Embed Size (px)
Citation preview
3/27/2018
1
Powered by
Attachment-Focused EMDR for Complex TraumaBuilding on the Standard Protocol:
an Audit of Reflective Practice
Mark BrayneEMDR Europe Accred Consultant / Parnell Institute Facilitator
LondonMarch 2018
Powered by
Arthur Schopenhauer 1818„Der Wahrheit ist allerzeit nur ein
kurzes Siegesfest beschiedenzwischen den beiden langen
Zeiträumen, wo sie als Paradoxverdammt und als Trivial gering
geschätzt wird.“
Incorrectly if widely known as: ‘Alltruth passes through threestages. First, it is ridiculed.
Second, it is violently opposed.Third, it is accepted as being self-
evident.’
3/27/2018
2
Powered by
The Agenda• Parnell’s AF-EMDR model has caused controversy
and confusion, at times both (mis)presented and(mis)understood as a significant deviation fromthe 8-phase/3-prong EMDR Standard Protocol.
• Collaborative case for welcoming this approach ascomplementary to/an enhancement of Standard-Protocol-Based/Researched/AIP-Model-CompliantEMDR Therapy.
• Esp in light of ICD-11 – complex trauma. SP“insufficient”.
Powered by
Disclaimer 1
• Laurel ParnellFacilitator/Trainer forpost-basic AF-EMDR
• Therefore commercialinterest – thoughminimal profit…
3/27/2018
3
Powered by
Disclaimer 2
Powered by
3/27/2018
4
Powered by
Background
• Proposal for this presentation early 2017 –(3rd go!)
• Helpful Derek: “Pity no research.” Carefulwhat you ask for…
• So, three-pronged research protocol:– Qualitative interviews with 8 AF-EDMR-trained
Consultants. Worcester Uni ethical approval– Survey Monkey with 87 Therapist responses.
(Two collectors: own EMDRF list of 430 +JISCmail).
– 49 of own clients past and present (of 164invited).
Powered by
History!!
3/27/2018
5
Powered by
Powered by
3/27/2018
6
Powered by
It’s Serious….
• Jan 2017 Accred Cttee: “Credits will be awardedonly to EMDR workshops with fidelity to FrancineShapiro’s latest definition of EMDR. In view of thiswe are unable to award CPD credits.”
• CPD points application for Parnell workshops Jan 2017.• Jiscmail comment: “Not EMDR as we know it.”
Powered by
What is EMDR? Standard Procedural Steps
The EMDR Therapy Protocol involves:
1. Accessing a distressing memory that generates a presentlyheld level of disturbance: image, cognitions (beliefs), emotionsand body sensations
2. Stimulating this disturbing memory bilaterally using DualAttention
3. Moving the memory – physically, in regard to subjectivedisturbance, and psychologically in terms of Av.ing
This is done in regard to eight distinct phases, considering thetriadic elements of Past – Present – Future.
All the rest is detail. D. Farrell, 2017
3/27/2018
7
Powered by
Standard Protocol/8 Phases/3 Prongs
Powered by
With AA – Added Attachment….
3/27/2018
8
Powered by
Parnell’s 5 Main AF-EMDR Principles1. Foster client safety2. Develop and nurture the therapeutic relationship to
facilitate healing3. Use client-centred approach4. DAS (“Create reparative neuro-networks through the use
of Resource Tapping”)5. Use modified EMDR whenever client needs require
Powered by
Five Main AF-EMDR Themes
1. Resourcing2. Target Selection3. Phase Three Modified4. BLS/DAS - Tapping5. Interweaves/structure
3/27/2018
9
Powered by
1 - ResourcingSP
AF-EMDR
Powered by
2 - Target Selection(Float/Affect/Bridge)
3/27/2018
10
Powered by
3 – Standard vs Modified Protocol
• Event• Image• NC• PC (same domain
etc)• VoC (1-7)• Emotion• SUDs (0-10)• Body
• Event• Image• Emotion• Body• Thought/Belief
(about self)• (SUDs) optional
R/LRLL
LRLR
R/L
R
R
R
L/R
L/R
Powered by
BLS / DAS
3/27/2018
11
Powered by
Other Forms of BLS
Powered by
Session Structure (bridging/“petalling..”)
Future Template Present Trigger First Association Touchstone+Channels
1
32
5
4
67
3/27/2018
12
Powered by
It’s a Kind ofMagic!
(and very transpersonal)
Powered by
So, Research…..
