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The Developmental Needs Meeting Strategy:

An Ego State Therapy for Healing Adults
With Childhood Trauma and Attachment Wounds


By Shirley Jean Schmidt, MA, LPC



First Edition      February 2009      275 Pages      Illustrated      $35.00

DNMS Institute, LLC      San Antonio, Texas





      

 
  This book teaches psychotherapists how to apply the DNMS. It provides DNMS background material, including a discussion of ego state theory and the practical application of ego state therapy. It outlines detailed protocol steps for establishing Resources, selecting maladaptive introjects for processing, and meeting developmental needs. The final chapter is devoted to handling processing complications and blocks. The appendix provides practice worksheets and forms and many other supportive materials. Click here to see endorsements by Nancy Napier, Christine Courtois, Laurel Parnell, Ricky Greenwald, David Grand, Carol Forgash and more....


Table of Contents

Acknowledgements......................................................................................................vi
Introduction.................................................................................................................vii
Chapter 1 - Overview and Background..............................................................1

    Overview of the Key DNMS Protocols & Procedures
          Taking a History
          The Resource Development Protocol
          The Switching the Dominance Protocol
          The Attachment Needs Ladder Questionnaire
          The Conference Room Protocol
          The Needs Meeting Protocol
          Follow-up and Repeat the Process
          DNMS Limitations
    Background Material
          Developmental Stages
          Hierarchy of Needs
          Ego State Theory
          Wounded Ego States Formed by the Firing of Mirror Neurons
    Healing by Neural Integration
    Alternating Bilateral Stimulation
    How Long Does DNMS Therapy Take?
    Chapter Summary
    Chapter 1 Notes & References

Chapter 2 - Ego State Therapy Basics.........................................................17

    Ego State Therapy Background
    Working with Ego States
          Executive Control & Recognizing Ego States in Clients
          Talking to Individual Parts of Self
          Differing Points of View & Internal Conflicts
          Tucking In
          System-Wide Announcement
    DNMS Ego State Classifications
          Reactive Parts
          Introjects
    Reactive Parts and Introjects Interact
          What Happened in Childhood…
          What Happens in Adulthood…
          The True Source of a Current Problem…
    Healing Wounded Parts of Self
          Healing Maladaptive Introjects
          Healing Reactive Parts
          The Benefits of Healing Wounded Parts of Self
    Trauma-Related Introjects
          Unmet Needs before a Trauma Happens
          Unmet Needs during a Trauma
          Unmet Needs after a Trauma Happens
          Identifying Trauma-Related Introjects for Processing
    Other Information about Reactive Parts and Introjects
          A Part of Self Can Appear as a Metaphor
          What is a Role Model?
          Introject Mask versus Introject Costume
          Combination Introjects
          Adulthood Role Models Can Be Introjected
          Groups of People Can Be Introjected
          Observed Victims Can Be Introjected
          Prenatal Introjection
          Ego State Therapy Controversy
    Chapter Summary
    Chapter 2 Notes and References

Chapter 3 - The Resource Development Protocol.......................................37

    Protocol Overview
    The Nurturing Adult Self and Protective Adult Self
          Discussing Familiar Caregiving Experiences
          Connecting to the Nurturing and Protective Adult Self
          Mental Pictures of the Nurturing and Protective Adult Self
    The Spiritual Core Self
          Discussing Spiritual Beliefs & Peak Spiritual Experiences
          Connecting to the Spiritual Core Self
          Strengthening the Spiritual Core Self
          Mental Picture of the Spiritual Core Self
    The Healing Circle of Resources
    Complications and Processing Blocks
          Preparing Clients to Disclose Processing Blocks
          Checking for Blocks before Beginning a Meditation
          Describing Up Front the Switching the Dominance Protocol to Clear Blocks
          Cloning the Resources
    A Typical Resource Development Protocol Session
    Chapter Summary
    Chapter 3 Notes and References

Chapter 4 - The Switching the Dominance Protocol...................................56

