating PTSD.

Question 17

Children who suffer a traumatic experience are likely to have problems with "narrative coherence," which is the ability to organize material into a beginning,middle,and end.

Question 18

There is evidence that intense and continuous stress can cause permanent physical changes to occur in the brain.

Question 19

Because their mission is to save lives,survivors' guilt is one of the negative emotions that affects emergency medical personnel.

Question 20

Man-made and natural disasters are equivalent in their ability to produce PTSD.

Question 21

Gestalt techniques such as the "empty chair" can be used for PTSD clients to effectively:​

A)dispute irrational thoughts that take over thinking.
B)​reduce the guilt of "unfinished business" of past traumatic events.
C)​generate positive addicting behaviors.
D)interpret psychodynamic drives.

Question 22

The Master Resilience Trainer course will require thousands of psychologists,social workers,and licensed professional counselors to implement across the whole army.

Question 23

A somewhat controversial treatment method for PTSD requires the client to maintain awareness of one or more of (1)an image of the memory,(2)a negative self-statement or assessment of the trauma,(3)the physical feelings of the anxiety-provoking event.What is this particular treatment method called?​

A)Flooding
B)​EMDR
C)​Thought stopping
D)CISD

Question 24

​Which of the following has not been a historical label for PTSD?

A)Combat fatigue
B)​Hysterical neurosis
C)​Railway spine
D)Acute intrapsychic trauma

Question 25

One of the reasons the Vietnam War was a fertile breeding ground for PTSD was:​

A)the war was always ideologically unacceptable.
B)​the country was in a patriotic frenzy and couldn't accept defeat.
C)​there were no front lines and one had to be alert at all times.
D)average age of combat participants was 26.5.

Question 26

Terr (1995)proposed a division of childhood trauma into two categories that she called Type I and Type II traumas.What is the difference?​

A)Type I targets very young children and Type II targets adolescents.
B)​Type I results from natural causes and Type II results from man-made causes.
C)​Type I derives from sudden,distinct,traumatic experiences and Type II derives from long standing,repeated ordeals.
D)Type I stems from childhood sexual or physical abuse and Type II stems from environmental catastrophes.

Question 27

Young children who suffer from PTSD are likely to:​

A)continuously reenact the event through play.
B)​immediately become very passive.
C)​become suicidal.
D)have symptoms much like those of adults,but of briefer duration.

Question 28

In the outcry phase,the focus of treatment should be on finding support groups whose members have responses associated with the trauma.

Question 29

The Army's Comprehensive Soldier Fitness program does not include a component to help families.

Question 30

An inappropriate technique for therapeutic intervention with children who suffer from PTSD involves:​

A)EMDR.
B)​therapeutic play with sand trays and puppets.
C)​flooding.
D)emotional catharsis through music,computer art,painting.

Question 31

Assessment of PTSD may be best accomplished by:​

A)structured interviews specifically related to PTSD criteria.
B)​personality tests with special PTSD scales like the MMPI and Mississippi Combat Scale.
C)​complete medical work-ups to determine degree and kind of neurobiological involvement.
D)incidence of drug use and criminal acts.

Question 32

The police,fire,and emergency services support group provide all but one of the following in their support groups?​

A)Restoration of self-pride
B)​Mutual respect
C)​Shared experiences of traumatic events
D)Integration with others kinds of PTSD

Question 33

Moving beyond the trauma means survivors need to come to understand the negative aspects of PTSD and that the physiological responses they may have are common to the experience.

Question 34

There is a great deal of psychophysiological assessment evidence that indicates that stimulus presentation of sights,sounds,and smells associated with the long-past traumatic event in PTSD sufferers may cause:​

A)hypervigilence.
B)​physiological responses such as increased heart rate,blood pressure,triglycerides,and cholesterol levels,and decreased blood flow to the extremities.
C)​higher outputs of impulsive behavior.
D)denial/numbing during the recovery phase of treatment.

Question 35

Support groups are important to victims of PTSD because:​

A)sharing experiences gives group members a common bond.
B)​increased stigma comes from sharing experiences.
C)​people with PTSD rarely use support groups.
D)groups are not emotionally safe for people with PTSD.

Question 36

PTSD may be developed following exposure to uncommon stressful life events such as:​

A)physical or sexual assault.
B)​earthquakes.
C)​car accidents.
D)All of the answers are correct.

Question 37

Structured Interviews such as the CAPS-1 are the best way of diagnosing PTSD if time is available to conduct the interview.

Question 38

Which of the following is a common reaction to traumatic stress?​

A)Psychotic breaks
B)​Numbing
C)​Catharsis of emotions
D)Traumagrams

Question 39

Which of the following is not one of the diagnostic criteria for PTSD?​

A)Constricted affect
B)​Hyperalertness
C)​Heightened social interaction
D)Memory impairment

Question 40

Neat and orderly progression for the PTSD sufferer through the recovery phase is:​

A)indicative of emotional numbing and denial.
B)​indicative of integration taking place.
C)​indicative that the intervention is working.
D)the exception rather than the rule.

Question 41

All of the following were involved in the classification of PTSD as a diagnosable mental illness,except:​

A)the Veterans Administration supported its inclusion.
B)​Iraq war veterans began to develop psychological problems after returning from combat.
C)​Freud's earlier work on hysteria was "rediscovered" by the American Psychiatric Association.
D)the National Organization of Women pushed for legislation mandating treatment.

Question 42

Affective State Dependent Retention is important to PTSD because it theorizes that:​

A)a calm,tranquil state is needed to treat PTSD.
B)​no one is immune from PTSD given the right circumstances.
C)​traumatic memories are stored under different physiological states.
D)a preexisting maladjusted personality pattern is retained in memory.

Question 43

Assume EMDR does have potential to work.Why do you think there is so much resistance to it? Is this any different than the views of new and unexplained phenomena in other fields?

Question 44

Explain why the Vietnam War was a major breeding ground for PTSD.

Question 45

What are the behavioral differences between Terr's Type I and Type II childhood trauma?

Question 46

The original principal physical technique of an EMDR therapist is:​

A)rapid hand movements called saccades.
B)​deep muscle massage called rolfing.
C)​body manipulation called kinesthetics.
D)no physical movements are made,only imagery is used.

Question 47

Wage an argument for or against EMDR.

Question 48

Of the following phases of recovery in PTSD,which does not belong?​

A)The calm,tranquil "before the storm" phase
B)​The emotional numbing phase
C)​The intrusive-repetitive phase
D)The reflective-transition phase

Question 49

Of the following,which is not a common dynamic pattern of PTSD?​

A)Exaggerated social interaction
B)​Survivor's guilt
C)Death imprint​
D)Emotional enmeshment

Question 50

Name the DSM-5 indicators necessary for a diagnosis of PTSD and discuss how they might look in an adult or a child.

Question 51

Treatment for PTSD can best be described as:​

A)multimodal/multiphasic.
B)​atheoretical.
C)​stress inoculation.
D)eclectic.