N. CAL. EMDR Regional Meeting April 12, 2008 at Oakland's Preservation Park |
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Attachment
theory and case formulation in the EMDR approach to psychotherapy Program
description This
6-hour workshop provides a model for EMDR case conceptualization integrating attachment
theory with the adaptive information-processing model. Participants will gain practical
knowledge of when and when not to extend the skills building phase of treatment and how to
use RDI or PAT interventions when appropriate. Abstract Attachment
theory describes how early dyadic interactions in the first few months of life build
essential memory networks shaping each person’s working model of self in
relationship. These early memory networks shape not only essential perceptions, attitudes
and behaviors, but also the organization of the information processing system itself. As a
result, attachment theory offers an essential framework for case conceptualization in the
EMDR approach to psychotherapy. This
program integrates core concepts from attachment theory with the Adaptive Information
Processing model. Clinicians will discover how attachment style can help predict patterns
of response to standard EMDR reprocessing and to alternate EMDR interventions that may be
needed in the skills building phase such as Resource Development and Installation (RDI)
and Positive Affect Tolerance (PAT). Clinicians will learn essential guidelines and review
clinical vignettes to be able to decide when patients need (and do not need) these special
interventions in the skills building phase of treatment. In addition clinicians will learn
practical ways to simplify their effective use of skills building interventions with RDI
and PAT to help their patients achieve their treatment goals. Program Level: Intermediate.
Learning
objectives 1.
Participants
will develop a concise framework for recognizing patients’ attachment style. 2.
Participants
will develop case conceptualizations and treatment plans that build on patients’
attachment style. 3.
Participants
will have clear guidelines for selecting appropriate EMDR interventions in the skills
building and reprocessing phases of treatment. 4.
Participants
will
be able to decide when, when not and how to use RDI to address maladaptive tension
reduction behaviors when working with borderline spectrum cases where there are symptoms
of complex PTSD. 5.
Participants
will
recognize cases where an alternate skills building procedure known as the Positive Affect
Tolerance protocol may be needed to help patients learn to tolerate and integrate shared
positive affect into their sense of self to foster greater resilience and to tolerate
connection with supportive others. 6.
Participants
will be able to describe a psycho-educational framework for introducing PAT to their
patients. 7.
Participants
will be able to apply the PAT protocol in individual, couple and family sessions. 8.
Participants
will be able to use feedback from patient written log entries to assess their responses to
RDI, PAT and standard EMDR reprocessing.
Timeline 9:00
– 9:45 Overview of Attachment Theory research with children and adults 9:45
– 10:15 Simplified models for clinical assessment of adult attachment style 10:15
– 10:30 break 10:30
– 11:15 An overview of case formulation based on history taking and adult attachment
style 11:15
– 11:45 Case vignettes for small group discussion of case formulation and assessment
of adult attachment style 11:45
– 12:15 Three examples of case formulation in cases of complex PTSD with different
attachment style followed by large group discussion. 12:15
– 1:30 Lunch 1:30
– 2:15 Selection criteria and case examples of when and when not to use RDI 2:15
– 3:00 Simplified steps for how to use RDI with clinical examples of appropriate use
and results. 3:00
– 3:15 Break 3:15
– 4:00 Selection criteria and case examples of when to use the Positive Affect
Tolerance (PAT) Protocol in individual, couples and families. 4:00
– 4:45 PM How to offer psycho-education to prepare patients for PAT. How to teach the
basic 3-step PAT behavioral exercise for adults and children. How to monitor results of
the behavioral exercise with log reports. How to reprocess current stimuli with the PAT
protocol to increase tolerance and integration of shared positive affect.
Andrew M.
Leeds, Ph.D. Clinical
Psychology License
PSY10471 1049 (707)
579-9457 email:
ALeeds@theLeeds.net 12/12/07 Bio-sketch
for Andrew M. Leeds, Ph.D. Andrew M.
Leeds, Ph.D. is a licensed Psychologist with 33 years of private practice psychotherapy
experience. He practices in Dr. Leeds
received initial EMDR training in 1991. As an EMDR Institute Senior Trainer he has
conducted EMDR training for 13,000 clinicians at 135 training programs in the He has
presented papers on EMDR for regional, national and international conferences. He is the
author of book chapters and a research article on EMDR. From 1996 through 2000 he served
as moderator of the EMDR Institute electronic discussion list on the Internet. He served 3
years as a member of the Board of Directors of EMDRIA from 2003-2005. He presently serves
as a member of the Editorial Advisory Board of the Journal of EMDR Practice and Research. Dr. Leeds
contributed to the evolution of EMDR by articulating, publishing and teaching the EMDR
procedure he named Resource Development and Installation (RDI). In 1999 he received the EMDRIA award for creative
innovation in the development of EMDR and the EMDR Institute Ronald A. Martinez, Ph.D.
Memorial Award. PUBLICATIONS Korn, D. L., & Leeds, A. M. (2001) Principles and procedures for enhancing current functioning in Complex Posttraumatic Stress Disorder with EMDR Resource Development and Installation. The EMDRIA Newsletter Special Edition, December 2001, pp 4-11.
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