Francine Shapiro Library ~ EMDR Bibliography

Francine Shapiro Library - EMDR Bibliography Links

Francine Shapiro Library: EMDR Bibliography

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1. あなたの白川、あずさ清水、智久Gojyo＆アル [Shirakawa Miyako, Shimizu Azusa, Gojyo Tomohisa et al]. (2008年6月). EMDRと自我状態療法［重度の解離を伴う複雑性PTSD（DESNOS）症例への適用 [Application of EMDR and ego state therapy to complex PTSD associating with severe dissociation (DESNOS) cases]. こころのりんしょう第27巻02号 [Clinical Psychology: Various Aspects, 27(2), 253-261].

Language: Japanese

Format: Journal

Keywords: Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD Dissociation Ego State Therapy

2. 市井雅哉 [Ichii Masaya]. (2007年7月). EMDR/適応的な情報処理モデル/自我状態間の結合 [EMDR / adaptive information processing model / bond between the ego-state]. 臨床心理学、6日本誌（4）、554〜556 [Japanese Journal of Clinical Psychology, 6(4), 554-556].

Language: Japanese

Format: Journal

Keywords: Ego State Therapy

3. 市井雅哉 [Ichii Masaya]. (2005). EMDRによる外傷記憶の取り扱い--隔絶した自我状態をどうつなぐか (第20回日本催眠学会メインテーマ「現代催眠療法の展望」) -- (シンポジウム催眠療法の適用と限界) [EMDR treatment for traumatic memories: Completely bridging separated ego states. (The 20th meeting of Japan Institute of Hypnosis. Main Theme: the prospects for the current hypnotherapy)]. 科学睡眠薬の、20（1)、16-22 [Science of Hypnotics, 20(1), 16-22].

Language: Japanese

Format: Journal

Keywords: Ego States Traumatic Memories

4. Accaria, P. L. (2009, March 10). The utilization of muscle testing as an ideomotor signal: How to bypass dissociation, ratify EMDR protocols and assess covert ego states. Presentation at the 51st American Society of Clinical Hypnosis Annual Scientific Meeting, Boston, MA.

Language: English

Format: Conference

Abstract:
The Eve Movement Desensitization and Reprocessing procedure requires the development of a protocol comprised of the patient’s inner experiences in the forms of images, emotions, sensations, cognitions and Likert scale type ratings. Some individuals are dissociated from their inner experiences to a degree which makes it difficult for them to soundly identify and consciously report these inner experiences. Applied Kinesiology muscle testing responses, which are conceptualized as ideomotor signals, are utilized to assess and ratify data used in developing EMDR protocols. Muscle tests are also effective for deciphering covert ego states and assessing their unique responses. Demonstrations and experiential practice in dyads. Upon completing this workshop, the participant should be able to: 1. Use muscle testing as an ideomotor signal; 2. Use muscle testing to develop and ratify EMDR protocols; and 3. Use muscle testing to assess and access covert ego states.

Keywords: Dissociation Ego States Muscle Testing

5. Barbieri, J. L. (2008, April). The URGES approach: Urge reduction by growing ego strength (URGES) for trauma/addiction treatment using alternate bilateral stimulation, hypnotherapy, ego state therapy and energy psychology. Sexual Addiction & Compulsivity, 15(2), 116-138. doi:10.1080/10720160802035584.

Language: English

Format: Journal

Abstract:
The URGES approach is a theory and protocol to treat trauma and addiction simultaneously. It combines hypnotherapy, ego state work, alternate bilateral stimulation, and energy psychology.It was developed to meet the need to address trauma without disturbing mainstream addiction treatment. Based on the premise that trauma and addiction are co-relational, this method uses ego state images including an Addict ego state that hypothetically reflect brain chemistry dynamics and changes.URGES is a combination method that incorporates basic concepts from hypnotherapy, Eye Movement Desensitization and Reprocessing, ego state therapy and several energy psychology techniques.Orchestrated ego state conflicts hypothetically exercise the brain.Ego state patterns are emerging from URGES that indicate a degree of predictability in assessing patient's internal response to treatment.The main focus of this approach is using the addictive urge to locate and process underlying trauma.

Keywords: Addiction Bilateral Stimulation BLS Ego State Therapy Energy Psychology Hynotherapy Trauma Treatment URGES Approach

6. Bergmann, U. (2004, June). Personality disorders as variants of dissociative phenomena: Treatment with an integration of the EMDR and ego state treatment. Presentation at the annual meeting of the EMDR Europe Association, Stockholm, Sweden.

Language: English

Format: Conference

Abstract:
The integration of EMDR with Ego State therapy will be presented as a comprehensive approach to the treatment of the wide spectrum of personality disorders. The histories of these clients often include early repeat experiences of abuse, deprivation, abandonment, and parental coldness. Historically, the treatment of personality disorders has been described as difficult, if not impossible; manifested by a rigid character armor, defensive resistance. This presentation will propose that the presence of untreated dissociation accounts for these failures and will highlight the use of ego-mapping, exploration, interweaves and the utilization of ego-state-specific EMDR protocols to facilitate robust processing.

Keywords: Dissociation Ego State Therapy Personality Disorders

7. Bergmann, U. (2004, September). Personality disorders as variants of dissociative phenomena: Treatment with an integration of EMDR and ego-state work. Presentation at the annual meeting of the EMDR International Association, Montreal, Quebec Canada.

Language: English

Format: Conference

Abstract:
The integration of EMDR with Ego State therapy will be presented as a comprehensive approach to the treatment of the wide spectrum of personality disorders. The histories of these clients often include early repeated experiences of abuse deprivation, abandonment and personal coldness. Historically, the treatment of personality disorders has been described as difficult, if not impossible; manifested by a rigid, character-armor, defensive resistance. This presentation will propose that the presence of untreated dissociation accounts for these failures and will highlight the use of ego-state mapping, exploration, interweaves and the utilization of ego-state-specific EMDR targeting to facilitate robust processing.

Keywords: Personality Disorders Dissociation Ego State Therapy

8. Bergmann, U. (2004, November). Personality disorders as variants of dissociative phenomena: Treatment with an integration of ego-state work and EMDR. Presentation at the annual meeting of the International Society for the Study of Dissociation Fall Conference, New Orleans, LA.

Language: English

Format: Conference

Keywords: Dissociation Ego State Therapy Personality Disorders

9. Bergmann, U. (2000, September). EMDR and ego state therapy: Treating the spectrum of personality disorders. Presentation at the annual meeting of the EMDR International Association, Toronto, Ontario Canada.

Language: English

Format: Conference

Abstract:
Participants will: 1) learn the applications of the Ego State concepts and techniques to all phases of the EMDR process in order to facilitate the treatment of clients with personality disorders; 2) learn how to developmentally assess, identify, map, and access ego states of personality disordered clients and how to promote their ego state participation in EMDR sessions; and 3) understand how treatment of personality disorder is usually longer-term EMDR, interweaving the activation of fear-based, aggressivized infantile ego states necessary to deepen and accelerate processing and desensitization.

Keywords: Ego State Therapy Personality Disorders

10. Bergmann, U. (2005, September). Treating dissociation in the spectrum of personality disorders. Presentation at the annual meeting of the EMDR International Association, Seattle, WA.

Language: English

Format: Conference

Abstract:
The integration of EMDR with Ego State Therapy will be presented as a comprehensive approach to the treatment of (he wide specturm of personality disorders. New evidence from the fields of neuroscience. regarding the normative multiplicity of the self, will be discussed. Historically. the treatment of personality disorders has been described as difficult, if not impossible, manifested by a rigid, character-armor, defensive resistance. This presentatlon will propose that the presence of untreated dissociation accounts for these failures and will highlight the use of ego-state mapping, exploration, interweaves and the utilization of ego-state-specific EMDR protocols to target dissociation and facilitate robust processing.

Keywords: Dissociation Ego State Therapy Personality Disorders

11. Bergmann, U. (2003, May). Integrating EMDR into specific therapeutical approaches - Personality disorders as variants of dissociative phenomena: Treatment with an integration of the EMDR and ego state work. Presentation at the annual meeting of the EMDR Europe Association, Rome, Italy.

Language: English

Format: Conference

Keywords: Dissociation Ego State Therapy Personality Disorders

12. Bergmann, U. (2003, September). Personality disorders as variants of dissociative phenomena: Treatment with an integration of EMDR and ego state work in the repair of the self. Presentation at the annual meeting of the EMDR International Association, Denver, CO.

Language: English

Format: Conference

Keywords: Dissociation Ego State Therapy Personality Disorders

13. Bergmann, U. (2002, November). Personality disorders as variants of dissociative phenomena: Treatment with an integration of ego-state therapy and EMDR. Presentation at the annual meeting of International Society for the Study of Dissociation Fall Conference, Baltimore, MD.

Language: English

Format: Conference

Keywords: Dissociation Ego State Therapy Personality Disorders

14. Bergmann, U. (2003, November). Personality disorders as variants of dissociative phenomena: Treatment with an integration of EMDR and ego state treatment. Presentation at the annual meeting of the International Society for the Study of Dissociation Fall Conference, Chicago, IL.

Language: English

Format: Conference

Keywords: Dissociation Ego State Therapy Personality Disorders

15. Bergmann, U. (2006, November). Treating dissociation in the spectrum of personality disorders: Integrating EMDR and ego-state treatment. Presentation at the annual meeting of the International Society for the Study of Dissociation Fall Conference, Los Angeles, CA.

Language: English

Format: Conference

Abstract:
The integration of EMDR with Ego State Therapy will be presented as a comprehensive approach to treatment of the wide spectrum of personality disorders. These diagnostic categories include individuals manifesting character pathology, borderline personalities, antisocial and sociopathic tendencies as well as addictive behaviors. These clients have often been seen as poor candidates for EMDR or even nonresponders. They are often mandated for treatment or come at the behest of others. Their histories often include early repeated experiences of abuse, deprivation, abandonment, and parental coldness. The hallmarks of personality disorders are rigid, intractable defenses, difficulty relating and empathizing with others, as well as acting out behavior. Historically, the treatment of personality disorders has been described as the symptoms of personality disorders be viewed as aspects of dissociation and will examine the applications of ego state concepts and techniques to all phases of the EMDR protocol in order to facilitate the treatment of these clients. Central to this approach is the conceptualization of self and object rcpresentations, self-objects or schemas as ego-states. Discussion will include how to use a developmental approach to assessment and will review the identification, mapping, and accessing of ego-states as well as how to promote ego-state-specific EMDR targets, facilitating the enhancement of EMDR processing.

Keywords: Dissociation Ego State Therapy Personality Disorders

16. Bergmann, U. (2008, September). Treating dissociation in the spectrum of personality disorders: Integrating EMDR and ego state treatment. Presentation at the annual meeting of the EMDR International Association, Phoenix, AZ.

Language: English

Format: Conference

Abstract:
The integration of EMDR with Ego State therapy will be presented as a comprehensive approach to the treatment of the wide spectrum of personality disorders. New evidence from the fields of neuroscience, regarding the normative multiplicity of the self, will be defined and described. Historically, the treatment of personality disorders has been described as difficult, if not impossible; manifested by a rigid, character-armor, defensive resistance. This presentation will propose that the presence of untreated dissociation accounts for these failures and will highlight the use of ego-state mapping, exploration, interweaves and the utilization of ego-state-specific EMDR targeting to facilitate robust processing.

Keywords: Dissociation Ego State Therapy Personality Disorders

17. Bergmann, U. (2007, September). Treating dissociation in the spectrum of personality disorders: Integrating EMDR and ego state treatment. Presentation at the annual meeting of the EMDR International Association, Dallas, TX.

Language: English

Format: Conference

Abstract:
The integration of EMDR with Ego State therapy will be presented as a comprehensive approach to the treatment of the wide spectrum of personality disorders. New evidence from the fields of neuroscience, regarding the normative multiplicity of the self, will be defined and described. Historically, the treatment of personality disorders has been described as difficult, if not impossible; manifested by a rigid, character-armor, defensive resistance. This presentation will propose that the presence of untreated dissociation accounts for these failures and will highlight the use of ego-state-specific EMDR targeting to facilitate robust processing.

Keywords: Ego State Therapy Personality Disorders

18. Bergmann, U. (2004, June). Personality disorders as a variant of dissociative phenomena. Treatment with an integration of EMDR and ego-state work in the healing of self. Presentation at the annual meeting of the EMDR Europe Association, Stockholm, Sweden .

Language: English

Format: Conference

Keywords: Complex Trauma Dissociation Ego State Therapy Personality Disorders

19. Bergmann, U. (2010, Octubre/Noviembre). Tratamiento de disociación en desórdenes de personalidad con EMDR y terapia de estados del ego [Treatment of personality disorders dissociation with EMDR and ego state therapy]. Pre congreso presentación en el II Congreso Iberoamericano de EMDR y Psicotrauma, Quito, Ecuador.

Language: English

Format: Conference

Keywords: Dissociation Ego State Therapy Personality Disorders

20. Bergmann, U., & Forgash, C. (2000, November). Deepening the EMDR treatment effects in the treatment of dissociative disorders: Integrating EMDR and ego state techniques. Presentation at the annual meeting of the International Society for the Study of Dissociation Fall Conference, San Antonio, TX.

Language: English

Format: Conference

Keywords: Dissociation Ego State Therapy

21. Blore, D. C. (2007). Towards a perspective-related categorisation of PTG: Preliminary results from phenomenological research into EMDR. Presentation at the Conference of the Centre for Applied Positive Psychology, University of Warwick, England .

Language: English

Format: Conference

Keywords: Post Traumatic Growth PTG

22. Browning, C., & Omaha, J. (2001, June). Affect management skills training (AMST): Basic and advanced techniques. Presentation at the annual meeting of the EMDR International Association, Austin, TX.

Language: English

Format: Conference

Abstract:
AMST blends EMDR, imagery, and ego state therapy to assist clients in developing affect tolerance and can be used with extremely vulnerable clients to prepare them for safe EMDR processing. Practicum and video demonstration will be used.

Keywords: Affect Management Skills Training Affect Tolerance AMST Ego State Therapy

23. Cervera, M., & Acinas, P. (2012, June). Como puede la combinacion entre el EMDR y la imaginacion tartar casos con sept complejo, problemas de apego y disociacion? [How can EMDR and imagination combined, treat cases with complex PTSD, attachment and dissociative symptoms?]. Poster presented at the annual meeting of EMDR Europe, Madrid, Spain .

Language: Spanish

Format: Conference

Abstract: ABSTRACT: La integración del EMDR con el uso de la imaginación (See Far CBT, Lahad) como un abordaje para el tratamiento de SEPT Complejo. El uso de la imaginación con cartas terapéuticas dentro de la Realidad Fantástica es una estrategia poderosa para estos pacientes. El EMDR ha sido ampliamente investigado y aprobado como una de las terapias más efectivas en este campo.

ABSTRACT: Integrate EMDR with the use of Imagination (See Far CBT, Lahad) as an approach to treat Complex Trauma with PTSD. The use of Imagination with therapeutic cards within the world of Fantastic Reality is a new powerful coping strategy for these patients. EMDR has been widely researched in this area.

Keywords: Attachment Dissociation Poster

24. Chowdhury, E. H. (2007, August). Negotiating state and NGO politics in Bangladesh: Women mobilize against acid violence. Violence Against Women, 13(8), 857-873. doi:10.1177/1077801207302046.

Language: English

Format: Journal

Abstract:
This note showcases the story of Nurun Nahar, a survivor of acid violence in Bangladesh, to demonstrate that, despite protective measures, state, medical, and legal institutions continually fail to adequately respond to violence against women systematically and deny women rights to state protection, which are affirmatively embodied in law. The failure of state institutions to ensure appropriate care has been somewhat mitigated by nongovernmental organizations (NGOs), particularly women’s groups, which are albeit heavily constrained because of the volume of demand yet scarcity of expertise, infrastructure, and funds. In addition, this note offers some thoughts on how nonstate actors, namely, women’s NGOs, have created alternative strategies and visions for victimized women’s recovery and empowerment.

Keywords: Acid Violence Bangladesh Naripokkho Women’s Activism

25. Cortés, C. (2012, June). Ayudando a desarrollar el sistema de procesamiento de la información para la reconstrucción del apego en niños adoptados [Helping to develop the adaptive information system for attachment reconstruction in adopted children]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.

Language: Spanish

Format: Conference

Abstract:
EMDR is based on the adaptive information system model. Humans have an inherent information processing system that generally processes the complex elements of an experience to an adaptive state. In other words, we have the innate capacity to resolve difficult emotional experiences and move forward in our lives. There are cases where, besides the trauma of abandonment and lack of attachment, there has been no early stimulation, mainly during the first year of life. Sometimes the emotional environment is so poor that results in insufficient attachment, and prevents the motivational system from becoming strong enough to push the baby to find and produce stimulation. Other times, the environment has been so negligent that has not provided the conditions for the baby to adequately cover this first sensory stimulation. Whether it is poor emotional environment or a negligent environment, or both at once, the result is that we find children who have not had the opportunity to generate enough neural connections or the quality required for the reptilian brain to mature. This phenomenon hinders the brain integration, both vertically and horizontally, and makes the processing of the adaptive information system difficult, if not impossible. Aiming to promote and foster the development of the adaptive information system, we have focused on a dual purpose: rebuilding attachment and ensuring the neurofunctional reorganization and development of the child at early stages. For this we rely on both; EMDR processing, as well as sensory integration and sensorimotor therapies, which promote the integration of primitive reflexes and the child´s development at early years. Given the baby's phylogenetic development and the ideal conditions for such development to occur, we try to generate the same conditions, with the aim to facilitate and complete part of the child's development that, so far, has not occurred yet. Therefore, the quality of attachment is what will define the self-‐regulation capacity and the child's motivational system. And in this sense, the neurofunctional organization and sensory integration will provide the child with the necessary resources to meet the challenges of both, development and growth, and the possibility to achieve success and thus to obtain the perception of efficiency. Both aspects, attachment and neurofunctional organization, are interwoven with each other and feed the adaptive information system. Through videos and clinical material, we show the evolution of adopted children with whom we have already intervened from this dual therapeutic point of view; generating a greater vertical and horizontal integration and a better attachment consolidation. Parents will play a key role in this intervention and we prepare them for it through both; psycho-‐education and EMDR. In this way, they can become proper therapeutic parents, capable to parenthesize their own children.

EMDR está basado en el modelo del sistema adaptativo del procesamiento de la información. El ser humano posee un sistema inherente de procesamiento de la información que normalmente procesa los elementos complejos de una experiencia en un sistema adaptativo. En otras palabras, tenemos una capacidad innata para resolver las experiencias emocionalmente difíciles y seguir adelante con nuestras vidas. Existen casos donde, tras el trauma de abandono y la falta de apego, no ha existido estimulación temprana, principalmente durante el primer año de vida. A menudo el ambiente emocional es tan pobre que da como resultado un apego insuficiente, e impide que el sistema emocional sea lo suficientemente fuerte para conseguir que el bebe encuentre y produzca estimulación. En otras ocasiones, el ambiente ha sido tan negligente que no proporciona las condiciones adecuadas para que el bebe cubra su primera estimulación sensorial. Ya sea por ambiente emocional pobre o un ambiente negligente, o bien ambos, el resultado es que encontramos niños que no tienen la oportunidad de generar conexiones neurales suficientes o de calidad requeridas por el cerebro reptiliano para madurar. Este fenómeno dificulta la integración del cerebro vertical y horizontalmente y hace que el sistema de procesamiento de la información sea deficitario, si no imposible. Con el objetivo de promover y fomentar el desarrollo del sistema adaptativo del procesamiento de la información, nos hemos centrado en un propósito dual: Reconstruir el apego y asegurarnos de reorganizar y desarrollar la neurofuncionalidad del niño en las etapas tempranas del niño. Para ello nos apoyamos en el procesamiento del EMDR, así como en las terapias de integración sensorial y sensoriomotoras, que fomentan la integración de los reflejos primitivos y el desarrollo del niño en las etapas tempranas. Dado el desarrollo filogenético del niño y las condiciones ideales para que dicho desarrollo ocurra, intentamos generar las mismas condiciones, con el objetivo de facilitar y completar parte del desarrollo del niño que hasta ahora, no ha ocurrido todavía. Por tanto, la calidad del apego es aquella que será definida por la capacidad de autorregulación y el sistema motivacional del niño. Y en este sentido, la organización neurofuncional y la integración sensorial promoverán en el niño los recursos necesarios para encontrarse con los retos de desarrollo y crecimiento y la posibilidad de conseguir el éxito en ambos, además de obtener la percepción de eficiencia. Ambos aspectos, apego y organización neurofuncional, están entrelazados y alimentan el sistema adaptativo del procesamiento de la información. A través videos y material clínico, mostramos la evolución de los niños adoptados los cuales ya han sido intervenidos desde esta perspectiva terapéutica dual; generando una gran integración vertical y horizontal y una mejora en la consolidación del apego. Los

Keywords: Adoptives

26. D'Hooghe, D. (2012, June). Integrating attachment theory and the AIP model in working with early childhood trauma in an attachment relationship [La integración de la teoría del apego y el modelo AIP al trabajar sobre el trauma infantil precoz dentro de una relación de apego]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.

