hearing baby's unspoken story

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Hearing Baby's Unspoken Story INTERWEAVING EMDR, EGO STATE AND SOMATIC THERAPIES IN THE REPAIR OF VERY EARLY TRAUMA

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Hearing Baby's Unspoken Story. INTERWEAVING EMDR, EGO STATE AND SOMATIC THERAPIES IN THE REPAIR OF VERY EARLY TRAUMA. Hearing Baby's Unspoken Story. INTERWEAVING EMDR, EGO STATE AND SOMATIC THERAPIES IN THE REPAIR OF VERY EARLY TRAuma Sandra Paulsen ph.d. - PowerPoint PPT Presentation

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Page 1: Hearing Baby's Unspoken Story

Hearing Baby's Unspoken StoryINTERWEAVING EMDR, EGO STATE AND SOMATIC THERAPIES IN THE REPAIR OF VERY EARLY TRAUMA

Page 2: Hearing Baby's Unspoken Story

Hearing Baby's Unspoken StoryINTERWEAVING EMDR, EGO STATE AND SOMATIC THERAPIES IN THE REPAIR OF VERY EARLY TRAUMA

SANDRA PAULSEN PH.D.

Page 3: Hearing Baby's Unspoken Story

Why Important?

Trauma in attachment period disrupts affect regulation

attachment and relationship expectancies

state switching capacity

These disruptions are the basis of many: dissociative disorders

somatoform disorders

personality disorders

mood disorders

anxiety disorders

Page 4: Hearing Baby's Unspoken Story

Repair is possible by interweaving

Ego state therapy to deconflictualize the self system and

reduce loyalty to the aggressor

Somatic therapy to resource the client

increase capacity for moment to moment tracking

decrease phobic avoidance of somatic and affective experience

enhance capacity to stay in window of tolerance

EMDR to catalyze sequestered trauma and process it to an adaptive resolution

modified for working in attachment period in implicit memory using Early Trauma approach

special procedures for increasing affect regulation

Therapist attention to non-verbal communication to discern unspoken story i

Page 5: Hearing Baby's Unspoken Story

Ego State Therapy Deconflictualize the system by

Using Dissociative Table (Fraser) to give a voice to forsaken parts of self, and access internal dynamics, stabilize relationships between states

orienting alters to present circumstances (person, place, time)

softening the perpetrator introject to reduce loyalty to the aggressor (Paulsen, 2009)

orienting to same body, status of external perpetrator

appreciating survival function

reassure not getting rid of but updating, new way of functioning

repeated reminders

welcome into self system

experiment with loyalty to self instead of perpetrator

experiment with decrease self harm

Page 6: Hearing Baby's Unspoken Story

Somatic Therapy

Somatic empathy - therapist's attunement to client's felt sense

Somatic resourcing - first without reference to body in dissociatives, share in experience of anything life enhancing

Somatic tracking moment to moment awareness, similar to mindfulness

decrease phobic avoidance of sensation and affective experience

Somatic evoked oscillation pendulating between trauma vortex and resource state, "nibbling around the

edges," never going deeply

enhance capacity to stay in window of tolerance

Somatic micromovements to release thwarted sympathetic arousal once introjects allow it

other special procedures

Page 7: Hearing Baby's Unspoken Story

EMDR Modified- Early Trauma sufficient containment, stabilization, preparation

self system deconflictualized

fractionated by time frame, beginning from the beginning (O'Shea & Paulsen, 2007; Lanius, Paulsen & Corrigan, 2014)

not postulating its all memory, but some of it appears implicit memory normal developmentall milestones

how would that have gone in your family

not narrative or verbal as much as somatic, affective nuance

special procedures - resetting affective circuits

repair in imagination "what would you have needed" (see Paulsen, O'Shea & Lanius, 2014, on alexythymic, imagination and affective circuits in Lanius, Paulsen Corrigan 2014)

Page 8: Hearing Baby's Unspoken Story

EMDR - Resetting Affective Circuits

Based on: Jaak Panksepp's seminal experimental discovery of mammalian

hardwired affective circuits, present from birth, needs no learning RAGE, FEAR, PANIC, CARE, LUST, SEEKING, PLAY

Object cathexis not ego cathexis as reprocess each hardwired affect or defensive subsystem (Porges polyvagal systems)

need special procedures for dissociatives

Bringing neocortical resources to bear on subcortical affective circuits wtihout an affective load on the circuits by processing with objectivity

appears to repair intersubjectivity

decreases affective reactivity

decreases dissociative avoidance of affect

adjusts baseline of arousal downward, uniformly report "calmer"

Page 9: Hearing Baby's Unspoken Story

Temporal Integration Contrasts with Strategic Integration and Tactical

Integration

Integration bottom up by time period

Still needs subsequent trauma repair done

Ego state therapy is most commonly used intervention

Once soma and affect tolerance is improved

Described in Lanius, Paulsen & Corrigan (2014).

Page 10: Hearing Baby's Unspoken Story

Story Tells Itself - Therapist Attunement

Listening to the verbal of the narrative as revealed by alters

Listening to the verbals attributed to present time incorrectly (transference material)

Listening to the non-verbals in projective identification

Observing non-verbal behavior (facial flushing, fidgeting of extremities, tearfulness, switching)

Observing therapist mirror neuronal responses

Observing therapist intuition, what's emerging in energy field

Hypothesis testing how the pieces come together

Page 11: Hearing Baby's Unspoken Story

Summary Skillful interweaving therapeutic elements old and new

resourcing in diverse ways until readiness

deconflictualizing the self system, bringing it up to present circumstances

hearing story in the verbals and nonverbals

processing trauma by time period for temporal integration

repair in imagination to meet developmental milestones

Page 12: Hearing Baby's Unspoken Story

Lanius, U., Paulsen, S.L., & Corrigan, F. (2014). The Neurobiology & Treatment of Traumatic Dissociation: Toward an Embodied Self. N.Y. Springer.

Levine, P. A., & Gabor, M. (2010). In an unspoken voice: How the body releases trauma and restores goodness. Berkeley: North Atlantic Books.

Panksepp, J., & Biven, L. (2012). The archaeology of mind: Neuroevolutionary origins of human emotions. New York: W. W. Norton .

Paulsen, S.L. & Watkins, J.G. (November, 2005). Best Techniques from the armamentarium of hypnoanalytic, EMDR, somatic psychotherapy and cognitive behavioral methods. International Society for the Study of Dissociation. Fall Conference, Toronto

Paulsen, S. L. (2009a). Looking through the eyes of trauma and dissociation: An illustrated guide for EMDR clinicians and clients. Charleston, NC