Three Prongs• Survey Monkey Therapists
1. EMDR Focus mailing list (400+, of whom≃ 250 personally Parnelll-trained)2. JISCMail (1000+) and Blog ( 87 returns)3. Survey Monkey Own Clients (2007-
present)• 164 BCC-ed invitation• 49 returns
• Qualitative w/ Consultants– Semi-structured IVs– Uni Worcs ethics
3/27/2018
13
Powered by
Prong 1 –Survey Monkey Therapist Qs• Core training in mental health?• Year completed basic EMDR training (Part 3/4)• Level of training and experience in EMDR• For what share of your client/patient work do you use EMDR?• Level of training in Dr Laurel Parnell’s approach to AF-EMDR• For what share of that EMDR work do you use AF-EMDR tools• In particular, how regularly do you tap in nurturing, protector and wise figures in Phase 2?• How regularly do you use proactive Bridging to identify attachment-related targets• To what extent do you use the Modified vs the Standard Protocol• What form of BLS do you mostly use in Phase 4?• To what extent do you use proactive, imaginal, and where useful rescue interweaves in
Phase Four• What percentage of the time do you complete a session with tapping in a positive
outcome• To what extent in your EMDR practice and supervision do you experience Dr Parnell’s
Modified Protocol/AF-EMDR as in conflict with the Standard Protocol.• What difference has knowledge/use of Dr Parnell’s AF-EMDR/Modified Protocol approach
made to your practice of EMDR?• What are your views on the implications of AF-EMDR, including the Modified Protocol, for
the practice, learning and teaching of EMDR Therapy?
Powered by
Core training in mental health – of 87
34
22
15
11
3
1
1
0 5 10 15 20 25 30 35 40
Psychotherapy
Psychology
Counselling
Nursing/NHS
Psychiatry
Family therapy
Occupational Therapy
3/27/2018
14
Powered by
Level of training and experience in EMDR +Year completed basic training
3
5
18
40
19
0 10 20 30 40 50
Late 90s
2000-2005
2005-2009
2010-2014
2015-2018
Year Finished Basic
1
17
34
35
0 10 20 30 40
Accred Trainer
Accredited Consultant
Accredited Practitioner
At least Part 3
Total
Powered by
Highest Level of Training in Laurel Parnell’sapproach to AF-EMDR
29
26
26
4
0 10 20 30 40
2-days
3-days
Books/Spvn
Not AF-EMDRtrained
3/27/2018
15
Powered by
For what share of your client/patient work doyou use EMDR / AF-EMDR tools?
0
20
40
60
80
100
120
0 20 40 60 80 100
EMDR share
Median 68%
0
20
40
60
80
100
120
0 20 40 60 80 100
Of which AF-EMDR share
Median 70%
%
Powered by
In particular, how regularly do you tap in nurturing,protector and wise figures in Phase 2 / Use Bridging fortarget identification?
0
20
40
60
80
100
120
0 20 40 60 80 100
Resource Team
Median 72%
0
20
40
60
80
100
120
0 20 40 60 80 100
Bridging
Median 70%
%
3/27/2018
16
Powered by
Attachment /Resourcing/Interweaves
• “There is real magic in using the creative interweaves andresource figures that has made huge a difference with someclients”
• “Installing wise, nurturing and protective figures has been agame changer. Has enabled me to use EMDR with morecomplex clients”
• “I offer a person, animal or magic power (or all of the above).My client today chose Solomon the owl from the Sara andSolomon books, to deal with DV witnessed as a child.Solomon immediately told her it was not her fault! I could notdo effective EMDR without this resourcing.”
Powered by
Modified vs Standard Protocol in Phase 3 +proactive/imaginal interweaves
0
20
40
60
80
100
120
0 20 40 60 80 100
MP vs SP
Median 67%
0
20
40
60
80
100
120
0 20 40 60 80 100
Creative interweaves
Median 70%
3/27/2018
17
Powered by
Comments 4 – Modified ProtocolAssessment Phase 3
• “I am 100% fan of AF-EMDR and only use the standard protocol now if Ipurposefully want the client to move between right and left brain.”
• “I have always struggled with NCs and PCs - always felt I was moving theclient into a different part of the brain.”
• “I used to spend a significant part of assessments struggling with domainsand effectively diverting my clients from the experience into intellectualisingand often leaving myself feeling incompetent or deskilled as a result.”
