Healing the Heart of Trauma and Dissociation with EMDR and Ego State Therapy

"This read truly does have something for everyone who works with trauma and dissociative processes." --American Journal of Clinical Hypnosis "This volume, which takes a multi-perspective approach to the practice of EMDR and Ego State Therapy, presents a wide variety of ways to integrate these two therapies, both with each other and with other complementary methods in the treatment of trauma and dissociation." --European Association for Body Psychotherapy EMDRIA has approved this book for a Distance Learning Book Course for 8 EMDRIA credits. "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 read truly does have something for everyone who works with trauma and dissociative processes." --American Journal of Clinical Hypnosis "The editors have gathered many experts in the field who explain in clear informative ways how to expand the clinician's abilities to work with this terribly injured population. This book blends concepts from neurobiology, hypnosis, family systems theory and cognitive therapy to enhance treating this population. It is a well written book that the novice as well as the seasoned clinician can benefit from." --Mark Dworkin, author of EMDR and the Relational Imperative "[This book] conveys complex concepts that will be of interest to seasoned therapists... with a clarity that will appeal to the novice as well. This is really a wonderful text with many excellent ideas and I highly recommend it to anyone who treats trauma." --Sarah Chana Radcliffe, M.Ed.,C.Psych.Assoc. Author, Raise Your Kids without Raising Your Voice "I believe that this book is a significant contribution to the fields of psychology and EMDR. It is the first of its kind... anyone who reads this will gain greater confidence in using EMDR and ego state therapy witih highly dissociative and complicated clients." --Sara G. Gilman, in Journal of EMDR Practice and Research, Volume 3, 2009 "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. Contents......Page 8 Contributors......Page 12 Foreword......Page 14 Preface......Page 18 Acknowledgments......Page 22 Introduction: New Help for Clients with Trauma Disorders......Page 24 A Preliminary Note to Therapists......Page 26 The Nature and Sequelae of Trauma......Page 27 Attachment Disorders and Their Relation to Affect Regulation and Dissociation......Page 29 Dissociation......Page 31 Treatment Goals for Trauma-Disordered Clients......Page 36 Ego State Theory and Therapy......Page 37 Introduction to EMDR......Page 40 The Eight Treatment Phases of EMDR......Page 41 Potential Problems with Using EMDR with Dissociative Clients......Page 44 Unique Challenges of Working with Clients with Complex Trauma......Page 45 Phased Treatment with Combined EMDR and Ego State Therapy......Page 58 Phase 1: Stabilization and Symptom Reduction......Page 59 Phase 2: Trauma Work......Page 71 Phase 3: Resolution......Page 74 The Person of the Therapist Working with Challenging Clients......Page 76 Conclusion......Page 78 2. She’s Come Undone: A Neurobiological Exploration of Dissociative Disorders......Page 84 The Relationship between Trauma and Dissociation......Page 85 The Evolution of Biological Action Systems......Page 86 Types of Dissociation......Page 88 The Neurobiology of Primary Dissociation......Page 89 The Neurobiology of Secondary Dissociation......Page 98 The Neurobiology of Tertiary Dissociation......Page 105 Conclusion......Page 107 3. Combining Hypnosis with EMDR and Ego State Therapy for Ego Strengthening......Page 114 Joyce: Resolving Anxiety through Hypnosis and ECEM......Page 117 Benefits of Adding Hypnosis to EMDR and Ego State Therapy......Page 119 The Importance of Ego Strengthening......Page 121 Introducing Hypnosis to EMDR Clients......Page 124 Sequential Uses of Hypnosis in the Standard EMDR Protocol: An Extended Case Study......Page 125 Conclusion......Page 139 4. Changing Cognitive Schemas through EMDR and Ego State Therapy......Page 144 Maintenance of Irrational Beliefs and Behaviors......Page 147 Terrorism and Trauma in Northern Ireland: Police as Victims......Page 149 Margaret: A Case Study of Trauma in Northern Ireland......Page 150 Conclusion......Page 161 Talking to Parts......Page 164 The Crux of the Problem and New Treatment Approaches......Page 165 Working with the Dynamics of Dissociative Identity Disorder......Page 167 Technical Challenges of the Treatment......Page 171 ARCHITECTS: A Process for Abreactions......Page 189 Case Studies......Page 192 Conclusion......Page 199 One Foot in the Present, One Foot in the Past......Page 204 EMDR and Dissociation......Page 206 Loving Eyes: Seeing the Traumatized Child......Page 207 Mehmet: Dissociated Affect Due to Childhood Deprivation......Page 211 Veronica: Targeting an Avoidance Defense......Page 216 Enhancing Present Orientation......Page 222 Chris: Dissociative Identity Disorder Resulting from Childhood Sexual Abuse......Page 226 Conclusion......Page 244 7. Hidden Selves: Treating Dissociation in the Spectrum of Personality Disorders......Page 250 Historical and Contemporary Conceptualizations of Ego States......Page 252 The Definition and Spectrum of Personality Disorders......Page 258 The Treatment of Personality Disorders with EMDR......Page 259 Dissociation: A Developmental Line of Personality......Page 260 Treatment Goals......Page 262 Integrating Ego State Treatment into the Eight-Phase Protocol......Page 263 Case Presentations......Page 270 Conclusion......Page 282 Natalie and Roger: One Couple, Many Selves......Page 290 Contextual Theory: The Relational Self......Page 292 The Interior Life of the Couple......Page 295 Ego State Conflict in Theory and Practice......Page 299 An Integrative Treatment Approach......Page 302 Conclusion......Page 314 The Untarnished Healing Self......Page 318 The Inner Ecology: Dynamics of the Self and Parts in IFS......Page 319 The Three Primary Categories of Parts......Page 321 IFS Steps to Healing......Page 