Personality disorders as variants of dissociative phenomena: Treatment with an integration of the EMDR and ego state treatment
The integration of EMDR with Ego State therapy will be presented as a comprehensive approach to treatment of the wide spectrum of personality disorders. These diagnostic categories include individuals manifesting character pathology, borderline personalities, antisocial and sociopathic tendencies as well as addictive behaviors. These clients have often been seen as poor candidates for EMDR or even non-responders. They are often mandated for treatment or come at the behest of others. Their histories often include early repeated experiences of abuse, deprivation, abandonment and parental coldness. The hallmarks of personality disorders are rigid, intractable defenses, difficulty relating and empathizing with others as well as acting-out behavior. Historically, the treatment of personality disorders has been described as difficult, if not impossible; manifested by a rigid character-armor and defensive resistance. Accordingly, this presentation will propose that the symptoms of personality disorders be viewed as aspects of dissociation and will examine the applications of ego state concepts and techniques to all phases of the EMDR protocol in order to facilitate the treatment of these clients. Central to this approach is the conceptualization of self and object representations, self-objects or schemas as ego-states. Discussion will include how to use a developmental approach to assessment, and will review the identification, mapping and accessing of ego-states as well as how to promote ego-state-specific protocols, facilitating the enhancement of EMDR processing. Learning Goals: 1. Participants will be able to discuss and apply the applications of the Ego State concepts and techniques to all phases of the EMDR protocol in order to facilitate the treatment of clients with personality disorders. 20 min. 2. Participants will be able to discuss and describe how to developmentally assess, identify, map and access ego-states of personality disordered clients and how to promote their ego state participation in EMDR protocols. 20 min. 3. Participants will be prepared to utilize ego-state-specific EMDR protocols to enhance the processing of these most difficult clients.
Original Work Citation
Bergmann, U. (2004, June). Personality disorders as variants of dissociative phenomena: Treatment with an integration of the EMDR and ego state treatment. Presentation at the 5th EMDR Europe Association Conference, Stockholm, Sweden
“Personality disorders as variants of dissociative phenomena: Treatment with an integration of the EMDR and ego state treatment,” Francine Shapiro Library, accessed October 22, 2020, https://emdria.omeka.net/items/show/15808.