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Fine Tuning Imagery Rescripting

USB by Remco van der Wijngaart & Chris Hayes

Imagery rescripting is a powerful experiential technique that uses the power of imagination and visualisation to identify and change meaningful and traumatic orders in the past, resulting in transformation in the present. The approach seeks to provide a corrective emotional order to assist in changing a client’s beliefs, emotions, and recollections. It has been a central feature of Schema Therapy, however more recently imagery rescripting has developed into a stand alone treatment for childhood trauma and other specialist areas such as social anxiety disorder, post-traumatic stress disorder, obsessive compulsive disorder, and clinical nightmares.

This usb aims to provide a solid foundation of usb-content for those beginning to use imagery work in their practice. Furthermore, it provides more orderd therapists with examples of managing difficult and challenging situations typically observed in clinical contexts.

The usb centres around two fictional clients: “Nicky” presenting with borderline personality disorder and a complex trauma background; and “Greg” presenting with chronic depression and PTSD.

Chapter 1 – shows the typical use of imagery exercises in various situations.

Chapter 2 – shows challenging situations for therapists as well as ways to bypass challenging situations that may block the use of imagery exercises.

Chapter 3 – shows the use of imagery in “specialist” areas. It also contains scenes showing common pitfalls for therapists completing imagery work.

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Imagery Rescripting

  • Therapist Reassures, Informs Explains
  • Imagery for Assessment
  • Imagery Rescripting with No Antagonist
  • Imagery Rescripting Punitive Antagonist
  • Imagery Rescripting Demanding Antagonists
  • Imagery Rescripting Guilt inducing Antagonist
  • Imagery Rescripting Using Fantasy
  • Forming Image of Healthy Adult
  • Coaching Client to Rescript Image
  • Client Rescripts Image
  • Future Imagery- Pattern Breaking

Imagery Rescripting – Challenges

  • Client Doesn’t Want to Do Imagery: “Stealth Imagery”
  • Client Doesn’t Want to Do Imagery: Cognitive Approaches
  • Client Doesn’t Want to Close Eyes
  • Client Has no Safe Place
  • Mode Work with Unwilling Client
  • Chair work; Client Detached and Unwilling
  • Client unwilling to do imagery
  • Very Strong Overcompensation - Resistance and Unwillingness
  • ‘I Can’t do Imagery’ – Neutral Image Current Life
  • ‘I Can’t do Imagery’ – Neutral Image Growing Up
  • Recollecting Not Experiencing
  • Not wanting Therapist to Enter Image
  • Can’t Take Child’s Perspective
  • Client Wants to Change Parents
  • Too Overwhelmed – Grounding

Imagery Rescripting - Specialist Areas and Therapist’s Pitfalls

  • Specialist areas
  • Eating disorder- Fighting Punitive Antagonist
  • Eating disorder- Rescripting Absent Parents
  • Flash Forwards (Obsessive Compulsive Disorder)
  • Recurrent Nightmares
  • Therapist Pitfalls
  • Imagery- Not Enough Strength
  • Imagery Too Fast/Rational
  • Imagery Too Slow/Detailed
  • Asking Client to Rescript Too Early
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