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Course Transcript Questions The answer to Question 1 is found in Track 1 of the Course Content. The Answer to Question 2 is found in Track 2 of the Course Content... and so on. Select correct answer from below. Place letter on the blank line before the corresponding question.

Questions: 1. What are 3 Structural Criteria of borderline personality disorders? 2. What are three aspects of communication as related to the client with BPD? 3. What are three common rejection concepts regarding clients with BPD? 4. What are two types of abandonment regarding clients with BPD? 5. What are 4 methods of control commonly used by clients with BPD? 6. What are three aspects of a co-occurring borderline personality disorder and depression? 7. What are three aspects regarding revisiting home as it relates to the client with BPD? 8. What are three aspects of counseling the spouse? 9. What are three steps that are beneficial in helping clients with BPD prevent anger as a result of distorted perceptions? 10. What are the three techniques for cultivating interpersonal relationships? 11. What are five cognitive distortions commonly seen in clients with BPD? 12. What are two aspects of self-esteem? 13. What are two topics we discussed regarding the difficulty of treating clients with BPD? 14. What are two topics discussed concerning borderline parents?

Answers: A. Three common rejection concepts regarding clients with BPD are personal attacks, perceived judgment, and self deprecation.  B. Three aspects regarding revisiting home as it relates to the client with BPD are tension at home, dealing with residual effects, and maintaining control. C. The two topics we discussed regarding the difficulty of treating clients with BPD were reputation of BPD and maintaining optimism and patience. D. Three aspects of counseling the spouse of a client with BPD are avoidance and control, BPD reactions and fear and weakness.  E. 3 Structural Criteria of borderline personality disorders are identity diffusion, primitive defense mechanisms, and reality testing. F. Three aspects of a co-occurring borderline personality disorder and depression are primary depression; primary BPD; and both primary depression and BPD. G. How BPD affects children and take aways. H. 4 methods of control commonly used by clients with BPD are manipulation, coercion, autocracy, and disengagement.  I. The three techniques are Learning from Others, Remembering, and Engaging in Inner Work and Outer Play.  J. Two aspects of self-esteem are low self-esteem and setting boundaries. K. Three aspects of communication as related to the client with BPD include reflex communication, conscious communication and the connection between shame and blame. L. Two types of abandonment regarding clients with BPD are general abandonment and sexual abandonment.  M. The three steps that are beneficial in helping clients with BPD prevent anger as a result of distorted perceptions are identifying the problems; clarifying goals; and coping strategies. N. The five cognitive distortions commonly seen in clients with BPD are polarized thinking, personalization, control fallacies, catastrophizing, and emotional reasoning.

Course Article Questions The answer to Question 15 is found in Section 15 of the Course Content. The Answer to Question 16 is found in Section 16 of the Course Content... and so on. Select correct answer from below. Place letter on the blank line before the corresponding question.

Questions 15. What are three reasons to treat BPD using IPT? 16. What are the six changes from what IPT was originally developed for involved in adapting IPT for BPD? 17. According to Gregory, what are the two core conflicts of borderline personality disorder? 18. What is a key to disrupting the interactional pattern of the therapist enacting the patient’s internal representation? 19. What are six important guidelines for psychodynamic therapy with a client with BPD? 20. According to Bergman, what are four common sentiments shared by staff caring for BPD inpatients? 21. What is a key difference in boundary difficulties occurring in clients with BPD and schizophrenic clients? 22. What two recommendations does Fowler make regarding addressing a client with BPD’s self-mutilating behavior? 23. What are the four categories of patient-therapist attachment on the AAI? 24. According to Diamond, to what three concepts has client-therapist attachment been linked? 25. What are three situations in which therapeutic distancing may be considered? 26. What are four skills taught to clients in Dialectical Behavior Therapy? 27. What are some examples of symptomatic behavior for (BPD)?

Answers A.  1. Avoid rigidity; 2. Establish conditions that make psychotherapy viable; 3. Allow transformation into the bad object; 4. Promote reflective function; 5. Set limits when necessary; 6. Help the patient re-own aspects of the self that are disavowed and/or projected elsewhere. B.  1. transference-countertransference dynamics; 2. the quality and nature of the therapeutic alliance; and 3. patterns of patient- therapist narrative discourse C.  1. At the outset of treatment, set a frame about how crises will be managed, including the exploration of self-destructive acts as part of the interpretive process; 2. Metabolize countertransference reactions prior to responding to the suicidal or self-destructive behavior D.  Three reasons to treat BPD with IPT are: 1. BPD is a problematic clinical diagnosis; 2. Overlap with Mood Disorders; 3. Interpersonal aspects of BPD E.  (1) Conceptualization of the disorder, (2) chronicity of the disorder, (3) difficulties in forming and maintaining the treatment alliance, (4) length of the intervention, (5) suicide risk, and (6) termination. F.  Four common sentiments are: 1. Empathy for persons with BPD; 2. Interest in treating the disorder; 3. Feelings of professional frustration; 4. The need for a common outlook. G. DBT teaches clients: 1. Mindfulness; 2. Distress Tolerance; 3. Emotion Regulation; and 4. Interpersonal Effectiveness H.  1. Strong divergent wishes of dependency versus autonomy; 2. Split self-images of helpless victim versus guilty perpetrator. I.  Borderline patients typically have greater difficulty with boundary laxness and inner/outer boundaries, whereas schizophrenic patients typically have greater difficulty distinguishing between self/other boundaries. J. 1. Secure; 2. Dismissing; 3. Preoccupied; 4. Cannot Classify K.  The therapist acts in a manner that is contrary to the patient's expectations. L. Therapeutic distancing may be considered if: 1. Therapy is not working; 2. Emotional reactions on the part of the therapist are impediments to behavioral changes by the client; 3. Therapists commit themselves to an expanded repertoire of responses and options M. Patterns of intense and unstable relationships; emotions that seem to change from one extreme to another; evidence of self-harm or self-mutilation; pattern of suicidal thoughts, gestures, or attempts; intense displays of emotion that often seem inappropriate or out of proportion to the situation

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Additional post test questions for Psychologists, Ohio Counselors, and Ohio MFT’s