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Overcoming Anorexia with Temperament-Based Therapy: A Novel Approach - Test
by Laura Hill, Ph.D. and Stephanie Knatz Peck, Ph.D.
with Christina E. Wierenga, Ph.D.

Course content © copyright 2022 by TBT-S Training Institute.. All rights reserved.

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1. TBT-S is a treatment that: Help
Integrates neurobiological research findings into treatment modules.
 Focuses on the client's temperament.
 Augments other eating disorder treatments.
 All the above.
2. How does temperament relate to personality? Help
It focuses on the environmental influences.
 It is the biological basis to personality.
 It is the nurture side of nature/nurture.
 It is a learned behavior.
3. What are the differences between symptoms and traits? Help
Traits and symptoms can be eliminated.
 Symptoms are outward expressions of the illness and can be eliminated.
 Traits are genetically influenced expressions that cannot be eliminated.
 Both 2 and 3
4. How do environmental influences compare with genetic and biological influences in impacting one's temperament traits for anorexia nervosa? Help
The environment (nurture) tends to have more influence over genes (nature) between birth and puberty.
 Genes (nature) tend to have more influence over the environment (nurture) from adolescence through adulthood.
 Genes and the environment have similar influence throughout life.
 Both 1 and 2
5. How does TBT-S approach trait responses? Help
Traits are on a continuum from productive to destructively expressed.
 Traits are distinct constructs.
 Traits tend to be pathological.
 A Treatment goal is to eliminate pathological traits.
6. What is(are) the primary TBT-S core principle(s)? Help
Eating disorders are trait and biological illnesses.
 Supports are a necessary part of adult treatment.
 Movement is fundamental to change.
 All the above.
7. Based on eating disorder research in the last 15 years, eating disorders are triggered primarily by: Help
Temperament.
 Brain circuit aberrations.
 Disorders resulting from social and cultural pressures.
 Both 1 and 2
8. Who are Supports? Help
Any person who offers support.
 Always a family member.
 Primarily a peer.
 Usually the partner of the adult client.
9. Why does TBT-S advocate the inclusion of Supports with adults who have eating disorders? Help
Supports need the same information and tools as the adult clients.
 To offer consistent support outside of therapy as during therapy sessions.
 To offer additional support in shaping destructive trait expressions toward productive expressions.
 All the above.
10. What does TBT-S describe as "movement/actions? Help
Therapy verbal discussions.
 Any physical action.
 Physical responses and movements.
 Both 2 and 3
11. Which is NOT a primary purpose of TBT-S neurobiological psychoeducation? Help
Serve as an interventional strategy to increase motivation for recovery.
 Serve as an interventional strategy to increase engagement in treatment.
 Demonstrate the knowledge of the clinician.
 Provide a scientific rationale for TBT-S skills and tools.
12. How does the process differ from the content of TBT-S psychoeducation? Help
The content includes information about neurobiological research supporting AN as a brain-based disorder and the process focuses on how information is delivered to meet intended objectives.
 The content includes information about the medical consequences of eating disorders and the process focuses on ways to persuade the use of medication.
 The content focuses on the Supports and the process focuses on the clients.
 The content is less important because the process should focus solely on client reflection.
13. Clients with anorexia nervosa often have difficulty trusting their decisions because: Help
The ventral striatal circuit is altered.
 The parietal brain area is under-firing.
 Insular response is reduced.
 Both 1 and 3
14. What are examples of interoceptive experiences? Help
Hunger
 Pain
 Balance
 Both 1 and 2
15. How might interoceptive prediction errors contribute to AN symptoms? Help
Elevate anticipatory anxiety
 Reduce trust in one's body
 Interfere with learning
 All the above.
16. Which TBT-S strategies address anxiety and altered interoception? Help
Reliance on predictable, external structure
 Advanced planning of meals/snacks
 Increased predictability through routine
 All of the above
17. Due to difficulty in trusting decisions and experiencing inhibitory control in many adults with anorexia nervosa, clinicians need to: Help
Provide more structure, not less.
 Offer open ended questions.
 Offer multiple choice questions.
 Both 1 and 3.
18. The TBT-S "Nondominant Hand" exercise is applied in treatment because: Help
Actively experiencing a treatment tool allows for enhanced insight and potential to change.
 It provides a means for cognition to interpret new actions.
 An activity provides a means to understand why it is so difficult to change actions.
 All of the above.

 

 

  
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