EMDR Toolbox: Methods of Treating Complex PTSD and Dissociation within an Adaptive Information Processing Therapy Model
Presented by Jim Knipe, PhD
This is a course for therapists who are trained and experienced in using EMDR Therapy but who are stymied sometimes about how to structure therapy sessions for those clients with more complex emotional conditions. Additional EMDR-related “Tools”—conceptual models and specific therapy interventions—can significantly extend the therapeutic power of EMDR to many individuals who have suffered early, complex and prolonged abuse and/or neglect. These "Tools" supplement—not replace—what has already been proven effective in the use of the EMDR Therapy in the treatment of trauma.
The goals of this workshop will be:
- To develop an overview of an Adaptive Information Processing (AIP) model of the treatment of Complex Post-Traumatic Stress Disorder and other dissociative conditions; and
- To articulate specific EMDR therapeutic approaches to better resolve the psychological “knots” or "tangles" that impede progress. For example, several methods will be described, and illustrated, for safely accelerating therapeutic progress with clients presenting with avoidance, idealization, and shame defenses. In addition, methods will be described of using focused sets of bilateral stimulation to facilitate contact, communication, and integration among dissociated personality parts. Interventions will be presented not only in lecture format, but also in video case examples.
- Know an AIP theory of how dissociative personality structure and complex PTSD originate.
- Be able to identify three conceptually different types of damage to personality development that can occur as a result of difficult childhood experiences.
- Be able to describe three different ways of targeting and resolving avoidance defenses, and how these targeting methods may be modified for clients with dissociative personality structure.
- Know the important elements of EMDR-related treatment of addictive disorders: the essential elements of client selection and preparation, considerations in target selection (urges and triggers, dysfunctional positive affect, and/or unresolved conflict between dissociated personality parts), as well as important issues in treatment follow-up.
- Be able to describe several ways of identifying and then targeting idealization defenses.
- Be able to describe the origins of dissociative personality structure in both trauma and in early patterns of dysfunctional attachment to caretakers.
- Be able to describe the "Loving Eyes" method, which is an alternative to the EMDR Assessment Phase (EMDR Phase 3), for some clients with Complex PTSD and dissociative personality structure.
- Be able to describe the Back-of-the-Head Scale, a means of assessing, moment to moment, within the therapy session, the degree to which a client is oriented to present safety.
- Be able to describe the Constant Installation of Present Orientation and Safety (CIPOS) method. The purposes of the CIPOS method are 1) to teach the valuable skill of “state change,” the ability to shift from a “trauma reliving” state to a “safe, oriented-to-the-present” state; and 2) to safely facilitate trauma processing in clients who are highly vulnerable to dissociative abreaction.
- Be able to describe several particular approaches to use with combat veterans who are also exhibiting a dissociative personality structure.
- Be able to describe three methods of treating, with EMDR-related methods -- the psychological defense of shame – that is, chronic shame-based depression.
- Be able to describe the connections between shame-based depression and "the problem of attachment to the perpetrator," and participants will know several specific approaches to AIP targeting of dysfunctional attachments.
- Learn a Healing Dialogue method of facilitating personality integration, within an initially dissociative client, through the use of focused sets of bilateral stimulation, to target and resolve internal phobias between dissociative personality parts.
This workshop is intended for mental health professionals who have completed an EMDRIA-approved Basic Training (parts 1 & 2) and the required 10 hours of consultation. A copy of the Certificate of Completion of EMDR Basic Training is required for registration.
Hilton Austin Airport Hotel
9515 Hotel Drive
Austin, TX 78719
Saturday and Sunday, May 5-6, 2018
8:00 am to 8:30 am: Registration
8:30 am to 5:30 pm: Workshop
12:15 pm to 1:45 pm: Lunch Break (on your own)
About the Presenter
Jim Knipe, PhD, has been a licensed psychologist in private practice in Colorado since 1976 and has been using EMDR since 1992. He is an EMDR-HAP Trainer, an EMDRIA Approved Consultant and Instructor, and was designated a "Master Clinician" by EMDRIA in 2007. He was a Keynote speaker at the 2010 EMDRIA conference, 2015 EMDR Canada conference and was an invited guest speaker at the 2006, 2007, 2010 and 2014 EMDRIA Annual Conferences, the 2006, 2008 and 2012 EMDR-Europe Annual Conferences, the 2010 EMDR Asia Conference, and national EMDR conferences in Denmark, Germany, Scotland, Italy, Belgium, Sweden, Spain, The Netherlands, Turkey, Brazil and Japan. He has been involved with the EMDR Humanitarian Assistance Programs, serving as Coordinator for training programs in Turkey and Palestine, and serving on the Board of Directors and as Research and Training Director. He has also been involved in HAP programs in Oklahoma City, New York (following 9/11), Sri Lanka and Indonesia. In addition, he is a co-author of published outcome research documenting the effects of EMDR with survivors of 9/11 and with those traumatized by the 1999 Marmara earthquake in Turkey. Dr. Knipe has contributed chapters to EMDR Casebook (Manfield, 2002), EMDR Solutions, Volumes I and II (R. Shapiro, 2005, 2009),Healing the Heart of Trauma and Dissociation (2007), EMDR Scripted Protocols: Special Populations (Luber, 2009), and EMDR and Dissociation: the progressive approach (Gonzalez and Mosquera, 2012). His book, EMDR toolbox: Theory and treatment for complex PTSD and dissociation, was published in August, 2014, and he is a co-author (with Dolores Mosquera) of articles describing EMDR-related methods of targeting idealization defenses:
Mosquera, D., & Knipe, J. (2017). Idealization and maladaptive positive emotion: EMDR therapy for women who are ambivalent about leaving an abusive partner. Journal of EMDR Practice and Research, 11(1), 54-66
Mosquera, D. and Knipe, J. (2015) Understanding and treating narcissistic personality disorder with EMDR, Journal of EMDR Practice and Research. , 9 (1): 46-63