• “Trying to elicit SUDs for a negative cognition and a PC/SUDs is often just toodifficult for the client and can generate thoughts and feelings that they aregetting it wrong, not good enough or stupid; which invariably feeds straightinto their negative thoughts about themselves.”
Powered by
What form of BLS mostly use? Top 3 choices
Tappers (buzzers held in hand or under thighs etc) 27 31% 17 20% 9 10%
Eye Movements using Arm 24 28% 17 20% 12 14%
Tappers/headphones together 10 11% 2 2% 8 9%
Eye Movements using Light Bar or Other Equipment 9 10% 12 14% 10 11%
Headphones (with tone generator or smartphone app) 6 7% 8 9% 4 5%
Hand taps on side of knee 5 6% 10 11% 14 16%
Other 4 5% 4 5% 2 2%
Hand taps on top of knee 1 1% 8 9% 16 18%
Hand taps on back of client's hands 1 1% 9 10% 12 14%
3/27/2018
18
Powered by
What percentage of the time do you complete asession with tapping in a positive outcome?
Median 61%
Powered by
To what extent in your EMDR practice and supervision do you experience DrParnell’s Modified Protocol/AF-EMDR as in conflict with the StandardProtocol.
0
20
40
60
80
100
120
0 20 40 60 80 100
Conflict?
Median 10%
• “I'm disappointed by some of the divisions ithas led to in the community. I'm not sure whyit has been so controversial when otherdevelopments haven't been.”
• “I think the AF-EMDR are sensible innovationsto SP, and shouldn't be seen as heresy etc.”
• “I simply don't understand what the fuss is allabout!”
• NB – several of high scores observe a conflict,but don’t believe necessary, so skewedsomewhat…
• Should have had 2 Qs. Do you observe aconflict? Do you experience a conflict?
3/27/2018
19
Powered by
What difference has knowledge/use of Dr Parnell’sAF-EMDR/Modified Protocol approach made to yourpractice of EMDR?
• “My EMDR practice has totally changed andexperience of my practice (subjectively andfeedback from clients) is that my empathy andwarmth is noticeably increased.”
• “I was unable to use EMDR with my clients. I felt itwas clunky, irrelevant to them and I felt unskilled.Learning AF-EMDR has totally turned my practicearound. “
• “I never (or rarely) feel stuck any more as atherapist, even with very complex patients.”
Median 80%
Powered by
“In conflict?”• “I use the standard protocol the majority of the time but don't see a conflict in practice in
using the modified protocol.”• “I'm disappointed by some of the divisions it has led to in the community. I'm not sure why
it has been so controversial when other developments haven't been.”• “Clients very often change their positive cognitions before- as against post-processing. I have
seen no convincing explanation of why this initial stage is so important, particularly asclients often find it hard to grasp and that it takes them too much into thinking rather thanfeeling.”
• “My new supervisor will not supervise me on any modified protocols while going throughthis process of application. I would use this more, if allowed, and shall use it more onceaccredited.”
• “Having experienced AF -EMDR and EMDR myself as well as practising both, they in myopinion have an equally rightful place for healing our clients and there is no conflict in theuse of them both.”
3/27/2018
20
Powered by
Positive• “Although I'm a consultant in training (and am therefore aware of the need to supervise my
supervisees in the standard 8-phase protocol and need to demonstrate for my supervisor myunderstanding and use of it) the use of the adapted protocol has changed for the better myown practice with patients. Not asking for a PC and use of resource figures along with theaffect bridge have helped patients the most.”
• “I have found AF-EMDR invaluable as a rapid, potent and successful intervention in anxiety-related issues.”
• “The effect with the small number of people I have worked with so far has beentransformative.”
• “My experience was astounding and my patient has had his first breakthrough of feelingwarmth and love for himself.”
• “AF-EMDR has revolutionised my practice. It has brought a more spiritual and transpersonalelement to the work.”
• “Well done […] for leading the way (at great personal cost vs. 'the gatekeepers') to help uscontinue to develop our ability to help our clients. The latter is all that matters!”
Powered by
Negative – v. small minority
• “I do not feel it adds anything and you can be creative with the standard protocol. By beingclient-centred you can miss out aspects if that is what is needed.”
• “The exponential growth and accessibility of EMDR within the UK is in large part due to theinclusion within the NICE framework and therefore its adoption by IAPT and other mentalhealth therapy services. We need to be mindful of keeping fidelity to the model that createdthis opportunity for growth until the evidence base […] catches up.”
