Francine Shapiro Library - EMDR Bibliography Links
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1. Oppenheim, H.-J. (2010, June). The cutting must stop: A way out of the stabilisation versus reprocessing paradox with a DID-patient. Presentation at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
In this workshop I will discuss and illustrate by video
fragments, the steps of trauma reprocessing with a very instable
DID patient. The patient was suffering from sudden severe
self-cutting that took place outside the patient's own consciousness.
It was clear that an Emotional part of the Personality (EP)
was tormented by a severe trauma, and in response, acted very
aggressively. Because of the great danger of self-harm, which
man could become life-threatening, the cutting had to be stopped
as soon as possible. Therapist and patient were trapped in the
well known paradox: to reprocess the trauma there had to be
enough stability, but to create enough stability the trauma had
to be solved. It was clear that in this period of her life the patient
couldn't bear any trauma reprocessing. This workshop offers a
way out of this paradox. I will show how to establish enough
safety for all the parts of the personality who are involved, increasing two of the Apparently Normal parts of the Personality (ANP's). For one of the ANP's, safety meant that she didn't have
to witness the story about the trauma, she still didn't know. The
workshop will demonstrate how to establish a working alliance
with the aggressive part (EP) who is indirectly responsible for the
severe cutting. Finally, after all these preparations, the trauma
reprocessing by using EMDR on this EP can be started.
The participants will learn:
a. How to work from a Structural Dissociation view. The importance of an active attitude for the therapist, like a
film director, in getting in contact and working together with the
different parts of the personality, to reach the necessary goal;
c. That trauma processing is at least partly possible in absence
of the 'main part' of the personality which can contribute to
stabilization in order to reprocess the trauma completely.
been This workshop provides an opportunity to escape from the
]paradox: reprocessing a trauma requires stability but stability
]requires a reprocessed trauma. It is always thought that for reprocessing
a trauma the ONP('s) must be involved, This workshop
will show that if only parts of the personality, without the
ANP, undergo the reprocessing, it can lead to a remarkable reduction
of dangerous symptoms. The completing of the trauma
reprocessing with the ANP can be postponed to the moment
that the patient feels sufficiently stable.
Keywords: DID Dissociatve Identity Disorder Stabilization
Accuracy Verified: Yes
2. Groenendijk, M. (2012, June). A demonstration of EMDR in the second phase of trauma-treatment of DID [Una demostración de EMDR en segunda fase del tratamiento de Trastorno de identidad disociativo]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.
Language: English
Format: Conference
Abstract:
This
workshop
is
about
the
application
of
EMDR
in
the
treatment
of
secondary
and
tertiary
structural
dissociation
with
survivors
of
early
chronic
traumatization.
The
succeeding
of
the
EMDR
sessions
in
the
treatment
of
DID,
depends
mainly
on
the
appropriate
indication
and
a
thorough
preparation.
How
to
do
this
in
clinical
practice,
will
be
pointed
out
in
this
presentation.
What
follows
is
an
explanation
of
the
process
(and
the
essential
elements
in
it)
of
the
integration
of
traumatic
memories
and
this
process
will
be
demonstrated
by
a
dvd
of
Maria,
an
woman
with
DID.
We
can
select
and
analyze
particular
scenes,
depending
on
the
requests
from
the
audience.
For
example
scenes
about
confirming
positions
of
ANP's
and
EP's
at
the
beginning
of
the
session,
attacking
the
NC
by
the
self-‐destructive
part,
guiding
reliving
experiences,
presentification,
coping
with
anger,
differentiating
between
the
past
and
the
present,
personification,
preventing
the
flight-‐reaction,
coping
with
transference
and
facilitate
internal
cooperation.
After
reporting
on
the
outcome
of
this
therapy,
the
conclusion
will
be
that
EMDR
can
be
effective
for
dissociative
patients
if
several
specific
criteria
are
met.
These
criteria
are
about
conceptualization
according
to
the
model
of
structural
dissociation,
about
indication,
timing
and
preparation
of
the
sessions,
about
adaptations
in
the
EMDR-‐protocol
and
about
integration
of
EMDR
in
the
broader
phase-‐oriented
treatment
of
DID.
Este
taller
trata
la
aplicación
de
EMDR
en
el
tratamiento
de
disociaciones
estructurales
secundarias
y
terciarias
con
supervivientes
de
la
traumatización
crónica
temprana.
El
éxito
de
la
sesiones
de
EMDR
en
el
tratamiento
de
Trastornos
de
identidad
disociativo,
depende
principalmente
de
unas
instrucciones
apropiadas
y
una
dura
preparación.
Como
hacer
esto
en
la
práctica
clínica
será
el
tema
de
esta
presentación.
Continuaremos
con
una
explicación
del
proceso
(y
los
elementos
esenciales
dentro
de
este)
de
la
integración
de
los
recuerdos
traumáticos
y
este
proceso
será
demostrado
en
el
DVD
de
María,
una
mujer
con
trastorno
de
identidad
disociativos.
