Understanding Trauma-Related Dissociation of the Personality and Phase-Oriented Treatment, including EMDR Treatment, of Complex Posttraumatic Disorders (video-on-demand) with Denise J. Gelinas, PhD and Onno van der Hart, PhD
2 Day Workshop – Understanding Trauma-Related Dissociation of the Personality and Phase-Oriented Treatment, including EMDR Treatment, of Complex Posttraumatic Disorders with Denise J. Gelinas, PhD and Onno van der Hart, PhD
There is currently consensus that the EMDR standard protocol needs to be modified for repeatedly traumatized clients, such as clients with complex postraumatic and dissociative disorders, as it may destabilize them. Therefore, therapists need to understand the dissociative personality structures that exist in these clients, as well as their needs and capabilities during treatment, including EMDR procedures. Dissociation is not an epi-phenomenon of traumatic experience but rather its major feature. Based on an integrative failure, dissociation involves a division of the survivor’s personality, that is, of the dynamic biopsychosocial system as a whole that determines his or her characteristic mental and behavioral actions, into two or more insufficiently integrated subsystems. Some of these subsystems exert functions related to daily life, and others to dealing with overwhelming threat. The more severe the traumatization, the more dissociative parts – involving more complex trauma-related disorders – can be expected to exist. Dissociative parts have psychobiological boundaries that are maintained, to a large degree, by different trauma-related phobias, which need to be systematically resolved in phase-oriented treatment. Participants will become acquainted with the key concepts of structural dissociation of the personality and their implications for diagnosis and phase-oriented treatment, including EMDR therapy. This involves ways of relating dissociative symptoms to the underlying dissociation of the personality; recognizing dissociative interferences to therapeutic progress, identifying targets such as the dissociation-maintaining phobias and working with dissociative parts and their interrelationships. In all this the role of EMDR interventions during the respective treatment phases will be highlighted.
12 credits: EMDRIA, NASW, LMFT and LMHC, LPC and other NBCC approved masters level clinicians