Language: English

Format: Conference

Abstract:
In this presentation I would emphasize the relationship between attachment, trauma and the development of the AMN (adaptive memory network). From a psychobiological point of view, we understand that early relational experiences shape brain growth and organization and that the major environmental influence on the development of the brain is the attachment relationship. Reductions in brain volume and dysfunctional memory networks following traumatic experiences in early childhood are documented. When there is a distressing incident, it may become stored in state-‐specific form, unable to connect with other memory networks that hold adaptive information. The research of the neurobiology of the social brain and the mirror neuron system let us assume that the AMN is developing in the presence of an attuned caretaker. Healing traumatic memories is relational and procedural. I use EMDR within the Phase-‐ model of trauma-‐informed treatment. During the preparation phase (phase 1 and 2 EMDR protocol) I would like to stress the importance of: • evaluating the attachment pattern of the child. It affects how the child relates to the therapist. Establishing a healing therapeutic relationship is a goal of phase 2. • the activation of networks containing adaptive information and positive memories • increasing coping abilities, self-‐efficacy and sense of mastery. That may result in reduction of the fear responses and enabling changes in the meaning of the experiences, and a new memory can be formed.

En esta presentación, queremos enfatizar la relación que existe entre apego, trauma y desarrollo de la red adaptativa de memoria (AMN). Desde un punto de vista psicológico, entendemos que una temprana experiencia relacional forma el cerebro y hace crecer la organización y consideramos que la principal influencia ambiental del desarrollo del cerebro es la relación de apego. Las reducciones en el tamaño del volumen del cerebro y las redes de memoria disfuncionales seguidas de experiencias traumáticas en la infancia están documentadas. Cuando existe un evento vital estresante, puede ser almacenado en una forma específica de estado, impidiendo conectar con otras redes de memoria que retienen la información adaptativa. La investigación de la neurobiología del cerebro social y el sistema de neuronas espejo, nos permite asumir que la AMN se desarrolla en presencia de un cuidador acostumbrado. Sanar recuerdos traumáticos es relacional y referente al procesamiento. Yo uso EMDR dentro del modelo-‐fase del tratamiento para el trauma informado por el paciente. Tratamiento del modelo de fase para el trauma informado: Durante la preparación fase (fase 1 y 2 del protocolo EMDR) me gustaría recalcar la importancia de: -‐ Evaluar el patrón de apego del niño. Que afecta en como el niño se relaciona con el terapeuta. -‐ La activación de redes que contienen información adaptativa y recuerdos positivos. -‐ Incremento de las habilidades de afrontamiento, autoeficacia y autocontrol. Esto puede conllevar una reducción de las respuestas de miedo e inhibir cambios en significado de las experiencias y puede llevar a la formación de un nuevo recuerdo.

Keywords: Adaptive Information Processing AIP Attachment Theory Childhood Trauma

27. Faust, T. (2012, June). EMDR, los estados del yo, los policías y las reinas en un caso de ansiedad ante los exámenes[EMDR, ego states, policemen and Queens in a case of test anxiety]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.

Language: Spanish

Format: Conference

Abstract:
We present a case of Test Anxiety, handled using a combination of EMDR and Ego State Short Term Therapy. Shira, aged 27, is a bright science student. She recently failed a math test due to an anxiety attack. Shira feels that her ability to complete her degree studies is under a real threat. Reported symptoms: great stress, chest pain, pessimistic thoughts, and a general feeling of low self-‐esteem. The treatment consisted of four sessions before her forthcoming math exam, and a fifth follow-‐up session after it. The therapeutical approach Psycho-‐educational counseling, self-‐relaxation and guided imagery, EMDR phobia protocol (Shapiro F.), use of puppets for work on Ego States (Cohen-‐Posey K.) based on Voice Dialogue (Stone). During her EMDR processing, Shira chose different puppets to represent both her negative and positive cognitions (PC, NC). A Policeman puppet (NC) represented the "protecting part" of the vulnerable child. This failed part lacks in self-‐confidence and blocks her progress. Shira's successful PC part is represented by the Queen puppet. She is sure Shira will succeed, because she's able to. During the desensitization process, Shira created a dialogue between her different parts, and empowered the successful, functioning, Queen part. This reinforced her self-‐esteem and her Ego Awareness The awareness of these parts in her becomes a resource used by Shira for a successful performance in her math exam, in which she gets the highest grades. We shall present the protocol of our sessions, and the use of puppets as projection tools of the Ego parts.

Presentamos un caso de ansiedad ante exámenes, llevado a través del uso del EMDR y la terapia breve de estados del Ego combinados. Shira, tiene 27 años, es una brillante estudiante de ciencias. Recientemente suspendió un test de matemáticas debido a un ataque de ansiedad. Shira siente que su habilidad para completar sus estudios de grado esta bajo una amenaza real. Síntomas registrados: Gran estrés, dolor de pecho, pensamientos pesimistas, y sentimientos generales de baja autoestima. El tratamiento consistió en cuatro sesiones antes de su siguiente examen de matemáticas, y un seguimiento de 5 sesiones después de este. El enfoque terapéutico. El consejo psico-‐educacional, auto-‐relajación e imaginación guiada, protocolo EMDR para fobia(Shapiro F.), uso de marionetas para trabajar con los estados del Ego (Cohen-‐Posey K.) basado en el la voz del dialogo (Stone). Durante su procesamiento EMDR, Shira escoge diferentes marionetas para representar sus cogniciones negativas y positivas (PC, NC). Una marioneta de agente de policía (NC) representaba la “parte protectora” de un niño vulnerable. Esta parte fallo en su autoconfianza y bloque su progreso. La parte que representaba el éxito de Shira PC era la marioneta de la Reina. Ella estaba segura de que Shira Durante el proceso de desensibilización, Shira creó un dialogo entre sus diferentes partes, y reforzó el existo, y el funcionamiento de la parte de la Reina. Esto reforzó su autoestima y su conciencia del Ego. La conciencia de estas partes se convirtió en un recurso usado por Shira para el existo en la realización de su examen de matemáticas, en donde saco las notas más altas. Presentaremos el protocolo con nuestras sesiones y el uso de marionetas como herramientas de proyección de las partes del ego.

Keywords: Ego States Policement, Queens Test Anxiety

28. Ferrie, R. (2012, April). The use of dreams in ego state and EMDR therapies for trauma and dissociation. Presentation at the annual meeting of the EMDR Canada, Montreal, Canada.

Language: English

Format: Conference

Abstract:
Today, the dreaming mind is understood to improve learning, organize novel solutions to problems from waking consciousness and, thus, creatively support survival. This function, of finding new creative solutions, is also observed in the desensitization phase four of the EMDR protocol and is a key component in Ego State Therapy (EST). Dreams appear to select targets from the client’s history, that are causing problems in current time. In addition, dreams may respond to interventions made during a therapeutic session, as if the dreaming mind were in a dialogue with the client and the therapist. This type of dream leads to a more creative dialogue in subsequent therapy. Repetitive nightmares are the dreaming signature of PTSD, and these too respond well to EMDR and rehearsed changes in imagery, including that of ego states and can result in improved sleep quality. Dreams can offer a resource figure in blocked therapy; demonstrate the validity of ego states and of ego state relationships. This presentation focuses on the use of dreams, in combination with EMDR, as well as EST, for clients suffering from post traumatic syndromes. A review of the literature will be given but primarily case studies and video material from actual sessions will shared.
Learning objectives: 1. Understand the neuroscience that underlies the present state ofknowledge of the dreaming mind/brain 2. Develop skill in using the language of the dreaming mind to improve interweaves and interventions in the course of therapy 3. Develop skills in carrying nightmares forward using EMDR and thus improving sleep quality 4. Formulate a script that explains to clients why dreams and the imagination are useful in therapy. 5. Participate in a practicum on the use of dreams.

Keywords: Dissociation Dreams Ego State Therapy Trauma

29. Fonseca, G. S. (2010, Octubre/Noviembre). EMDR y apego: Conceptualización y estrategias para el abordaje de casos que implican experiencias relativas a la vida intrauterina, nacimiento y primer año de vida de los/as clientes [EMDR and attachment: Concepts and strategies for approaching cases involving experiences in utero, birth and first year of client's life]. Mini curso en el II Congreso Iberoamericano de EMDR y Psicotrauma, Quito, Ecuador.

Language: Spanish

Format: Conference

Keywords: Attachment Birth First Year of Life In Utero

30. Forgash, C. (2007, September). The negative impact of complex PTSD on health: an EMDR/ego state treatment plan. Presentation at the annual meeting of the EMDR International Association, Dallas, TX.

Language: English

Format: Conference

Abstract:
EMDR and Ego State integrated treatment provides a clinical model for dealing with health problems in complex trauma survivors. Health problems are made more complex by the presence of dissociative disorders and PTSD symptoms in adult survivors. This presentation will focus on the treatment of these disorders. EMDR and Ego State techniques will be utilized to help the CTS patient: a) manage triggers and avoid re-traumatization, hyperarousal and numbing; desensitize and reprocess traumatic events; b) become assertive health consumers and deal with medical/dental procedures and tests; c) learn skills such as rehearsal, identifying problems, planning visits, etc.

Keywords: Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD Ego State Therapy Integrated Treatment Phased Treatment Plan

31. Forgash, C. (2008). Applying EMDR and ego state therapy in collaborative treatment. In C. Forgash and M. Copeley, (Eds.), Healing the heart of trauma and dissociation with EMDR and ego state therapy (pp. 313-341). New York, NY: Springer Publishing Co.

Language: English

Format: Book Section

Abstract:
This chapter will describe the application of the collaborative treatment model to clients who undergo EMDR and ego state therapy with a specialist in addition to their regular therapy. EMDR and ego state therapy specialists are uniquely positioned to assist primary therapists in resolving stalled therapies and enhancing the treatment provided by the primary therapist. We will explore in this chapter the issues that become problematic over time in a course of therapy, which clients are good candidates for collaborative EMDR and ego state treatment, how to develop an effective working relationship with the primary therapist, and how to avoid problems that may arise out of this dual relationship. A detailed case study will illustrate each step of the treatment, from the initial contact with the primary therapist through the conclusion of the adjunct therapy. (PsycINFO Database Record (c) 2008 APA, all rights reserved)

Keywords: Collaborative Treatment Ego State Therapy

32. Forgash, C. (2009). Stabilization phase of trauma treatment: Introducing and accessing the ego state system. In M. Luber (Ed.), Eye movement desensitization (EMDR) scripted protocols: Special populations (pp. 209-215). New York, NY: Springer Publishing Co.

Language: English

Format: Book Section

Keywords: Ego State Protocol Stabilization Phase

33. Forgash, C. (2009). Orienting the ego state system to present reality (OPR). In M. Luber (Ed.), Eye movement desensitization (EMDR) scripted protocols: Special populations (pp. 225-231). New York, NY: Springer Publishing Co.

Language: English

Format: Book Section

Keywords: Ego State Present Reality Protocol

34. Forgash, C. (2009, June). The treatment of health problems of complex PTSD clients: An EMDR/ego state treatment plan. Presentation at the annual meeting of the EMDR Europe Association, Amsterdam, the Netherlands.

Language: English

Format: Conference

Keywords: Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD Ego State Therapy Health Problems

35. Forgash, C. (2004, November). Integrating EMDR and ego state therapy in the treatment. Presentation at the International Society for the Study of Dissociation Fall Conference, New Orleans, LA.

Language: English

Format: Conference

Keywords: Ego State Therapy

36. Forgash, C. (2006, November). Integrating EMDR and ego state treatment: Addressing dissociation and PTSD in adult sexual abuse survivors and their negative impact on physical health. Presentation at the International Society for the Study of Dissociation Fall Conference, Los Angeles, CA .

Language: English

Format: Conference

Keywords: Dissociation Ego State Therapy Physical Health Posttraumatic Stress Disorder PTSD Sexual Abuse Survivors

37. Forgash, C. (2008, June). The negative impact of complex PTSD on health: An EMDR/ego state treatment plan. Presentation at the annual meeting of the EMDR International Association, London, England.

Language: English

Format: Conference

Abstract:
In this workshop, EMDR and Ego state integrated treatment will be presented as a clinical model for dealing with current life and health problems which the presence of dissociation and PTSD exacerbates for complex trauma survivors (CTS). There are intertwined problems that are made more complex by the presence of dissociative disorders in adult CTS. First: there are negative sequelae of childhood abuse on the physical and mental health of adult CTS. Second, there are specific health problems predominant in this population which often are untreated, misdiagnosed and ignored by physicians and EMDR therapists. Third: CTS have difficulties addressing their health needs, accessing health care, and functioning effectively as health care consumers. Preventative care and good health care may be minimal for this population. This presentation will focus on the development of an EMDR treatment plan to successfully work with dissociative and PTSD disorders prevalent in these patients. Specialized Ego State techniques will be introduced in each phase of EMDR treatment to help the patient stabilize: manage triggers and avoid re-traumatization in the health care setting; effectively deal with avoidance, freeze, hyperarousal and numbing; desensitize and reprocess earlier traumatic events which are at the root of these problems, (these may include iatrogenic events and specific physical problems seemingly related to current health problems, which actually result from early trauma); and become assertive health consumers. Skills development needed by the CTS to become empowered and competent health consumers, such as rehearsal, identifying problems, planning visits etc will also be included in the plan. [This slide presentation has a two page "References" bibliograhy issued separately.(PDF 6065)]

Keywords: Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD Ego State Therapy

38. Forgash, C. A. (2005, June). Healing complex trauma through EMDR, ego state therapy and somasensory work: Healing the heart of complex trauma. Presentation at the annual meeting of the EMDR Europe Association, Brussels, Belgium.

Language: English

Format: Conference

Abstract:
The integration of Ego state and Somatosensory work and EMDR will be shown to help patients with Complex PTSD repair fragmentation. disconnections and develop the safety to utilize EMDR successfully.
Although complex trauma victims are seeking help for PTSD. depression and anxiety, additional trauma responses may lead them to encounter difficulty in dealing with triggers, stress and relationships.
The sequential exercises presented will provide stability for dissociated "parts" unable to cope with symptoms.
Learning Objectives include the importance of including information in the history taking about inability to love. fragmentation, and alienation; defining and selecting the appropriate ego state/somatosensory/affect management strategies to help challenging clients.

Keywords: Complex Trauma Ego State Therapy Somasensory

39. Forgash, C. A. (2006, June). The integration of EMDR and ego state. Presentation at the annual meeting of the EMDR Europe Association, Istanbul, Turkey.

Language: English

Format: Conference

Abstract:
This workshop, heterogeneous and complex disorders, including PTSD, is a highly complex set of diagnostics was traumatized patients focuses on integrating identity status and EMDR. These problems are usually the people who lived and stabilization to establish a therapeutic relationship to work with, management, heterogeneous resistance to influence symptoms and the need for large-scale preparation. Availability to work with this self EMDR to integrate in the extended protocol, only the heterogeneous symptoms of PTSD and reach can be disposed much more comprehensive results. Trauma, loss and the related disorders of the effects of empathy and understanding by working with an approach that meets with the patient and help resolve critical issues of our life plan and create. Workshops open and clear theoretical base, technical innovation and EMDR and ego state work in the field of practical strategies and case presentations will take place. With these workshops, participants will understand the following topics 1. Self status of the theory of information processing model can be associated with Apate 2. Foundations of the theory of self status 3. EMDR and the status of all Self reasons 4. Separation and stabilization strategies for specific disorders help to manage 5. Processing phase to be resolved in EMDR trauma provider of advanced techniques assemblies

Keywords: Ego State Therapy

40. Forgash, C. A. (2000, September). EMDR and ego state therapy: Theoretical overview, diagnostic approach, and client preparation for EMDR. Presentation at the annual meeting of the EMDR International Association, Toronto, Ontario Canada.

Language: English

Format: Conference

Abstract:
Participants will learn: 1) the fundamentals of Ego State theory, and application of Ego State work; 2) case conceptualization from an integrated Ego State/EMDR model; 3) how utilization of the Ego State model can prevent EMDR treatment failures; and 4) a variety of Ego State therapy strategies for helping prepare all clients for the EMDR protocol.

Keywords: Ego State Therapy

41. Forgash, C. A. (2003, November). Treating survivors of overwhelming trauma who present with pre-existing PTSD and dissociative disorders: An EMDR/Ego State approach. Presentation at the International Society for the Study of Dissociation Fall Conference, Chicago, IL.

Language: English

Format: Conference

Keywords: Dissociative Disorders Posttraumatic Stress Disorder PTSD

42. Forgash, C. A. (2004, Summer). Treating complex posttraumatic stress disorder with EMDR and ego state therapy. The EMDR Practitioner. Retrieved from http://www.emdr-practitioner.net on 12/27/2008.

Language: English

Format: Other

Abstract:
In this adaptation of her keynote address presented at the European EMDR Annual Conference in Frankfurt, Germany, in May, 2002, psychotherapist Carol Forgash explains that the context of psychotherapeutics has changed since the early years of EMDR. This change supports the combining of EMDR with ego state psychology to better deal with the complex consequences of serious trauma. Forgash proposes that ego state conceptualizations provide a constructive, efficient, and accessible means for therapist and client to work through these complexities.

Keywords: Complex PTSD Ego State Therapy

43. Forgash, C. A. (2002, June). EMDR/ego state work in trauma response situations: Working with survivors of the WTC 9/11 tragedy. Presentation at the annual meeting of the EMDR International Association, San Diego, CA.

Language: English

Format: Conference

Abstract:
Therapists who respond to massive trauma find that some clients (i.e., people who escaped the WTC Towers, rescue workers, firefighters, and those who have lost family members) may be triggered into reexperiencing earlier traumas and may present with a dissociative disorder. Integration of EMDR and Ego State Therapy provides a safer approach. Unresolved trauma necessitates dealing with ego states that hold earlier memories/symptoms to prevent poor response to standard EMDR. This presentation emphasizes practical, safety focused innovations; planing for longer EMDR treatment; developing resources, stability and readiness; container and imagery exercises to help clients deal with triggering stressful situations. This workshop will provide handout and bibliography; case illustrations and slides of clients treated in the aftermath of disaster.

Keywords: 9/11 Disaster Ego State Therapy September 11th Survivors World Trade Center WTC

44. Forgash, C. A. (2005, September). Healing the heart of complex trauma through EMDR, ego state and somatosensory work. Presentation at the annual meeting of the EMDR International Association, Seattle, WA.

Language: English

Format: Conference

Abstract:
EMDR is increasingly being utilized to treat highly challenging clients with a variety of diagnoses including complex PTSD, DESNOS, and a range of dissociative disorders. The dissociative processes commonly described as part of the PTSD spectrum, are also predicted by early attachment difficulties and losses. These clients may present with elements of several disorders (i.e., Borderline PD). Without considerable stabilization work, they may be unable to process information safely. This presentation, through lecture, experiential work and case presentation, will provide clinicians with a model that enables them to provide EMDR treatment effectively with this population. Participants will become familiar with specialized treatment planning that begins with detailed and complex history taking and pays particular attention to an extensive individualized preparation phase. They will learn how and when to integrate ego state work, somatosensory work and disociative treatment strategies in this phase and throughout EMDR protocol work. This systemic work will be understood to help patients resolve internal conflicts, deal with stabilization, affect regulation, triggering, overwhelm, dissociation, and resistance.

