EMDR in the Treatment of Adults Abused as Children

by Parnell, Laurel

• ISBN13: 9780393702989
• ISBN10: 0393702987
• Edition: 00
• Format: Hardcover
• Copyright: 1999-06-17
• Publisher: W. W. Norton & Company

Summary

Treatment of abuse survivors is extremely challenging, whatever the modality. Clients may experience intense emotional abreactions during therapy, report horrifying memories, and become stuck processing their experiences.

Author Biography

Laurel Parnell, Ph.D., is a clinical psychologist in San Rafael, California, and an EMDR instructor. She is the author of Transforming Trauma: EMDR.

Table of Contents

Introduction	ix
My Background	xi
Conventions Used throughout This Book	xii
Acknowledgments	xiii
PART I: TREATING ADULTS ABUSED AS CHILDREN WITH EMDR
The EMDR Model	1	(17)
EMDR's Discovery and Development	1	(4)
Theoretical Model for Understanding EMDR Processing	5	(7)
Review of Basic EMDR Protocol and Procedures	12	(6)
Primary Treatment Issues and Symptomatology	18	(14)
Treatment Issues with Adults Abused as Children	18	(13)
Therapist Attitude	31	(1)
Important Considerations in Using EMDR with Adults Abused as Children	32	(13)
Early Childhood Abuse and Alterations of Standard EMDR Protocol	32	(13)
Adjunctive Therapeutic Tools	45	(12)
Adjunctive Tools	45	(12)
PART II: THE PHASES AND ORGANIZATION OF EMDR SESSIONS AND TREATMENT
The Beginning Phase: Assessment, Preparation, and Ego Strengthening	57	(31)
Presenting Problems	58	(1)
History-Taking and Evaluation	59	(5)
Establishing a Strong, Safe Therapeutic Container	64	(3)
Identification, Development, and Installation of Inner and Outer Resources	67	(6)
Positive Internal Resource Images for Further Ego Strengthening	73	(11)
Resource Installation	84	(2)
Reinforcing Skill Development and Sense of Mastery	86	(2)
The Middle Phase: Processing and Integration	88	(14)
Safety, Responsibility, and Choices	89	(1)
Treatment Planning	89	(2)
Working with Abreactions	91	(3)
Varieties of Client Experiences during EMDR Processing	94	(6)
Pacing of Treatment	100	(2)
The End Phase: Creativity, Spirituality and Integration	102	(11)
Who Am I Now?	103	(2)
Uses for EMDR in the End Phase	105	(4)
Tune-ups	109	(4)
PART III: TOOLS AND TECHNIQUES FOR INDIVIDUAL EMDR PROCESSING SESSIONS
Beginning EMDR Processing Sessions	113	(22)
Check-in and Reevaluation	113	(1)
Modifications of the Standard Procedural Steps	114	(7)
How to Develop and Use Specific Targets for EMDR Processing	121	(14)
The Middle of EMDR Processing Sessions	135	(25)
Working with Looping and Stuck Processing	135	(25)
Suggestions for Closing Incomplete Sessions and Helping Clients Manage Between Sessions	160	(13)
Processing to the End	160	(1)
Closing Incomplete Sessions	161	(8)
Suggestions for Helping clients Manage Between Sessions	169	(4)
PART IV: CASES
Case Sessions Demonstrating Various Techniques	173	(21)
The Case of Anya: Working with Powerful Somatosensory Abreactions	173	(10)
Gina's Sessions: Putting the Pieces Together	183	(5)
Theresa: Two Sessions Demonstrating the Use of Interweaves	188	(6)
Christina	194	(15)
References	209	(8)
Index	217