2022-10-MCQ-L2 – BWRT® South Africa

081: BWRT: LEVEL 2 MCQ October 2022

CPD Questionnaire: to obtain your full CPD points for this course, you must complete the following questions.

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First Name*
Last Name*
Email*
Phone*
HPCSA number:*
Professional Category:
Reason for choosing this activity:
1. What is the main benefit of using Level 2 work over using only Level 1?*
- a) Getting to the roots of the problem
- b) Higher reliability and minimizing the risk of substitute behaviour manifesting later
- c) Working with more information available
2. What is the major difference between working with Level 1 and Level 2?*
- a) The major part of the work is not completely contentless
- b) The situation we are dealing with is more complex
- c) The objectives are different
3. Which one of the following conditions is NOT treated with Level 2 work?*
- a) Eating disorders like Anorexia and Bulimia
- b) Fetishism
- c) Psychosis
4. With Level 2 work, we are working with which aspect of the client?*
- a) Personality
- b) Self-Identity
- c) Defense mechanisms
5. We consider identity to be locked into:*
- a) Self-perception
- b) The way others see the client
- c) Behaviour
6. With Level 2, we can work on clients that are*
- a) In denial of their problem
- b) Asking for help for their problem
- c) Unaware of their problem
7. The Level 2 Questionnaire fulfils the purpose of discovering how the clients truly see themselves and what other?*
- a) How they believe others see them
- b) How they want to be seen by others
- c) Believe that change is possible by challenging the negativity of their self-identity
8. Through the questionnaire, we will be constructing an identity that?*
- a) Does not and never has had the issue
- b) Has overcome all the difficulties related to the issue
- c) Has learned how to manage the issue
9. What is the purpose of making you have to answer the questions of the questionnaire to a colleague?*
- a) Familiarise yourselves with the questions
- b) Allowing your colleague to practice
- c) Experience first-hand the investigative and intrusive nature of the questionnaire
10. Why is it important not to advise the client in answering the questionnaire?*
- a) Because we don’t want to influence the answers
- b) Because the process is client-centered
- c) a) and b) are both correct
11. If the client reports ‘no change’ or the original self-image can be retriggered in full after the Unlock Routine was conducted it is likely to indicate*
- a) That they may be resisting change and so investigation of this is necessary.
- b) That they may not understand the process so investigation and clarification of this is necessary.
- c) Both a and b
12. What may be the reasons that contribute to resistance?*
- a) Secondary gain like the urge to control the actions of others via the presenting problem
- b) Fear of not getting it right
- c) Both a and b
13. Why is it essential that the client do the exercises in Homework Sheet 1 daily until the next consultation?*
- a) In order to remind the brain regularly about the ‘new you’ to get the best possible result
- b) In order to reinforce the new self-identity and become more comfortable with it
- c) Both a and b
14. Why do we use the ‘Rolling Road’/’Mental Video’ technique again in session 3 when we work with ‘Creating the Change’ [Reboot]?*
- a) It is by now a technique that the client is familiar with
- b) It is highly conducive to creating a changed behaviour as opposed to a changed response
- c) Both a and b
15. When creating the ‘Initial Image’ while preparing for the Reboot Routine which memory is most preferred?*
- a) The worst memory the client has of the presenting difficulty
- b) Any memory the client has of the presenting difficulty
- c) The first memory the client has of the presenting memory
16. What is used as ‘Replacement Behaviour’ to create a ‘Mental Video’ in the ‘Reboot Routine’?*
- a) The 'Future Memory'
- b) Any positive memory
- c) The best thing about being free as described in Q20 of the Unlock Questionnaire
17. What is used as ‘Future Memory’ in the ‘Reboot Routine’?*
- a) Anything that shows how the client has healed/mended
- b) Any happy memory
- c) Any memory of what the client would like to do in the near future
18. What should you check for in the ‘Debrief Phase’ of the ‘Reboot Routine’?*
- a) If the ‘Replacement Behaviour’ is 2PF
- b) That the client maintained a solid freeze
- c) That the PAL went up or down
19. Why do you introduce a ‘Trigger Guard’ as part of the ‘Reboot Routine’?*
- a) To integrate the process and avoid accidentally getting retriggered back into the same behaviour pattern
- b) To check for hidden triggers
- c) To check for hidden guards
20. Why do we need to plan for timely follow-up sessions after the Reboot has been completed?*
- a) The client may have discovered new triggers
- b) Permanent results may need further work to fully integrate the new self-identity
- c) Both a and b
21. Within the BWRT model, the biggest difficulty sustaining change is?*
- a) Triggers that reawaken the old self
- b) Willpower
- c) Lack of awareness
- d) None of the above
22. The behaviour patterns associated with the self-identity are locked into the survival processes of the Reptilian and Paleomammalian complexes.*
- a) True
- b) False
23. Fundamental change is a threat, since the consequences are?*
- a) Known
- b) Unknown
- c) Irrelevant
- d) All of the above
24. The unlock routine can create a different sense of self that is deep and profound with an important provison that?*
- a) Any hidden agenda or secondary gain must be laid bare and resolved if we are to achieve a lasting result.
