Om Dolores Mosquera


dolores
Dolores Mosquera is psychologist and psychotherapist. She is the director of the Institute for the Study of Tauma and Personality Disorders (INTRA-TP), a private institution where she has worked with EMDR for many years on cases related to severe traumatization. She works in an offenders program an collaborates treating adolescents in youth correctional facilities. She has been trained in several psychotherapeutic approaches and is an EMDR Europe Consultant and Facilitator. She has extensive teaching experience, leading seminars, workshops and lectures internationally. She has published many books and many articles on personality disorders, complex trauma and dissociation and is a recognized expert in this field. Dolores Mosquera is a member of the ESTSS Board and a member of the Editorial Board for the ESTD Newsletter.



Abstracts for presentasjonene hennes:

Understanding and treating Narcissistic Personality Disorder with EMDR


Narcissistic Personality Disorder is associated with selfish behaviors and lack of empathy towards others. Patients with this diagnosis show a self-centered profile and a (sometimes only apparent) lack of concern about the suffering that they can cause in other people but this is only part of the picture.
The DSM-IV description of narcissistic personality disorder focuses on the “overt” qualities of narcissism (grandiosity, exploitation, arrogance, interpersonal problems and rage) while omitting the less obvious and more subtle “covert” characteristics (tendency to be shame sensitive, introverted, vulnerable, inhibited and anxiety-prone). All of these aspects may be present in both abusers and victims, in either overt or subtle presentations. In this presentation we will show how to conceptualize and treat different profiles characterized by self-centeredness, selfish attitudes and a lack of empathy from the EMDR perspective..
To conceptualize EMDR therapy in these cases it is important to understand the developmental pathways from early experiences to present problems. Narcissism features can be final outcomes of a neglecting environment, chronic abuse or other adverse experiences. In some cases it can even be related to excessive appraisal. A variety of attachment disturbances with primary caregivers can lead to lack of empathy and self-centeredness. Being able to identify (and reprocess) the etiological experiences at the roots of the symptoms is crucial for an adequate case conceptualization.
All these aspects and the complexity of therapeutic relationship in narcissistic personalities will be reviewed in this presentation linking theory and case examples. Video cases will be shown to illustrate case conceptualization and treatment methods.




Treating Dissociative Disorders with EMDR:
The Progressive Approach


After many early cautions about the potential dangers of using EMDR with individuals suffering from dissociative disorders, limited proposals have been offered for adapting EMDR procedures to this specific population. Based on these early cautions, EMDR is still considered by many clinicians as offering interventions that are limited to the treatment of traumatic memories in high functioning dissociative clients and only after a long preparation phase that depends on other treatment modalities. From this conceptualization, the use of EMDR is strongly limited and many survivors of severe traumatization are seen as unable to benefit from EMDR, if at all, only much later in the treatment process.

In this presentation, clinical case examples and video fragments will be used to illustrate interventions with EMDR for dissociative clients following the “Progressive Approach” (Gonzalez & Mosquera, 2012). Using this model, we will demonstrate how EMDR clinicians can safely utilize a wide range of EMDR interventions from early in the preparatory phase of treatment for patients with dissociative disorders. Our aim is to provide a comprehensive model for applying EMDR therapy in the treatment of dissociative disorders, extending the AIP model to address the kinds of dysfunctionally stored information found in those with the most severe forms of traumatization and dissociative phobias.