• “AF-EMDR has potential but I’d be more open to it if there was an evidence base.”• “There seem to be a blossoming number of modified protocols for EMDR these days but little
research into their efficacy that I can see.”• “Personally I feel you need to know the standard protocol inside out before applying the
modified protocol.”
3/27/2018
21
Powered by
“Rigidity”• “For me, challenging the 'received orthodoxy' of the standard protocol and EMs is akin
to the little boy saying the king's got no clothes on!”• “I wish there was more tolerance from those I trained with originally with the strict
standard protocol.”• “I was unable to use EMDR with my clients. I felt it was clunky, irrelevant to them and I
felt unskilled. Learning AF-EMDR has totally turned my practice around. The modifiedprotocol is easy to use, fits into 'usual' psychotherapy practice and can usually becompleted inside the therapeutic hour.”
• “Need to demonstrate and use ‘standard protocol’ has put me off going foraccreditation.”
• “I found Laurel’s 3-day course really validating as I had found the standard protocolquite restrictive and clunky in my complex work.”
Powered by
Summary learning from Prong 1
• Those trained find this approach (largely) very helpful• There is significant concern about “rigidity”• Hunger for Attachment training/awareness• SP insufficient for Complex Trauma (cf CPTSD and ICD-11 etc)• Some disquiet about proliferation of protocols/lack of
research• Via JISCMail, wider community had chance to contribute• For EMDR’s sake, our clients’ and our own, we need to
transcend this.
3/27/2018
22
Powered by
Prong 2
• Survey Monkey OwnClients (2007-present)–164 BCC-ed
invitation–49 returns
• OK, subjective!
Powered by
How valuable/successful do you rate your therapy tohave been (so far, if continuing)?
0 20 40 60 80 100 120159
13172125293337414549
Median 85% Av. 83%
3/27/2018
23
Powered by
How important in your experience was the focusin therapy on individual events/moments in thepast, with bilateral stimulation, e.g. buzzers,headphones, eye movements, hand taps?
How helpful do you feel it was when/if yourtherapist asked for numbers (e.g. 0-10 on emotionsor 1-7 on a positive belief) to rate your thoughtsand feelings in the moment?
Av. 87%, Median 90% Av. 73%, Median 75%
EMDR General Distinctive
Powered by
Attachment-Focused EMDR DistinctiveHow useful was the work you did at the outset ofEMDR therapy to identify nurturing/protector &wisdom figures?
How important do you feel your therapist’sinterventions (interweaves) were duringprocessing in helping towards resolution.
Median 85%Median 70%
3/27/2018
24
Powered by
Did you get from EMDR therapy what youcame for?
Would you recommend this kind ofEMDR to friends/colleagues/family?
0
20
40
60
80
100
120
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52 55 58
Median 100% Av. 90%
0
20
40
60
80
100
120
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52 55
Median 90% Av. 83%
Does AF-EMDR work?
Powered by
What made the difference 1?• “My beings of protection, love and wisdom that I created and
connected to at the beginning of the work helped to keep me safethroughout the EMDR work and have stayed with me on myjourney to this very day.”
• “While a strong advocate of EMDR, the therapist was not anevangelist or zealot. That was appreciated much and made thetherapy more credible.”
• “I don't know which bits specifically helped but the process had aHUGE impact on the traumatic PTSD symptoms. Life-changing.”
• “Identifying and releasing the circumstances, situations and peoplethat had hindered me on the way to the present day. It wasn't thebig physical traumas that did the damage - which was amazing tofind out. And then releasing them, almost like an exorcism.”
3/27/2018
25
Powered by
What made the difference 2?• “The ability to bridge back to experiences otherwise considered unrelated.”
• “I found that the therapy focused too much on my past and wanted to jump far tooquickly to childhood. While there is indeed trauma relating to early life, dealing morewith the present day issues at the outset for longer would have been more beneficial.I also found that the therapy did not equip me with specific coping mechanisms forfuture life.”
• “For me it was not just EMDR but the role of the therapist. I felt safe […] and thereforewas more able to trust the process. I believe that [my therapist’s] experience was alsoan important factor in why EMDR worked for me.”
• “How fast we got to the core of the issues we were dealing with. Rather than sittingon the banks of the river observing the water (which also can be extremely useful),we plunged into depths very quickly, and yet it felt safe and containing.”
Powered by
Anything else?
• “It’s helpful to go so deep so quickly (once a good secure base / safe space hadbeen established) and know that I could dip in and out as often as necessaryand be safe and feel the steady progress.”
