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From Real Life to Cyberspace (and Back Again): Bringing the Digital World of Your Clients Into Therapy - Test
by Tobi Goldfus, LCSW-C, BCD

Course content © copyright 2019-2022 by Tobi Goldfus, LCSW-C, BCD. All rights reserved.

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1. The author suggests that there are risks in not treating young clients' digital personas and experiences with respect. These include inadvertently encouraging: Help
Compartmentalization.
 Fragmentation.
 Dissociation.
 All of the above.
2. The author points to studies that suggest a correlation between increased online engagement and which of the following issues for young clients: Help
Anxiety and depression
 Sleep problems
 "Text neck"
 All of the above.
3. The Social Media Assessment form is used to: Help
Help the therapist persuade the client to stop using social media.
 Show the parent(s) of the client the severity of the young person's problem.
 Create common ground between the client and therapist in a nonjudgmental way.
 Compare this client's usage with other clients' usage.
4. The case of Dixie shows that sophistication with regard to technology is not the same as emotional sophistication. The best way to support her is to: Help
Warn her of the dangers of her untethered explorations.
 Join her in her world and let "strategies" emerge from there.
 Let her know how worried everyone is about her.
 Set strict boundaries about how and when she can use her devices.
5. Attunement in a session with a young client must include his/her online life because: Help
It is where the client is in most danger.
 The client won't feel "seen" unless you are inclusive in your perspective.
 You don't want to look foolish in your client's eyes.
 Young clients are wholly defined by social media.
6. According to this author's experience, is it okay to look something up on your digital device during a session? Help
Yes, it supports the sense of a shared understanding.
 No, it is bad modeling.
 Yes, it can mitigate boredom.
 No, it is disrespectful of the client's time and investment.
7. The Inner Selfie technique is: Help
A way to help clients be less narcissistic.
 A new photo app.
 An ego-strengthening resource.
 A method to distract one from feelings of stress.
8. The Inner Selfie technique has clients recording themselves on their own phones speaking with confidence and strength so that: Help
This part can be accessed when other parts are bullying them and they are feeling frightened, anxious, or self-doubting.
 They can send the recording out over social media to show off their "best" selves.
 They can remind their parents of what it is they want to be.
 None of the above.
9. The Social Media Assessment form is shared here so that readers: Help
Have a tool to engage with their clients in a simple, natural way.
 Know how to put their clients (and themselves) at ease no matter the level of kind of social media engagement the client is involved in.
 Are educated and up to date on the status of the client and any new sites being visited.
 All of the above.
10. The Social Media Assessment invites clients to disclose certain things they may have kept hidden up to now. This is important because: Help
Clients should not be keeping any secrets from the therapist if therapy is going to be effective.
 It is a relief for younger clients not to hide such a big part of life while still being able to keep the secrets that are a part of healthy individuation.
 Parents have a right to know everything and the SMA encourages clients to come clean.
 Clients have a chance to face their missteps.
11. When Sherrie Turkle refers to the phantom appendage in “Alone Together,” she is talking about: Help
People's online personas.
 Memories of loss.
 Smartphones and other devices.
 All of the above.
12. The author has described "The Seven Stages of Attraction" to track where clients (and therapists) are in their relationship to their devices. The first is "the attraction stage;" the seventh is: Help
Co-dependence and addiction.
 Disillusionment.
 In love.
 Rapprochement and acceptance.
13. Determining where your clients (and you) are on the 7 stages spectrum, helps determine: Help
How high resistance will be to shifting toward greater balance.
 Why your responses to clients' levels of engagement are what they are.
 How attunement can be tailored and paced accordingly.
 All of the above.
14. How is Erik Erikson's classic work on the developmental stages relevant to online engagement? Help
Digital life hampers natural development.
 His work is old-fashioned, and no longer relevant to the contemporary young person.
 Part of what adolescents and young adults are doing is exploring developmental tasks and identity online.
 Young people's ability to handle developmental tasks is greatly expanded online.
