Lvl 2 Mod 3

Question 1

What 4 things to keep in mind when working with a client who just keeps talking and doesn’t seem to ever drop in?

Answer 1

1. Building the container is the hardest step and it takes about 20 minutes to do
2. Just listening is OK, don’t try to interject too many contact statements because it can be important to the client just to share with me.
3. If the client’s energy is really high (upset/anxious) you can match their energy as implicit contact and then down-regulate with my own energy/statements
4. It’s important to get in touch with both ourselves and the client on all the three levels of information processing.

Question 2

What is the rule of thirds with respect to time spent in the stages of the process within an individual counseling session?

Answer 2

1st third - Container/Framing
2nd third - Accessing/Processing/Transformation
3rd third - Integration

Question 3

6 Steps of the container stage for developmental work

Answer 3

1. Attune, listen, Track, & Bodyread to collect Information
2. Assess is this developmental or trauma
3. Stimulate developmental themes with Contact
4. Hypothesize what could be accomplished in this session
5. Provide psychoeducation
6. Determine a developmental theme and core organizer to Frame

Question 4

What are two signs that a contact statement lands with a client

Answer 4

1. If they settle downward into their body
2. If they do a head nod

Question 5

Three options for a physical experiment in the context of developmental work

Answer 5

1. Repeat a gesture more slowly with attention
2. Slightly exaggerate a physical tension pattern with mindful attention (e.g. “Just a 1/4 inch forward”)
3. Do the opposite movement/gesture to take the client back into alignment

Question 6

What do we do during steps to mindfulness when we don’t get a mindful report from the client?

Answer 6

Go back to contact statement and continue the cycle from there

Question 7

What’s an important quote from Pat to keep in mind when pacing a session?

Answer 7

Slower is faster.

Question 8

How do we know when to stop doing rounds of steps to mindfulness during developmental work?

Answer 8

Once we have all 5 core organizers.

Question 9

What’s an example statement from Rebecca to help probe for memories/images?

Answer 9

Does this feel familiar?

Question 10

What principle do we follow when determining what core organizers to ask the client to notice first vs save for later

Answer 10

Go with the easiest ones first as they will help the other more difficult core organizers to come out later.

Question 11

Why is meaning essential to developmental processing?

Answer 11

Because the implicit beliefs often inform much of client’s behavior and relationship dynamics

Question 12

Three examples of questions that can elicit a body-based meaning?

Answer 12

1. If that < body sensation> could talk, what would it say?
2. What are the words that go with this movement?
3. What do these hands seem to be saying?

Question 13

What is the activity of “going for meaning from the body” and what is the purpose?

Answer 13

It is an experiment that integrates non-verbal, somatic and emotional meaning (right brain) with language (left brain).

The purpose is to light up enough state specific memory so that we can take an automatic and implicit meaning and bring it into explicit and reflective awareness (e.g. integrate the right brain and the left brain)

Question 14

4 techniques besides contact statements that can help deepen a client’s somatic experience

Answer 14

1. Link core organizers
2. Use mindfulness directives to increase awareness
3. Use a mindful question to get more detail
4. Try an experiment

Question 15

What did Rebecca do when the demo client wanted to “break out” and “walk away” (escape from the painful meaning) during the going for meaning from the body experiment.

Answer 15

She validated the work of the protector part/adult self and that it’s uncomfortable. Then asked if they could come back to the original frame.

Question 16

How to leave the session in a better place if time is starting to run out and there’s not enough time to complete the exercise of going for meaning from the body? (4 steps)

Answer 16

1. Ask the client to do the opposite of what their body is currently doing
2. Ask what feels good
3. Deepen into that
4. Ask them what their body is telling them about themselves now

Question 17

What is an example of a statement that can be made to help soothe clients who feel like they are not doing enough or session was not good enough

Answer 17

Whatever you have done today, let it be enough

Question 18

What are the five basic motions associated with attachment and what does each represent (in general)?

