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Defense and phobia in complex-traumatized clients - Defense and affect restructuring with EMDR therapy (Leeds)


PIE - Psychotraumatology Institute Europe


Andrew M. Leeds, Ph.D. is a California licensed Psychologist and Marriage Family Therapist with over 40 years of private practice psychotherapy experience. He completed his EMDR training in 1991. He is the author of the book "A Guide to the Standard EMDR Protocols for Clinicians, Supervisors, and Consultants, 2nd edition" (Springer Publishing Company 2009). He has conducted EMDR training for more than 13,000 clinicians at some 135 training programs in the United States, Canada, France, England and Japan. He has also published book chapters and journal articles on EMDR and traumatic stress and has presented papers on EMDR and traumatic stress for regional, national and international professional associations. Dr Leeds is an associate member of the American Psychological Association (APA) and a clinical member of the California Psychological Association, CAMFT, International Society for Traumatic Stress Studies, International Society for the Study of Trauma and Dissociation and the EMDR International Association. In 1999, Dr. Leeds was awarded both the EMDR Institute's Ronald A. Martinez Memorial Award and an EMDR International Association award for his service and contributions to the evolution of EMDR. In 2013, Dr. Leeds was awarded the Francine Shapiro Award, the EMDR International Association’s highest award for service and contributions to EMDR. He maintains a full-time practice in Santa Rosa, California.


2018 - 28. and 29. April


2018 - 28. and 29. April: 410.00 €
Defense and phobia in complex-traumatized clients - Defense and affect restructuring with EMDR therapy
Fee For All Dates: 410.00 €

Payment of fee please to the account:

Recipient: PIE - Helga Matthess

Account number: 200 318 442

Bank code number: 350 500 00

Bank: Stadtsparkasse Duisburg

IBAN: DE97 3505 0000 0200 3184 42



Hotel am Stadtpark

Klotzstraße 22

40721 Hilden


Phone: 02103 - 5790

Telefax: 02103 - 579102



Seminar - PIE076 (Eng)
Defense and phobia in complex-traumatized clients - Defense and affect restructuring with EMDR therapy (Leeds)

Defense and phobia in complex-traumatized clients - Defense and affect restructuring with EMDR therapy

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, OSDD, 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, a number of 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 which include: 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 describe 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 provide a concise definition of affect phobia.

3. Participants will be able to name the main 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 thoughtful clinical decisions about when to apply and when not to apply Resource Development and Installation procedures versus when to apply EMDR procedures for defense restructuring versus 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 differentiate personal from complementary countertransference and to make use of strategies to manage these clinical situations.



The event is accredited of the Ärztekammer Nordrhein as advanced training for the weekend with about 15 points.


Medical practitioner


Child therapists

Juvenile therapists


Psychotherapeutist (practical experience in treating trauma)

Qualified specialists working in the trauma area

EMDR supervisors


Seminar auf English .

Saturday Registration 13.30 h
Start 14.00 h
End 19.30 h
Saturday evening Common dinner 20.00 h
Sunday Start   9.00 h
Lunch Break 13.00 h to 14.00 h
End 16.00 h

The fee includes a manual, warm and cold drinks, pastries and fruit for the breaks, a common diner at Saturday evening and a common lunch at Sunday in the restaurant of the hotel.

Defense and phobia in complex-traumatized clients - Defense and affect restructuring with EMDR therapy

PIE076 (Eng)-01 (2018 - 28. and 29. April)