The training presents an attachment-based, ego-state approach that provides an attachment context for EMDR therapy. Imaginal Nurturing addresses the attachment aspects of therapy with adults, through the therapeutic relationship and imagery involving younger aspects of self. As an infant and/or child, the client may have missed out on the attuned and loving presence and responsiveness needed for healthy development. Such deficits may lead to problems such as low self-esteem and confidence, shame, anxiety, depression, and if there is a history of abuse, complex PTSD and dissociative disorders.