Keywords: Challenging Clients Dissociation Ego State Therapy Master Series Somatosensory Therapy

45. Forgash, C. A. (2004, June). Treating complex posttraumatic stress disorder with EMDR and ego state therapy. Presentation at the annual meeting of the EMDR Europe Association, Stockholm, Sweden.

Language: English

Format: Conference

Abstract:
In this adaptation of her keynote address presented at the European EMDR Annual Conference in Frankfurt, Germany, in May, 2002, psychotherapist Carol Forgash explains that the context of psychotherapeutics has changed since the early years of EMDR. This change supports the combining of EMDR with ego state psychology to better deal with the complex consequences of serious trauma. Forgash proposes that ego state conceptualizations provide a constructive, eficient, and accessible means for therapist and client to work through these complexities.

Keywords: C-PSTD Complex Postraumatic Stress Disorder Complex PTSD Ego State Therapy

46. Forgash, C. A. (2003, September). Improving survivor’s health with integrated EMDR and ego state treatment. Presentation at the annual meeting of the EMDR International Association, Denver, CO.

Language: English

Format: Conference

Abstract:
This workshop will present an EMDR and Ego State integrated approach dealing with the health problems of child sexual abuse survivors (CSAS). These problems are exacerbated by dissociative and PTSD symptoms and may have affected clients accessing health care. These complex clients require tri-phased treatment approach which includes an extended preparation phase (to help CSAS manage triggers and avoid retraumatization in the healthcare setting) desensitization and reprocessing of earlier trauma, including both sexual abuse and medical situations, and the future template phase where consumer skills development will be planned, rehearsed and installed. The workshop will include handouts, bibliography, and a slide presentation.

Keywords: Ego State Therapy

47. Forgash, C. A. (2007, June). Treating complex trauma with integrated EMDR and ego state therapy. Pre-conference presentation at the annual meeting of the EMDR Europe Association, Paris, France.

Language: English

Format: Conference

Abstract:
This workshop will focus on the integration of EMDR and Ego State Work in the treatment of highly traumatized clients with complex diagnoses, including dissociative disorders and complex PTSD. People suffering with these problems often require an extensive preparation phase to develop a therapeutic relationship and deal with stabilization, affect regulation, dissociative symptoms and resistance. Integrating Ego state work with EMDR in this expanded protocol achieves more extensive goals than merely elimination of PTSD and dissociative symptoms Working from a position of empathy and understanding of the legacies of trauma, loss and attachment disruption, we help our patients resolve their critical issues and develop a blueprint for living. Clear theoretical basics, technical innovation and practical strategies for incorporating EMDR and Ego StateWork will be provided through lecture, demonstration, experiential work/practicum and case presentations. Participants will learn: 1. The relationship of Ego State Theory to the Adaptive Information Processing Model. 2. The rationale for an EMDR/Ego State Integrated Phased Treatment Model in the treatment of complex trauma. 4. Specific stabilization strategies to help clients manage dissociation and affect dysregulation throughout the treatment. 5. Advanced techniques and interweaves that promote resolution within the EMDR trauma processing phase.

Keywords: Ego State Therapy Integrated Phased Treatment

48. Forgash, C. A. (2003, May). Improving child sexual abuse survivor’s health with integrated EMDR & ego state treatment. In Attachment and complex trauma. Symposium conducted at the annual meeting of the EMDR Europe Association, Rome, Italy.

Language: English

Format: Conference

Keywords: Attachment Theory Complex PTSD, Ego State Therapy Symposium

49. Forgash, C. A. (2003, May). Responding to massive trauma: An integrated EMDR/Ego state approach for treating survivors of earlier trauma. In Treatment of survivors of mass disasters. Symposium conducted at the annual meeting of the EMDR Europe Association, Rome, Italy.

Language: English

Format: Conference

Keywords: Ego State Approach Mass Disasters Survivors Symposium Trauma Treatment

50. Forgash, C. A. (2005, June). Deepening EMDR treatment effects across the trauma spectrum: Integrating EMDR and ego state work. Föreningen EMDR Sverige, EMDR Tidningen, 7(2), 6-14.

Language: English

Format: Newsletter

Abstract:
The concepts, interventions, and techniques presented in this workshop are culled from theory and techniques of working with the range of the dissociative disorders). They have proved to be an effective addition to the preparation stage of the EMDR protocol. In other words, they can be used with clients who dissociate under certain conditions but do not have a dissociative disorder Most of the traumatized clients seen for EMDR treatment have a range of dissociative symptoms as well as symptoms of PTSD. This combination of PTSD and a dissociative disorder is often labeled DDNOS. However, people with a more complex variety of PTSD usually have experienced very early and enduring severe physical or sexual abuse (generally perpetrated by a family member), atrocities, war, or severe environmental disruption such as earthquakes. They are more accurately diagnosed with disorders of extreme stress (DESNOS). For these clients, the dissociated neural networks, or dissociative fragmentation, cause serious problems in adult life. The adaptive information processing system is on hold for these dissociated fragments or parts. They are easily triggered by internal or external cues to which they can have extreme reactions, (flashbacks, amnesia, losing time and place, and so forth.) Our goal as therapists is to use EMDR to help clients (and their internal dissociated neural networks or parts) find stability and resources to function adaptively in their present life, and then desensitize and reprocess the dissociated trauma memories and the PTSD symptoms. We aim to help our clients manage their symptoms. It is not our goal to eliminate dissociation, which has been a major survival strategy, but to help the client utilize it with conscious control. It is important to note that attachment issues are an aspect of development that are especially impacted by trauma. The attachment styles of the family pre trauma may have already affected the client in negative ways, impacting the client's resources and responses to trauma. One way to look at this set of problems is to utilize two approaches in the preparation phase of EMDR. These approaches combine the treatment of dissociative symptoms with ego state work and are an essential aspect of treating these clients with EMDR. This work may extend the preparation phase considerably, but will add safety and structure to the trauma processing experiences for these clients.

Keywords: Ego State Therapy

51. Forgash, C. A., & Bergmann, U. (1999). Deepening EMDR treatment effects in the clinical treatment of dissociative disorders: Integrating EMDR techniques, ego-state therapy, and developmental blueprinting. Presentation at the annual meeting of the International Society for the Study of Dissociation Fall Conference, Miami FL.

Language: English

Format: Conference

Keywords: Dissociation Ego State Therapy

52. Forgash, C. A., & Copeley, M. (2008). Healing the heart of trauma and dissociation with EMDR and ego state therapy. New York, NY: Springer Publishing Co.

Language: English

Format: Book

Abstract:
"This book pioneers the integration of EMDR with ego state techniques and opens new and exciting vistas for the practitioners of each." --From the foreword by John G. Watkins, PhD, founder of ego state therapy "This is a book about polypsychism and trauma. It offers a number of creative syntheses of EMDR with several models of polypsychism. It also surveys and includes many other models of contemporary trauma theory and treatment techniques. The reader will appreciate its enrichment with case examples and very generous bibliographic material. If you are a therapist who works with patients who have been traumatized, you will want this book in your library." --Claire Frederick, MD, Distinguished Consulting Faculty, Saybrook Graduate School and Research Center "Training in EMDR seems to have spread rapidly among therapists in recent years. In the process, awareness is growing that basic EMDR training may not be adequate to prepare clinicians to effectively treat the many cases of complex trauma and dissociation that are likely to be encountered in general practice. By integrating it with ego state therapy, this book may just serve as a crucial turning point in the development of EMDR by providing a model for productively applying it to the treatment of this important and sizeable clinical population." --Steven N. Gold, PhD, President Elect, APA Division of Trauma The powerful benefits of EMDR in treating PTSD have been solidly validated. In this groundbreaking new work nine master clinicians show how complex PTSD involving dissociation and other challenging diagnoses can be treated safely and effectively. They stress the careful preparation of clients for EMDR and the inclusion of ego state therapy to target the dissociated ego states that arise in response to severe and prolonged trauma. [Springer]

Keywords: Dissociation Ego State Therapy

53. Forgash, C. A., & Knipe, J. (2001, June). Safety-focused EMDR/Ego state treatment of severe ego state disorders. Presentation at the annual meeting of the EMDR International Association, Austin, TX.

Language: English

Format: Conference

Abstract:
Participants will learn 1) why emotional safety is a primary concern in the treatment of Ego State Disorders with EMDR; 2) a way to accurately monitor, using treatment, a client's orientation to present time and safety; and 3) specific innovative treatment strategies which use alternate stimulation to enhance feelings of safety, thereby facilitating processing.

Keywords: Ego State Therapy Emotional Safety Integrated EMDR/Ego State Treatment

54. Forgash, C., & Knipe J. (2012). Integrating EMDR and ego state treatment for clients with trauma disorders. Journal of EMDR Practice and Research, 6(3), 120-128. doi:10.1891/1933-3196.6.3.120.

Language: English

Format: Journal

Abstract:
This article is an excerpt from Healing the Heart of Trauma and Dissociation with EMDR and Ego State Therapy (edited by Carol Forgash and Margaret Copeley, 2007, pp. 1-59). The preparation phase of eye movement desensitization and reprocessing (EMDR) is very important in the therapy of multiply traumatized clients with complex posttraumatic stress disorder (PTSD) and dissociative symptoms. EMDR clinicians who treat clients with complex trauma will benefit from learning specific readiness and stabilization interventions that are inherent to Phase 1 of a well-accepted phased trauma-treatment model. Extending the preparation phase of EMDR by including these interventions provides sequential steps for the development of symptom-management skills and increased stability. Additional focus is placed on helping clients work with their ego state system to develop boundaries, cooperative goals, and healthier attachment styles. Following an individually tailored preparation phase, the processing of long-held traumatic memory material becomes possible.

Keywords: C-PTSD Complex Posttraumatic Stress Disorder Complex PTSD Dissociative Disorders Ego State Therapy

55. Forgash, C., & Knipe, J. (2008). Integrating EMDR and ego state treatment for clients with trauma disorders. In C. Forgash & M. Copeley (Eds), Healing the heart of trauma and dissociation with EMDR and ego state therapy (pp. 1-59) New York, NY: Springer Publishing Co.

Language: English

Format: Book Section

Abstract:
In this chapter, we will introduce what we have termed the "cross-training model," an approach that integrates several lines of psychotherapy theory, practice, and research in order to assist clients with complex presentations. This model consists of EMDR (Eye Movement Desensitization and Reprocessing), ego state therapy, and dissociative disorder treatment methods. We believe that this model will enable therapists to extend the scope of treatment beyond trauma resolution to include the extensive life issues often faced by clients with complex disorders (Wachtel, 2002) and to have the opportunity to develop mastery and competence in treating these challenging clients. (PsycINFO Database Record (c) 2008 APA, all rights reserved)

Keywords: Egp State Therapy Dissociative Disorders Trauma

56. Forgash, C.A. (2002, November). Addressing dissociation and its negative impact on the physical health of the adult sexual abuse survivor: An integrated EMDR and ego state treatment approach. Presentation at the International Society for the Study of Dissociation Fall Conference, Baltimore, MD.

Language: English

Format: Conference

Keywords: Dissociation Ego State Therapy Sexual Abuse Survivors

57. Fraser, G. A., & Welburn, K. R. (2000, November). The dissociative table technique and the integration of EMDR and ego-state therapy. Presentation at the International Society for the Study of Dissociation Fall Conference, San Antonio, TX.

Language: English

Format: Conference

Keywords: Dissociative Table Technique Ego State Therapy

58. Frustaci, A., Pozzi, G., Aurigemma, C., La Rosa, C., Lanza, G., Fernandez, I., & Ruggeri, G. (2006, Febbraio). Indicatori di cambiamento in pazienti con disturbi da eventi stressanti: Impiego della heart rate variability [Indicators of change in patients with disorders of stressful events: Use of heart rate variability]. Poster presentato al XI Congresso SOPSI (Società Italiana di Psicopatologia), Roma, Italia.

Language: Italian

Format: Conference

Abstract:
Introduzione: i pazienti traumatizzati presentano alterazioni sintomatiche quali intrusività, evitamento ed aumentato arousal, che ostacolerebbe la possibilità di elaborazione/integrazione delle tracce mnesiche, oltre ad esprimersi a livello periferico. Tecniche specifiche di trattamento sembrano promuovere l’elaborazione/integrazione delle memorie traumatiche, tra cui la Eye Movement Desensitization and Reprocessing (EMDR). Nella ricerca valutativa è quindi necessario affiancare alle scale psicologiche un appropriato indicatore biologico di attivazione neurovegetativa. La variabilità della frequenza cardiaca (Heart Rate Variability – HRV) esprime l’integrità funzionale del sistema neurovegetativo in risposta allo stress e può essere misurata nei domini di tempo o di frequenza. Lo studio della HRV è stato applicato in psichiatria ai disturbi d’ansia (panico, DOC, PTSD) e dell’umore (depressione unipolare) in ricerche trasversali (confronto con controlli sani) e longitudinali di trattamento farmacologico (triciclici, SSRIs) ma in pochi casi a trattamenti psicoterapici. Gli AA. valutano l’impiego della HRV come indicatore biologico nel trattamento psicoterapeutico di pazienti con Disturbo dell’adattamento erdurante da oltre un mese dopo l’esposizione ad eventi vitali stressanti (EVS). Metodi: sono stati reclutati 6 soggetti (M/F = 1/5, età 40,5 ± 11,0) esposti ad EVS ed avviati a ciclo di trattamento psicoterapico breve (4-6 sedute a cadenza settimanale) di tipo specifico (EMDR) o generico (colloqui supportivi). Costituivano criteri di esclusione: età < 18 o > 65 anni; comorbilità psichiatrica, neurologica e cardiologica; uso di farmaci interferenti. Le valutazioni psicopatologiche sono state eseguite al reclutamento (TBASE: colloquio anamnestico, MINI, Brief COPE), a inizio e fine ciclo di trattamento (TINI, TFINE: IES, SCL-90-R), a uno e tre mesi di follow-up (T30, T90: IES, SCL-90-R, Brief COPE). Le registrazioni Holter sono state effettuate ad ogni intervallo valutativo coprendo: 60 min. attività libera, 10 min. tilt-test, 3-5 min. ascolto dell’evento traumatico, 30-45 min. seduta psicoterapica. Sono stati impiegati test statistici non parametrici per l’analisi delle correlazioni (Spearman) e delle differenze (Wilcoxon). Risultati preliminari: vengono valutate le correlazioni a TINI e le variazioni T90 vs. TINI. Sono significative le seguenti correlazioni: ansia fobica SCL e SDNN (dev. standard intervalli R-R) [r = + 0,9; p = ,037]; collera-ostilità SCL e SDNN [r = -0,95; p =.014]; depressione SCL e r-MSSD (radice media somma quadrati diff. R-R) [r = + 0,9; p = ,037]; sint. intrusivi IES e LF (basse frequenze) [r = -0,9; p = ,037]. Sono risultate statisticamente significative le seguenti variazioni: IES totale [Z = -1,99; p = ,046], sintomi intrusivi IES [Z = -2,21; p = ,027], sintomi di evitamento IES [Z = -1,99; p = ,046], ideazione paranoide SCL [Z = -2,21; p = ,027]; R-R, LF e LF/HF (rapporto basse/alte frequenze) durante ascolto evento [Z = -2,02; p = ,043]. Discussione: a livello basale gli indicatori HRV di distress vegetativo correlano positivamente con collera-ostilità e sintomi intrusivi, negativamente con ansia e depressione. Anche dopo tre mesi dalla fine del trattamento gli interventi psicoterapeutici tendono a ridurre i punteggi sintomatici, e migliorano il bilancio simpato-vagale durante il riascolto dell’evento traumatico.

Introduction: trauma patients have symptomatic changes such as intrusiveness, avoidance and increased arousal, which hampers the development / integration of memory traces, as well as speak at the peripheral level. Specific techniques of treatment seem to promote the formulation and integration of traumatic memories, including eye movement desensitization and reprocessing (EMDR). In evaluation research is therefore necessary to combine psychological scales appropriate indicator organic autonomic activation. The heart rate variability (Heart Rate Variability - HRV) expresses functional integrity of the autonomic nervous system in response stress and can be measured in time or frequency domains. The study of HRV has been applied in psychiatric disorders anxiety (panic, DOC, PTSD) and mood (unipolar depression) in cross-disciplinary (compared with healthy controls) and longitudinal drug treatment (tricyclic SSRIs), but in a few cases in psychotherapeutic treatment. The AA. evaluate the use of HRV as a biological indicator in the psychotherapeutic treatment of patients with adjustment disorder erdurante more than a month after exposure to stressful life events (EVS). Methods: 6 subjects were recruited (M / F = 1 / 5, age 40.5 ± 11.0) exposed to EVS and initiated treatment cycle psychotherapeutic short (4-6 sessions weekly) type specific (EMDR) or generic (hearing supported). Exclusion criteria were: age <18 or> 65 years, psychiatric comorbidity, neurological and cardiological, use of drugs interfering. Psychopathological assessments were performed at recruitment (TBASE: anamnestic interview, MINI, Brief COPE) at the beginning and end of treatment cycle (TINI, TFINE: IES, SCL-90-R) in a three-month follow-up (T30, T90: IES, SCL-90-R, Brief COPE). Holter recordings were made at each interval evaluation covering: 60 min. free activity, 10 min. tilt-test, 3-5 min. listening to the traumatic event, 30-45 minutes. psychotherapy session. Were used nonparametric statistical tests for analysis correlations (Spearman) and differences (Wilcoxon). Preliminary results: the correlations are evaluated and changes TINI vs. T90. TINI. Significant correlations are the following: SCL phobic anxiety and SDNN (standard dev. RR intervals) [r = + 0.9, p =, 037]; anger-hostility SCL SDNN [r = -0.95, p =. 014]; SCL depression r-mssd (root mean square sum diff. RR) [r = + 0.9, p =, 037]; sint. IES intrusive and LF (low frequency) [r = -0.9, P =, 037]. Were statistically significant, the following changes: IES total [Z = -1.99, p =, 046], IES intrusive symptoms [Z = -2.21, p =, 027], symptoms of avoidance IES [Z = -1.99, p =, 046] , SCL paranoid [Z = -2.21, p =, 027], RR, LF and LF / HF ratio (low / high frequencies) while listening event [Z = -2.02, p =, 043]. Discussion: At baseline HRV indicators of distress correlated positively with growing anger-hostility, and intrusive symptoms, negatively with anxiety and depression. Even after three months of the end of psychotherapeutic treatment interventions aimed at reducing symptom scores and enhance sympathetic vagal balance during the playback of the traumatic event.

Keywords: Heart Rate Variability Poster Stress Disorders

59. Gabarra, D. O. (2012, Novembro). Estados de ego e o EMDR em quadros dissociativos [Ego states and EMDR in dissociative frames]. Apresentação no II Congresso Brasileiro de EMDR, Brasília, Brasil.

Language: Portuguese

Format: Conference

Abstract:
O objetivo da oficina é abordar como os processos de dissociação consciente de papéis ou estados de ego podem ser utilizados para potencializar a reintegração psíquica dos pacientes dissociativos. Pacientes dissociativos sempre foram um dos grandes temores dos terapeutas em EMDR para o uso da fase 3 em diante. Geralmente esses quadros requerem um grande tempo de preparação além de um manejo mais avançado e interventivo durante o reprocessamento. Entretanto, entre pacientes com alto grau dissociativo é comum encontrarmos pessoas com grande fragilidade psíquica, acesso a um pobre histórico de recursos, uma grande dificuldade em se expressar, perceber e nomear seus sentimentos além de grande dificuldade em relatar seus traumas. Então, como avançar no protocolo de EMDR com pessoas tão fragilizadas e que quase não nos dão dicas do conteúdo de seus traumas? Alguns critérios hipotéticos auxiliam a instrumentalizar tanto o profissional quanto o paciente a enfrentarem o reprocessamento. Primeiramente, (a) se diante de uma história de traumas intensos a pessoa sobreviveu e chegou até você, é porque ela tem recursos importantes, mesmo que tenha dificuldade de acessá-los. Um desses recursos é o próprio quadro dissociativo que a protege da intensidade dos traumas e possibilita a vida “apesar de...”. (b) Se essas partes estão tão distantes uma da outra, é porque elas tiveram um motivo para isso, mas talvez esse motivo já esteja no passado, e hoje podemos caminhar para uma conversa. (c) Sendo todos esses papéis ou egos são partes do eu, certamente eles querem algo de positivo para esse eu, mesmo que aparentemente seja difícil perceber isso. Essas hipóteses ou crenças positivas a respeito do paciente devem ser checadas com dados de realidade para que possam ser fortalecidas, mas, mais do que isso, é fundamental que elas "transpirem por todos os poros do corpo do terapeuta". Identificados os estados de ego presentes no evento traumático parece ser mais fácil seguir com a etapa do reprocessamento de deforma menos interventiva, principalmente quando não se tem o conteúdo do evento em questão. Obviamente que todo esse processo deve levar todo o tempo necessário e seguido de todos os cuidados que a aplicação do EMDR demanda.

