Arthur Schopenhauer 1818 Der Wahrheit ist allerzeit nur ein kurzes - - PDF document

3/27/2018 1

Powered by

Attachment-Focused EMDR for Complex Trauma Building on the Standard Protocol: an Audit of Reflective Practice Mark Brayne

EMDR Europe Accred Consultant / Parnell Institute Facilitator

London

March 2018

Powered by

Arthur Schopenhauer 1818

„Der Wahrheit ist allerzeit nur ein kurzes Siegesfest beschieden zwischen den beiden langen Zeiträumen, wo sie als Paradox verdammt und als Trivial gering geschätzt wird.“ Incorrectly if widely known as: ‘All truth passes through three

• stages. 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 from the 8-phase/3-prong EMDR Standard Protocol.

• Collaborative case for welcoming this approach as

complementary to/an enhancement of Standard- Protocol-Based/Researched/AIP-Model-Compliant EMDR Therapy.

• Esp in light of ICD-11 – complex trauma. SP

“insufficient”.

Powered by

Disclaimer 1

• Laurel Parnell

Facilitator/Trainer for post-basic AF-EMDR

• Therefore commercial

interest – though minimal 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.” Careful

what 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 164 invited).

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 awarded
• nly to EMDR workshops with fidelity to Francine

Shapiro’s latest definition of EMDR. In view of this we 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 presently held level of disturbance: image, cognitions (beliefs), emotions and body sensations 2. Stimulating this disturbing memory bilaterally using Dual Attention 3. Moving the memory – physically, in regard to subjective disturbance, and psychologically in terms of Av.ing This is done in regard to eight distinct phases, considering the triadic 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 Principles

1. Foster client safety 2. Develop and nurture the therapeutic relationship to facilitate healing 3. Use client-centred approach 4. DAS (“Create reparative neuro-networks through the use

• f Resource Tapping”)

5. Use modified EMDR whenever client needs require

Powered by

Five Main AF-EMDR Themes

1. Resourcing 2. Target Selection 3. Phase Three Modified 4. BLS/DAS - Tapping 5. Interweaves/structure

3/27/2018 9

Powered by

1 - Resourcing

SP 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/L R L L L R L R 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 3 2 5 4 6 7

3/27/2018 12

Powered by

It’s a Kind of Magic!

(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
• utcome
• 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 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 10 20 30 40 50 Late 90s 2000-2005 2005-2009 2010-2014 2015-2018

Year Finished Basic

1 17 34 35 10 20 30 40 Accred Trainer Accredited Consultant Accredited Practitioner At least Part 3

Total

Powered by

Highest Level of Training in Laurel Parnell’s approach to AF-EMDR

29 26 26 4 10 20 30 40 2-days 3-days Books/Spvn Not AF-EMDR trained

3/27/2018 15

Powered by

For what share of your client/patient work do you use EMDR / AF-EMDR tools?

20 40 60 80 100 120 20 40 60 80 100

EMDR share

Median 68%

20 40 60 80 100 120 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 for target identification?

20 40 60 80 100 120 20 40 60 80 100

Resource Team

Median 72%

20 40 60 80 100 120 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 and

resource figures that has made huge a difference with some clients”

• “Installing wise, nurturing and protective figures has been a

game changer. Has enabled me to use EMDR with more complex clients”

• “I offer a person, animal or magic power (or all of the above).

My client today chose Solomon the owl from the Sara and Solomon books, to deal with DV witnessed as a child. Solomon immediately told her it was not her fault! I could not do effective EMDR without this resourcing.”

Powered by

Modified vs Standard Protocol in Phase 3 + proactive/imaginal interweaves

20 40 60 80 100 120 20 40 60 80 100

MP vs SP

Median 67% 20 40 60 80 100 120 20 40 60 80 100

Creative interweaves

Median 70%

3/27/2018 17

Powered by

Comments 4 – Modified Protocol Assessment Phase 3

• “I am 100% fan of AF-EMDR and only use the standard protocol now if I

purposefully want the client to move between right and left brain.”

• “I have always struggled with NCs and PCs - always felt I was moving the

client into a different part of the brain.”

