Advanced Integrative Training in Sensorimotor Psychotherapy Post-Test | Module 1

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1). Which of the following best describes the principle of Mindfulness?*
- Integration of disconnected parts of self to create a whole person
- A dual state of awareness that encompasses the observer and that which is observed
- Tracking, communication, and contact within the therapeutic relationship
- All of the above
2). Mind/Body/Spirit Holism involves holding a “big picture” perspective of an individual, including their relationship to culture.*
- True
- False
3). Which of the following does NOT describe Organicity:*
- Trusting that clients have the answers within themselves
- Creating conditions in which clients can access inner wisdom
- Progressing through therapy as quickly as possible
- A non-linear process of growth
4). Ron Kurtz said mindfulness is just another technique that can be added to psychotherapy without a fundamental shift in attitude.*
- True
- False
5). Attending to clients with compassion rather than simply trying to modify behavior best describes which principle?*
- Non-Violence
- Organicity
- Mindfulness
- Mind-Body-Spirit Holism
6). Core organizers are the building blocks of present moment experience, composed of cognition, emotion, and sensorimotor elements.*
- True
- False
7). Which best describes Body as a Resource?*
- a) Re-telling stories is the agent for therapeutic change
- b) A lifetime of joys and challenges are reflected in the body
- c) Body language helps us understand human behavior
- d) Both B and C
8). Mindfulness avoids self-engagement by facilitating ordinary conversation.*
- True
- False
9). The process of bringing together parts of self that have been numb or disowned refers to Unity.*
- True
- False
10). Which of the following are true of Relational Alchemy?*
- Major shifts in a client’s organizational experience can be shared in therapeutic dyad
- It grounds enactments in a therapeutic frame
- It makes the other SP principles possible
- All of the above
11). Inviting a client to mindfully notice what thoughts come up when they sense their body in a particular way is best described as which of the following?*
- Experimental attitude
- Relational Alchemy
- Mind/Body/Spirit Holism
- Unity
12). Psychoeducation can build clients’ vocabulary but does not support their ability to progress through treatment.*
- True
- False
13). Use of touch in psychotherapy poses enough potential risks that obtaining written consent is recommended.*
- True
- False
14). Which of the following is NOT a recommended psychoeducation approach?*
- Draw diagrams
- Verbalize details of SP for as long as it takes
- Utilize the body to illustrate points
- Tell success stories
15). Which of the following is impacted by trauma?*
- Relational capacity
- Regulatory Capacity of NS
- Movement patterns
- All of the above
16). A client presents in the first session with wide eyes, tense shoulders, and shallow breathing. Which of the following psychoeducation approaches would be most effective?*
- “It seems like you’re really anxious. What do you think about trying to relax a bit?”
- “We should really look at the way your body is tensing up. It’s important.”
- “Sometimes when we have anxiety, the breathing can get shallow and the muscles can tense up. Know what I mean?”
- None of the above
17). Psychoeducation about SP helps clients merely become aware of their body without any connection to emotion or cognition.*
- True
- False
18). SP therapists can often achieve the effects of touch using alternatives such as pillows, the wall, yoga balls, or scarves.*
- True
- False
19). If a therapist is explaining the window of tolerance to a client, and the client starts to show indicators of hypoarousal such as drifting off, what is the best course of action?*
- Continue by drawing a diagram of the window of tolerance
- Pause psychoeducation and help the client resource
- Change the subject to a different area of psychoeducation
- All of the above
20). When describing SP principles to clients, it is not useful for the therapist to use their own body as a form of description.*
- True
- False
21). According to Emily Conrad, when working with trauma, which of the following aspects of client experience is the most important to return to? feedback.*
- Narrative
- Emotions
- Cognition
- Staying in the body
22). Observing a client’s moment-to-moment experience organization is best known as:*
- Framing
- Tracking
- Organicity
- None of the above
23). Which of the following is NOT considered a subtle change in a client?*
- Gross muscular movement
- Skin flushing
- Eyes narrowing
- Slight trembling
24). Which of the following best indicates that the client is resourced?*
- Widening eyes
- Holding breath
- Settling into the seat
- Both B and C
25). Which of the following best indicates a trauma response?*
- Trembling or shaking
- Upward energy shift
- Full breathing
- Both A and B
26). The best way to challenge traumatic response patterns is to make interpretations.*
- True
- False
27). Tracking somatic indicators takes priority over emotional or cognitive indicators in trauma therapy.*
- True
- False
28). Nonverbal and verbal cues are tracked throughout the 5 stages of treatment.*
- True
- False
29). Which of the following indicates that the client is not resourced?*
- Breaking eye contact
- Leaning forward
- Picking or wringing hands
- All of the above
30). A missing resource is a soothing, grounding or relaxing gesture that the client is able to engage in the session without prompting.*
- True
- False
31) “As you talk about your dad, I’m noticing that your head sort of turns away like this.” is an example of which type of contact?*
- Explicit present moment experience
- Implicit narrative
- Explicit narrative
- None of the above
32) “Yeah, your dad really wasn’t around much.” is an example of which type of contact?*
- Explicit present moment experience
- Implicit narrative
- Explicit narrative
- None of the above
33) “It sounds like you’re feeling lonely, huh?” is an example of which type of contact?*
- Explicit present moment experience
- Implicit narrative
- Explicit narrative
- None of the above
34). Keeping contact statements simple and short can increase the likelihood of a client resonating with the contact.*
- True
- False
35). Contact that takes a client deeper into their body is funneling away from a frame.*
- True
- False
36) Which of the following is an example of present-moment contact?*
- “You can sense that pain as we’re talking right now, huh?”
