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

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Author: Carol Forgash

ISBN-10: 0826146961

ISBN-13: 9780826146960

Category: Clinical Psychology

"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...

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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"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.

Contributors     xiForeword   John G. Watkins     xiiiPreface   Carol Forgash   Margaret Copeley     xviiAcknowledgments     xxiIntegrating EMDR and Ego State Treatment for Clients with Trauma Disorders   Carol Forgash   Jim Knipe     1Introduction: New Help for Clients with Trauma Disorders     1A Preliminary Note to Therapists     3The Nature and Sequelae of Trauma     4Attachment Disorders and Their Relation to Affect Regulation and Dissociation     6Dissociation     8Treatment Goals for Trauma-Disordered Clients     13Ego State Theory and Therapy     14Introduction to EMDR     17The Eight Treatment Phases of EMDR     18Potential Problems with Using EMDR with Dissociative Clients     21Unique Challenges of Working with Clients with Complex Trauma     22Phased Treatment with Combined EMDR and Ego State Therapy     35Stabilization and Symptom Reduction     36Trauma Work     48Resolution     51The Person of the Therapist Working with Challenging Clients     53Conclusion     55She's ComeUndone: A Neurobiological Exploration of Dissociative Disorders   Uri Bergmann     61The Relationship between Trauma and Dissociation     62The Evolution of Biological Action Systems     63Types of Dissociation     65The Neurobiology of Primary Dissociation     66The Neurobiology of Secondary Dissociation     75The Neurobiology of Tertiary Dissociation     82Dissociation and Medical Illnesses of Unknown Origin     84Conclusion     84Combining Hypnosis with EMDR and Ego State Therapy for Ego Strengthening   Maggie Phillips     91Joyce: Resolving Anxiety through Hypnosis and ECEM     94Benefits of Adding Hypnosis to EMDR and Ego State Therapy     96The Importance of Ego Strengthening     98Introducing Hypnosis to EMDR Clients     101Sequential Uses of Hypnosis in the Standard EMDR Protocol: An Extended Case Study     102Conclusion     116Changing Cognitive Schemas through EMDR and Ego State Therapy   Michael C. Paterson     121Maintenance of Irrational Beliefs and Behaviors     124Terrorism and Trauma in Northern Ireland: Police as Victims     126Margaret: A Case Study of Trauma in Northern Ireland      127Conclusion     138Treating Dissociative Identity Disorder with EMDR, Ego State Therapy, and Adjunct Approaches   Sandra Paulsen     141Talking to Parts     141The Crux of the Problem and New Treatment Approaches     142Working with the Dynamics of Dissociative Identity Disorder     144Technical Challenges of the Treatment     148ARCHITECTS: A Process for Abreactions     166Case Studies     169Conclusion     176Loving Eyes: Procedures to Therapeutically Reverse Dissociative Processes While Preserving Emotional Safety   Jim Knipe     181One Foot in the Present, One Foot in the Past     181EMDR and Dissociation     183Loving Eyes: Seeing the Traumatized Child     184Mehmet: Dissociated Affect Due to Childhood Deprivation     188Veronica: Targeting an Avoidance Defense     193Enhancing Present Orientation     199Chris: Dissociative Identity Disorder Resulting from Childhood Sexual Abuse     203Conclusion     221Hidden Selves: Treating Dissociation in the Spectrum of Personality Disorders   Uri Bergmann     227Historical and Contemporary Conceptualizations of Ego States      229The Definition and Spectrum of Personality Disorders     235The Treatment of Personality Disorders with EMDR     236Dissociation: A Developmental Line of Personality     237Treatment Goals     239Integrating Ego State Treatment into the Eight-Phase Protocol     240Case Presentations     247Conclusion     259EMDR in Couples Therapy: An Ego State Approach   Barry K. Litt     267Natalie and Roger: One Couple, Many Selves     267Introduction: Ego State Theory, EMDR, and Contextual Therapy     269Contextual Theory: The Relational Self     269The Interior Life of the Couple     272Ego State Conflict in Theory and Practice     276An Integrative Treatment Approach     279Conclusion     291The Integration of the Internal Family Systems Model and EMDR   Joanne H. Twombly   Richard C. Schwartz     295The Untarnished Healing Self     295The Inner Ecology: Dynamics of the Self and Parts in IFS     296The Three Primary Categories of Parts     298IFS Steps to Healing     300Optimizing the Therapist's Access to the Self     301Jack: Richard Schwartz Uses IFS to Resolve Rage     302Using IFS with EMDR     304Lucy: Joanne Twombly Uses IFS and EMDR to Resolve Memories of Abuse and Neglect     308Conclusion     310Applying EMDR and Ego State Therapy in Collaborative Treatment   Carol Forgash     313Introduction: Reviving Stalled Treatments through Collaborative Therapy     313Sara: A Stalled Treatment in Need of Repair     314Offering Specialized EMDR Treatment through Collaborative Therapy     315A New Experience for Clients: Benefits and Outcomes of Collaborative Therapy     317Identifying Clients Who May Benefit From EMDR and Ego State Therapy     319The Challenge of Treating Trauma Survivors     320Developing a Successful Collaborative Therapy Relationship     321Case Study     324Conclusion     339Appendix     343Index     347