1.
Which statement is not true about cognitive coping?
Correct Answer
B. Children tend to remember traumatic events clearly in great detail
Explanation
Cognitive coping refers to the strategies used to manage and cope with distressing thoughts and emotions. The statement "children tend to remember traumatic events clearly in great detail" is not true about cognitive coping. In fact, research has shown that individuals, including children, may experience memory distortions and difficulties in recalling traumatic events accurately. This is due to the impact of stress and trauma on memory processes. Therefore, cognitive coping techniques aim to help children identify and challenge inaccurate or unhelpful thoughts related to the trauma, rather than focusing on the accuracy of their memory of the event.
2.
Negative thoughts can become ingrained into the belief system if left unchecked.
Correct Answer
A. True
Explanation
Negative thoughts can become ingrained into the belief system if left unchecked because our beliefs are shaped by our thoughts and experiences. When we consistently entertain negative thoughts, they can reinforce negative beliefs about ourselves, others, and the world. Over time, these negative beliefs become deeply ingrained and can influence our perceptions, behaviors, and overall well-being. It is important to be aware of our thoughts and actively challenge and replace negative thoughts with positive and empowering ones to prevent them from becoming deeply rooted in our belief system.
3.
Select what best represents TF-CBT
Correct Answer
F. Statements #1, #3 and #4 best represent TF-CBT
4.
It is not worth spending time helping a child or an adult understand the difference between a thought and a feeling
Correct Answer
B. False
Explanation
The statement suggests that it is not valuable to spend time explaining the distinction between a thought and a feeling to a child or an adult. However, this is not true. Understanding the difference between thoughts and feelings is crucial for emotional intelligence and self-awareness. It helps individuals recognize and manage their emotions effectively, make rational decisions, and improve their communication skills. Therefore, it is worth investing time and effort in helping individuals understand this distinction.
5.
The triangle is a foundation for cognitive coping because:
Correct Answer
C. There are mutual influences and connections among thoughts, feelings and behaviors
Explanation
The answer is that there are mutual influences and connections among thoughts, feelings, and behaviors. This is because thoughts, feelings, and behaviors are interconnected and can influence each other. For example, our thoughts can influence our feelings, which in turn can influence our behaviors. Similarly, our behaviors can also impact our thoughts and feelings. Recognizing these connections is important for cognitive coping as it allows individuals to understand how their thoughts, feelings, and behaviors interact and how they can work to change them in a more positive and adaptive way.
6.
Why is sharing internal dialogue an important therapeutic technique for TF-CBT?
Correct Answer
B. It provides the therapist a view of the child's thought process and to see accurate and inaccurate thoughts
Explanation
Sharing internal dialogue is an important therapeutic technique for TF-CBT because it allows the therapist to gain insight into the child's thought process. By sharing their internal dialogue, the child provides the therapist with an opportunity to understand their thoughts, beliefs, and emotions related to the traumatic events. This allows the therapist to identify accurate and inaccurate thoughts and help the child challenge and reframe any negative or distorted thinking patterns. It also helps in building a therapeutic alliance and promoting effective communication between the child and the therapist.
7.
In the steps to cognitive reframing, it is best to let the child talk about the trauma before providing psychoeducation that might influence the process
Correct Answer
B. False
Explanation
In the steps to cognitive reframing, it is not necessary to let the child talk about the trauma before providing psychoeducation that might influence the process. This statement implies that discussing the trauma before providing psychoeducation is the best approach, which is incorrect. Cognitive reframing involves challenging and changing negative thought patterns, and providing psychoeducation can be an important part of this process. It helps the child understand the impact of their thoughts and beliefs on their emotions and behaviors. Therefore, it is not necessary to prioritize letting the child talk about the trauma before providing psychoeducation.
8.
When addressing anxious thoughts related to trauma:
Correct Answer
B. A useful technique is one that creates distance from the child's traumatic experience but still evokes some anxiety
Explanation
A useful technique when addressing anxious thoughts related to trauma is one that creates distance from the child's traumatic experience but still evokes some anxiety. This approach allows the child to gradually confront and process their trauma in a controlled and safe manner. By creating a sense of distance, the child can feel more comfortable discussing their experiences without becoming overwhelmed. However, it is important to still evoke some level of anxiety to ensure that the child is actively engaging with their emotions and working towards healing and recovery.
9.
Using Subjective Units of Distress (SUDS) rating are important because:
Correct Answer
D. All of the above
Explanation
Using Subjective Units of Distress (SUDS) rating are important because they allow the child or adult to learn a metric to assess the intensity level of distress. This helps them understand that distress is on a relative scale and is a core element for tracking the positive influence of cognitive reframing. Additionally, SUDS ratings help show the connection between thoughts and feelings. Therefore, all of the above statements are correct.
10.
Hallmarks of "Problematic Thinking" are:
Correct Answer
D. Both #1 and #2
Explanation
The correct answer is Both #1 and #2. This means that the hallmarks of "Problematic Thinking" include both #1 (internal, global, and forever) and #2 (personal, pervasive, and permanent).
11.