- “The physical pain really bothers you.”
- “It sounds like you get angry a lot.”
- All of the above
37). Which of the following statements is linking elements of the client’s experience together?*
- “As we are talking about this anger, I’m seeing that your fists are clenching.”
- “It’s almost as if you’re flinching right now as you think about that combat memory.”
- “Your breath is starting to deepen right now.”
- Both A and B
38). If a contact statement doesn’t accurately describe a client’s experience on the first try, it is not useful to the client.*
- True
- False
39). Non-verbal contact, such as nodding, eye contact, and leaning forward, can help to build the therapeutic relationship.*
- True
- False
40). A clear path for mindful exploration that is reflective of a therapist’s hypothesis is best described as which of the following?*
- Transformation
- Access Route
- Contact
- Mindfulness
41). Framing helps determines the direction for treatment and is collaborative with the client.*
- True
- False
42). Once the initial frame is set, it cannot be changed throughout treatment.*
- True
- False
43). Initial framing occurs in the Transformation stage.*
- True
- False
44). Which of the following is an example of refining the frame?*
- “It looks like that trembling is showing up again. What feelings go along with that?"
- “What are you noticing as you stay with this tense feeling?”
- “I know we started with the tightness, but I get the sense that your shallow breath is more important. Let’s stay with that.”
- All of the above
45). A transformation occurs when a client experiences a new sensation without the experience of feeling resourced.*
- True
- False
46). Which of the following is an example of a Transformation frame?*
- “I’m noticing you’ve begun to relax. Let’s stay with that relaxing feeling.”
- “What are you noticing as you stay with this tense feeling?”
- “I know we started with the tightness, but I get the sense that your shallow breath is more important. Let’s stay with that.”
- All of the above
47). Which as an example of collaborative framing language?*
- “How about we focus on boundaries today?”
- “Let’s focus on finding some resources for hyperarousal.”
- “I think it would be good for you to sense your feet on the ground.”
- Both A and B
48). If an experiment does not confirm a therapist’s hypothesis, the information gathered is still useful because it is considered “grist for the mill.”*
- True
- False
49). The basic premise of Embedded Relational Mindfulness can be achieved through self-study and solitary mindfulness practice.*
- True
- False
50). In trauma work, the 5-step cycle is used primarily to:*
- Funnel to the discovery of a resource
- Reinstate an active defense
- Use Sensorimotor Sequencing
- All of the above
51). Which of the following is the best example of a mindfulness question?*
- “As you think of that memory, what emotions do you notice?”
- “Stay with that feeling.”
- “How old were you when that happened?”
- All of the above
52). Which of the following is an example of a mindfulness directive?*
- “Feel your body.”
- “Sense that tension.”
- “Breathe with that sadness.”
