Case conceptualisation, treatment planning & target sequencing when using EMDR therapy with survivors of complex, early relational neglect & abuse: A framework integrating AIP, attachment theory & structural dissociation

When working with survivors of early, complex relational neglect and trauma, clinicians trained in EMDR therapy trained need a comprehensive framework for case formulation, treatment planning and developing a targeting sequence. This presentation integrates three conceptual models as a framework for case formulation, organizing treatment plans and predicting responses to EMDR procedures including RDI and standard EMDR reprocessing:

a) the Adaptive Information Processing Model (Shapiro, 2001), b) Adult attachment classification (Cassidy and Shaver, 1999; Main, 1996) and c) Structural Dissociation of the Personality (van der Hart, Nijenhuis, and Steele, 2006)

Clinical case examples illustrate practical clinical strategies for assessing attachment classification as a foundation for case formulation.

This presentation offers an approach to treatment planning that is informed both by symptoms and defenses. This symptom informed treatment planning approach incorporates elements of the parallel models of Korn (Korn, et al., 2004), Leeds (2004) and de Jongh, et al., (2010). Case example treatment plans will be presented in a visual format to illustrate how this model can be applied to simple and complex cases.

Conference

English

Andrew Leeds

Leeds, A. (2017, March). Case conceptualisation, treatment planning & target sequencing when using EMDR therapy with survivors of complex, early relational neglect & abuse: A framework integrating AIP, attachment theory & structural dissociation. Presentation (Gus Murray, Chair) at the 15th EMDR Association UK & Ireland Annual Conference & AGM, London, UK