15. Adolescents and young adults can create any kind of profiles and/or avatars they wish online. Does this help or hinder healthy ego development? Help
It is a tremendous obstacle to normal ego development.
 It depends on the kind of support the young person has and what is being expressed.
 It is exactly the same as in real life.
 It always helps, since young people feel they can be totally themselves without consequence.
16. Among the many differences between contact online and in real life is that people often get stuck in a paradoxical sense of _______ and _______. Help
Being in control/out of control
 Being connected/alone
 Being independent/dependent
 All of the above
17. The author contends that online engagement can have a negative effect on creativity because: Help
It is so easy to lift from a wide range of sources (mix and match) that a kind of laziness may develop.
 Nobody else is creative online so being uninspired becomes the norm.
 Potential negative feedback is overwhelming.
 People are too scared to be “original” and deemed weird.
18. Which of these statements is NOT true? Help
The Inner Selfie represents a thread between external experience and inner resources.
 The Inner Selfie is the part that gets young people into trouble.
 Inner Selfie is a term that usually resonates with young people.
 The stronger the Inner Selfie, the greater the client's ability to down-regulate.
19. What is a trancette? Help
A mini trance provided as an introduction before you start with longer ones.
 A short trance created by the client.
 A short trance perfect for young clients, who live in an accelerated way.
 It's excerpted from a longer trance.
20. According to the author, a client googling his/her therapist is: Help
Simply wrong, a total boundary violation.
 To be expected, not to be ambushed by.
 The urgent topic of the next few sessions.
 An indication that there is something wrong with the client.
21. Sherrie Turkle uses the word "flaming" to describe: Help
Ranting online.
 The opposite of "throwing shade."
 Failing to get enough "Likes."
 Being outrageous online to get attention.
22. When the author explores the distinction between spontaneity and impulsiveness with her younger clients, she wants them to understand that: Help
Spontaneity is never harmful and impulsiveness always is.
 Just because you call it one thing or another doesn't make it so.
 Spontaneity emerges from a natural, grounded feeling, whereas impulsiveness has no anchor.
 Acting on the spur of the moment is never okay.
23. When helping clients establish online boundaries, you should: Help
Start by tailoring just one or two decisions to be carried out at time.
 Encourage clients to state their decision out loud.
 Create a "trancette" to foster emotional impact and weight.
 All of the above.
24. Examples of indirect trance can include: Help
Hanging out on the Internet.
 Daydreaming while waiting in line.
 Reading a compelling spy novel.
 All of the above.
25. The author has coined the word "cyberpresent" to mean: Help
Shopping online.
 The gift of being able to gain so much information via the Internet.
 Being stalked online.
 Being totally absorbed in online engagement.
26. Intense cyberpresence generally results in _______ in real life. Help
Dissociation
 Boredom
 Sadness
 Overwhelm
27. "Time distortion," as it is used by the author, refers to: Help
Age regression.
 A trance being experienced as longer than it is, and time online passing in a flash.
 Forgetting that something happened a long time ago not just yesterday.
 None of the above.
28. Automatic behavior is: Help
The opposite of mindfulness.
 Doing the same thing as everyone else.
 Making the same mistake over and over.
 All of the above.
29. _______ and _______ are used as a kind of time travel for growth and responsiveness. Help
Positive/Negative hallucination
 Age regression/progression
 Catalepsy/ideomotor behavior states
 None of the above
30. The author uses amnesia in her trancework with a 28-year-old client to help lower the charge of a traumatic memory. In the trance, the client: Help
Completely erases the image.
 Replaceds the image with a more joyful memory.
 Is given a way to "let go" of the event gradually.
 Finds the strength to confront the bully.
31. The author highlights somatic deepening as a way to help the client: Help
Move from dissociation to felt experience.
 Relax while online.
 Understand the limitations of the critical mind.
 Find his or her spiritual path.
32. The author uses short indirect trances to work with each of Kyle's "parts." How does this help? Help
Kyle begins to connect how these sometimes warring parts affect him physically without his even knowing.
 By giving voice to their perspectives, Kyle is able to acknowledge his various needs rather than avoid them and fall into guilt and self-judgment.
 Kyle can begin to take action to achieve a better balance once he understands which parts are vying for his attention and why.
 All of the above