The goal of the workshop is to discuss how the processes of conscious dissociation of roles or ego states can be used to enhance the reintegration of the psychic dissociative patients. Dissociative patients have always been one of the great fears of EMDR therapists for use in phase 3 onwards. Generally these paintings require a great preparation time plus a more advanced and interventional management during reprocessing. However, among patients with high dissociative is common to find people with great fragility psychic, poor access to a historical resource, a great difficulty in expressing themselves, perceive and name their feelings besides great difficulty in reporting their trauma. So, how to advance the EMDR protocol with people so fragile and hardly give us hints of the contents of their trauma? Some hypothetical criteria help to equip both the professional and the patient to face the reprocessing. First, (a) in front of a history of severe trauma the person survived and came to you, it is because it has important features, even if you have difficulty accessing them. One of these features is the very dissociative disorder that protects the intensity of the trauma and allows life "although ...". (B) If these parties are so far apart, it's because they had a reason for that, but maybe that reason is already in the past, and today we can walk into a conversation. (C) Since all these roles and egos are part of me, surely they want something positive to me, although apparently it is difficult to realize this. These positive beliefs or assumptions about the patient be checked against data from reality so that they can be strengthened, but more than that, it is crucial that they "transpire from every pore of the body of the therapist." Identified ego states present at the traumatic event seems to be easier to follow with step of reprocessing deforms less interventionist, especially when you do not have the content of the event in question. Obviously, this entire process should take all the time necessary and followed by all care that the application of EMDR demand.

Keywords: Advanced Management Dissociation Ego States

60. Gambuzza, C. A. (2010, June). Supervision, EMDR and ego state therapy. Poster presented at the annual meeting of the EMDR Europe Association, Hamburg, Germany .

Language: English

Format: Conference

Abstract:
The aim of this paper is to illustrate a self-reparation model within the framework of a supervision conducted my me. a therapy plan was defined for my colleague whose patent’s traumatic experience brought to light her own unresolved traumatic material. This innovative approach is not limited to the parallel therapy involving both patient and therapist, but is an intervention model. a syncletic approach integrating the standard EMDR protocol and other contributions: the attachment theory. Freud's and Bion's 'dream-work', A, van der Kolk's and 0,van der Hart's dissociative disorders treatment, Forgash's and Knipe's Ego States Therapy, A. Shore's affection regulation and self-repair therapy, Eigen's vision of damaged bonds. Maternal abandonment was the common traumatic event. The patient's mother abandoned him at birth in hospital, where he remained for a year before being institutionalized and then adopted. My colleague was abandoned by her mother when she was one year old. The transition from supervision to EMDR was facilitated by the vast dream material produced by my colleague; her dreams represented targets for EMDR. According to Eigen, dream-work addresses the damage inflicted on the self, thus the traumas experienced, and plays a major role in digesting the impact of events and in metabolizing emotions: through the dreams we try to make the indigestible digestible. Dream-work constantly reveals states of the self: dreams evolve within damaged bonds and express the psyche's attempts to undo the damage or to get the best from it. EMDR shares the same objectives and tools same as dreams. At an operational level, EMDR made it possible to analyze the dream material and to integrate the dissociated dream material related to the traumatic, catastrophic abandonment induced damage. The Ego States Therapy allowed my colleague to talk with her dissociated Ego States, to negotiate with the States a higher behavioural model, and to free her Ego States held hostage by others. At the end of this journey, a dream expresses Ego States integration. Work on the future using EMDR is concluded with these thoughts "I want to thank you because the supervision, albeit not therapy, was an important experience that opened up a new space for me: the space of perspective. The beam of light crossing the two sheaves in the dream gives a meaning to the supervision, supervision has created a third dimension in me: the dream within the dream. It is the vehicle, the skill to perceive this dialogue space, intersubjective and intrasubjective, where things change. It alleviates the feeling of being impotent. The dialectical position enables me to speak. I am very grateful for that." My colleague's dreams were incorporated in a dream network and indicate the phases of EMDR induced mental digestion. My colleague has rebuilt herself in a supervision scenario. This study demonstrates the effectiveness of EMDR in hitherto unthought-of areas, i.e., within the framework of supervision.

Keywords: Ego State Therapy Supervision

61. Grand, D. (2000, September). EMDR and ego state therapy: Experiential learning through video and audience participation. Presentation at the annual meeting of the EMDR International Association, Toronto, Ontario Canada.

Language: English

Format: Conference

Abstract:
Participants will: 1) learn technical complexities, knowledge base and experiential learning in synthesizing EMDR and Ego State Therapy; 2) learn to assess why, how, and when there is value in introducing ego state work in a client's EMDR process; 3) learn preparatory activation of ego state for resource installation purposes with pre-EMDR clients; and 4) learn calling out ego states as an interweave during desensitization phase, when clients are stuck or looping, and skillful use of egaging ego states helps both in identifiying and untangling treatment-impeding conflicts.

Keywords: Ego State Therapy

62. Hasanovic, M., Morgan, S., Kravic, N., & Pajevic, I. (2012, January). P-1142 - Training bosnia-herzegovina mental health workers in EMDR in the aftermath of the 1992–1995 war. European Psychiatry, 27(Supplement 1), 1-1. doi:10.1016/S0924-9338(12)75309-9.

Language: English

Format: Journal

Abstract:
Aim The primary objective will focus the first of all on Eye Movement Reprocessing and Desensitization (EMDR) as an evidence based intervention in the treatment of psycho-traumatized individuals. Its effectiveness has been validated by extensive research. It outlines in particular an EMDR Humanitarian Assistance Training Programme that took place in Tuzla University Clinical Centre, Department of Psychiatry, in Bosnia-Herzegovina (BH) in response to 1992–1995 war, in helping to train mental health workers in EMDR to enable them to treat psychological trauma symptoms of war survivors.; (AN 27761395)

Keywords: 1992–1995 War Bosnia Herzegovina Mental Health Workers

63. Hasanovic, M., Pajevic, I., Morgan, S., & Kravic, N. (2011, May). P03-140 - EMDR training for mental health therapists in postwar Bosnia-Herzegovina who work with psycho-traumatized population for increasing their psychotherapy capacities. European Psychiatry, 26(Supplement 1), 1309. doi:10.1016/S0924-9338(11)73014-0.

Language: English

Format: Journal

Abstract:
After war 1992–1995 in Bosnia and Herzegovina (BH), whole population was highly psych-traumatized. Mental health therapists had no enough capacities to meet needs of population. They are permanently in need to increase their psychotherapy capacities. EMDR is a powerful, state-of-the-art treatment. Its effectiveness and efficacy has been validated by extensive research. National Institute for Clinical Excellence (NICE) recommended it as one of two trauma treatments of choice.
Aim: To describe non profit, humanitarian approach in sharing skills of Eye Movement Reprocessing and Desensitization (EMDR) to mental health therapists in BH from Humanitarian Assistance Program (HAP) of UK & Ireland.
Method: Authors described educational process considering the history of idea and its realization through training levels and process of supervision.
Results: Highly skilled and internationally approved trainers from HAP UK & Ireland came four times to Psychiatry Department of University Clinical Center Tuzla in BH where they provided completed EMDR training for 24 trainees: neuro- psychiatrists, residents of neuro-psychiatry and psychologists from eight different health institutions from six different cities in BH. After finishing training process, trainees are obliged to practice their EMDR therapy in daily practice with real clients under the supervision process of HAP UK & Ireland trainers to become certified EMDR therapists. Regarding big physical distance between supervisors and trainees, supervision will be realized via Skype Internet technology.
Conclusion Psychotherapy capacities of mental health psychotherapists in postwar BH could be increased with enthusiastic help of EMDR trainers from HAP UK&Ireland.

Keywords: Bosnia-Herzegovina Mental Health Therapist Post-War Trauma

64. Holm, O. (2012, October). On the path of shame affect: Its management in traumatized and dissociative patients with the compass of shame and EMDR special interventions and/or IFS ego states. Presentation at the 29th annual meeting of the International Society for the Study of Trauma and Dissociation, Long Beach, CA.

Language: English

Format: Conference

Abstract:
Five traumatized patients grouped this way: 2 males, 2 females, one boy of 11. The two men had received treatment with CBT, 1 of females Gestalt therapy, the other female with EMDR, and the 11 years old boy with IFS; they had come to a point of stuck in their therapy because of the therapists not being able to manage Shame Affect during trauma confronting; also, when alters appeared during some therapy sessions in one of the adult females. Four of the patients had already worked on some traumatic memories with previous therapists. According to Compass of Shame 2 of the male patients had a rather high urge to enter into Attacking others pole with rage, and one of them, also, into Avoidance pole with drug abuse, compulsive sex and gamble; two females were more urged to enter into Attack self pole and in 1 of the females, her alter and patient described herself as being very upset and paralyzed with Shame. The 11 years old boy was stuck in Withdrawn pole; a highly Shamed Negative Part was so paralyzed that the Integrating Strategy was stopped until the child Ego state was released from Shame. Learning Objectives: EMDR/and not EMDR participants will able to perform interventions characterized by working with Shame or preparing patients to tolerate Shame. Participants will be able to define the scripts inside each pole of the Compass Participants will be able to identify the different poles of Compass of Shame.

Keywords: Compass of Shame Dissociation IFS Ego States Shame Affect

65. Inobe, S. P. (2000, September). EMDR and ego state therapy: Practical implications for the desensitization and reprocessing of EMDR. Presentation at the annual meeting of the EMDR International Association, Toronto, Ontario Canada.

Language: English

Format: Conference

Abstract:
Participants will learn to: 1) employ ego state therapy techniques and language to use with clients during desensitization and reprocessing phases of treatment; 2) work with and strengthen a self-system's internal strengths and weaknesses during processing, installation, and integration; 3) name specific techniques to ensure safety and containment; and 4) identify ways to recover from mid-EMDR processing failure.

Keywords: Ego State Therapy Processing Failure

66. Jenkins, S. (2009, May). Retrieving the missing pieces: A cross-cultural approach to memory fragmentation. Presentation at the EMDR Canada Conference, Vancouver, British Columbia Canada.

Language: English

Format: Conference

Abstract:
The behavioural, emotional, somatic, and cognitive aspects of traumatic memory often remain fragmented, but present through symptomology. The EMDR practitioner is challenged to process key aspects of clients’ traumatic histories, with incomplete narrative. Ancient cultures, across continents, emphasize the importance of processing dissociated aspects of the self. This presentation explores the relationship between current research, ego state therapy, and cross-cultural approaches to trauma. While staying true to the eight-phase EMDR treatment model, traditional shamanic imageries for processing sensory-motor aspects of trauma are introduced. Attendees will learn interventions including the “Retrieval Interweave,” via case studies, video, interactive activities, and didactic presentations.

Keywords: Cross-Cultural Approaches Ego State Therapy

67. Jones, M. (1997, July). Using categories of cognitions to identify and facilitate the natural process of learning from traumatic experiences. Presentation at the annual meeting of the EMDR International Association, San Francisco, CA.

Language: English

Format: Conference

Keywords: Cognitions

68. Kaplan, S., & Gilson, G. (2005, September). The therapeutic interweave in EMDR: Responsibility, safety and choices. Presentation at the annual meeting of the EMDR International Association, Seattle, WA.

Language: English

Format: Conference

Abstract:
This workshop presents the expanded concept of the Therapeutic Interweave in EMDR treatment as it relates to responsibility, safety, and choices. It includes cognitive interweaves, as well as affective, body awareness, imaginal, ego state, experiential, dynamic, spiritual, and other interweaves. It offers a format for EMDR clinicians to utilize in decision-making in clinical pracice. The workshop also teaches assessment of the client's need to front-load their system for resourcing and stabilization, i.e., self-soothing, affect modulation, and ego strengthening before beginning or during the EMDR protocol. The workshop is rich in strategies, current case examples and specifically designed practice exercises.

Keywords: Affective Interweave Body Awareness Interweave Dynamic Interweave Ego State Interweave Experiential Interweave Imaginal Interweave Therapeutic Interweave Spiritual Interweave

69. Knipe, J. (2006, June). EMDR toolbox: Video examples of methods of targeting avoidance, procrastination, affect dysregulation, the pain of being "dumped" by a lover, and a shame-based ego state in a client with a identity disorder. Presentation at the annual meeting of the EMDR Europe Association, Istanbul, Turkey.

Language: English

Format: Conference

Abstract:
It is clear from over 17 published studies that the EMDR method is highly effective in assisting clients in resolving PTSD (Maxfield and Hyer, 2002). However, most clients who enter therapy do not have a simple problem of a single disturbing memory, but a complex history. Typically, clients come to therapy with a mixed presentation, of not only emotional disturbance, but also mental structures and actions which function to soothe, contain, avoid or dissociate from emotional disturbance. Thus, the initial presentation of most clients is complex and often ambivalent. In this workshop, examples will illustrate Adaptive Information Processing methods of targeting and resolving psychological defenses, such as avoidance, ambivalence, and idealization. Also, the BHS/CIPOS (Back-of-the-Head Scale/Constant Installation of Present Orientation and Safety) method will be described. This method is a set of procedures that can be used during the EMDR Desensitization Phase to therapeutically reverse dissociative processes while preserving emotional safety. Video segments from therapy sessions will be shown to illustrate each of these methods.

Keywords: Back-of-the-Head Scale BHS CIPOS Contant Installation of Present Orientation and Safety Psycholgical Defenses Targeting

70. Korn, D. (2001, June). Clinical applications of EMDR in treating adult survivors of childhood abuse and neglect. Preconference presentation at the annual meeting of the EMDR International Association, Austin, TX.

Language: English

Format: Conference

Abstract:
This workshop will focus on integrating EMDR into a phase-oriented recovery plan in treating adult survivors of childhood abuse and neglect. EMDR applications with the full range of trauma-related syndromes, including simple and complex PTSD, Borderline Personality Disorder and Dissociative Disorders, will be addressed. Treatment planning and pacing will be discussed in view of presenting problem, attachment style, defenses, and self-capacities. In recognition of clients' rigid, maladaptive schemas, poor impulse control, dissociative tendencies and limited affect tolerance, strategies for modifying and supplementing standard EMDR protocols will be explored, Significant attention will be devoted to integratring EMDR ego strengthening and resource development protocols into all phases of treatment.

Keywords: Borderline Personality Disorder Child Abuse Dissociative Disorders Ego Strengthening Neglect Posttraumatic Stress Disorder PSTD Resource Development

71. Lanius, U. F. (2004, September). Apego y disociacion, El papel de los opioides endógenos [Attachment and dissociation: The role of endogenous opioids]. Presentation at the annual meeting of the EMDR International Association, Montreal, Quebec Canada.

Language: Spanish

Format: Conference

Abstract:
Endogenous opiates play a major role in attachment and they are also involved in dissociative processes and somatoform dissociation. The presentation discusses the adjunctive use of opoid antagonists both during stabilization and trauma processing with EMDR and the neurobiology of opiate with regard to attachment and dissociation. It delineates the effects of effects on learning including support for a differential mechanism for EMDR as compared to Exposure treatment. It describes how to integrate EMDR processing and the use of opioid antagonists in the treatment of Complex PTSD.

Opiáceos endógenos juegan un papel importante en la adhesión y que también están involucrados en los procesos disociativos y somatomorfos disociación. La presentación trata sobre el uso complementario de los antagonistas de opoides tanto durante la estabilización y el procesamiento del trauma con EMDR y la neurobiología de los opiáceos, con lo que se refiere a la unión y la disociación. Se exponen los efectos de los efectos en el aprendizaje incluido el apoyo a un mecanismo diferencial para EMDR, en comparación con el tratamiento de la exposición. En él se describe la forma de integrar el procesamiento EMDR y el uso de antagonistas de los opioides en el tratamiento del trastorno de estrés postraumático complejo.

Keywords: Attachment Dissociation Endogenous Opioids

72. Lawrence, M. (1998, July). EMDR as a special form of ego state psychotherapy. Presentation at the annual meeting of the EMDR International Association, Baltimore, MD.

Language: English

Format: Conference

Abstract:
Participants will be able to: 1) use the ego state bridge technique in order to have more complete knowledge of what issues and experiences may manifest during the EMDR processing; 2) use the ego state bridge technique to access hidden ego states which are not presenting clearly in the course of repeated EMDR sets; 3) work with a patient to formulate the patient's ego state system; 4) identify and access protector ego states which may not want the ego state system to change and which are blocking the EMDR processing; 5) combine EMDR and ego state therapy techniques to get blocking protector ego states to join the therapeutic process; and 6) identify and access appropriate resource ego states which can be used in an ego state interweave to facilitate movement of a patient out of a stuck ego state.

Keywords: Ego State Bridge Ego State Therapy

73. Lawrence, M. A. (1999, June). EMDR as a special form of ego state psychotherapy. Presentation at the annual meeting of the EMDR International Association, Las Vegas, NV.

Language: English

Format: Conference

Abstract:
Participants will: 1) be able to use the ego state bridge technique in order to have more compete knowledge of what issues and experiences may manifest during the EMDR processing; 2) be able to use the ego stale bridge technique to access hidden ego states which are not presenting clearly in the course of repeated EMDR sets (e.g., when SUD level is not subsiding); 3) know how to work with a patient to formulate the patient’s ego state system; 4) be able to identify and access protector ego states which may not want the ego state system to change and which are blocking the EMDR processing; 5) be able to combine EMDR and ego state therapy techniques to get blocking protector ego states to join the therapeutic process; 6) be able to identify and access appropriate resource ego state which can be used in an ego state interweave to facilitate movement of a patient out of a stuck ego state; and 7) be able to use a variety of general and specific EMDR techniques and strategies more effectively by using ego state psychotherapy principles as a guiding metamodel.

Keywords: Ego State Bridge Ego State Therapy

74. Lawrence, M. A. (1998, December). EMDR as a special form of ego state psychotherapy, Part I of II. EMDRIA Newsletter, 3(4), 7, 13-15, 24-25.

Language: English

Format: Newsletter

Abstract:
Ego state therapy has become an increasingly recognized and utilized form of psychotherapy over the past 2 years although it has been used primarily by hynotherapists in the context of the treatment of dissociative disorders. The use of Eye Movement Desensitization and Reprocessing (EMDR) has also expanded extremely rapidly over the past ten years, primarily in the treatment of acute and chronic Post Traumatic Stress Disorder (PTSD). It is the thesis of this paper that EMDR can be conceptualized as a special form of ego state therapy. EMDR’s unique contribution to the ego state therapy process is in its subtle but profound, impact on the associative/dissociative process, and ego state therapy can be considered a meta model for informing EMDR therapeutic interventions, particularly with regard to impasses.

Keywords: Ego State Therapy Posttraumatic Stress Disorder PTSD

75. Lawrence, M. A. (1999, March). EMDR as a special form of ego state psychotherapy, Part II. EMDRIA Newsletter, 4(1), 9, 14-15, 34.

Language: English

Format: Newsletter

Keywords: Ego State Therapy

76. Leeds, A. M. (2009). Resources in EMDR and other trauma-focused psychotherapy: A review. Journal of EMDR Practice and Research, 3(3), 152-160. doi:10.1891/1933-3196.3.3.152.

Language: English

Format: Journal

Abstract:
The present review examines how resources have been used in trauma-focused psychotherapy with an emphasis on their use in eye movement desensitization and reprocessing (EMDR). Current practices of EMDR-trained clinicians are presented in a historical context and considering a range of contemporary approaches to ego strengthening. This article describes the use of resources as presented in the EMDR literature along with research findings. The review concludes with a call for controlled research on widely used resource-focused procedures and practice guidelines for their use in clinical applications of EMDR.

