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Cancelled – Defence and affect restructuring with EMDR therapy – Edinburgh

25th October 2019 @ 8:00 am - 26th October 2019 @ 5:00 pm

Defence and affect restructuring with EMDR therapy

Presented by Andrew Leeds

25th / 26th October in Edinburgh

12 CPD points and certificate award on completion of course.

Due to unforeseen circumstances beyond our control, we have regretfully cancelled this event. Our sincere apologies for any inconvenience caused.

Andrew Leeds

Andrew M. Leeds, Ph.D. is Director of Training for Sonoma Psychotherapy Training Institute, offering basic and advanced EMDR training internationally. He is author of A Guide to the Standard EMDR Therapy Protocols, journal articles and book chapters. He completed EMDR training in 1991 and served on the EMDRIA Board 2003-2005. He is an inaugural member of the Journal of EMDR Editorial Board. He was awarded the 1999 Ronald Martinez Memorial Award from Francine Shapiro, the 1999 EMDRIA award for creative innovation and the 2013 EMDRIA Francine Shapiro Award. He maintains a private practice as a Psychologist in Santa Rosa, California.

Registration and Coffee /Tea: at 8am to 9am

Workshop: starts at 9am to 5.00pm

Certificate and CPD Points: 12 CPD points and certificate award on completion of course.

Venue: Hilton Edinburgh Carlton, 19 North Bridge, Edinburgh, EH1 1SD.


Survivors of persistent neglect and abuse develop insecure and disorganized attachment systems leading to an increased vulnerability to adult psychiatric problems including disorders of structural dissociation (DID, DDNOS, DESNOS and PTSD) as well as personality disorders. The standard EMDR protocol for PTSD may not be suitable in the early stages of therapy for many of these individuals. However, several modified EMDR procedures can be helpful throughout their therapy, not only for simple ego strengthening – such as with Resource Development and Installation – but for a variety of therapeutic tasks to increase: presentification, capacities for basic self-care, and mentalization; to develop affect tolerance and management skills; to restructure defenses; and to improve interpersonal relationships.

In addition to “external phobias” and triggers, a number of “internal” phobias affect survivors of persistent early neglect and abuse. These include affect phobias, phobias of attachment, phobias for trauma derived mental actions, and phobias for structurally dissociated parts of the personality. Modified EMDR procedures can be applied to these internal phobias to assist patients in repairing developmentally frozen self-capacities.

These “internal” phobias may also be described as psychodynamic or dissociative defenses or as ego state conflicts. When patients present with “internal” phobias, they will often fail to progress or have adverse reactions with standard EMDR procedural interventions. EMDR therapy can still be effective when clinicians have the conceptual knowledge and perceptual skills to recognize these patients’ defenses, and when they can make use of a flexible set of advanced EMDR procedural stills for responding.

EMDR trained clinicians must also confront their own affect phobias and psychodynamic conflicts as they experience a range of responses to their work with patients including countertransference and vicarious traumatization that can disrupt their ability to make use of their conceptual, perceptual and procedural knowledge and skills.

This presentation provides an introduction to concepts and procedures derived from Short-Term Dynamic Psychotherapy (STDP: McCullough, 1997, 2003) and the Theory of Structural Dissociation of the Personality (TSDP: van der Hart, Nijenhuis & Steele, 2006) and identifies procedures from Knipe (1999, 2003, 2005, 2008, 2009, 2010a, 2010b, 2010c), Mosquera (2010, 2011), Mosquera and Vazquez (2010), Gonzalez and Mosquera (2012), and Leeds (2001) which clinicians can employ for defense and affect restructuring with cases involving “internal” phobias. We will also consider how clinicians can be sensitive to and mitigate the potential impact of their own affect phobias in their clinical work.

Learning Objectives

  1. Participants will be able to list three causes of disrupted EMDR reprocessing that therapists may encounter in complex clinical cases with secondary structural dissociation or personality disorders.
  2. Participants will be able to state a concise definition of affect phobia with examples.
  3. Participants will be able to state the stages of defense and affect restructuring developed by McCullough (1997, 2003) and to describe alternative EMDR procedures for accomplishing these steps into their clinical work.
  4. Participants will be able to make appropriate clinical decisions about when to apply and when not to apply Resource Development and Installation procedures, when to apply EMDR procedures for defense restructuring, and when to apply the Standard EMDR procedural steps.
  5. Participants will be able to integrate clinical interventions for developing affect tolerance capacities in their EMDR clinical work with clients including positive affect tolerance.
  6. Participants will be able to apply specific tools to differentiate personal from complementary countertransference and to select and make use of appropriate strategies to manage these clinical situations.

Teaching Methods: TBC

Duration of training: 2 Days. 9am – 5pm

Day 1 and Day 2: Details TBC

Due to unforeseen circumstances beyond our control, we have regretfully cancelled this event. Our sincere apologies for any inconvenience caused.


25th October 2019 @ 8:00 am
26th October 2019 @ 5:00 pm


Hilton Edinburgh Carlton, 19 North Bridge
Edinburgh, Edinburgh EH1 1SD United Kingdom


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