- b) The unlock routine must be done with the with resentment or a wish to punish
- c) There must be a need to restrict someone
- d) None of the above
25. The unlock questionnaire was developed by Terence Watts*
- a) True
- b) False
25. The unlock questionnaire was developed by Terence Watts*
- a) True
- b) False
26. The concept 2PF refers to?*
- a) Personality factors
- b) Preferred memory that is possible and plausible
- c) Ideal self
- d) All of the above
27. The purpose of the unlock questionnaire is to?*
- a) Unlock your personality
- b) Develop insight
- c) Discover how the client truly sees themselves and challenge the negativity of that self-identity
- d) None of the above
28. The unlock questionnaire must not be rushed because the existing self-identity has been built as a result of a lifetime of understanding and misunderstanding.*
- a) True
- b) False
29. Interactive reinforcement is used to?*
- a) Lower the PAL score if it is too high
- b) Improve communication
- c) Reinforce the old self
- d) All of the above
30. The resting and consolidation phase can be skipped if the ideal self is strong*
- a) True
- b) False
31. Where are behaviour patterns associated with self identity and a survival process locked into?*
- a) Neomamillian Complex
- b) Reptilian Complex
- c) Paleomammilian Complex
- d) A and B
- e) B and C
32. The purpose of the Unlock Routine is ...*
- a) To reveal any hidden agenda or secondary gain
- b) To create a different sense of self that is deep and profound
- c) To unlock negative cognitions
- d) To restrict the presentation of negative cognitions
33. What is the working order of the actual Unlock Routine ..... (after the initial images have been prepared and mental video created)......*
- a) Original self, perfect self, freeze, rolling road, retest, consolidation
- b) Original self, rolling road, freeze, loops, retest
- c) Original self, freeze, perfect self, loops, consolidation, retest
- d) Original self, wait state (freeze), rolling road, now, future memory, loops, retest, resting consolidation, test.
34. In the mental video that the client is asked to create of a new self-identity looking and feeling good, what is the important aspect regarding the situation the person sees themselves in?*
- a) They need to be able to envisage themselves being successful
- b) They need to see themselves looking and feeling good in an ordinary situation, any benign activity
- c) They need to see themselves challenging their self-identity
- d) They need to see themselves as the looking and feeling good
35. The Homework 2 exercise entails an exercise that the client should be practicing. How often should this exercise be practice*
- a) Once or twice a day
- b) Twice or thrice daily
- c) Once a week
- d) Once every few days
36. Why is the Rolling Road technique used all the time in in creating the change?*
- a) It assists in creating a changed response
- b) It maintains a changed response
- c) It is highly conducive to creating a changed behaviour
- d) It assists with both a changed behaviour and a changed response
37. When creating the change (session 3), the initial image is based on one of two situations. What are the 2 situations?*
- a) The latest incident that the person can remember
- b) The first memory that the person can remember
- c) The worst memory that the person can remember
- d) The most benign memory that the person can remember
- e) A and C
- f) B and C
38. How do you decide which memory to work as the Initial Image when Creating the Change (session 3)?*
- a) A low PAL, lower than PAL 1
- b) A lukewarm response to the memory
- c) A high PAL at least equal to value of PAL 1
39. In the Reboot routine, when preparing the replacement video, what question in the unlock questionnaire is used to create the replacement video?*
- a) The worst part of the way in which the person views themself
- b) The best part of the way in which the person sees themself
- c) The ideal self
- d) The best thing about being free
40. If the person displays resistance to the therapeutic process, how could you work with it?*
- a) Ignore the resistance and persist
- b) Use cognitive, BWRT level 1 or other therapeutic techniques to address the resistance
