Dissociation in Play Therapy Quiz v1.0 - Play Therapy Training Resources

Dissociation is

An inherently unhealthy coping mechanism.

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The mental process of being disconnected from one’s thoughts, feelings, body sensations, identity, or memories.

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That feeling you get when your eyes lose focus.

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A client’s hallucinations of feeling like people live inside him/her.

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Due to the chronic nature of DID, once a client is diagnosed, he or she will have to deal with the symptoms for the rest of his or her life.

True

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False

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Dissociation occurs for all the following reasons, except

To automate behavior.

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To compartmentalize emotions and behavior.

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To estrange from self in the face of death.

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To reach a higher form of self-actualization.

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According to the trainer, what is the root of dissociation?

Shame

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Anger

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Fear

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Sadness

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A 43-year-old client experiences a significant amount of time loss between the ages of 14 and 18 and is unable to recall who she dated in high school. From this information only, what diagnosis does she fit into best?

Dissociative Identity Disorder

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Dissociative Amnesia

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Derealization/Depersonalization Disorder

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Other Specified Dissociative Disorder 1b

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The client is experiencing a fugue state

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According to the trainer, the Dissociative Experience Scale is great because we can diagnose a client based on only the results of the instrument.

True

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False

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Which of the following locations in the Window of Tolerance can describe the feeling of dissociation?

Attic/overstimulated

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Basement/understimulated

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The main house

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The primary goal of parts work is

To build the relationship between the parts.

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To contain or eliminate problematic parts.

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To control the client.

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To make the job of the therapist easier in trauma processing.

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Parts of self emerge because

The client has a thought disorder such as schizophrenia.

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The client has an overactive imagination.

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The client uses drugs.

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The client experienced early life trauma.

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According to the presenter, which of the following is the strongest tool that a clinician has for working with dissociation to increase the client’s feeling of felt safety?

Coregulation

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Coping skills

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Parts work

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The Window of Tolerance

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An introject is

An insight the client has into his/her past

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A part in disguise wanting attention

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A manager

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IFS

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Non-directive therapy is

Inappropriate with dissociative clients. Dissociation requires direction.

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Too triggering for dissociative clients.

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A great way to help the client’s internal system build trust with the therapist.

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A memory dump

Is a sign you are doing a great job as a therapist.

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Is when a client suddenly forgets everything.

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Means you should slow down.

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Is an acronym.

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According to the presenter, play therapy is

A playful way of engaging individuals in therapy at a developmentally appropriate level.

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Only non-directive play therapy.

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All therapy with kids.

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Only Adlerian play therapy.

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The Window of Tolerance is

A way to describe an individual’s level of arousal.

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What needs to open in order to find suppressed memories.

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An analogy for therapy.

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Dangerous.

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Co-regulation is

Teaching coping skills.

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Knowing when to take a deep breath.

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The concept that we can help others manage their emotions by managing our own.

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Non-existent.

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A 9-year-old who runs away from home, forgets who she is for a time, only later to come to is an example of

A panic attack.

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An introject.

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A dissociative fugue.

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Derealization.

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An 11-year-old client experiencing a lack of emotions and body sensations who states that he feels like a ghost or an extra in a movie is likely experiencing

Derealization.

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Depersonalization.

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DID.

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Dissociative fugue.

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The most appropriate way to assess for dissociation in a 6-year-old child is

To give the child the MID (Multidimensional Inventory of Dissociation).

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To give the child the DES (Dissociative Experience Scale).

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To use the Child Dissociative Checklist with the primary caregivers, along with clinical observation.

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There is no way to appropriately assess a child for dissociation.

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All the following terms refer the part that is out most often except

Apparently normal part.

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Ego.

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Introject.

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Self.

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Which of the following is NOT true about dissociation?

Dissociation is on a spectrum

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All dissociation is unhealthy

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Dissociation symptoms may look like ADHD symptoms

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Dissociation can be invisible

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Dissociation occurs in order to

Automate behavior.

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Compartmentalize emotions and memories.

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Estrange for self in the face of death.

