Targeting defensive avoidance and dissociated numbing
For some clients (perhaps 10-15%),I have found that the effectiveness of EMDR (Level I, Level I1 version) is blocked or hindered by defensive processes which may or may not be conscious or voluntary, and which function to protect the individual against unpleasant affect. In such instances, it has frequently been useful to use the 0-10 scale to measure aspects of experience other than unpleasant affect. This is similar to the Level of Urge (LOU) innovation designed by Popky (1994) and used as part of his protocol for the treatment of substance addictions.
“Targeting defensive avoidance and dissociated numbing,” Francine Shapiro Library, accessed July 10, 2020, https://emdria.omeka.net/items/show/16984.