EMDR FORUM ARCHIVE, 2000
Re:Oops - BLS being a trigger
Sandra Paulsen Inobe PhD · 02/15/03 at 11:56 ET
I'll begin with my usual caution, namely, that dissociative clients need an appropriate course of treatment to include stabilization and containment and preparation of various kinds, consistent with guidelines of the ISSD (www.issd.org), in which overall treatment plan EMDR is only one component. There's no research on this group yet as to EMDR outcome, only clinical findings, reported in several articles by myself, Walter Young, Steven Lazrove & Catherine Fine, and Joanne Twombly in the journal Dissociation over the last 8 years. Assuming it were appropriate to procede with EMDR for this client, and I don't know whether she is or not, but if she just started with you I'd have to guess she isn't ready. Remember also that Schmidt's ideas, though very helpful with many clients, may not be appropriate for highly dissociative clients, just in case your client is one. Your client should be appropriately assessed for degree of dissociation and ego strength and trust and rapport well established before doing EMDR. Now on to your question. David Grand's biolateral CDs or tapes may be helpful for your client, since there is comfortable and calming music or sound, and no grating beeps. The bilaterality is smooth and subtle. Tactile devices may be possible. Desensitizing to bilaterality may be an early target indeed. Just like some people need desensitization to emotional experiencing (if they were punished for having emotions and/or are alexythymic). There is no research on up and down movements, but clinical experience finds that some people actually prefer it. I have found that in some people up and down movements are calming, so I switch to them if there are extremely high levels of disturbance with the bilateral movements and that high level doesn't resolve spontaneously. One might begin with up and down movements and slowly rotate like the hands of a clock to arrive at bilateral (with the clients prior agreement).
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