- c) Acknowledge the resistance but don't address it
41. Depression: Complete the following sentence:” The highest possible level of rapport is essential here and it is vital that we ensure that the client is fully ……. ”*
- a) Aware of the surroundings
- b) Engaged in the process
- c) Compliant with the therapist
42. Depression is a complex and serious illness and the therapist needs to know that the outcome will be better with reactive depression*
- a) True
- b) False
43. When working with depression the therapist will be more directive with the “replacement” as the depressed client might not:*
- a) Be able to imagine taking action
- b) Be able to overcome resistance
44. With Binge eating /drinking it is of utmost importance to?*
- a) Apply the intervention at the earliest possible part of the behaviour pattern
- b) Start the intervention with the worst memory
- c) Apply the intervention with the feeling before the binge session
45. Binge eating: Should the therapist discuss the preferred activity in depth and ensure that it is connected to another behaviour ?*
- a) Yes
- b) No
46. The replacement activity when dealing with binge eating should be something the client actually wants to do instead*
- a) True
- b) False
47. With sexual addiction/obsession the therapist needs to desensitize embarrassment or guilt to reduce resistance and the easiest way to do this is to ask lots of direct questions and avoiding any kind of therapy during the intake as this will ….*
- a) Ensure that the client continue with the therapy and success
- b) Create a safe space for the client to deal with the obsession/addiction
- c) Lower the alarm system response in the early part of the brain and make success more likely
- d) Make sure that the therapist knows whether it is an addiction or an obsession
48. With sexual addiction/obsession it is important for the therapist to answer questions very neutrally*
- a) Yes
- b) No
49. Fetishism is one of the most difficult situations to work with, because …*
- a) It becomes a very deeply ingrained pattern in the brain that cannot be easily changed
- b) It is associated with the sexual pleasure and therefore resistance is usually high
- c) It is uncomfortable for both therapist and client to discuss the fetish in detail
- d) It is the one issue that BWRT cannot really treat successfully
50. When working with Porn addiction the therapist need to ensure for the INITIAL IMAGE that the client remembers…*
- a) The worst time the client was caught with porn
- b) The first time the client masturbates watching porn
- c) The feeling the client has when watching porn
- d) The first time they were aroused by porn
51. What complexes of the brain are active with porn addiction?*
- a) Limbic and Reptilian
- b) Limbic and Paleomammalian
- c) Reptilian and Paleomammalian
- d) Reptilian and Neo-cortex
52. Masturbation fixation, where it is due to guilt or judgmental beliefs, is mostly solved by using:*
- a) Level 2 work
- b) Level 1 work
- c) Hypnosis
- d) None of these
53. When masturbation is established as excessive, you must:*
- a) Ask questions to focus the client strongly on the problem to reduce resistance.
- b) Establish an initial image
- c) Establish a replacement image
- d) All of the above
54. When working with bullying we use level 2 to:*
- a) Empower the client into retaliation.
- b) Resort/instil a sense of self value
- c) Help the client to challenge the bully
- d) We try to do a and c
55. People who encounter bullying wherever they go, do so because:*
- a) They carry an unconscious belief that bullying is part of survival
- b) They see themselves as victims
- c) They adopt a way of being that triggers others with an instinctive urge for bullying
- d) All of the above
56. Eating disorders covered by level 2 work require:*
- a) A straight forward approach as resistance is not a problem
- b) A craftily manipulative approach with a set of carefully posed questions
- c) A high level of rapport
- d) B and c
57. When working with anorexia, questions used should be*
- a) Thought of as starting at the wide end of a funnel
- b) Used carefully, stabilising and desensitising the client when resistance is uncovered
- c) Delivered rapidly and completed in one session.
