094 - BWRT ONL MCQ Level 1 – June 2023 CPD Questionnaire: to obtain your full CPD points for this course, you must complete the following questions. First Name* Last Name* Email* Phone* HPCSA number:* Professional Category: Reason for choosing this activity:1. BWRT is safe for use with:* a. Children b. Adolescents c. Intellectually challenged individuals d. All of the above 2. Teenagers tend to respond well to BWRT because:* a. They enjoy the complex interaction b. They enjoy having their eyes closed c. They enjoy the fact that there is a significant amount of talking d. They enjoy the fact that there is significantly less talking than other therapies 3. For more effective work with children it is best to:* a. To be creative but stick to the basic protocol b. To ignore the protocol and improvise c. To get the child to talk as much as possible d. All of the above 4. BWRT can be:* a. Safely used on family and friends with certain restrictions b. Safely used on family and friends with no restrictions at all c. Never used on family and friends d. All of the above 5. BWRT can be used successfully:* a. Online b. Via Whatsapp video c. Via telephone call d. All of the above 6. If your neighbour is hijacked and is traumatised you can:* a. See him/her immediately post trauma b. Should wait a few weeks before seeing him/her c. Never try to assist a neighbour with BWRT d. None of the above 7. If there is a court case you should refrain from doing BWRT:* a. True b. False 8. Ethically you should never help family and friends with the following conditions:* a. Sexual abuse and grief b. Armed robbery and panic attacks c. Home invasion and panic d. Social phobia and sexual abuse 9. Severe depression is best treated:* a. With Level 1 BWRT b. With Level 2 BWRT c. Both (a) and (b) d. None of the above 10. BWRT is likely to fail as a treatment modality when:* a. The patient is highly motivated b. The patient will lose some monetary gain et. RAF payout c. The patient is like to gain some financial payout d. Is on antidepressants 11. Psychiatrists colleagues have confirmed that BWRT is safe to use with:* a. Bipolar patients stabilised on medication b. Epileptic patients on medication c. Schizophrenic patients stabilised on medication d. All of the above e. None of the above 12. The subconscious mind* a. always tries to keep us safe b. reacts to a stimulus or sequence of stimuli with a response that has been employed before under similar circumstances c. is part of the physical brain and processes data but doesn’t have any emotional connection to that data. d. b and c 13. The seed idea for the ‘BWRT’ concept was* a. an article in a science magazine about a scientist called Benjamin Libet. b. an article in a psychology journal about a clinical psychologist called Kay Redfield Jamison who was a pioneer in the field of human consciousness c. an article about psychologist Phillip Glasser the first recipient of the Virtual Nobel Prize in Psychology "for his pioneering achievements in the experimental investigation of consciousness, initiation of action, and free will”. d. an article in a science journal about a psychologist called Leon Kritsinger 14. BrainWorking Recursive Therapy® is a new model of psychology and psychopathology* a. that fits comfortably with current thinking on neuroscience b. which works very well in combination with other methodologies and techniques c. which works well with techniques such as hypnosis but produces unpredictable results when used with cognitive behavioral therapy d. a and b 15. A known fact about the brain is* a. the ‘Reptilian Complex’, sometimes called the ‘Limbic system’ dates back at least 650 million years and probably more b. the ‘Paleomamamalian Complex’, essentially the "Lizard brain" dates back around 23 million years ago c. the far more sophisticated ‘Neomammalian Complex’ dates back around 2.5 million years ago and is likely to be the only one of the three with awareness of self d. that all input have to follow the route it has always done, that is, the Paleomammalian complex first, then the Reptilian complex and finally the Neomammalian complex. 16. The Reptilian Complex is associated with* a. instincts such as aggression, dominance, territoriality and ritual displays b. motivation, emotion, feeding and reproductive behavior c. a and b d. awareness of self and conscious thoughts 17. The Paleomammalian Complex is associated with* a. instincts such as aggression, dominance, territoriality and ritual displays b. motivation, emotion, feeding and reproductive behavior c. awareness of self and conscious thoughts d. all of the above 18. The Neomammalian Complex is associated with* a. instincts such as aggression, dominance, territoriality and ritual displays b. language, abstraction, planning and perception c. awareness of self and conscious thoughts d. b and c 19. The subconscious has us doing things we would prefer not to because* a. it's a database of patterns of everything we have experienced b. it perceives all input simply as data to be tested c. this part of the brain initiates a ‘best match’ response before we are consciously aware of it, if the data is recognised d. all of the above 20. The ‘Pattern Recognition Matrix’ of the physical brain* a. recognises input patterns, or creates new patterns if something new is encountered b. processes the input patterns as either good or bad c. makes value judgments d. all of the above 21. The BWRT model was inspired by an experiment carried out in 1983 which* a. proved that our emotions are influenced by perceptions b. effectively proved that we do not actually have free will in the way we usually think of it c. proved that the Limbic system is responsible for