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Cultural Competence and Sensitivity in the Trauma-Aware Clinician - Test
by Laura S. Brown, Ph.D., ABPP

Course content © copyright 2011-2024 by Laura S. Brown, Ph.D., ABPP. All rights reserved.

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1. To manage countertransference, the trauma-aware clinician should: Help
Attempt to avoid countertransferential responses, since trauma survivors are hypersensitive to clinician responses.
 Attempt to embrace the reality of her/his countertransferential responses.
 Bring her/his countertransference material into the session and make clients aware of it in the service of greater genuineness and transparency.
 Be attuned to feeling overwhelmed, as the material being discussed by trauma survivors is powerful.
2. One factor that does not influence a trauma healer's conscious and non-conscious responses to trauma is: Help
Personal intergenerational trauma.
 Never having been exposed to trauma, to their own knowledge.
 There are no factors that can predict this; it’s too random.
 Knowing traumatized people.
3. According to Pope and Tabachnik, the percentage of clinicians who experience such emotions as hate, fear, disgust, and anger towards the person they are working with is: Help
100%.
 20%.
 80%.
 50%
4. Which of the following are common countertransference responses to trauma? Help
Encouraging clients not to go into the details of their trauma stories
 Using clinician objectivity as a distancing strategy
 Neither of the above: each of these is one appropriate therapeutic response
 Both 1 and 2
5. When a client tells a trauma story with details that seem to be fantastical or impossible, the best therapeutic response is: Help
Listening to the themes of the story rather than focusing on the content.
 Validating the facts of the story and affirming that you believe the client.
 Disabusing the client of the reality of the story so as to protect against false memories being formed.
 Refer the client for an evaluation for antipsychotic medication.
6. The best way for a trauma clinician to not become numb to their work is to: Help
Engage in good self-care.
 Avoid anything having to do with trauma during their non-work hours.
 Make sure to keep the number of trauma clients on their caseload to a minimum, no more than three at any time.
 Use only Evidence-Based Treatments such as CBT that minimize emotional work
7. Which of the following is an important step that clinicians can take to reduce the risk of harmful countertransference errors with trauma survivors? Help
Avoid working with clients who have trauma histories similar to that of the clinician.
 Use experiences of guilt and shame to inform the clinician of areas that the clinician should be working on in her/his own therapy.
 Practice compassion with self, so that it is possible to offer repairs of ruptures with clients.
 Be especially cautious when making interpretations with trauma survivors clients, so as not to unintentionally enact the role of Persecutor.
8. According to the author, which of the following statements is accurate? Help
It is clinically important that the clinician experience guilt over ways in which they or their reference group have been oppressors to a client or their reference group.
 It is clinically important that a clinician invite the client to experience guilt over ways in which they or their reference group have been oppressors to the clinician or their reference group.
 It is never clinically useful to bring guilt into issues of intersectionality in trauma healing work.
 It can sometimes be clinically useful for clinician and client to arrive at mutual engagement around issues of guilt arising from power dynamics in intersectional identities.
9. Vicarious Traumatization (VT) is: Help
Evidence that the clinician has his own unaddressed trauma history.
 An expectable consequence of empathic connection with trauma survivors.
 Another name for secondary PTSD.
 Avoidable if the clinician takes excellent care of her/himself.
10. Vicarious Traumatization (VT) is experienced: Help
Differently for each clinician depending on their intersectional identities.
 Globally, rather than in relationship to a specific client.
 In both work and personal life.
 All of the above
11. Dynamics about boundaries with trauma survivor clients: Help
Are no different in meaning than to clients who have never experienced trauma.
 Must be clear and integrated into the rest of the psychotherapy relationship.
 Need to be more strongly enforced given that many of them have had boundary violations and will push on clinician boundaries.
 Must be flexible, so that clients do not see the "rules" as more important than they themselves are.
12. The construct of Intersectionality is: Help
Well-accepted in the emotional healing professions and supported by scholarly work.
 A woke idea from Critical Race Theory that has no place in the work of professionals.
 Still untested and so needing to be considered, but with caution.
 An interesting theoretical construct, but not clinically meaningful, as a trauma is a trauma no matter to whom it happens.
13. Social pathologies include: Help
Racism and White supremacy.
 Sexism and misogyny.
 There is no such thing as a social pathology; pathology is in the individual.
 A and B
14. The MOST important element of self- care for clinicians working with trauma survivors is: Help
The inclusion of playful activities so as to balance the pain of hearing about trauma in their work.
 Giving the clinician as much distance as possible from trauma topics when not at work.
 Not an ethical obligation, but rather a good choice for a clinician to make.
 Giving the clinician skills to remain hopeful and avoid sinking into the trance of despair.
15. Boundary crossings in therapy with trauma survivors: Help
Must be done with care and thought, within the therapeutic frame.
 Must always be avoided, as they are likely to be trauma reenactments.
 Are evidence that the clinician is enacting hostile countertransference against the client.
 Are usually ethics violations.
16. The position of trauma reenactment that has been added to the Karpman drama triangle for a better understanding of trauma dynamics in therapy is: Help
Rescuer.
 Bystander.
 Perpetrator.
 Confuser.
17. Culturally responsive clinicians: Help
Always refer clients out when they are from a group with which they are unfamiliar.
 Avoid having bias of any kind.
 Have a framework for understanding difference rather than algorithms for groups.
 Will speak the same language as their client.
18. It is more appropriate to speak of "marginalized" and "agent" groups because: Help
These more accurately describe the position of a group in a social hierarchy.
 These terms remind clinicians of how their clients have been targeted.
 Clients will feel more understood.
 Terminology is less important than really understanding how a person has been harmed.
19. Clinicians need to deploy their cultural competence skills with: Help
BIPOC clients.
 Lesbian, gay, bisexual, and trans clients.
 Immigrants.
 All clients.
20. Aversive bias is: Help
Most common among people who are not highly educated.
 So common that it is found in around 85% of people studied.
 Less common among working class individuals due to their exposures to people from all social groups.
 A problem for clinicians attempting to be culturally competent.
21. According to Nathanson, the four most common responses to shame are: Help
Withdrawing or distancing from the source of the shame, merging with the source of the shame, minimizing one's own behavior, guilt.
 Attacking the source of the shame, minimizing one's own behavior, pathologizing the source of the shame, anger.
 Withdrawing or distancing from the source of the shame, attacking the self for being shameful, attacking the source of the shame, denial.
 Denial, premature self-forgiveness, avoiding possible opportunities to feel shame, confusion.
22. Which of the following concepts is not included in the ADDRESSING model? Help
Indigenous heritage
 Relationship status
 Heterosexual identity
 All of the above are included
23. Cultural responsivity is relevant to trauma-informed practice because: Help
Trauma is its own component of identity.
 Some cultures have a trauma history that a clinician should understand and appreciate.
 A culturally responsive clinician is less likely to make certain kinds of countertransference errors.
 All of the above
24. The presence of intersectional identities is: Help
Evidence that a person has experienced a trauma.
 Present mostly in people who are racially mixed.
 Present in every person's identity development.
 Evidence of a dissociative process.

 

 

  
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