The article she mentioned is useful for dissociative folks upto and including DDNOS and those DID's who are a good bit along in their work. For the very far right of the continuum, in my current work I emphasize stabilization and containment first. So assessment of red flags such as self mutilation and suicidality that would contraindicate proceeding, establishing rapport with a sufficiency of the system, doing conference room work (if a person can't tolerate conference room they can't tolerate EMDR either), and becoming aware of internal conflicts, bringing introjects on board, collaborative planning, fractionation (selecting a small part of a memory, according to how its organized in that client), establishing a positive resource team, and more. I'll be reviewing these things in a half day workshop at the EMDRIA conference in Denver next month, and have a chapter in a book cooking on these subjects. Anybody doing EMDR on a DID client should already be trained in treating dissociative conditions, see ISSD.org. No, I never try to get rid of parts. I don't see them as bad, but rather as protectors of the core self. They sometimes get updated job descriptions. Sometimes they release the energy of the introjected perp, and the real estate in the self returns to the original person, but the protection ability and all the skills stay with that person. We never really lose tools from our toolboxes, but sometimes we come to rely on other ones instead of just a hammer.
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