The wreathing protocol: The imbrication of hypnosis and EMDR in the treatment of dissociative identity disorder, dissociative disorder not otherwise specified, and post-traumatic stress disorder

The Wreathing Protocol has been designed as a thorough, planful, and parsimonious way to protect trauma patients from decompensation during the middle phase of trauma. This protocol helps trauma patients not only approach abreactive material with safety but it also furthers more complete metabolism of their dissociated conflictual experiences. It presumes sophistication and fluency on the part of the clinician who ought to be skilled in advanced hypnosis techniques, ego state therapy, and controlled fractionated abreactions without the use of formal hypnosis or EMDR. To best illustrate the discrete interventions amidst the complexity of dissociative responses, the operationalized EMDR protocols will be exemplified in the paradigmatic dissociative disorder, dissociative identity disorder (DID); however, they also apply for lesser dissociative disorders, dissociative disorder not otherwise specified (DDNOS) and post-traumatic conditions particularly when using an ego state model as an organizing principle in the treatment.

Book Section

English

Catherine Fine

Fine, C. (2010). The wreathing protocol: The imbrication of hypnosis and EMDR in the treatment of dissociative identity disorder, dissociative disorder not otherwise specified, and post-traumatic stress disorder. In M. Luber (Ed.), Eye movement desensitization (EMDR) scripted protocols: Special populations (pp. 329-347). New York,NY: Springer Publishing Co