323 Optimizing the Therapist’s Access to the Self......Page 324 Jack: Richard Schwartz Uses IFS to Resolve Rage......Page 325 Using IFS with EMDR......Page 327 Lucy: Joanne Twombly Uses IFS and EMDR to Resolve Memories of Abuse and Neglect......Page 331 Conclusion......Page 333 Introduction: Reviving Stalled Treatments through Collaborative Therapy......Page 336 Sara: A Stalled Treatment in Need of Repair......Page 337 Offering Specialized EMDR Treatment through Collaborative Therapy......Page 338 A New Experience for Clients: Benefits and Outcomes of Collaborative Therapy......Page 340 Identifying Clients Who May Benefit From EMDR and Ego State Therapy......Page 342 The Challenge of Treating Trauma Survivors......Page 343 Developing a Successful Collaborative Therapy Relationship......Page 344 Case Study......Page 347 Conclusion......Page 362 Appendix......Page 366 A......Page 370 C......Page 371 D......Page 373 E......Page 375 F......Page 377 I......Page 378 N......Page 379 P......Page 380 S......Page 381 T......Page 383 Y......Page 384 ""This read truly does have something for everyone who works with trauma and dissociative processes."" "--American Journal of Clinical Hypnosis" ""This volume, which takes a multi-perspective approach to the practice of EMDR and Ego State Therapy, presents a wide variety of ways to integrate these two therapies, both with each other and with other complementary methods in the treatment of trauma and dissociation."" --European Association for Body Psychotherapy EMDRIA has approved this book for a Distance Learning Book Course for 8 EMDRIA credits. ""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 read truly does have something for everyone who works with trauma and dissociative processes."" "--American Journal of Clinical Hypnosis" ""The editors have gathered many experts in the field who explain in clear informative ways how to expand the clinician's abilities to work with this terribly injured population. This book blends concepts from neurobiology, hypnosis, family systems theory and cognitive therapy to enhance treating this population. It is a well written book that the novice as well as the seasoned clinician can benefit from." " --Mark Dworkin, author of EMDR and the Relational Imperative "" This book] conveys complex concepts that will be of interest to seasoned therapists... with a clarity that will appeal to the novice as well. This is really a wonderful text with many excellent ideas and I highly recommend it to anyone who treats trauma."" --Sarah Chana Radcliffe, M.Ed., C.Psych.Assoc. Author, Raise Your Kids without Raising Your Voice " "I believe that this book is a significant contribution to the fields of psychology and EMDR. It is the first of its kind... anyone who reads this will gain greater confidence in using EMDR and ego state therapy witih highly dissociative and complicated clients." " --Sara G. Gilman, in "Journal of EMDR Practice and Research, Volume 3, 2009" ""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. This read truly does have something for everyone who works with trauma and dissociative processes. --American Journal of Clinical Hypnosis This volume, which takes a multi-perspective approach to the practice of EMDR and Ego State Therapy, presents a wide variety of ways to integrate these two therapies, both with each other and with other complementary methods in the treatment of trauma and dissociation. --European Association for Body Psychotherapy EMDRIA has approved this book for a Distance Learning Book Course for 8 EMDRIA credits. 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 read truly does have something for everyone who works with trauma and dissociative processes. --American Journal of Clinical Hypnosis The editors have gathered many experts in the field who explain in clear informative ways how to expand the clinician's abilities to work with this terribly injured population. This book blends concepts from neurobiology, hypnosis, family systems theory and cognitive therapy to enhance treating this population. It is a well written book that the novice as well as the seasoned clinician can benefit from.'--Mark Dworkin, author of EMDR and the Relational Imperative [This book] conveys complex concepts that will be of interest to seasoned therapists... with a clarity that will appeal to the novice as well. This is really a wonderful text with many excellent ideas and I highly recommend it to anyone who treats trauma. --Sarah Chana Radcliffe, M.Ed.,C.Psych.Assoc. Author, Raise Your Kids without Raising Your Voice'I believe that this book is a significant contribution to the fields of psychology and EMDR. It is the first of its kind... anyone who reads this will gain greater confidence in using EMDR and ego state therapy witih highly dissociative and complicated clients.'--Sara G. Gilman, in Journal of EMDR Practice and Research, Volume 3, 2009 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 inclu Integrating EMDR and ego state treatment for clients with trauma disorders / Carol Forgash and Jim Knipe She's come undone: a neurobiological exploration of dissociative disorders / Uri Bergmann Combining hypnosis with EMDR and ego state therapy for ego strengthening / Maggie Phillips Changing cognitive schemas through EMDR and ego state therapy / Michael C. Paterson Treating dissociative identity disorder with EMDR, ego state therapy, and adjunct approaches / Sandra Paulsen Loving eyes: procedures to therapeutically reverse dissociative processes while preserving emotional safety / Jim Knipe Hidden selves: treating dissociation in the spectrum of personality disorders / Uri Bergmann EMDR in couples therapy: an ego state approach / Barry K. Litt The integration of the internal family systems model and EMDR / Joanne H. Twombly and Richard C. Schwartz Applying EMDR and ego state therapy in collaborative treatment / Carol Forgash. In this work nine 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. --From publisher's description