Re:EMDR for DID

EMDR for dissociative identity disorder is very complicated. Yes, it tends to trigger switching....for a number of reasons. One - switching is a defense against experiencing emotions. The person has to be okay with experiencing emotions to begin with.

Two - one part may be done with their piece of a trauma, and the nedxt part in the chain steps forward or switches for their piece of the processing.

Three - the affect is too intense, so another part comes to help.

Four - the patient is in a double bind - one part feels sad/hurt/pain, for example, and wants help, and the processing would help, and another part, for example, a perpetrator introject, wants to interfere because they are loyal to the belief that the abuse was the child's fault and the mother was innocent (for example).

I believe four is the most common and problematic. Solution is to work with the introject for as long as it takes to get them on board. Appreciating their role, helping orient them to the fact that its 30 years later, the perp is far away or dead or not happening now. Giving the introject an important new job.

Sometime, remind me to put out here a handful of reasons to appreciate a perp introject.

Replies:

about introjects, by , 08/31/03 Re:about introjects, by Sandra Paulsen Inobe PhD, 09/01/03

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