Podemos
señalar
y
analizar
escenas
particulares,
dependiendo
de
las
peticiones
que
hagan
los
participantes
a
la
presentación.
Por
ejemplo,
escenas
acerca
de
la
confirmación
de
posiciones
de
ANP
y
EP
al
principio
de
la
sesión,
atacando
al
NC
por
la
parte
autodestructiva
del
yo,
guiando
y
reviviendo
experiencias,
atención
al
presente,
gestionar
la
ira,
diferenciar
entre
pasado
y
presente,
personificación,
prevenir
la
evitación,
afrontar
la
transferencia
y
facilitar
la
cooperación
interna
Después
de
informar
acerca
de
los
resultados
de
la
terapia,
la
conclusión
es
que
el
EMDR
puede
ser
efectivo
para
pacientes
disociados
si
cumplen
muchos
requisitos
previos.
Este
criterio
es
sobre
la
conceptualización
de
acuerdo
con
el
modelo
estructural
de
disociación,
sobre
la
indicación,
temporalización
y
preparación
de
las
sesiones,
sobre
las
adaptaciones
del
protocolo
del
EMDR
y
la
integración
del
mismo
en
un
tratamiento
más
amplio
en
fases
del
tratamiento
del
Trastorno
de
Identidad
Disociativo.
Keywords: DID Dissociative Identity Disorder
Accuracy Verified: Yes
3. Patti, M. S (2010, April). Diagnosing and treating complex PTSD: An integrated approach model - Borderline personality disorder and comorbid DID: intervening with EMDR, relational and sensorymotor psychotherapies . Symposium at the 2nd Bi-Annual International European Society for Trauma and Dissociation Conference, Belfast, Northern Ireland.
Language: English
Format: Conference
Abstract:
The paper presents a clinical case of an initial diagnosis of BPD referred to ARP by local psychiatric services where she was treated for a suicide attempt. The client presented serious affective dysregulation, impulse dyscontrol, dissociative symptoms and refused any medication. Clinical team opted for an integrated assessment which also stabilised the client. The assessment enabled to diagnose the client with structural dissociation isolating both ANP and EP aspects. Clinical intervention adopted an integrated approach using EMDR to treat specific dissociative traits, sensorymotor therapy to intervene on somatic symptoms, and relational therapy to develop therapeutic alliance. A preliminary stabilisation enabled the client to accept support from psychiatric services. This clinical case shed light on how the integration of assessment tools may detect better trauma disorders and challenged the importance of collaborative work between private practice and psychiatric services when intervening with seriously traumatized patients.
Keywords: Borderline Personalith Disorder Comorbid DID Complex Trauma
Accuracy Verified: Yes
4. Herbert, C. (2010, June). Do‘s and don‘ts in trauma therapy: Strategies for enhancing the work with trauma of different levels of complexity – a positive growth approach. Presentation at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
Working with traumatized clients can be overwhelming
for the therapist, especially when the trauma is complex, involves
dissociative symptoms or different personality states, fragmented
memories or client affect is intense and poorly regulated. My
experience as a supervisor of EMDR practitioners has shown that
it is not uncommon for therapists, in an attempt to be helpful to
the traumatized clients, to unintentionally use strategies, which
are experienced as re-traumatizing or which lead to an increase
in their clients’' survival based coping strategies, including the
further strengthening of the ANP (Apparently Normal Personal-
~ t y- van der Hart, Nijenhuis and Steele. 2006). This workshop
highlights different therapeutic challenges, which often arise
for therapists when working with trauma and introduce strategies
that EMDR practitioners can use in their work with such
clients. This workshop embeds the principles of Positive Growth
Therapy (PGT - Herbert, 20071, which encompasses combined
knowledge from a variety of disciplines, including positive psychology,
information-processing theory, neurobiology, somatic
psychology, developmental psychology and attachment theory,
mindfulness and others. These strategies, designed to nurture
growth rather than dysfunction, are linked to specific therapeutic
factors relevant to the work with trauma, such as different types
of trauma, the nature of dissociation, the therapeutic pathway
toward integration. the concept of safety, the importance of resource
installation, individual pacing of therapy and the window
of tolerance, different types of processing, and the integration of
rational and experiential processing systems and others, which
will be explored in the course of this workshop
This workshop offers opportunities for both, EMDR therapists,
who are fairly new to the trauma field and would like to enhance
and deepen their knowledge base, and those already experienced in the trauma field who would like to use this workshop
as an opportunity to re-view, further refine or validate
their current ways of working.
The specific learning objectives for this workshop are:
1. To find out about specific therapeutic factors that is relevant
to the work with trauma.
2. To learn about strategies to avoid and strategies, which are helpful for trauma clients. 3. To increase therapist confidence in working with traumatized clients of varying levels of complexity.
This workshop is unique in the way in which it transcends specific
(and sometimes too narrowly defined) therapeutic modalities or psychiatric diagnoses and instead offers solutions to
EMDR practitioners of all modalities by providing deeper understanding of specific therapeutic factors relevant to the work with trauma of different complexities.
