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The DNMS Book
The Developmental Needs Meeting Strategy:
A Model for Healing Adults With Childhood Attachment Wounds

By Shirley Jean Schmidt, MA, LPC

Published by the DNMS Institute, LLC        San Antonio, Texas
First Edition        December 2006        254 Pages        Illustrated        $35.00

About this book: Whether you are interested in learning about the DNMS for the first time, or keeping up with its evolution over time, this book has something for you. It takes psychotherapy to a whole new level. A child's attachment to primary caregivers significantly contributes to the development of postive and/or negative assumptions about self and world. Insecure childhood attachments are at the core of most presenting problems. The protocols presented in this book are especially designed to heal the wounds created by umnet childhood needs - and unmet attachment needs in particular. This book offers a number of powerful protocols that can be used individually and/or collectively. Three of these DNMS protocols are published here for the first time. In addition, this book offers a simplified way of understanding and clearing processing blocks - which factors significantly in the success of treatment. The appendix of this book provides nine worksheets for therapists to use as they begin to learn the protocols. See an expanded Table of Contents posted below.
Table of Contents

 Acknowledgements
Introduction
Chapter 1 - Overview and Background    (23 pages)
    Overview of the Developmental Needs Meeting Strategy
          The DNMS Protocols
          What the DNMS Treats
          DNMS Limitations
    Developmental Stages and Needs
          Abraham Maslow
          Erik Erikson
          Jean Illsley-Clarke and Connie Dawson
          Poor Parenting By Well-Intentioned Caregivers
    Ego State Theory
          States of Mind
          Parts of Self
          The Self-System
    Attachment Theory
          The Attachment System
          Attunement
          Mental Models
          Internalized Representations of Caregivers and Self-Regulation
          Attachment Styles
          Rupture and Repair
    Neurobiology of Attachment and Attunement
    Theoretical Basis for the DNMS
    Alternating Bilateral Stimulation (ABS)
          ABS Benefits
          ABS Cautions
          Applying ABS During the DNMS
          ABS Does Not Make the DNMS a Variation of EMDR
    Chapter Summary
 Chapter 2 - Ego State Therapy Principles for the DNMS    (33 pages)
    Ego State Therapy: General Information
    Ego State Therapy Background
    Recognizing Ego States in Clients
    The Most Adult Self and Child Parts See the World Differently
    Internal Conflicts & Fear of Annihilation
    Talking to Selective Child Parts of Self
    Tucking In Child Parts
    System-Wide Announcement
    Ego State Therapy: DNMS-Specific Information
    Classifications of Ego States
    Reactive Parts
    Introjects
    Two Types of Introjects: Adaptive and Maladaptive
    Two Types of Maladaptive Introjects
    Reactive Parts React to Maladaptive Introjects
    The True Source of a Problem
    Why the DNMS Focuses on Maladaptive Introjects
    How the DNMS Helps Maladaptive Introjects and Reactive Parts Heal
    The Difference Between an Introject “Mask” and “Costume”
    Distinguishing Introjects from Reactive Parts
    Steps to Healing
    Switching the Dominance Protocol
           Step 1. Getting 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/Rechecking the Appearance of the Mask
           Step 7. Assorted Interventions to Help Shift the Dominance
           Step 8. Assessing the Mask’s Animation
           Step 9. Highlighting the Child’s Significance Over the Mask
           Step 10. Pocketing the Remains
           Step 11. Orienting the Child for Future Processing and/or Tucking In
           Step 12. Explaining the Temporary Nature of the Shift
           Troubleshooting Switching the Dominance Protocol Problems
           The Child Wants to Assault or Throw Away the Mask
           Switching the Dominance of Two or More Introjects at Once
           Incomplete Switch
           Switching the Dominance: A Short-Term Therapy Intervention
    Processing Trauma By Healing Introjects
    Prenatal Introjection
    Other Types of Introjection
    DNMS Contrasted with Other Ego State Therapies
    How Long Does DNMS Therapy Take?
    Ego State Therapy Controversy
    Chapter Summary
 Chapter 3 - Preparing Clients for the DNMS    (9 pages)
    Taking a History for the DNMS
    Screening Clients for the DNMS
    Explaining DNMS Fundamentals to the Client
    1. Introduction to the DNMS
    2. The Resources & Healing Circle
    3. Understanding Reactive Parts and Introjects
    4. The Switching the Dominance Protocol
    5. Selecting Child Parts for Needs Meeting Work
    6. The Needs Meeting Protoco
    7. Alternating Bilateral Stimulation (ABS)
    Chapter Summary
 Chapter 4 - The Resource Development Protocol    (18 pages)
    What is a Healing Circle of Resources?
    Orienting the Client
    Connecting to the Nurturing Adult Self and Protective Adult Self
           Getting Started
           The Nurturing & Protective Adult Self Meditations
           Mental Picture of NAS and PAS
    Connecting to the Spiritual Core Self
           Getting Started
           Regular Spiritual Core Self Meditation
           Core Self Meditation
           Breath Meditation
           Spiritual Core Self List Meditation
           Mental Picture of SCS