- All of the above
53). The statement, “I feel like the knot in my stomach is starting to loosen,” is an example of a mindful report.*
- True
- False
54). Mindfulness questions cannot help to link core organizers.*
- True
- False
55). The 5-step cycle is designed to help clients who have trouble with mindfulness start to stay with their present-moment experience.*
- True
- False
56). Which of the following is used to help clients focus on the exploration of the organization of experience?*
- Stitching to the frame
- Empathetic reflection
- Contact
- Transformation
57). Which of the following do NOT describe Mindfulness?*
- Discussing core organizers
- Present-moment experience
- Being with a sensation
- None of the above are mindfulness
58). Which of the following is NOT a useful intention for therapists to have when making experiments?*
- Mindful presence
- Curiosity
- Flat affect
- Non-judgment
59). Creating experiments gives clients new acts of mindfulness known as “acts of triumph.”*
- True
- False
60). It is especially important to use a menu of options with clients who are outside their window of tolerance.*
- True
- False
61). Which statement is the best example of using an Experimental Attitude in therapy?*
- Inviting a client to mindfully notice what thoughts come up when they move their body in a particular way
- Asking closed questions about a client’s family history of mental health issues
- Reflecting a client’s body posture and mirroring it back to them
- Debriefing after a session to understand what the client’s experience was like
62). Using a faster pace when making experiments can encourage mindfulness.*
- True
- False
63). Which of the following is a type of experiment?*
- The client senses something inside their body/mind
- The therapist offers some physical action for the client to experience
- The therapist offers a probe for the client to respond to
- All of the above
64). Which of the following is a physical experiment?*
- Therapist reaches out to set a boundary
- Client repeats a word or phrase
- Therapist repeats a word or phrase
- All of the above
65). Which of the following is a verbal experiment?*
- Therapist offers an alternative belief
- Client repeats a word or phrase
- Therapist leans forward
- Both A and B
66). There is no right or wrong outcome of an experiment.*
- True
- False
67). What would prompt a therapist to set up an experiment?*
- Funneling to take clients deeper into their experience
- To help clients become aware of their impulses
- To clarify thoughts and feelings
- All of the above
68). Trauma increases a client’s integrative capacity.*
- True
- False
69). “Rather than pay attention to the fear, just notice what your body wants to do,” is an example of Uncoupling core organizers.*
- True
- False
70). Which of the following is an example of a top-down resource?*
- Thinking “I am safe”
- Slow, deep breathing
- Cognitive safety plans
- Both A and C
71). Which best describes what happens when a client develops resourcing capacity?*
- Their window of tolerance stays the same
- Their window of tolerance expands
- Their fear response is no longer activated
- Their fear response increases
72). Psychological capacities and beliefs are inextricably linked to the structure and movement of the body.*
- True
- False
73). A fast-paced, purposeful gait most likely indicates:*
- Compensation for helplessness
- Difficulty setting boundaries
- Self-regulation by overworking
- Expectation of conflict
74). Alignment, centering, breath, and soothing are all examples of:*
- Bottom-up resourcing
- Somatic resourcing
- Top-down resourcing
- Both A and B
75). A sense of frozenness or numbness in the pelvis always indicates sexual trauma.*
- True
- False
76). What can help assess a client’s somatic resources?*
- What the client says
- Awareness of the client’s own body
- Bodyreading the client’s patterns
- All of the above
77). Demonstrating a client’s movement patterns through mirroring is a way to build awareness and somatic resourcing.*
- True
- False
78). Auto-regulation is the ability to utilize relationships to return to the window of tolerance.*
- True
- False
79). What are some examples of auto-regulation skills?*
- Core & Verticality
- Relational Connection
- Breath
- Both A and C
80). The core refers more to “being” whereas the periphery refers more to “doing.”*
- True
- False
81). Which of the following best describes trauma processing?*
- Grounding in somatic and non-somatic resources
- Experientially accessing traumatic memories to integrate its effects
- Staying within the window of tolerance
- Both A and C
82). Sensorimotor Sequencing (SMS) involves all of the following except:*
- Voluntary movement
- Micromovement
- Sensations
- Involuntary macro movement
83). SMS is consistent with the SP principle of organicity in that the process unfolds by itself without purposefully making it bigger or smaller.*
- True
- False
84). Orienting actions disrupted by trauma can become truncated, which often manifests as neck tension.*
- True
- False
85). Dual awareness engages the limbic system which inhibits trauma processing.*
- True
- False
86). Which of the following can be sequenced in trauma therapy?*
- Defensive response
- Orienting response
- Hyperarousal
- All of the above