Accuracy Verified: Yes
5. Burzynski, S. (2010, July). EMDR for anger management. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.
Language: English
Format: Conference
Abstract:
The presentation examines a single case study of an indigenous Australian, diagnosed with trauma based borderline
personality disorder experiencing peremptory anger. Anger within the PTSD context and ‘survival mode’ of operation are
discussed. Treatment incorporated EMDR within a paradigm of Structural Dissociation. A targeted anger laden EP is integrated
with the ANP and results discussed. The role of time orientation (presentification) and coconsciousness (personification) in
treatment are also examined.
Keywords: Anger Management
Accuracy Verified: Yes
6. Martin, K. M. (2012). How to use Fraser's Dissociative Table Technique to access and work with emotional parts of the personality. Journal of EMDR Practice and Research, 6(4), 179-186. doi:10.1891/1933-3196.6.4.179.
Language: English
Format: Journal
Abstract:
This Clinical Q&A article responds to a question about what process to use to access and identify ego states when working with complex trauma. The procedure for implementing Fraser's Dissociative Table Technique is explained and detailed in 8 clearly defined steps. The author builds on Fraser's original instructions and adds several innovations for use by EMDR therapists. Tips on implementing this technique are given. The article then concludes with a session transcript to illustrate the use of this powerful tool.
Keywords: ANP Apparently Normal Part of the Personality EMD Dissociative Table Emotional Part of the Personality EP Eye Movement Desensitization Meeting Place
Accuracy Verified: Yes
7. Aasen, B. (2010, July). Practical work with dissociated parts with EMDR. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.
Language: English
Format: Conference
Abstract:
When working with complex trauma, where there is secondary or tertiary or dissociation, the EMDR therapist must be
cautious or emotional parts that are overwhelming to the client can be evoked. Care must be taken to provide sufficient
assessment and stabilization and knowledge of the personality system or there is the risk of opening Pandora’s box and
overwhelming the client. However, there are ways to safely work with emotional parts of the personality. If the ANP is able to
stay present, the client has sufficient emotional stabilization and strategies to lower emotional arousal, then integration can
place. This workshop will provide guidelines on assessment and stabilization, and then discuss strategies to work with EPs.
Video tapes of client sessions will illustrate teaching points.
Keywords: Dissociation
Accuracy Verified: Yes
8. van der Weele, J., & With, A. (2007, June). Stabilization groups with ethnic minority women after domestic violence: Presentation of a model based on structural theory of dissociation, EMDR, intercultural comunication and expressive artwork. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.
Language: English
Format: Conference
Abstract:
Alternative to violence has developed a group treatment model structured by the theory of structural dissociation and EMDR trauma treatment theory. Woman with ethnic minority background received short terms group treatment at a shelter for victims of domestic violence at an outpatient clinic and at a domestic violence family treatment center. The groups were supplements to individual therapy/counseling. We have had 10 groups; one with only Pakistani women, several mixed ethnic minority cultural groups with translation and groups in “simple Norwegian.” Recruitment was enhanced by the policy of sharing of symptoms and problems today with no obligation to share about personal past. The model has low drop out rate and therapist working with the individuals report more effective treatment sessions. For some women the group becomes the preferred choice of treatment. We discovered that early phase trauma work can be done in a group format with severely and recently traumatized women. Methods used are resource installation and safe place work, increase awareness of negative/positive cognitions, butterfly hug, nightmare protocol, expressive art therapy techniques as grounding, breathing techniques working with personal borders, working with imagination and playfulness. Structural therapy of dissociation concepts as ANP/EP structures and mental capacity, working from here and now, focusing on the ANP above EP's are woven into how the therapists regulate the group process and plan content. The theory organizes how we handle flashbacks, current acute crisis and how we focus on the womens’ personal trauma. We also teach about the effect of violence in relationships, the need to work on personal safety and the needs of children in the aftermath of violence. Theory from the field of intercultural communication gave us guidelines in working with women from high context, indirect and collectivistic cultures. A workbook for the clients on violence, PTSD symptoms and stabilisation treatment has been developed in the aftermath of these groups and is translated into several languages. We will present the material at the conference in the structure of the early fase trauma treatment group format. Showing in vivo how we apply the theory to severely traumatized women. We will share some of our favorite group exercises, metaphors and group rituals. Our goal is: 1. to show how the theory of structural dissociation serves as guideline for organizing and resulting treatment with severely traumatized clients in groups. 2. Give insight into typical adjustments that have been made to tailor treatment to ethnic minority populations. 3. Explain how expressive art work needs to make adjustments to the population of severely traumatized women. 4. Finally show how the group uses elements from EMDR and enhances individual EMDR work. In our experience, the stabilisation groups have integrated the heart, mind and body in the work of healing with a population that is often found difficult to treat effectively. We hare started to retain other therapists in using the model and are in the process of applying for a research grant.
Keywords: Artwork Domestic Violence Dissociation Ethnic Intercultural Communication Minority Stabilization Women
Accuracy Verified: Yes