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Home Study Audio Course
“AIP, Attachment Theory and EMDR Case Conceptualization.”
Session 333 Presented at
the EMDR International Association Annual Conference
August 29, 2009
by
Andrew M. Leeds, Ph.D.
EMDRIA CE Credit Examination
1. Inappropriate case formulation can lead to:
- [ ] a. A. Patients preferring bilateral eye movements over tapping or tones.
- [ ] b. B. Patients becoming reluctant to resume EMDR or terminate prematurely when
they are discouraged from lack of progress or overwhelmed by emerging
material.
- [ ] c. C. Clinicians being better able to prepare patients for each phase of treatment.
2. Appropriate case formulation can provide all of the following benefits for
clinicians EXCEPT:
- [ ] a. A. Clinicians are better able to manage risk by avoiding foreseeable clinical
complications and technical errors.
- [ ] b. B. Clinicians can better present the rationale for their treatment plans to clinical
supervisors, consultants, third party payors, and other case reviewers.
- [ ] c. C. Clinicians can better determine how many back and forth sweeps to offer
during each set of eye movements.
3. Patients benefit from appropriate case formulation by:
- [ ] a. A. Gaining confidence and a stronger therapeutic alliance when your case
formulation and treatment plan leads to predicted symptomatic gains and
challenges.
- [ ] b. B. Knowing in advance how many treatment sessions they will need.
- [ ] c. C. Understanding your office policies and professional boundaries.
4. Which of the following statements is NOT true:
- [ ] a. A. Case conceptualization is not necessary. Just apply EMDR reprocessing to
whatever material the patient presents because “the patient’s brain will always
guide the healing process.”
- [ ] b. B. Patients are reassured when they understand the foundation of their treatment
plans.
- [ ] c. C. With appropriate case conceptualization, clinicians are better able to manage
risk by avoiding foreseeable clinical complications and technical errors.
5. Which of the following is not part of case conceptualization:
- [ ] a. A. Thinking beyond the patient’s immediate symptoms (maladaptive attitudes,
thoughts, behaviors and defensive emotional responses).
- [ ] b. B. Forming a mental model of the patient’s problems grounded in a model of
psychotherapy.
- [ ] c. C. Providing psychoeducation about EMDR and obtaining informed consent.
6. In the relationship of diagnosis and case conceptualization which of the following
is NOT true:
- [ ] a. A. Different patients meet the same diagnosis in different ways.
- [ ] b. B. Most patients with PTSD have no other co-occurring diagnoses.
- [ ] c. C. Case conceptualization is informed by, but is not based on the diagnosis
alone.
7. Case conceptualization is based on all of the following EXCEPT:
- [ ] a. A. Hypotheses about the underlying functional structure of patients’ adaptive and
maladaptive memory networks.
- [ ] b. B. A functional analysis of the patient’s symptoms.
- [ ] c. C. An estimated number of the patient’s Criterion A (life threatening)
experiences.
8. Which of the following is NOT true about etiological and contributory
experiences:
- [ ] a. A. Etiological experiences are encoded in maladaptive memory networks (before
EMDR reprocessing), but contributory experiences are encoded in adaptive
memory networks.
- [ ] b. B. Contributory experiences create vulnerabilities to the later emergence of
clinically significant symptoms – sometimes years or decades later.
- [ ] c. C. Etiological experiences directly lead to the onset of clinically significant
Axis I symptoms.
9. Once a case conceptualization has been developed, all of the following are true
EXCEPT:
- [ ] a. A. It should guide the development of the treatment plan.
- [ ] b. B. It should not be modified to avoid confusing the patient.
- [ ] c. C. It should be evaluated in relationship to the patient’s responses to treatment
interventions.
10. In the AIP model earlier experiences:
- [ ] a. A. Should only be reprocessed after the worst memories have been resolved.
- [ ] b. B. Establish adaptive or maladaptive patterns of response available to be drawn
on during later experiences.
- [ ] c. C. Are seldom remembered.
11. Which of the following statements is true:
- [ ] a. A. Attachment theory has yet to be examined by behavioral or neurobiological
studies.
- [ ] b. B. Attachment experiences are less influential in shaping later responses than are
genetic factors for resilience.