Answer 18

1. Yield - the capacity to feel support – to rest in intimacy
2. Push - the sense of knowing my own needs – separate but in contact with the earth and other beings
3. Reach - desire
4. Grasp - agency
5. Pull - Feeling like I deserve the things for myself

Question 19

Non-verbal way to interrupt the client in person

Answer 19

Lean forward

Question 20

How to make verbal interruptions less disruptive

Answer 20

Use one word contact + qualifier (huh?)

Question 21

What are the three primary functions of emotions?

Answer 21

1. Are an internal information source within the nervous system providing feedback about the positive and negative valence of things, people, experiences
2. Help us communicate with those around us via empathy system and mirror neurons
3. Neuro‐process hypothesized to be integrative between the thinking brain (prefrontal cortex) and doing/movement brain (reptilian brain)

Question 22

4 Categories of Emotion and why is it important to recognize the category?

Answer 22

1. Vehement
2. Primary
3. Patterned
4. Secondary

It’s important because this guides the therapist’s responses.

Question 23

What are patterned emotions and what is an example?

Answer 23

Something learned because the primary emotion was ineffective or resulted in negative responses.

For example, a client that was dismissed when they were afraid could have anger as a patterned emotion

Question 24

Why is it important to identify the primary emotion and what is one way to identify?

Answer 24

Because primary emotions are the ones that we can successfully sequence.

To identify, you can ask yourself are there emotions below this one. Primary emotion once contacted with have a sense of depth and stand out.

Question 25

What are secondary emotions and what is an example?

Answer 25

The emotions that occurred later in life in response to prefrontal cortex processes. For example, what I am feeling shame in response to my primary emotion of loneliness

Question 26

5 skills used at the accessing stage

Answer 26

1. Steps‐to‐Mindfulness (MFD/MFQ) 2. Linking core organizers 3. Stitching to frame 4. Refining Frame or Reframing 5. Experiments

Question 27

In SP, what is the relative priority of mindful awareness versus conversation, insight, advice and interpretation?

Answer 27

SP privileges mindful awareness of present moment experience over conversation, insight, advice and interpretation.

Question 28

What are the 5 steps to mindfulness?

Answer 28

1. Track 2. Contact Statement 3. Mindfulness Directive 4. Mindfulness Question 5. Obtain mindful report (assess)

Question 29

Three questions to access the cognitive beliefs associated with a clients patterns of emotional expression/tolerance

Answer 29

1. What emotions were encouraged/discouraged in your family system, community and society at large? 2. Did you received any messages associated to specific emotions? 3. Are there any emotions that are difficult to tolerate in yourself or in others?

Question 30

What is the goal of using the steps to mindfulness when working with developmental injuries?

Answer 30

To elicit deeply held implicit memory throughout the brain and body to facilitate reprocessing.

Question 31

What is an example of an emotion coming from developmental injury that could take the client out of their window

Answer 31

Shame

Question 32

What are two indicator that you are going too fast with the steps to mindfulness?

Answer 32

1. The client loses connection with feeling/sensation and goes up into their head 2. There is a disruption in the sense of flow

Question 33

How many rounds of the steps to mindfulness do we generally do before asking about images and memories? Why?

Answer 33

4 or 5. So that the client really steeps in their present moment experience and an answer to that question can come from the body instead of them needing to go to their head and guess at something.

Question 34

Why do we ask about images and memories instead of just memories?

Answer 34

Because the client may not have an explicit memory and asking about images helps pull up something from the past.

Question 35

What is an example of a resourcing exercise based on an object in their own space? (7 parts)

Answer 35

1. Find an object in your room that has positive meaning for you 2. Take it in -- details and expanding overall 3. Think about the events that led to this being in this room 4. Find the moment that stands out 5. Identify core organizers associated with that moment 6. Steps to mindfulness to funnel into core message 7. Savor resource

Question 36

What are two things that stitching to the frame helps achieve?

