TTC Complex Trauma & Dissociation 3

Question 1

During trauma processing, a client suddenly goes silent, stares blankly, and becomes unresponsive. The therapist should FIRST:

Accepted Answer

Use grounding techniques to help the client return to present awareness

Answer

When a client dissociates during session, grounding techniques help restore present-moment awareness before any further trauma processing can safely occur.

Question 2

The concept of 'polyphonic' or 'multiplicity' in dissociative identity is BEST understood as:

Accepted Answer

Multiple distinct identity states each with their own emotional responses, memories, and behaviors

Answer

Multiplicity refers to the existence of multiple distinct identity states or 'alters' in dissociative disorders, each with unique characteristics, memories, and behavioral patterns.

Question 3

A child who grew up with chronic abuse and neglect is most at risk for which pattern of attachment?

Accepted Answer

Disorganized/disoriented attachment

Answer

Disorganized attachment, characterized by the simultaneous activation of attachment-seeking and fear responses, is strongly associated with early chronic abuse and neglect where the caregiver is also the source of fear.

Question 4

In treating complex trauma, Phase 2 (trauma processing) should ONLY begin when:

Accepted Answer

The client has developed sufficient stabilization, safety, and emotion regulation skills

Answer

In phase-based treatment models, trauma processing should only proceed after the client has achieved adequate stabilization, safety, and the ability to manage trauma-related distress.

Question 5

Which of the following BEST describes 'somatoform dissociation'?

Accepted Answer

Physical symptoms such as paralysis, anesthesia, or pain with no medical basis, linked to dissociative processes

Answer

Somatoform dissociation involves physical symptoms—such as paralysis, sensory loss, or pain—that reflect dissociative processes and cannot be explained by medical conditions.

(TTC) Trauma Treatment Certification Practice Test

(TTC) Trauma Treatment Certification Practice Test

TTC Complex Trauma & Dissociation 3