33. The author maintains that there is a natural segue between ego states and online engagement in that: Help
Both distract people from their core issues.
 In both cases, people are exploring fragmentation.
 Both encourage dissociation.
 Clients' online profiles and avatars represent various parts or ego states.
34. According to research into online addition, Patrick Carnes and others find that a high percentage of online sexual behavior begins: Help
In high school.
 In middle school or earlier.
 When parents divorce.
 Because one or both parents has an online sexual addiction.
35. Helping clients to create a healthy Inner Selfie will necessitate helping them to integrate cyber-egostates, real-life experience, and: Help
Internal ego states.
 Parental expectations.
 Memories.
 Values of the family.
36. According to the author, what is the most important tool in a therapist's repertoire? Help
Attunement
 Hynotherapy
 Parts work
 EMDR
37. What does the author mean by "intervention apps" in her work? Help
Online therapy
 Online groups to encourage joining AA, NA or other 12-step programs
 The myriad paradigms, training, and experience the authors uses, including a hypnotherapy lens, CBT, and others
 The many ways clients use apps to change things in their life for better or for worse
38. The author suggests that clients' misrepresentations of themselves via various aspects of online presence are actually: Help
Ways to manipulate others.
 A symptom of sociopathy.
 No big deal and can be ignored.
 Part of the clients' online ego states.
39. The Inner Selfie is a tool that clients can use outside of the therapy room to: Help
Remind themselves of their developing ego strengths.
 Down-regulate in the face of stress.
 Interrupt self-diminishing thoughts and behaviors.
 All of the above.
40. In creating strategic interventions for down-regulation, the therapist pays attention to physical affect, psychological affect, and social affect, so that if the client appears listless and depressed, the therapist can: Help
Mirror that back to her or him.
 Address it directly and immediately.
 Be lively, and use metaphors about "waking up," etc.
 All of the above
41. Lurking, in online parlance, refers to: Help
Stalking someone.
 Visiting sites without identifying oneself.
 Staying on a site beyond the time you had planned.
 Sneaking opportunities to go online.
42. According to the author, are there actually times NOT to encourage young clients to unplug? Help
Yes, sometimes clients find support and validation not found in real life.
 No, it's always better for clients' well-being to be disengaged from online life.
 No, a therapist should not inadvertently advocate for bad behavior.
 Yes, the therapist has no right to try to control clients' private explorations.
43. According to Stephen Porges, neuroception refers to: Help
The way neurocircuits distinguish among safe, dangerous and life-threatening situations.
 The tingling of nerve endings in the face of confrontation.
 An accurate gut feeling about positive and negative situations.
 Sense of balance.
44. Social media sites are designed to: Help
Tamp down the sympathetic system.
 Activate the sympathetic system.
 Circumvent the sympathetic system.
 Invite comparison.
45. Young people who rate high in rejection sensitivity to real or perceived situations are: Help
Extremely resilient due to their ability to move on quickly from familiar feelings.
 The same as everyone else when it comes to integrating painful experience.
 Unlikely to bounce back easily in the wake of trauma.
 Unable to discern between safety and threat.
46. Which statement is not true: Help
Too much time spent on social media is associated with greater odds for an anxiety disorder and with more intense symptoms.
 There is little evidence to date of any correlation between time spent on social media and depression.
 The American Psychological Association (APA) defines internet addiction as "excessive or obsessive online and offline computer use that leads to distress and impairment."
 Studies show that using social media for 4 - 5 hours a day, which is considered excessive, can lead to social media addiction.
47. Choose the best definition. Phubbing refers to: Help
Making embarrassing mistakes when engaged in internet communication.
 Spending hours and hours on one site.
 Fibbing or lying about the amount of time spent online.
 Ignoring someone in real life in favor of digital interaction.
48. Which statement is NOT true? Help
The Inner Selfie Technique incorporates parts work and anchoring but not trance.
 The Inner Selfie Technique incorporates parts work, anchoring, and trance.
 The Inner Selfie Technique incorporates parts work, anchoring, trance, and relies on a strong therapeu-tic alliance.
 The Inner Selfie Technique is conducive to teletherapy as well as in-person therapy.

 

 

  
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