This course synthesizes neurobiology, EMDR, and elements from ego state, somatic, and attachment therapies. 1) Prior to EMDR: a) somatic interventions for affect and soma tolerance, b) hypnotic containment, c) ego state maneuvers to decrease resistance (Paulsen, 2009), d) resetting affective circuits (O’Shea & Paulsen, 2007, Panksepp, 1998), and e) planning fractionation. 2) During EMDR: a) temporal integrationism (Paulsen, 2009b) or fractionating by time segments from conception to repair attachment (O’Shea & Paulsen, 2007; O’Shea 2009), b) accelerating processing with somatic, ego state, imaginal (O’Shea in press), and information channel interweaves, and c) decelerating processing by further fractionating by channel.

This course describes 31 “secrets” of using EMDR to work with very early attachment injuries in the presence of complex trauma.