Ana M Gómez, MC, LPC is the founder and director of the AGATE Institute in the U.S. She is an EMDR Institute, and EMDR-IBA trainer of trainers in Colombia. She is a psychotherapist, author, and an international speaker on the use of EMDR therapy with children and adolescents with complex and developmental trauma as well as generational wounds and dissociation. She has been the keynote and invited speaker at numerous conferences and workshops. She has presented in over 70 cities in 15 countries.
Ana is the author of EMDR Therapy and Adjunct Approaches with Children: Complex Trauma, Attachment and Dissociation and several books, book chapters and articles on the use of EMDR therapy with children and adolescents.
She is the author of Dark, Bad Day...Go Away, a book for children about trauma and EMDR therapy which has been translated into four languages. Ana also developed and created “The Thoughts Kit for Kids” and co-authored with Dr. Francine Shapiro, an article on the use of EMDR therapy with children, published in 2013. Ana was the recipient of the 2011 “Distinguished Service Award” from the Arizona Play Therapy Association and the 2012 Sierra Tucson “Hope Award.”
Ana has de developed numerous intensive programs and protocols that include the “EMDR-Sandtray Protocol” and "The Systemic, EMDR- Attachment Informed Program to Heal Intergenerational Trauma & Repair the Parent-Child Attachment Bond."
The Theory and Practice of Using Systemic-Attachment Informed EMDR Therapy with Parents and Children to Heal Intergenerational Trauma & Repair the Parent-Child Attachment Bond
Generational wounding legacies, narratives and stories are often passed through implicit non-conscious procedural messages that take place in the parent-child relationship. These hidden burdens held in memory become core organizers of the individual’s sense of self. This presentation will address the complexities of the treatment of intergenerational transmission of unresolved trauma and attachment patterns.
Adults with unresolved states of mind do not receive the experiences necessary to develop a coherent sense of self. They build defenses and internal representations of the self as inadequate, shameful and unworthy and the other as unavailable and incapable of meeting deep needs for connection and safety. Such adults, see, feel, perceive and interpret their children’s needs and behaviors through the lenses of these defenses and internal representations.
For parents with unresolved trauma, their child’s routines may serve as activating stimuli that shift the parents’ attention from their child’s needs, to their own survival and self-preservation. As a result, the parent’s integrative functioning and with it the capacity to hold the child’s mind in mind is thwarted and compromised. These misattuned, asynchronous-traumatic-dyadic interactions may be one of the routes from which generational wounding is passed on. This presentation will introduce an attachment informed EMDR model to work on healing the child, the parent, strengthen the attachment bond and end the cycle of generational wounding.
This presentation will focus on practical and creative strategies for working with children and their parents. You will learn a model developed by Ana Gomez to work with parents and children that include four different levels of parental involvement. You will learn how to help parents develop attunement, awareness and mentalizing capacities through the use of videos and diagrams that explore “relational choreographies” and “dyadic moment s of activation” based on the AIP model.
How to resource parents and use a number of strategies and protocols such us P-RDI as well as how to increase affect tolerance and state change capacities will be demonstrated. The installation of “dyadic-regulated states” with the child and the parent will be covered as well. Moreover, how to resource the "parent's younger self" and "the child's little self" will be addressed.
Dyadic processing and the use of a number of interweaves will be presented and demonstrated such as the “dyadic reparative interweave” directed to heal the attachment system and assist children in meeting unmet attachment needs. Interweaves that work with the child’s “little self” using inner child strategies, Internal Family Systems (IFS), "Storytelling" and intergenerational interweaves that can repair attachment wounds will be addressed.
Christine Rost MD works in a private practice in Frankfurt/Main, Germany. Her first specialization was gynecology and obstetrics, her second is psychosomatic medicine.
She was trained in EMDR, in 1992 and 1993, by Francine Shapiro and has been an EMDR-Europe accredited EMDR trainer since 2003 and also a member of the EMDR Trainer Cooperation. She was a founding member of EMDRIA Germany and its vice-president until 2005 and one of the founders of the German section of the International Society for the Study of Dissociation (ISSD), where she was a member of the board for several years.
She has delivered numerous lectures on trauma therapy, EMDR, and mental hygiene at national and international conferences. She has published numerous articles and book chapters, as well as three books, about EMDR and stabilization for PTSD.
Dealing with strong vegetative hyperarousal and pain in the EMDR process with various EMDR techniques and protocols
In the course of their psychotherapeutic treatment, some patients challenge us because of their strong vegetative arousal and/or the emergence of serve pain during the confrontational work on traumatic memories. Such patients frequently terminate the processes or experience virtually no relief in the EMDR sessions.
What is important here for planning the therapy is to use all of our options for stabilization, activation of resources, support, limitation of the subject matter, distancing, oscillating between stresses and resources, using imagination, cognitive weaving, drawing as distancing, changing the type of stimulus or the body’s posture and to consciously decide which EMDR technique and which EMDR protocol we can apply.
