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Initial targeting of traumatic material: Steps
Clients are ready to begin preparation for working on traumatic material when they have some internal communication and cooperation and have developed coping skills, which they are able to use during their daily lives to manage symptoms. Preparation…
Installing therapist, therapist's office, and maintaining duality
Clients with dissociative disorders (DD) or complex post-traumatic stress disorder (C-PTSD) often have issues concerning the "therapist's trustworthiness, inherent dangerousness and potential abusiveness" (Loewenstein, 1993, p. 66). Goals of this…
Integrating EMDR and ego state treatment for clients with trauma disorders
In this chapter, we will introduce what we have termed the "cross-training model," an approach that integrates several lines of psychotherapy theory, practice, and research in order to assist clients with complex presentations. This model consists of…
Orienting the ego state system to present reality (OPR)
The purpose of the Orienting to Present Reality (OPR) exercise is to help clients with a dissociative disorder, or help dissociative symptoms work with their ego state system to begin to experience present time and place. This generally enhances…
Safe space imagery
Portions of this chapter taken from "EMDR For Clients with Dissociate Identity Disorder, DDNOS, and Ego States" by Joanne H. Twombly, from EMDR solutions: Pathways to healing, edited by Robin Shapiro, 2005.) Since people with dissociative disorders…
She's come undone: A neurobiological exploration of dissociative disorders
Life is often an enduring struggle for people who have been chronically traumatized. Their suffering essentially recounts a horrifying and anguished past that haunts them, incessantly. As clients attempt to hide their sorrow beneath a veneer of…