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Manual Attachmentfocused Emdr

The document introduces Attachment-Focused EMDR, emphasizing the importance of client safety, therapeutic relationships, and resource tapping to address developmental deficits. It outlines foundational resources such as nurturing and protector figures, and the process of creating an ideal mother to aid in trauma healing. The approach aims to enhance emotional regulation and repair attachment wounds through guided imagery and bilateral stimulation.

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0% found this document useful (0 votes)
632 views22 pages

Manual Attachmentfocused Emdr

The document introduces Attachment-Focused EMDR, emphasizing the importance of client safety, therapeutic relationships, and resource tapping to address developmental deficits. It outlines foundational resources such as nurturing and protector figures, and the process of creating an ideal mother to aid in trauma healing. The approach aims to enhance emotional regulation and repair attachment wounds through guided imagery and bilateral stimulation.

Uploaded by

fffpv94kvz
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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You are on page 1/ 22

Introduction to Attachment-Focused EMDR

Resourcing and Developmental Repair

Laurel Parnell, Ph.D.

My background and experience.

Introduction The evolution of my thinking


to
Attachment-
EMDR and Resource Tapping
focused (Resource Installation)
EMDR
Standard versus modified EMDR
protocol.

The Five Basic Principles of Attachment-Focused EMDR

1. Client safety
2. Quality of the therapeutic relationship
3. Client-centered
4. Resource Tapping to repair developmental deficits
(Parnell, 2008)
5. Use Modified EMDR (EMDR-M)

1
Protocol Comparison

Rationale for Resource Tapping

• Imagery paired with bilateral


stimulation seems to integrate
information more fully into
the neuro-circuitry

• People with PTSD do not


attend to neutral stimuli -
their brains are geared to
traumatic stimuli (McFarlane)

The Four Foundational Resources

Peaceful Nurturing “Ideal Mother”

Place Figures

Inner
Wisdom Protector
Figures
Figures

2
Using Resource Tapping
in Treatment

• Helps assess client’s readiness for


trauma work

• Prepares client for trauma


processing

• Creates safety net:


• Regulates intensity
• integrates positive information
• strengthens client during treatment

• I usually begin with Peaceful Place, but for


some people relaxing actually makes them
more anxious and unsafe. If this happens
begin with Protector Fgures.
• When you begin with Nurturing or Protector
Figures, make a list of them--2 or 3 and then
Resource tap each one in under that category.
Figures • After that, move on to the next category of
figures e.g. Protectors, compile a list of
“Protectors” and then tap each one in under
that category.
• The same with Wise figures. One Wise figure
is sufficient.

• We want figures under Nurturing and


Protectors not inanimate objects, though
they can be used as additions.
• We want the client to have figures available
Resource who can do something to intervene, if
necessary, later.
Figures
• After all of the figures have been tapped in,
ask if they want to imagine them as a team.
If yes, tap in the team.

3
The capacity to resource gives us a ton
of information about the client’s internal
structure, resilience, attachment issues,
and developmental issues.
RESOURCING
IS If the client cannot tolerate the positive
DIAGNOSTIC affects of resourcing and self-soothe
their ANS in and between sessions - we
do not proceed to trauma processing.

10

Peaceful Place
• A place real or imaginary
• It is used to create a sense of calm for the nervous system
• You can help the client find this place through the use of
relaxation and guided imagery
• Can be a sacred place or sanctuary
• It can be an activity they enjoy
• For some people it can make them feel unsafe as it lowers the
defenses
• You can add a protective barrier, or bring in guardians or
protectors
• You can begin with protectors instead

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Peaceful
Place

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4
Peaceful
Place

This Photo by Unknown Author is licensed under CC BY

13

Peaceful
Place

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Peaceful
Place

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5
Healthy Activity

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Nurturing Figures

Resource figures that have a nurturing


quality
• Spouse/partner/lover
Client doesn’t have to imagine
• Family members (if non-conflictual)
• Friends figure nurturing her/him/them
• Therapist
• Imaginary
• Figures from movies, books, TV
• Spiritual figures
• Animals
• Adult nurturing self
• Ideal mother

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NURTURING
FIGURE

This Photo by Unknown Author is licensed under CC BY-NC

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Nurturing Figure

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This Photo by Unknown Author is licensed under CC BY-ND

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Nurturing
Figure

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∗ Important for Protector Figures


adults abused as
children • Books, movies, TV
• Animals
• Spiritual figures
∗ Can be the same as • Protective adult self
the nurturing figure • Therapist
• Friends
• Family members
∗ Real or imaginary,
from their past or
present

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7
Protector Figures

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Protector
Figure

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Protector
Figure

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Protector
Figures

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Inner Wisdom Figures

• Family
• Ancestors
• Spiritual figures
• Historical figures
• Movies
• Books

• Inner advisor or inner


wise self

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Wise Figure

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Wise Figures

Wise
Figures

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Wise Figure

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Wise Figure

This Photo by Unknown Author is licensed under CC BY-NC-ND

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10
Wise Figure

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Wise
Figure

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Step 1 Bring in all their resource


figures

Step 2
Team of • They feel surrounded
and supported by
Inner their resources

Resources Step 3
• Take in the feeling &
imagery of support

Step 4 Tap it in

33

11
How do we find these
figures?

• We cast the net wide:


• Books
• Teachers
• Mentors
• Movies 34

• They can even be a


34

Creating New Parents:


Repairing Developmental Deficits

Create an ideal mother and Create an ideal father and re-


re-imagine imagine
developmental stages developmental stages

35

Which clients might benefit from the creation


and tapping in of an ideal mother?
• Clients who did not receive consistent nurturing from their mothers.
• Clients who were abused or neglected.
• Clients whose mother had problems with drug or alcohol.
• Clients whose mother had a mental illness.
• Clients who did not have a loving mother.
• Clients who have difficulty with emotional regulation.
• Clients whose mothers rejected them.
• Clients who were abandoned or never had a mother.

