Discovering the Unthought Known: Considerations for Integrating Ego State Therapy and EMDR to Treat Dissociation
Over past fifteen years, more attention has been given to the adjunctive use of ‘parts’-informed approaches with EMDR therapy, specifically when treating persons with complex trauma histories. With the introduction and widespread adoption of the Structural Theory of Dissociation (van der Hart et al., 2006), much of the focus in the EMDR literature has been upon ‘parts’ therapies that favor working primarily with ‘Apparently Normal’ parts, essentially those self-states that tend to ‘front’ in daily life. However, there are both conceptual and practical challenges inherent in such an approach, as well as benefits to exploring other approaches tor ‘parts’ work.
In this presentation, we will discuss the dominant paradigm for ‘parts’ work in EMDR therapy and examine a well-established but lesser acknowledged ‘parts’ approach; explore the potential challenges of predominantly focusing on the priorities and needs of a ‘front’ part to the exclusion of other self-states; discuss the use of ‘mapping’ of self-states and its potential value in the context of EMDR therapy; and, finally, delve into different manifestations of ‘classic’ post-traumatic flashbacks that are more easily understood through the lens of the self-system as a multidimensional construct.
Potential to Distress
This presentation was originally presented as a live webinar in June 2022.
Upon Completion of this webinar, participants will be able to:
- Name two challenges posed by working exclusively through a ‘front part’
- Identify two distinct characteristics of the Watkinses’ Ego State Therapy
- Describe the process of ‘mapping’ as it applies to dissociative self-states
- Name and describe four distinct manifestations of ‘classic’ post-traumatic flashbacks
Presenter: D. Michael Coy, MA, LCSW
Presenter Bio: D. Michael Coy, MA, LICSW, (he/they) is a clinical social worker and maintains a private practice in Bremerton, Washington, USA, where he serves transitional-age youth, adults, and older adults. Psychodynamically grounded, Michael integrates EMDR therapy with additional training in clinical hypnosis, Ego State Therapy, and Sensorimotor Psychotherapy.
Michael is an EMDR Certified Approved Consultant and Trainer through the EMDR International Association and served on EMDRIA's Standards & Training committee from 2014 to 2017.
Since 2016, Michael has collaborated with colleague Jennifer Madere and Multidimensional Inventory of Dissociation developer Paul F. Dell to make the MID more accessible. He co-authored the MID Interpretive Manual, 3rd Edition, and manages the MID Analysis and MID website. Since 2017, Jennifer and Michael have taught hundreds of clinicians how to employ the MID, both in the US and internationally.
More recently, Michael has presented original material, in the form of the EMDR Introject Decathexis (Id) Protocol, as well as a framework for recognizing, contextualizing, and resolving clients’ dissociated memory material communicated non-verbally through dissociative attunement. He also provides consultation on the use of the MID and clinical practice with complex clients.
Michael has served on the Board of Directors of the International Society for the Study of Trauma and Dissociation since 2017, and became Treasurer in 2018, a role in which he continues to serve. From 2017-2020, Michael co-chaired the International Society for the Study of Trauma and Dissociation’s EMDR Therapy Training Task Group, which created ISSTD's EMDR therapy 'basic' training. He now co-chairs ISSTD’s EMDR Therapy Training Committee and co-teaches the training.
- 1.50 APAThe International Society for the Study of Trauma and Dissociation is approved by the American Psychological Association to sponsor continuing education for psychologists. The International Society for the Study of Trauma and Dissociation maintains responsibility for this program and its content.
- 1.50 ASWB ACEThe International Society for the Study of Trauma and Dissociation (ISSTD), #1744, is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved as ACE providers. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. ISSTD maintains responsibility for this course. ACE provider approval period: 08/20/2021 – 08/20/2024. Social workers completing this course receive 1.50 continuing education credits.
- 1.50 ISSTD Certificate ProgramThis program is eligible for 1.50 credits in the ISSTD Certificate Program.
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