• “EMDR worked for me. But I needed the therapy and interventions that camewith it also. It’s a powerful process and has to be handled by experts.”
• “On reflection I feel that maybe the sessions themselves need to be moreopen-ended and therapists need to extend their time if someone is unable toreach a safe place. In my case this never happened but I have heard fromfriends of people coming away from sessions in quite helpless states.”
• “This work changed my life in a positive way and having this experience hasinspired me to train in EMDR therapy and specialise in the field of trauma.”
3/27/2018
26
Powered by
Anything else 2?• “There are many therapists who are EMDR trained but use it sparingly.
Your dedication to the process brings concrete results and goes deeperthan unpacking the original trauma. I particularly appreciated your useof dreams in the process.”
• “One thing I don't think I was adequately prepared for was the sideeffects of the EMDR. I could basically not function for the two months ofmajor treatment, nor the two after it as things fell back into place.Preparing people for that impact would help them have a wholly positiveexperience.”
• “As well as softening the impact of trauma, EMDR has allowed me toaccess an internal world rich in archetypal images. It has given me faithin their wisdom so that I now trust these images that frequently arise, inmy day to day life, not just in EMDR, as metaphors for truth that myconscious mind can then interpret.”
Powered by
Prong 3 – Qualitative Interviews• Eight interviewees - all EMDR Europe
Accredited Consultants• Completed basic EMDR training late 90s
to late noughties• From cohort of 117 PI trainees from 3-
day workshops in UK 2015-17. Of whom• Heuristic / Clark Moustakas• “Co-Researchers”• Semi-structured interviews• Transcripts checked, fileted to Excel• Preliminary & key points summarised
3/27/2018
27
Powered by
The Question
• What is the experience of EMDR Europe-accredited Consultantsin the UK and Ireland in the learning, teaching and practice of DrLaurel Parnell’s model of Attachment-Focused EMDR, asevidenced in the proactive use of:
– Imaginal Nurturing/Protector/Wisdom resource figures in Phase TwoPreparation;
– The Bridging Technique as a central Av.s of target identification in Phase ThreeAssessment;
– The Simplified/Modified Protocol in Phase Three Assessment;– and of Creative and Imaginal Interweaves in Phase Four processing and
session structure.
Powered by
The Interview• What is your understanding of the role of Adaptive Information Processing (AIP) in EMDR?• What is your experience and understanding of the EMDR Standard Protocol? Both in
practice with clients and in the provision of supervision.• What drew you to Dr Parnell’s model of Attachment-Focused EMDR?• In your experience, how does this AF-EMDR model fit/complement/comply with fidelity to
EMDR as defined in Francine Shapiro’s standard text/Standard Protocol?• What do you consider to be the key elements of AF-EMDR?• How do you integrate/accommodate these in your clinical work - with clients and with
supervisees?• How do you negotiate – in client work and supervision - what some see as tension
between Parnell’s AF-EMDR model and her Modified Protocol and the Standard Protocol(as in, some say this is “not EMDR”)?
• What are your views on the implications of AF-EMDR, including the Modified Protocol, forthe teaching and learning of EMDR Therapy?
3/27/2018
28
Powered by
What drew you to Parnell• Resourcing, Resourcing, Resourcing…• “I've always really valued attachment theory so for me it felt quite a relief to
see it being taught in that way and integrated into EMDR.”• “She took a lot of very complex, structured, potentially quite scary procedures,
and she made them look so easy. And not only did she make it look easy but itwas easy.”
• “When you do Laurel’s type of resourcing with the figures, it brings incomplete magic control. It's far more powerful.”
• “Those who are used to working with relationship and attachment anyway, toforce them into rigid adherence to a standard protocol is verycounterproductive. Whereas those who have not got a psychotherapeuticbackground, you don't want them to be climbing in too vigorously withattachment and relationship until they've got the basic structures of EMDR.”
Powered by
AIP
• “I think for me it complies with the AIP model verywell.”
• “What Laurel has been doing is entirely in accordancewith the AIP model, it's just richer and deeper.Particularly in terms of the resources.”
• “The AIP model is not literally just the healing of awound, it is the much richer multi-dimensional creationof a healing narrative, of a healthy narrative wherepeople haven't had one.”
3/27/2018
29
Powered by
SP vs MP – Complement/Conflict• What IS the SP? And I think the Standard Protocol is very much… We're thinking about the
negative and positive cognitions and the VoC, SUDs, um, and so on. And we're really followingthat. (i.e. Widely seen as the specific ordering of Phase 3).