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All of the above

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According to the trainer, which of the following is the best type of skill to use in order to get a client out of dissociation?

Grounding skills

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Self-regulation skills

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Rebirthing skills

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Dissociation skills

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The container exercise is

A way to shove all the nasty feelings down.

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A way to dissociate in a healthy way.

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A skill to help the client organize his/her house.

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An EMDR skill that doesn’t work with dissociation.

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A 9-year-old client reports that he has not done the things that his parent saw him do. The parent reports that the client “seemed like a different kid”. The child stated, “Robbie did that, not me.” The most likely diagnosis for this client is

Dissociative Identity Disorder

Correct Incorrect Correct answer

Dissociative Amnesia

Correct Incorrect Correct answer

Derealization/Depersonalization Disorder

Correct Incorrect Correct answer

Other Specified Dissociative Disorder 1b

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The client is experiencing a fugue state

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A 14-year-old client enters therapy for depression. However, he states that he is not depressed; he is just numb. The client states that his actions do not matter, and that if he killed himself, he would wake up in his bed. The most likely diagnosis for this client would be

Dissociative Identity Disorder

Correct Incorrect Correct answer

Dissociative Amnesia

Correct Incorrect Correct answer

Derealization/Depersonalization Disorder

Correct Incorrect Correct answer

Other Specified Dissociative Disorder 1b

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The client is experiencing a fugue state

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An 11-year-old client states that she feels like her life is automated. She states that she does things, remembers them, but cannot explain why or how she did them. She also states that she hates doing these things. The client states that the words she speaks do not feel like hers. What diagnosis best fits this client?

Dissociative Identity Disorder

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Dissociative Amnesia

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Derealization/Depersonalization Disorder

Correct Incorrect Correct answer

Other Specified Dissociative Disorder 1b

Correct Incorrect Correct answer

The client is experiencing a fugue state

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A 10-year-old boy reports suddenly feeling afraid, forgetting who he is and where he is, and runs into the woods. Once he is found, he attempts to fight the people who find him, believing that they are animals. What diagnosis best fits this client?

Dissociative Identity Disorder

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Dissociative Amnesia

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Derealization/Depersonalization Disorder

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Other Specified Dissociative Disorder 1b

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The client is experiencing a fugue state

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When explaining dissociation to a client or a family member of a client, which of the following is NOT a best practice?

Don’t make it weird

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Normalize it

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Tell the client to google the diagnosis

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Explain how it affects behavior

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Defensive dissociation is

When a person dissociates due to an increase in emotional arousal.

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When a client is being combative.

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Unimportant to trauma therapy.

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The phenomenon in which a client experiences hallucinations or voices.

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When a client scores high in disassociation, but does not present with parts, which of the following is NOT a treatment goal?

Widening the client’s Window of Tolerance

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Assisting the client toward felt safety

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Pushing the client to process his or her traumatic material quickly

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Processing the client’s developmental trauma at the client’s pace

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Which of the following definitions best fits the words “physicalize it”?

Doing aerobic activity

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Finding an object to represent a feeling

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A container exercise

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Having a support person in session

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Which of the following is a best practice for diagnosing an individual with dissociation?

Observing the client

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Using a standardized instrument

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A combination of observing the client and using a standardized instrument

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Which of the following could be true if the dissociative client’s presentation does not include parts?

This may indicate a phobia of parts

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The client may lack insight into parts

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The client may not have parts

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All of the above

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When a client experiences significant dissociation, but does not present with parts of self, what is a best practice?

Spend time teaching the client to reduce dissociation through expanding the Window of Tolerance, teaching grounding skills, helping the client feel a felt sense of safety, and the processing of developmental trauma

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The client must have parts—keep digging

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Refer to a hypnotist—the client’s inner world is a delusion that needs to be rooted out

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The client is faking dissociation—confront him/her

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When processing traumatic material, the research supports therapies that

Are cognitive in nature.

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Focus on the present exclusively.

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Focus on existentialism exclusively.

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Are experiential.

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04 Aug Dissociation in Play Therapy Quiz v1.0

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