- d) Only and and b are correct
58. Trigger guards for Bulimia in level 2 work aims to:*
- a) Find the underlying causes of the illness
- b) Challenge the individual to reconsider their actions
- c) Develop insight into health problems caused by Bulimia
- d) Seeks to retrain the Reptilian and Paleomammalian complexes
59. The initial and replacement images for eating disorders are seen as:*
- a) In the moment and full colour
- b) Not used for these disorders
- c) Dissociated to avoid resistance at this stage
- d) None of the above
60. Level 2 work for substance abuse seeks to*
- a) Create a new self-identity which has never been involved in substances
- b) Recover the client’s identity before the client started using substances
- c) Develop insight and psycho-education about substance abuse
- d) Both a and b are accurate
61. When it comes to Substance abuse:*
- a) Only level 2 work is needed; L2 can cure it completely.
- b) BWRT will be an adjunct to other methodologies and strategies
- c) Level 1 work may be needed to address psychological issues first.
- d) Both b and c are true
62. Urophilia is:*
- a) Sexual attraction to theme park characters
- b) Sexual arousal from touching or rubbing non-consenting persons
- c) Sexual arousal from observing urination
- d) Sexual arousal as a result of being in an open space
63. Haemophilia…..*
- a) Cannot be treated effectively unless the Level 2 Protocol has been completed
- b) Is a sexual attraction involving blood
- c) Is the inherited physiological condition wherein blood does not clot
- d) b and c
- e) b only
- f) c only
64. Which one is not a true fetish?*
- a) Agalmatophilia
- b) Telephone Scatalogia
- c) Vorarephilia
- d) Microphilia
65. BWRT Level 2… (please choose the most correct answer)*
- a) Can be completed in one session
- b) Is a three-part therapy
- c) Is contentless
- d) Is a brief intervention
66. Maiesiophilia is…*
- a) Sexual attraction to larger people
- b) Sexual attraction to soiled, dirty, foul or decaying material
- c) Sexual attraction to pregnant women
- d) Sexual attraction to being eaten
- e) None of the above
67. Algolagnia is associated with ...*
- a) Sexual pleasure from pain
- b) Sexual pleasure from sado-masochistic behaviours
- c) Sexual pleasure from bondage
- d) All of the above
68. Eproctophilia describes sexual attractions as a result of observing:*
- a) Flatulance
- b) Adolescents
- c) Orthopaedic appliances
- d) People in animal costumes
69. Galactophilia is the sexual attraction towards the elderly*
- a) True
- b) False
- c) Neither
70. When working with bulimia the initial image in the Trigger guard should be*
- a) The old self being happy
- b) The new self initiating vomiting
- c) The new self being happy
71. Which is NOT a question you will ask when doing the interview for bulimia:*
- a) What prompts you to induce vomiting?
- b) What good thing happens as a result?
- c) Does everyone recognise that it’s a good thing for you?
- d) Do you know you will die if you continue to do this?
72. When working with substance abuse there are two possibilities to use for the intitial image:*
- a) The very first time they were introduced to a substance
- b) The last time they used a substance;
- c) The first time they were arrested for substance use;
- d) Their own image of what a ‘broken’ person looks like;
- e) A and D only
73. When preparing a trigger guard it is critically important that:*
- a) You tell the patient what they should use;
- b) The patient can decide not to use trigger guards at all;
- c) The patient decides what they feel could leave them vulnerable to a setback and what they feel could prevent it;
- d) None of the above
74. What should you do if the patient does not complete the homework exercise?*
- a) Continue the sessions regardless;
- b) Refuse to continue the session
- c) Agree to continue on condition they do the homework in your session there and then;
- d) None of the above
75. The trigger guard forms part of*
- a) The Unlock Routine
- b) The Reboot
- c) The follow-up session
- d) All of the above
76. When treating OCD the most effective course of action is to replace the anxiety stimulus driving the compulsion with feelings of:*
- a) Boredom and an image of stopping the problem behaviour
- b) Excitement and an image of stopping the problem behaviour
- c) Thought blocking and an image of stopping the problem behaviour
- d) Boredom is sufficient
77. When working with depression it is important when constructing the trigger guards that the therapist establishes*
- a) If the patient has had previous therapy;
- b) If the patient attempted suicide previously;
- c) If the patient suffered sexual abuse as a client;
- d) If the triggers are internally or externally focused
78. It is NOT important that the triggers and images work for the client*
- a) True
- b) False
79. BWRT could possibly be less effective with which type of depression:*
- a) Secondary
- b) Primary
- c) Non-specific
- d) None of the above
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