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1 RESOLVING TRAUMA AND DISSOCIATION USING ENERGY
HEALING METHODS
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Objectives
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Recognize the major components of EMDR and energy psychotherapies
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Grasp indications/risks/contraindications for their use with dissociative
disorders
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Know how to use energy healing methods to support EMDR
Presenter: Gary Peterson, MD
www.energyhealing.net
2 DSM_IV DISSOCIATIVE DISORDERS
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Dissociative Amnesia
Not recalling events that
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Dissociative Fugue
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Dissociative Identity Disorder
(formerly Multiple Personality Disorder)
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Depersonalization Disorder
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Dissociative Disorder NOS
3 DISSOCIATIVE IDENTITY DISORDER DIAGNOSTIC CRITERIA
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2+ Identities or Personality States
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Recurrently control behavior
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Inability to recall personal information
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Not due to substance or medical condition
(In children: not imaginary playmate or fantasy play)
4 WORKING WITH DISSOCIATIVE DISORDERS
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Develop Treatment Frame
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Establish Therapeutic Alliance
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Monitor Countertransference
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Encourage and Sustain Safety
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Support Stabilization
5 WORKING WITH DISSOCIATIVE DISORDERS
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Understand the system
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Contract with alters
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Confront internal perpetrators
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Educate and Update Cognitive Errors
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Be evenhanded
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Be consistent
6 WORKING WITH DISSOCIATIVE DISORDERS
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Increase Communication & Cooperation
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Decrease Barriers
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Metabolize Trauma
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Go Fast Slowly
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Aim for fusion over a corporation
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Treat the “single personality disorder”
7 POINTS TO CONSIDER BEFORE ADDRESSING TRAUMA
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Informed consent
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Secondary gain
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Ego strength
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Therapeutic relationship
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Age
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Length of session
8 ADDRESS NECESSARY MEDICAL ISSUES
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Medication
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Medical condition
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Hospitalization
9 COMMON CHALLENGES
SLEEP DISTURBANCE
NIGHTMARES
HEADACHES
SUBSTANCE ABUSE
SELF-INJURIOUS BEHAVIOR
SEXUAL PROMISCUITY
“
DEATH” OF AN ALTER
MISSING BLOCKS OF TIME
10 ENERGY VS. EMDR PROCEDURES
STEPS EMDR ENERGY PSYCHOTHERAPIES
EVALUATION Client history taking Assumed done
EDUCATION Introduce to the theory Introduce to theory
PREPARATION Review procedureSafe place, stop signal Review procedure
KINESIOLOGY N/A Manual muscle testingCorrect neurological disorganization
ATTUNEMENT Assessment Phase Picture Negative cognition Positive
Cognition Validity of Cognition Emotion Subjective Units of Distress
Body feelingMay return to Target Straight forward requestRepeated
attunement or locked in disturbance (“thought field”)
TREATMENT Dual attention taskDesensitize with bilateral stimulation – visual,
auditory or kinestheticAugment with cognitive interweave, if needed.
May Therapy LocalizeTreat with tapping, touching, rubbingCorrect
Psychological (psychoenergetic) Reversals
ANCHORING Install Positive Cognition Body Scan Eye roll procedure
ASSIGNMENT Record new insights May re-treat if needed
VALIDATION Follow-up SUD Demonstrated results
FUTURE PROJECTION Future template Positive outcome projection
11 PROBLEMS WITH USING EMDR
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Training is complex/expensive
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Client preparation is elaborate
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May take more than 50 minutes
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Eroding dissociative barriers
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Inducing abreactions
12 PROBLEMS WITH USING EMDR
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Residual processing discomfort
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Premature/inappropriate application
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Might uncover unrealized dissociation
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Few informed colleagues
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Insurance company may not reimburse
13 ADVANTAGES OF USING EMDR
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Established effectiveness for PTSD
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Brings out client’s strengths
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Can be applied to any form
of clinical practice
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Focuses on specific target/problem
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Generalizable positive effects
14 ENERGY PSYCHOTHERAPY QUANDARIES
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Existence of Qi
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Authenticity of meridians
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Few published controlled studies
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No protocol quality control
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No training standards
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Few informed colleagues
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Can seem peculiar or spooky to clients
15 ENERGY PSYCHOTHERAPY ADVANTAGES
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Relatively easy to learn
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Simplicity of client preparation
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Can be used throughout treatment
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Ease of application
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Rapidity of effect
16 ENERGY PSYCHOTHERAPY ADVANTAGES
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Residual sense of peacefulness
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Calming/self-soothing techniques
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Procedures can be used outside of session
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Major events resolved in a short time
17 USING EMDR WITH ENERGY METHODS
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Both incorporate calming methods
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EMDR uses resource installation
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Clearing psychological reversal can facilitate desensitization
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Energy therapy can decrease disturbance at end of EMDR session
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Energy therapy can buffer abreaction
18 COMMONLY USED ACUPOINTS
19 PROBLEM RESOLUTION PROCEDURE
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Preparation addressing alters
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Identify target
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Address resistance
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Identify Emotion and scale disturbance
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Floatback keyed to emotion
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Develop reminder phrase
20 PROBLEM RESOLUTION PROCEDURE
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Correct assumed reversal
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Balance with sequences of meridian tapping
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Use balancing procedure
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Evaluate progress
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Check for target shift
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Correct mini-reversal
21 PROBLEM RESOLUTION PROCEDURE
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Anchor resolution of disturbance
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Enhance desired outcome
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Anchor desired outcome
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Follow up on results
22 COMPREHENSIVE ELABORATED EYE ROLL
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Tap SI-3 (Back of hand)
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While rolling eyes up
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And breathing in
Ø Close eyelids
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While breathing out
Ø Open eyes after shift is complete
23 ENHANCING DESIRED OUTCOME
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Client describes desired outcome
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Client scales the projection (0-10 level of belief)
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Client affirms desired projection
Ø Client taps TE-3 (Back of hand)
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Clinician describes desired outcome while tapping
Ø Scale projection; if below 8, continue process
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