EMDR FORUM ARCHIVE, 2000
Re:non standard emdr
Sandra Paulsen Inobe PhD · 08/06/03 at 11:39 ET
The therapist treating dissociation with EMDR should be wiling and able to describe his/her training with: First and foremost, there should be a process of therapy that emphasizes stabilization and containment long before trauma work is done. That way the person isn't continuously struggling with flashbacks and overwhelm. The therapist should have a strategy for obtaining consent from a sufficiency of the self system to proceed with EMDR, and a strategy for dealing with parts that are opposed. The therapist should be able to describe how he/she will conduct ego strengthening, how to titrate affect to avoid flooding, including specific fractionation procedures, and how to access parts of self that may block processing (no doubt for excellent and understandable reasons, tho those reasons may be someone out of date). In my opinion, skill with ego state therapy is key for finessing all of the above. The treatment should not be built entirely around trauma processing. For some dissociative clients, this can become almost addictive, because of the old familiar adrenaline involved. The treatment should overall be consistent with ISSD treatment guidelines.
- dissociation
- hypnosis
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