    Protocol Overview
    Switching the Dominance to Treat a Simple Problem
          Asking About the Client’s Experience
          Connecting to Resources
          Inviting Parts of Self Forward
          Classifying a Part that Comes Forward
          When a Reactive Part Appears Keep Looking for the Presumptive Introject
    Collecting Information about a Presumptive Introject
          Getting and Rating the Presumptive Introject Message
    Switching the Dominance Protocol
           Step 1. Permission to Speak to Child Behind the Mask
           Step 2. Welcoming the Child Behind the Mask
           Step 3. Contrasting the True Nature of the Child with the Dysfunction of the Mask
           Step 4. Getting the Child Part’s Age
           Step 5. Explaining the Illusion of Significance
           Step 6. Checking the Appearance of the Mask
           Step 7. Mini-Interventions Interventions Help Shift Dominance
           Step 8. Assessing the Mask’s Animation
           Step 9. Highlighting the Child Part’s Importance
           Step 10. Pocketing the Remains
           Step 11. Orienting the Child Part and Tucking In
           Step 12. Temporary Nature of the Shift
    Switching the Dominance to Treat a Simple Problem – Follow-up
    Other Protocol Issues
          Do Not Assault the Mask
          Working with Two or More Introjects at Once
          More than One Part of Self is Wearing an Introject Mask or Costume
          The Mask Disappears
          Re-Switching the Dominance
          Incomplete Switch
    Complications and Processing Blocks
    A Typical Switching the Dominance Protocol Session
          Example of a Simple Switching the Dominance Experience
          Example of a Complex Switching the Dominance Experience
    Chapter Summary
    Chapter 4 Notes

Chapter 5 - The Conference Room Protocol................................................83

    Protocol
    Finding Negative Beliefs Associated with a Specific Current Problem
    Finding Negative Beliefs Associated with Old Attachment Wounds
          The Attachment Needs Ladder
          Administering the Attachment Needs Ladder
    Conference Room Protocol
           Providing the Client a Big Picture Overview
           Step 1. Preparing the Client the First Time
           Step 2. Recording Information on the Conference Room Map
           Step 3. Connecting to Resources
           Step 4. Picturing the Conference Room
           Step 5. Checking for Processing Blocks
           Step 6. Inviting Parts Into the Conference Room
           Step 7. Engaging the Most Upset Child Part
           Step 8. Classifying the Part of Self that Appears Across the Table
           Step 9. Collecting Information about the Presumptive Introject
           Step 10. Switching the Dominance
           Step 11. Repeating Steps 7-10
           Step 12. Preparing for the Needs Meeting Protocol
           Preparing for the Needs Meeting Protocol
    Other Protocol Issues
           Target Flexibility
           Reactive Parts Disappear in the Conference Room
           Adult Parts Appear in the Conference Room
           Many Reactive Parts Appear
           Working with an Overwhelming Number of Introjects
           Resuming the Conference Room Protocol
           Starting the Needs Meeting Right Away After a Resumed Conference Room Protocol
           Attachment Needs Ladder Follow-up Anomalies
    Complications and Processing Blocks
    A Typical Attachment Needs Ladder & Conference Room Protocol Session
          Administering the Attachment Needs Ladder
          The Conference Room Protocol
    Chapter Summary
    Chapter 5 Notes and References

Chapter 6 - The Needs Meeting Protocol.....................................................114

    Overview
    The Needs Meeting Protocol
           Step 1. Connecting to Resources
           Step 2. Checking for Processing Blocks
           Step 3. Inviting the Child Part into the Healing Circle
           Step 4. Strengthening the Sense of Safety
           Step 5. Asking for a Generalization Effect
           Step 6. Explaining the Process
           Step 7. Meeting Needs
           Step 8. Processing Painful Emotions
           Step 9. Bonding with the Resources
           Step 10. Heightening Awareness of the Adult Body
           Step 11. Checking In
           Step 12. Returning to the Wounding Experiences
           Step 13. Returning to the Care of the Resources
           Step 14. Repeating Steps 12 & 13
           Step 15. Shifting Attention Back and Forth
           Step 16. Checking In
           Step 17. Strengthening a Positive Belief
           Step 18. Tucking In the Child Parts
           Step 19. Counting Up
           Step 20. Checking on the Outcome
    Other Protocol Issues
           Orienting Clients to the Needs Meeting Protocol
           Strengthening Positives with Alternating Bilateral Stimulation (ABS)
           Dialogue Between Child Parts and the Resources
           Child Parts Report Needs in the Negative
           Processing Other Painful Emotions
           Painful Emotions Arise Early in Step 7
           Needing Parents to Meet a Need
           Child Parts “Need” a Positive Trait
           If the Resources Had Been Your Parents Then…
           Getting the Strongest Positive Belief
           Interruption While Tucking In Child Parts
           Closing an Unfinished Protocol
           Resuming an Unfinished Protocol
    Complications and Processing Blocks
    A Typical Resource Development Protocol Session
           DNMS Needs Meeting Protocol: Session Notes
    Chapter Summary
    Chapter 6 Notes and References

