Exam Preview for 1776: Clinical Implications of Trauma Work: Identi

Clinical Implications of Trauma Work: Identifying, Remediating and Buffering Against the Interpersonal, Ethical and Professional Pitfalls of Addressing Trauma

Please note: exam questions are subject to change.

1. Which of these is NOT an example of empathy-based stress? Secondary Traumatic Stress (STS) Burnout Post-Traumatic Growth (PTG) Vicarious Traumatic Stress (VTS)
2. Which of these experiences is NOT an indicator of secondary traumatic stress? Nightmares, including those that resemble client experiences Greater hypervigilance in public Feeling more emotionally available in-and-out of the therapeutic relationship Intrusive thoughts and/or flashbacks, including those that contain material shared by clients
3. Which of these experiences if NOT a symptom of vicarious traumatization? Wrestling with or losing one’s sense of faith Cynicism Suspiciousness or Mistrust of Others Feeling over-worked
4. Which symptom is unique to compassion fatigue? Lack of supportive group and/or peer supervision Desensitization & indifference to someone’s suffering Exposure to traumatic material in session Symptoms of PTSD
5. Which of these is NOT required to diagnose burnout? Reduced sense of personal fulfillment & accomplishment Physical, mental & emotional exhaustion Exposure to traumatogenic material Depersonalization
6. Which of the following is an example of an adverse global impact of EBS on the clinician? Compassion Satisfaction A More Effective Dialectic Hardiness Disillusionment
7. What is countertransference in the context of trauma therapy? Traumatic countertransference includes the entire range of the therapist’s emotional reactions to the survivor and to the traumatic event itself Feeling empathy towards a client’s lived experience Feeling disconnected from your client in therapy Awareness of one’s values and professional ethics in vivo
8. What may be an example of a boundary transgression with a traumatized client? Holding space for traumatic material Noticing a desire to “rescue” your client, and instead, pausing to self-reflect Over-identification with the client Using Socratic Dialogue to encourage cognitive flexibility
9. Generally, which of these is an individual risk factor moderating the impact of trauma work on the clinician? Optimism Escapism A healthy lifestyle, including regular physical activity & a balanced diet Engaging in Self-Reflective Practice & Supervision
10. Generally, which of these is an organizational risk factor moderating the impact of trauma work on the clinician? Heavy caseloads Work-life balance Colleagues noticing changes & checking in SOP that normalizes EBS
11. Which of these is NOT one of the 5 principles of trauma-informed care? Trustworthiness & Transparency Safety Mentorship & Advice-Giving Empowerment & Choice
12. What is an example of protecting your client’s right to privacy? Ignoring subpoenas presented without signed releases Divulging more information than “minimum necessary” with signed releases Sharing identifiable information when discussing client cases Ensuring that clients are made aware of the right to privacy, including how their personal information will be handled
13. What is an individual protective factor moderating the impact of exposure to traumatogenic material in therapy? Developing realistic expectations for our capacity to affect change & ameliorate suffering in our clients Moral disengagement Unresolved trauma history Making sure we are transparent by informing our clients that we work with trauma every day, so if we can grow from it, so can they
14. What is an organizational protective factor moderating the impact of exposure to traumatogenic material in therapy? Offering optional training opportunities that discuss burnout and briefly cover the availability of resources without offering time or direct access to them Encouraging peer support groups without addressing administrative, logistical or structural barriers preventing implementation Cultivating a culture that normalizes EBS & takes responsibility for ensuring access to resources that both protect against & ameliorate its impact on functioning Promoting self-care during personal time alone, scheduling brief, sporadic check-ins with team members, and encouraging the prioritization of work by keeping doors closed during working hours
15. Identify an experience that does NOT suggest vicarious post-traumatic growth. Increased appreciation for life & human resilience Feeling more compassionate toward & accepting of others Greater value for their field & the role they play in it An increasingly cynical and/or nihilistic worldview