We can try to guide these patients, even as early as in the stabilization phase, to develop more self-efficacy in dealing with their own symptoms. The polyvagal theory can help us, here, to understand the various states of arousal/dystonia and the active and conscious shifting between the states. We can support this by applying arrangements and techniques that foster safety and bonding. These include dealing with voice and gestures, safe place or safe activity, developing the inner helper, rescuing or gaining access to the injured inner child (rescue story, loving eyes), activating resources (RDI), or activation techniques and exercises that use postural changes, movement, and music. This helps to build up patients’ resources and competence when they deal with their own complaints as well as fostering self-acceptance (empathy).
For chronic pain, we can use the antidot imagination, the active bodily resource, the light stream or the spiral technique, in order to exert an influence on the pain. Because pain is often dissociated, imagination or drawing can help to make it more conscious and thus make it accessible to processing (e.g. four-field technique).
During the transition between stabilization and confrontation, pendulum techniques can aid in training affect tolerance; this also applies to switching between safe place and stress, the flash technique, or CIPOS.
And for the confrontation, EMD, EMDr, the standard protocol, and the reverse standard protocol are available to us – we can make a conscious choice, depending on the affect tolerance, the topic, and the patients’ general ability to cope with stress and their resilience. During processing, we, as therapists, can provide support via our own conduct and presence, via changes in the kind of stimulation we apply, as well as weaving, via encouraging or interrupting affect bridges, via activation of resources, via changes in body posture, via slight movements, and via a conscious fragmentation of the stressful matter.
The aim of the workshop is to improve therapy planning through a more conscious application and use of our diverse options in EMDR therapy.
Maria Lehnung, PhD, is an accredited EMDR Europe trainer. She was a researcher at Christian-Albrechts University at Kiel, Germany in the field of neuropsychology and developmental Neurobiology. Today she works as a Clinical Psychologist in her own practice. Also she teaches Clinical Psychology, mainly EMDR, and works as a consultant.
From her early starts working with EMDR Maria has been fascinated by this approach and always been interested to find new, creative ways of applying EMDR. Together with Arne Hofmann and others she developed and researched the concept for treating depression with EMDR. She also worked with EMDR group concepts with refugees.
EMDR Group interventions – scaling up EMDR’s efficacy
Traditionally EMDR therapy has focused on individual EMDR interventions. Existing mental health resources have great difficulty in meeting the demands for treating the various consequences and sequelae of trauma with its enormous burden on societies worldwide, and the access to EMDR treatment may be limited when large numbers are in need. The development of EMDR group protocols, The Integrative Group Treatment Protocol (IGTP) by Jarero and Artigas, and the EMDR Group Traumatic Episode Protocol (G-TEP) by Shapiro have the potential for EMDR therapy in which the access to effective EMDR treatment can be scaled up. Both protocols have first been used in the context of Recent trauma, yet in the last years the use of these two protocols has moved from a strictly recent event mass desaster protocol to a much wider variety of idications. They also proved to be effective in the field of former classical group psychotherapy, such as the field of psychooncology.
This workshop gives an overview oft he work and research that has been done with EMDR in group therapy. You will learn EMDR group therapy with the various fields of application.
Anabel Gonzalez is a psychiatrist and psychotherapist who has trained in various therapeutic approaches such as Group Therapy, Cognitive Analytic Therapy, Systemic Therapy and traumaoriented therapies. She holds a PhD in Medicine and is a specialist in Criminology. She belongs to the Board of the European Society for Trauma and Dissociation (ESTD) and is Vice President of the Spanish EMDR Association. She works at the University Hospital of A Coruña (CHUAC) and is the coordinator of the Trauma and Dissociation Program, which focuses on patients with severe traumatization. She is an active lecturer who gives training on dissociative disorders, trauma, attachment and emotional regulation, as well as being an accredited consultant and EDMR therapy trainer. She is a teaching collaborator in her hospital, where she coordinates psychotherapy training for psychiatry residents, and she participates as a guest lecturer in the Master’s in EMDR Therapy at the Universidad Nacional de Educación a Distancia (UNED). At the research level, she directs several projects in the field of trauma and treatment with EMDR for various disorders, and she has published numerous articles on dissociation, trauma and EMDR. She is the author or co-author of the following books: Trastornos Disociativos, Trastorno de Identidad Disociativo, EMDR and Dissociation, the Progressive Approach, and EMDR and BPD. Her latest book is It’s not me: Understanding Complex Trauma, Attachment and Dissociation. A Guide for Patients and Therapists.
EMDR and Emotional Processing: Working on patients with severe emotion dysregulation
Information processing is not solely a cognitive process or a simple brain function, but is a complex phenomenon that has only been partially studied and understood. Information processing models mostly come from cognitive neuroscience. The field of emotional regulation and emotional processing, which in recent years has experienced an exponential growth, has offered very interesting data and is generating diverse theoretical developments. This area can provide relevant ideas to a greater understanding of the underlying mechanisms of post-traumatic symptoms and EMDR's mechanism of action in the reprocessing of traumatic memories.
