Re:Confused

I can't comment on your specifics, but I'll say a few things about EMDR in general for people with child abuse history. I've said these things before here too, perhaps in greater detail.

Every EMDR therapist should first screen for a dissociative condition before conducting EMDR on a client for the first itme. If that screening indicates a low likelihood of a dissociative condition, the therapist should make sure the client has good positive resources, such as a "safe place" and other containment skills.

Once EMDR is begun, the EMDR therapist needs to have a strategy to get around stuck points, which is taught in the Level II EMDR training, under the name "cognitive interweave".

For child abuse survivors, I very much find that an ego state approach works best, which involves identifying any child parts of self, giving them a voice, and addressing any concerns they may have about the work. For example, "it's not safe to tell", "it's still happening now", and so on, can all be addressed, once articulated.

There is more but that's enough for now.

Replies:

Re:Confused, by Jodie, 02/17/02

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