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S.A.F.E. Approach to EMDR Therapy Somatic and Attachment Focused EMDR An EMDRIA Approved 6 Day EMDR Therapy Training www.emdr-training.net Deborah Kennard, MS, Founder and Author July 2019 Table of Contents Introduction.............................................................................................................................................................. 8 EMDR Basic Training Schedule ...................................................................................................... 10 The 3 S’s of this Training ................................................................................................................. 11 PTI Mission and Philosophy ........................................................................................................... 13 Personal Transformation Institute (PTI) Path.......................................................................... 14 Top Down Vs Bottom Up Processing ............................................................................................ 15 History and Overview of EMDR ..................................................................................................... 16 What is EMDR? ................................................................................................................................... 17 EMDR Incorporates Aspects of Other Orientations ................................................................. 18 PSTD and Reseach ................................................................................................................................................19 What is Post Traumatic Stress Disorder (PTSD)? .................................................................... 19 Research .............................................................................................................................................. 21 Introduction to the 8 Phases of EMDR Treatment...................................................................................22 Weaving In and Out of the 8 Phases of EMDR ............................................................................ 23 Conceptualize the Phases by Grouping Them ........................................................................... 23 Overview of the 8 Phases: Chart .................................................................................................... 24 3 Prongs of EMDR Treatment ......................................................................................................... 25 Model, Method, and Mechanism .................................................................................................... 26 Section I: The Adaptive Information Processing Model (AIP) ............................................................27 Basic Hypotheses of the AIP ........................................................................................................... 27 The Clinical Roadmap and the AIP ............................................................................................... 29 The Principles of S.A.F.E. EMDR Trainings ................................................................................. 31 Section II: The Answer ........................................................................................................................................34 The Problem Was Once an Answer............................................................................................... 35 The Answer Will Not Solve the Real Problem, It Actually Perpetuates It ........................... 36 Developed and Underdeveloped ................................................................................................... 37 Our Answers and Our Client’s Answers....................................................................................... 37 The 5 C’s of Working with “The Answer” .................................................................................... 38 The Background of “The Answer” ................................................................................................. 39 Questions to Find the Answer ........................................................................................................ 40 Character Types ................................................................................................................................ 41 Section III: Attachment .......................................................................................................................................43 2 EMDR and Attachment ..................................................................................................................... 43 Attachment: Styles and Assessment ............................................................................................. 44 Section IV: A Somatic Focus ..............................................................................................................................45 The Window of Affect Tolerance ................................................................................................... 47 Somatic and Attachment Focus (S.A.F.E.) .................................................................................... 48 The 8 Phases of EMDR and S.A.F.E. Additions ............................................................................ 50 Section V: Method: The 8 Phases ....................................................................................................................51 Phase 1: History Taking in the AIP Model...................................................................................................51 Treatment Considerations .............................................................................................................. 52 Client Readiness for Processing Criteria .................................................................................... 53 Phase 2: Preparation ..........................................................................................................................................55 Treatment Planning.......................................................................................................................... 58 The Goal of Resourcing and Stabilization ................................................................................... 60 Case Conceptualization .................................................................................................................... 61 Resource: More of Less of ................................................................................................................ 62 Resource: Arrows .............................................................................................................................. 62 Resource: Boundaries ...................................................................................................................... 64 Mechanics ............................................................................................................................................ 65 Resource: Metaphors........................................................................................................................ 65 Experiments to Increase a Client’s Window of Tolerance ..................................................... 65 Getting to the Root & Finding the Negative Cognition ............................................................. 67 Three Prongs of Treatment ............................................................................................................ 67 The Map Maker: Accessing Early Memories............................................................................... 69 Finding the Targets Getting to the Root of the Present Issue .............................................. 71 The Negative Cognition .................................................................................................................... 73 Positive Cognition ............................................................................................................................. 80 Phase 3: Assessment ............................................................................................................................................81 Procedural Steps ............................................................................................................................... 82 Worksheet ........................................................................................................................................... 83 Phase 4: Desensitization ....................................................................................................................................84 Feeder Memories ............................................................................................................................... 87 Blocking Beliefs ................................................................................................................................. 88 Phase 5: Installation ...........................................................................................................................................90 Phase 6: Body Scan...............................................................................................................................................91 3 Phase 7: Closure ....................................................................................................................................................92 Instructions for Closing All Sessions ............................................................................................ 93 Memories and Lies ............................................................................................................................ 93 Memories and Lies Chart ................................................................................................................. 94 Phase 8: Reevaluation ........................................................................................................................................95 Section VI: Completing the Treatment Plan ...............................................................................................97 Present Triggers ................................................................................................................................ 98 Section VII: Desired Future State ...................................................................................................................99 Desired Future State Worksheet ................................................................................................ 100 Treatment Planning....................................................................................................................... 101 Future Template Protocol ............................................................................................................ 102 Section VIII: Restricted Processing ............................................................................................................. 104 Eye Movement Desensitization (EMD) ..................................................................................... 104 Script for EMD ................................................................................................................................. 105 Restricted Early Events or Recent Events Protocol .............................................................. 106 Creating a Container: Exercise.................................................................................................... 109 What is Complex Trauma? ........................................................................................................... 111 Section IX: Review of the Model and Method .......................................................................................... 112 A Brief Description of EMDR ....................................................................................................... 112 Glossary of Terms........................................................................................................................... 112 Somatic and Attachment Focused EMDR Overview of Teaching Points .......................... 114 Review of the Adaptive Information Processing Model (AIP) ........................................... 118 Review Phase 1: History Taking in the AIP Model ................................................................ 122 Review Phase 2: Preparation Phase .......................................................................................... 123 Review Phase 3: Assessment Phase .......................................................................................... 124 Review Phase 4: Desensitization Phase – A Reprocessing Phase ...................................... 125 Review Phase 5: Installation Phase – A Reprocessing Phase ............................................. 128 Review Phase 6: Body Scan – A Reprocessing Phase ............................................................ 129 Review Phase 7: Closure ............................................................................................................... 130 Review Phase 8: Reevaluation .................................................................................................... 131 Section X: Review of Treatment Planning ............................................................................................... 132 Review of Completing the Treatment Plan ............................................................................. 133 Review of Reprocessing Present Triggers ............................................................................... 133 Review of Future Template ......................................................................................................... 134 4
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