Keywords: Ego Strengthening RDI Resources Resource Development and Installation Review

77. Leutner, S. (2012). Arbeit mit inneren anteilen im EMDR-prozess: stärkung der bindungsfähigkeit [Working with inner components in the EMDR process: Strengthening the binding ability]. Präsentation auf EMDRIA Tag, Köln, Deutschland.

Language: Swedish

Format: Conference

Abstract:
Arbeta med EMDR och AIP-modell har mycket liknande målsättningar i det att de syftar till att stärka den inre processen av kunden och komma över effekterna av trauma. Det visas att en kombination av båda metoderna ger terapeuten med ett kraftfullt verktyg. Det diskuteras som inre delarna kan spela en roll vid bearbetning trauma. Här har vi inte bara titta på patientens sida, men också vid sidan av terapeut och hans eller hennes ego-stater, tyder inte bara patienten tar hand om traumatiserade ego-stater och kommer i kontakt med inre hjälpare, men terapeuten också tar hänsyn till vilka av hans / hennes ego-stater som kan vara till hjälp eller behöver skydd samtidigt tillämpa EMDR-protokollet

Working with EMDR and the AIP-Model have very similar goals in that they aim to strengthen the inner process of the client and overcome the effects of trauma. It is shown that the combination of both methods provides the therapist with a powerful tool. It is discussed which inner parts can play a part in processing trauma. Here we do not only look at the patient's side, but also at the side of the therapist and his or her ego-states, suggesting not only the patient takes care of traumatized ego-states and gets into touch with inner helpers, but the therapist, too takes into consideration which of his/her ego-states may be helpful or need protection whilst applying the EMDR protocol.

Keywords: Adaptive Information Processing AIP Attachment Ego State Therapy Ego States

78. Liotti, G. (2012, June). Attachment, psychotherapy and EMDR [Apego, psicopatología y EMDR]. Keynote presented at the annual meeting of the EMDR Europe Association, Madrid, Spain.

Language: English

Format: Conference

Abstract:
The defense system (freezing-‐fight-‐flight-‐feigned death), that is set into motion in every individual by the exposure to any event that threatens life or bodily integrity in the self or in significant others, is terminated after the event is over by mental and interpersonal processes involving the soothing and security-‐ seeking system (attachment). If the functions of the attachment system are hindered by memories (internal working model, IWM) of early attachment interactions with neglecting or abusive caregivers, the defense system may remain active for long periods of time after the traumatic event is over. Insecure and especially disorganized IWMs of early attachments, together with the unavailability of social support after the trauma, are thus risk factors for developing the symptoms of post-‐traumatic stress disorders. This lecture dwells on the main features of attachment disorganization, on the negative interference of attachment disorganization in the therapeutic relationship, and on the reasons why the characteristic patient-‐therapist relationship in EMDR interventions can be instrumental in by-‐passing such negative interference.

El sistema de defensa (respuesta de inmovilización-‐lucha-‐huída-‐muerte fingida) que se pone en marcha en toda persona por la exposición a cualquier incidente que amenaza su vida o la integridad física o las de sus allegados llega a su fin tras el incidente mediante procesos mentales e interpersonales implicados en el sistema de tranquilizar y la búsqueda de seguridad (apego). Si las funciones del sistema de apego se ven impedidas por los recuerdos (el modelo del funcionamiento interno, IWM, por sus siglas en inglés) de interacciones precoces de apego con cuidadores negligentes o abusivos, es posible que el sistema de defensa permanezca activo durante períodos prolongados después de que el evento traumático haya terminado. Así, los IWM inseguros y especialmente desorganizados del apego temprano, junto con la falta de apoyo social tras el incidente traumático, se convierten en factores de riesgo para el desarrollo de síntomas de los trastornos postraumáticos. Esta conferencia se centra en los rasgos esenciales de la desorganización del apego, en la interferencia negativa de la desorganización del apego en la relación terapéutica y en los motivos por los cuales la relación característica entre paciente y terapeuta en las intervenciones con EMDR pueden ser instrumentales para puentear dicha interferencia negativa.

Keywords: Attachment Keynote

79. Litt, B. (2007, September). The marriage of EMDR and ego state theory in couples therapy. Presentation at the annual meeting of the EMDR International Association, Dallas, TX.

Language: English

Format: Conference

Abstract:
By augmenting EMDR with the explanatory power and clinical inventiveness of ego state theory, couples therapy can be brought to new levels of efficacy. Participants will learn about the relational nature of the Self, psychobiological and psychodynamic mechanisms of attachment, the structure of the relational self, and the challenges of differentiation. Participants will be able to diagnose the interlocking of negative cognitions of client couples and implement strategies to contract for individually focused EMDR. Participants will understand the risks and benefits of conjoint EMDR. Participants will learn a model of EMDR treatment planning that describes target selection and salience.

Keywords: Couples Therapy Ego State Therapy

80. Litt, B. (2011, April-May). Beyond trauma resolution: EMDR and the growth of the relational self. Presentation at the EMDR Canada Workshop in Vancouver, British Columbia, Canada.

Language: English

Format: Conference

Abstract:
This workshop will explore family dynamics contributing to ego fragmentation and interlocking ego state conflict in individual and couples therapy. Participants will learn a model for EMDR-based assessment and treatment planning, describe ego state manifestations in couples conflict and learn to manage ego states in the desensitization phase of processing.
In Part One, participants will learn about the relationship between family dynamics and ego structure, reenactments from the family of origin, and the manifestations of ego state conflict in individual and conjoint therapy. In Part Two, participants will learn a model for EMDR-based assessment and treatment planning using contextual family therapy, the indications and contraindications of conjoint EMDR, a model of the Self that zeroes in on the salient negative cognitions being triggered, and learn a progression of techniques to control and focus desensitization within the optimal zone of arousal. This interactive workshop will include videotape and didactic material designed to facilitate a deeper understanding of this exciting new integrative model. For individual, couples, and family therapists.
Learning Objectives: •Individual and conjoint therapists will sharpen their diagnostic skills by learning to assess intergenerational patterns that contribute to ego fragmentation in their clients. •Couples therapists will use knowledge gained to evaluate repetition compulsions or reenactments in their client couples. •Individual and conjoint therapists will learn to deconstruct reenactments to identify negative cognitions preparatory to doing EMDR. •Conjoint therapists will assess for indications and contraindications for conducting conjoint EMDR sessions with client couples. •Therapists will be able to rapidly assess negative cognitions using a new typology of Domains of the Self. •EMDR therapists will be able to employ a model of the zone of optimal processing for efficient and safe desensitization. •EMDR therapists will be able to use a variety of techniques for maintaining their clients within the zone of optimal processing.

Keywords: Ego State Therapy

81. Litt, B. (2008, September). The marriage of EMDR and ego state theory in couples therapy - Power tips. Author.

Language: English

Format: Other

Abstract:
EMDR Power Tip #1 • Staying out of the way ensures that the therapy is about the client—not us • Interpretations make the client object to therapist’s subject role [Excerpt]

Keywords: Couples Therapy Ego State Therapy Power Tips

82. Litt, B. K. (2003, September). The marriage of EMDR and ego state therapy in couples therapy. Presentation at the annual meeting of the EMDR International Association, Denver, CO.

Language: English

Format: Conference

Abstract:
By augmenting EMDR with the explanatory power and clinical inventiveness of ego state theory, couples therapy can be brought to new levels of efficacy. This workshop will describe theoretical, clinical and ethical issues in incorporating EMDR into work with couples. Integenerational pathogogenesis of ego fragmentation will also be described. Indications and contraindications for conjoint EMDR sessions will be discussed. Through didactic presentation and case illustration, participants will learn how to use ego state theory in their assessment, introduce EMDR into the treatment planning, and learn advanced technqiues for facilitating information processing with "stuck" or difficult clients.

Keywords: Couples Therapy Ego State Therapy Integenerational Pathogogenesis of Ego Fragmentation

83. Litt, B. K. (2005, September). The marriage of EMDR and ego state theory in couples therapy. Presentation at the annual meeting of the EMDR International Association, Seattle, WA.

Language: English

Format: Conference

Abstract:
By augmenting EMDR with the explanatory power and clinical inventiveness of ego state theory, couples therapy can be brought to new levels of efficacy. This workshop will describe theoretical, clinical, and ethical issues in incorporating EMDR into work with couples. Integenerational pathogegenesis of ego fragmentation will be described. Indications ad containdications for conjoint EMDR sessions will be discussed. Through didactic presentation and case illustration, participants will learn how to use ego state theory in their assessment, introduce EMDR into the treatment planning, and learn advanced techniques for facilitating processing with "stuck" or difficult clients.

Keywords: Couples Therapy Ego State Therapy Integenerational Pathogegenesis of Ego Fragmentation

84. Litt, B. K. (2004, September). The marriage of EMDR and ego state theory in couples therapy. Presentation at the annual meeting of the EMDR International Association, Montreal, Quebec Canada.

Language: English

Format: Conference

Abstract:
By augmenting EMDR with the explanatory power and clinical inventiveness of ego state theory, couples therapy can be brought to new levels of efficacy. This workshop will describe theoretical, clinical and ethical issues in incorporating EMDR into work with couples. Intergenerational pathogogenesis of ego fragmentation will be described. Indications and contraindications for conjoint EMDR sessions will be discussed. Through didactic presentation and case illustration, participants will learn how to use ego state theory in their assessment, introduce EMDR into the treatment planning, and learn advanced techniques for facilitating information processing with “stuck” or difficult clients.

Keywords: Couples Therapy Ego State Therapy

85. Litt, B. K. (2006, September). The marriage of EMDR and ego state theory in couples therapy. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.

Language: English

Format: Conference

Abstract:
Great strides have been made in applying EMDR to different populations with a variety of diagnoses. Integrating this powerful treatment into couples therapy is relatively new and very promising. By augmenting EMDR with the explanatory power and clinical inventiveness of ego state theory, couples therapy can be brought to new levels of efficacy. Through didactic presentation and case illustration, participants will understand the relational nature of the Self, psychobiological and psychodynamic mechanisms of attachment, the structure of the relational self, and the challenges of individuation/differentiation. In addition, all participants will learn and be able to access the intergenerational pathogenesis of ego fragmentation, and will be able to identify clinical manifestations of ego state conflict in conjoint sessions, including the doublebind, split loyalty, and reenactments. Participants will be able to use this learning to diagnose the interlock of negative cognitions in their client couples, and implement strategies to contract for individually-focused EMDR therapy. Participants will be able to explain to clients the risks and benefits of conjoint EMDR, and understand the contraindications for conjoint EMDR. Participants will learn a model of EMDR treatment planning that includes target selection and salience, and will be able to utilize a progressive sequence of techniques for facilitation EMDR processing with dissociative clients who are blocked, looping, or at risk of abreaction.

Keywords: Couples Therapy Ego State Therapy

86. Litt, B. K. (2008). EMDR in couples therapy: An ego state approach. In C. Forgash and M. Copeley (Eds.) (2008). Healing the heart of trauma and dissociation with EMDR and ego state therapy. (pp. 267-293). New York, NY, US: Springer Publishing Co.

Language: English

Format: Book Section

Abstract:
This chapter examines ego state theory, EMDR, and contextual therapy. It looks specifically these three concepts in couples therapy. A case example is used to illustrate EMDR in couples therapy. (PsycINFO Database Record (c) 2008 APA, all rights reserved)

Keywords: Contextual Therapy Ego State Therapy

87. Litt, B. K., Forgash, C., & Twombly, J. (2002, November). Integrating ego state therapy and EMDR in the assessment and treatment of dissociative disorders. Presentation at the International Society for the Study of Dissociation Fall Conference, Baltimore, MD.

Language: English

Format: Conference

Keywords: Dissociative Disorders Ego State Therapy

88. Litt, B.K. (2008, September). The marriage of EMDR and ego state therapy in couples therapy. Presentation at the annual meeting of the EMDR International Association, Phoenix, AZ.

Language: English

Format: Conference

Abstract:
Ego state conflict can frequently dominate relational patterns even in clients without a trauma history. Relational partners often have poor boundaries and share a mutual dependency characterized by blame and projection. This workshop will explore family dynamics that contribute to ego fragmentation and manifestations of interlocking ego state conflict in couples therapy. Participants will learn a model for EMDR-based assessment and treatment planning, be able to describe ego state manifestations in couples conflict, and learn how to manage ego states in the desensitization phase of processing.

Keywords: Couples Therapy Ego State Therapy

89. Lobenstine, F., & Courtney, D. (2013). A case study: The integration of intensive EMDR and ego state therapy to treat comorbid posttraumatic stress disorder, depression, and anxiety. Journal of EMDR Practice and Research, 7(2), 65-80. doi:10.1891/1933-3196.7.2.65.

Language: English

Format: Journal

Abstract:
This study used a quantitative, single-case study design to examine the effectiveness of the integration of intensive eye movement desensitization and reprocessing (EMDR) and ego state therapy for the treatment of an individual diagnosed with comorbid posttraumatic stress disorder (PTSD), major depressive disorder (MDD), and generalized anxiety disorder (GAD). The participant received 25.5 hr of treatment in a 3-week period, followed with 12 hr of primarily supportive therapy over the next 6-week period. Clinical symptoms decreased as evidenced by reduction in scores from baseline to 6-week follow-up on the following scales: Beck Depression Inventory (BDI) from 46 (severe depression) to 15 (mild mood disorder), Beck Anxiety Inventory (BAI) from 37 (severe anxiety) to 25 (moderate anxiety), and Impact of Events Scale from 50 (severe PTSD symptoms) to 12 (below PTSD cutoff). Scores showed further reductions at 6-month follow-up. Results show the apparent effectiveness of the integration of intensive EMDR and ego state work.

Keywords: Anxiety Depression Ego State Therapy Evidence-Based Practice Posttraumatic Stress Disorder PTSD

90. Lohrasbe, R. S. (2010, April/May). Connecting to a team of resource ego states to prepare for EMDR trauma processing. Presentation at the annual meeting of EMDR Canada, Toronto, Ontario.

Language: English

Format: Conference

Abstract:
It can be difficult to assess readiness for emotionally taxing EMDR trauma processing. The first half of this workshop will cover a protocol for helping clients connect with three resource ego states – a Nurturing Adult Self, a Protective Adult Self, and a Spiritual Core Self. Clients with sufficient ego strength for trauma work will readily connect to these resources. Clients with poor ego strength often encounter blocks when connecting to resource ego states. The second half of the workshop will cover an ego-strengthening intervention for clearing such blocks. This intervention can help prepare clients to tolerate trauma work.

Keywords: Resource Ego States

91. Lovett, J. (2008). El enredo Trauma – Apego: Ayudemos a padres e hijos a salir de estas ataduras [Entanglement Trauma - Attachment: Help parents and children to leave these shackles]. In P. Solvey & R. C. Ferrazzano de Solvey (Eds.), Terapias de avanzada [Advanced therapies]: Vol. 5, Abordajes en EMDR: Trauma y disociacion – Ninos y adolescentes – Fertilidad, inferitilidad, y esterilidad - Psicoprofilaxis, quiruigica, adicciones [Approaches in EMDR: Trauma and dissociation – Children and adolescents – Fertility, infertility, and sterility – Psychoprofilaxis, Surgery, Addictions] (1st ed) (pp. 197-200). Buenos Aires: TdeA Ediciones.

Language: Spanish

Format: Book Section

Abstract:
No abstract available.

Keywords: Adolescents Attachment Children

92. McLeod, H. (2013, Februrary 2013). The magic of EMDR. The County Journal, Washburn, WI., February 21, 2013 County Journal, 4pp .

Language: English

Format: Newspaper

Abstract:
What started out as a flash of insight for California psychologist Francine Shapiro in 1987, EMDR has now become the pack leader of treatments for Post Traumatic Stress Disorder (PTSD). There are three EMDR therapists at Bay Area Mental Health Center (BAMHC) in Washburn. One of them, Barb Snyder, M.S.Ed., LPC, was the first to introduce this therapy to the Chequamegon Bay area in 1995

Keywords: Chequamegon Bay General, Overview

93. Molero-Zafra, M., & Pérez-Marín, M. (2009, June). Adopción: Un protocolo basado en EMDR, terapia familiar narrativa y la tería del apego [Adoption: a protocol base on EMDR, narrativ family therapy and the theory of attachment]. Mosaico, 42, 20-27.

Language: Spanish

Format: Magazine

Abstract:
El objetivo e nuestro articulo es plantear un protocolo de abordaje psicológico ante las dificultades que afectan a las familias con problemas de adaptación en casos de adopción. Partiendo de la perspectiva conceptual de la teoría del apego, intentamos promover en estas familias una base de apego seguro, mediante el uso de herramientas terapéuticas de la terapia famliar narrativa y el EMDR.

The goal and our article is to propose a protocol of psychological approach to the difficulties affecting families with problems of adjustment in cases of adoption. From the conceptual perspective of attachment theory, these families are trying to promote a secure attachment base, through the use of therapeutic tools of traditional family narrative therapy and EMDR.

Keywords: Adoption Attachment Family Narrative Therapy

94. Molero-Zafra, M., & Perez-Marin, M. (2011, Julio). Adopcion: Un protocolo basado en EMDR, terapia familiar narrativa y la teoria del apego [Adoption: A protocol based on EMDR, family therapy, narrative and attachment theory]. En Aplicación de EMDR en el tratamiento de distintos trastornos (Francisca García Guerrero, Coordinadora). Simposio realizado en el IX Congreso Nacional de Psicología Clínica, San Sebastián, España .

Language: Spanish

Format: Conference

Abstract:
La adopción es un tema actual, cuyo interés crece progresivamente. Su vigencia social resulta incuestionable si atendemos al incremento exponencial de niños adoptados por familias españolas, especialmente en adopciones internacionales. La Ley de Adopción vigente en España contempla la adopción como un recurso de protección para aquellos niños/as que no puedan permanecer en su propia familia. Para que se cumpla este objetivo deben arbitrarse todos los mecanismos necesarios que garanticen al niño una familia capaz de asegurar las atenciones propias de la función parental (atención, desarrollo y educación). Los niños adoptados pueden sufrir trastornos como cualquier otro niño, ahora bien, sus experiencias de vida anteriores pueden afectar en mayor grado su desarrollo emocional, social y familiar. Las experiencias vinculares durante la infancia, influyen significativamente en la capacidad para formar relaciones íntimas y emocionalmente saludables. Asimismo, para la formación y cambio de actitudes a lo largo de nuestra vida, van a ser fundamentales nuestros grupo de referencia, siendo la familia uno de los más importantes (López et al., 1999). La empatía, el afecto, el deseo de compartir, el inhibirse de agredir, la capacidad de amar y ser amado y un sinnúmero de características de una persona asertiva, operativa y feliz, están asociadas a las capacidades medulares de apego formadas en la infancia y niñez temprana (Punset, 2008). El objetivo de esta comunicación es presentar un protocolo de abordaje psicológico ante las dificultades que afectan a las familias con problemas de adaptación en casos de adopción. Partiendo de la perspectiva conceptual de la teoría del apego, intentamos promover en estas familias una base de apego seguro, mediante el uso de herramientas terapéuticas de la terapia familiar narrativa y el EMDR. Se presenta el protocolo elaborado para tal fin y un caso para la comprensión de la aplicación del tratamiento.

Adoption is a current issue, whose interest grows gradually. Its validity social is unquestionable if we consider the exponential increase of adopted children Spanish families, especially in international adoptions. The Adoption Act force in Spain provides for the adoption as a source of protection for those children / as not to remain in their own family. To fulfill this objective must be put all the necessary mechanisms to guarantee the child a family able to secure the attentions of parenting (care, development and education). Adopted children may suffer from disorders like any other child, however, previous life experiences can affect their development to a greater extent emotional, social and family life. Relational experiences during childhood influence significantly in the ability to form intimate and emotionally healthy. Also, for the formation and change of attitudes throughout our lives, will be essential to our reference group, the family being one of the most important (Lopez et al., 1999). Empathy, affection, desire to share, the inhibited of attack, the ability to love and be loved and a host of features of a assertive person, operational and happy, are associated with the core competencies of attachment formed in infancy and early childhood (Punset, 2008). The aim of this paper is to present a protocol of psychological approach to the difficulties affecting families with adjustment problems in cases of adoption. From the conceptual perspective of attachment theory, we try in these families to promote a secure attachment base through the use of tools therapeutic narrative family therapy and EMDR. We present a protocol developed for this purpose and a case for understanding the application of the treatment.

