SWTC Final

What was the name of the little girl and mother that Ch. 1 focused on?

Tina and Sara

the brain is organized in a hierarchical fashion. What describes the correct order. 

Bottom to top, inside to outside

In therapy, when a client is repeatedly late, it can be a sign of what?

Barriers, lack of motivation and resistance

“Biology isn’t just genes playing out some unalterable script. It is sensitive to….” what?

Environment

The human brain is the organ that mediates what?

Emotion, thought and behavior

True of False: The DSM is based purely on objective scientific principles

False

The brain consists of eighty-six billion______

Neurons

True of False: poor regulation or abnormality in the stress response system can cause dysfunction in all four of the main brain areas?

True

The concept that systems in your brain that get repeatedly activated will change, and the systems in your brain that don't get activated won't change is known as ______________development?

Use Dependent

identify the four major parts of the brain

Brainstem, Diencephalon, Limbic system, Cortex

Mary Ellen was the first reported case of child abuse?

False

According to the book, "Eyewitness testimony is easily challenged in court because of the properties of _________________ ______________________"?  Especially its gaps and the way it tends to "fill in" the "expected".

Narrative Memory

2/2

In the books, boys at the residential facility were provided Clonidine, to help do what?

Quiet reactivity down

A prevailing view of children and trauma is what?

Children are resilient

2/2

"The more a system in the brain is activated, the more that system will build---or maintain--synaptic connections" is know as what principle?

Use-dependence

According to the book, "We have come to understand that many post-traumatic psychiatric symptoms, in fact, are related to either (A) __________________ or (B)________________ responses to memories of the trauma. 

Dissociative or hyperarousal

According to the book, "Regaining ___________is an important aspect of coping with traumatic stress."

Control

PTSD is frequently accompanied by what other mental health diagnosis, according to the book?

Depression

____________is probably best known as the site of action for antidepressant medications like Prozac and Zoloft.

Serotonin

True of False: The brain systems associated with the stress response system can become so active that they "burn out'" and become unable to regulate the other functions the way they normally would. 

True

True or False: Our default is set at acceptance, not suspicion.

False

n the book Dr. Perry had the Ranger check the little girls__________________________ to support the physiological effects of trauma. 

Pulse/ BPM

The brain develops __________________

Sequentially

A common saying for the way the brain develops is________________________________

Bottom up and inside out

True of False: symptoms or behaviors associated with PTSD are always maladaptive

False

What is our most primal emotion

Fear

True of False: Rushing to debrief someone after a traumatic event is best practice to prevent post-traumatic stress disorder.

False

To calm a child you must first …?

Calm yourself

True of False: If always told what to do, children will develop a healthy sense of self-determination?

False

According to the book, "Our stress response systems are closely interconnected with the systems that read and respond to human_______________"

Social Cues

When two patterns of neural activity occur simultaneously with sufficient _____________, an association is made between the two patterns. 

Intensity

What we call " ______________" is actually an evolutionary adaptation that helps ensure parents will care for their children.

Cuteness

The association of ______________ with the _______________ is the important neurobiological  "glue" that bonds and creates healthy relationships. 

Pleasure; human interaction

What is the name given to the type of neurons tied to mutual regulation and often used to describe a baby and caregiver smiling back at each other?

Mirror Neurons

1.5/1.5

In interactions with Mama P. Dr. Perry discovered that many children who experience abuse and neglect were starving for___________

Touch

_________________ is a memory template for human-to-human bonds. 

Attachment

According to the book, "We tend to care for our children the way_________________"

we were cared for

The "_______________" can be activated in a number of ways, one of which is the relief of distress

Reward system

Our brain is an ________________________organ. It stores our personal narrative. 

Historical

If the “________________” is missed, some systems may never be able to reach their full potential

Sensitive Period

The split between verbal and performance scores is often seen in abused or traumatized children with ____________scores being higher.

Performance

According to the author________________________ in the first years of life, can predispose people to malice or misanthropy. 

Emotional Deprivation

The ability for people to know that other people are distinct from them, have different knowledge about the world and have different desires and interests is know as_______________________

Theory of Mind

According to the book "young people exhibiting antisocial traits and callous behavior tend to have abnormal levels of____________"

Cortisol

What is the term used in the book  for how small apparently insignificant events can combine over the course of development to produce large differences in outcome?

Snowball Effect

According to the book sociopaths' systems appear to have gotten stuck at what end of the spectrum?

deadening numbness

What is the name of Dr. Perry's Model?

