February 2019 Flash Webinar Welcome to your February 2019 Flash Webinar Please provide your name (will be used on your certificate): Please provide your email address: Please provide your License Number: 1. According to Bruce Ecker, transformational change provides: Full symptom reduction Effortless permanence Absence of triggers All of the above None 2. All non-trauma memories are altered, at least slightly, each time they are recalled. True False None 3. A primary condition necessary for unlocking synapses of a trauma memory is: Experience of the associated emotion Prediction Error or Mismatch Retrieval of the memory All of the above None 4. An indication that a trauma memory has been “erased” rather than extinguished is: A specific emotional meaning and bodily emotional activation is no longer triggered by cues. Behaviors, emotions, thoughts and sensations driven by that emotional activation disappear. The client does not need to do anything in particular to prevent a recurrence of symptoms or emotional activation associated with the memory. All of the above. None 5. Which is NOT true about the development of the flash technique? Was initially developed by Dr. Philip Manfield Originally developed six years ago Development is still happening Development has been guided by observation of what seems to work The flash technique is supported by at least three research studies currently submitted for publication None 6. For the flash technique to be most effective, the trauma memory should not have a feeder memory. Which is an indication of the likelihood of the existence of a feeder memory? The client was surprised at the reactions when the original trauma occurred It is an example of a repeating upset It is recent The cognitive distortion involved is familiar to the client and predates the trauma All of the above None 7. Initial activation of the target occurs primarily during which EMDR Phase? History Preparation Assessment Desensitization None 8. In the most recent evolution of the flash technique, when would the client NEVER be asked to think about the trauma memory? After five sets of triple flashes When identifying what memory will be worked on Right before the client “flashes.” When determining the SUDS associated with the target None of the above None 9. Which memories would the flash technique probably NOT be used for? Memories involving loss Severely disturbing memories A memory that has a feeder memory Moderately disturbing memories None 10. The "flash" technique meets the two conditions required by memory reconsolidation research by accessing the full affect (however briefly) and a prediction error. True False None 11. EMDR has been criticized for: “EMDR therapists” sometimes only do resourcing to the exclusion of trauma processing. Clients sometimes become overly activated during EMDR It is minimally effective for “early onset PTSD.” All of the above None 12. During processing (BLS) with the flash technique, clients must be: In a highly suggestible state Consciously connected to at least one aspect of the trauma memory Fully understanding of why the process works Willing to try to follow the given instructions None of the above None 13. What should clients be thinking about when doing the flash technique? A cue word An engaging focus (memory, animal, person, activity etc.) Lunch Whether the process is working Nothing. The client must be in a meditative state. None 14. Clients are willing to process overwhelming memories with the flash technique because: It doesn't require them to feel the pain connected with those memories. They do not necessarily need to give details of the memory It’s fast If it doesn’t work there’s no harm done All of the above None 15. A “feeder” memory to a trauma memory is an earlier memory that Has the same physical sensation associated with it Is at least as disturbing as the trauma memory Involves the same emotions Contributes to the intensity of the trauma memory All of the above None 16. Which of the following clients was the flash technique NOT developed to assist in the treatment of? Clients with trauma memories that they experience as overwhelmingly disturbing. Clients who have difficulty connecting to their affect Clients who have a strong need to be in control Clients who are easily treated with EMDR Clients who are not well resourced None 17. Before receiving the flash technique clients must Bring their tendency to dissociate under control Be extensively resourced Visualize the trauma Be able to maintain attention on a positive engaging focus if only intermittently None of the above None 18. What are typical features of EMDR desensitization phase that are common to the flash technique? After each set of bilateral stimulation, the therapist asks “What came up for you?” The therapist asks “what is the most disturbing part” The client cries The client may be confused about why they feel better All are common to the Flash Technique. None 19. Which population has not been part of a research study related to the flash technique? Men in a homeless shelter Therapists taking a non-flash-related workshop Therapists taking a flash technique webinar Children taken from their parents at a US border crossing None of the above have been part of research studies None 20. If the client reports that he or she felt some disturbance when flashing, the therapist should: Tell the client that some disturbance when flashing is normal Consider whether the positive engaging focus is sufficiently strong to hold the client’s attention. Do some resourcing Explain to the client that this may represent another channel of the same target. None of the above None 21. According to Bruce Ecker, which if the following therapies can produce transformational change. Graduated exposure Jungian analysis EMDR Freudian analysis None of the above. None 22. Which should NOT happen in preparing a client