Keywords: Adoption Attachment theory Family Therapy Narrative Theory Symposium

95. Monteiro, A. M. (2012, Novembro). A família que habito, a Família que me habita: Estados de ego e transgeracionalidade no EMDR [The family I live, the family that lives in me: The ego and transgenerality in EMDR]. Apresentação no II Congresso Brasileiro de EMDR, Brasília, Brasil.

Language: Portuguese

Format: Conference

Abstract:
Nesta oficina devemos trabalhar a dimensão transgeracional da composição dos Estados de Ego e discutir possíveis implicações para teoria e prática do EMDR, destacando-se os desafios de constituição do sujeito, composição de cognições existenciais e ajustes do protocolo clássico para abordagem dessa complexidade interior do indivíduo com composição egóica múltipla. Palavras-chave: estados de ego; crenças existenciais; constituição do sujeito; protocolo clássico.

In this workshop we work transgenerational dimension to the composition of Ego States and possible implications for theory and practice of EMDR, highlighting the challenges of subject constitution, composition and existential cognitions adjustments classic protocol to address this complexity within the individual composition with multiple ego.

Keywords: Ego States Existential Beliefs Constitution of the Subject Standard Protocol

96. Monteiro, A. M. (2012, Novembro). EMDR em posturas e movimento: Estados de ego e memórias não verbais [EMDR in posture and movement: Member of ego and non-verbal memories]. In EMDR e memórias. Apresentação no II Congresso Brasileiro de EMDR, Brasília, Brasil.

Language: Portuguese

Format: Conference

Abstract:
Neste trabalho serão apresentadas estratégias de exploração de postura e espaço para acesso a memórias não verbais, características de ICES incompletos e frequente expressão de Estados de Ego infantilizados, primitivos. Esses casos geralmente refletem transtornos dissociativos mais pronunciados, com desafios para terapeuta montar protocolo clássico.

In this work we will present strategies for posture and space for access to non-verbal memories, characteristics of ICES incomplete and frequent expression of Ego States childish, primitive. These cases generally reflect more pronounced dissociative disorders, with challenges to mount therapist classic protocol.

Keywords: Ego States Nonverbal Memories Posture Standard Protocol

97. Pace, P. (2003, September). Connecting ego states through time with EMDR and lifespan integration. Presentation at the annual meeting of the EMDR International Association, Denver, CO.

Language: English

Format: Conference

Abstract:
Participants will be introduced to Lifespan Integration, an effective new technique, which connects dissociated ego states to one another, and eventually produces an integrated self. This technique brings up images related to the targeted trauma, and gives the client insights about the lifelong pattern of behaviors resultant from the trauma. External resources are rarely needed as clients spontaneously connect to internal resources. Participants will learn how Lifespan Integration can be used adjunctive to EMDR: 1) to quickly resolve feeder memories which are interfering with processing; 2) to help clients who are flooding with emotion regain connection to their cognitive capacities; and 3) to help clients access positive internal resources related to the targeted trauma.

Keywords: Ego States Lifespan Integration

98. Parnell, L. (2012, June). Integrating an attachment repair orientation into EMDR treatment for clients with relational trauma [EMDR centrado en el apego: Curar el trauma relacional]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.

Language: English

Format: Conference

Abstract:
Attachment-‐focused EMDR is a new model of EMDR (Eye Movement Desensitization and Reprocessing) developed over a period of nineteen years by psychologist and EMDR trainer Dr. Laurel Parnell that adapts this powerful and effective trauma therapy to the needs of clients with attachment wounds. In this workshop you will learn how the standard EMDR protocol can be modified so that it flows more easily, supports client safety, maintains the therapeutic connection and enhances attunement. Attachment-‐focused EMDR is client-‐centered and emphasizes a reparative therapeutic relationship, using a combination of Resource Tapping (Parnell, 2008) to strengthen clients, EMDR to process traumas and talk therapy to help integrate the information from the EMDR sessions and to provide healing from therapist-‐client interaction. In this workshop Dr. Parnell will present the five basic principles of Attachment-‐ Focused EMDR and how they are implemented in the treatment of traumatized clients with attachment wounds. Case material and video clips of sessions will be used to illustrate key points.

El EMDR centrado en el apego es un nuevo modelo de EMDR (Eye Movement Desensitization and Reprocessing) desarrollado a lo largo de diecinueve años por la psicóloga y formadora de EMDR Dra. Laurel Parnell y que adapta esta terapia de trauma potente y efectiva a las necesidades de clientes que sufren heridas de apego. En este taller, se aprenderá cómo se puede modificar el protocolo de EMDR de tal forma que fluye con mayor facilidad, apoya la seguridad del cliente, mantiene la conexión terapéutica y mejora la sintonía (attunement). Attachment-‐focused EMDR se centra en el cliente y refuerza una relación terapéutica reparadora, con una combinación de Recursos de Tapping (Resource Tapping) (Parnell, 2008) para fortalecer a los clientes, EMDR para procesar los traumas y “talk therapy” (terapia hablada) para contribuir a integrar la información de las sesiones de EMDR y para proporcionar la curación derivada de la interacción entre terapeuta y el cliente. En este taller, la Dra. Parnell presentará los cinco principios básicos de Attachment-‐Focused EMDR y cómo se implementan en el tratamiento de clientes traumatizados y con heridas de apego. Se presentará material sobre los casos y vídeos de las sesiones para ilustrar los puntos más importantes.

Keywords: Attachment Repair Relational Trauma

99. Parnell. L. A. (1999, June). EMDR in the treatment of adults abused as children. Presentation at the annual meeting of the EMDR International Association, Las Vegas, NV.

Language: English

Format: Conference

Abstract:
Participants will: 1) be able to describe the three phases of treatment; 2) be able to use at least three ego strengthening methods using EMDR, including identification, development, and installation of inner and outer resources important for preparing clients for EMDR processing, such as: safe place, positive internal resource images, such as the inner advisor child-self – adult-self assessment and development, nurturer and protector figures, spiritual resources, positive memories, images from nature, and others; 3) learn tips for successful target development; 4) learn how to develop and use special targets for EMDR processing such as: visual memories, including flashbacks; dreams; artwork; emotions, physical sensations, and body memories; TV shows and movies; and negative cognitions; 5) learn helpful modifications to the standard EMDR procedural steps; 6) learn at least two interventions to help clients who experience problems during EMDR processing with, such as dissociation, numbness, sleepiness, lack of channel activation and integration, and memory chaining; 7) learn at least two suggestions for working with client transference; 8) learn at least five techniques for working with blocked processing and abreactions; 9) learn how to use a selection of imaginal and cognitive interweaves; and 10) learn at least three techniques for closing incomplete sessions.

Keywords: Abreaction Abuse Adults Blocked Processing Closing Incomplete Session Cogntive Interweave Ego Strengthening Imaginal Interweave Target Development Transference

100. Paterson, M. (2008, June). Moderating malevolent alters with ego state therapy in the preparation phase of EMDR. Presentation at the annual meeting of the EMDR Europe Association, London, England.

Language: English

Format: Conference

Abstract:
Disrupted attachment or sustained early life trauma often results in the formation of ego states, also known as alters or parts. These states perform roles usually geared towards survival, but in adulthood they can be dysfunctional. Depending upon a client’s early life experiences some ego states can be malevolent, wanting bad things for the client such as willing them to suffer in some way. It is necessary for clients to remain safe during EMDR sessions and contained between sessions. There is a need, therefore, to learn techniques to work with more difficult clients so they too can benefit from EMDR. This presentation provides an overview of Ego State Therapy (EST) and how it fits with EMDR. It demonstrates how to access ego states in a controlled way and goes on to show a video of a live case where EST is used effectively to moderate the malevolence displayed by a difficult ego state. In this case example, the client went on to experience the standard 8 Phases of EMDR.

Keywords: Ego State Therapy

101. Paterson, M. (2010, April). EMDR and ego state therapy: Healing complex trauma and dissociation. Preconference presentation at the annual meeting for the European Society for Trauma and Dissociation, Belfast, Northern Ireland.

Language: English

Format: Conference

Abstract:
We all display particular patterns of thinking, feeling and acting, depending on the situation. The transition is usually seamless in well-adjusted people, but where there has been disrupted attachment or sustained early life trauma the result is often the formation of particular ego states, also known as alters, parts, or schema modes. These states perform roles usually geared towards survival, but in adulthood they can be dysfunctional. Depending upon a client’s early life experiences some ego states can be malevolent, wanting bad things for the client such as willing them to suffer in some way. These clients present us with the greatest challenges through what we know as complex trauma and dissociative disorders. It is necessary for clients to remain stable during EMDR sessions and contained between sessions, particularly with complex trauma and dissociative disorders. There is a need, therefore, to learn techniques to work in the Preparation Phase with more difficult clients so they too can benefit from the full EMDR protocol. It is also helpful to know how to deal with blocked processing in the Desensitization Phase due to the interference of an ego-state. This workshop initially provides an overview of dissociation and how it impacts on EMDR processing. There will be an explanation of Ego State Therapy (EST) and how it fits with EMDR to provide the stabilization clients need, as well as dealing with blocked processing. Clinical case material is used throughout to illustrate learning points. Through demonstration and practice participants will learn how to build resources for clients, access ego states in a controlled way and effect therapeutic change. In the latter part of the day, participants will see videos of live cases where EST is used effectively in the Preparation Phase of EMDR to: 1) identify the part-selves and 2) moderate the malevolence displayed by two difficult ego states. Learning objectives Understand how complex trauma and dissociative disorders impact EMDR processing Understand the concept of working with part-selves as a way of preparing clients for the standard EMDR protocol. Learn how to access ego states in a controlled way and effect therapeutic change and stability. Learn techniques to deal with difficult ego states.

Keywords: Dissociation Ego State Therapy

102. Paterson, M. (2002, May). Using ego states with EMDR in complex PTSD. Presentation at the annual meeting of the EMDR Europe Association, Frankfurt, Germany.

Language: English

Format: Conference

Abstract:
Chair: Sachsse, U. & Puk, G.

Keywords: Complex Posttraumatic Stress Disorder Complex PTSD Ego State Therapy

103. Paterson, M. C. (2008). Changing cognitive schemas through EMDR and ego state therapy. In C. Forgash and M. Copeley, (Eds.) Healing the heart of trauma and dissociation with EMDR and ego state therapy (pp. 121-139). New York, NY: Springer Publishing Co.

Language: English

Format: Book Section

Abstract:
Often clients require extensive preparatory work to ensure that they have the ego strength to allow them to experience EMDR. Failure to do this may result in harm to the client and litigation against the therapist. Ego strengthening is required where the client's personality is less than totally integrated, usually indicated by the presence of enduring irrational beliefs and behavior. Such beliefs exist despite extensive evidence to the contrary; for example, a man may believe he is worthless and a failure despite being in a stable marriage and also holding a college degree. Similarly, irrational beliefs often prevent clients from progressing in therapy due to the blocking action they exert on cognitive processing. This chapter examines maintenance fo irrational beliefs and behaviors and a case study that looks at a former police officer in Northern Ireland. (PsycINFO Database Record (c) 2008 APA, all rights reserved)

Keywords: Cognitive Schemas Ego State Therapy

104. Paterson, M. J. (2009, March). EMDR and ego state therapy: Healing complex trauma and dissociation. Presentation at the EMDR Association UK & Ireland, Manchester, England UK .

Language: English

Format: Conference

Abstract:
We all display particular patterns of thinking, feeling and acting, depending on the situation. The transition is usually seamless in well-adjusted people, but where there has been disrupted attachment or sustained early life trauma the result is often the formation of particular ego states, also known as alters, parts, or schema modes. These states perform roles usually geared towards survival, but in adulthood they can be dysfunctional. Depending upon a client’s early life experiences some ego states can be malevolent, wanting bad things for the client such as willing them to suffer in some way. It is necessary for clients to remain safe during EMDR sessions and contained between sessions. There is a need, therefore, to learn techniques to work with more difficult clients so they too can benefit from EMDR. It is also helpful to know how to deal with blocked processing due to the interference of an ego-state. This workshop provides an overview of dissociation and a review of models to explain it. There will be an explanation of Ego State Therapy (EST) and how it fits with EMDR. Clinical case material is used to illustrate learning points. Through demonstration and practice participants will learn how to access ego states in a controlled way and effect therapeutic change. In the latter part of the day, participants will see a video of a live case where EST is used effectively to moderate the malevolence displayed by two difficult ego states. Learning objectives  Understand the forms of dissociation  Understand the concept of ego state therapy.  Learn how to access ego states in a controlled way and effect therapeutic change.  Learn techniques to deal with difficult ego states.

Keywords: Dissociation Ego State Therapy Trauma

105. Paulsen Inobe, S. L. (2003, April). EMDR and ego state therapy across the dissociative continuum. Invited faculty at the first World Congress of Ego State Therapy in Bad Orb, Germany.

Language: English

Format: Other

Keywords: Dissociation Ego State Therapy

106. Paulsen, S. (2008). Treating dissociative identity disorder with EMDR, ego state therapy, and adjunct approaches. In C. Forgash and M. Copeley, (Eds.) Healing the heart of trauma and dissociation with EMDR and ego state therapy (pp. 141-179). New York, NY: Springer Publishing Co.

Language: English

Format: Book Section

Abstract:
Therapists who choose to work with clients with dissociative identity disorder (DID) enter into the complex, confusing worlds of some of the most wounded clients they will ever encounter. For that very reason, they are the people who are most in need of our best personal and professional resources: our deepest compassion, our most enduring patience, our courage, and our best technical strategies--offered to not just one personality, but many parts of the psyche within a single individual. Those parts are at war with one another, and it is up to the therapist to show the way to peace. This chapter shares three case studies examining using EMDR, ego state therapy, and adjunct approaches to treat DID. (PsycINFO Database Record (c) 2008 APA, all rights reserved)

Keywords: Dissociation Ego State Therapy

107. Paulsen, S. (2009, August). Infant alters and conversion seizures: EMDR with ego-state and somatic interweaves. Presentation at the annual meeting of the EMDR International Association, Atlanta, GA.

Language: English

Format: Conference

Abstract:
The recent literature on conversion seizures suggests that they are not only traumatic but dissociative in nature. In two cases, the presenter has found conversion seizures to be manifestations of infant alters. The presentation will convey, by lecture and videotape, the treatment of a remarkable client and how EMDR, Ego-State Therapy, and somatic interweaves were seminal in treating conversion seizures to remission. The video illustrates AIP and Porges polyvagal theories’ expression in infant trauma and will illustrate how the therapeutic relationship and increased compassion between parts of self are avenues for the transformation of attachment injury in EMDR.

Keywords: Conversion Seizures Ego-State Interweaves Infant Alters Somatic Interweaves

108. Paulsen, S. (2008, November). Somatic aspects of treatment - Conversion seizures manifesting as infant alters: EMDR, ego state therapy & somatic therapy. Presentation at the 25th Annual Meeting of the Society for the Study of Trauma and Dissociation, Chicago, IL.

Language: English

Format: Conference

Keywords: Conversion Seizures Ego State Therapy Infant Alters Somatic Therapy

109. Paulsen, S. L. (1993, March). Ego state disorders: Dissociative but not multiple. Presentation at the EMDR Network Conference, Sunnyvale, CA.

Language: English

Format: Conference

Keywords: Dissociation Ego State Disorders

110. Paulsen, S. L. (1994, March). Ego state disorders: Dissociative but not multiple. Presentation at the EMDR Network Conference, Sunnyvale, CA.

Language: English

Format: Conference

Abstract:
Conceptual Framework. In Ego State Disorders, moderate levels of dissociation are present for the purpose of isolating overwhelming affect or untenable conflict from conscious awareness. There are parts of the self'which are experienced by the host, -upon discovery, and who experience themselves, as separate. These parts,however, do no have the ability to take complete executive control of the body, or are not as complex and elaborated as in Multiple Personality Disorder, which is called Dissociative Identity Disorder in DSM-N. The closest diagnosis for describing Ego State Disorders in DSA4lV is DDNOS, or Dissociative Disorder Not Otherwise Specified, a miscellaneous category.

Keywords: Dissociation Ego State Therapy

111. Paulsen, S. L. (2004, September). EMDR master series - II: Ego state therapy and EMDR: Activating, modifying and containing dissociated neural networks. Invited master series lecture at the annual meeting the EMDR International Association, Montreal, Quebec Canada.

Language: English

Format: Conference

Abstract:
Chronic childhood trauma may lead to chronic dissociation which in turn produces a highly conflicted self-structure. Since conflicted self systems may not process smoothly in EMDR, it behooves practitioners to assess for degree of dissociation and other “red flag” indicators prior to EMDR. To work with clients with conflicted selves, the practitioner needs a means to access disowned parts of self. Although Ego State Therapy (EST) is based upon psychoanalytic theory, it is not slow as psychoanalytic treatment is. EST is a way to rapidly access internal structures, mediate conflicts, navigate around defenses and mobilize resources. Therefore EST is ideal as either: 1) a cognitive interweave in EMDR looping; or 2) as part of a preparation for clients in the high end of the dissociative continuum (the ACT-AS-IF approach). This workshop will illustrate case formulation and EMDR preparation and processing using the concepts above.

Keywords: Ego State Therapy Master Series

112. Paulsen, S. L. (2003, September). EMDR and ego state therapy: Energizing disowned aspects of self with dissociative table technique interwoven with EMDR. Presentation at the annual meeting of the EMDR International Association, Denver, CO.

Language: English

Format: Conference

Abstract:
Ego State Therapy is a tool for EMDR practitioners seeking to resolve looping, identify early childhood targets, enhance containment, and more. Dissociative Table is an ego state approach that enables rapid visualization of disowned ego states without formal trance induction. It energizes and egotizes aspects of self so that resistance can reduced through internal education and mediation. EMDR and ego state therapy can be interwoven to manage the level of affective arousal by creating closeness to or distance from disturbing material. The workshop will also present ACT-AS-IF, a step-by-step approach to preparing dissociative clients for EMDR processing.

Keywords: Act-As-If Dissociative Table Technique Ego State Therapy

113. Paulsen, S. L. (2008, November). Conversion seizures manifesting as infant alters: EMDR, somatic and ego state therapy. Presentation at International Society for the Study of Trauma and Dissociation, Chicago, IL.

Language: English

Format: Conference

Keywords: Conversion Seizures, Ego State Therapy Infant Alters, Somatic

114. Paulsen, S. L. (2006, November). ACT-AS-IF and ARCHITECTS approach to utilizing ego state therapy, somatic psychotherapy and EMDR with highly dissociative clients. Presentation at the annual meeting of the International Society for the Study of Trauma & Dissociation, Los Angeles, CA.

Language: English

Format: Conference

Keywords: Act-As-If Architects Dissociation Ego State Therapy Somatic Psychotherapy

115. Paulsen, S. L. (2006, April). Giving the body a voice with EMDR, ego state therapy and somatic psychotherapy. Presentation at 11th Annual Northwest Regional Conference on Trauma Disorders Conference, Lake Chelan, WA.

Language: English

Format: Conference

Abstract: Participants will be able to 1) Identify three skills to observe bodily held trauma material, 2) Analyze a model of transforming trauma through resources, and 3) Identify a hypnoprojective method for bringing somatically held material into conscious mind.

Keywords: Ego State Therapy Somatic Psychotherapy

116. Paulsen, S. L. (2010, February). Looking through the eyes: EMDR & ego state therapy across the dissociative continuum. Presentation at the 3rd World Congress of Ego State Therapy, Sun City, South Africa.