- [ ] c. C. Attachment experiences are the earliest and most influential experiences in
establishing foundational patterns of response available to be drawn on during later experiences.
12. Regarding Criterion A (large “T”) and non-Criterion A (small “t”) life
experiences which of the following is NOT true:
- [ ] a. A. Clinical experience with EMDR reprocessing suggests that adaptations to
chronic small “t” experiences are generally easier and faster to resolve than
large “T” (life threatening) experiences.
- [ ] b. B. Persistent early neglect and trauma may have adverse effects on the
development of the adaptive information processing system itself.
- [ ] c. C. Shapiro (2001) has proposed that we consider applying EMDR reprocessing
to both kinds of experiences.
13. Insecure avoidant (A) infants:
- [ ] a. A. Show high levels of distress during separation from mother in the strange
situation.
- [ ] b. B. Actively avoid contact on her return in the strange situation.
- [ ] c. C. Their mothers respond positively to infant’s attachment behavior at home.
14. All the following are true about insecure resistant-ambivalent (C) infants EXCEPT:
- [ ] a. A. Their mothers are unpredictably available at home and intrude on their
exploratory behavior.
- [ ] b. B. They are highly distressed during separation in the strange situation.
- [ ] c. C. They are quickly soothed by their mothers after separation.
15. All the following are true about the Adult Attachment Inventory EXCEPT:
- [ ] a. A. It is normed for clinical administration.
- [ ] b. B. Longitudinal studies show Ainsworth’s Strange Situation strongly predicts
AAI results.
- [ ] c. C. AAI results do not correlate with measures of adult personality.
16. The Four-Category Model of Bartholomew & Horowitz (1991):
- [ ] a. A. Includes a category for disorganized-disoriented attachment.
- [ ] b. B. Corresponds to the four categories as the Adult Attachment Inventory.
- [ ] c. C. Includes Secure, Preoccupied, Fearful, and Dismissing.
17. In avoidance-dismissing insecure attachment classification:
- [ ] a. A. There is minimal free expression of both negative and positive affect.
- [ ] b. B. Structures for suppressing affect are weak and poorly organized.
- [ ] c. C. Structure and affect are in balance.
18. Regarding EMDR treatment protocols:
- [ ] a. A. Shapiro’s (2001) treatment planning principle called the three-pronged
protocol has been empirically evaluated and supported as a treatment for PTSD, Complex PTSD and Dissociative Disorders.
- [ ] b. B. Shapiro’s three-pronged protocol provides clear guidelines for selecting and
sequencing targets when there are multiple targets in the past linked to
different or unrelated presenting complaints.
- [ ] c. C. Hoffman (2004) proposed the “inverted protocol” for cases of Complex
PTSD, which reverses the standard PTSD protocol to address the needs of
patients with profound hopelessness and severe dysregulation who do not
meet readiness criteria at intake.
19. In the symptom informed model of treatment described by Korn (2004) and Leeds
(2009) all of the following are true EXCEPT:
- [ ] a. A. First reprocess the memory (or cluster of memories) associated with the most
debilitating of the patient’s symptoms.
- [ ] b. B. Target the worst 10 memories chronologically before memories pivotal to the
patient’s symptoms.
- [ ] c. C. After the most debilitating symptom has been alleviated, shift attention to
the memory (or cluster of memories) associated with the next most
debilitating symptom.
20. In the symptom informed model of treatment described by Korn (2004) and Leeds
(2009) all of the following are true EXCEPT:
- [ ] a. A. Focus on adverse and traumatic events that are clearly distressing to the
patient--known as “activated” memories.
- [ ] b. B. Memories that clinicians hypothesize are etiological to current symptoms
memories should be reprocessed even when they are not overtly disturbing to the patient.
- [ ] c. C. Clinicians should be flexible and collaborative when patients want to begin
with a recent traumatic memory when overt symptoms first appeared rather
than initially reopen early childhood memories.
You have completed the exam. Congratulations!
If you passed the exam a certificate will be emailed to you.
If you need to have a hard copy certificate mailed instead,
please contact the office <info@andrewleeds.net>
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the Evaluation form for the course to receive your certificate.