    The Three Resources Together Make a Healing Circle
    Sample Dialogue - Establishing the Resources & Healing Circle
    Application of ABS to Strengthen the Resources
    The Healing Circle for Affect Containment and Regulation
    Chapter Summary
 Chapter 5 - Selecting Child Parts for Needs Meeting Work    (29 pages)
    The Big Picture
    Processing Attachment Issues – The Attachment Needs Ladder
           Administering the ANL
           Potential Problems Administering the ANL
           The Ladder
           Selecting a Group of ANL Statements for Processing
    Current-Problem Processing
    Conference Room Protocol
           Conference Room Map
           Step 1. Explaining the Process to Clients
           Step 2. Connecting to Resources
           Step 3. Looking for Processing Blocks
           Step 4. Recording Info on Conference Room Map
           Step 5. Picturing the Conference Room
           Step 6. Inviting Child Parts Into the Conference Room
           Step 7. Recording Child Parts on Conference Room Map
           Step 8. Engaging the Most Upset Child Part
           Step 9. Seeing the Introject
           Step 10. Determining if the Part Across the Table is an Introject or Reactive Part
           Step 11. Switching the Dominance
           Step 12. Repeating Steps 8-12
           Preparing for the Needs Meeting Protocol
           Follow-up Ratings
    Sample Dialogue - Attachment Needs Ladder
    Sample Dialogue - Conference Room Protocol
    Conference Room Map For Sample Dialogue
    Chapter Summary
 Chapter 6 - The Needs Meeting Protocol    (44 pages)
    The Needs Meeting Protocol
           Step 1. Selecting Ego States for Processing
           Step 2. Connecting to the Healing Circle
           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 Strong Emotions
           Step 9. Bonding with the Resources
           Step 10. Checking In
           Step 11. Heightening Awareness of the Adult Body
           Step 12. Returning to the Care of Parents
           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
    Additional Notes About the Needs Meeting Protocol
           Alternating Bilateral Stimulation (ABS)
           Dialogue Between Child Parts and the Resources
           Staying Attuned When Meeting Needs
           Processing Through Fears of and Fixations on the Past
           Processing Through Emotional Reactions to the Processing
           If the Resources Had Been Your Parents Then…
           Premature Empathy for Neglectful or Abusive Parents
           Wishful Thinking
           Processing Adult Grief, Loss, and Anger
    Sample Dialogue – Needs Meeting Protocol
    Transitioning Between Sessions
    Transitioning Between Sessions
           Session Follow-up
           Closing Down an Unfinished Protocol
           Resuming an Unfinished Protocol
    Chapter Summary
 Chapter 7 - Overcoming Processing Blocks    (29 pages)
    When Blocks Can Arise
    Welcoming Processing Blocks
    Two Types of Processing Blocks
    Uncovering Processing Blocks
           Concern is Readily Revealed
           Concern is Not Readily Revealed
    Identifying Misunderstandings that Block Processing
           Misunderstandings Unique to the Resource Development Protocol
           Misunderstandings Unique to the Conference Room Protocol
           Misunderstandings Unique to the Needs Meeting Protocol
           Misunderstandings Shared by all Protocols
    Handling Misunderstandings that Block Processing
           Handling the Most Common Misunderstandings About the Conference Room Protocol
    Typical Misunderstandings That Block Processing & Suggestions for Correcting Them
    Identifying Maladaptive Introjects that Block Processing
           Looking for Clues That Will Differentiate the Introjects from Reactive Parts
           Direct and Indirect Blocking
                  Introjects That Block Processing Directly
                  Introjects That Block Processing Indirectly
    Handling Maladaptive Introjects That Block Processing
    Checking the Status of the Block
    Sample Dialogue - Introject Indirectly Blocking Processing
    Troubleshooting & Handling Questionable Resources
    Chapter Summary
 Chapter 8 - Lisa: A Single Subject Design Case Report    (9 pages)
    Introduction
    The Subject
    Baseline Presentation
    Treatment Experience
    Measures
    Results
    Other Observations
    Treatment Success in Lisa’s Own Words
    Discussion
    Conclusions
    Article References
 Chapter 9 - Three Case Studies    (8 pages)
    Hypothesis Tested in this Study
    The Subject
    Methods
    Results
    Discussion
    Summary
    Case Study References
 References    (4 pages)
Appendix I: Glossary    (2 pages)
Appendix II: Client Handouts    (12 pages)
    The DNMS: What It Is and How It Works
    The Needs Meeting Protocol in Pictures
    Nurturing Adult and Protective Adult Self Skills
 Appendix III: Therapist Worksheets    (25 pages)
    DNMS Resource Development Protocol Worksheet
    DNMS Attachment Needs Ladder
    DNMS Conference Room Protocol Worksheet
    DNMS Switching the Dominance Protocol Worksheet
    DNMS Conference Room Map
    DNMS Needs Meeting Protocol Worksheet
    DNMS Needs Meeting Protocol: Session Notes
    Overcoming Processing Blocks Flowchart
    Some Typical Misunderstandings That Block Processing
 Appendix IV: Therapist Tools & Order Form    (2 pages)
    Products
    Order Form
 Index    (3 pages)
 
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