Language: English

Format: Conference

Abstract: There are two workshops that are similar, in that they describe ways to work with dissociative clients in the phased approach recommended by the Treatment Guidelines of the International Society for the Study of Trauma and Dissociation, to which Dr. Paulsen contributed for the Third Revision That phased approach emphasizes stabilization and containment before conducting EMDR, and then using a measured approach to pace the use of EMDR for maximal safety for dissociative clients. The first workshop teaches the ego state methods to do this, and this second workshop describes somatic methods as well as ego state methods. [The second workshop ”Looking Through the Eyes: EMDR & Ego State and Somatic Therapies Acrosss the Dissociative Continuum” with its own entry describes somatic methods as well as ego state methods, making that workshop very full indeed.] This first workshop will elaborate on the key phase of stabilization, before ever conducting EMDR for a dissociative client. It will describe ways to increase affect tolerance, employ somatic resourcing, and other somatic methods to reconfigure ego states, use a two-step containment strategy for traumatic material and for ego states. A key focus is on working directly with perpetrator introjects or other “monstrous” disowned or shameful parts, to minimize resistance and internal conflict. Leading edge methods for resetting affective circuits and clearing very early attachment trauma will be touched upon. Participants will be able to: 1. Explain why and when to assess every client for degree of dissociation prior to doing EMDR and choose an appropriate protocol, 2. Utilize a phased approach to therapy, including EMDR when and where appropriate, for complex dissociative clients, 3. List six tactics for stabilizing clients, prior to doing EMDR for dissociative clients to increase rapport, increase soma tolerance, contain affect, orient to present circumstances, reduce inner conflict, and build coping resources, 4. Prepare for EMDR processing using ego state and other methods to clarify roles and plan the work, 5. Structure EMDR sessions using imagery, ego state interventions (and somatic methods, for the second workshop) for pacing, fractionating and trouble shooting the work, and 6.For the somatic version of the workshop, list several somatic interventions to assist with various phases work with dissociative clients.

Keywords: Dissociative Continuum Ego State Therapy

117. Paulsen, S. L. (2009). Looking through the eyes: EMDR, Ego state & somatic therapies across the dissociative continuum. Presentation at the Bainbridge Institute for Integrative Psychology, Bainbridge Island, Washington .

Language: English

Format: Other

Abstract:
There are two workshops that are similar, in that they describe ways to work with dissociative clients in the phased approach recommended by the Treatment Guidelines of the International Society for the Study of Trauma and Dissociation, to which Dr. Paulsen contributed for the Third Revision That phased approach emphasizes stabilization and containment before conducting EMDR, and then using a measured approach to pace the use of EMDR for maximal safety for dissociative clients. The first workshop ["Looking Through the Eyes: EMDR & Ego State Therapy Across the Dissociative Continuum” with its own entry] teaches the ego state methods to do stabilization and containment. This second workshop describes somatic methods as well as ego state methods, making that workshop very full indeed. This workshop will elaborate on the key phase of stabilization, before ever conducting EMDR for a dissociative client. It will describe ways to increase affect tolerance, employ somatic resourcing, and other somatic methods to reconfigure ego states, use a two-step containment strategy for traumatic material and for ego states. A key focus is on working directly with perpetrator introjects or other “monstrous” disowned or shameful parts, to minimize resistance and internal conflict. Leading edge methods for resetting affective circuits and clearing very early attachment trauma will be touched upon. Partipants will be able to: 1. Explain why and when to assess every client for degree of dissociation prior to doing EMDR and choose an appropriate protocol, 2. Utilize a phased approach to therapy, including EMDR when and where appropriate, for complex dissociative clients, 3. List six tactics for stabilizing clients, prior to doing EMDR for dissociative clients to increase rapport, increase soma tolerance, contain affect, orient to present circumstances, reduce inner conflict, and build coping resources, 4. Prepare for EMDR processing using ego state and other methods to clarify roles and plan the work, 5. Structure EMDR sessions using imagery, ego state interventions (and somatic methods, for the second workshop) for pacing, fractionating and trouble shooting the work, and 6. For the somatic version of the workshop, list several somatic interventions to assist with various phases work with dissociative clients.

Keywords: Dissociative Continuum Ego State Therapy Somatic Resourcing

118. Paulsen, S. L., & Lanius, U. (2009). Toward an embodied self: Integrating EMDR with somatic and ego state interventions. In R. Shapiro (Ed.), EMDR Solutions II: For depression, eating disorders, performance and more (1st ed.) (pp. 335-388). NY: W. W. Norton.

Language: English

Format: Book Section

Abstract:
No abstract available.

Keywords: Ego State Interventions Somatic Interventions

119. Paulsen, S. L., & Stanley, S. A. (2005, November). Giving the body a voice: How EMDR, ego state therapy, somatic experiencing and indigenous healing methods can cure somatic dissociation. Presentation at the annual meeting of the International Society for the Study of Dissociation, Toronto, Ontario Canada.

Language: English

Format: Conference

Keywords: Ego State Therapy Indigenous Healing Somatic Dissociation Somatic Psychotherapy

120. Paulsen, S. L., & Watkins, J. G. (2003, November). Ego state therapy: Comparing ego state therapy and EMDR techniques. Presentation at the annual meeting of the International Society for the Study of Dissociation Fall Conference, Chicago, IL.

Language: English

Format: Conference

Keywords: Ego State Therapy Psychodymanic Technique

121. Paulsen-Inobe, S. (2003, November). Ego state therapy: EMDR and psychodynamic techniques. Presentation at the annual meeting of the International Society for the Study of Dissociation, Chicago, IL .

Language: English

Format: Conference

Keywords: Ego State Therapy Psychodynamic Techniques

122. Paulsen-Inobe, S. L. (2001, December). Integrating EMDR, ego state therapy, and dissociative table: A cartooning psychologist's glimpse into the mind's eye. Presentation at the annual meeting of the International Society for the Study of Dissociation, New Orleans, LA.

Language: English

Format: Conference

Keywords: Dissociative Table Ego State Therapy

123. Peterson, M. 2010, April). EMDR and ego state therapy: Healing complex trauma and dissociation. Presentation at the 2nd Bi-Annual International European Society for Trauma and Dissociation Conference, Belfast, Northern Ireland.

Language: English

Format: Conference

Keywords: Complex Trauma Dissociation Ego State Therapy

124. Phillips, M. (2002, June). All for one and one for all: Integrating EMDR, ego-state therapy and energy psychology. Presentation at the annual meeting of the EMDR International Association, San Diego, CA.

Language: English

Format: Conference

Abstract:
One of the most challenging barriers to healing from past trauma is the inner conflict triggered by dissociative fragmentation. This workshop presents several ways of synthesizing ego-state therapy, EMDR and energy psychology methods to resolve competing inner needs and reactions and promote more integrated functioning within a comprehensive four stage model. Specific protocols incorporating ego-state work, EMDR and meridian (energy) techniques will be demonstrated and practiced. Special emphasls will be given to the resolution of mind/body symptoms that interface with trauma.

Keywords: Ego State Therapy Energy Psychology Meridian Therapy Mind/Body

125. Phillips, M. (1997, July). The importance of ego-strengthening with EMDR. Presentation at the annual meeting of the EMDR International Association, San Francisco, CA.

Language: English

Format: Conference

Keywords: Ego Strengthening

126. Phillips, M. (2001, January-April). Potential contributions of hypnosis to ego-strengthening procedures in EMDR. American Journal of Clinical Hypnosis, 43(3-4), 247-262. doi:10.1080/00029157.2001.10404280.

Language: English

Format: Journal

Abstract:
This paper explores how hypnotic principles can be systematically incorporated into the standard EMDR protocol to enhance various ego strength capacities during EMDR treatment. Expanding these skill areas can widen the therapeutic window of possibility for clients with a variety of complex clinical issues, including posttraumatic, dissociative or personality disorders, anxiety symptoms, and depressive difficulties. Clinical case examples are used to illustrate ways of integrating hypnotic principles within a proposed EMDR protocol to promote ego strengthening and facilitate therapeutic change. [Author Abstract]

Keywords: Hypnotherapy Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Review Treatment Treatment Effectiveness

127. Phillips, M. (2000). Finding the energy to heal: How EMDR, hypnosis, TFT, imagery, and body-focused therapy can help restore mindbody health. (1st ed.) New York: Norton.

Language: English

Format: Book

Abstract:
I have found that more traditional models of psychological healing, such as self-object relations, ego psychology, cognitive behaviorism, and developmental psychology, along with theories of trauma, dissociation, and attachment, are invaluable in helping to identify the general patterns of disharmony that can activate illness. Once my clients and I have sketched the broad outlines of where and how their pathways to healing may be blocked, then we can use the relatively more precise implements of hypnosis, EMDR, imagery, and body-focused therapies to reopen them again. The basic strategy illustrated throughout this book, then, is one of combining traditional psychological models for assessment with special tools to activate energy shifts that can rebalance the mindbody system.Three kinds of common stressors associated with problematic health provide the framework for this book: (1) General stress-related symptoms; (2) Psychophysiological symptoms that result from posttraumatic stress; (3) Stress connected with organic conditions. [Adapted from Text, pp. xiv, xv] [Pilots]

Keywords: Body Psychotherapy Cognitive Therapy Ego State Therapy Hypnotherapy Stressors Survivors TFT: Thought Field Therapy

128. Phillips, M. (2008, May). Energizing the self through ego-state therapy, EMDR, and energy psychology. Kathmandu, Nepal.

Language: English

Format: Conference

Abstract:
Objectives: 1) Learn 2 ways that Ego-State Therapy methods can expand and energize the self and 2) Describe 3 ways EP methods energize the self.

Keywords: Ego State Therapy Energy Psychology

129. Phillips, M. (2008). Combining hypnosis with EMDR and ego state therapy for ego strengthening. In C. Forgash and M. Copeley, (Eds.) Healing the heart of trauma and dissociation with EMDR and ego state therapy (pp. 91-120). New York, NY: Springer Publishing Co.

Language: English

Format: Book Section

Abstract:
This chapter will explore several uses of hypnosis and EMDR that can help to accomplish these objectives. Expert consensus is that trauma clients must move through an ordered process designed to strengthen and stabilize them before progressing to the uncovering, exploration, reworking, and integration of painful past experiences. The SARI model (Phillips 8c Frederick, 1995) is presented here as a framework for the recommended sequence of treatment. (PsycINFO Database Record (c) 2008 APA, all rights reserved)

Keywords: Ego State Therapy Ego Strenthening Hypnosis SARI Model

130. Phillips, M. (2007, September). Die Kraft einer flexiblen integrativen Traumatherapiedie Vereinigung von Ego- State-, Hypno-, Energie- und EMDRPsychotherapie [Energizing self through ego-state therapy, EMDR, and energy psychology methods]. Vortrag im Rahmen der Ersten Europäischer Kongress für Energie-Psychologie und Psychotherapie, Heidelberg, Deutschland.

Language: English

Format: Conference

Abstract:
Mit großer Freude kann ich dieses „Highlight“ mit der international führenden Spezialistin der Trauma- Therapie, von Dissoziationsstörungen und auch der Schmerz- Therapie ankündigen. Maggie Phillips gilt ja schon seit vielen Jahren als eine der besten und erfahrensten SpezialistInnen der Ego-State- Therapie. Ihr "Handbuch der Hypnotherapie bei posttraumatischen und dissoziativen Störungen" (zusammen mit C. Frederick) gilt als eines der maßgeblichsten Werke in diesem Feld. Als einer der ersten ExpertInnen weltweit wies sie aber auch immer wieder darauf hin, dass gerade für den Bereich multipler posttraumatischer und dissoziativer Störungen der Zugang mit einer Methode häufig nicht ausreicht. In beeindruckender Weise drückt ihr Werk "Finding the Energy to Heal: How EMDR, Hypnosis, TFT, & Body Focused Therapy Can Help Restore Mindbody Health (W.W. Norton, 2000)" ihre wunderbare Fähigkeit zum Ausdruck, unterschiedliche Konzepte zu einer sehr effektiven und flexiblen und dabei völlig konsistenten Gesamt- Interventionsmodell für diese schwierigen Aufgaben zu integrieren. Auch ihr neues Buch "Reversing Chronic Pain" verspricht alle Qualitäten für ein Meisterwerk. Wer mit ihr schon einmal gearbeitet hat oder sie in ihrer Arbeit erleben durfte, kann ihre große sehr achtungsvolle Haltung, Einfühlsamkeit und Kongruenz, gepaart mit geradezu virtuoser Fachkompetenz nur bestätigen.

It is with great pleasure that I can highlight to the world's leading specialist in trauma- Therapy, and also announce Dissoziationsstörungen of the pain therapy. Maggie Phillips is yes for many years as one of the best and most experienced specialists of the ego-state therapy. Their "Manual of hypnotherapy for post-traumatic and dissociative disorders" (with C. Frederick) is considered one of the most authoritative works in this field. As one of the first experts worldwide, it also repeatedly pointed out that especially for the Multiple range post-traumatic and dissociative disorders, access to a method frequently is not sufficient. In impressively expresses its work, "Finding the Energy to Heal: How EMDR, Hypnosis, TFT, & Body Focused Therapy Can Help Restore Mind Body Health (WW Norton, 2000), "her wonderful Ability to express different concepts in a very effective and flexible and in complete to integrate consistent overall model of intervention for these difficult tasks. Her new book, "Reversing Chronic Pain" promises all the qualities of a masterpiece. Anyone who has worked with her before, or could they experience in their work, may their very large respectful attitude, empathy and congruence, coupled with an almost virtuoso expertise only . Confirm

Keywords: Ego State Therapy Energy Psychology

131. Phillips, M. (2007, September). Die Kraft einer flexiblen integrativen Traumatherapiedie vereinigung von ego- state-, hypno-, energie- und EMDRPsychotherapie [Energizing the self through ego-state therapy, EMDR, and energy psychology methods]. Vortrag auf dem Kongress Europäischer für Energie-Psychologie ® und Psychotherapie, Heidelberg, Deutschland.

Language: German

Format: Conference

Abstract:
Im Seminar wird Maggie Phillips die ganze Vielfalt ihres Wissens vermitteln, insbesondere die spezifischen Anwendungsmöglichkeiten einer Integration von Ego- State- Therapie/ Hypnotherapie, Energie-Psychologie, EMDR und anderen hilfreichen Konzepten. Dieses Seminar stellt sicher ein professionelles Juwel dar für alle KollegInnen, die mit Traumata, Schmerzproblemen, Ängsten, Depressionen, Suchtproblemen und psychosomatischen Problemen arbeiten, darüber hinaus aber auch für alle PsychotherapeutInnen und BeraterInenn. Für alle an Energie- Psychologie Interessierten ist es die optimale Ergänzung und Erweiterung der Konzepte von F. Gallo und Anderen.

Maggie Phillips in the seminar will provide the full range of their knowledge, especially the specific applications of integration of ego-state therapy / Hypnotherapy, Energy Psychology, EMDR and other useful concepts. This seminar certainly constitutes a professional jewel for all colleagues, with the trauma, Pain problems, anxiety, depression, addiction problems and psychosomatic problems work, but also to all psychotherapists and BeraterInenn. For all of Energy Psychology is interested in is the perfect complement and extension of the concepts F. Gallo, and others.

Keywords: Energy Psychology

132. Phillips, M., & Frankel, A. S. (2003, November). Advanced techniques in hypnosis and ego state therapy. Presentation at the International Society for the Study of Dissociation Fall Conference, Chicago, IL.

Language: English

Format: Conference

Keywords: Ego State Therapy Hypnosis

133. Raju, K. (2005). Ego strengthening and eye movement desensitization reprocessing in post traumatic stress disorder. Medical Journal Armed Forces of India, 61, 289-290.

Language: English

Format: Journal

Abstract:
Post Traumatic Stress Disorder (PTSD) is an anxiety disorder, which occurs after exposure to overwhelming stress like combat, rape, serious accidents, violent crime and other catastrophic events. The essential characteristics of the condition are recurrent intrusive memories, images, thoughts or dreams of the trauma, persistent arousal, emotional numbing and avoidance of the situations reminiscent of the trauma. 15-20% of individuals experiencing significant trauma are known to develop PTSD [1]. Although anxiolytic, anticonvulsant, antipsychotic and antidepressant drugs have been tried, none have been consistently associated with improvement [2]. Eye Movement Desensitization Reprocessing (EMDR) is being increasingly utilized as a valid method of treatment for this distressing condition [3-7]. Ego Strengthening (ES) is a sequence of simple psychotherapeutic suggestions given under hypnosis [8]. A long standing case of PTSD treated with EMDR and ES is reported.

Keywords: Case Report Ego Strengthening Posttraumatic Stress Disorder PTSD

134. Reno, J. (2010, October 14). Debate rages on how to treat PTSD, the signature wound of this war. Home Post, The Military in San Diego.

Language: English

Format: Newspaper

Abstract:
While it’s invisible to the naked eye, post-traumatic stress disorder (PTSD) has become the signature wound of the fighting in Iraq and Afghanistan and has already had a negative impact on hundreds of thousands of American soldiers and their families.

Keywords: Afghanistan Depression Dr. Adrienne McFadd Drug Abuse Homelessness Iraq Life in the Military Matthew Kiernan Michael Schindler Newsweek Posttraumatic Stress Disorder PTSD San Diego Spouses & Families Suicide VA Secretary Eric Shinseki Veterans Veterans Administration War Virtual Reality

135. Robredo, J. (2011, Julio). Tratamiento intensivo para madres victimas de violencia de genero. La reconstruccion del apego [Intensive treatment for mothers victims of gender violence. The reconstruction of attachment]. Presentación en la IX Congreso Nacional de Psicología Clínica, San Sebastian, Spain.

Language: Spanish

Format: Conference

Abstract:
El Instituto de Psicotrauma de Alicante en colaboración con los Servicios Sociales de diversos Ayuntamientos de la Comunidad Valenciana aplican desde 2009 un protocolo de intervención para madres víctimas de violencia de género, basado en las técnicas de desensibilización y reprocesamiento a través del movimiento de los ojos, EMDR© (Eye Movement Desensitization and Reprocessing), teorías del apego ( John Bowlby) y teoría de la disociación estructural de la personalidad (Ono Van der Hart) Los resultados observados en una muestra de 15 madres y sus hijos de 4 a 16 años indican una desaparición de los cuadros clínicos de estrés postraumático y depresión, la remisión de los problemas de conducta concomitantes (desobediencia, agresividad) y una mejora del vínculo afectivo con la madre. El protocolo de intervención consta de 5 fases: evaluación, psicoeducación, tratamiento, prevención de recaídas y seguimiento La evaluación consta de sendas entrevistas clínicas y la administración de la Escala de Ansiedad Manifiesta en Niños (CMAS‐R), la Escala de Gravedad de Síntomas del Estrés Postraumático, el Test del Dibujo de la Familia (niñ@s menores de 6 años) y el cuestionario para la evaluación de adoptantes (CUIDA). El tratamiento consiste en la instalación de recursos con la madre y reprocesamiento con EMDR a lo largo de 20 sesiones trabajando con los recuerdos traumáticos de la madre y el menor asociados a la violencia vivida en la familia. El reprocesamiento del niño se hace junto a la madre. El formato de tratamiento es intensivo con 5 sesiones de terapia semanal durante 4 semanas. El 100% de los menores y las mujeres atendidas experimentaron la remisión de sus síntomas de ansiedad y en el 80% de los casos desaparecieron sus problemas de conducta en el entorno familiar y escolar. Además se observó que el tipo de apego había cambiado al final de tratamiento.

The Institute of Alicante Psychotrauma in collaboration with Social Services various municipalities of Valencia since 2009 implemented a protocol intervention for mothers victims of domestic violence, based on techniques desensitization and reprocessing through eye movement, EMDR © (Eye Movement Desensitization and Reprocessing), attachment theory (Bowlby) and theory structural dissociation of the personality (Van der Hart Ono). The results of a sample of 15 mothers and their children aged 4 to 16 years indicate a disappearance of clinical PTSD and depression, remission of comorbid conduct problems (disobedience, aggression) and a improvement bond with the mother. The intervention protocol consists of 5 phases: assessment, psychoeducation, treatment, relapse prevention and monitoring The assessment consists of separate clinical interviews and administration of the Scale in Children's Manifest Anxiety (CMAS-R), the Symptom Severity Scale Stress Posttraumatic Drawing Test Family (children 's children under 6 years) and questionnaire for the assessment of adopters (CARE). Treatment involves the installation of resources with the mother and EMDR reprocessing over 20 sessions working with the memories traumatic mother and child associated with violence experienced domestically. The reprocessing of the child is with the mother. The format is intensive treatment with 5 sessions of weekly therapy for 4 weeks. 100% of children and women treated experienced remission of their anxiety symptoms and 80% of cases behavioral problems disappeared in the family and school. We observed that the attachment classification was changed to end of treatment.

Keywords: Attachment Gender Violence

136. Rost, C. (2008). Verbindung von "innerer kindarbeit" und egostate-therapie mit EMDR connection of "inner child work" and ego state therapy with EMDR]. In C. Rost (Hsrg.) Ressourcenarbeit mit EMDR, bewährte techniken im uberblick [Resources working with EMDR. Proven techniques at a glance: From survival to life] (pp. 53-67). Paderborn: Junfermann.

