EMDR FORUM ARCHIVE, 2000
Re:choosing cognitions
Sandra Paulsen Inobe PhD · 08/06/03 at 10:41 ET
I had a long post responding to you a day ago but it didn't appear so I guess it was lost. I'll summarize a few key points. This isn't a case consultation, and I don't know if any of the following points apply in your case. Rather, these are general comments. Your post hits on a number of controversies. 1) When people do non-standard EMDR, when is it no longer EMDR. 2) If you are referring to Developmental Needs Meeting Strategy, understand that there is no research on its use, though I think many people find it valuable. 3) For highly dissociative individuals, namely DID folks, there is no research at all on any of the approaches, so those of us who are using dissociation protocols are using it based on clinical experience. Some of those who say they are treating dissociation with a non standard protocol aren't trained in dissociative disorders. 4) The standard EMDR protcol won't work with many highly dissociative individuals, because it is too flooding. It will work for some no doubt, but the practitioner should be trained in treating dissociative disorders. 5) For some people, the first EMDR targets they should approach are about whether its okay to have feelings or needs in the first place. Else all EMDRS with loop and loop, often because an introject is saying, "don't you dare need or feel." 6) trauma work for dissociatives needs to be fractionated, titrated down, so the affect isn't too intense or... 6b) work with internal parts will help allow access to affect if the client is numbed. Bottomline, dissociatives need to be treated by people trained in dissociative disorders.
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