Clarity in EMDR conceptualisation: Preparation and treatment planning for complex cases

Discussions are ongoing in the field of EMDR Therapy about whether there is a valid need for stabilisation prior to memory reprocessing in complex trauma presentations (Boterhoven et al., 2020; de Jongh et al., 2016; Dominguez & Martin, 2023). This workshop presents a capacity based transdiagnostic framework for EMDR complex case conceptualisation, that includes detail on both the preparation phase and overall treatment planning. This case conceptualisation framework includes: 1. assessment of clients’ integrative capacity from a transdiagnostic AIP (Shapiro, 2018) perspective that draws on theory, knowledge, and skills from therapies to treat dissociation (Steele et al., 2015; van der Hart et al., 2006); 2. skills to regulate the body (Ogden et al., 2006; Ogden & Fisher, 2015; van der Kolk, 2015) and nervous system (Dana, 2021; Porges, 2021; Porges & Dana, 2018; Kase, 2023) during preparation and reprocessing; and 3. the development of attachment and relational capacities (Siegel, 1999; Porges, 2021; Knipe, 2015) that are foundational elements of healing interpersonal trauma across the life span (DeAngelis, 2019; Geller & Porges, 2014). The conceptualisation framework presented here informs therapists about clients’ needs during preparation for EMDR reprocessing, and what type of EMDR memory reprocessing is likely be tolerable and effective. The presentation will include a critical review of the literature examining the need for stabilisation in complex PTSD treatment, and clinical cases will be used to illustrate which aspects of complexity indicate a need for extended preparation to facilitate effective memory reprocessing, integration, and healing.

Conference

English

Sarah Schubert
Catherine Hynes

Schuber, S., & Hynes, C. (2024, May). Clarity in EMDR conceptualisation: Preparation and treatment planning for complex cases. Presentation at the EMDRAA Conference, Broadbeach, Queensland, Australia