Accurate thoughts may be unhelpful
Correct Answer
A. True
Explanation
Accurate thoughts can sometimes be unhelpful because they may be negative or self-critical, leading to feelings of self-doubt or anxiety. In certain situations, it may be more beneficial to challenge and reframe these accurate thoughts in order to promote a more positive and constructive mindset. Additionally, accurate thoughts may not always align with reality or reflect the full picture of a situation, making them unhelpful in decision-making or problem-solving. Therefore, acknowledging that accurate thoughts can sometimes be unhelpful can allow individuals to approach their thinking with more flexibility and open-mindedness.
12.
How are SUDS ratings and all-or-nothing thoughts related in the CBT model?
Correct Answer
D. #4 the goal of SUDS ratings is to help a child or adult move away from all or nothing thinking about distress and instead look at relative levels of distress
Explanation
The correct answer is #4. In the CBT model, SUDS ratings are used to help individuals move away from all-or-nothing thinking about distress. SUDS stands for Subjective Units of Distress Scale, which is a tool used to measure the intensity of distress or anxiety. By using SUDS ratings, individuals can learn to recognize and differentiate between different levels of distress, rather than seeing it as either all or nothing. This helps them develop a more nuanced understanding of their emotions and can be helpful in managing and coping with distress effectively.
13.
All are true when teaching a child to challenge distortions, EXCEPT:
Correct Answer
B. Give the answer to the child and then guide them how to get there
Explanation
The correct answer is "Give the answer to the child and then guide them how to get there." This option contradicts the idea of teaching a child to challenge distortions. Instead of providing the answer directly, the focus should be on guiding the child to question their thoughts and beliefs, investigate evidence, and challenge assumptions. By giving the answer, it eliminates the opportunity for the child to develop critical thinking skills and learn how to challenge distorted thinking patterns.
14.
Cognitive reframing is a skill that requires practice, persistence and more practice
Correct Answer
A. True
Explanation
Cognitive reframing involves changing the way we perceive and interpret situations, thoughts, and emotions. It is a skill that can be developed through practice and persistence. By actively practicing cognitive reframing techniques, individuals can learn to challenge negative or unhelpful thoughts and replace them with more positive and constructive ones. This process requires repetition and consistency to effectively reframe our thinking patterns. Therefore, the statement "Cognitive reframing is a skill that requires practice, persistence, and more practice" is true.
15.
There is a risk that both the child and therapist may give up too soon on cognitive reframing
Correct Answer
A. True
Explanation
The statement suggests that there is a possibility that both the child and therapist may lose motivation or interest in cognitive reframing before it has a chance to be effective. This could be due to various factors such as lack of progress, difficulty in understanding or implementing the technique, or simply a lack of patience. It is important for both the child and therapist to be aware of this risk and actively work towards maintaining motivation and perseverance in order to give cognitive reframing a fair chance to work.
16.
Which statement is NOT true about teaching cognitive coping skills:
Correct Answer
C. Therapists should teach cognitive reframing the same regardless of development level
Explanation
The statement that is NOT true about teaching cognitive coping skills is that therapists should teach cognitive reframing the same regardless of development level. Teaching cognitive reframing should be tailored to the individual's development level, as different age groups and cognitive abilities require different approaches and techniques.
17.
Role playing is overrated in skills practice
Correct Answer
B. False
Explanation
Role playing is not overrated in skills practice. It is an effective method for individuals to practice and develop their skills in a realistic and interactive setting. By assuming different roles and engaging in simulated scenarios, individuals can gain valuable experience, improve their communication and problem-solving abilities, and enhance their overall performance. Role playing allows individuals to apply their knowledge and skills in a practical context, making it a valuable tool for skills development. Therefore, the statement that role playing is overrated in skills practice is false.
18.
SUDS ratings are most helpful when they are done before AND after cognitive reframing
Correct Answer
A. True
Explanation
SUDS ratings, which stands for Subjective Units of Distress Scale, are a useful tool for measuring and monitoring levels of distress or anxiety. When done both before and after cognitive reframing, they provide a valuable way to assess the effectiveness of this technique in reducing distress. By comparing the ratings before and after reframing, individuals can gain insight into the impact of their cognitive restructuring efforts and track their progress over time. Therefore, conducting SUDS ratings both before and after cognitive reframing can enhance the usefulness of this assessment tool.
19.
An example of emotional reasoning is:
Correct Answer
C. It must be dangerous because I am really scared right now
Explanation
Emotional reasoning refers to the cognitive distortion where a person assumes that their emotions reflect the reality of a situation. In this example, the individual concludes that something must be dangerous solely based on their feeling of fear. This type of reasoning does not consider objective evidence or logical thinking, but rather relies on subjective emotions as the basis for making judgments or decisions.
20.
To become effective at "questioning the evidence of distortions" requires the therapist to practice over and over again and get feedback from supervisors and colleagues.
Correct Answer
A. True
Explanation
Becoming effective at "questioning the evidence of distortions" is a skill that requires practice and feedback. By practicing repeatedly and receiving guidance from supervisors and colleagues, therapists can develop their ability to critically analyze and challenge distortions in the evidence presented by their clients. This ongoing practice and feedback loop helps therapists improve their questioning skills and ultimately enhances their effectiveness in therapy sessions.