• “I do get the Positive Cognition, I do get the SUDs and the VoC at the end. I'm getting the entireStandard Protocol, but just not at the set-up at the beginning.”
• “I do every now and again try the Standard Protocol, and I find it so cumbersome and so clunkycompared to the Modified Protocol that I tend to use the Modified Protocol with almost all myclients now, and I get just as wonderful results really.”
• “I've been really personally very annoyed and pissed off with the Association's rigidity withregards to the Standard Protocol, and the lack of willingness for discussion. I think it's changingslowly, but I found it really quite offensive how closed they are to having discussion.”
• “The positives are is that it [SP] provides a framework for people who are just learning, and thatbasis from which to learn and at some stage be creative. […] Some people I was finding weregoing off left, right and kilter and not sticking to the Standard Protocol, and kind of making a messof things. So the positives are that it provides that framework.”
Powered by
Spot the Difference
3/27/2018
30
Powered by
Key Elements
• “I wouldn't dream of doing any EMDR without doingall of the resources and the bridging.”
• “I don't remember any transpersonal work within thebasic training. And if you ask the clients that I'veworked with, the bits that they really remember arethe magical parts of the transpersonal, and they arethe most powerful that I've experienced as atherapist.”
Powered by
Implications• “I feel very uncomfortable with thinking that something is divinely
inspired, and that unless you do it in a very specific order and in aspecific way... That's religion and I feel very uncomfortable with thatrigidity to an orthodoxy, which I think is dangerous.”
• “For the purposes of becoming an accredited practitioner they needto know the Standard Protocol, and that it's my responsibility whenputting them forward for accreditation to be able to say that I knowthat they know how to use it.”
• “All of my supervisees I have trained in the Laurel Parnell model withthe resource figures, modified protocol and that attachment, birthto now. So although they haven't done the Laurel Parnell training,because our Trust won't pay for them to go to do it, they've all beentrained in it.”
3/27/2018
31
Powered by
Is this EMDR?
• “The Modified Protocol is absolutely fundamentally,100% IS EMDR and to say that it's not EMDR becauseyou're not following a sequence of things in a specificorder, a specific way, I think it's absolutely small-minded.”
• “I don't see that there's any conflict, because […]Laurel's practice IS EMDR.”
Powered by
Future
• “I’m massively proud to be part of EMDR UK and Ireland. I wouldn't behere if it wasn't for them. And I just feel like we need to embraceinnovation, and we need to embrace creativity.
• “There is nothing wrong with the way we've been doing it for so long,but, I think when you dig your heels in and you defend against new stuff,it reduces, it reduces the efficacy and it reduces the belief. It's likedogma, and no one needs that. We need to be innovative.”
• “I would actually like to see her work integrated in the training. I thinkthat would be a huge positive step, because you're bringing in a lot moreof her work and you're showing that actually it's not so rigid. It's stillEMDR, and I can't see how anyone can say it isn’t.”
3/27/2018
32
Powered by
Comment…• Colleagues (esp those critical of Parnell) have called for research.• These ARE data. And very consistent.• Ideally would have heard from 1000+ but a good range of
responses.• My bias will inevitably have come through? Respondents know
me and my agenda.• People did respond, if self-selecting, and even if some internal
inconsistencies in response (e.g. especially on conflict.)• Did I frame the questions the right way to get at what was
needed?• Implications for Practice and Research…
Powered by
Key Takeaways• Some negatives. But overwhelming positives. This stuff works!• Central role of therapeutic relationship in more complex trauma• Importance of resourcing/creative imagination/safety/ structure.• And of proactive bridging for attachment-related target
identification.• SP = 8 phases and 3 prongs. Standard Procedural Steps. Not just
Phase 3 as widely misunderstood.• AF-EMDR as trained by Parnell is viewed by those who use and
experience it as mainstream EMDR.• Parnell - not referenced, labelled “not-EMDR” - is wrongly viewed
as an outlaw. Appeal to all to get beyond the politics/personalities.
3/27/2018
33
Powered by
Parnell is a big name in the trauma field
• Siegel• Porges• Pat Ogden• Peter Levine• Bessel vd Kolk• Richard Schwartz• Stan Tatkin• Christine Padesky• AND Laurel Parnell
Powered by
Reminder: Schopenhauer 1818
All truth passes throughthree stages.
First, it is ridiculed.Second, it is violently
opposed.Third, it is accepted as
being self-evident.