Answer 36

1. Maintain focus 2. Bring more activation and energy into the moment

Question 37

What's a cue to Rebecca that offering a mindfulness menu could be helpful

Answer 37

If the client seems to be unable to answer the mindfulness question with specificity

Question 38

What can happen when exploring experience on one's own instead of with an SP therapist?

Answer 38

We can get lost and stuck

Question 39

In SP, what mechanism results in most of the change?

Answer 39

Just studying the organization of experience and letting it change on its own.

Question 40

What is the difference between EMDR and Sensorimotor regarding the ordering of finding a limiting belief and working with it in the body?

Answer 40

SP starts with the body and then finds the limiting belief EMDR starts with the limiting belief and then working with it in the body

Question 41

If the client goes from container and drops right into processing, what do we do?

Answer 41

Deepen into meaning by gathering all the core organizers.

Question 42

What term does Rebeca use to describe the child/younger part that created a templated meaning from a specific emotional experience/set of experiences?

Answer 42

The Mapmaker

Question 43

How can we tell when something from a different ego state is coming into the client's current state of consciousness? What kinds of parts should we be on the look out for?

Answer 43

It is not congruent with the core organizers listed within the frame. Protector parts.

Question 44

What are the three parts of the therapists job related to the client's states of consciousness?

Answer 44

1. Recognize what state of consciousness the client is in 2. Develop the client's ability to move into other states 3. Foster and stay oriented (aka "the compass") within states as appropriate to the goals of the immediate stage of the process and the client’s integrative capacity

Question 45

What are two different labels to use for clients who don't like the term "part"?

Answer 45

1. State of consciousness 2. Neural pathways

Question 46

What do very different things that a curved inward posture could mean

Answer 46

1. Collapse - feeling of flaccid 2. Bearing a heavy burden and a feeling of strain/tension

Question 47

What's one potential "tell" that a client is answering a "what's your body telling you" question from a cognitive place?

Answer 47

If they look up -- this tells us they are going cognitive

Question 48

Why does a parent's rejection cause a child to assume the problem is their own?

Answer 48

Children do not understand that it's a parent's limitation and that they can be accepted in other situations

Question 49

3 parts of Rebecca's developmental injury metaphor of pretending an arm is gone

Answer 49

My family does not accept that I have a left arm and I suffer because of that I decide that I am going to pretend it's not there Additionally, I am going to create a defense such that I don't even notice it's missing

Question 50

What are somatic mechanisms (general definition)?

Answer 50

Ways of organizing experience which manage energy and emotion in relationships with the intent to maximize access to available relational resources.

Question 51

What are five qualities of primary emotion?

Answer 51

1. Those experienced in the moment without any secondary gain (e.g., manipulation, regulation, protection) 2. Relatively un-enduring 3. Adaptive responses to specific finite situations 4. Incorporate body responses and images 5. Authentic quality

Question 52

What are three traits of secondary emotions?

Answer 52

1. Are either a substitute for a primary emotion or an exaggerated version of the primary emotion 2. Don't hold information 3. Stay looping/stuck

Question 53

How does Rebecca recommend working with clients who are in the compressing down style (3 parts)?

Answer 53

1. Playfulness in general 2. Wiggle around, wiggle your tail 3. Do the karate kick with the hands/arms up like a swan

Question 54

What are three examples of implicit memories as related to developmental injury?

Answer 54

1. Procedural templates 2. Mental models 3. Core limiting beliefs

Question 55

What is the goal of adaptive strategies and what are 8 different kinds?

Answer 55

Adaptive strategies help manage painful attachment related emotions. They do so by: 1. Holding in 2. Compressing down 3. Pliant collapse 4. Sealing off 5. Inflated posture 6. Insistent seeking 7. Fluid motion 8. Kinetic action

Question 56

When do we resource clients when doing developmental?

Answer 56

Only if they are way outside their window.