Psychologist Instituto INTRA-TP A CORUÑA, Galicia, Spain
Abstract Somatoform dissociation is characterized by multiple somatic symptoms and troubling presentations that initially resemble physical illnesses, however, by definition, no physical explanation for the symptoms can be found.
Clients with somatoform dissociation are often given multiple diagnoses and receive trials of multiple ineffective treatments. These symptoms are often intrusions of the sensory elements of unresolved traumatizing events, including childhood physical and sexual abuse, neglect, and attachment failures. With many dissociative clients we can establish contact with dissociative parts easily and communicate with them, but parts can be more difficult to identify in some somatoform dissociation cases, therefore an approach other than the usual techniques for working with dissociated parts is required.
In the standard EMDR protocol for PTSD we can work with material that the patient does not want to disclose. With somatoform dissociation we can work with material that the client cannot disclose verbally (only through symptoms) and does not even understand. EMDR Therapy is an integrative approach that processes the information in different levels, including the physical sensations. Practical examples on how to deal with such symptoms with EMDR therapy will be presented with videos.
Timed Outline 10 Minutes - Introduction with examples 20 Minutes - Aspects to keep in mind for conceptualization 30 Minutes - Clinical examples 30 Minutes - Different clinical presentations 30 Minutes - Break 15 Minutes - Concept of stuck points 60 Minutes - Clinical cases and examples 15 Minutes - Q & A
Learning Objectives:
At the conclusion of this session participants will be able to:
Describe different clinical presentations
Explain frequent difficulties related to case conceptualization and treatment of somatoform dissociation clients
Describe how to work with Stuck points and blockages
Adapt EMDR interventions to this specific population
Identify specific targets for this population using EMDR Therapy