Cognitive Interweaves Botswana 2020 EMDR Level 2 Do

Cognitive Interweaves Botswana 2020, EMDR Level 2 Do Doeksen

Cognitive interweaves An Intervention to make a path to available, but for the patient at that moment non accessible, information and insight.

When to use a cognitive interweave? AS IF KNOWLEDGE THAT IS NECESSARY FOR MORE FUNCTIONAL COMPREHENSION IS NOT AVAILABLE AS IF THE TRAIN CANNOT GO THROUGH BECAUSE THERE ARE MISSING PARTS OF THE RAILWAY

When to use a cognitive interweave ? The desensitisation is not going well ( SUD doesn’t decrease) The processing “Loops”

When the patient is saying all the time the same by example: Looping “I am guilty or “I am Powerless”

When to expect looping? SEVERE TRAUMATISATION STRONG FEELINGS ( LIKE GUILT AND ANGER)

Open Questions versus Closed Questions: “What would you say to your own child when she/he felt guilty about the sexual abuse? ” “Would you blame your own child when he/she was sexual abused? ” Cognitive Interweave as question to make information accessible; what the patient knows by mind, not by heart

Cognitive Interweaves-Three main topics: Safety ( Present): “You are safe now” Responsibility ( Past) ”Who’s responsibility? ” New Choices: ( Future)What are you able to do now, what you could not do in the past?

Finishing the unfinished “What would you like to say to him/her ( the perpetrator)? ” “What would you like to do? ” ”Say it/ Do it”…” “What would you like to say to him/her ( your little self) “What would you like to do ( to make clear how much you love her/him)” Say it/ Do it//

When the patient doesn’t give you the right ( functional) answer at the interweave When the patiënt does not give you the right ( functional) answer: No worries, Go Back to Target and try later with the same or another interweave! Maybe the functional information was not really available yet!

Examples of Cognitive Interweaves 1 Safety: “Are you safe now? ” “ How did it end”; “ Did you die”? “Where are you now? Responsibility: “Whose responsibility is it”? ; “ Do you really mean that a child is responsible for…? ”; What would a judge say. . ”? “When it would be your daughter/friend. . what would you say to her when she said I am guilty? ”

Examples of cognitive interweaves 2 Introduction of the perspective of the adult ( present) versus the perspective of the child ( Past): “As a child you thought you were responsible, as an adult you still think you are”? ; “At this moment who do you think is responsible? ”; Who was the strongest? ; Who started this. . you or he/she? ”; “Who’s pleasure it was, yours of his/hers? ”; “Who’s plan it was, yours of his/hers”?

Examples of cognitive interweaves 3 Finishing the unfinished: “What would you like to say to him/her? . . ”Say it”; “What would you want to do”? . . ”Do it”; “What would you like to say to your little self”? . . ”Say or do it”

Cognitive Interweave as Positive Closure When the patiënt doesn”t know what to answer as Positive Closure of the protocol, sometimes a cognitive interweave is helpfull

Demonstration Film Cognitive Interweave