to do the flash technique The therapist assesses how disturbing the target is The client gives a detailed account of the memory to be processed The therapist asks questions intended to determine if there is a feeder memory The therapist may tell the client that it is not necessary to reveal the specific nature of the trauma memory All of the above None 23. Some of the advantages of the most recent version of the flash technique over the version described in the original paper are It tends to be faster The memory almost never becomes “sticky". The client’s role is easier to communicate There are less performance concerns on the part of the client All of the above None 24. The flash technique takes place during what phase of EMDR? Assessment Closure Installation Preparation None of the above None 25. When a therapist is using the flash technique, when should the therapist usually begin the assessment phase of EMDR. When the progress from a set of five triples (after the first set of five triples) in the flash technique is below two points on the SUD scale When the client thinks they are not doing the flash technique right When the SUD level has gotten to zero. None of the above None 26. At least one animal study has shown that memory retrieval leading to extinction can occur without emotional recall of the trauma memory. True False None 27. In humans, memory reconsolidation theory requires that a memory be retrieved and recalled vividly before reconsolidation can occur. True False None 28. Which client statement is a sign that the client’s disturbance level has been substantially reduced after successfully doing some sets of triple flashes? The client reports difficulty doing the flash technique because he/she is having difficulty recalling or “finding” the disturbing image. The client spontaneously reports that the memory does not seem very disturbing anymore. The client reports that the image seems further away. The client reports that memory seems to have become separated from the feelings that went with it. All of the above. None 29. “Memory consolidation” refers to the first time a memory is stored in long-term memory. True False None 30. Which aspect of the current flash technique protocol helps to prevent clients from actively thinking about the disturbing memory during processing? Clients are asked to focus on a positive engaging memory. If the therapist elicits the client’s disturbance level (SUDS), the therapist asks how disturbing the client thinks it would be if they were to think about it. Clients are cautioned not to try to evaluate if the process is “working” until the process has been completed. All of the above. None 31. Word finding problems often result in a person spontaneously thinking of the desired word an hour or more after the original difficulty finding it. It is suggested in the webinar that during that period of time, The brain is continuing to look for the word, but outside of the person’s conscious awareness. The person knew the word all along, but had subconscious resistance to thinking of it. The client develops brain plasticity, which facilitates the finding of the word. All of the above None 32. The prospect of using the flash technique in areas of the world with a scarcity of trained mental health professionals is enhanced by which of these factors? It has been shown to be safe, with extremely few reports of any increase in disturbance during its use. It is easily taught to clinicians. Many of the common issues that complicate treatment, like dissociation, flooding and extreme shame do not seem to play a role in processing with the flash technique. All of the above None 33. The discovery of the flash technique occurred: As a sudden insight during a particularly difficult session. As an attempt to use Krystina Kinowski’s “Paired Titration” technique in a more extreme way. As a rebellion against traditional exposure techniques. As a spontaneous knowing that came to the developer one morning as he was getting out of bed. None of the above None 34. Which phases of EMDR are likely to be omitted if the flash technique is particularly effective? History and Preparation Assessment and Desensitization Installation and Body Scan Closure and Reevaluation None of the above None 35. Which would qualify as a “prediction error” as described in memory reconsolidation research? The client feels afraid when the bell rings, but sees over and over that the bell does not hurt him. The client finds that Valium leads to a less intense reaction to the memory. The client seems to be relaxing while thinking of the memory. The weather on the present day is different than the weather when the original trauma occurred. All of the above. None 36. Memory “retrieval” as it applies to memory reconsolidation theory necessarily involves Conscious recall of the narrative of the memory Reexperiencing of the affect associated with the memory Vivid recollection of images from the memory “Reexperiencing” or “reliving” of the memory. None of the above All of the above None 37. Which does NOT describe a condition that memory “extinction” refers to (as opposed to memory “erasure”)? The clients has a competing version of the memory that is less disturbing The disturbance from the memory will return if the client is given enough reminders of it Even if he tries, the client is unable to vividly recall the memory The client has a better way of thinking about the disturbing memory, so he will suffer less from the memory All of the above None 38. The flash technique can be quite effective even if clients are not sure that they have connected with the target memory. True False None Check this box to attest that you have watched the entire presentation and have taken the post-test without help from others. Time's up Post navigationPrevious post: January Advanced Flash WebinarNext post: April 6 Flash Technique Webinar