language and abstract thinking d. effectively proved that the 'cognitive gap' exists in the Neomammalian complex 22. The Wait State concept is* a. the state which refers to the process of preparing the patient. b. A flexible part of the process which does not form a key component of the exercise c. Probably the most important aspect of this therapy d. The repeating of the process a number of times 23. The Freeze* a. Freezes the physical brain b. Freezes the emotional response. c. Freezes the emotional response because there is a value judgement made in the consciously aware state d. All of the above 24. When the client freezes the memory we need the client to be* a. Dissociated from the moment and memory b. In an associated mode c. Indifferent and naturally observing d. Have their eyes open 25. What is a powerful indicator that a patient is responding well after the freeze / moment of fixation?* a. They remain still b. They are anxious and hyper vigilant c. They momentarily hold their breath d. They start speaking 26. What are some of the important circumstances that freezing the memory create that are relevant to the success of therapy ?* a. It lowers or bypasses client resistance b. It dissociates the patient from the traumatic memory c. The client is working from a fixed point without other momentary data interfering with the process of change to important neural pathways d. b and c e. a and c 27. Which part of the brain is responsible for the Fight / Flight / Freeze state?* a. The brain stem b. The spinal chord c. The Amygdala d. The cerebellum 28. When the response is in the wait state, the physical brain will...* a. Act upon a dynamic stimulus b. Act upon a static stimulus image c. act upon a motor action d. b and c 29. What part of the therapy disrupts the excitation loop?* a. the motor action b. The wait state with the preferred memory c. The fight flight freeze response d. the recursive loop 30. What part or system of the brain are we trying to activate?* a. The sympathetic nervous system b. The parasympathetic nervous system c. The limbic system d. The central nervous system 31. The recursive loop spans a one fifth of a second in brain time but how long in chronological time?* a. A week b. A month c. Years d. All of the above 32. At the level of the Reptilian Complex, which pattern is the most likely to be acted upon?* a. The most helpful. b. The one that is considered to be “good for you”. c. The first pattern match that the brain finds. d. The quickest to implement. 33. At the level of the Reptilian Complex, what is the core of psychopathology?* a. The fact that “good for you” patterns are implemented. b. The fact that only helpful patterns are implemented. c. The fact that the responses are repetitive. d. The fact that the first pattern encountered and matched is acted upon, regardless to being “good” or “bad”, over and over again. 34. What explains addictive behaviours at the level of the Reptilian Complex?* a. The fact that pleasure is sought in addition to survival. b. The fact that responses are repetitive. c. The fact that the addiction response is the first one found. d. The fact that the addiction behaviour seems “good for you” 35. What motor reflexes are present at birth?* a. Avoidance of danger. b. Response to loud noise and falling. c. Avoiding a raised hand. d. Reaching out to a raised hand. 36. How many neurons are in the brain as an average?* a. 85-100 billion b. 30-80 billion c. 10-40 billion d. 80-100 million 37. At what speed does a nervous impulse approximately travel?* a. 200 kph b. 400 kph c. 360 kph d. 350 kph 38. How can we explain anxiety at the level of the testing of neuronal impulses?* a. It occurs when we have not found a suitable solution to a neuronal conflict and the pattern is stored for future reference. b. It occurs when something doesn’t feel quite right. c. It occurs when the pattern of response found cannot be quickly implemented d. It occurs when two conflicting patterns of response are found at the same time. 39. What is the probable origin of neuroses?* a. The neuronal testing produces two different and conflicting patterns. b. The neuronal testing doesn’t produce a suitable pattern. c. The neuronal testing produces a response pattern that was suitable at an initial stage, but is totally undesirable now. d. The neuronal testing produces an unsuitable pattern of response. 40. What is the “receiving end” of a neuron called?* a. Axon b. Synapsis c. Membrane d. Dendrites 41. What is the name of neurons that allow high speed connections necessary for immediate emotional and intuitive judgments?* a. Von Economo Neurons. b. Pyramidal Neurons c. Sensory Neurons. d. Inter Neurons. 42. True or False, recursive feedback is associated with one of four main outcomes.* a. True b. False 43. Which of the following are outcomes of recursive feedback?* a. A match is found faster than the speed of awareness b. Old memories c. Preferred memory 44. In the BWRT model the source of ‘neurotic’ symptoms – behaviour patterns unsuitable for the situation in which they occur – is a complete match that, although out of date and no longer relevant to current life, has never been countered or offset by life events or any form of therapy.* a. True b. False 45. An example of the type of speedy necessary adjustments that can be made by the brain to the physical body might help your understanding of?* a. The neuropathways b. The brain and body connection c. The old and new memory connection d. None of the above 46. Which part of the brain is responsible for activating a physical correction response that adjusts balance and orientation?* a. Cerrebral Cortex b. Limbic System c. Parietal Cortex d. All of the above 47. Which of the following are examples of a Neural Response?