• “I used to spend a significant part of assessments struggling with domains

and effectively diverting my clients from the experience into intellectualising and 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 too

difficult for the client and can generate thoughts and feelings that they are getting it wrong, not good enough or stupid; which invariably feeds straight into 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 a session with tapping in a positive outcome?

Median 61%

Powered by

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.

20 40 60 80 100 120 20 40 60 80 100

Conflict?

Median 10%

• “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.”

• “I think the AF-EMDR are sensible innovations

to SP, and shouldn't be seen as heresy etc.”

• “I simply don't understand what the fuss is all

about!”

• NB – several of high scores observe a conflict,

but don’t believe necessary, so skewed somewhat…

• Should have had 2 Qs. Do you observe a

conflict? Do you experience a conflict?

3/27/2018 19

Powered by

What difference has knowledge/use of Dr Parnell’s AF-EMDR/Modified Protocol approach made to your practice of EMDR?

• “My EMDR practice has totally changed and

experience of my practice (subjectively and feedback from clients) is that my empathy and warmth is noticeably increased.”

• “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. “
• “I never (or rarely) feel stuck any more as a

therapist, 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 as clients often find it hard to grasp and that it takes them too much into thinking rather than feeling.”

• “My new supervisor will not supervise me on any modified protocols while going through

this process of application. I would use this more, if allowed, and shall use it more once accredited.”

• “Having experienced AF -EMDR and EMDR myself as well as practising both, they in my
• pinion have an equally rightful place for healing our clients and there is no conflict in the

use 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 my understanding and use of it) the use of the adapted protocol has changed for the better my

• wn practice with patients. Not asking for a PC and use of resource figures along with the

affect 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 been

transformative.”

• “My experience was astounding and my patient has had his first breakthrough of feeling

warmth and love for himself.”

• “AF-EMDR has revolutionised my practice. It has brought a more spiritual and transpersonal

element to the work.”

• “Well done […] for leading the way (at great personal cost vs. 'the gatekeepers') to help us

continue 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 being

client-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 the

inclusion within the NICE framework and therefore its adoption by IAPT and other mental health therapy services. We need to be mindful of keeping fidelity to the model that created this 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 modified protocol is easy to use, fits into 'usual' psychotherapy practice and can usually be completed inside the therapeutic hour.”

• “Need to demonstrate and use ‘standard protocol’ has put me off going for

accreditation.”

• “I found Laurel’s 3-day course really validating as I had found the standard protocol

quite 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 Own

Clients (2007- present)

–164 BCC-ed invitation –49 returns

• OK, subjective!

Powered by

How valuable/successful do you rate your therapy to have been (so far, if continuing)?

20 40 60 80 100 120 1 5 9 13 17 21 25 29 33 37 41 45 49

Median 85% Av. 83%

3/27/2018 23

Powered by

How important in your experience was the focus in therapy on individual events/moments in the past, with bilateral stimulation, e.g. buzzers, headphones, eye movements, hand taps? How helpful do you feel it was when/if your therapist asked for numbers (e.g. 0-10 on emotions

• r 1-7 on a positive belief) to rate your thoughts

and feelings in the moment?

• Av. 87%, Median 90%
• Av. 73%, Median 75%

EMDR General Distinctive

Powered by

Attachment-Focused EMDR Distinctive

How useful was the work you did at the outset of EMDR therapy to identify nurturing/protector & wisdom figures? How important do you feel your therapist’s interventions (interweaves) were during processing in helping towards resolution.

Median 85% Median 70%

3/27/2018 24

Powered by

Did you get from EMDR therapy what you came for? Would you recommend this kind of EMDR to friends/colleagues/family?

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%

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 safe throughout the EMDR work and have stayed with me on my journey to this very day.”

• “While a strong advocate of EMDR, the therapist was not an

evangelist or zealot. That was appreciated much and made the therapy more credible.”

• “I don't know which bits specifically helped but the process had a

HUGE impact on the traumatic PTSD symptoms. Life-changing.”

• “Identifying and releasing the circumstances, situations and people

that had hindered me on the way to the present day. It wasn't the big physical traumas that did the damage - which was amazing to find 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 too

quickly to childhood. While there is indeed trauma relating to early life, dealing more with 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 for future life.”