Language: German

Format: Book Section

Keywords: Ego State Therapy Inner Child

137. Schmidt, S. J. (1998, June). Internal conference room ego-state therapy and the resolution of double binds: Preparing clients for EMDR trauma processing. EMDRIA Newsletter, 3(2), 10-12, 14.

Language: English

Format: Newsletter

Keywords: Double Binds Ego State Therapy Preparation

138. Schmidt, S. J. (2000, September). EMDR and ego state therapy: A resource-focused protocol using client art. Presentation at the annual meeting of the EMDR International Association, Toronto, Ontario Canada.

Language: English

Format: Conference

Abstract:
Participants will: 1) learn a resource-focused protocol which integrates EMDR, art therapy, and ego state therapy; 2) learn how to elicit clients' drawings of resource ego states and traumatized ego states; 3) learn ways to use these drawings for ego state strengthening; 4) learn how to use ego state drawings as focal points for eye movements; 5) learn sample dialogues to facilitate understanding and cooperation between ego states drawn; and 6) learn ways to use ego state drawings to titrate overwhelming affect.

Keywords: Art Therapy Ego State Therapy Resource-Focused EMDR

139. Schmidt, S. J. (1999, March). Resource-focused EMDR: Integration of ego state therapy, alternating bilateral stimulation, and art therapy. EMDRIA Newsletter, 4(1), 8, 10-13, 25-28.

Language: English

Format: Newsletter

Abstract:
I conceptualize EMDR as the process of linking the trauma from one part of the brain to a solution in another part of the brain, to reach an adaptive resolution. The standard EMDR protocol proposes accomplishing this by focusing heavily on the trauma. Most of my clients are adult survivors of childhood trauma and their tolerance of a trauma-focused protocol is often low. I wondered if the same adaptive resolution could be accomplished by focusing primarily on the part of the brain holding the solution rather than the trauma. I recently began developing a resource-focused protocol, which borrows from Sandra Paulsen’s (1994, 1995, & 1996) suggestions for integrating EMDR with ego state therapy, and Andrew Leeds’ (1997) protocol for resource development and resource installation (RD/RI). This new protocol puts significant emphasis on developing and strengthening the felt sense of well-being connected to resource ego states before EMDR processing, and maintenance of the sense of well-being during EMDR processing. It involves using the clients’ drawings of resource ego states and traumatized ego states (drawn with the dominant and nondominant hand) as anchors for ego state processing, and as the focal points in eye movements (EMs). In this protocol, traumatic material is elicited only when sufficient internal resources, represented by drawings, are displayed in front of the client. The intention of this approach is to minimize risk of affect overwhelm and maximize the probability that the part of the brain holding the trauma will link to the part of the brain holding the solution. In my experience the resource-focused protocol

Keywords: Art Therapy Bilateral Stimulation BLS Ego State Therapy Resource-Focused EMDR

140. Schmidt, S. J. (2008, September). Connecting to a team of resource ego states to prepare for EMDR trauma processing. Presentation at the annual meeting of the EMDR International Association, Phoenix, AZ.

Language: English

Format: Conference

Abstract:
Sometimes it is difficult to assess readiness for emotionally taxing EMDR trauma processing. The first half of this workshop will cover a protocol for helping clients connect with three Resource ego states – a Nurturing Adult Self, a Protective Adult Self, and a Spiritual Core Self. Clients with sufficient ego strength for trauma work will readily connect to these Resources. Clients with poor ego strength often encounter blocks when connecting to Resource ego states. The second half of the workshop will cover an ego strengthening intervention for clearing such blocks. This intervention can help prepare clients to tolerate trauma work.

Keywords: Ego States

141. Schmidt, S. J., & and Hernandez, A. (2007). The developmental needs meeting strategy: Eight case studies. Traumatology, 13(1), 27-48. doi:10.1177/1534765607299913 .

Language: English

Format: Journal

Abstract:
This study investigates the merits of the Developmental Needs Meeting Strategy (DNMS), a relatively new ego state therapy. The DNMS is based on the assumption that many presenting problems are due to wounded ego states stuck in childhood because of unmet developmental needs. DNMS protocols endeavor to identify and heal the wounded child parts most responsible for a presenting problem. When internal Resource ego states, which serve as competent caregivers, meet the wounded ego states' developmental needs, the wounded ego states become unstuck and heal. Eight participants were recruited from the private practice caseloads of 3 DNMS therapists. All participants reported significant improvement in the targeted problems, with gains maintained at follow-up. These findings suggest that the DNMS has therapeutic potential. [Sage]

Keywords: Developmental Needs Developmental Needs Meeting Strategy Ego State Therapy Introjects Psychodynamic

142. Seedat, R. (2010, July). Incorporating EMDR in IMEGO couple's therapy. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.

Language: English

Format: Conference

Abstract:
This paper will look at the effective use of the eight phases of the EMDR protocol in IMAGO therapy. It will be used to provide theoretical linkages between the use and integration of EMDR and IMAGO in couple’s therapy. Both these will be understood in relation to how they will help achieve integration with couples at diverse levels. Therapists will learn how to utilise both modalities (EMDR & IMAGO) effectively. They will understand the use of the touchstone event, to bring about shifts in individual and couples behaviour. They will also witness that without the use of EMDR the behavioural change cannot be long term. Capacitate participants in process and strategies for incorporating EMDR into IMAGO couples therapy practices. Provide participants with practical examples of EMDR and IMAGO through the behaviour change.

Keywords: Couples Therapy IMEGO

143. Seubert, A. (2009, April 18). The case of mistaken identity: EMDR and ego state therapy in the treatment of eating disorders. Presentation at the Western Massachusetts EMDRIA Conference "EMDR and the Body," Amherst, MA .

Language: English

Format: Conference

Abstract:
This workshop uses the EMDR eight-phase model to provide an overview for treatment of people with eating disorders. The preparation phase highlights a 4-step method of teaching emotional competence, and the use of ego state therapy to free the Self from an identity with the disordered part(s). Preparation and processing both require body awareness and acceptance, as well as the ability to titrate released disturbance and re-stabilize after EMDR application to touchstone events.

Keywords: Eating Disorders Ego State Therapy

144. Seubert, A. (2009, August). The case of mistaken identity: EMDR, ego-states and eating disorders. Presentation at the annual meeting of the EMDR International Association, Atlanta, GA.

Language: English

Format: Conference

Abstract:
This workshop explores the presence of dissociation in clients with eating disorders, particularly anorexia nervosa. The approach employs an EMDR phase model, expanding the evaluation and preparation phases. Preparation presents a 4-step method of teaching emotional competence, as well as the use of Ego-State Therapy with the disordered part(s). Processing requires body awareness, as well as the ability to titrate released disturbance and re-stabilize after EMDR application to touchstone events. Video clips, case studies and case reviews will reinforce learning.

Keywords: Eating Disorders Ego States

145. Seubert, A. (2009, November). The case of mistaken identity: Ego states and EMDR in the treatment of eating disorders. Workshop presentation at the 19th annual Renfrew Center Foundation Conference, Philadelphia, PA.

Language: English

Format: Conference

Abstract:
An eating disorder typically hides dissociated trauma, which can be a major obstacle to successful treatment. This workshop uses video clips and case reviews to illustrate an EMDR trauma-informed phase model and ego state therapy for the treatment of dissociation and trauma in eating disorder clients.

Keywords: Dissociation Eating Disorders Ego State Therapy Trauma

146. Seubert, A. (2010, June). The case of mistaken identity: EMDR, attachment and ego states in the treatment of eating disorders. Poster presented at the annual meeting of the EMDR Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
Attachment and Ego States in the treatment of eating disorders is a 120 minute program, which introduces participants to 1. the kind of history taking, medical attention and goal establishment unique to clients with eating disorders, 2, the extensive preparation, which includes emotional expertise and somatic awareness, 3. the inevitable presence of dissociation and the use of ego state therapy to access the source of the eating disordered addiction, 4, the need for attachment repair and 5, slight modifications to trauma processing given emotional fragility and the tendency to return to the disorder. even after extensive preparation. The modifications entail A. a return to attachment/reparenting work, even during phases 3-6, a5 a way to 'pendulate' between the traumata and resources, B. the use of dissociation strategies, e.g., having the eating disordered part look through the eyes with the client, and C. titrating the target memories. THE CASE OF MISTAKEN IDENTITY employs an EMDR phase model, which includes an evaluation phase, focusing on medical safety, case formulation and mutual goal creation. In the preparation phase, participants will learn a4-step method of teaching emotional competence, and the use of ego state therapy to free the self from identity with the disordered part&), and strategies for attachment repair. Preparation and Processing phases both require body awareness and acceptance, as well as the ability to titrate released disturbance and re-stabilize (Re-evaluation) after EMDR application to touchstone events. Video clips, case studies and case reviews will reinforce learning. Learning objectives: 1 Participants will describe the trauma-based purpose for dissociation in eating disorders, 2 will describe the practice of awareness and four steps to emotional competence. 3. will name two ego-state strategies methods in identifying and collaborating with ego states, 4. two attachment repair methods, and 5. describe two minor adaptations to the processing phase. WHAT IS NEW: Eating disorder treatment often recognizes, but rarely offers treatment solutions, to the traumatic origins of an eating disorder. This fact, coupled with a lack of awareness of the role of attachment injury and dissociation, renders many of the contemporary approaches to eating disorder treatment incomplete and often ineffective.

Keywords: Attachment, Eating Disorders Ego States

147. Seubert, A. (2010, April/May). The case of mistaken identity: EMDR, ego states and attachment in the treatment of eating disorders. Presentation at the annual meeting of EMDR Canada, Toronto, Ontario.

Language: English

Format: Conference

Abstract:
In this workshop the presenter explores the presence of dissociation in clients with eating disorders, particularly anorexia nervosa. The approach described employs an EMDR phase model, with expanded evaluation and preparation phases. The extended preparation discussed includes a 4-step method of teaching emotional competence, an introduction to body awareness, and the use of ego state therapy with the disordered part(s). Processing typically requires attachment repair, as well as the ability to titrate released disturbance and re-stabilize after EMDR application to touchstone events. Video clips, case studies and case reviews will reinforce learning.

Keywords: Attachment Eating Disorders Ego States

148. Seubert, A. (2010, September/October). The unforgiven: EMDR, ego state therapy, attachment repair and forgiveness in the treatment of eating disorders. Presentation at the annual meeting of EMDR International Association, Minneapolis, MN.

Language: English

Format: Conference

Abstract:
This workshop will explore the presence of dissociation in clients with eating disorders, particularly anorexia nervosa. The approach employs an EMDR phase model, expanding the evaluation and preparation phases. Preparation presents a 4-step method of teaching emotional competence, attachment repair strategies, as well as the use of ego state therapy. Processing requires the ability to titrate released disturbance and re-stabilize after EMDR application to touchstone events. Self-forgiveness emerges as internal “parts” develop mutual compassion and support. Video clips, case studies and case reviews will reinforce learning.

Keywords: Attachment Repair Eating Disorders Ego State Therapy Forgiveness

149. Seubert, A. & Lightsone, J. (2009). The case of mistaken identity : Ego states and eating disorders. In R. Shapiro (Ed.), EMDR Solutions II: For depression, eating disorders, performance, and more (1st Ed.) (pp. 193-217). New York, NY: W. W. Norton & Co..

Language: English

Format: Book Section

Keywords: Eating Disorders Ego States

150. Tormey, M. E. (2003, November). Treatment of adolescents with school refusal: The process of trauma resolution, through the integration of EMDR and ego-state therapy. Presentation at the International Society for the Study of Dissociation Fall Conference, Chicago, IL.

Language: English

Format: Conference

Keywords: Adolescents Ego State Therapy School Refusal Trauma Resolution

151. Twombly, J. H. (2005). EMDR for clients with dissociative identity disorder, DDNOS, and ego states. In R. Shapiro (Ed.), EMDR solutions: Pathways to healing (pp. 88-120). New York: W W Norton & Co.

Language: English

Format: Book Section

Abstract: U
sing EMDR with clients with dissociative identity disorder (DID) and other dissociative disorders (DDs) requires careful adaptation to allow the unique benefits of EMDR to be used productively, without risking unleashing a flood of traumatic material and destabilizing the client. In this chapter I will discuss adaptations for each stage of treatment for dissociative clients. While I'll focus on work with DID (formerly multiple personality disorder) and dissociative disorder not otherwise specified (DDNOS), the EMDR adaptations and protocols taught in this chapter can be used with people with other DDs and complex PTSD, and in ego-state work. This chapter is divided into three sections, summarizing the treatment of DDs within the three stages of standard phase-oriented trauma treatment. [Text, pp. 88, 90]

Keywords: Adults Child Abuse DID Dissociative Identity Disorder Hypnotherapy Psychotherapeutic Processes Survivors

152. Wade, T., & Wade, D. (1996, June). Integrative psychotherapy: Combining ego-state therapy, clinical hypnosis, and EMDR in a psychosocial developmental context. Presentation at the annual meeting of the EMDR International Association, Denver, CO.

Language: English

Format: Conference

Abstract:
Conceptual framework: Ego state theory and therapy; Psychosocial development; EMDR; Clinical hypnosis; Integration; and Brief psychotherapy

Keywords: Clinical Hypnosis Ego State Therapy Integrative Psychotherapy

153. Wade, T., & Wade, D. (2001, January-April). Integrative psychotherapy: Combining ego-state therapy, clinical hypnosis, and eye movement desensitization and reprocessing (EMDR) in a psychosocial developmental context. American Journal of Clinical Hypnosis, 43(3-4), 233-245. doi:10.1080/00029157.2001.10404279.

Language: English

Format: Journal

Abstract:
The principles of this conceptual framework are: (1) personality organization is dissociative as well as associative, consisting of ego states, and progresses through stages of psychosocial development; (2) inappropriately activated ego states cause dysfunction, which is habitual or due to the intense affect of disrupted development or unresolved grief or trauma; (3) completely overcoming dysfunction requires therapy with both individual ego states and the personality system; (4) clinical hypnosis provides techniques to enhance accessing ego states; and (5) EMDR combines ego-state therapy with eye movements (EMs) to produce a powerful psychotherapy method. During assessment, ego states responsible for dysfunctional emotional reactions and behavior are identified together with those that could be appropriate instead. Included in the treatment protocol, EMs and clinical hypnosis promote: (1) corrective developmental experiences; (2) resolution of grief and trauma; (3) acquisition of skills and abilities; (4) co-consciousness; and (5) negotiation among ego states. The outcome is an integrated “family of self” that has effectively overcome developmental crises, grief, and trauma, is aware of essential inner resources, and can consciously activate appropriate ego states. [Author Abstract]

Keywords: Clinical Hypnosis Ego Ego-State Therapy Hypnotherapy Integrative Psychotherapy Review Multimodal Treatment Approach Psychosocial Development Psychosocial Developmental Context

154. Watkins, J. G., & Paulsen, S.L. (2003, November). Ego state therapy: EMDR and hypnoanalytic techniques. Presentation at the Society for Clinical and Experimental Hypnosis, Chicago, IL.

Language: English

Format: Conference

Keywords: Ego State Therapy Hypnoanalytic Techniques

155. Wesselmann, D. (2001, June). Treating core attachment issues in adults and children. Presentation at the annual meeting of the EMDR International Association, Austin, TX.

Language: English

Format: Conference

Abstract:
Participants will learn to use EMDR with ego state therapy to treat adult attachment issues, such as inability to receive or provide nurturing and inability to self-soothe. Participants will learn to use EMDR in conjunction with parent-child holding to strengthen an insecure bond.

Keywords: Attachment Ego State Therapy

156. Wesselmann, D. (1999, June). Generational problems in parenting: Intervening with attachment disordered adults. Presentation at the annual meeting of the EMDR International Association, Las Vegas, NV.

Language: English

Format: Conference

Abstract:
Participants will be able to 1) define parent-child attachment, identify the factors that insure a secure attachment, as well as the 1ife-long positive effects; 2) identify how an insecure chidhood attachment history can affect core beliefs into adulthood and get carried over into the next generation of parenting; 3) help parents target the negative misperceptions that rule their emotional responses when they interact with their children and identify possible alternative positive cognitions before EMDR processing; and 4) use the egogram as a roadmap with attachment disordered adults, using EMDR to strengthen the competent adult and nurturing parent ego-states and separate the child ego-state from the parenting role.

Keywords: Egogram Parent-Child Attachment

157. Wesselmann, D. (2000, December). The utilization of EMDR and ego state therapy with two severely depressed, dissociative clients. EMDRIA Newsletter, 5 (Special Edition), 19-24.

Language: English

Format: Newsletter

Abstract:
Personality is a multiplicity, encompassing many different states of mind. Ego state is a useful term describing a state of mind in which certain thoughts, feelings, and behaviors tend to operate together. The well-functioning adult will shift ego states are needed to adapt to the roles required by the environment. In an individual raised with healthy attachments and normal development, the shift between ego states does not create discontinuity or confusion of experience. The boundaries of the core self, or core ego expand to include the differentiated ego states, and the boundaries of the differentiated ego states are permeable (Watkins & Watkins, 1997). This allows the individual to maintain a healthy integration of ego states and a continuity of identity.

Keywords: Dissociation Ego State Therapy

158. Wesselmann, D. (2000, September). Treating core attachment issues in adults and children. Presentation at the annual meeting of the EMDR International Association, Toronto, Ontario Canada.

Language: English

Format: Conference

Abstract:
Participants will: 1) be able to describe the specific effects of poor quality attachments on emotional and social functioning in children and adults; 2) be able to describe how problem attachments are transmitted generationally; 3) learn to identify core negative cognitions related to specific types of attachment problems; 4) learn to utilize ego state work in order to strengthen the adult self and develop a self-soothing dialogue prior to the reprocessing of emotionally-laden material; 4) learn to utilize EMDR to help parents understand and change their distorted perceptions and ineffective responses with their children; and 6) learn how to coach parents in providing support and attunement in the child's reprocessing as a way of strengthening the attachment bond.

Keywords: Attachment Ego State Therapy

159. Yoeli, F. R. (2001, December). Uncovering the dissociative ego states under the mask of OCD. Presentation at the annual meeting of the International Society for the Study of Dissociation Fall Conference, New Orleans, LA.

Language: English

Format: Conference

Keywords: Dissociation Ego States Obsessive Compulsive Disorder OCD

160. Zirlinger, S. (2008, Octubre 8). Trauma temprano, apego y EMDR [Early trauma, attachment and EMDR]. DePsicoterapias S.R.L. Retrieved from http://www.depsicoterapias.com/articulo.asp?IdArticulo=454 om 1/4/2009.

Language: Spanish

Format: Other

Abstract:
Muchos autores, de diversas orientaciones, se han interesado en indagar, entender y explicar las consecuencias psíquicas y biológicas que padece un sujeto que ha estado expuesto a traumas psíquicos tempranos. Tomaré ideas de John Bowlby, quien ha desarrollado la noción de apego y las vicisitudes de su perturbación ligándolos a traumas tempranos. Vincularé estas nociones con las posibilidades terapéuticas que brinda el EMDR (Desensibilización y reprocesamiento por los movimientos oculares) en los cuadros clínicos que llevan implícitos estos traumas. El patrón de apego del niño es afectado cuando padece un traumatismo temprano. Pierden la confianza en su capacidad de cuidarse, aferrándose ansiosamente a alguien o se desapegan patológicamente. En 1950, Bowlby J. estuvo vinculado seis meses con la OMS, y en 1951 publicó Cuidado maternal y salud mental. A partir de 1957 se interesó en los enfoques que lo condujeron a proponer la Teoría del Apego en el intento de definir “la naturaleza del vínculo que une al niño con su madre”, lo que lo llevó a iniciar una revisión desgarradora de los lazos humanos.

Many authors, from different directions, are often interested in investigating, understanding and explaining the biological and psychological consequences suffered by a subject who has been exposed to early psychic traumas. I'll have ideas of John Bowlby, who developed the notion of attachment and the vicissitudes of his disturbance linking them to early trauma. Interconnectedness of these concepts with the therapeutic possibilities offered by EMDR (desensitization and reprocessing eye movement) in the clinical pictures that are placed these traumas.

Keywords: Attachment Early Trauma