* a. Water chute b. Braking when driving c. Catching d. All of the above 48. Within the BWRT model, our brain is getting loads of messages for every single split second of our lives and what it does all the time is look for stuff that is similar to things we’ve experienced before.* a. True b. False 49. BWRT therapeutic intervention we must recognise the following?* a. Hypnosis with wreak the intervention b. Hypnosis with strengthen the intervention c. Both A & B d. None of the above 50. True or False, Chronological time vs. Brain time we usually look for the worst memory of when the client was experiencing their symptom pattern. It can be last week, or twenty years ago.* a. True b. False 51. All memories begin with neural response patterns that have been encountered before the client was consciously aware of them; by the time we have identified them, they have been in awareness for the length of time it takes to recognise them. For most people the speed of their reflexes are?* a. 1/10th of a second or longer b. 1/10th of a second or shorter c. None of the above 52. Why is it important to prepare the client before the BWRT process is started?* a. The results will be more profound and usually permanent if the client is well prepared. b. It is essential that the client tells you everything about their presenting problem first. c. It will make your work more difficult if you work ‘contentless’ therefore you need to talk it through with the client. d. All of the above. 53. Why do we begin the process by explaining about the brain?* a. The client needs to grasp the complex idea of the subconscious. b. The subconscious is dark, mysterious, and completely uncontrollable. c. They need to be oriented to think about the tangible brain in a visual way. d. The brain is an interesting topic of discussion. 54. What is the main message we need the client to grasp when explaining in metaphors?* a. The brain processes and reacts in a split second – much faster than we actually think which makes it difficult NOT to react in a certain way. b. It doesn’t matter what we consciously want, because by the time we think about it the speedy part of the brain has already made up its mind and processed it. c. We need to break the automatic loop to replace it with a preferred one. d. All of the above 55. Which one of the following statements are NOT TRUE about the above working method?* a. The client has a tangible idea to focus on and this encourage active participation. b. The therapist has something ‘solid’ to explain to the client. c. The client will be thinking about creating positive change in the physical brain instead of thinking of the abstract non-tangible brain. d. The client will be hypnotised to be able to do the work. 56. Which one of the following statements are true when the target memory is encountered?* a. The client can remain in the active or the reactive state when the memory is encountered. b. It is essential to stay in the active state where the client is seeking a solution. c. It is essential to stay in the reactive state where the client is ‘stuck in the moment’ and experiencing the reaction they had at the time the event occurred as if it is happening now. d. All of the above 57. Define the Recursive loop.* a. It is a process where the client and therapist brain-storm different possibilities that can trigger a worst response. b. It is a thought process where the client is looping through exactly the same thoughts over and over in time until it becomes a fixated moment in time. c. It is a process whereby the client scans different thought processes and describe it to the therapist. d. It is the process of exploring just before the client close their eyes to work with the memory. 58. What is crucial for the success of BWRT therapy?* a. To get the client focused on the very worst part of the overall memory – a moment frozen in time. b. We want the work to be entirely their own not based on suggestions by the therapist c. We need the memory to be frozen in time and therefore static – the Wait State. d. All of the above. 59. What happens in the Wait State?* a. The memory is frozen in time and therefore static. b. The client maintains a solid freeze often holding the breath for a few seconds. c. Emotional responses should also freeze. d. All of the above 60. When working in the Recursive loop what is meant by: “The work is totally client centred”?* a. The client leads the way and explores without any guidance from the therapist. b. The client can explore a different memory as and when they want and describe it to the therapist. c. The client does not tell us what they are thinking or remembering. d. The client can ask questions and discuss what is experienced. 61. Why do we ask the client to focus on the worst part of the memory?* a. We want to create a cathartic abreaction for maximum effect. b. We are seeking to hold them at a single point in brain-time a single point on their neural network. c. We will be reframing or debriefing this at a later stage. d. We are looking for an ISE. 62. What does the brain evaluate when accessing memory?* a. Is it safe? b. Is it dangerous / unsafe? c. Is it uncertain? d. All of the above. 