36

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Creating an Ideal
Mother
• Can you imagine an ideal mother?
• You can create the mother you wish
you had
• She can be any way you would like
her to be.
• This is a mother who meets your
needs, who fits you.

37

 You can construct her from:


 Someone you know
 Aspects of people you know:
 Neighbors
Creating the  Friends
Ideal Mother  Your actual mother
 Characters from books/movies/shows
 Aspects of yourself

38

• Make a list of her qualities


• Kind
• Loving
• Warm
• Playful
• Calm
• Consistent
• Emotionally strong
Creating an • What qualities are important to the client? Include
sobriety, healthy relationship to food and their
bodies if it is an issue for the client.
Ideal • You can direct your client to close their eyes as you
read them the list and see if an image or a felt
mother sense of an ideal mother arises for them. If it does,
tap it in.

39

13
• Helpful prompts to help client access their
own nurturing feelings:
• Do you have children?
• Do you have a pet you have loved and
cared for?
• Can you remember nurturing and loving
them?
Tapping In an • You can take aspects of your own
nurturing self to construct this mother
Ideal Mother
• When the client has created her, can feel
her, and has a strong felt sense of her, add BLS
to tap her in

40

If the client is able, ask them to imagine being nurtured by their ideal
mother

• Bring in the senses:


• What would it feel like to be in her arms?
• What would she smell like? Her breath, her skin?
• Feel her softness, the relaxation and calmness she exudes
If client really gets into this, and continues to elaborate on the
imagery & feelings, let them go with it--as long as it remains positive

If it should turn negative, stop and return to only positive imagery


and feelings

Most important goal:


Construct this ideal mother and
develop a strong, felt sense of her nurturing quality

41

1. Ask client to think of a time


If Client when they were
nurturing to someone or
Cannot something. Even one time

Access a 2. Can they evoke that feeling


of caring for another?
Sense of a If they can, tap in that memory
Nurturing
3. Can they now take that
Mother feeling, and use it to
construct a mother figure?

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14
If Client Cannot Access a Sense of a Nurturing
Mother

3. If they can do it, ask them to imagine


themselves in the position of receiving the
nurturing they give. For example:
• If they evoke a memory of holding
and rocking their own daughter in
their arms, tap that in
• Ask if they can imagine themselves
as the baby receiving that loving
• If they can, ask them to imagine it
with the feeling
• Tap it in
This Photo by Unknown Author is licensed under CC BY-NC

43

Helping Client Access


the Ideal Mother
Homework: Search for pictures of loving mother-infant interactions,
and examples of healthy bonding

• Internet, magazines for collage

• Videos, books, YouTube

44

Roadbocks to Creating
the Ideal Mother
“But this didn’t happen to me”
 Validate
 Educate about changing the
nervous system

Fear of being disloyal to own


mother/care-giver
 Educate
 Create a co-mother

Grief
 Validate feelings
 Allow to grieve with ideal
mother/nurturer holding them

45

15
Ideal
Mother

This Photo by Unknown Author is licensed under CC BY-SA

46

Using the Ideal


Mother
• When the client has created an
ideal mother, you can use her:

• As a resource for EMDR

• To add in new neuro-pathways


to heal attachment wounds

47

Using The Ideal Mother to


Repair Developmental Wounds

Redoing the womb


experience

48

16
49

50

Ideal Birth

51

17
52

Bonding
with
Mother

53

53

Early infancy

54

18
55

56

57

19
58

59

60

20
What do they
need to grow
up in a healthy
way?

61

References
 Cozolino, L. (2006). The neuroscience of human relationships. New York: W. W. Norton.
 Fosha, D. Siegel, D. and Solomon, M. (2009). The Healing Power of Emotion. New York:
W. W. Norton.
 Hughes, D. (2007). Attachment-focused family therapy. New York: W. W. Norton.
 Miller, A. (1981). The drama of the gifted child. New York: Basic Books.
 Parnell, L. (2019) Rewiring the addicted brain with EMDR Based Treatment. New York:
WW Norton.
 Parnell, L. (2013) Attachment-focused EMDR: Healing Relational Trauma. New York: WW
Norton.

62

References
 Parnell, L. (2008). Tapping In: A Step-by-Step Guide to Activating Your Healing Resources
Through Bilateral Stimulation. Boulder: Sounds True. Book and audio program.
∗ Parnell, L. (2007). A therapist's guide to EMDR: Tools and techniques for successful
treatment. New York: W. W. Norton.
 Parnell, L. (1999). EMDR in the treatment of adults abused in childhood.New York: WW.
Norton.
 Parnell, L. (1997) Transforming trauma: EMDR. New York: W. W. Norton.
 Schore, A. (1994). Affect Regulation and the repair of the self. New York: W. W. Norton..

63

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Thank You

Laurel Parnell, Ph.D.

www.parnellemdr.com

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