Excessive avoidance or rigid and prolonged inhibition of the negative emotional experience prevents an adaptive resolution. Observing in detail the situations presented in EMDR sessions, applied to various pathologies and clinical vignettes, is one of the main objectives of this workshop, based on the analysis of processes in psychotherapy.
The interventions I propose will thus be related to understanding the characteristics of each patientâ€™s system, in particular how they process emotions and situations that develop in the session and in-between sessions. Throughout this workshop I will raise many questions and some possible answers about different aspects related to emotional processing, such as (1) whether all emotions evolve in the same way with processing, (2) what role the intensity of emotion has in working with EMDR, (3) whether some emotional regulation mechanisms can facilitate or hinder the processing of memories, and (4) whether reprocessing certain experiences can modify emotional regulation functioning.
I will try to provide clinical reflections, linking them with a variety of research in the field of emotion, in order to facilitate a broader analysis of all these aspects.Although it is important to note that we move in the area of hypotheses, this will be a workshop focused on clinical practice, so that these hypotheses may open up windows for understanding the patient and contribute to the development of intervention tools.
Psychiatrist, Psychotherapist, Associate Professor in Clinical Psychology at the School of Medicine, Turin University. He’s Head of the University Service of Clinical Psychology at Sant’Anna Hospital, Città della Salute e della Scienza (Turin) since October 2016, past Head of the University Service of Psychosomatics and Clinical Psychology at San Luigi Hospital, Orbassano (Turin).
President of the Piedmont Section of the Italian Society for Medical Psychotherapy, Past Psycho-Oncology Referent for the Piedmont Regional Oncology Commission.
Past Member of the Association of Psychoanalytical Studies affiliated to the International Federation of Psychoanalytic Societies (IFPS).
Consultant and Supervisor EMDR (Eye Movement Desensitization and Reprocessing).
Certified Sensorimotor Psychotherapist, Sensorimotor Institute, Boulder (Colorado, USA).
Mindfulness practice with Italian and foreign trainings.
He’s Professor at Turin University of Clinical Psychology and Psychotherapy at Specialization Schools and Degree Course in Medicine and Surgery, He’s the President of Degree Course “Psychiatric Rehabilitation Techniques”, President of Master Degree course “Science of Rehabilitation”, Director of Master in Clinical Mindfulness.
He’s author of more than 40 research publications in International Journals on Psychotherapy and Psychosomatics, Coordinator of RCTs and Leader of Turin Unit in Nevermind project, funded by the European Union, for the prevention and treatment of depression in Medical Deseases. He’s member of the European Depression Emdr Network (EDEN), coordinated by Arne Hofmann, who developed the official EMDR protocol for research on the treatment of depression (DEPREND).
In 2018 He received the EMDR International Association Award for Research on the Psychotherapeutic Treatment of Depression
In 2019 received the Francine Shapiro Award for Research
NEUROBIOLOGICALLY TARGETED EMDR TREATMENT OF PSYCHOSOMATIC DISORDERS
There is an evident correlation between both psychic and physical diseases, emotion processing and past traumatic events: every life event may become “traumatic” when overcomes the person’s coping skills and leads to pathogenic memories. The research findings suggest that the impact of negative childhood experiences on adult health is strong and cumulative. Stressful and traumatic memories may precipitate the onset of the disease and its evolution, side effects of therapies, diagnostic procedures, fear for the future, and also affect the doctor patient communication. Attachment unresolved issues affect therapeutic alliance with medical teams and reduce compliance to both diagnostic exams and therapies. As a whole, the presence of unresolved traumas affects greatly the prognosis of any disorder. A great deal of research focused on trauma and today the knowledge of its pathophysiology allows new possibilities of treatment, leading to the new field of the neurobiologically based therapies.
In the course will present some of the findings choosing those linked more directly to the clinical process of treatment. Particular emphasis will be paid to the close connection between Brain and Heart, that is between Central and Autonomic Nervous System in affective processing and in relational engagement. Porges’ Polivagal Theory is widely used as a functional model of autonomic arousal but its efficacy can be improved integrating it with new models of Central Autonomic Network, offering a great opportunity to personalize both treatment planning and real time management. Richard Davidson, a renowned neuroscientist, identified six “Neurobiological Emotional Styles", reflecting activity levels in specific and identifiable brain circuits, each affecting the processing of sensorial, emotional and relational inputs and behaviours. They cut across diagnostic categories of mental disorders and Davidson’s studies show the possibility to modulate the brain circuits functioning through specific psychological practices. We’ll present a Neurobiologicallly Targeted approach to Psychosomatic Disorders centered on the Brain Heart connection. We’ll show also selected practices to screen the polyvagal state, regulate the arousal at the optimal level in simple and effective ways and to process attachment failures. As an artist can play his best music only if he exploits the features of his musical instrument, so we believe that Neurobiologically Targeted EMDR Therapy can increase greatly the effectiveness of treatments.