87). In the processing stage of trauma, precise, fine-tuned somatic mindfulness questions are most useful.*
- True
- False
88). Expanding time can help to allow defensive responses to be engaged that the client did not have time to engage.*
- True
- False
89). Which of the following serves to keep a client within their window of tolerance while processing trauma?*
- Asking cognitive questions
- Verbal contact statements
- Nonverbal contact statements
- Both B and C
90). Reinstating an Active Defense works primarily with:*
- Instinct of animal responses
- Emotions
- Cognitions
- None of the above
91). The preparatory movements indicative of an active defense can be stimulated through a sliver of traumatic memory.*
- True
- False
92). Orienting response varies according to:*
- The nature of the stimulus
- A client’s past traumatic experiences
- The client’s internal state of arousal
- All of the above
93). Clients with disrupted orientation responses always evaluate everything as dangerous.*
- True
- False
94). An internal shift in attention, often invisible to the observer, is known as*
- Overt orienting
- Covert orienting
95). Physical actions that bring the head and eyes in the direction of an environmental stimulus is known as*
- Overt orienting
- Covert orienting
96). A sliver of memory is a small but important moment in a memory that can be used to either stimulate trauma processing or resourcing.*
- True
- False
97). When is it most appropriate to limit core organizers?*
- When installing a new resource
- When core organizers are “coupled” i.e. emotions and traumatic response
- When the client is ready to take in more information
- None of the above
98). The dorsal vagal response sends the body into social engagement and safety.*
- True
- False
99). Sympathetic arousal initiates fight/flight or other defensive response:*
- True
- False
100). Transformation is always a dramatic shift in consciousness.*
- True
- False
101). Which of the following is an example of bitesizing?*
- “What if we stayed with ‘I might be safe’ instead of ‘I am safe’ for a bit?”
- “Let’s be with that boundary.”
- “This sense of being grounded is new, huh?”
- None of the above
102). Which of these is a product of Transformation?*
- A deeper capacity for intimacy
- A change in the body to reflect new beliefs
- A shift in procedural tendencies
- All of the above
103). Transformation stage often elicits strong emotions, from grief to bursts of laughter.*
- True
- False
104). Initial indicators of Transformation are often verbal or cognitive rather than somatic.*
- True
- False
105). If a client brings up a new memory with 5 minutes left in the session, what is the best course of action?*
- Continue letting the client discuss the memory for 5 minutes
- Bookmark the memory for the next session and return to resourcing
- Redirect the session back to the current frame
- Both B and C are appropriate
106). Which of the following strategies does NOT help clients deepen into transformation?*
- Elicit mindfulness directives to help the client stay with the new sensation
- Ask the new sensation what it might be saying to help shift beliefs
- Begin linking core organizers to new topics
- None of the above deepen into transformation
107). The integration stage provides clients with an opportunity to connect with pleasurable sensations and movements in the body.*
- True
- False
108). Which of the following is a form of somatic integration following transformation?*
- Walking with more upright posture
- Changes in visual acuity
- Shifts in muscular tension patterns
- All of the above
109). Material from sessions easily translates into daily life without taking additional time to support this process.*
- True
- False
110). Which of the following can support somatic integration for clients?*
- Bodywork/Rolfing
- Creative arts
- Visualizing a future self
- All of the above
111). The 5 stages of the process are shaped like a funnel with the deepest stage being:*
- Containment
- Accessing
- Processing
- Transformation
112). In order to progress from Transformation to Integration, it is recommended that the therapist refrain from accessing new material.*
- True
- False
113). Which stage does the development of resources typically occur within?*
- Containment
- Accessing
- Processing
- Transformation
114). The 5 stages of the process of SP align with bottom-up processing to deepen states of consciousness*
- True
- False
115). If a client is struggling to get through all 5 stages, it is advised to return to the Processing stage.*
- True
- False
116). The primary task of the Accessing stage is:*
- 5-step
- Collaborating on an initial frame
- Resourcing
- Savoring
117). What is/are the most important aspect(s) of the Container stage?*
- Highlight shifts
- Track & Contact
- Experiments
- Modulating Arousal
118). The longest stage of the process is the Transformation Stage.*
- True
- False
119). The final task of the Container stage is:*
- Collaborating on a frame
- Contact Narrative
- Make a hypothesis
- None of the above
120). Somatic resourcing typically occurs at which two stages?*
- Container & Integration
- Accessing & Processing
- Processing & Integration
- Accessing & Integration

Advanced Integrative Training in Sensorimotor Psychotherapy Post-Test | Module 1

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