63. When asking a client to imagine a day in the following week looking back to today in Virtual World we are using :* a. Association forward b. Dissociated forward pacing c. Both A and B d. None of the above 64. The virtual world creates a recursive loop and form an integral part of the process* a. True b. False 65. The loop spoken with speed – up to 230 words per minute is essential as it:* a. Confuse and dissociate the mind b. Overloads the central nervous system c. Ensures that the installation of the new neural route is not disrupted d. B & C 66. The consolidation phase (small talk) is important as it allows the brain to* a. Process new data without disruption b. Calm down and relax c. Gives the therapist time to breathe d. Consolidate the frozen memory with the new memory 67. After the consolidation phase (small talk) where the client tells the therapist about the preferred outcome or preferred responses) follows the __________phase* a. Resting phase b. Debriefing phase c. Rolling road phase d. None of the above 68. Checking the PAL2 score is important as it gives the therapist an idea whether the new neural pathway has been “ installed” and often a sense of relief, happiness etc. can be detected* True False 69. The trigger guard is an attempt to fire up the original trigger* True False 70. If the situation (problem) is ongoing then the patient must change :* a. their reaction to the situation b. the memory of the situation c. their view of the person d. B & C 71. The 2 PF checks for* a. Past and free b. Possible and fair c. Possible and free d. Past and fair 72. Interactive reinforcement (IR) is done when* a. The PAL2 is a 3 and above to lower it more, aiming for a 0 b. The PAL 2 is at a 0 but the therapist wants to make sure c. The clients states that he/she cannot recall the frozen memory at all d. The client stated that it did not work 73. When the therapist asks the client to think of the worst memory and to notice what the client is feeling and where the client is feeling it , the reason id to keep the client:* a. Dissociated b. Safe and removed c. Associated and reactive d. None of the above 74. Complicated grief is not always obvious. A detailed history is necessary before using the grief buster to establish:* a. Details of the relationship between patient and deceased. b. To uncover if the patient is angry about the past relating to the deceased eg cheating in a marriage. c. To establish if level one work is needed to first alleviate any anger d. All of the above are correct. 75. Before commencing the Grief Buster Protocol, you must explain:* a. The protocol seeks to delete all memories of the deceased person. b. The protocol does not delete memories of the loved one. It reduces intense pain to replace it with normal sadness. It allows grieving to take place. c. The protocol replaces all grieving so life will continue without any sadness. d. The protocol requires the client to share with you, out loud, a loving goodbye for the deceased. 76. To create the initial memory for the Grief Buster, the patient must think about:* a. The worst memory of their loved one’s death. b. Their happiest memory of the deceased. c. All of their previous experiences of death d. Discuss any fears of their own death 77. A strong freeze in the Grief Buster is:* a. absolutely necessary and one cannot continue the protocol without it. b. not that important as long as looping will take care of it all. c. somewhat important. d. irrelevant to this protocol. 78. The following indicate an unsuccessful Grief Buster:* a. Patient cannot create a future memory. b. A lot of emotion before the freeze. c. Loving Good bye is less than 30 seconds. d. A and C are both indications. 79. The temporary emergency stop is designed to:* a. replace a destructive behaviour b. allow a thought to be changed. c. create a temporary but powerful interrupt for a highly emotional state that is in full flow d. only works for panic attacks 80. Correct order of steps to summarize the temporary emergency stop is:* a. Find memory, freeze it, picture clock, freeze it, see frozen clock and memory. b. Picture working clock, freeze it, see frozen clock, see memory is frozen too. c. Picture a working clock, find memory, freeze memory, focus to freeze clock. d. None of the above are correct. 81. If a patient says I don’t know or I can’t when asked to create a new memory, you should:* a. Terminate the BWRT process b. Offer suggestions and guide them to creating a picture c. Offer hypnosis to uncover the memory d. Invite them to explore if they have had that feeling before and to share details of the experience In doing so they might then locate a memory on their own. 82. During the BWRT process, preparation phase, when a patient starts going into details and talking at each step you should:* a. Use your skills as a therapist and encourage sharing of further details. b. Realise the client has misunderstood the process. Take the 1st chance to ask the patient to think their way through without talking and offer only a nod or hand signals when you require feedback. c. Seek and obtain agreement from the patient to stop talking and exploring as this will ensure BWRT is successful. d. Deem the patient as unsuitable for BWRT and offer a different therapy technique. 83. If a patient cannot feel the response to a memory it is:* a. not much of a problem as however a memory presents itself to a patient is right for that person and their brain. Just thinking of a memory, so they have a strong PAL score, is enough for successful BWRT b. a big problem as we need emotion and a memory paired together for BWRT to work. c. necessary to push the client to find feelings/ emotions for the memory. d. necessary for you as the therapist to offer suggestions and help create feelings for the memory. 84. Cases of PTSD require:* a. A great deal of care as more than level 1 training may be necessary b. Further training where the outcome of events was catastrophic or involved grief. c. Safeguards through other training(level 2 work) to prevent things going wrong. d. All of the following CommentsThis field is for validation purposes and should be left unchanged.