Chapter 7 - Complications & Blocks..............................................................152

    Overview
    Inviting Clients to Disclose Processing Blocks
    General Complications
          Eliciting the Concern
          Classifying the Concern
          Handling Misunderstandings
          Handling Blocking Introjects
          Verifying All Blocks Have Been Cleared
          Two Paths to Resolving Blocks
          Applying the Adult Body Intervention
    Complications with the Resources
          Diagnosing Resource Complications
          Addressing Resource Complications
    Resource Development Protocol Complications
          Problems Discussing Caregiving Experiences
          Problems Discussing Specific Items on the Caregiver Skills List
          Problems with the Mental Pictures
          Difficulty Visualizing the Resources
          Provisional Resources
    Switching the Dominance Protocol Complications
          Problematic Introject Messages
          If Processing Stalls
          A Reactive Part Answers the Questions
          Enmeshment Reversal
          Problems Finding the Child Part Wearing the Mask (In Step 1)
          When a Child Part under the Mask is Also Reacting to It (In Step 1)
          Differentiating Reactive Mimics and Introjects (In Step 2)
          Problems Contrasting the Child’s Good True Nature with the Mask (In Step 3)
          The Mask Moves Away or Disappears Prematurely (In Step 6)
          Fear that Losing Interest in the Mask Means Losing Interest in the Caregiver (Step 10)
    Attachment Needs Ladder Complications
          Initial Rating Complications
          Follow-up Rating Complications
    Conference Room Protocol Complications
          Erecting a Glass Wall (In Step 5)
          No Reactive Parts Enter the Conference Room (In Step 6)
          Very Fearful Reactive Parts Appear (In Step 6)
          Confident Parts Appear (In Step 6)
          No Part Appears Across the Table (In Step 8)
    Needs Meeting Protocol Complications
          Fear of Losing a Familiar Sense of Identity
          Unclear Replies Require Further Investigation
          Aversive Reactions to the Processing
          Premature Empathy or Forgiveness for Wounding Role Models
          Wishful Thinking
          Child Parts are Fixated on the Past
          An Upset Adult Self Interrupts the Processing
          Problem Making an Initial Connection with the Resources (In Step 1)
          Needs Meeting Complication (In Step 7)
          Emotion-Processing Complications (In Step 8)
          Bonding Complications (In Step 9)
          End of Protocol Complications (In Step 16)
          Incomplete Processing
    Chapter Summary
    Chapter 7 Notes and References

Epilogue....................................................................................................................193

    After the DNMS
    After You Finish this Book

Appendix A: Glossary..........................................................................................195


Appendix B: Additional Background Material..........................................197

    Section 1: DNMS Journal Article Abstracts
    Section 2: Maslow Pyramid & Maslow/Erikson Chart
    Section 3: Background Material on Attachment
    Section 4: Background Material on Prenatal Introjection
    Section 5: Popular Ego State Psychotherapies
    Section 6: Typical Developmental Needs Table
    Section 7: Typical Misunderstandings That Block Processing & Suggestions for Correcting Them

Appendix C: Stabilizing Techniques for Unstable Clients...................214


Appendix D: Preparing Clients for the DNMS.........................................217

    Preparing Clients for the DNMS
          Screening Clients for the DNMS
          Explaining the DNMS to Clients
          Taking a History for the DNMS
    The Developmental Needs Meeting Strategy: What It Is and How It Works
    The Needs Meeting Protocol in Pictures

Appendix E: Therapist Worksheets & Forms...............................................228

    Resource Development Protocol Worksheet
    The Nurturing Adult Self & Protective Adult Self Skills Defined
    Switching the Dominance Protocol Worksheet
    The DNMS Attachment Needs Ladder
    The Conference Room Map
    Conference Room Protocol Worksheet
    Needs Meeting Protocol Worksheet
    Needs Meeting Protocol: Session Notes
    Some Typical Misunderstandings That Block Processing
    Overcoming Processing Blocks Flowchart

Appendix F: DNMS Tools & Home Study Course...............................255


Index..............................................................................................................................258