Neurosequential Model

True of False: According to Dr. Perry if a baby never cries it is a much a sign of potential problems as a baby that cries too much?

True

The key to healthy development is getting the right ______________________ in the right _______________________ at the right ___________________.

Experiences, amounts, time

When working with Connor, Dr. Perry systemically matched enrichment experiences and targeted therapies with the developmental areas of the brain that were ________________________________

Damaged First

Sensory pathways involved in the experience of ____________________are the first to develop and are the most fully elaborated at birth.

Touch

True or False: What we remember can shift with our emotional state or mood

True

According to the book, when we retrieve a memory we open it to "____________" just like when you open a Microsoft word file

Edit

According to Perry, part of the epidemic of child abuse during this time was the popularity of the "______________ movement".

Recovery

According to book,  "_______________________prepares people for flight and/or flight, which requires an increased heart-rate; ____________________prespares them for inescapble stresss, slowing their hear rate, breathing and other functions."

Hyperarousal/dissociation

At the end of the chapter, Perry says that humans are social animals, highly susceptile to what?

emotional contagion

n Ch. 7 Perry uses physiological signs in including ______________________to help determine when children were reporting actual experiences or not.

Heart Rate

What was the name Perry used to refer to the coercive, physically assaultive treatment where adultss would tightly restrain children in their arms and force them to look into the eyes of their caregivers and "open up" about their memories and fears or lay children down and rub/press down on their legs, arms and torso. 

Holding therapy

According to the Ch. 8 the "Brain scans of those who've experienced trauma often reveal abnormalities in areas that also show changes during __________________."

Addiction

According to the book those who are more prone to stimulant addiction are more likely to have a _______________response to trauma and those who are more prone to opioids are more likely to have ___________________.

hyperarousal and dissociation

Cutting can what?

Soother, provide and escape, release natural opioids

When the brain becomes ________________________ to future stressors, it takes smaller and smaller amounts of stress to set the system off and prompt a full-blown stress response

Sensitized

According to the book, "People who suffer life-threatening experiences often describe a sense of "_____________________" and "unreality" and a numbness that is similar to what people feel when they take opioid drugs. 

Disconnection

Dr. Perry writes that many "cutters" have a history of what?

Trauma

1.5/1.5

What is the drug that is used to help with opioid overdose and is safe to use?

naloxone

1.5/1.5

In Chapter 8 Dr. Perry says " simple ____________________ was vastly underrated and undersused in medicine."

Honesty

True of False: A drug may be excellent at eliminating a particular symptom but may exacerbate other symptoms.

True

According to Dr. Perry when things seem OK, parents aren't motivated to follow through with what?

The expense and inconvenience of therapy

RAD stands for what diagnosis?

Reactive attachment disorder

What does MBPS stand for

munchausen by proxy syndrome

True of False: In MBPS, the patient tries to make another person, usually a child, the primary caregiver, in a ploy for attention and support

False

List two of the associated causes for RAD according to the book

1. Experiencing abuse or neglect early in life  

2. Children not receiving enough rocking, physical touch, soothing, or emotional needs are not being met early in life.

According to Dr. Perry what is a possible reason many parents and therapists utilize "harsh and punitiive" techniques for treatement of RAD?

lack of rewarding interactions with RAD children

interaction with RAD children can feel empty

They can be hard to like

True of False: Dr. Perry refers to "gut feeling" as a low-level activiation of the stress response system?

True

Most cases of MBPS are identified in males or females

Females

According to the book, RAD children have learned that affectionate behaviors can ____________________________

neutralize potential threatening adults

Those who suffer from MBPS and end up killing their children often do not get investigated and it is often ascribed to what?

Sudden infant death syndrome

What the 3 R's of the Neurosequential Model

Regulate, relate, reason

What are the 4 components or elements of Person Brain Model

Safe, significant, respected, related

Dr. Perry stated that the data from their research regarding neglect in early childhood, such as in the case of institutionalized children, shows:

smaller brain size overall

brain shrinkage in certain areas

According to the book, by age three:

the brain has reached 85% of its full size

Dr. Perry explained to Peter’s parents that the key to parenting him would be to parent:

Developmentally

When speaking about why children (and adults) seem to marginalize those they do not understand, he stated

Fear is a basic brain-mediated response to stress that can produce ugly behaviors.

Fear suppresses the relational part of the brain

the unknown scares us

True or False:

If a child is in a brain state of Fear or Terror they can make logical problem solving decisions?

False