The Body Keeps the Score Quizzes

The Body Keeps the Score Quiz for Part One

1 Finish this sentence: "we will also see that the imprints from the past can be transformed by having __ that directly contradict the helplessness, rage, and collapse that are part of trauma, and thereby regaining self-mastery."
psychoanalytic talk therapy sessions

physical experiences

emotional experiences

theater workshops
2 Which population did van der Kolk work with at the beginning of his career?
troubled children

teenagers suffering from depression

sexual assault survivors

combat veterans
3 What did van der Kolk and his colleagues determine about trauma through the use of Rorschach ink blot tests in the study on nightmares?
Most people see ordinary images.

Traumatized people have a tendency to superimpose their trauma on everything.

Most people see whimsical images.

Most people just see ink blots.
4 Define "superimpose."
To layer two things so that the bottom layer becomes invisible

To place one thing over another, typically so that both are visible

To not allow two things to come together

To make an unusual physical pose with one's body
5 What does van der Kolk recall being surprised by while working as an attendant on a research ward at the Massachusetts Mental Health Center?
The patients always willingly shared about past traumatic experiences at any time of the day or night.

He heard doctors empathetically discuss the plights of their patients.

The patients and doctors largely ignored ward attendants.

He never heard doctors discuss the patients' stories of abuse during care meetings.
6 Early in his career, what did van der Kolk eagerly embrace as the surefire way to conquer human misery?
Talk Therapy

Psychoanalysis

Embodied Therapies

Psychopharmacology
7 What opened van der Kolk's mind to the possibility of somatic therapy?
A revelatory dream

Clinical practice only

Changing therapeutic guidelines and a widespread cultural shift in how trauma should be treated

Apart from his clinical practice, learning about learned helplessness and how to resolve it in a presentation given by Steven Maier
8 What should the stress hormone system ideally do?
Wait for the rational prefrontal cortex to pass judgement on a potential threat

Respond more to imagination than to reality

Never change from initial priming

Provide a lightning-fast response to threat, but then quickly return us to equilibrium
9 What did innovative technologies like neuroimaging do for trauma research?
Cause people to pass out in response to metacognition

Map brain changes and validate treatment approaches

Prove that psychopharmacology is the pinnacle of treatment

Prove that talk therapy is the pinnacle of treatment
10 The study van der Kolk conducted at the VA started out as research about nightmares but ended up exploring how trauma changes people’s ___.
perceptions and imagination

memory

experience of time

relationships
11 Van der Kolk uses which word to describe how trauma is not just a past event, but an ongoing experience?
Memory

Ghost

Superimpose

Imprint
12 Which of the following did van der Kolk not notice in the patients while working as a recreation leader at MMHC?
The patients often shared midnight confessions

The patients' were strikingly clumsy and physically uncoordinated

Their hallucinations were simply signs of how disturbed they were

The patients' most relaxed conversations seemed stilted, lacking the natural flow of gestures and facial expressions that are typical among friends
13 Which reveals the power imbalance between doctors and patients?
"I was surprised and alarmed by the satisfaction I sometimes felt after I’d wrestled a patient to the floor so a nurse could give an injection"

"I always felt sad at the end of these meetings, knowing that the treatments that would be administered the following morning would erase all memory of our conversation."

"the job of therapists is to help people 'acknowledge, experience, and bear' the reality of life—with all its pleasures and heartbreak"

"Trauma is held in people’s bodies."
14 What core factor changes the way that medicine approaches human suffering?
the doctor's mood

empathy

food and nutrition

the technology available at any given time
15 What is the amygdala?
a relay station of all incoming motor (movement) and sensory information

a low part of the brain that controls vital functions such as breathing, heart rate, and blood pressure

a cluster of brain cells that determines whether a sound, image, or body sensation is perceived as a threat

a part of the brain that is involved in many higher-order cognitive processes such as decision making, reasoning, and personality expression, and social cognition
16 What else does van der Kolk write that pharmaceutical interventions do apart from provide a tool beyond talk therapy?
Increase empathy

Provide community resources for patients

Produce income and profits for pharmaceutical companies

Solve trauma
17 Why does van der Kolk ultimately state that the drug revolution in psychiatry did as much harm as good?
They contribute to addiction.

They are a root-cause solution.

Pharmaceuticals have potentially harmful side effects and they do not address underlying issues.

Van der Kolk is actually indifferent.
18 What value does van der Kolk convey when he says, "The brain-disease model takes control over people’s fate out of their own hands and puts doctors and insurance companies in charge of fixing their problems."
Human agency

Reaping profits

Scientific recognition

Control over his patients
19 What is Broca's area?
a region of the brain concerned with speech production and language processing

a low part of the brain that controls vital functions such as breathing, heart rate, and blood pressure

a cluster of brain cells that determines whether a sound, image, or body sensation is perceived as a threat

a part of the brain that is involved in many higher-order cognitive processes such as decision making, reasoning, personality expression, and social cognition
20 What happens to Broca's area in traumatized individuals?
Trauma can temporarily impair its function

Trauma strengthens it over time

It becomes hyperactive

It becomes permanently damaged
21 Which Shakespeare play does van der Kolk mention with regard to "speechless terror"?
Macbeth

Romeo and Juliet

Hamlet

A Midsummer Night's Dream
22 Which hormones are critical in the fight/flight response?
Adrenaline, noradrenaline, and cortisol

Estrogen, testesterone, and progesterone

Insulin, thyroid hormones

Growth hormone, melatonin
23 What does trauma do to a person's stress response?
Prime them to handle stress better than other people.

None

Cause them to always shut down in response to stress

Cause that person's hormones to take longer to return to baseline as well as spike quickly and disproportionately in response to mildly stressful stimuli
24 Which quote demonstrates why van der Kolk believes that talk therapy alone is ineffective?
"I am continually impressed by how difficult it is for people who have gone through the unspeakable to convey the essence of their experience."

"For a hundred years or more, every textbook of psychology and psychotherapy has advised that some method of talking about distressing feelings can resolve them."

"We can also make a strong case that Marsha is hypersensitized to her memories of the past and that the best treatment would be some form of desensitization."

"the rational brain is basically impotent to talk the emotional brain out of its own reality."
25 At the end of Part One, what harmful effect of trauma does van der Kolk describe?
Trauma lowers self-esteem.

Trauma can cause depersonlization.

Trauma impairs relationships.

Some traumatized people cannot "be 'here'—fully alive in the present."

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