Are you suggesting that dissociation doesn't exist? That's a separate argument, but I didn't know anyone was still arguing that. EMDR practitioners who don't believe in dissociative disorders and proceed to use EMDR on a client with an undiagnosed dissociative condition tend to have their paradigms shifted when the client has a bad reaction. Please note the many many client postings on this forum that talk about the effect of EMDR/BLS on dissociative barriers. I wonder what exposure treatment says these days regarding exposure therapy for dissociative clients with PTSD. Any discussion about amnesic barriers being rapidly penetrated? Any concerns about clients with poor ego strength doing poorly with exposure therapy? Or does this only happen with EMDR? I'd like to know. And if practitioners of exposure therapy do exposure for the PTSD of an undiagnosed DID client, and the client does poorly, to what does the practitioner attribute the problem of the unsuccessful exposure therapy? Are these the mysterious drop outs we read about in attrition rates, for both EMDR and exposure? I'm bothered -- always have been (since 1992) that EMDR research doesn't seem to follow the injunction of screening for dissociative disorders prior to doing EMDR on people, so we know what we are dealing with. I doubt exposure therapy does either. Some day research will include this measure - low medium high dissociation? --- across EMDR and exposure conditions -- and then we'll have something interesting to me. In the mean time, to the degree dissocition isn't accounted for and is just noise in the data -- the research is problematic.
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