• “For me it was not just EMDR but the role of the therapist. I felt safe […] and therefore

was more able to trust the process. I believe that [my therapist’s] experience was also an important factor in why EMDR worked for me.”

• “How fast we got to the core of the issues we were dealing with. Rather than sitting
• n 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 had

been established) and know that I could dip in and out as often as necessary and be safe and feel the steady progress.”

• “EMDR worked for me. But I needed the therapy and interventions that came

with 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 more
• pen-ended and therapists need to extend their time if someone is unable to

reach a safe place. In my case this never happened but I have heard from friends of people coming away from sessions in quite helpless states.”

• “This work changed my life in a positive way and having this experience has

inspired 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 deeper than unpacking the original trauma. I particularly appreciated your use

• f dreams in the process.”
• “One thing I don't think I was adequately prepared for was the side

effects of the EMDR. I could basically not function for the two months of major treatment, nor the two after it as things fell back into place. Preparing people for that impact would help them have a wholly positive experience.”

• “As well as softening the impact of trauma, EMDR has allowed me to

access an internal world rich in archetypal images. It has given me faith in their wisdom so that I now trust these images that frequently arise, in my day to day life, not just in EMDR, as metaphors for truth that my conscious 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 Consultants

in the UK and Ireland in the learning, teaching and practice of Dr Laurel Parnell’s model of Attachment-Focused EMDR, as evidenced in the proactive use of:

– Imaginal Nurturing/Protector/Wisdom resource figures in Phase Two Preparation; – The Bridging Technique as a central Av.s of target identification in Phase Three Assessment; – 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, for

the 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 it was easy.”

• “When you do Laurel’s type of resourcing with the figures, it brings in

complete magic control. It's far more powerful.”

• “Those who are used to working with relationship and attachment anyway, to

force them into rigid adherence to a standard protocol is very

• counterproductive. Whereas those who have not got a psychotherapeutic

background, you don't want them to be climbing in too vigorously with attachment and relationship until they've got the basic structures of EMDR.”

Powered by

AIP

• “I think for me it complies with the AIP model very

well.”

• “What Laurel has been doing is entirely in accordance

with 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 a

wound, it is the much richer multi-dimensional creation

• f a healing narrative, of a healthy narrative where

people 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 following

• that. (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 entire

Standard 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 clunky

compared to the Modified Protocol that I tend to use the Modified Protocol with almost all my clients now, and I get just as wonderful results really.”

• “I've been really personally very annoyed and pissed off with the Association's rigidity with

regards to the Standard Protocol, and the lack of willingness for discussion. I think it's changing slowly, 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 that

basis from which to learn and at some stage be creative. […] Some people I was finding were going off left, right and kilter and not sticking to the Standard Protocol, and kind of making a mess

• f 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 doing

all of the resources and the bridging.”

• “I don't remember any transpersonal work within the

basic training. And if you ask the clients that I've worked with, the bits that they really remember are the magical parts of the transpersonal, and they are the most powerful that I've experienced as a therapist.”

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 a specific way... That's religion and I feel very uncomfortable with that rigidity to an orthodoxy, which I think is dangerous.”

• “For the purposes of becoming an accredited practitioner they need

to know the Standard Protocol, and that it's my responsibility when putting them forward for accreditation to be able to say that I know that they know how to use it.”

• “All of my supervisees I have trained in the Laurel Parnell model with

the resource figures, modified protocol and that attachment, birth to 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 been trained 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 because you're not following a sequence of things in a specific

• rder, 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 be

here if it wasn't for them. And I just feel like we need to embrace innovation, 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 like dogma, and no one needs that. We need to be innovative.”

• “I would actually like to see her work integrated in the training. I think

that would be a huge positive step, because you're bringing in a lot more

• f her work and you're showing that actually it's not so rigid. It's still

EMDR, 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 through three stages. First, it is ridiculed. Second, it is violently

• pposed.

Third, it is accepted as being self-evident.

3/27/2018 34

Powered by

mark@braynework.com www.emdrfocus.com www.braynework.com 07711 888682