Emotional Regulation and Trauma - week 9

Question 1

when unresolved issues are triggered your mind shuts off and becomes inflexible

Answer 1

when emotional reactions replace midnfulness you’re on the low road

Question 2

reflecting on the origin of our issues can increase self-understanding and create a resilience that minimizes likelihood of the low road

Answer 2

TRUE

Question 3

HIgher mode of processing involves:

Answer 3

higher, rational reflective thought
mindfulness, flexible response
integrating sense of self-awareness
prefrontal cortex

Question 4

low mode; low road

Answer 4

shutting down of prefrontal cortex
intense emotions
impulsive, rigid and repetitive responses
no self-reflection or consideration other’s views

Question 5

trigger

Answer 5

internal or external even that initiates beginning of low road

Question 6

transition

Answer 6

movement from integrated, higher road processing toward low road

Question 7

immersion

Answer 7

on the low road

high mode shuts off: no self reflection, attunement or mindsight

Question 8

recovery

Answer 8

process of reactivating integrative processes

high vulnerability to reentering the low road

Question 9

________ prevents repair process

Answer 9

SHAME

Question 10

shift to low road linked with unresolved issues due to

Answer 10

emotional meaning and unintegrated implicit memories from past experiences flood mind

Question 11

rapid shift in state of mind can lead to a discontinuous experience called?

Answer 11

dissociation

Question 12

individuals with _______ are more vulnerable to sudden shifts in state of mind and more prone to entering the low road

Answer 12

individuals with UNRESOLVED TRAUMA OR LOSS are more vulnerable to sudden shifts in state of mind and more prone to entering the low road

Question 13

recovery: how do you create a coherent story?

Answer 13

past autobiographical information has to be linked to present day experiences to create a coherent story out of internal and interpersonal experiences

Question 14

resolution of trauma requires an understanding of the low road and its connection to patterns of past experiences

Answer 14

true

Question 15

repeated ruptures without repair impair ABC’s of attachment (attune, balance and coherence)

Answer 15

unresolved issues disconnect ppl from parts of brain that enable attuned communication

Question 16

in unresolved trauma, “implicit only” memories and fragments of explicit memory have not been consolidated into a coherent life story

Answer 16

explicit: sensation of a remembered past event

autobiographical=sense of self and time

Question 17

contingent communication

Answer 17

sense of balance is achieved between inner sense of self and outer responses of the social world

Question 18

amygdala

Answer 18

processing emotions and evaluate meaning of incoming stimuli

Question 19

rupture

Answer 19

breakdown in communication

Question 20

repair

Answer 20

reconnecting with child

Question 21

in order to repair a rupture

Answer 21

be aware of rupture
understand your behavior and emotions
take ownership in your role
reconnect right away

Question 22

rupture without repair

Answer 22

deepening sense of disconnection = shame/humiliation = toxic for childs sense of self

Question 23

ruptures that invole intense emotional distress and a despairing disconnection that are harmful to a childs sense of self

Answer 23

toxic ruptures

Question 24

toxic ruptures happen on the low road

low road = flexible, contingent communication is impossible

Answer 24

TRUE

Question 25

toxic ruptures are the most distressing form of disconnection for children becuase they are accompanied by an instense feeling of overwhelming SHAME

Answer 25

TRUE shame is at the heart of toxic ruptures

Question 26

reflective dialogue about inner emotional experience of the rupture is often effective at repairing it

Answer 26

TRUE

Question 27

repeated experiences of shame in childhood can result in

Answer 27

permanently disregulated autonomic functioning and a heightened sense of vulnerability to others intense sense of distress (constant "fight or flight") withdraw from others bad sense of self rigid defenses

Question 28

non-contingent communication

Answer 28

interrogate, judge, fix (ex. denies child's reality)

Question 29

contingent communication

Answer 29

receive, process and respond

Question 30

collaboration

Answer 30

explore, understand and join

Question 31

how to repair

Answer 31

``` calm down consider trigger connect non-intrusively listen to your child apologize & discuss the toxic part ```

Question 32

access to consciousness

Answer 32

when processes become linked with consciousness, they can be more strategically and intentionally manipulated

Question 33

what is the danger in chronically blocking emotional expression?

Answer 33

inhibits access of emotions to a person's consciousness inability to connect with others feeling misunderstood

Question 34

at the emotional core of attachment is increased positive emotional states and reduced negative emotional states

Answer 34

child tolerates wider bands of emotional intensity and share emotional communication

Question 35

maladtive emotional regulation from temperament, trauma or attachment leads to

Answer 35

restricted ability to achieve emotional reseilience and behavioral flexiibility

Question 36

the experience of being shunned and expelled from social connectedness

Answer 36

shame

Question 37

overwhelming emotional response to a terrible event

Answer 37

trauma

Question 38

relational trauma

Answer 38

anything that makes a person enter fight or flight *most trauma is relational (not a single event)

Question 39

freeze

Answer 39

effective at infancy

Question 40

flight

Answer 40

effective strategy when beginning to crawl

Question 41

fight

Answer 41

effective strategy in adolescence (physical abuse stops when you can fight back)

Question 42

in order to heal from trauma ppl need connection but are too afraid to trust due to fear and disregulation in relationships

Answer 42

TRUE

Question 43

the loss of the ability to regulate the intensity of emotions is the most far-reaching effect of _______?

Answer 43

early traumatic abuse and neglect

Question 44

under stress the brain releases

Answer 44

noradrenaline & cortisol

Question 45

excessive stress hormones impair the _________ and ________ contributions to memory processing?

Answer 45

excessive stress hormones impair the HIPPOCAMPAL and AMYGDALA contributions to memory processing?

Question 46

traumatic stress blocks/damages: the Hippocampus (invovled in explicit memory) Amygdala (emotions of an experience)

Answer 46

TRUE

Question 47

Trauma blocks the encoding & storage of explicit memory resulting in implicit only memory traces

Answer 47

TRUE

Question 48

implicit memories lack ?

Answer 48

impllicit memories lack: associated connections (hippocampus) which would assit with understanding *neurological basis for panic attack

Question 49

trauma damages the corpus callosum which _____?

Answer 49

trauma damages the corpus callosum which: | connects 2 hemispheres and allows for the transferring of info from one hemisphere to the other

Question 50

unresolved traumatic expereines impair the cortical consolidation process which results in ?

Answer 50

no permanent storage of traumatic memories in memory

Question 51

______ play a central role in reorganizing memory and in reinforcing the connections between memory and emotion

Answer 51

DREAM

Question 52

failure to consolidate traumatic events is at the core of unresolved trauma. that is why treatment includes integration of trauma into larger context of mind

Answer 52

TRUE

Question 53

unresolved trauma may be transferred to the child through trauma reactions

Answer 53

TRUE (intergenerational transfer of mind)

Question 54

trauma becomes part of a persons identity

Answer 54

TRUE

Question 55

victim identification of trauma

Answer 55

victim: doesn't want to be the monster (manipulated, submissive) Build assertiveness, confidence, boundaries (must process their fear of becoming the monster "perpetrator")

Question 56

perpetrator identification with trauma

Answer 56

○ Perpetrator: I don't want to feel helpless again; power/control § Aggressive, control, Build empathy, flexibility, compassion (must process fear of being helpless)

Question 57

resolved trauma

Answer 57

``` reflect on past live in present active sense of self and time flexible mind stable mood experience wider range and intensity of emotion tolerance for change ```

Question 58

for unresolved trauma, therapy attachment relationship enables the patient to enter fearful states of mind to process info

Answer 58

TRUE